National Health policy 2011 Annex A Republic of Botswana National Health Policy Towards a Healthier Botswana August 2011 National Health policy 2011 FINAL Draft Table of Contents Foreword iv Abbreviations ...................................................................................................... v Chapter 1: Introduction ................................................................................... 1 1.1 The need to revise the National Health Policy (NHP) ........................................ 1 1.2 National Context for Health Development ......................................................... 1 1.3 Global Context for Health Development ............................................................ 2 1.4 Brief Description of the Process of Policy Review ............................................ 2 Chapter 2: Situation analysis ........................................................................... 3 2.1 Geographic and Demographic Features .............................................................. 3 2.2 Social Determinants of Health ............................................................................ 3 2.3 Socio-Economic Determinants of Health ........................................................... 4 2.4 Current Health Status in Botswana ..................................................................... 5 2.5 Major Causes of Disease Burden in Botswana ................................................... 5 2.6 The Organisation and Management of the Health Sector ................................... 7 2.6.1 The Ministry of Health........................................................................................ 7 2.6.2 The Ministry of Local Government (MLG) ........................................................ 7 2.6.3 Other Service Providers and Facilities ................................................................ 7 2.6.4 Management and Coordination of the Health Sector .......................................... 7 2.6.5 Regulation of the Health Sector .......................................................................... 8 2.7 Access and utilisation of health services ............................................................ 8 2.8 Human Resources for Health .............................................................................. 8 2.9 Health financing .................................................................................................. 9 2.10 Medicines, Vaccines and Other health Technologies ....................................... 10 2.11 Health Information Management System ......................................................... 11 2.12 Progress towards attainment of the health MDGs ............................................ 11 3 Chapter 3: Vision, mission and guiding principles ............. 13 3.1 Vision ................................................................................................................ 13 3.2 Mission Statement ............................................................................................. 13 3.3 Guiding Principles/Values ................................................................................ 13 3.4 Duration of the Policy ....................................................................................... 14 Chapter 4: Policy Thrusts/Principle Areas of Action ................................. 15 4.1 Leadership & Governance ................................................................................ 15 4.1.1 Goal ................................................................................................................... 16 4.1.2 Objectives ......................................................................................................... 16 4.1.3 Policy Initiatives ............................................................................................... 16 4.2 Service Delivery ................................................................................................ 17 4.2.1 Goal ................................................................................................................... 17 4.2.2 Objectives ......................................................................................................... 17 4.2.3 Policy Initiatives ............................................................................................... 18 4.3 Human Resources for Health ............................................................................ 19 4.3.1 Goal ................................................................................................................... 19 4.3.2 Objectives ......................................................................................................... 19 4.3.3 Policy Initiatives ............................................................................................... 19 4.4 Health Financing ............................................................................................... 21 4.4.1 Goal ................................................................................................................... 21 ii National Health policy 2011 FINAL Draft 4.4.2 Objectives ......................................................................................................... 21 4.4.3 Policy Initiatives ............................................................................................... 21 4.5 Medicines, Vaccines and Health Technologies ................................................ 22 4.5.1 Medicines, vaccines and other medical products .............................................. 22 4.5.1.1 Goal ............................................................................................................... 22 4.5.1.2 Objectives ..................................................................................................... 22 4.5.1.3 Policy Initiatives ........................................................................................... 23 4.5.2 Equipment ......................................................................................................... 24 4.5.2.1 Goal ............................................................................................................... 24 4.5.2.2 Objectives ..................................................................................................... 24 4.5.2.3 Policy Initiatives ........................................................................................... 24 4.5.3 Infrastructure ..................................................................................................... 25 4.5.3.1 Goal ............................................................................................................... 25 4.5.3.2 Objectives ..................................................................................................... 25 4.5.3.3 Policy Initiatives ........................................................................................... 26 4.6 Health Information & Research ........................................................................ 26 4.6.1 Goal ................................................................................................................... 26 4.6.2 Objectives ......................................................................................................... 27 4.6.3 Policy Initiatives ............................................................................................... 27 4.7 Lifestyle/behavioural Determinants of Health .................................................. 28 4.7.1 Reducing Smoking ............................................................................................ 28 4.7.1.1 Goal ............................................................................................................... 28 4.7.1.2 Objectives ..................................................................................................... 28 4.7.1.3 Policy Initiatives ........................................................................................... 28 4.7.2 Healthy food habits and increased physical activity ......................................... 29 4.7.2.1 Goal ............................................................................................................... 29 4.7.2.2 Objectives ..................................................................................................... 29 4.7.2.3 Policy Initiatives ........................................................................................... 29 4.7.3 Alcohol and substance abuse ............................................................................ 30 4.7.3.1 Goal ............................................................................................................... 30 4.7.3.2 Objectives ..................................................................................................... 30 4.7.3.3 Policy Initiatives ........................................................................................... 30 4.7.4 Environment, Health & Safety .......................................................................... 31 4.7.4.1 Goal ............................................................................................................... 32 4.7.4.2 Objectives ..................................................................................................... 32 4.7.4.3 Policy Initiatives ........................................................................................... 32 Chapter 5: Implementation Framework .......................................................