National Health Policy “Towards a Healthier Botswana” Ministry of Health, Gaborone December 2011 National Health Policy “Towards a Healthier Botswana” Ministry of Health, Gaborone December 2011 The revised National Health Policy: National Health Policy: Towards a Healthier Botswana, December 2011 © Ministry of Health, 2012 Design and layout: Bay Publishing (Pty) Ltd, Gaborone Printing: Printing & Publishing Company Botswana, Gaborone, 2012 Table of Contents Foreword ........................................................................................................................... 5 Abbreviations ........................................................................................................................... 6 Chapter 1:Introduction ............................................................................................................ 7 1.1 The Need to Revise the National Health Policy (NHP) .................................... 7 1.2 National Context for Health Development ....................................................... 7 1.3 Global Context for Health Development .......................................................... 7 1.4 Brief Description of the Process of Policy Review .......................................... 8 Chapter 2: Situation Analysis................................................................................................... 9 2.1 Geographic and Demographic Features............................................................. 9 2.2 Social Determinants of Health........................................................................... 9 2.3 Socio-Economic Determinants of Health ........................................................ 10 2.4 Current Health Status in Botswana ................................................................. 11 2.5 Major Causes of Disease Burden in Botswana ............................................... 11 2.6 The Organisation and Management of the Health Sector ............................... 12 2.6.1 The Ministry of Health .......................................................................... 12 2.6.2 The Ministry of Local Government (MLG) .......................................... 12 2.6.3 Other Service Providers and Facilities ................................................... 12 2.6.4 Management and Coordination of the Health Sector ............................ 13 2.6.5 Regulation of the Health Sector ............................................................ 13 2.7 Access and Utilisation of Health Services ...................................................... 13 2.8 Human Resources for Health .......................................................................... 14 2.9 Health Financing ............................................................................................. 14 2.10 Medicines, Vaccines and other Health Technologies ..................................... 14 2.11Health Information Management System ....................................................... 15 2.12 Progress towards Attainment of the Health MDGs ....................................... 16 Chapter 3: Vision, Mission and Guiding Principles ............................................................ 19 3.1 Vision .............................................................................................................. 19 3.2 Mission Statement ........................................................................................... 19 3.3 Guiding Principles/Values ............................................................................... 19 3.4 Duration of the Policy ..................................................................................... 20 Chapter 4: Policy Thrusts / Principle Areas of Action......................................................... 21 4.1 Leadership and Governance ............................................................................ 21 4.1.1 Goal ........................................................................................................ 21 4.1.2 Objectives ............................................................................................... 22 4.1.3 Policy Initiatives ..................................................................................... 22 4.2 Service Delivery .............................................................................................. 23 4.2.1 Goal......................................................................................................... 23 4.2.2 Objectives ............................................................................................... 23 4.2.3 Policy Initiatives ..................................................................................... 23 4.3 Human Resources for Health........................................................................... 24 4.3.1 Goal......................................................................................................... 25 3 NATIONAL HEALTH POLICY: TOWARDS A HEALTHIER BOTSWANA, DECEMBER 2011 4.3.2 Objectives ............................................................................................... 25 4.3.3 Policy Initiatives ..................................................................................... 25 4.4 Health Financing ............................................................................................. 26 4.4.1 Goal ........................................................................................................ 26 4.4.2 Objectives ............................................................................................... 26 4.4.3 Policy Initiatives ..................................................................................... 26 4.5 Medicines, Vaccines and Health Technologies................................................ 27 4.5.1 Medicines, Vaccines and other Medical Products .................................. 27 4.5.1.1 Goal .............................................................................................. 27 4.5.1.2 Objectives ..................................................................................... 27 4.5.1.3 Policy Initiatives ........................................................................... 28 4.5.2 Equipment .............................................................................................. 29 4.5.2.1 Goal .............................................................................................. 29 4.5.2.2 Objectives ..................................................................................... 29 4.5.2.3 Policy Initiatives ........................................................................... 29 4.5.3 Infrastructure .......................................................................................... 30 4.5.3.1 Goal .............................................................................................. 30 4.5.3.2 Objectives ......................................................................................30 4.5.3.3 Policy Initiatives ............................................................................30 4.6 Health Information and Research .................................................................... 31 4.6.1 Goal ........................................................................................................ 31 4.6.2 Objectives ............................................................................................... 31 4.6.3 Policy Initiatives ..................................................................................... 31 4.7 Lifestyle/Behavioural Determinants of Health ............................................... 32 4.7.1 Reducing Smoking.................................................................................. 32 4.7.1.1 Goal .............................................................................................. 32 4.7.1.2 Objectives ..................................................................................... 32 4.7.1.3 Policy Initiatives ........................................................................... 33 4.7.2 Healthy Food Habits and Increased Physical Activity ........................... 33 4.7.2.1 Goal .............................................................................................. 33 4.7.2.2 Objectives ..................................................................................... 33 4.7.2.3 Policy Initiatives ........................................................................... 33 4.7.3 Alcohol and Substance Abuse ................................................................ 34 4.7.3.1 Goal .............................................................................................. 34 4.7.3.2 Objectives ..................................................................................... 34 4.7.3.3 Policy Initiatives ........................................................................... 34 4.7.4 Environment, Health and Safety............................................................. 35 4.7.4.1 Goal............................................................................................... 35 4.7.4.2 Objectives ..................................................................................... 35 4.7.4.3 Policy Initiatives ........................................................................... 36 Chapter 5:Implementation Framework ............................................................................... 37 5.1 Specific Roles and Responsibilities for Implementation of the Policy ........... 37