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Analytical summary - Leadership and governance

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The Ministry of Health in Botswana has the responsibility for the overall improvement and maintenance of national health. It sets broad policy directions, goals and strategies for health development and delivery.

The Ministry of Health is headed by the Minister, who provides political leadership. He is assisted by the Assistant Minister. The Permanent Secretary is the head of the executive arm of the Ministry. Under the Permanent Secretary there are four Deputy Permanent Secretaries one being the Director of Health Services and the remaining three heading Clinical Services, Preventive Services and Corporate Services.

The Ministry has 11 departments led by Directors (see figure). The departments are:

  • Policy, Planning, Monitoring and Evaluation
  • Health Sector Relations and Partnership
  • Ministry Management
  • AIDS Prevention and Care
  • Clinical Services
  • Public Health
  • Health Inspectorate
  • Health Hub
  • MASA (antiretroviral treatment)
  • Corporate Services
  • The Office of Strategy Management, which is a new division to oversee the Ministry’s strategy and projects.

Through an open democratic decision-making process, the Government of Botswana’s policy formulation and review process ensures that every citizen and every sector of the economy make a contribution to the overall national policy framework.

Ministry of Health organizational structure

Since 2010, with the exception of environmental health, all primary health care services that had been provided by the Ministry of Local Government have been relocated to the Ministry of Health. Now the responsibility for all public health facilities has been taken by the 29 district health management teams, each of which has a designated geographical area. District health management teams are organized into curative, preventive and corporate services.

The districts develop plans that are aligned to the national strategy and negotiate a budget with the Ministry of Health annually. Entrusting all health care delivery to district health management teams ensures decentralization of the delivery of services to communities.