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Healthcare in sub-Saharan Africa has a direct impact on poverty in the region. When adults are too ill to work, they and their children can quickly fall into extreme poverty, which leads to hunger and malnutrition. Around 46% of Africa’s population lives on less than $1 a day; an even larger proportion than was the case 15 years ago. Despite these challenges, organizations like Wild4Life are working to expand the reach of healthcare into these underserved communities.

Poverty and Health Care in sub-Saharan Africa

Sub-Saharan Africa is the poorest region in the continent. Close to 60 million children under the age of 17 work instead of attending school in an effort to help their families rise out of poverty. Every fifth child is forced into child labor. This effectively means that when grown, that person will lack education and most likely remain in poverty. This social plight creates a vicious cycle in which chronic malnutrition, growth disorders and physical and mental underdevelopment occur. These health issues further limit an individual’s opportunity to earn a living later in life. In addition, 25 million Africans are infected with HIV, including almost 3 million children — the highest rate of infection in the world. Many of these children have lost one or both parents and are living on the streets.

Government expenditure on healthcare in Africa is very low; typically about $6 per person. This means that medical workers experience huge pressures, operating with little-to-no equipment or means to reach rural populations, Such challenges make healthcare in sub-Saharan Africa difficult to provide.

Good News about Health Care in Rural Communities

The good news is that organizations such as Wild4Life are working to reverse these disturbing healthcare trends. The NGO’s mission is to expand the reach of health services to underserved remote, rural communities in sub-Saharan Africa that have limited or no access to healthcare. To achieve this goal, Wild4Life has developed an incredibly innovative service delivery model. The aim of this model is to reach more people than previously would have been possible. Wild4Life works to establish the basic building blocks of a healthcare system. It believes that a well-functioning system has a lasting effect on a community’s overall health and longevity.

Expansion to Twelve African Countries

The Wild4Life model involves partnering with organizations that are already established in remote locations, and that have put together links with people in the local community. This approach leverages the existing infrastructure, social ties and knowledge bank in cooperation with Wild4Life’s network of health providers. This allows support and treatment to impact some of the hardest-to-reach people and places on earth.

Wild4Life began as an HIV/AIDS program in Zimbabwe, but it has expanded throughout sub-Saharan Africa.  Now operating in twelve countries — Botswana, Cameroon, Ethiopia, Gabon, Kenya, Mozambique, Nigeria, South Africa, Tanzania, Zambia and Zimbabwe —the organization delivers extremely low-cost healthcare in sub-Saharan Africa and provides interventions that are scalable yet sustainable.

Community Partnerships to Improve Health Care

The goals of the NGO include assessing the needs of rural populations and targeting the health issues that most affect them. It also seeks to build clinics in remote areas; strengthen rural healthcare networks; provide quality healthcare and improve community partnerships so that creative ways to address problems become permanent solutions. For example, Wild4Life trains community leaders to mobilize local demands for healthcare services and advocate for quality care from clinic staff and maintain facilities. This results in significant infrastructure improvements. The NGO also organizes events around such topics as improving healthy behaviors and coming up with strategies for the best way to use clinic funds.

Five Clinics in Zimbabwe

In Zimbabwe alone, Wild4Life has a network of five clinics. These clinics have achieved remarkable results, including hundreds of lives saved by new diagnosis and treatment of HIV as well as other preventable diseases. The organization believes that there is not one single technology or innovation that will create a lasting impact on the health of people living in rural communities. Instead, it partners with all levels of the healthcare system to locate the gaps in the extant setup. By doing this, it hopes to leave behind a resilient, local healthcare system for those who need it most.

During comprehensive clinical mentoring, well-trained, multi-disciplinary teams composed of six specialists comprehensively mentor clinic staffs on primary care conditions. These conditions include HIV, TB, Integrated Management of Childhood Illness and testing for anemia. Such services also aid in labor and delivery. This process also covers monitoring and evaluation of data quality, pharmacy management and clinic management over a two-year period.

Scaling Up to Improve Healthcare in Africa

Wild4Life has significantly scaled up since its inception, through government, nonprofit and for-profit connections. It has gone from delivering care to remote areas, to building healthcare networks in rural populations. As a result of its expansion plan, 70,000 more people will have access to high-quality health services in their communities. By training clinicians and community members in the most up-to-date medical care delivery, the NGO is changing the way that rural healthcare in sub-Saharan Africa is delivered.

Sarah Betuel

Photo: Flickr

Mental Health in BotswanaBotswana’s 1969 Mental Disorders Act, Chapter 63:02, describes a person with mental illness as a “mentally disordered or defective person” who cannot handle their own affairs and is a danger to themselves or others due to an existing mental condition; and in the case of a child, one who cannot benefit from ordinary education. The Act does not permit the detaining in an institution of persons with mental illness except where cases fall under the Criminal Procedure and Evidence Act.

A patient’s next of kin who is an adult or any other person at least 21 years of age who has seen the patient within the last 14 days may apply for a reception order to the District Commissioner, who in turn liaises with a medical practitioner on referral and treatment protocols. If the patient does not comply, the District Commissioner is allowed to use law enforcement and can choose to carry out the processes of the reception order either privately or publicly. The District Commissioner also has the responsibility to safeguard the patient’s personal belongings and to allow a willing person to provide caregiving in the case of a Class III patient (one who does not require skilled medical care, failure to which is punishable by law).

Currently, mental health in Botswana is guided by the mental health policy drawn in 2003 that is now fully implemented and in line with human rights agreements.

Botswana’s Mental Health Services

Botswana is an upper-middle-income country with a population of 2.3 million and a physician-patient ratio of 0.5 to 1,000. As of 2014, Botswana had a total of 361 inpatient mental health professionals and a ratio of 17.7 mental health workers to 100,000 people. Nurses made up the highest proportion of these professionals at 12.17, and psychiatrists were fewest at 0.29 to a population of 100,000 with one mental hospital and five psychiatric units across different general hospitals. In 2014, there were 46 mental hospital inpatients, 6% of whom were involuntarily admitted. Of all inpatients, 93% stayed less than one year.

The University of Botswana and the U.N. partnered to promote mental health in Botswana. In a 2019 forum, the university vice-chancellor reported that the most prevalent mental and neurological disorders were schizophrenia, schizoaffective disorders and depression, with the majority of patients being males. In 2010, 14,481 Batswana youth aged 15-34 had a mental disorder. The Ministry of Health and Wellness representative pointed to risks of alcohol abuse among the youth dealing with mental health challenges and the U.N. Regional Representative encouraged students to build stress resilience and coping. The university offers mental health services to students through a psychiatric nurse, who can also make advanced care referrals where necessary.

The country also has mental health promotion programs for children as well as an alcohol abuse prevention program for all age groups across the country. The Botswana Network for Mental Health, a subsidiary of the global Mental Health Network (MHN), aims to promote mental health in Botswana through advocacy and community empowerment activities. The organization further addresses the stigma associated with mental illness and helps people access mental health care.

Traditional Systems

Botswana’s constitution makes provision for the House of Chiefs, or Ntlo ya Dikgotsi, a 15-member non-partisan system, of which seven of the members are Dikgotsi (chiefs) representing the different tribes. Eight are elected by their jurisdictions, four of whom are Dikgotsana (sub-chiefs). At the grassroots is the Kgotla, which serves as a local court system and informs parliament on community affairs, a go-between on local and tribal matters including property and customary law.

This Kgotla further encourages free expression in the community by providing a platform for open dialogue for conflict resolution. The Kgotla also handles minor criminal offenses and can take disciplinary action on wayward behavior. The Kgotla thereby promotes community cohesion and psychosocial health for overall mental health in Botswana.

Reforms in Mental Health in Botswana

Despite some human rights inadequacies in the 1969 Mental Health Act, mental health in Botswana has improved over the years, becoming increasingly compliant with WHO’s directives as stipulated in the 2003 mental health policy. The traditional systems of government have also boosted social cohesion, thereby promoting mental health in Botswana.

– Beth Warūgūrū Hinga
Photo: Flickr

homelessness in BotswanaLocated in Southern Africa, Botswana is categorized as a middle-income country, making it one of the most economically stable countries on the continent. Botswana models an egalitarian philosophy with judicial respect toward human rights following its Constitution adopted in 1966. Equal and affordable housing has been a pillar of the country’s rhetoric. However, in recent years, with growing population density and uncertain job prospects, cost-effective housing is no longer guaranteed. Here’s what you need to know about homelessness in Botswana.

6 Facts About Homelessness in Botswana

  1. In Botswana, land is divided by locally elected officials who serve on land boards. Members of the board allocate pieces of land to citizens free of charge. As 79% of the country consists of viable land for agriculture and recreational use, selling property personally is illegal.
  2. Nearly one-third of Botswana’s population lives in peri-urban areas outside of the capital. In recent years, the country’s extraordinary population growth has led to a large population of squatters outside of Gaborone, the nation’s capital and largest city. Since the 1990s, the number of people living within Gaborone and its periphery has increased by 90%. The reason for this large and sudden migration is a shrinking interest in agriculture. People move closer to the city in search of work. But the cities are not equipped for such a high concentration of people, and the government is slow-moving in processing land requests. As such, citizens have to to fend for themselves. Because of this land scarcity, landowners are dividing their property and charging rent.
  3. The government objects to this unofficial market for a few reasons. The first is that people see land as being sacred. For the government, citizens do not own land but instead enjoy it as a customary right. The second reason is that goods and services such as electricity, water and sewage are harder to distribute if the land is cluttered with unregistered housing. In some cases, when squatters settle in unused agricultural land, the government believes that the land is wasted. A piece of agricultural land populated with 5,000 squatters could have held 20,000 to 25,000 households if divided correctly.
  4. The government received backlash in 2001 when more than 2,000 squatters’ homes were demolished. Citizens firstly disagreed with the government’s choice to not address the faults of the land allocations that had forced people to live in unregistered housing. They also expressed their distaste for the apathetic manner in which the homes were destroyed. Since then, some communication has occurred between Botswana citizens and the government regarding the tradition of sacred land and the opportunities present in an open market.
  5. Due to the lack of available land and the consequences of living on unregistered property, some citizens’ living conditions are less than sufficient. Many areas are overcrowded. In addition, citizens often face a lack of water, sanitation and electricity. As a result, their settlements come to be marked as slums. The most recent data on the population density in Botswana slums was taken in 2001. It reported that 61% of citizens lived in slums, which means that Botswana has a high prevalence of slums. Generally, the prevalence of slums is higher in countries that rely on government land distribution like Botswana.
  6. Administrative land allocation can be slow and unorganized, but it can also be discriminatory. In Botswana, citizens who earn less than $630 a year are denied housing. This is due to their presumed inability to pay their housing fees. As a result, this contributes to the issue of homelessness in Botswana. Furthermore, citizens who make less than $3,439 do not qualify for building loans, which prevents them from constructing a home.

Moving Toward Change

In 2016, Botswana’s Ministry of Lands and Housing held a national workshop to discuss the Participatory Slum Upgrading Program. The Participatory Slum Upgrading Program is a plan that incorporates Sustainable Development Goals to assess and address the needs of slum dwellers. Additionally, the ministry announced its $150,000 budget for the improvement of living conditions. This plan primarily focuses on areas of basic services such as access to clean water, adequate space, sanitation and electricity. Along with the Homeless and Poor People’s Federation of Botswana, the ministry plans to legalize an open housing market and privatized land allocation.

Another organization rising to meet the challenge of housing is the Botswana Defence Force (BDF), which focuses on child welfare and builds halfway homes. These homes serve as an in-between living space for homeless children who have been abandoned by family members or left as orphans. They stay in halfway homes, which also accommodate adults and caregivers, before they are given proper placement. Each home features a lounge, kitchen, rest area, bathroom, office and storage space. In addition, the BDF helps build homes, collect trash and establish community gardens.

Things have changed since Botswana’s land and agricultural rights policy. Citizens and larger organizations are working to balance the government’s emphasis on law in order and the benefits of an open market. The return to affordable housing could be the tipping point citizens are looking for to change the current state of economic inequality and eliminate homelessness in Botswana.

Alexa Tironi

Photo: Flickr

Tuberculosis in BotswanaBotswana is a southern African country with just over 2 million residents living inside its borders. Every Batswana lives with the threat of tuberculosis, an infectious disease that remains one of the top 10 causes of death on the African continent. Tuberculosis has a 50% global death rate for all confirmed cases. Investing in tuberculosis treatments and prevention programs is essential. Botswana has one of the highest tuberculosis infection rates in the world with an estimated 300 confirmed cases per 100,000 people, according to the CDC. Preventative and community-based treatment shows promise in combating tuberculosis in Botswana.

Treating Tuberculosis in Botswana

Tuberculosis treatment cures patients by eliminating the presence of infectious bacteria in the lungs. The first phase of treatment lasts two months. It requires at least four separate drugs to eliminate the majority of the bacteria. Health workers administer a second, shorter phase of treatment to minimize the possibility of remaining bacteria in the lungs.

Early identification of tuberculosis is a crucial step in the treatment process and significantly reduces the risk of patient death, according to the Ministry of Health. Preventative treatment methods are vital because they inhibit the development of tuberculosis infection. They also reduce the risk of patient death significantly.

Health workers detect tuberculosis with a bacteriological examination in a medical laboratory. The U.S. National Institutes of Health estimate that a single treatment costs $258 in countries like Botswana.

Involving the Community

Botswana’s Ministry of Health established the National Tuberculosis Programme (BNTP) in 1975 to fight tuberculosis transmission. The BNTP is currently carrying out this mission through a community-based care approach that goes beyond the hospital setting. Although 85% of Batswana live within three miles of a health facility, it is increasingly difficult for patients to travel for daily tuberculosis treatment. This is due to the lack of transportation options in much of the country.

Involving the community requires the training and ongoing coordination of volunteers in communities throughout the country to provide tuberculosis treatment support. Community-based care also improves treatment adherence and outcome through affordable and feasible treatment.

The implementation of strategies such as community care combats tuberculosis. For example, it mobilizes members of the community to provide treatment for tuberculosis patients. The participation of community members also provides an unintended but helpful consequence. For example, community participation helps to reduce the stigmas surrounding the disease and reveals the alarming prevalence of tuberculosis in Botswana.

A Second Threat

In addition to the tuberculosis disease, the HIV epidemic in Africa has had a major impact on the Botswana population, with 20.3% of adults currently living with the virus. Patients with HIV are at high risk to develop tuberculosis due to a significant decrease in body cell immunity.

The prevalence of HIV contributes to the high rates of the disease. The level of HIV co-infection with tuberculosis in Botswana is approximately 61%. African Comprehensive HIV/AIDS Partnerships (ACHAP), a nonprofit health development organization, provides TB/HIV care and prevention programs in 16 of the 17 districts across the country in its effort to eradicate the disease.

Fighting Tuberculosis on a Global Scale

The World Health Organization (WHO) hopes to significantly reduce the global percentage of tuberculosis death and incident rates through The End TB Strategy adopted in 2014. The effort focuses on preventative treatment, poverty alleviation and research to tackle tuberculosis in Botswana, aiming to reduce the infection rate by 90% in 2035. The WHO plans to reduce the economic burden of tuberculosis and increase access to health care services. In addition, it plans to combat other health risks associated with poverty. Low-income populations are at greater risk for tuberculosis transmission for several reasons including:

  • Poor ventilation
  • Undernutrition
  • Inadequate working conditions
  • Indoor air pollution
  • Lack of sanitation

The WHO emphasizes the significance of global support in its report on The End TB Strategy stating that, “Global coordination is…essential for mobilizing resources for tuberculosis care and prevention from diverse multilateral, bilateral and domestic sources.”

– Madeline Zuzevich
Photo: Flickr

90-90-90: A Bold New Goal in the Fight Against AIDSWhen the U.N. met its goal to provide 15 million HIV-affected people with treatment by 2015, it did not pause to celebrate its victory. Two years prior, in 2013, the organization had already crafted a new goal in the fight against the HIV/AIDS epidemic. By 2020, UNAIDS hopes to see a world that has accomplished something miraculous: 90-90-90.

90-90-90 is a target comprised of three interconnected objectives:

  1. By 2020, 90 percent of people living with HIV will know their diagnosis.
  2. By 2020, 90 percent of all HIV-positive individuals who have been diagnosed will receive antiretroviral therapy.
  3. By 2020, 90 percent of all HIV-positive individuals undergoing treatment will achieve viral suppression.

While the plan is straightforward and succinct, UNAIDS has self-awarely deemed it a “bold new target,” which may seem impossible to achieve to some. However, many countries around the globe are well on their way to achieving the elusive 90-90-90.

Most of the nations closest to 90-90-90 are part of the developed world, including Australia, Denmark and the UK. Unfortunately, poverty and weak healthcare systems make developing regions particularly vulnerable to the transmission of HIV. In fact, HIV is the second leading cause of death in developing countries.

HIV is more prevalent in Africa than in any other continent. Since the start of the AIDS epidemic, African countries such as Zimbabwe, Uganda and Botswana have exhibited average life expectancies up to 20 years lower than the rest of the world.

Despite HIV’s lethal presence in the developing world, there are methods that can be implemented to decrease HIV transmission and facilitate treatment in all nations.

In order to increase the amount of HIV-positive people who know their status, HIV testing must become more proactive. Some individuals infected with the HIV virus may not present symptoms and, therefore, will not be tested for the disease and never learn their status. Health campaigns in Uganda have increased their coverage of HIV status by 72 percent, simply by incorporating HIV tests in routine healthcare visits.

In many countries, HIV treatment is flawed due to its reliance on CD4 cell count. CD4 T-cells are the immune cells destroyed by the HIV virus. Ordinarily, HIV treatment is only given to people whose CD4 levels are low enough to put them at risk of developing AIDS. However, without treatment, anyone with HIV can pass on the virus, regardless of CD4 levels.

In 2002, Botswana began offering antiretroviral treatment to anyone infected with HIV. Botswana is now closer to 90-90-90 than almost any other country in Africa.

HIV treatment must be sustained in order to reach viral suppression – the final objective. In the Caribbean, 66 percent of individuals receiving treatment attain viral suppression. The ability to ascertain viral suppression status is reliant on viral load testing, which analyzes the amount of the HIV virus in the blood. Unfortunately, the medical technology required for viral load testing is not easily accessible throughout the globe. Recent data shows that the ability to perform these tests will likely inhibit viral suppression in the developing world. However, the work of the Diagnostics Access Initiative, which creates sustainable medical labs, has successfully decreased the global price of viral load tests by 40 percent, which will make them more accessible in impoverished regions.

While 90-90-90 may seem like an ambitious or overly optimistic dream, the methodology of efficiently diagnosing and treating HIV has proven successful in many countries. If strategically implemented on a global scale, these methods could feasibly eradicate HIV/AIDS and eventually heal the world of this epidemic.

Mary Efird

Photo: Flickr

Benefits of Solar Power
Solar panels are making a major impact on the lives of rural families in Botswana. About 80 percent of people in Botswana have been utilizing firewood for sources of light and heat. Unfortunately, many acres of forest have been destroyed due to the loss of trees used for their light and heat. Now that the UNDP-supported Rural Electrification Program is in place, life in Botswana has changed for the better. The goal of the program is to provide 65,000 homes with solar power.

A benefit of solar power is the time saved by women and girls. Retrieving wood and constantly tending to the fire to maintain light and heat in the home can be a time-consuming task. Newer wood-saving stoves being used in Botswana can cook a four-person meal with only a kilogram of wood, which reduces the wood gathering time and intensive work. This gives people more time to invest in other needs.

There are many benefits of solar power compared to other forms of fossil fuel energy. For example, solar power does not release any pollutants into the environment. Solar panels are a good investment because they are cheap and can supply power indefinitely with no ongoing costs. For countries struggling with poverty in Africa, cheap energy is a smart, long-term solution.

Solar power in countries like Botswana allows families to focus on other important things in their life, as opposed to constantly retrieving wood just to fulfill their basic needs. Botswana is one of Africa’s more stable countries, mostly free of corruption. The country is the world’s largest producer of diamonds, making the country a middle-income nation. The benefits of solar power are an important move in powering the country in the right direction.

Chloe Turner

Photo: Google

Causes of Poverty in Botswana

The discovery of diamonds in 1967 helped Botswana to move from one of the poorest countries in Africa to a middle income country. Ironically, that same discovery contributed to vast levels of income inequality and poverty in the nation. Though Botswana is not technically a poor nation, substantial clusters of poverty remain in its rural areas. In some rural areas, the poverty rate is as high as 46 percent and unemployment for the country is at 20 percent. Here are some of the main causes of poverty in Botswana.

  1. Education
    The skills taught in the education sector often do not match the skills needed to execute jobs available in the job market. This has led to a mass influx of certain skills in the job market, resulting in high unemployment for graduates. Several youths between the ages of 15 and 24 are unemployed in Botswana due to being poorly prepared for potential careers. This age group makes up 51 percent of the unemployed population in Botswana.
  2. Gender
    Unemployment rates are higher among women than men. Botswana men are generally better educated than women so their employment rates tend to be higher. Women also have trouble entering the labor force because of social standards and barriers. Because of these barriers, women make up a mere 36 percent of formal sector employees but make up 75 percent of informal sector employees.
  3. Inequality in Cattle Distribution
    Lack of ownership of livestock is a significant cause of poverty in Botswana. About 47 percent of farmers do not own cattle and those who do own cattle only own small herds. Thus, the poorest 71 percent of traditional farmers own only about 8 percent of total traditional herds, while the richest 2.5 percent own about 40 percent. About 10 percent of farming households own 60 percent of the 2.3 million cattle in the country. This system makes it so that wealth in the country continues to be dispersed unequally. The rich remain rich and the poor remain poor.

While there are several causes of poverty in Botswana, the future of Botswana’s economy looks optimistic. The Botswana government has recently released Vision 2036, a framework designed to reduce the poverty rate and secure prosperity for all. The plan is ambitious and is backed by the United Nations Development Programme (UNDP). Prior to creating the plan, the president engaged in a countrywide dialogue with citizens of Botswana to understand their goals and needs, ensuring that Vision 2036 captures their perspectives. If the plan is effective, by 2036 Botswana will be a high-income country with virtually no one living under the poverty line.

Jeanine Thomas

Photo: Flickr

Cost of Living in Botswana
Botswana is a landlocked nation located in southern Africa, surrounded by South Africa, Namibia and Zimbabwe. Whilst having a small population of around 2.25 million it should not be underestimated as, according to the World Bank, “a development success story.”

Since its gaining of independence in 1966, Botswana has managed to have over four decades of uninterrupted civilian leadership, with progressive social policy and one of the fastest-growing economies in Africa. With all this and more, it is no wonder the Central Intelligence Agency (CIA) has called Botswana “the most stable economy in Africa.”

Now with Botswana gaining a middle-income status, one may wonder what is the cost of living in Botswana. According to the Mercer’s 2015 Cost of Living report, Botswana was ranked at 189 out of 207 countries. As a whole, Botswana is ranked on the lower end of one of the most expensive places to live in the world. The average price for a one-bedroom apartment in the city center costs around 3,000 Pula ($295) as opposed to living outside of the city center where rent would be 2,175 Pula ($214).

Naturally, the cost of living in Botswana changes depending on where a person is living, for example, according to ExpatsArrival, “For expats who choose to settle in Gaborone (the capital city), close proximity to local transport and schools pushes up the price of housing.”

However, we must also understand that while the cost of living may be comparatively small to other nations, the standard of living between the rich and poorer is visibly different. Botswana has a poverty rate of 19%, with the majority of poorer areas located in more rural areas. In addition, the unemployment rate in Botswana is 17.8%. As a consequence, the World Bank claims that Botswana’s income inequality “is among one of the highest in the world.”

The low cost of living in Botswana is just one of its several attractions. It has a great progressive political system, which has made leaps and bounds on its education system, educating more women and thereby decreasing the fertility rate in Botswana. It has a growing and stable economy much of which is attributed to its export of luxury goods in the form of diamonds. It’s no wonder InterNations claim that “Botswana holds plenty of opportunities for expatriates hoping to start a new life in Botswana.”

Obinna Iwuji

Photo: Flickr

5 Things You Should Know About Water Quality in Botswana
The small southern African country of Botswana is known to hold one of the world’s highest economic growth rates since achieving independence in 1966. The nation of 2.2 million people has transformed from its initial impoverished state to a middle-income country through diamond mining, tourism and common farming practices.

Due to the downturn in the global diamond market, however, the economy experienced a low point following the 2008 global recession, with widespread water and power shortages. In just this past year, water quality in Botswana has demanded significant attention as the nation entered its fourth year of drought, posing serious threats to the agriculture sector. Here are five things you should know about water quality in Botswana.

  1. A 2012 water sector policy brief conducted by United Nations Development Programme (UNDP) stated that Botswana’s water sources consist primarily of underground water and surface water (rivers, pans and dams), all of which are shared with neighboring countries. Collecting enough water for households and communities has posed several challenges in response to access and exerts additional pressure on Botswana’s water resources.
  2. Worsening climatic conditions only emphasize the depth of droughts and the crisis of water quality in Botswana. These factors force individuals to turn to the government to build infrastructure, find adequate solutions and join different South African pipeline schemes, though they will be costly. While the country has water in dams in the north, that water cannot be moved down to the south.
  3. In March 2017, The World Bank approved a $145.5 million loan to the Republic of Botswana for the Emergency Water Security and Efficiency Project, which will help Botswana cope with increased water stress arising from the drought crisis, and aid in the sustainable development of the country, given current climate change projections. Hundreds of thousands of people will benefit from this plan to restore existing water supply systems and improve the sustainability of water resources in Botswana.
  4. According to the CIA World Factbook, drinking water sources have improved for 96.2 percent of the total population, leaving 3.8 percent of the total population with unimproved sources.
  5. Sanitation facility access has reportedly improved for 63.4 percent of the total population and remains unimproved for 36.6 percent of the total population.

The issue of drought and water quality in Botswana leaves the country in a position where its people must adapt to water scarcity. Fortunately, with the introduction of environmental projects and recognition of the problem, efficient methods of restoring the economy of Botswana and its industries will soon take effect.

Mikaela Frigillana

Photo: Flickr


Located in Southern Africa, Botswana is one of Africa’s most stable countries, with a solid economy built on diamonds and Safari-based tourism. However, the country continues to struggle with high rates of HIV/AIDS, as well as other preventable diseases. Here are the top three deadliest diseases in Botswana:

1. HIV

HIV is not only one of the deadliest diseases in Botswana, but it is also the number one cause of death, accounting for 32 percent of all deaths in the country. Despite the disease’s prevalence, the Ministry of Health’s national HIV program has helped efforts progress. Approximately 96 percent of people in need of HIV treatment in Botswana have received it. Increased prevention of mother-to-child transmission has reduced the transmission rate to less than four percent.

2. Malaria

While seven percent of deaths each year are due to malaria, Botswana has significantly reduced the disease’s burden. Government interventions, such as establishing rapid response teams and adequate healthcare facilities, has helped reduce incidences from 0.99 to 0.01 percent between 2000 and 2012. Botswana’s progress has not gone unnoticed. In 2016, the country received the African Leaders Malaria Alliance (ALMA) Award for its progress in reducing malaria.

3. Tuberculosis (TB)

Tuberculosis is very common in Botswana, causing six percent of deaths each year. Part of what makes TB so dangerous is that it is a common opportunistic infection in people with HIV. In Botswana, 75 percent of patients with TB are HIV-positive. TB rates began rising in Botswana with the increase in HIV/AIDS in the 1990s, with rates from 200 cases per 100,000 people in 1990 to 620 per 100,000 in 2002. With the help of international partners, the government has launched numerous programs aimed at increasing testing, prevention and awareness of the link between HIV and TB.

Despite its steady economy and stable government, Botswana continues to suffer from high rates of preventable diseases. That said, the government has made significant progress in reducing this prevalence of these diseases and continues to dedicate important time and resources to prevention.

Alexi Worley

Photo: Flickr