Botswana's Health care
(assignment 1)
Describe health care expenditure in Botswana and the sources of finance for the health
system
Provide three health financing and expenditure indicators
describe the health financing system in Botswana in terms of the key functions of revenue
Collection of funds
Pooling of funds
Purchasing of services
Identify key issues/challenges in the health care financing system that need to be addressed in order to achieve universal coverage.
Is Botswana achieving UHC?
What is missing?
How can they address it?
Public vs Private
State run?
Outsourcing
Who finances the public sector? lead onto collection.
Sequence
- Intro to Botswana
Income level (upper middle) cite world bank
Poverty levels
Introduce botswanas main income source
- Setup of healthcare in Botswana
Public vs private
Who pays (is it free for the citizens)
Percentage of budget
- How are funds:
Collected
Pooled
Spent
Purchasing of services
- Provide three health financing and expenditure indicators
- Key challenges facing Botswana health system
UHC achieved?
Consistent source of funds for HC?
Donations through the United States President's Emergency Plan for AIDS Relief (PEPFAR) - for HIV and aids
out of pocket payments
Percentage of GDP spent on healthcare
domestic government spending
Adequate financing and coverage?
Good spending and meeting Abuja declaration of 15%.
Botswana gov pushing for increased healthcare coverage but there is inefficiency in delivering the healthcare. Spending is not = output.
Poverty and health outcomes poor relative to spending.
Inequity as public healthcare is mainly supplied to formal sector workers.