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

  1. Intro to Botswana

Income level (upper middle) cite world bank

Poverty levels

Introduce botswanas main income source

  1. Setup of healthcare in Botswana

Public vs private

Who pays (is it free for the citizens)

Percentage of budget

  1. How are funds:

Collected

Pooled

Spent

Purchasing of services

  1. Provide three health financing and expenditure indicators
  1. 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.