Botswana

ACS supports the Government of Botswana in accelerating progress towards universal health coverage by ensuring sustainable financing of the country’s health and HIV/AIDS response.
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MilestonesFlag of Botswana

  • ACS co-facilitated the development of a health expenditure tracking institutionalization plan and the harmonization of data collection tools and processes to support health expenditure tracking institutionalization
  • Engaged multi-stakeholders to identify key priorities for enhancing efficiencies in the HIV/AIDS response
  • ACS supported the development of a rapid assessment data collection tool to inform the creation of the tariff setting roadmap
  • ACS supported the development of a national reference tariffs system
  • Developed country-owned basic HIV/AIDS service package

Focus Areas

  • Health financing
  • HIV/AIDS
  • Capacity building
  • Health systems strengthening
  • Accountability
  • Collaboration

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reports

Landscape Analysis Botswana

ACS
ACS, Accountability Collaborative Learning Agenda, Reports, Health and Financing, HIV/AIDS, Universal Health Coverage, Botswana

Overview

ACS supports the Government of Botswana, the Ministry of Health and Wellness (MoHW), the National AIDS & Health Promotion Agency (NAHPA), and other key stakeholders from the private sector and civil society. We lend technical support and expertise to health financing solutions to ensure that everyone has equitable access to quality health services without experiencing financial hardship.

Botswana’s HIV/AIDS response will be enhanced by implementing health financing policies which support alignment with broader universal health coverage (UHC) policies and goals in the country.

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Background

Four men and one woman sitting around a conference table. One man leaning into the microphone speaking. All are looking somber and serious.
© ITU pictures from Geneva, Switzerland

As one of the countries with the highest number of individuals living with HIV/AIDS, Botswana is working to reach new HIV epidemic control targets.

The Government of Botswana is the largest financier of health care services in the country, constituting 65% of all health care spending (Source: 2013/14 Botswana National Health Accounts Main Report). Financial protection is high in Botswana – people do not experience financial barriers when accessing or paying out of pocket for health services. This is because health services are predominantly paid for through government revenues.

Inefficient allocation and use of existing government funds, disparities between investments made in primary and tertiary health care, and low participation by multi-stakeholder groups in sustainable financing policy discussions are the main challenges identified.

Implementation of Activities

Collaboration with the Government of Botswana and other key stakeholders: ACS built on existing forums, technical working groups and other committees to promote inclusive dialogue and collaboration. ACS supports the government to implement the Health Financing Strategy (HFS) with a focus on addressing inefficiencies, strengthening health service payment mechanisms, improving resource tracking, developing a tariff setting roadmap, a basic HIV/AIDS service package and strengthening health service payment mechanisms. Through this support, ACS recognized alignment of the HFS reforms and the National Strategic Framework III HIV/AIDS sustainable financing strategies is a key component of Botswana’s path towards UHC. ACS also facilitated a process to ensure HIV/AIDS-specific work benefits accrue to the entire health system.

ACS engages with diverse stakeholders to ensure all vital voices are included in health financing policy dialogue- i.e. youth, civil society, researchers and academics as well as private and public sector actors.

At the national level, ACS supports learning between technical support teams and government counterparts. At the regional level, ACS facilitates learning exchanges with Namibia, Kenya, and other ACS countries working to support similar health financing initiatives.

Team Profiles

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Jane Alfred

Country Lead
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Nodumo Chidah

Deputy Country Lead – Monitoring, Evaluation, Learning & Accountability
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Matsae Balosang

Project Coordinator
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Wame Llebako

Finance Officer
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Edward Owino

Health Financing Program Officer
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Teresa Guthrie

R4D Senior Fellow
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Danielle Bloom

R4D Fellow

Browse Resources

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stories

Youth Engagement: Namibia

ACS, Voices Inspiring Change, Stories, Accountability, Health and Financing, Health Systems Strengthening, HIV/AIDS, Universal Health Coverage, Youth, Namibia

multimedia

Defining universal health coverage in Uganda

ACS, Voices Inspiring Change, Multimedia, Accountability, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Uganda

stories

Voices Inspiring Change Uganda Part 2

ACS, Voices Inspiring Change, Stories, Accountability, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Uganda

articles

Development of a knowledge translation taxonomy in the field of health prevention: a participative study between researchers, decision-makers and field professionals

Aurélie Affret, Ollivier Prigent, Marion Porcherie, Olivier Aromatario, and Linda Cambon
2020
External, Articles, Health Systems Strengthening

reports

Costing and Financial Gap Analysis: Botswana’s HIV/AIDS Basic Services Package

July 2020
ACS, Reports, Health and Financing, HIV/AIDS, Universal Health Coverage, Botswana

articles

The development of a new accountability measurement framework and tool for global health initiatives

Adriane Martin Hilber, Patricia Doherty, Andrea Nove, Rachel Cullen, Tunde Segun, Sarah Bandali
June 2020
External, Articles, Accountability, Health Systems Strengthening, Universal Health Coverage

articles

Power and the Pandemic: Observing COVID-19 in Africa through a Public Authorities Lens

Professor Duncan Green and Dr. Tom Kirk
October 9, 2020
External, Articles, Health Systems Strengthening, Youth

one pagers

Potential Cost Savings for the Public Sector Employee Medical Aid Scheme (PSEMAS)

ACS, One Pagers, Health and Financing, HIV/AIDS, Universal Health Coverage, Namibia

one pagers

ACS soutien à la riposte de l’Afrique face au COVID-19

ACS, One Pagers, Health and Financing, Health Systems Strengthening, Universal Health Coverage

one pagers

ACS COVID-19 Statement

ACS, One Pagers, Health and Financing, Health Systems Strengthening, Universal Health Coverage

stories

Voices Inspiring Change: Uganda Part 2

October 2020
ACS, Voices Inspiring Change, Stories, Health and Financing, Health Systems Strengthening, HIV/AIDS, Universal Health Coverage, Uganda

reports

Analyse succincte de la mise en œuvre du mouvement COMVID COVID-19 dans la ville de Ouagadougou : Acquis, défis, leçons apprises et perspectives

Joël Arthur KIENDREBEOGO, Orokia SORY, Charlemagne TAPSOBA, Yamba KAFANDO
Juin 2020
ACS, Research & Learning, Reports, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Burkina Faso

reports

A brief analysis of the implementation of the COMVID COVID-19 movement in the city of Ouagadougou: Achievements, challenges, lessons learned, and perspectives

Joël Arthur KIENDREBEOGO, Orokia SORY, Charlemagne TAPSOBA, Yamba KAFANDO
June 2020
ACS, Research & Learning, Reports, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Burkina Faso

press release

ACS Announces CERRHUD As A New Institutional Partner

August 2020
ACS, Press Release, Universal Health Coverage

articles

Policy learning and Universal Health Coverage in low- and middle-income countries

External, Research & Learning, Articles, Health Systems Strengthening, Universal Health Coverage

stories

Voices Inspiring Change: the pioneer Josephine Angula

ACS, Voices Inspiring Change, Stories, Namibia

multimedia

Namibia: Lessons learned in designing a package of HIV/AIDS services for epidemic control

ACS, Multimedia, Health and Financing, HIV/AIDS, Universal Health Coverage, Namibia

briefs

Achieving institutionalization of resource tracking by combining methodologies for health and HIV: The Namibian experience

July 2020
ACS, Briefs, Health and Financing, HIV/AIDS, Universal Health Coverage, Namibia

case studies

Namibia: How to design a package of HIV/AIDS services

June 2020
ACS, Case Studies, Health and Financing, HIV/AIDS, Universal Health Coverage, Namibia

press release

ACS Team in Namibia Wins International AIDS Society Prize for Young Investigators

ACS, Press Release, Health and Financing, Health Systems Strengthening, HIV/AIDS, Universal Health Coverage, Namibia

presentations

Abstract: Maintaining epidemic control in Namibia: designing the optimal package. Lessons from ACS support to the Namibian Government

ACS, Presentations, Health and Financing, Health Systems Strengthening, HIV/AIDS, Universal Health Coverage, Namibia

presentations

The Coaching Approach: Creating a Movement to Improve Technical Assistance to Countries

Coaching & Mentoring, Presentations, Health Systems Strengthening

reports

Namibia Resource Tracking Report 2017-2018

Namibia Ministry of Health and Social Services
April 2020
Reports, Health and Financing, Health Systems Strengthening, HIV/AIDS, Universal Health Coverage, Namibia

blogs

Le maillon manquant dans la riposte de l’Afrique au COVID-19.docx

Allison Kelley
ACS, Blogs, Health Systems Strengthening, Universal Health Coverage

multimedia

What steps has Uganda taken to advance towards universal health coverage (UHC)

Voices Inspiring Change, Multimedia, Universal Health Coverage, Uganda

multimedia

What steps has Uganda taken to advance towards universal health coverage

ACS, Voices Inspiring Change, Multimedia, Universal Health Coverage, Uganda

multimedia

The importance of the Accountability Learning Collaborative for advancing UHC

ACS, Accountability Collaborative Learning Agenda, Voices Inspiring Change, Multimedia, Universal Health Coverage, Uganda

multimedia

What is the role of the community in supporting accountability of policy makers

ACS, Accountability Collaborative Learning Agenda, Voices Inspiring Change, Multimedia, Universal Health Coverage, Youth, Kenya

multimedia

The different actors and skillsets needed to support movement UHC in sub-Saharan Africa

ACS, Accountability Collaborative Learning Agenda, Voices Inspiring Change, Multimedia, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Kenya

multimedia

Why is accountability important to advancing UHC and how youth can be included in the dialogue

ACS, Accountability Collaborative Learning Agenda, Voices Inspiring Change, Multimedia, Universal Health Coverage, Youth, Kenya

multimedia

The importance of involving community members in designing accountability measures for UHC

ACS, Accountability Collaborative Learning Agenda, Voices Inspiring Change, Multimedia, Universal Health Coverage, Kenya

multimedia

Why the role of health care actors are as critical as experts to enhancing accountability for UHC

ACS, Accountability Collaborative Learning Agenda, Voices Inspiring Change, Multimedia, Universal Health Coverage, Burkina Faso

multimedia

The role artists and activists play in sharing information about UHC to their audiences

ACS, Accountability Collaborative Learning Agenda, Voices Inspiring Change, Multimedia, Universal Health Coverage, Burkina Faso

multimedia

ACS: Why achieving universal health coverage is important for Uganda

ACS, Voices Inspiring Change, Multimedia, Universal Health Coverage, Uganda

stories

Uganda: The Voices of Civil Society

June 2020
ACS, Voices Inspiring Change, Stories, Health and Financing, Universal Health Coverage, Youth, Uganda

briefs

The creation of the COMVID COVID-19 social movement

ACS, Briefs, Universal Health Coverage, Burkina Faso

briefs

World Health Day 7 April 2019

Hon. Dr. Jane Ruth Aceng
April 2019
External, Briefs, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Uganda

multimedia

ACS: Why youth are critical to advancing universal health coverage

ACS, Multimedia, Universal Health Coverage, Youth, Uganda

stories

Josephine’s Story: Living Without Universal Health Coverage

ACS, Voices Inspiring Change, Stories, Universal Health Coverage

blogs

The ACS project took time to Pause and Learn from its first start-up year, as it ramps up its work in year two.

Karen Louise Boothe
February 2019
ACS, Accountability Collaborative Learning Agenda, Blogs, Universal Health Coverage

stories

Community Engagement Matters: Raising up “Vital Voices” is Critical to Making UHC a Reality

Karen Louise Boothe
April 2018
ACS, Accountability Collaborative Learning Agenda, Stories, Universal Health Coverage

blogs

Progressing toward Universal Health Coverage: Perceptions, Challenges and Opportunities for Innovation

Andrea Thoumi and Nicole Davis
August 2018
ACS, Accountability Collaborative Learning Agenda, Blogs, Universal Health Coverage

stories

Reflections on Year 1 and Looking Toward Year 2- Allison Kelley ACS Project Director

Allison Gamble Kelley
January 2019
ACS, Voices Inspiring Change, Stories, Universal Health Coverage

stories

Voices Inspiring Change – The Veteran: Ludwig Beukes

ACS, Voices Inspiring Change, Stories, Universal Health Coverage, Namibia

stories

Voices Inspiring Change – The Activist: Luciano Kambala

ACS, Voices Inspiring Change, Stories, HIV/AIDS, Universal Health Coverage, Youth, Namibia

stories

Voices Inspiring Change– The Feminist: Irene Garoës

ACS, Voices Inspiring Change, Stories, Universal Health Coverage, Youth, Namibia

news

COVID-19 and sub-Saharan Africa

March 17, 2020
News, Universal Health Coverage

blogs

The Untapped Potential of Universal Health Coverage Policy Dialogue

Sarah Bond, Kéfilath Bello, Andrea Thoumi
Nov. 2019
ACS, Research & Learning, Blogs, Universal Health Coverage

briefs

Key Messaging on the Coaching, Mentoring and Facilitation Approach for Health Systems Strengthening

ACS, SPARC, HSSA
2019
ACS, Accountability Collaborative Learning Agenda, Coaching & Mentoring, Briefs, Universal Health Coverage

reports

ACS Consultation Phase Findings

Andrea Thoumi, Nicole Davis, Kathleen Axelrod, Juliana Hagembe
Jun. 2018
ACS, Research & Learning, Reports, Health and Financing, Health Systems Strengthening, Universal Health Coverage

reports

Landscape of Sustainability and Universal Health Coverage Activities in Namibia

ACS
January 2019
ACS, Accountability Collaborative Learning Agenda, Reports, Health and Financing, HIV/AIDS, Namibia

reports

Sustainability framework for the HIV/AIDS response in Namibia

Republic of Namibia Ministry of Health and Social Services
August 2019
ACS, Reports, Health and Financing, HIV/AIDS, Namibia

one pagers

The ACS Project: Namibia

ACS
November 2019
ACS, One Pagers, Health and Financing, Health Systems Strengthening, HIV/AIDS, Universal Health Coverage, Namibia

briefs

Summary of press conference on health insurnace of “ARCH project”

ACS
March 2020
ACS, Accountability Collaborative Learning Agenda, Briefs, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Benin

reports

Landscape Analysis Botswana

ACS
ACS, Accountability Collaborative Learning Agenda, Reports, Health and Financing, HIV/AIDS, Universal Health Coverage, Botswana

reports

Accountability Collaborative: Core Group Meeting

ACS
Apr. 2019
ACS, Accountability Collaborative Learning Agenda, Reports

reports

Accountability Learning Collaborative Core Group Meeting Report

ACS
Apr. 2020
ACS, Accountability Collaborative Learning Agenda, Reports, Health and Financing, Universal Health Coverage

briefs

Accountability Efforts to Date – December 2019 Update

ACS
Dec. 2019
ACS, Coaching & Mentoring, Briefs

one pagers

ACS Overview

ACS
Jan. 2020
ACS, One Pagers, Health and Financing, Health Systems Strengthening, HIV/AIDS, Universal Health Coverage

one pagers

ACS Consultation Phase Overview

ACS
2018
ACS, Research & Learning, One Pagers, Health and Financing, Health Systems Strengthening, Universal Health Coverage

reports

Burkina Faso: Rapport de Consultation

Joël Arthur Kiendrébéogo
March 2018
ACS, Research & Learning, Reports, Health and Financing, Universal Health Coverage, Burkina Faso

reports

Nigeria: ACS Country Report

Theresa Effa, Trufena Ogol, Juliana Hagembe, Ben Mbaya
Mar. 2018
ACS, Research & Learning, Reports, Health and Financing, Universal Health Coverage

reports

Senegal: ACS Country Report

Jean-Paul Dossou
Mar. 2018
ACS, Research & Learning, Reports, Health and Financing, Universal Health Coverage

reports

Tanzania: ACS Country Report

Patricia Odero, Nicole Davis, Kathleen Axelrod, Katie Van Es
Mar. 2018
ACS, Research & Learning, Reports, Health and Financing, HIV/AIDS, Universal Health Coverage

reports

Uganda: ACS Country Report

Barbara O'Hanlon, Nicole Davis, Oko Igado, Danielle Bloom
March 2018
ACS, Research & Learning, Reports, Health and Financing, Health Systems Strengthening, Universal Health Coverage, Uganda

blogs

3 shifts are needed in the global health community’s support for health financing to advance UHC

Allison Kelley, Cheryl Cashin
Feb. 2018
ACS, Accountability Collaborative Learning Agenda, Blogs, Health and Financing, Universal Health Coverage

stories

Universal Health Coverage: Overall Human Well-Being Depends On It: Josephine, a Vital Voices for UHC

ACS
September 2018
ACS, Voices Inspiring Change, Stories, Universal Health Coverage, Uganda

multimedia

ACS’s support to a health insurance pilot for the most vulnerable

ACS
March 2020
External, Accountability Collaborative Learning Agenda, Multimedia, Health and Financing, Universal Health Coverage, Benin

articles

Technical assistance: New thinking on an old problem

Marcus Cox, Gemma Norrington-Davies
Jan. 2019
External, Articles, Health and Financing

articles

Africa youth leadership: Building local leaders to solve global challenges

Landry Signé
Mar. 2019
External, Accountability Collaborative Learning Agenda, Articles, Youth

articles

Embedded health service development and researcxh: why and how to do it (a ten-stage guide)

John Walley, Mohammad Amir Khan, Sophie Witter, Rumana Haque, James Newell and Xiaolin Wei
2018
External, Articles, Health and Financing, Health Systems Strengthening

articles

What, why and how do health systems learn from one another? Insights from eight low- and middle-income country case studies

Sophie Witter, Ian Anderson, Peter Annear, Abiodun Awosusi, Nitin N. Bhandari, Nouria Brikci, Blandine Binachon, Tata Chantiridze, Katherine Gilbert, Charity Jenson, Tomas Lievens, Barbara McPake, Snehashish Raichowdhury & Alex Jones
Jan. 2019
External, Articles, Health Systems Strengthening, Universal Health Coverage

articles

Strengthening Mentoring in Low- and Middle-inCome Countries to Advance Global Health Research: An Overview

Andres G. Lescano, Craig R. Cohen, Tony Raj, Laetitia Rispel, Patricia J. Garcia, Joseph R. Zunt, Davidson H. Hamer, Douglas C. Heimburger, Benjamin H. Chi, Albert I. Ko, Elizabeth A. Bukusi
Jan. 2019
External, Articles, Health Systems Strengthening

articles

Opinion: Achieving UHC in Africa requires focus and collaboration from the private sector

Carla Kriwet, Githinji Gitahi
Jan. 2019
External, Accountability Collaborative Learning Agenda, Articles, Universal Health Coverage

articles

Assessing the feasibility and appropriateness of introducing a national health insurance scheme in Malawi

Adrian Gheorghe, Kai Straehler-Pohl, Dominic Nkhoma, Wathando Mughandira, Denis Garand, Deliwe Malema, Alexandra Murray-Zmijewski, Andrew Kardan & Tomas Lievens
May. 2019
External, Articles, Health and Financing, Health Systems Strengthening, Universal Health Coverage

articles

The future of aid: How the global development business is evolving

George Ingram
May. 2019
External, Accountability Collaborative Learning Agenda, Articles, Health and Financing, Health Systems Strengthening, Universal Health Coverage

articles

Ownership of health financing policies in low-income countries: a journey with more than one pathway

Joël Arthur Kiendrébéogo and Bruno Meessen
2019
Accountability Collaborative Learning Agenda, Articles, Health and Financing, Health Systems Strengthening, Universal Health Coverage

articles

4 Practical Ways to Shift Power and Resources to Grassroots Movements

From Poverty to Power
Nov. 2019
External, Articles

books

Why We Lie About Aid- Development and the Messy Politics of Change

Pablo Yanguas
Feb. 2018
External, Accountability Collaborative Learning Agenda, Books, Health Systems Strengthening, Universal Health Coverage

books

Examining Civil Society Legitimacy

Saskia Brechenmacher, Thomas Carothers
May. 2018
External, Accountability Collaborative Learning Agenda, Books, Universal Health Coverage

books

What’s In, What’s Out: Designing Benefits for Universal Health Coverage

Amanda Glass, Ursula Giedion, and Peter C. Smith
Oct. 2017
External, Accountability Collaborative Learning Agenda, Books, Health and Financing, Universal Health Coverage

reports

Tracking Universal Health Coverage: 2017 Global Monitoring Report

World Health Organization & The World Bank
2017
External, Reports, Universal Health Coverage

reports

Universal Health Coverage Advocacy Guide

UHC 2030 International Health Partnership
Mar. 2017
External, Reports, Universal Health Coverage

blogs

Health Workers: Keeping communities healthy

Karen Louise Boothe
April 3, 2019
ACS, Accountability Collaborative Learning Agenda, Blogs, Health Systems Strengthening, Universal Health Coverage

reports

The Social Realities of Knowledge for Development: Sharing Lessons of Improving Development Processes with Evidence

Institute of Development Studies
March 2018
External, Reports, Health Systems Strengthening, Universal Health Coverage
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