Botswana Ministry of Health

Improving the quality of care at a reduced cost to the citizens of Botswana

Healthshare client

  • Country: Botswana
  • Combination of state-owned, private for-profit, private non-profit medical services
  • Botswana provides universal healthcare to its citizens through public healthcare system
  • Majority of Botswana’s inhabitants live within five kilometres of a healthcare facility


Government-aided Catholic Mission Hospital

Total expenditure on health per person

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The Botswana Ministry of Health – a model of excellence in quality health services

Healthshare was contracted to perform a comprehensive baseline audit and gap analysis of 2 referral hospitals (Gaborone and Francistown) and 4 district hospitals (Mahalapye, Molepolole, Serowe and Maun). The audit analysed both clinical and non-clinical services including nursing, medical, finance and administration, and pharmacy services. The findings and reports enable the Ministry of Health to correctly structure and transform the service delivery for all the people in the country. This comprehensive audit achieved all the goals and objectives successfully within the set timeframe. The results of this audit formed the basis of a strategic planning system for the Botswana Ministry of Health which should lead to an improvement in quality care at reduced costs to the citizens of Botswana.

Furthermore, Healthshare and its strategic partner RHO consulting has also completed a comprehensive asset register and maintenance plan for all the public hospitals in Botswana and has implemented a computerised maintenance management system (CMMS). This will lead to major improvements in equipment maintenance and availability as well as significant cost savings to the Botswana government.

Healthshare developed the standard operating procedures (SOP’s) for all 29 Government hospitals in Botswana.

Healthshare developed a clinical audit tool for Princess Marina Hospital. The Botswana Ministry of Health utilises these trials to assess senior nursing staff and improve efficiencies in their largest referral hospital. In addition a training program for nursing unit managers has been completed by Healthshare.

In addition, Healthshare was contracted to provide management of specialised referrals from the Botswana Ministry of Health to South African hospitals and specialists along managed care principles.

An excerpt from the letter of recommendation received from the Botswana Ministry of Health

“The GAP analysis was performed at two referral hospitals and four district hospitals. The findings and recommendations resulted in numerous projects implemented to improve the healthcare services in Botswana. The development of Standard Operating Procedures for all departments in all twenty nine hospitals was according to a need identified during the GAP analysis. The project was done with the full cooperation of all the healthcare departments at hospital level and the project was completed ahead of time. The implementation of the Standard Operating Procedures were done successfully by the Ministry Of Health. Referral to and the case-management of patients for specialised care in South African Private Hospitals resulted in major cost savings to the Ministry of Health. The increase in the number of patients receiving specialised care abroad was a direct result of these savings and had a positive impact on the early referral of patients. To ensure improved clinical outcomes the project for the Development of Clinical Performance Audit Tool for Nurse Unit Managers was piloted at a referral hospital. The Tool was developed with the input and cooperation of the Nurse Unit Managers of the Hospital. During this project the need for onsite unit management training was identified as a major requirement to ensure the improvement of the patient outcomes.
The enthusiasm and competence of the Healthshare team provided the Botswana Ministry of Health with tools and systems to ensure sustainable quality patient outcomes.
I can certainly recommend Healthshare for projects involving hospital and patient management.

Ms Thandie Kgosiesele
Deputy Director Clinical Services
Botswana Ministry of Health

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