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Botswana Declares Public Health Emergency as Medicine Supply Chain Collapses

Funding shortfalls linked to weak diamond sales, plus US aid cuts, crippled central medical stores.

Duma Gideon Boko, President of Botswana attends a meeting during the 38th Ordinary Session of the Heads of State and Government of the African Union at the African Union Commision (AUC) Headquarters in Addis Ababa, Ethiopia, February 14, 2025. REUTERS/Tiksa Negeri/File Photo
Botswana's President Duma Gideon Boko attends the inauguration of Namibia's first female President, Netumbo Nandi-Ndaitwah at the State House in Windhoek, Namibia, March 21, 2025. REUTERS/Stringer/File Photo
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Overview

  • President Duma Boko ordered the military to lead an emergency distribution drive, with the first convoys departing Gaborone for remote districts.
  • The finance ministry approved 250 million pula for immediate procurement to replenish essential medicines and clinical supplies.
  • The health ministry has suspended non-urgent surgeries and reported nationwide shortages affecting treatments for hypertension, cancer, diabetes, tuberculosis, asthma, sexual health and mental health, as well as dressings and sutures.
  • Authorities disclosed roughly 1 billion pula owed to private facilities and suppliers and cited inflated procurement prices along with losses in existing distribution systems.
  • UNICEF called for urgent action and highlighted high child underweight rates in a western district near the Namibian border, warning of broader impacts on child health.