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Botswana country quote

Our study was able to provide Botswana health authorities and managers with best practices and recommendations for determining whether they should outsource non-clinical support services and at what price.
Bob Fryatt
Director of USAID Health Financing and Governance Project

Expanding Our Impact

Years of stability, strong governance and sound fiscal management have improved health systems and outcomes in Botswana. As donor aid is decreasing, the government has committed to take on a higher share of the funding for HIV/AIDS activities, and Abt provided technical assistance to support the development of policies to achieve this goal. We helped the government:

  • Develop a comprehensive health financing strategy.
  • Implement and institutionalize a health accounts exercise.
  • Conduct an actuarial analysis to determine how to effectively finance a sustainable universal health services package.

The work from these activities will inform the development of a national health insurance blueprint.


In December 2020, SHOPS Plus conducted a masterclass for Ministry of Health and Wellness officials in public-private contracting for essential health services, including clinical HIV services. The sessions addressed how to set up and manage public-private contracts that expand access to HIV and other priority health services in the private sector, align with overall Ministry Health system objectives, and complement public sector service provision and respond to evolving priorities, such as the COVID-19 response. Those who took part increased their understanding of how to establish and oversee public-private contracts to support improved health outcomes.

Percent of people living with HIV in Botswana who know their status and receive antiretroviral therapy treatment.