The Ministry of Health in Botswana has secured a massive USD 50 Million (roughly 700 Million Pula) grant from the Susan Thompson Buffett Foundation, a financial injection that promises to transform the nation’s healthcare landscape. The central aim of this substantial funding is not just to improve services, but to achieve a significant, measurable leap in Universal Health Coverage (UHC) for all citizens.
Targeting an Ambitious UHC Goal
The government is determined to push its Universal Health Coverage Index from the current level of 55 (recorded in 2021) to an impressive target of 75. This ambitious jump signifies a commitment to ensuring that a much larger percentage of the population has access to the essential health services they need without facing crippling financial hardship. The grant specifically dedicates funds to strengthening primary health care services, which are the true foundation of any successful UHC system.
Focusing on Accessible Primary Care
A major part of the strategy involves enhancing the accessibility and use of family planning through primary care. The grant will support the development of improved, conducive policies and the implementation of integrated service standards. This concerted effort is designed to make pregnancy and childbirth safer and to ensure that essential medicines, including contraceptives, are universally available to all who need them. By breaking down barriers at the primary care level, Botswana is systematically working to improve equity and coverage, thereby directly contributing to the UHC index climb.
Saving Lives and Fighting Disease
While the focus on UHC is strategic, the grant simultaneously addresses critical health outcomes. The funding is intended to significantly reduce the Maternal Mortality Rate from 155 per 100,000 live births to a new target of 70 per 100,000 live births. Similarly, the Under Five Mortality Rate is targeted to be halved, dropping from 28.4 to just 14 per 1,000 live births. Furthermore, recognizing the growing burden of disease, a portion of the grant will be used to enhance prevention efforts for cervical and breast cancers through early detection and immediate treatment. This holistic approach ensures that as access (UHC) increases, the quality of care and the ability to fight major diseases are also dramatically improved, ultimately leading to a healthier nation.
This grant represents more than just a financial contribution; it is a strategic partnership intended to fundamentally transform Botswana’s health sector, putting the country firmly on track to achieve its goal of comprehensive, equitable healthcare for every citizen.


