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Analytical summary - Partnerships for health development

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The largest external donor in Botswana's health sector is the United States of America through:

Other donors are the European Commission, United Nations agencies, especially the United Nations Children's Fund and United Nations Population Fund, the Japan International Cooperation Agency and the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Within the area of HIV/AIDS where development partners’ contribution to health is greatest, a framework that stipulates each player’s area of focus has been developed. The main areas/goals are:

  • prevention
  • capacity-building and health systems strengthening
  • information management to enhance evidence-based planning
  • treatment, care and support.

The United States President's Emergency Plan for AIDS Relief supports research in prevention, treatment and care, as well as capacity-building for local civil society and private sector. Other AIDS donors are:

  • The African Comprehensive HIV/AIDS Partnerships, which has shifted its focus from treatment to prevention;
  • World Bank, which also supports prevention;
  • the European Commission, which supports human resource development, multisectoral participation in AIDS response and strengthens local nongovernment organization governance;
  • United Nations agencies, which support prevention, treatment and care, and give technical assistance;
  • the Clinton Foundation, which supports antiretroviral programmes, including treatment for children;
  • international academic institutions, including Harvard, Baylor and the University of Pennsylvania, who support the Government of Botswana in AIDS research, clinical care and training.

Through the use of a single health policy, a single strategy for health delivery implementation framework, a single monitoring and evaluation framework, and established national health priorities, all under the leadership and governance of the Government, the Ministry of Health ensures that programmes that partners are interested in are within the framework of national priorities and are well coordinated.

The Government of Botswana has established a National AIDS Coordinating Council that coordinates all AIDS-related work in the country and a national partnership framework that guides participating organizations with regards to their roles and relationships.

Under the revised National Health Policy of 2011, the Government of Botswana is in the process of forming a national health council to coordinate all activities of the health sector, including strategic partnerships. The council will have representation from all sectors of the economy, private sector, developmental partners and nongovernmental organizations, as well as the community.