Apex by design, misunderstood in practice: Reframing the debate on Botswana’s Quaternary Referral Hospital – SKMTH

A king may build a palace, but if he listens only to praise singers, the roof will leak in the rainy season.

The story of the Sir Ketumile Masire Teaching Hospital is not one of bad intentions, nor of negligence. It is the story of a highly specialised institution designed to sit at the very top of Botswana’s health system a quaternary referral and teaching platform suddenly thrust into the centre of public expectation as though it were simply another general hospital ready for walk-in demand.

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