The World Bank has warned that Botswana’s public health system is facing a persistent essential medicines crisis. The bank says stockouts are being driven by systemic failures in forecasting, procurement, data management, warehousing and distribution.
The findings are contained in the Botswana Health Public Expenditure Review which paints a picture of a health system receiving relatively high budget allocations but struggling to convert public spending into reliable services for citizens. The report states bluntly that “challenges with stockouts of essential medicines in the public sector are a continuing concern.”
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