Connect with us

Africa

What’s Driving the Health Crisis in Botswana?

Botswana Declares Public Health Emergency Amid Critical Medicine Shortages

Gaborone, August 26, 2025 — Botswana has declared a nationwide public health emergency as hospitals and clinics across the country face severe shortages of essential medicines, leaving patients without life-saving treatments.

President Duma Boko announced the emergency on Monday after weeks of growing concern from health professionals, who reported suspensions of non-urgent surgeries and empty pharmacy shelves. The shortages affect a wide range of critical treatments, including medications for HIV/AIDS, tuberculosis, hypertension, diabetes, cancer, asthma, and mental health conditions, as well as basic surgical supplies such as sutures and dressings.

“The situation is grave. We cannot ignore the urgent need for immediate intervention to protect lives,” President Boko said in a televised address.

Causes of the Crisis

Observers point to a combination of factors that have converged to push Botswana’s health system to the brink:

  • Economic vulnerability: The country’s heavy dependence on diamonds, which account for more than 80 percent of export earnings and one-third of government revenue, has backfired as global demand for diamonds has plummeted.
  • Procurement failures: The Central Medical Stores (CMS), the state agency responsible for medicine supply, has been accused of inflating prices. An internal taskforce found that CMS quoted annual supply costs more than five to ten times higher than independent estimates.
  • International aid cuts: Reduced funding from global health partners, particularly the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), has strained programs once hailed for transforming Botswana into a leader in the fight against HIV/AIDS.

Government Response

To contain the crisis, the government has released 250 million pula (approximately £15 million) for emergency procurement of medicines. The Botswana Defence Force has been instructed to take charge of distribution to ensure supplies reach hospitals and clinics nationwide, including in remote regions.

A System Under Strain

Even before the current emergency, Botswana’s health system was struggling with long waiting times for specialist care — in some cases stretching up to two years. Tuberculosis, closely linked to the country’s high HIV prevalence, remains a major public health concern.

Healthcare workers report growing frustration and moral distress, saying they are forced to turn patients away or provide substandard care due to the shortages. “We trained to save lives, not to send patients home without medicine,” one doctor in Gaborone told local media.

The Road Ahead

While the emergency measures may offer short-term relief, analysts warn that Botswana faces deeper structural challenges. Economic diversification, robust oversight in procurement, and investment in supply chain resilience will be essential to prevent similar crises in the future.

Botswana has long been regarded as a regional success story, particularly in its battle against HIV/AIDS. The current crisis, however, serves as a sobering reminder of how quickly gains in public health can be undermined when financial and governance systems falter.

Africa

Africa at COP30 in Belém, Brazil: Leading the Fight or Left Behind Again?

AUK Media-@Editor

Ministers and high-ranking officials from nearly 200 countries have gathered in the Amazonian city of Belém, Brazil, for COP30, which Brazil has described as “the COP of implementation.” The focus this year is on turning commitments into action — and for Africa, this represents both an urgent challenge and a historic opportunity.

Despite contributing the least to global greenhouse gas emissions, Africa remains one of the most vulnerable regions to the devastating impacts of climate change. Rising temperatures, erratic rainfall patterns, and increasingly frequent extreme weather events are already undermining the continent’s economies, damaging infrastructure, displacing communities, and threatening livelihoods.

Yet, in the face of this existential threat, Africa has the potential to lead the way toward a more sustainable and resilient future. The Second Africa Climate Summit, held in Ethiopia in September, underscored the continent’s growing leadership in climate action. It highlighted African-led solutions, new financial commitments, and strategies for green growth and resilience — with priorities including a just energy transition, nature-based solutions, food and water security, and community empowerment.

Building on this momentum, Africa’s delegation to COP30 should focus on three interlinked priorities: climate finance, climate adaptation, and sustainable development. Experts and organizations stress that access to adequate climate finance is essential if Africa is to meet its climate and development goals.

The African Development Bank (AfDB) estimates that the continent will require between $1.3 trillion and $1.6 trillion in climate finance between 2020 and 2030 to achieve its targets under the Paris Agreement and the Sustainable Development Goals (SDGs). As such, COP30 must deliver a concrete roadmap for mobilising and equitably distributing resources to support Africa’s climate action.

As Patricia Espinosa, former Executive Secretary of the UNFCCC, aptly noted, “climate finance is about saving lives and reducing suffering.” For Africa, ensuring that this COP truly becomes the COP of implementation means turning pledges into tangible progress — and proving that climate justice begins with real investment in those who bear the greatest burden.

Continue Reading

Africa

Raila Odinga-Loved or Loathed, His Impact is Undeniable.

🇰🇪 Raila Odinga (1945–2025)
Loved or loathed, his impact is undeniable.
A freedom fighter to some, a polarising power broker to others — Raila Odinga reshaped Kenya’s politics and challenged the system till his last breath.

🕊️ A legacy that will be debated for generations.

#RailaOdinga #Kenya #Africa #Politics #Democracy

Continue Reading

Africa

Kenya’s Long Goodbye to Raila Odinga — The Man Who Never Gave Up the Fight

By Caleb Koyo, AUK Media- Nairobi

Kenya is in mourning after the death of Raila Amolo Odinga, the former prime minister and enduring opposition leader whose name defined Kenyan politics for more than four decades.

The 80-year-old died on Wednesday in India, where he was receiving medical treatment. According to reports, Odinga suffered a cardiac arrest while out for a morning walk. His passing has plunged Kenya into grief — and uncertainty about the nation’s political future.

A Nation Falls Silent

Nairobi moved with its usual restless energy on Tuesday. But by Wednesday morning, when the news broke, the city fell still. Markets slowed, offices froze mid-routine, and the streets filled with crowds desperate to confirm what few could believe.

President William Ruto declared seven days of national mourning and ordered flags flown at half-mast. “Kenya has lost a statesman, a patriot, and one of Africa’s greatest sons,” Ruto said in a national address.

 

Farewell to “Baba”

By Friday, Nyayo National Stadium was a sea of emotion. Tens of thousands of mourners waved Kenyan flags, raised portraits of Odinga, and held green branches — a symbol of mourning among the Luo, his people. The casket, draped in the national flag, was borne through a military procession as chants of “Raila usilale, bado mapambano!” (“Raila, don’t sleep, the struggle continues”) rippled through the crowd.

Security was tight. Three people had died the day before during the public viewing of Odinga’s body at Parliament. Police and soldiers patrolled the stands as dignitaries from across the region — including the presidents of Somalia and Ethiopia — joined Kenyans in paying their final respects.

In a poignant moment, President Ruto led mourners in singing Odinga’s favourite song, “Jamaican Farewell.”

Odinga’s widow, Ida Odinga, called for peace and reflection. “Raila hated dishonesty,” she said. “He hated greed — the greed that has eaten away at the fabric of our society.”

Former president Uhuru Kenyatta, once Odinga’s fiercest rival and later his political ally, spoke warmly of their long relationship. “We would talk, laugh, and argue — but we never lost respect for each other,” he said.

Bishop David Kodia, who presided over the service, described Odinga as “a man who never used political power or money to intimidate people.”

 

A Final Journey Home

Before the funeral, Odinga’s body lay in state at Parliament, where MPs and dignitaries paid their respects. On Saturday, it was flown to Kisumu, his lakeside stronghold, and then taken to Bondo, Siaya County — his birthplace — where he will be buried at his family home. True to his wishes, Odinga asked to be buried within 72 hours of his death.

The End of an Era

Odinga was more than a politician; he was an institution. As the founding leader of the Orange Democratic Movement (ODM), he ran for president five times — and lost each contest, often amid controversy. Yet his relentless campaigns for democracy, constitutional reform, and national dialogue shaped Kenya’s political identity.

Analysts now warn that his absence leaves a dangerous vacuum. “ODM without Raila will find it difficult to remain coherent,” said one Nairobi-based analyst. “He was not just a leader — he was the glue.”

His death also marks the close of one of Africa’s longest political rivalries — between the Odinga and Kenyatta dynasties, stretching back to the independence era of Jaramogi Oginga Odinga and Jomo Kenyatta.

 

The Uncertain Road Ahead

For President Ruto, Odinga’s passing is both a relief and a risk. He has lost his loudest critic — but also a figure who, through sheer credibility, kept opposition anger from boiling over.

Observers caution that without Odinga’s unifying influence, the opposition could become fragmented — and perhaps more radical. The country’s restless Gen Z activists, who recently led anti-tax protests, may not heed the same calls for patience that Odinga once offered.

A Legacy That Endures

He lost the presidency five times but won something larger — a moral authority few leaders ever achieve. Odinga’s courage, his defiance, and his insistence that Kenya belonged to all its citizens changed the course of its democracy.

As the sun sets over Nairobi, green branches flutter from balconies and car windows — a quiet, living salute to the man millions called Baba.

Raila Odinga is gone. But his struggle, his ideas, and his name will remain etched in Kenya’s story — a reminder that democracy is not a moment, but a lifelong fight.

Continue Reading