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.
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Africa
Guinea-Bissau’s Political Storm: What the Military Interference Signals for ECOWAS and the Region
Guinea-Bissau has once again been thrust into political uncertainty after Brigadier General Denis N’Canha announced a military takeover, declaring that the armed forces have assumed full control of the country. President Umaro Sissoco Embaló was placed under house arrest, in a dramatic escalation of tensions already heightened by a fiercely disputed presidential election.
The development is the latest reminder of how fragile governance becomes when democratic institutions are weak, political actors lack trust, and corruption entrenches itself at every level of state functioning.
A Coup Amid a Contested Election
The military intervention comes in the middle of a chaotic electoral environment.
Both Fernando Dias, a relatively unknown 47-year-old candidate, and incumbent Umaro Sissoco Embaló declared victory before the official results were expected.
Dias, backed by influential former Prime Minister Domingos Simões Pereira, told supporters in Bissau that he had won outright and that no second round would be required. Embaló’s campaign issued its own declaration of victory soon after, urging the opposition to accept the results.
In a country where political parties frequently accuse each other of fraud, early self-declarations of victory have become a destabilising norm. But this time, the military stepped in.
What the Military Announced
In its televised address, the military leadership made several sweeping claims and unilateral decisions:
Key Military Claims & Announcements
Accused politicians of collaborating with “drug lords” to destabilize the country
Claimed attempts had been made to manipulate the electoral process
Announced the removal of President Embaló
Declared the suspension of the electoral process
Ordered the closure of all land and maritime borders
These accusations highlight long-standing concerns about Guinea-Bissau’s reputation as a transit hub for drug trafficking, often referred to as Africa’s “narco-state.”
Such narratives are frequently used by political and military actors to justify interventions—but they also reflect real governance vulnerabilities.
Structural Weaknesses Behind the Crisis
Guinea-Bissau has endured repeated coups and attempted coups since independence in 1974. Much of this instability stems from:
Weak state institutions
Deep political fragmentation
An entrenched military elite that views itself as the ultimate arbiter of national authority
Historic mistrust between political parties
Persistent allegations of corruption and drug trafficking
President Embaló’s own record has been contentious. He dissolved the opposition-controlled parliament after the 2019 and 2023 legislative elections and prevented it from sitting since December 2023, following a previous attempted coup. His mandate was also extended by the Supreme Court, adding more controversy.
Regional Implications: Why This Crisis Matters Beyond Guinea-Bissau
The coup in Guinea-Bissau doesn’t exist in isolation—it fits into a broader pattern reshaping West Africa’s political landscape.
Here are the key regional consequences:
1. A New Link in the West African “Coup Belt”
Over the last four years, the Sahel and coastal West Africa have witnessed a wave of military takeovers:
Mali 🇲🇱
Burkina Faso 🇧🇫
Niger 🇳🇪
Guinea 🇬🇳
Attempted coups in Sierra Leone 🇸🇱
Persistent instability in Senegal 🇸🇳 earlier in 2024
Guinea-Bissau now risks becoming the latest link in this “coup belt”—raising alarms for ECOWAS and the African Union.
2. ECOWAS Credibility Is Again on the Line
ECOWAS, already weakened after its failures in Mali, Niger, and Burkina Faso, must now respond to yet another unconstitutional transition.
If the bloc fails to act decisively, its deterrence capacity will be further eroded—potentially encouraging other fragile states in the region to drift toward military interventions.
3. Risks of Regional Criminal Networks Expanding
Guinea-Bissau has long been a trafficking corridor between Latin America, West Africa, and Europe.
A power vacuum or prolonged instability could:
Strengthen transnational criminal networks
Increase drug trafficking
Destabilise neighbouring Senegal 🇸🇳 and Guinea 🇬🇳
Create opportunities for armed groups operating in the Sahel
This possibility concerns regional governments and international partners alike.
4. Threats to Democratic Consolidation in West Africa
The contested elections, competing claims of victory, and subsequent military intervention reinforce a dangerous message:
Elections alone do not guarantee democracy—trust in institutions does.
If political elites routinely bypass democratic processes, and militaries continue stepping in as “arbiters,” the region’s democratic trajectory will continue to slide backward.
5. Potential for Spill over Instability
Guinea-Bissau shares borders with:
Senegal, where tensions simmer in Casamance
Guinea, still recovering from its own military transition
Any prolonged instability could spill over into these neighbouring states—especially through arms flows, displacement, and economic disruption.
A Crisis That Demands Regional Attention
The situation in Guinea-Bissau is more than a domestic power struggle—it is a symptom of deeper structural weaknesses echoing across West Africa.
Weak institutions, contested elections, corruption, military interference, and the influence of transnational criminal networks create a volatile mix that threatens not just Guinea-Bissau’s governance, but the region’s stability.
As ECOWAS and the AU prepare their response, one thing is clear:
The future of democratic stability in West Africa will depend on how effectively these crises are managed—and whether institutions can be strengthened to prevent the next one.
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.
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
Guinea-Bissau’s Political Storm: What the Military Interference Signals for ECOWAS and the Region
Africa at COP30 in Belém, Brazil: Leading the Fight or Left Behind Again?
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