Botswana Public Expenditure Review in Health - Improving Health Spending to Reclaim and Maximize Health Gains

Jul 19, 2026

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Review of Botswana’s public health spending performance, focusing on how health expenditures can be improved to recover and maximize health gains. The report assesses uneven health outcomes, examines sources, trends, and spending composition, and evaluates efficiency constraints. It also analyzes inequalities in health access and outcomes and discusses sustainability concerns for key programs. Finally, it identifies causes of underperformance and presents policy recommendations grounded in evidence and referenced data.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages54

Reading Time2 h 16 min

AccessFree to download

Executive Summary

Introduction

Uneven Health Performance with Slow Progress on non-HIV/AIDS Indicators

Sources, Trends and Composition of Public Health Expenditure

Low Efficiency of Public Health Expenditure

Inequalities of Health Access and Outcomes

Sustainability of Key Programs a Concern

Causes of Underperformance

Policy Recommendations

References

Annex

Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized © 2024 The World Bank 1818 H Street NW, Washington DC 20433 Telephone: 202-473-1000; [Internet: www.worldbank.org](Internet: www.worldbank.org) Some rights reserved This work is a product of the staff of The World Bank. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of the Executive Directors ofThe World Bank or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Rights and Permissions The material in this work is subject to copyright. Because The World Bank encourages dissemination of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes as long as full attribution to this work is given. Attribution—Please cite the work as follows: “World Bank. 2024. Botswana Public Expenditure Review in Health © World Bank.” All queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522-2625; e-mail: [pubrights@worldbank.org](pubrights@worldbank.org) TABLE OF CONTENTS Acronyms and Abbreviations .................................................................................................................................................................................................................................................. f Acknowledgments ......................................................................................................................................................................................................................................................................... i Executive Summary ....................................................................................................................................................................................................................................................................... iii 1. Introduction .................................................................................................................................................................................................................................... 1 2. Uneven Health Performance with Slow Progress on non-HIV/AIDS Indicators ....................................................................................................... 2 3. Sources, Trends and Composition of Public Health Expenditure ................................................................................................................................. 6 4. Low Efficiency of Public Health Expenditure ....................................................................................................................................................................... 12 5. Inequalities of Health Access and Outcomes ...................................................................................................................................................................... 15 6. Sustainability of Key Programs a Concern ............................................................................................................................................................................ 19 7. Causes of Underperformance ................................................................................................................................................................................................... 22 8. Policy Recommendations...................................................................

FAQs

What does the Botswana public expenditure review focus on?

It focuses on improving public health spending to reclaim and maximize health gains through an assessment of performance, efficiency, composition, and outcomes.

How does the report evaluate public health expenditure?

It examines sources, trends, and composition of public health expenditure and reviews efficiency limitations affecting health results.

What are the main outputs besides analysis?

The report includes causes of underperformance and provides policy recommendations, along with references and an annex.

Jul 19, 2026

Upload by Ivy