Botswana (population 1.77 million) is a landlocked country in Southern Africa that covers an area of 600, 000 km2. It is in the unusual position of being an African country that is not financially resource poor. There are ten palliative care services that are delivered by three organizations: Holy Cross Hospice, Gaborone; Ramotswa Hospice at Home; and the Light and Courage Centre, Francistown. The reimbursement and funding for services of these organizations is presented. Opioid availability and consumption are shown. The national and professional organizations include African Comprehensive HIV/AIDS Partnerships (ACHAP) and Botswana Network of AIDS Service Organizations (BONASO). The palliative care coverage between the three organizations and the palliative care workforce capacity are also reported. In addition, the history and development of hospice-palliative care in Botswana is discussed. Moreover, the chapter evaluates the political economy in this country.
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