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Untangling the P3 billion Sir Ketumile Masire Hospital

The public will have to wait for at least a month before they can walk in the P3 billion state of the art Sir Ketumile Masire Teaching Hospital (SKMTH) quaternary facilities as the Commissioning Manager (CM) has set April as a month for the official opening.

Government had wished the hospital will open next month, but after some hiccups in the commissioning process, it will now open in April. In an interview with this publication, SKMTH Commissioning Manager Dr Thato Moumakwa has revealed that spanners are at work with progress on track. He disclosed that the facility could have long been opened but the then transitional team could not conceptualize the project.

“They thought it is construction then operational. They omitted the commissioning process which leads to operation.” It is said the board and the ministerial leadership was not happy because of lack of meaningful progress until Minister of Health and Wellness, Dr Alfred Madigele appointed Moumakwa as the hospital CM. “The minister intervened. He told the board that he was not happy with the progress and through his intervention the commissioning team was formulated,” he said in an interview on Wednesday afternoon.

Upon full commissioning, SKMTH will offer broad areas of service like; Critical and Trauma Care, Women and Child Care, Cardiac Care Comprehensive Oncology Care, Nephrology and Transplant Services, Internal Medicine, Surgical Services and Allied Health Services.
For now, according to Dr Moumakwa the hospital will open only for the phase-one since the Commissioning process is tedious and therefore the task team will only bite, chew and swallow what they can. “We should do it rapidly but cautiously because we are dealing with integrity of an organization,” Dr Moumakwa cautioned.

The hospital, it is expected will save government millions of Pula, and relieve pressure from Botswana’s major public health care providers, Princess Marina Hospital (PMH) and Nyangabgwe Referral Hospital.  The hospital will also come as competition for private hospitals such as Bokamoso Private Hospital and Gaborone Private Hospital. The SKMTH is located on the grounds of the University of Botswana campus in Gaborone, is a 450 bed quaternary hospital.

The mandate of the hospital when fully functional is threefold; which will be to provide world class medical services at a quaternary level, to work in conjunction with the University of Botswana School of Health Services to provide world class health education, and lastly to  act as a hub for health research. It is hoped that the hospital will attract the best clinical and academic staff in the region, possibly internationally, and will be a destination of choice for clients seeking world class cost effective medical services.

The hospital, according to Dr Moumakwa will operate as a quaternary hospital. “It will fit into the apex of a healthcare referral ecosystem that entails the two regional tertiary hospitals, namely PMH and Nyangabgwe Referral Hospitals, which will refer into SKMTH for super-specialized health services.”

HIRING OF COMMISSINING TEAM

It has emerged from sources that the process of hiring those in the team was characterized by poor governance and that best recruitment standards were not followed. Some of the complaints are, the CM, singlehandedly recruited the hospital’s staff despite some believing that recruitment should have entailed a panel decision contrary to what occurred at the hospital.  

“I was looking for competency. I was explicitly told to do the whole thing urgently and was ordered to even head-hunt and I agreed. However I modified the head-hunting by looking at CV’s of those that applied in 2017 and we interviewed at least four people per discipline,” Moumakwa said in an interview held on the 4th floor office of the facility this week.

He added, “I engaged myself, Human Resource and a co-opted member of the board for hiring. Only Finance Manager and Board Secretary are the ones who were never interviewed.” By far the team is made up of 16 employees. 10 of those were from the transitional team, with CM recruiting six members mostly from the private sector.

EQUIPMENTS

By far the hospital which strives for excellence and wants to position Botswana as the hub for medical purposes has major equipment’s for Diagnostic Radiology delivered.  This will aid with CT scans, X-rays, MRI and mammography. All these are necessary for phase-one according to Dr Moumakwa. Other equipment for nuclear medicine and radiation oncology are expected to be procured in the next 24 months.

WILL IT BE PUBLIC OR PRIVATE FACILITY?  

The hospital which is 100 percent funded by the government but registered as a company will only hospitalise those that have been referred to by the tertiary hospitals. “We will open for private patients as we will be competing with other available facilities. We are also developing a tariffs system whereby we will be able to recover money from medical aids.” For ordinary citizens they will have to be referred. “We won’t be dealing with cold cases, but if there is an emergency around us we will assist,” said the CM.

In terms of referrals from public hospitals, Dr Moumakwa says patients will be given invoices that will also be sent to government so that the patient can comprehend the value of the service offered while reconciling with the subvention they are given by the government.
“That is why a fully functional accounts and administrative team is key we should justify to government,” he said.

Meanwhile it is expected that various students be it undergraduate or post graduate medicine students from University of Botswana will pass through the facility for their practical tests. This is in line with its vision of training and producing international standard healthcare professionals for the entire national healthcare system, and beyond. Medical research is another area that will see the hospital focusing on. “We want to find medical solutions that are unique to our environment,” Dr Moumakwa concluded.

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Botswana imports in numbers

1st March 2021
Botswana-imports

For so many years, Botswana has been trying to be a self-sufficient country that is able to provide its citizens with locally produced food products. Through appropriate collaborations with parastatals such as CEDA, ISPAAD and LEA, government introduced initiatives such as the Horticulture Impact Accelerator Subsidy-IAS and other funding facilities to facilitate horticultural farmers to increase production levels.

Now that COVID-19 took over and disrupted the food value chain across all economies, Botswana government introduced these initiatives to reduce the import bill by enhancing local market and relieve horticultural farmers from loses or impacts associated with the pandemic.

In more concerted efforts to curb these food crises in the country, government extended the ploughing period for the Southern part of Botswana. The extension was due to the late start of rains in the Southern part of the country.

Last week the Ministry of Agriculture extended the ploughing period for the Northern part of the country, mainly because of rains recently experienced in the country. With these decisions taken urgently, government optimizes food security and reliance on local food production.

When pigs fly, Botswana will be able to produce food to feed its people. This is evident by the numbers released by Statistics Botswana on imports recorded in November 2020, on their International Merchandise Trade Statistics for the month under review.

The numbers say Botswana continues to import most of its food from neighbouring South Africa. Not only that, Batswana relies on South Africa to have something to smoke, to drink and even use as machinery.

According to data from Statistics Botswana, the country’s total imports amounted to P6.881 Million. Diamonds contributed to the total imports at 33%, which is equivalent to P2.3 Million. This was followed by food, beverages and tobacco, machinery and electrical equipment which stood at P912 Million and P790 Million respectively.

Most of these commodities were imported from The Southern African Customs Union (SACU). The Union supplied Botswana with imports valued at over P4.8 Million of Botswana’s imports for the month under review (November 2020). The top most imported commodity group from SACU region was food, beverages and tobacco, with a contribution of P864 Million, which is likely to be around 18.1% of the total imports from the region.

Diamonds and fuel, according to these statistics, contributed 16.0%, or P766 Million and 13.5% or P645 Million respectively. Botswana also showed a strong and desperate reliance on neighbouring South Africa for important commodities. Even though the borders between the two countries in order to curb the spread of the COVID-19 virus, government took a decision to open border gates for essential services which included the transportation of commodities such as food.

Imports from South Africa recorded in November 2020 stood at P4.615 Million, which accounted for 67.1% of total imports during the month under review. Still from that country, Botswana bought food, beverages and tobacco worth P844 Million (18.3%), diamonds, machinery and fuel worth P758 Million, P601 Million and P562 Million respectively.

Botswana also imported chemicals and rubber products that made a contribution of 11.7% (P542.2 Million) to total imports from South Africa during the month under review, (November 2020).

The European Union also came to Botswana’s rescue in the previous year. Botswana received imports worth P698.3 Million from the EU, accounting for 10.1% of the total imports during the same month. The major group commodity imported from the EU was diamonds, accounting for 86.9% (P606.6 Million), of imports from the Union. Belgium was the major source of imports from the EU, at 8.9% (P609.1 Million) of total imports during the period under review.

Meanwhile, Minister of Finance and Economic Development Thapelo Matsheka says an improvement in exports and commodity prices will drive growth in Sub-Saharan Africa. Growth in the region is anticipated to recover modestly to 3.2% in 2021. Matsheka said this when delivering the Annual Budget Speech virtually in Gaborone on the 1st of February 2021.

He said implementation of the African Continental Free Trade Area Agreement (AfCFTA), which became operational in January 2021, could reduce the region’s vulnerability to global disruptions, as well as deepen trade and economic integration.

“This could also help boost competition and productivity. Successful implementation of AfCFTA will, of necessity, require Member States to eliminate both tariffs and non-tariff barriers, and generally make it easier to do business and invest across borders.”

Matsheka, who is also a Member of Parliament for Lobatse, an ailing town which houses the struggling biggest meat processing company in the country- Botswana Meat Commission, (BMC), said the Southern African Customs Union (SACU) recognizes the need to prioritize the key processes required for the implementation of the AfCFTA.

“The revised SACU Tariff Offer, which comprises 5,988 product lines with agreed Rules of Origin, representing 77% of the SACU Tariff Book, was submitted to the African Union Commission (AUC) in November 2020. The government is in the process of evaluating the tariff offers of other AfCFTA members prior to ratification, following which Botswana’s participation in AfCFTA will come to effect.”

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Sheila Tlou: On why women don’t get votes

1st March 2021
Sheila Tlou

BARAPEDI KEDIKILWE

Women continue to shadow men in politics – stereotypes such as ‘behind every successful man there is a woman’ cast the notion that women cannot lead. The 2019 general election recorded one of Botswana’s worst performances when it comes to women participation in parliamentary democracy with only three women elected to parliament.

Botswana’s former Minister of Health, Professor Sheila Tlou who is currently the Co-Chair, Global HIV Prevention Coalition & Nursing Now and an HIV, Gender & Human Rights Activist is not amused by the status quo. Tlou attributes this dilemma facing women to a number of factors, which she is convinced influence the voting patterns of Batswana when it comes to women politicians.

Professor Tlou plugs the party level voting systems as the first hindrance that blocks women from ascending to power. According to the former Minister of Health, there is inadequate amount of professionalism due to corrupt internal party structures affecting the voters roll and ultimately leading to voter apathy for those who end up struck off the voters rolls under dubious circumstances.

Tlou also stated that women’s campaigns are often clean; whilst men put to play the ‘politics is dirty metaphor using financial muscle to buy voters into voting for them without taking into consideration their abilities and credibility. The biggest hurdle according to Tlou is the fallacy that ‘Women cannot lead’, which is also perpetuated by other women who discourage people from voting for women.

There are numerous factors put on the table when scrutinizing a woman, she can be either too old, or too young, or her marital status can be used against her. An unmarried woman is labelled as a failure and questioned on how she intends on being a leader when she failed to have a home. The list is endless including slut shaming women who have either been through a divorce or on to their second marriages, Tlou observed.

The only way that voters can be emancipated from this mentality according to Tlou is through a robust voter education campaign tailor made to run continuously and not be left to the eve of elections as it is usually done. She further stated that the current crop of women in parliament must show case their abilities and magnify them – this will help make it clear that they too are worthy of votes.

And to women intending to run for office, Tlou encouraged them not to wait for the eleventh hour to show their interest and rather start in community mobilisation projects as early as possible so that the constituents can get to know them and their abilities prior to the election date.

Youthful Botswana National Front (BNF) leader and feminist, Resego Kgosidintsi blames women’s mentality towards one another which emanates from the fact that women have been socialised from a tender age that they cannot be leaders hence they find it difficult to vote for each other.

Kgosidintsi further states that, “Women do not have enough economic resources to stage effective campaigns. They are deemed as the natural care givers and would rather divert their funds towards raising children and building homes over buying campaign materials.”

Meanwhile, Vice President of the Alliance for Progressives (AP), Wynter Mmolotsi agrees that women’s participation in politics in Botswana remains a challenge. To address this Mmolotsi suggested that there should be constituencies reserved for women candidates only so that the outcome regardless of the party should deliver a woman Member of Parliament.

Mmolotsi further suggested that Botswana should ditch the First Past the Post system of election and opt for the proportional representation where contesting parties will dutifully list able women as their representatives in parliament.

On why women do not get elected, Mmolotsi explained that he had heard first hand from voters that they are reluctant to vote for women since they have limited access to them once they have won; unlike their male counterparts who have proven to be available night or day.

The pre-historic awarding of gender roles relegating women to be pregnant and barefoot at home and the man to be out there fending for the family has disadvantaged women in political and other professional careers.

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SEZA’s P126 million tender heads to court

1st March 2021

Special Economic Zone Authority’s (SEZA) P126 million Master Planning of Pandamatenga Special Economic Zones Business Case, Urban & Landscapes tender is in court after one of bidders, Moralo Design challenged its disqualification from the tender.

SEZA is transforming Pandamatenga into an Agropolis which will combine modern farming with top notch industrial, residential, commercial and recreational land use. The project is measured at 137, 007 ha which comprises of 84, 500 ha for commercial production, 12 400 ha for the subsistence production, 107 ha will be for Agro-processing while 40 000 ha will be for the Zambezi Integrated Agro-commercial Project (ZIACDP).

In their court papers, Moralo Designs, represented by Jones Moitshepi Firm, said they received a letter from SEZA on or around the 12th November 2020 notifying that their bid has been disqualified at the technical evaluation stage of the tender adjudication process.

In their response, Lonely Mogara who is Chief Executive Office of SEZA said Moralo Designs is not entitled to be heard by the court as the company never participated in the disputed tender hence SEZA knows the bidder as Moralo Design Consortium.

“Moralo Designs had failed to establish any right to be heard by the court. The fact that they had submitted a tender was not guarantee that they would be awarded the tender,” he said.
“The reasons for the disqualification of Moralo Design Consortium’s bid were valid and justified because their bid was insufficient as it lacked vital information as required by the terms of reference.”

SEZA Chief said the requirements for the work plan and project programme were clearly stated in the Invitation To Tender (ITT). Moralo Design Consortium was not penalised for non-existent requirements.  In disqualifying the bid by Moralo Designs Consortium, Mogara further indicated that SEZA considered that there was a requirement for a programme and work plan.

“The purported “project programme” that was submitted by Moralo Design Consortium failed to depict the activity durations, activity phasing and interrelations, milestones, delivery dates of reports and logical sequence of activities constituent with methodology and showing a clear understanding of the terms of reference,” said Mogara in responding affidavit.

He said the ITT required that there be provision of delivery dates within the programme hence Moralo Designs Consortium failed to consult with SEZA when they felt that such a requirement would be impossible to provide.  He continued to say there was an avenue available when the tender was being prepared, but they failed to use it.

“Moralo Designs’ application for interim relief lacks merit and only seeks to delay SEZA from completing the evaluation and award of a tender that will serve the greater good of the nation,” said Mogara.

He went on to say Moralo Designs has no prospects of succeeding in its review application as the possibility of court granting the review are so remote in that the court does not possess the requisite technical knowhow on what constitutes an adequate work plan and what ought to be contained in it.

A bidder disqualified for failure to provide adequate information has no right to be protected by the court. Irreparable harm can only be suffered by one who has shown that there exists a right in so far as having stood the chance of being awarded the tender.

The financial benefit likely to be derived by Moralo Designs- which is highly unlikely- is outweighed by the nature of the project. In the unlikely event that the application for review is successful, they can claim for damages.  The availability of such remedy weighs in favour of the interdict being refused. The refusal stands to benefit the nation more than the financial interest that Moralo Designs seeks to protect.

Moralo Designs failed to establish the urgency of their application. They waited for more than a month and half after the disqualification to approach the court on urgency. Meanwhile when delivering the State of the Nation Address (SONA) last year, President Mokgweetsi Masisi revealed that the detailed design and construction of 12 steel grain silos — with an overall storage capacity of 60 000 metric tonnes — is underway at the Pandamatenga SEZ and the P126 million project will be completed by August 2021.

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