Preparations are at an advanced staged for the Selebi Phikwe Government Hospital (SPGH) to be accredited by the Council for Health Service Accreditation of Southern African (COHSASA) in February 2017.
SPGH will be the third public hospital to be accredited by the international body following the accreditation assessment that started in 2014 with a baseline of 40% score. Within three years, the hospital is now at 86% overall score and the verge of bagging the much sought-after COHSASA accreditation.
Compliance requirements sums up to an 80% compliance under every service element or critical areas. There should not be any non-compliant standard and once all the service elements have acquired 80% and above, the facility will be accredited. The Head of Selebi Phikwe District Health Team (DHMT) and also Hospital Superintendent for SPGH, Dr Joseph Shama says that out of approximately 500 critical areas or service elements, they have managed to close the gaps and are now working on the last 40 elements. To acquire the accreditation, the facility goes through a quality improvement programme in which it is assessed against internationally approved health care standards.
COHSASA is the only internationally accredited quality improvement and accreditation body for African-based healthcare facilities. Only Scottish Livingstone Hospital in Molepolole and Mahalapye District Hospital have been awarded the accreditation by COHSASA. Others include Xhosa and Airstrip primary healthcare clinics which are feeder clinics for Mahalapye District Hospital and Phutadikobo Clinic in Molepolole, making it five, the total number of public health facilities accredited by COHSASA in Botswana.
Dr Joseph Shama is confident that come February, his hospital will receive the accreditation in February. He told WeekendPost in an interview that had it not for the fact that the hospital is old and required more development and maintenance, they would have long been accredited. Newer and modern hospitals have failed to satisfy the requirement for the accreditation including the country’s referral hospitals, Princess Marina and Nyangabwe. Dr Shama revealed that the COHSASA team is happy and surprised by the speed at which SPGH has managed to significantly close the gaps in a shorter period of time, a development that has made the hospital a benchmark institution in this regard.
Dr Shama noted that the accreditation is critical for healthcare organisations to accurately assess their level of performance in relation to established standards and to implement ways to continually improve their services. He says the benefits of accreditation include among others, improved quality and safety of care; reduced costs; enhanced organisational structures and service delivery as well as boosting investor confidence. He stated that international health funders would not invest in a health facility that that does not meet international standards.
The outgoing President of the Court of Appeal, Justice Ian Kirby, shares his thoughts with us as he leaves the Bench at the end of this year.
WeekendPost: Why did you move between the Attorney General and the Bench?
Ian Kirby: I was a member of the Attorney General’s Chambers three times- first in 1969 as Assistant State Counsel, then in 1990 as Deputy Attorney General (Civil), and finally in 2004 as Attorney General. I was invited in 2000 by the late Chief Justice Julian Nganunu to join the Bench. I was persuaded by former President Festus Mogae to be his Attorney General in 2004 as, he said, it was my duty to do so to serve the nation. I returned to the Judiciary as soon as I could – in May 2006, when there was a vacancy on the High Court Bench.
Botswana’s civil society is one of the non-state actors that could save the country’s democracy from sliding into regression, a Germany based think tank has revealed. This is according to a discussion paper by researchers at the German Development Institute who analysed the effects of e-government usage on political attitudes In Botswana.
In the paper titled “E-government and democracy in Botswana: Observational and experimental evidence on the effects of e-government usage on political attitudes,” the researchers offer a strongly worded commentary on Botswana’s ‘flawed democracy.’ The authors noted that with Botswana’s Parliament structurally – and in practice – feeble, the potential for checks and balances on executive power rests with the judiciary.
Bangwato in Serowe — where Bamagwato Paramount Chief and former President Lt. Gen Ian Khama originates – disagree on whether they must send a delegation to dialogue with President Mokgweetsi Masisi’s family in Moshupa. Just last week, a meeting was called by the Regent of Bamagwato, Kgosi Sediegeng Kgamane, at Serowe Kgotla to, among others, update the tribe on the whereabouts of their Kgosi (Khama).
Further, his state of health was also discussed, with Kgamane telling the attendees that all is well with Khama. The main reason for the meeting was to deliberate on the escalating tension between Khama and Masisi — a three-year bloodletting going unabated.