Traditional Doctors to be regulated
Traditional Doctors may issue sick leaves
The Government of Botswana is having sleepless nights in responding to calls by the World Health Organization (WHO) to incorporate safe and effective traditional medicine into the primary health-care system as well as bring traditional healers into a legal framework.
What makes it difficult is the pollution of the practice by bogus traditional practitioners who claim supernatural powers and often than not put people’s lives in danger. Traditional medicine is mostly issued by traditional doctors who have become notorious for claiming the know-how and powers to cure ailments.
Efforts to curb this group and discourage communities not to rely on them have proved futile as traditional doctors still remain central to the culture of many Africans. The World Health Organization (WHO) estimates that 80 per cent of people in Africa regularly seek their services.
The government in its efforts to curb these incidences decided to come up with a law that will look into these issues.
The proposed Bill seeks to address among other issues concerns that some healers claim to possess cures for various terminal ailments, among them HIV/AIDS. This will be addressed by a Council that will, among other things, authenticate the efficacy of herbal medicines.
Other concerns on the side of government are possible risks of cross infections through contaminated body piercing instruments and other means during traditional doctors’ treatment processes as well as the influx of foreign nationals claiming to be traditional doctors.
Traditional doctors through their Umbrella bodies have already made a promise to the government that they would refer infectious diseases such as diarrhoea, HIV/AIDS and Tuberculosis to medical doctors.
Weekendpost has established that the government is finding it difficult to address some of the issues including the definition of who is a traditional doctor. Some of the issues that make it difficult are rooted traditions that some traditional doctors claim to have inherited or have been taught the practice by their parents while some go for actual training and so forth.
The question of definition is expected to cause uproar once it is finalized. The bill also envisages referrals from one party to the other among many other issues.
Plans to involve and regulate traditional doctors emanated from a growing realization that it is possible for traditional and western practitioners to work together to improve patients’ well-being, especially when it comes to developing new medications, reporting new cases of contagious diseases and finding ways to ensure that patients stick to their prescribed treatments according to research.
Traditional doctors have in-depth knowledge of plant materials and their various curative powers. They use leaves, seeds, stems, bark or roots to treat symptoms. Most traditional healers are both herbalists and diviners, while some specialize in one aspect.
This healing system rose to popularity after the realization that Doctors trained in the Western sciences largely focus on the biomedical causes of disease, traditional beliefs take a more holistic approach.
Although traditional doctors are not officially recognized by government and still operate outside formal health structures, Batswana still consider them essential in their day to day lives. This has, in some instances, led to catastrophic incidences where some patients preferring traditional doctors disregard medical doctors’ advice and choose to take herbal medicines that have dangerous interactions with pharmaceuticals.
In 2002, WHO issued its first comprehensive guidelines to help countries such as Zimbabwe, develop policies to regulate traditional medicine. Zimbabwe is of the view that there is need for some standardization of operations and that people should be able to consult registered and licensed traditional healers at proper premises.
South Africa leads continental efforts to bring traditional healers into a legal framework. In early 2005, South African Parliament approved a law to recognize the country’s estimated 200,000 healers as health-service providers. It is understood that those registered would, for example, be allowed to prescribe sick leave and offer treatment for numerous conditions. Some hailed this as an important step in rooting out charlatans and protecting patients, but others saw it differently.
In a brief interview with Weekendpost, Medical Practitioners Group chairperson, Dr Gagoitsiwe Saleshando said they welcome the move by the Ministry. He added that the law will help in the exchange of ideas to move the health of the nation forward.
“However this must be done in a way that will not jeopardize the health of the nation by promoting anything that may be hazardous to people in the long run,” he warned.
Doctors for Life, which represents over a thousand health practitioners in South Africa, however is objected to the government’s plans to legitimize healers.
“Most of the medicines used by traditional practitioners have not been validated scientifically,” states Doctors for Life.
“Many people suffer because of the serious complications that arise due to the use of traditional medicines.” The group warned that such a law could open “a can of worms” of legal controversies and medical complications. They urged that remedies be thoroughly researched before approval.
Other medical practitioners point out that traditional healers, with or without the support of the law, are already providing services within communities. Bringing them within the primary-health fold would therefore help rather than hinder efforts to flush out harmful practices.
Research shows that in Tanzania, the Dar es Salaam-based Institute of Traditional Medicine has a pilot programme to test the efficacy of local herbs in helping reduce the severity of other illnesses often seen in HIV patients.
Herbalists, it is understood, are allowing the institute to evaluate the substances they use to treat patients. If scientists discover beneficial elements in the herbs, they purify them and determine what the proper dosage should be. This addresses a major concern that some people have with the way medicines have been prescribed by traditional healers. Some 25 herbalists are currently working with the institute.
The Minister of Health was unable to give this publication her comment saying she was still busy in a meeting.
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19 Bokamoso Private Hospital nurses graduate at Lenmed Nursing College
The graduation of 19 nurses from Bokamoso Private Hospital at Lenmed Nursing College marks a significant milestone in their careers. These nurses have successfully completed various short learning programs, including Adult Intensive Care Unit, Emergency Nursing Care, Anaesthetic & Recovery Room Nursing, Anaesthetic Nursing, and Recovery Room Nursing. The ceremony, held in Gaborone, was a testament to their hard work and dedication.
Lenmed Nursing College, a renowned healthcare group with a presence in South Africa, Botswana, Mozambique, and Ghana, has been instrumental in providing quality education and training to healthcare professionals. The Group Head of Operations, Jayesh Parshotam, emphasized the importance of upskilling nurses, who are at the forefront of healthcare systems. He also expressed his appreciation for the partnerships with Bokamoso Private Hospital, the Ministry of Health, and various health training institutes in Botswana.
Dr. Morrison Sinvula, a consultant from the Ministry of Health, commended Lenmed Health and Lenmed Nursing College for their commitment to the education and training of these exceptional nurses. He acknowledged their guidance, mentorship, and support in shaping the nurses’ careers and ensuring their success. Dr. Sinvula also reminded the graduates that education does not end here, as the field of healthcare is constantly evolving. He encouraged them to remain committed to lifelong learning and professional development, embracing new technologies and staying updated with the latest medical advancements.
Dr. Gontle Moleele, the Superintendent of Bokamoso Private Hospital, expressed her excitement and pride in the graduating class of 2023. She acknowledged the sacrifices made by these individuals, who have families and responsibilities, to ensure their graduation. Dr. Moleele also thanked Lenmed Nursing College for providing this opportunity to the hospital’s nurses, as it will contribute to the growth of the hospital.
The certificate recipients from Bokamoso Private Hospital were recognized for their outstanding achievements in their respective programs. Those who received the Cum Laude distinction in the Adult Intensive Care Unit program were Elton Keatlholwetse, Lebogang Kgokgonyane, Galaletsang Melamu, Pinkie Mokgosi, Ofentse Seboletswe, Gorata Basupi, Bareng Mosala, and Justice Senyarelo. In the Emergency Nursing Care program, Atlanang Moilwa, Bakwena Moilwa, Nathan Nhiwathiwa, Mogakolodi Lesarwe, Modisaotsile Thomas, and Lorato Matenje received the Cum Laude distinction. Kelebogile Dubula and Gaolatlhe Sentshwaraganye achieved Cum Laude in the Anaesthetic & Recovery Room Nursing program, while Keletso Basele excelled in the Anaesthetic Nursing program. Mompoloki Mokwaledi received recognition for completing the Recovery Room Nursing program.
In conclusion, the graduation of these 19 nurses from Bokamoso Private Hospital at Lenmed Nursing College is a testament to their dedication and commitment to their profession. They have successfully completed various short learning programs, equipping them with the necessary skills and knowledge to excel in their respective fields. The collaboration between Lenmed Nursing College, Bokamoso Private Hospital, and the Ministry of Health has played a crucial role in their success. As they embark on their careers, these nurses are encouraged to continue their professional development and embrace new advancements in healthcare.
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BNF secures 15 constituencies in UDC coalition, wants more
The Botswana National Front (BNF) has recently announced that they have already secured 15 constituencies in the Umbrella for Democratic Change (UDC) coalition, despite ongoing negotiations. This revelation comes as the BNF expresses its dissatisfaction with the current government and its leadership.
The UDC, which is comprised of the BNF, Botswana Peoples Party (BPP), Alliance for Progressives (AP), and Botswana Patriotic Front (BPF), is preparing for the upcoming General Elections. However, the negotiations to allocate constituencies among the involved parties are still underway. Despite this, the BNF Chairman, Patrick Molotsi, confidently stated that they have already acquired 15 constituencies and are expecting to add more to their tally.
Molotsi’s statement reflects the BNF’s long-standing presence in many constituencies across Botswana. With a strong foothold in these areas, it is only natural for the BNF to seek an increase in the number of constituencies they represent. This move not only strengthens their position within the UDC coalition but also demonstrates their commitment to serving the interests of the people.
In a press conference, BNF Secretary General, Ketlhafile Motshegwa, expressed his discontent with the current government leadership. He criticized the ruling Botswana Democratic Party (BDP) for what he perceives as a disregard for the well-being of the Batswana people. Motshegwa highlighted issues such as high unemployment rates and shortages of essential medicines as evidence of the government’s failure to address the needs of its citizens.
The BNF’s dissatisfaction with the current government is a reflection of the growing discontent among the population. The Batswana people are increasingly frustrated with the lack of progress and the failure to address pressing issues. The BNF’s assertion that the government is playing with the lives of its citizens resonates with many who feel neglected and unheard.
The BNF’s acquisition of 15 constituencies, even before the negotiations have concluded, is a testament to their popularity and support among the people. It is a clear indication that the Batswana people are ready for change and are looking to the BNF to provide the leadership they desire.
As the negotiations continue, it is crucial for all parties involved to prioritize the interests of the people. The allocation of constituencies should be done in a fair and transparent manner, ensuring that the voices of all citizens are represented. The BNF’s success in securing constituencies should serve as a reminder to the other parties of the need to listen to the concerns and aspirations of the people they aim to represent.
In conclusion, the BNF’s acquisition of 15 constituencies, despite ongoing negotiations, highlights their strong presence and support among the Batswana people. Their dissatisfaction with the current government leadership reflects the growing discontent in the country. As the UDC coalition prepares for the upcoming General Elections, it is crucial for all parties to prioritize the needs and aspirations of the people. The BNF’s success should serve as a reminder of the importance of listening to the voices of the citizens and working towards a better future for Botswana.
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Children’s summit to discuss funding of NGOS
One of the key issues that will be discussed by the Childrens’ Summit, which will be hosted by Childline Botswana Trust on 28th – 30th November in Gaborone, will be the topical issue of financing and strengthening of civil society organizations.
A statement from Childline Botswana indicates that the summit will adopt a road map for resourcing the children’s agenda by funding organizations. It will also cover issues relating to child welfare and protection; aimed at mobilizing governments to further strengthen Child Helplines; as well as sharing of emerging technologies to enhance the protection of Children and promotion of their rights.
According to Gaone Chepete, Communications Officer at Childline Botswana, the overall objective of the summit is to provide a platform for dialogue and engagement towards promoting practices and policies that fulfil children’s rights and welfare.
“Child Helplines in the region meet on a bi-annual basis to reflect on the state of children; evaluate their contribution and share experiences and best practice in the provision of services for children,” said Chepete.
The financing of non-governmental organizations (NGOs) by the state or its functionaries has generated mixed reactions from within the civil society space, with many arguing that it threatened NGOs activism and operational independence.
In February 2019, University of Botswana academic Kenneth Dipholo released a paper titled “State philanthropy: The demise of charitable organizations in Botswana,” in which he faulted then President Lieutenant General Seretse Khama Ian Khama for using charity for political convenience and annexing the operational space of NGOs.
“Civil society is the domain in which individuals can exercise their rights as citizens and set limits to the power of the state. The state should be developing capable voluntary organizations rather than emaciating or colonizing them by usurping their space,” argued Dipholo.
He further argued that direct involvement of the state or state president in charity breeds unhealthy competition between the state itself and other organizations involved in charity. Under these circumstances, he added, the state will use charity work to remain relevant to the ordinary people and enhance its visibility at the expense of NGOs.
“A consequence of this arrangement is that charitable organizations will become affiliates of the state. This stifles innovation in the sense that it narrows the ability of charitable organizations to think outside the box. It also promotes mono-culturalism, as the state could support only charitable organizations that abide by its wishes,” said Dipholo.
In conclusion, Dipholo urged the state to focus on supporting NGOs so that they operate in a system that combines philanthropic work and state welfare programs.
He added that state philanthropy threatens to relegate and render charitable organizations virtually irrelevant and redundant unless they re-engineer themselves.
Another University of Botswana (UB) academic, Professor Zibani Maundeni, opined that politics vitally shape civil society interaction; as seen in the interactions between the two, where there is mutual criticism in each other’s presence.
Over the years, NGOs have found themselves grappling with dwindling financial resources as donors ran out of money in the face of increased competition for financing. Many NGOs have also been faulted for poorly managing their finances because of limited strategic planning and financial management expertise. This drove NGOs to look to government for funding; which fundamentally altered the relationships between the two. The end result was a complete change in the operational culture of NGOs, which diminished their social impact and made them even more fragile. Increased government control through contract clauses also reduced NGOs activism and autonomy.
However, others believe that NGOs and government need each other, especially in the provision of essential services like child welfare and protection. Speaking at the Civil Society Child Rights Convention in 2020, Assistant Minister of Local Government and Rural Development Setlhabelo Modukanele said government considers NGOs as critical partners in development.
“We recognize the role that NGOs play a critical role in the country’s development agenda,” said Modukanele.