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SONA 2017: what Batswana expect?

When, on 5th December 2016, His Excellency the President Lieutenant General Dr. Seretse Khama Ian Khama presented the State of the Nation Address (SONA) to the third session of the Eleventh Parliament many Batswana’s hopes for a better life for all were raised.

This year, 2017, as President Khama delivers the SONA many Batswana’s expectations will be that the promises made in 2016 have, in the main, been met, especially because we recently celebrated fifty years of independence. Not only that. During SONA 2016, President Khama emphasized on delivery for the year 2017, perhaps because it marked the first year for the new vision, Vision 2036. He said “In achieving our vision of a better future … it is not enough that we have sound plans and a practical as well as positive long term Vision…”

In his words, “to succeed, we must become much more urgent in our delivery. This is a daily challenge for all of us, both inside and outside Government. Overreliance on the State is not a sustainable, much less optimal path to 2036.” Of course, some will accept that such occurrences as the closure of the BCL mine have adversely affected the plans for 2017 as enunciated in the 2016 SONA. Yet, some will not accept that, arguing that these were self-inflicted wounds which cannot be an excuse for non-fulfilment of Agenda 2017.

Right at the beginning of SONA 2016, President Khama warned Batswana that the era of comfortable budgetary surpluses, driven by relatively steady mineral revenues, is behind us. This much Batswana must expect to hear this year, especially in view of the BCL closure.
Though it is still early days in relation to Vision 2036, Batswana expect to hear progress, especially with respect to the four pillars government set out to be the yard stick for measuring our progress in reaching destination 2036.

These pillars are: Sustainable Economic Development; Human and Social Development; Sustainable Environment; and Good Governance, Peace and Security. Our people, therefore, expect to hear about the strides we have made towards the realization of these ideals. In relation to the Sustainable Economic Development pillar Batswana expect to hear how their country is transforming into a high-income country, where continued growth is underpinned by a more inclusive, diversified and export led economy.

Of course, Batswana were informed that for this to happen they need to become more innovative, flexible and productive. But they also know that, in the President’s own words, for this to happen government has to provide an environment in which private sector expansion is not hampered by onerous regulation and an over reliance on the state. Batswana, therefore, expect that the President will update them on what the government has done to improve the ease of doing business in Botswana. Not only that. Batswana expect to hear what government has done to stimulate private sector growth in Botswana.

Granted, many will expect to hear how the Economic Stimulus Programme (ESP), for example, has contributed to the diversification of the economy and, therefore, reduced the levels of unemployment, especially among the youth. With respect to the Human and Social Development pillar many Batswana expect that the President will update them on how we, as a nation, are building upon our legacy as a moral and tolerant society that is inclusive of all Batswana.

In this regard, the rights of the so-called minor tribes; the rights of gays, lesbians and the transgendered; treatment of those who hold dissenting political views; e.t.c will come to the fore. Yet, as we expect to hear such from the President, the question we should all ask ourselves is whether we are consistent with our longstanding traditions of mutual support for our fellow brothers and sisters. We should also ask ourselves whether we are all in a journey of seeking a harmonious future that ensures dignity for all our people by contributing to the wellness and social upliftment of the whole community, not just the privileged few.

Our people will expect the President to give them an update on how such programmes as the Poverty Eradication Programme and Constituency Funding have improved Batswana’s lives and lifted them out of the evil of poverty and squalor. As regards the Building of a Sustainable Environment pillar, which as the President said, is predicated on the optimal use of our natural resources, Batswana will expect to hear how government, for example, has assisted communities to maximize sustainable yields from our renewable resources.

In 2016, President Khama assured Batswana that by 2036 we shall have ensured that our Republic remains a bastion of freedom, security and the rule of law. This is what would be required to ensure that we achieve the pillar of Good Governance, Peace and Security.
In President Khama’s own words for us to achieve this we require both continuity and evolutionary transformation in our legal and institutional frameworks in response to changing popular expectations for a more disciplined society.

Here, government’s treatment of the private media; government’s relations with workers and trade unions; government’s use of its security forces on the citizenry; government’s respect for court judgments, e.t.c will come to the fore. Hitherto SONA 2016 President Khama renamed, rationalized and increased government ministries. President Khama said this was motivated by a need to focus more on key developmental issues as part of NDP 11, while underscoring our intention to align ourselves with a changing world.

Batswana will, therefore, be justified in their expectation that President Khama will give them a report which demonstrates that the new ministries’ performance, productivity and delivery improved, thereby justifying the expenditure that was incurred as a result of the renaming, rationalization and increase of the ministries. During SONA 2016, President Khama promised that such programmes as the Economic Diversification Drive (EDD), the Economic Stimulus Programme (ESP) and Poverty Eradication Programmes shall remain as priorities.

Not only that. He promised that job creation through EDD and ESP will be increasingly linked to private sector growth, with government playing an enabling role in facilitating economic growth. It will, no doubt, be Batswana’s expectation for President Khama to report on job creation percentages which are testament to this. While such programmes as Ipelegeng and Tirelo Sechaba, no doubt, provide relief for a section of our society, Batswana do not expect the numbers of people involved in these programmes to be included in job creation statistics for these are not jobs per se, but mere drought relief engagements.

During SONA 2016 President Khama promised that 2017 will see the rolling out of yet another Programme which will embrace every constituency in the country in the form of community projects. He promised that the programme, which will be overseen by the Ministry of Local Government and Rural Development, will increase the delivery of infrastructure at local level, while providing further income generating activities and employment opportunities.

Assuming that he was referring to the Constituency Fund Programme, Batswana expect to hear about the number of long term jobs created under the programme; the sustainable income generating activities resulting from the programme as well as the infrastructure, e.g. roads built through the programme.

President Khama also informed Batswana that additional key priorities in realizing our renewed Vision are the eradication of abject poverty and citizen empowerment through expanded educational and training opportunities for the youth and marginalized, including those living in remote rural areas, as well as targeted investment.

Granted, government, led by Office of the President (OP) itself, has embarked on the Poverty Eradication Programme, but Batswana expect to hear, in real terms, the number of Batswana or households which graduated from poverty as a result of the programme. On the back of the anticipated overall domestic growth rate of 3.5% for the year 2016, President Khama informed Batswana that the BCL closure notwithstanding, government projected a 4.1% overall domestic growth rate in 2017.  

He also informed Batswana that the inflation rate is forecast to remain within the Bank of Botswana’s 3-6 % objective range. Batswana will, no doubt, expect to hear how BCL closure affected these forecasts. In particular, Batswana will want to know whether our economy is still driven by the non-mining sectors, more especially in Trade, Hotels and Restaurants, Transport and Communication and Finance and Business Services which, in 2016, contributed to domestic growth at rates of 6.8%, 6.1% and 4.0% respectively.

Batswana will also expect to hear whether or not the Agricultural sector’s contribution to the overall domestic growth rate is improving in light of the several agricultural funding programmes introduced by government. At the end of the day, though many Batswana will, no doubt, have heeded the President’s advice that the achievement of the milestones set out in SONA 2016 is not government’s task alone, many will still expect government to have taken a significant lead in the milestones’ realization.    

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Appendicitis: Recognising the Signs

29th March 2022

Many a times I get clients casually walking into my room and requesting to be checked for “appendix”.  Few questions down the line, it is clear they are unaware of where the appendix is or what to expect when one does have it (appendicitis). Jokingly (or maybe not) I would tell them they would possibly not be having appendicitis and laughing as hard as they are doing. On the other hand, I would be impressed that at least they know and acknowledge that appendicitis is a serious thing that they should be worried about.

So, what is Appendicitis?

Appendicitis is an inflammation of the appendix; a thin, finger-like pouch attached to the large intestine on the lower right side of the abdomen. Often the inflammation can be as a result of blockage either by the faecal matter, a foreign body, infection, trauma or a tumour. Appendicitis is generally acute, with symptoms coming on over the course of a day and becoming severe rapidly. Chronic appendicitis can also occur, though rarely. In chronic cases, symptoms are less severe and can last for days, weeks, or even months. 

Acute appendicitis is a medical emergency that almost always ends up in the operating theatre. Though the appendix is locally referred to as “lela la sukiri”, no one knows its exact role and it definitely does not have anything to do with sugar metabolism. Appendicitis can strike at any age, but it is mostly common from the teen years to the 30s.

Signs to look out for

If you have any of the following symptoms, go and see a Doctor immediately! Timely diagnosis and treatment are vital in acute appendicitis;

Sudden pain that starts around the navel and shifts to the lower right abdomen within hours

The pain becomes constant and increases in severity (or comes back despite painkillers)

The pain worsens on coughing, sneezing, laughing, walking or deep breaths

Loss of appetite

Nausea and vomiting


Constipation or diarrhoea

Abdominal bloating/fullness


The doctor often asks questions regarding the symptoms and the patient’s medical history. This will be followed up by a physical examination in which the Doctor presses on the abdomen to check for any tenderness, and the location of the pain. With acute appendicitis, pressing on and letting go of the right lower abdomen usually elicits an excruciatingly unbearable pain. Several tests may be ordered to determine especially the severity of the illness and to rule out other causes of abdominal pain. The tests may conditions include: blood tests, a pregnancy test, urinalysis, abdominal  “How do ultrasound scans work?” ultrasound (scan), CT scan or MRI Scan.


The gold standard treatment of acute appendicitis is surgical removal of the appendix known as appendectomy. Luckily, a person can live just fine without an appendix! Surgical options include laparoscopy or open surgery and the type will be decided on by the Surgeon after assessing the patient’s condition. Painkillers and antibiotics are also given intravenously usually before, during and after the surgery.


Appendicitis can cause serious complications such as;

Appendicular mass/abscessIf the appendix is inflamed or bursts, one may develop a pocket of pus around it known as an abscess. In most cases, the abscess will be treated with antibiotics and drained first by placing a tube through one’s abdominal wall into the abscess. The tube may be left in place for a few hours or days while the infection is clearing up but ultimately one would still have surgery to remove the appendix.

Peritonitis – without treatment, the appendix can rupture/burst. The risk of this rises 48–72 hours after symptoms start. A ruptured appendix spreads the infection throughout the abdomen (peritonitis). This is life threatening and requires immediate surgery to remove the appendix and clean the abdominal cavity.

Death – The complications of appendicitis (and appendectomy) can be life threatening, only if the diagnosis has been missed and no proper treatment has been given on time. This is rare though with the evolved medical care.

If you need further advice or treatment please call 4924730, email  HYPERLINK “” or visit

Antoinette Boima, MBBS, BMedSci, PgDip HIV/AIDS, Cert Aesth Med is the Managing Director of The Medics Centre in Palapye.

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A degree of common sense

7th February 2022

Here’s a news item from last month you may have missed. In December 2021 the University of Staffordshire announced it would be offered a degree course in pantomime! Yes, that’s right, a degree in popular festive entertainment, the Christmas panto.

We used to have one here, put on by the Capitol Players, though it seems to have fallen away in recent times, but the spectacle is still alive and well in the UK, both in local ad-dram (amateur dramatic ) societies and on the London stage and most of the major cities, these latter productions usually featuring at least one big-draw name from the world of show business with ticket prices commensurate with the star’s salary.

In case you’re unfamiliar with the pantomime format, it consists of a raucous mixture of songs and comedy all based around a well-known fairy or folk tale. Aladdin and His Magic Lamp, Cinderella, Jack & The Beanstalk & Dick Whittington are perennial favourites but any well-known tall tale goes. There is no set script, unlike a play, and storyline is just a peg to hang a coat of contemporary, often bawdy, gags on, in what should be a rollicking production of cross dressing – there has to be at least one pantomime dame, played by a man and always a figure of fun, and a Principal Boy, ostensibly the male lead, yet played by an attractive young woman.

As an art form it can trace its roots back to 16th century Italy and the Commedia Del’Arte which used a mélange of music, dance, acrobatics along with a cast of comic stock characters so it has a long and proud theatrical tradition but you have to wonder, does that really qualify it as a suitable subject for a university? Further, what use might any degree be that can be acquired in a single year? And last but not least, how much standing does any degree have which comes from a jumped-up polytechnic, granted university status along with many of its ilk back in 1992, for reasons best known to the government of the time? Even more worrying are the stated aims of the course.

Staffordshire University claims it is a world first and the masters course is aimed at people working inside as well as outside the industry. Students on the course, due to start in September 2022, will get practical training in the art form as well as research the discipline.

“We want to see how far we can take this,” Associate Professor of Acting and Directing Robert Marsden said. The role of pantomime in the 21st Century was also going to be examined, he said, “particularly post Me Too and Black Lives Matter”. Questions including “how do we address the gender issues, how do we tell the story of Aladdin in 2021, how do we get that balance of male/female roles?” will be asked, Prof Marsden added.

Eek! Sounds like Prof. Marsden wants to rob it of both its history and its comedic aspects – well, good luck with that! Of course that isn’t the only bizarre, obscure and frankly time and money-wasting degree course available. Staying with the performing arts there’s Contemporary Circus and Physical Performance at Bath Spa University. Sounds like fun but why on earth would a circus performer need a university degree?

Or how about a Surf Science and Technology degree at Cornwall College (part of the University of Plymouth). Where the one thing you don’t learn is….how to surf!

Then there is a  degree in Floral Design at University Centre Myerscough. No, I hadn’t heard of it either – turns out it’s a college of further education in Preston, a town that in my experience fits the old joke of ‘I went there once…..It was closed’ to a ‘T’!

Another handy (pun intended) art is that of Hand Embroidery BA (Hons), offered at the University for the Creative Arts. Or you could waste away sorry, while away, your time on a course in Animal Behaviour and Psychology. This degree at the University of Chester teaches you about the way animals think and feel. Cockroaches have personalities according to the subject specs– you couldn’t make it up.

Happily all these educational institutes may have to look to their laurels and try to justify their very existence in the near future. In plans announced this week, universities could face fines of up to £500,000 (P750m), be stripped of their right to take student loans or effectively shut down if they cannot get 60 per cent of students into a professional job under a crackdown on ‘Mickey Mouse’ courses. Further, at least 80 per cent of students should not drop out after the first year, and 75 per cent should graduate.

The rules, published by the Office for Students (OfS), aim to eliminate ‘low-quality’ courses by setting new standards & requiring courses to improve their rating in the TEF, the official universities ratings system. Universities not meeting the new standards will not be able to charge full annual fees of £9,250. Unconventional courses that could fall victim to the new rules could include the University of Sunderland’s BA in Fashion Journalism, where students learn essential’ skills such as catwalk reporting and the history of Chanel.  They have only a 40 per cent chance of entering highly skilled work 15 months after leaving.

At University College Birmingham, BSC Bakery and Patisserie Technology students – who learn how to ‘make artisan bread’ – have a 15 per cent chance of a professional job within 15 months. Universities minister Michelle Donelan welcomed the move, saying ‘When students go to university, they do so in the pursuit of a life-changing education, one which helps pave their path towards a highly skilled career. Any university that fails to match this ambition must be held to account.’

OfS found that at 25 universities, fewer than half of students find professional work within 15 months.  Business and management courses at the University of Bedfordshire (14.8 per cent) were among the least likely to lead to graduate-level jobs.  Asked to comment, the University of Sunderland said it always looked ‘to find ways to improve outcomes’; University College Birmingham said data on graduates and definition of ‘professional work’ was limited. I’ll bet it is! As the saying goes, ’what the eye doesn’t see, the heart doesn’t grieve over’. What a pantomime!

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Why regular health checks are important!

7th February 2022

With the world still reeling from the negative impact of the Coronavirus disease-19 (COVID-19), and the latest Omicron variant (which is responsible for the ongoing global forth wave) on everyone’s lips, we should not forget and neglect other aspects of our health.

While anyone can get infected with corona virus and become seriously ill or die at any age, studies continue to show that people aged 60 years and above, and those with underlying medical conditions like hypertension, heart and lung problems, diabetes, obesity, cancers, or mental illness are at a higher risk of developing serious illness or dying from covid-19.

It is a good habit to visit a doctor regularly, even if you feel healthy. Regular health checks can help identify any early signs of health issues or assess your risk of future illness hence prompting one to take charge and maintain a healthy lifestyle. Heart disease, diabetes, some cancers and other non-communicable diseases (even communicable) can often be picked up in their early stages, when chances for effective treatment are high.

During a health check, your doctor will take a thorough history from you regarding your medical history, your family’s history of disease, your social life and habits, including your diet, physical activity, alcohol use, smoking and drug intake. S/he will examine you including measuring your weight, blood pressure, feeling your body organs and listening to your heart and lungs amongst the rest. Depending on the assessment, your doctor will notify you how often you need to have a health check. If you have a high risk of a particular health condition, your doctor may recommend more frequent health checks from an early age.

Diet – a healthy diet improves one’s general health and wellbeing. It is recommended that we have at least two serves of fruit and five serves of vegetables daily. Physical activity – regular physical activity has significant health benefits on one’s body, mind & soul. It contributes to preventing and managing non-communicable diseases such as cardiovascular diseases, cancers and diabetes, reduce symptoms of depression and anxiety, enhances thinking, learning, and judgment skills and improves overall well-being. According to the world health organisation (WHO), people who are insufficiently active have a 20% to 30% increased risk of death compared to people who are sufficiently active. Aim for 30 minutes to an hour of moderate physical activity at least four days in a week. Examples of moderate physical activity include brisk walking, gentle swimming and social tennis.

Weight – maintaining a healthy weight range helps in preventing long-term complications like cardiovascular disease, diabetes and arthritis. It is also vital for one’s mental wellbeing and keeping up with normal activities of daily living. Ask your doctor to check your body mass index (BMI) and waist circumference annually. If you are at a higher risk, you should have your weight checked more frequently and a stern management plan in place.

Alcohol – as per WHO reports, alcohol consumption contributes to 3 million deaths each year globally as well as to the disabilities and poor health of millions of people. Healthy drinking entails taking no more than two standard drinks per drinking day with at least two alcohol-free days in a week.

Smoking –Nicotine contained in tobacco is highly addictive and tobacco use is a major risk factor for cardiovascular and respiratory diseases, many different types of cancer, and many other debilitating health conditions. Every year, at least a whopping 8 million people succumb from tobacco use worldwide. Tobacco can also be deadly for non-smokers through second-hand smoke exposure. It is not ‘fashionable’ if it is going to cost you and your loved ones lives! If you are currently smoking, talk to your doctor and get help in quitting as soon as possible to reduce the harm.

Blood pressure: Hypertension is a serious medical condition and can increase the risk of heart, brain, kidney and other diseases. It is a major cause of premature death worldwide, with upwards of 1 in 4 men and 1 in 5 women – over a billion people – having the condition. Have your blood pressure checked annually if it is normal, you are aged under 40 and there is no family history of hypertension. You might need to have it checked more frequently if you are over 40, your blood pressure is on the high side, or you have a personal or family history of high blood pressure, stroke or heart attack. Your doctor will be there to guide you.

Dental care – eating a low-sugar diet and cleaning and flossing the teeth regularly can reduce one’s risk of tooth decay, gum disease and tooth loss. Visit a dentist every six months for a dental examination and professional cleaning, or more frequently as per your dentist’s advice.
Blood tests – annual to five-yearly blood tests may be done to further assess or confirm risk of disease. These may include blood sugar levels, cholesterol levels, kidney function, liver function, tumour markers, among other things. They may be done frequently if there is already an existing medical condition.

Cancer screening – various screening techniques can be done to detect different cancers in their early or pre-cancer stages. These include; skin inspections for any suspicious moles/spots, two-yearly mammograms for those at risk of developing breast cancer, Pap smear or the new Cervical Screening Test (CST) every five years, stool tests and colonoscopy (every five years) for those at most risk of bowel cancer, prostate cancer screening for those at risk (over 45 years of age, family history of cancers etc.). Discuss appropriate tests with your doctor.

Vaccinations – You should discuss with your doctor about the necessary routine immunisation, in particular; the Covid-19 vaccines, an annual flu shot, a five-yearly pneumococcal vaccine if you have never had one or you are immunocompromised and any other boosters that you might need.

If you need further advice or treatment please call 4924730, email HYPERLINK “” or visit

Antoinette Boima, MBBS, BMedSci, PgDip HIV/AIDS, Cert Aesth Med is the Managing Director of The Medics Centre in Palapye.

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