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Bulela Ditswe 2018: lessons for the BDP & Opposition

Ndulamo Anthony Morima

This year’s Botswana Democratic Party (BDP)’s primary elections, popularly known as Bulela Ditswe, were like no other. In this article, I argue that, if carefully studied, they can provide invaluable lessons for both the BDP and the Opposition.

Though primary elections are, strictly speaking, a political party affair, I also argue that this year’s Bulela Ditswe results should also provide lessons for the BDP led government and indeed any party that hopes to attain government in 2019. In this year’s Bulela Ditswe, about nine cabinet ministers lost their seats, mostly to first time contenders and hitherto unknowns. No doubt, this is unprecedented in Botswana’s political party history.

Of course, there are other factors which contributed to the loss, which we discuss below, but, in my view, this could be an indication that Batswana are dissatisfied with government’s policies and programmes. One would have expected that the introduction of Constituency Funding (CF) and the Economic Stimulus Package (ESP), both of which were championed by cabinet ministers and Members of Parliament (MPs), would have given cabinet ministers and incumbent MPs an urge over their contenders.

It is not only the CF and ESP that should have given cabinet ministers and incumbent MPs an urge over their contenders. Such other government programmes as Ipelegeng, National Service Scheme, Poverty Eradication Programme, ISPAAD, National Youth Development Fund (NYDF), e.t.c should have had the same effect. Still related to the fall of cabinet ministers, the fall of Minister for Presidential Affairs, Governance and Public Administration, Honourable Nonofho Molefhi, and Assistant Minister for Investment Trade and Industry, Honourable Biggie Butale is worth considering.

Honourable Molefhi, no doubt, lost because of the Masisi factor, him having challenged then Vice President Mokgweetsi Masisi for the party chairpersonship. It is not a secret that the Masisi faction does not trust Honourable Molefhi because of his ambitions for the state presidency.

Honourable Butale, together with such cabinet ministers as Minister for Nationality, Immigration & Gender Affairs, Honourable Dorcas Makgato and Assistant Minister for Youth Empowerment, Sport and Culture Development, Honourable Dikgang Philip Makgalemele, were some of Honourable Molefhi’s fiercest supporters when he challenged President Mokgweetsi Masisi for the party chairpersonship.

Could Honorable Butale’s loss be attributable to the Masisi factor? But how did Honourables Makgato and Makgalemele manage to emerge victorious despite the Masisi factor? Did Honorable Butale underestimate his opponent, Simon Mavange Moabi? In another unprecedented development, this year’s Bulela Ditswe has had many, about fifteen, new comers. What is even more interesting is that these new comers are evenly distributed across the country.

Some of these new comers pitted their chances against party stalwarts, but won against all odds. Examples are Molebatsi Molebatsi and Fransisco Kgobokwe who beat Honourables Kefentse Nzwinila and Shaw Khathi for Mmadinare and Bobirwa constituencies respectively.  Very few expected that Assistant Minister of Agricultural Development and Food Security, Honourable Kgotla Autlwetse, would lose the Serowe North constituency, let alone to the relatively unknown, at least nationally, Puma Matlhware?

Very few would have thought so, especially considering that Honourable Autlwetse, against all odds then, beat his nemesis, former Minister of Justice, Defence & Security, Dikgakgamatso Ramadeluka Seretse. Though not a party stalwart, very few expected that the Minister of Agricultural Development and Food Security, Patrick Ralotsia would lose, yet Thapelo Letsholo beat him. Honourable Ralotsia lost despite the fact that he had the advantage of reaching the masses through farming, the mainstay of many Batswana’s lives.

Similarly, though not a party stalwart, very few expected the Minister of Employment, Labour Productivity and Skills Development, Tshenolo Mabeo, to lose the Thamaga-Kumakwane constituency, yet Mataosane Keitseope beat him resoundingly. In appearance, Keitseope is, at least according to some stereotypes, not a regular MP material. He appears to be what some call an ‘ordinary’ person. Yet he is said to be the people’s person. The Umbrella for Democratic Change (UDC) candidate for the constituency, Ofentse Khumomotse, should be careful not to underestimate him, lest he does that to his own peril.        

Honourable Kgathi’s loss deserves comment. A week or so before the primary elections, former President Lieutenant General Dr. Seretse Khama Ian Khama, when launching Kgobokwe’s Trust, effectively implored the voters to vote against Honourable Kgathi. Khama had, in his own words, been angered by the fact that Honourable Khathi attempted to dissuade him from officiating at the launch and when that failed he, according to Khama, phoned Dikgosi and implored them not to attend.

Khama did not take kindly to that, saying that was contempt on him as Kgosi kgolo of BaNgwato. The fact that Honourable Khathi did not attend the launch only added salt to injury. Here, it seems, the Khama magic worked against the Masisi factor for, on the face of it, it appears that following H.E Masisi’s ascendancy to the presidency, Honourable Kgathi abandoned the Khama faction for the Masisi faction.

Honourables Polson Majaga and Ignatius Moswaane’s victories are also worth commenting on. Both are what one may call ‘nobody’s men’ if that is possible in politics. They have caused discomfort to the mainstream in the party for their position on several issues, but have seemingly remained true to their constituents.

They have been accused of not respecting the party’s caucus decisions. They have even been accused of being sympathetic to the Opposition, with claims that they bring parliamentary motions which are leftist in nature, yet they emerged victorious in this Bulela Ditswe despite the serious challenge they faced. Nata-Gweta MP, Honorable Majaga, for instance, faced fierce challenge from, among others, former Botswana Congress Party (BCP) fire brand, Ditiro Majadibodu, and former Director of the Department of Youth & Culture, Lawrence Ookeditse, whom many blamed for abusing his position to campaign before he resigned.

Though the MP for Tati East, Honourable Sampson Guma Moyo, is a bit different from Honourables Majaga and Moswaane for Francistown West, he too has his own mind. Also, despite the fact that his constituency is ‘safe’ he does not take his voters for granted. The lesson from this is that being true to the voter pays. Further that while touring the party line and conforming to the party’s positions and principles is important, loyalty and service to the electorate is of overriding importance.

This lesson is even clearer when regard is had for the MP for the Lerala-Maunatlala constituency, former Minister of Land Management, Water and Sanitation Services, Honourable Prince Maele. Obviously because his constituents have confidence in him, they voted for him despite allegations of corruption that he faced which many believe resulted in his removal from cabinet by H.E Masisi. It is worth noting that Honourable Maele has neither been charged nor convicted of any offence or crime.

Former Minister of Minerals, Green Technology and Energy Security, Advocate Sadique Kebonang, who was similarly removed from cabinet by H.E Masisi, allegedly because of the National Petroleum Fund (NPF) saga, did not survive. It is also worth noting that Honourable Kebonang has neither been charged nor convicted of any offence or crime. Honourable Kebonang’s loss could be because he faced a strong opponent in Dr. Thapelo Matsheka, the former Chief Executive Officer of a very influential government agency, Citizen Entrepreneurial Development Agency (CEDA).

But it could also be because he had lost touch with his constituents, who, when their time came, did not sympathize with him for the corruption allegations he suffered and the removal from cabinet. The Minister of Environment, Natural Resources Conservation and Tourism, Honourable Tshekedi Khama, won despite the fact that his Branch Committee had vetted him out for, according to them, neglecting the constituency by never visiting his constituency since the 2014 general elections, or bothering to thank the voters.

Khama won despite facing formidable challenge from Moemedi Dijeng. So significant was Dijeng’s challenge that Khama went to court praying for the court to order that Dijeng be barred from contesting Bulela Ditswe for breaking the rules of the primary elections. Also facing Khama was the Masisi factor. Though there is a possibility that the Branch Committee, which some accuse of being pro-Masisi, was conspiring against Khama because it preferred Dijeng, the Khama magic and Bogosi cannot be discounted from contributing to Khama’s victory.

All said, if there is one desirable lesson to be learnt from this year’s Bulela Ditswe it is that no MP should be too comfortable and take the voter for granted. One hopes that this lesson will be continued at the 2019 general elections even for the Opposition. The absence of the recall clause for non-performing MPs and Councillors has been abused by many, even in the Opposition, who got elected only to abandon their constituents or to put the interests of the party over the voters.

In this year’s Bulela Ditswe, the people have shown that they are the employer and they hire and fire as they please. It appears Khama’s Bobonong words that ‘nobody should believe a constituency is their personal or private property’ have resonated with many in the BDP. One thing is also clear from this year’s Bulela Ditswe for the BDP. If it fails to manage the fall out resulting from Bulela Ditswe, and fails to manage the fall out between Khama and H.E Masisi it may lose the 2019 general elections.

Just like many candidates lost Bulela Ditswe unexpectedly, many may lose the 2019 general elections unexpectedly, especially if the claims by some in the Opposition that they voted for weaker candidates so that their candidates stand a better chance to win the general elections are true.    

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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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