Botswana Healthcare Faces Uncertainty Amidst Policy Shift
A recent directive from Botswana’s Ministry of Health has introduced new complexities into the country’s healthcare system. The policy change, concerning established nursing practices, has sparked debate and reportedly impacted patient care.
The ‘Nurses’ Coverage’ Controversy
The core of the issue revolves around the practice of “nurses’ coverage.” This system traditionally required nurses to provide hospital-wide support beyond their standard departmental duties. While common, its implementation has drawn criticism from nursing professionals.
Ministry Halts Coverage Practice
On August 1, 2025, Professor Oathokwa Nkomazana, Permanent Secretary of Health, issued a directive to all hospitals. This order mandated the immediate cessation of the nurses’ coverage practice. The rationale behind this decision cited concerns raised by nurses and midwives regarding the demanding nature and expanded responsibilities often associated with the coverage.
Reports indicate that these additional duties frequently extended beyond core nursing functions, encompassing administrative tasks. The ministry’s action appears to be a direct response to these long-standing grievances from the nursing community.
Impact on Healthcare Delivery
The immediate consequence of this policy shift is a period of adjustment for Botswana’s hospitals. The removal of the nurses’ coverage system necessitates a reconfiguration of staffing and responsibilities. This transition period has reportedly led to concerns about potential disruptions to patient services and overall hospital operations.
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