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The UN Economic Commission for Africa (ECA) is headquartered in Addis Ababa with offices in Dakar, Kigali, Lusaka, Niamey, Rabat & Yaounde. IDEAS to ACTION.

Addis Ababa, Ethiopia
Joined July 2011
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How can Botswana finance health reforms without compromising economic stability? @ECA_OFFICIAL engaged Nenguba Chakalisa, Deputy Director at @BankofBotswana, on aligning health financing and National Health Insurance with fiscal and macroeconomic priorities.
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Sustainable health financing requires balancing investment needs with fiscal and financial stability. Discussions with @BankofBotswana explored the implications of National Health Insurance for domestic borrowing, inflation and long-term financing. #InvestingInHealth
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Turning economic analysis into policy action: @ECA_OFFICIAL and @BankofBotswana explored stronger coordination on data, macroeconomic analysis and health financing to inform Botswana's reforms and support evidence-based decisions. #InvestingInHealth
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How can parliamentary oversight help ensure health budgets deliver better services? @ECA_OFFICIAL Chief of Staff @Abudiaw discussed this with Hon. Dithapelo L. Keorapetse, Speaker of @BWParliament, focusing on accountability and sustainable health financing.
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Effective health financing requires more than budget allocations. Discussions with @BWParliament highlighted the importance of scrutinising health expenditure, monitoring implementation and ensuring public resources translate into measurable improvements in healthcare.
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From oversight to results: @BWParliament and @ECA_OFFICIAL explored closer cooperation on health financing, public financial management and parliamentary capacity, including a proposed joint work plan to strengthen accountability in #Botswana.
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From dialogue to action: The Government of #Botswana and @ECA_OFFICIAL endorsed a Joint Technical Working Group on health financing reform, chaired by the Minister of Finance and co-chaired by the Minister of Health, to advance coordinated implementation.
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A 100-day action plan will guide the next phase of Botswana's health financing reforms, focusing on fiscal sustainability, results-based budgeting, National Health Insurance, data coordination and stronger implementation capacity. #InvestingInHealth
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Every pula invested in health should deliver measurable results. Botswana and @ECA_OFFICIAL agreed to strengthen the link between health budgets and outcomes, improving efficiency, accountability and the value of public investment in healthcare. #InvestingInHealth
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Deputy Exec Secretary @HananMorsy14 opened 1st African Social Security Summit. She called for strengthening governance & fiduciary capacity, deepening domestic & regional capital mkt, creating a pipeline of investible projects, & using public & dev. finance strategically.
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"Our responsibility is to protect the trust and make it work harder - safely, transparently, & productively - for the continent's future" says DES @HananMorsy14, to tap the potential of our own resources prudently for Africa's development . @NBEthiopia @NEPAD_Agency @TdbGroup
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1/2 Yesterday we opened the #HealthFinancing media workshop in Nairobi, bringing together journalists from across Africa. The question at the centre: how do we shift the narrative so health is seen as an investment, not a cost? #TransformingHealthFinancingAfrica
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2/2 In the afternoon, participants visited Kenya’s Social Health Authority, which replaced the National Hospital Insurance Fund in 2024. Journalists saw how Kenya is building social health insurance to reduce out of pocket spending & move closer to #UHC. #HealthFinancing #Africa
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How can Botswana make health financing more sustainable while protecting access to quality care? @ECA_OFFICIAL engaged civil society & organised labour to discuss reforms that strengthen prevention, primary healthcare and outcomes for communities. #InvestingInHealth
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More efficient health spending should not come at the expense of patient care. Discussions in #Botswana highlighted the importance of protecting households from financial hardship, ensuring continuity of treatment and safeguarding access to essential health services.
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As #Botswana advances National Health Insurance, civil society & organised labour stressed the need for continued consultation on benefits, financing and equitable resource allocation, including the role of community organisations in healthcare delivery. #UHC
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How can development partners help translate health financing reforms into better outcomes for people? At a roundtable convened by @UN_Botswana RC Wenyan Yang, ECA Chief of Staff @Abudiaw & partners discussed strengthening coordination & implementation. #InvestingInHealth
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Better health financing must deliver better results. Discussions highlighted the need for stronger public financial management, shared data, clear responsibilities, performance indicators and timelines to strengthen implementation and accountability in #Botswana.
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Health financing is an investment in people, productivity & development. @ECA_OFFICIAL and partners stressed the importance of protecting public financing, making better use of existing resources and mobilising complementary funding to sustain health services. #InvestingInHealth
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How can Botswana advance National Health Insurance while protecting existing health financing gains? @ECA_OFFICIAL Chief of Staff @Abudiaw discussed this with @BusinesssBotsPR CEO Tumi Mbaakanyi, highlighting the role of private-sector engagement in reform.
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National Health Insurance reform has implications for insurers, hospitals, doctors, pharmacies and patients. Discussions stressed the importance of private-sector consultation in shaping a sustainable financing system that protects access and affordability.
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Investing in health is also investing in Botswana's economy. Discussions highlighted the need for stronger evidence and fiscal analysis to better understand how health investment can support jobs, productivity and broader economic transformation. #InvestingInHealth
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