Botswana Experience Research Articles

An assessment of real estate cycles and their impact on property values in Gaborone, Botswana

PurposeThe purpose of this study was to assess real estate cycles and their impact on property values in Gaborone, Botswana. Investors and real estate professionals in Botswana rarely assess property cycles when purchasing property. This study therefore, aims to assess whether real estate cycles do exist, their duration and the type of real estate cycle that Botswana experiences.Design/methodology/approachData was collected from primary and secondary sources. This included sourcing out information at the Deeds Registry Office in Gaborone on residential property sales and a questionnaire to 100 property investors. A record was made of properties that were sold for the period of 16 years starting from the year 2000 to 2016. Secondary data on the other hand was also collected from published and unpublished books, academic journals, professional journals, magazines, reports and monographs. A quantitative approach was used in this study. Data was analysed using Microsoft Excel and subsequently presented in form of tables and graphs.FindingsThe findings from the literature review revealed that there are four phases in the real estate cycles (recovery, expansion, oversupply and recession) and each has distinct features that an investor must be aware of to avoid consequences in the property market. The results from the data analysis revealed that real estate cycles do exist in Botswana as identified during the past 16 years. The cycle that Botswana experiences is called the kitchen cycle. It was also evident that Botswana experienced three cycles lasting five to six years each. Furthermore, it was discovered that all phases in the real estate cycles affect property values.Research limitations/implicationsThere is relatively little information about property cycles and their timing in Botswana. Therefore, this study may assist valuation surveyors to make promptly informed decisions on property investment through cycle assessment and hence positively inform the public and financial stakeholders. Society might find this beneficial in as far as decision-making is concerned when thinking of investing in real estate. The current system at the deeds office is cumbersome and time consuming, thus making it difficult for the researchers and possibly the public to analyse the property market. This study therefore, may encourage the Deeds Registry Office to computerize their records.Practical implicationsThere is relatively little information about property cycles and their timing in Botswana. Therefore, this study may assist valuation surveyors to make promptly informed decisions on property investment through cycle assessment and hence positively inform the public and financial stakeholders.Social implicationsSociety might find this beneficial in as far as decision-making is concerned when thinking of investing in real estate.Originality/valueTo the best of the authors’ knowledge, this paper is the first of its kind in Botswana to extend the knowledge of real estate cycles and their impact on property cycles in Botswana.

Job Satisfaction and Its Determinants among Nurse Anesthetists in Clinical Practice: The Botswana Experience.

Job satisfaction (JS) correlates positively with patients' satisfaction and outcomes and employees' well-being. In Botswana, the level of job satisfaction and its determinants among nurse anesthetists were not investigated. A cross-sectional study was conducted from January 2020 to June 2020 encompassing all nurse anesthetists in clinical practice in Botswana. A self-administered questionnaire was used that incorporated demographic data, reasons to stay on or leave their job, and a validated 20-item short form of the Minnesota Satisfaction Questionnaire which was pretested on five of our nurse anesthetists. Percentage is used to describe the data. The independence of categorical variables was examined using chi-square or Fisher's exact test. p value <0.05 was considered statistically significant. In Botswana, a total of 76 nurse anesthetists were in clinical practice during the study period. Sixty-six (86.9%) responded to the survey. Gender distribution was even, 50.0%. The overall JS was 36.4%. Males had significantly higher JS than females, p = 0.001. Significantly higher job satisfaction was found in married nurse anesthetists (p = 0.039), expatriate nurse anesthetists (p = 0.001), nurse anesthetists in non-referral hospitals (p = 0.023), and nurse anesthetists with ≥10 years' experience (p = 0.019). Nurse anesthetists were satisfied with security, social service, authority, ability utilization, and responsibility in ≥60.0% of the cases. They were not satisfied in compensation, working condition, and advancement in a similar percentage. The main reason to stay on their job was to serve the public in 68.2%. In Botswana, employers should make an effort to address the working conditions, compensation, and advancement of nurse anesthetists in clinical practice.

Foreign nurse educators' lived experiences of incivility: The case for Botswana.

BackgroundIn light of current economic prosperity and subsequent attainment of upper-middle-income country status, Botswana attracted nurse educators from other African countries. Within this cross-cultural environment, anti-immigrant sentiments have catalysed incidents of incivility, affecting the quality of teaching and learning outcomes.ObjectivesThe aim of this study was to explore experiences of incivility amongst foreign nurse educators and how it impacts their work and livelihood.MethodThis study employed a qualitative approach, using interpretive phenomenology. In-depth interviews using a developed guide were conducted with 13 foreign nurse educators working as nurse educators in Botswana. Thematic analysis was conducted in accordance with interpretive phenomenology, where transcriptions were drafted after each interview.ResultsThree themes emerged from the study findings: hostile behaviour, discrimination and inequitable application of procedures and processes. Discrimination as a theme has two sub-themes, namely, workplace injustice and individual injustice.ConclusionThe study found that foreign nurse educators working in Botswana experience incivility. From the findings, the study strongly recommends application of equitable job opportunities to all employees, including foreign nurse educators who are employed to meet the shortage of nurse educators in Botswana. The researchers are of the opinion that the nurse educator shortage will persist in Botswana, partly because of the nursing profession rendered unattractive by hostile social interactions amongst nurse educators’ exclusion of foreign nurses from benefits enjoyed by local nurse educators, workplace injustice targeting foreign nurse educators, as well as inequitable application of policies and processes that affect foreign nurse educators.

Registered nurses' knowledge, attitude and practice regarding their scope of practice in Botswana.

BackgroundThe articulation of the scope of practice in nursing is important to provide boundaries for registered nurses in which to practice. Registered nurses in Botswana have frequently experienced challenges and raised concerns with their scope of practice. Research related to registered nurses’ knowledge, attitudes and practice regarding their scope of practice appears to be limited in the African context, particularly in Botswana.AimThe aim of this study was to develop guidelines for professional nurses to explore and describe registered nurses’ knowledge, attitude and practice regarding their scope of practice in Botswana.MethodsA convergent parallel mixed-methods design was employed using a three-tier sampling approach to ensure a representative sample of various settings, health facilities and nurses. For the purpose of this article, the data from the qualitative component are reported. Thirty registered nurses, working in the public health sector in Botswana, participated in semi-structured interviews. Data were analysed using thematic content analysis.FindingsData analysis revealed that registered nurses’ scope of their knowledge was lacking. Registered nurses’ attitudes were reflected in the adaptation process to expanded practice, as demonstrated through emotive aspects, adjustments to practice beyond scope and the learning of new skills considered beyond scope. Participants reported implementing many skills deemed beyond their scope, whilst their motive to do so included their experience of a lack of control over practice, lack of resources or they were doing so out of consideration for the patient. Guidance in terms of their scope was found to be inadequate.ConclusionAs in other resource-limited countries in Africa, registered nurses in Botswana experience challenges with their scope of practice. Inadequate boundaries may result in compromised nursing care and may have detrimental consequences for both the patient and the nurse.

Psychometric Validation of a Scale to Assess Culturally-Salient Aspects of HIV Stigma Among Women Living with HIV in Botswana: Engaging "What Matters Most" to Resist Stigma.

Perceived stigma deters engagement in HIV care and is powerfully shaped by culture. Yet few stigma measures consider how cultural capabilities that signify "full personhood" could be engaged to resist stigma. By applying a theory conceptualizing how culturally-salient mechanisms can worsen or mitigate HIV stigma in relation to "what matters most" (WMM), we developed the WMM Cultural Stigma Scale for Women Living with HIV in Botswana (WMM-WLHIV-BW) and psychometrically evaluated it among 201 respondents with known and unknown HIV status. The two subscales, Cultural Factors Shape Stigma (CFSS) and Cultural Capabilities Protect against Stigma (CCPS) were reliable (both [Formula: see text]). Among WLHIV, the CFSS Subscale showed initial construct validity with depressive symptoms (r = .39, p = .005), similar to an established HIV stigma scale, whereas the CCPS Subscale showed initial construct validity with self-esteem (r = .32, p = .026) and social support number (r = .29, p = .047), suggesting that achieving local cultural capabilities mitigates stigma and is linked with positive psychosocial outcomes. This culturally-derived scale could help WLHIV in Botswana experience improved stigma-related outcomes.

Dynamic Water Balance Modelling for Risk Assessment and Decision Support on MAR Potential in Botswana

Botswana experiences a water stressed situation due to the climate and a continuously increasing water demand. Managed Aquifer Recharge (MAR) is considered, among other measures, to improve the situation. To evaluate the possibility for increased water supply security, a probabilistic and dynamic water supply security model was developed. Statistically generated time series of source water availability are used in combination with the dynamic storages in dams and aquifers, and the possible supply is compared with the demand to simulate the magnitude and probability of water supply shortages. The model simulates the system and possible mitigation measures from 2013 to 2035 (23 years), using one-month time steps. The original system is not able to meet the demand, and the estimated volumetric supply reliability in the year 2035 is 0.51. An additional surface water dam (now implemented) will increase the reliability to 0.88 but there will still be a significant water shortage problem. Implementing large-scale MAR can further improve the reliability to at least 0.95. System properties limiting the effect of MAR are identified using the model and show how to further improve the effect of MAR. The case study results illustrate the importance and benefit of using an integrated approach, including time-dependence and future scenarios, when evaluating the need and potential of MAR.

Effects of effluent water on the abundance of cowpea insect pests.

Botswana experiences low and unreliable rainfall. Thus, the use of effluent water in agriculture is increasingly important. Insect damage is the major constraint for cowpea grain production in the most cowpea-producing lands. We investigated the effects of effluent water on insect pest abundance on cowpea (Vigna unguiculata) under field conditions. The experiment was laid out in a randomized complete block design with 100, 75, 50, and 25% of effluent water and 0% (control-clean tap water) treatments. Treatments with 100% effluent water resulted in a significant increase in insect pest populations as compared with the control. These results show that the use of effluent water to irrigate crops may increase incidence, abundance, and damage caused by insect pests possibly by decreasing plant vigor. The use of effluent water in agriculture should be addressed in a wise way.

Advocating for Standards in Student Affairs Departments in African Institutions: University of Botswana experience

The Student Affairs Departments have seen immense growth over the years, from a discourse which had no academic relevance in higher education, to that which is expected to add value to the attraction, retention, and graduation of students. However, the latest developments have seen the role of Student Affairs Departments grow from ‘in‑loco parentis’ to educators who are expected to strategically position the image of their institutions to ensure that students are equipped with relevant, tried and tested skills in preparation for their studies, work, and civic engagement. The level of personal growth of students as they transition from secondary to tertiary institutions is now also traced to the effectiveness of Student Affairs personnel, policies, and structures. Thus the need for the visibility of such departments and the need to add value to higher education in the 21st century has escalated. More innovative ways of engaging students and academics in this social discourse has a bearing on a professional approach that places emphasis on standards. The argument is made for advancing standards in the sphere of Student Affairs as a method of enhancing needed visibility and adding value to African higher education, the focus of which is leading the continent’s transformation agenda towards socio-economic development.

Economic accounting of water: The Botswana experience

Water accounts aim to capture the value of water resources and their use within the economy. The accounts complement the National Accounts as the latter's main indicator (GDP) does not reflect changes in natural capital. Botswana developed water accounts for the period 2010/11–2014/15 using the UN's standard System of Environmental Economic Accounting for water (SEEA-water). The article focuses both on the construction of physical flow accounts as well as on the policy implications for development planning and water resource management through the use of policy indicators. It also shows long-term trends in water abstraction and water use efficiency linking the SEEA water accounts with results of earlier (non-SEEA) water accounting projects in Botswana. The water accounts results show that water abstraction and consumption have been largely stable since 2010/11 despite population (1.9% p.a.) and economic growth (around 5% p.a.) likely due to a combination of water sector reforms and drought conditions in south eastern Botswana; the latter led to the drying up of several dams and the imposition of severe water restrictions. While public attention focuses mostly on water service providers, self-providers (mines and the agricultural sector) account for more than 50% of total water abstracted from the environment of water, demonstrating the need to pay more attention to self-providers in IWRM implementation. Water consumption is highest for the agricultural sector (70.2 Mm3) followed by households and mines at 41.2 and 39 Mm3 respectively in 2014/15. In terms of water use efficiency, value added per m3 has increased in time, showing (some) decoupling of water consumption and economic growth. This positive trend needs to be enhanced in the pursuit of economic diversification, which should focus on growth of water-efficient economic sectors. Finally, per capita water consumption has decreased over time; while this may indicate that people conserve water, it may also point at delivery problems associated with water sector reforms. This requires further analysis.

Quality of Cancer Registry Data: Botswana Experience, Demonstrating Improvements Over Time

Abstract 69 Background: One of the challenges to addressing the growing burden of cancer in low- and middle-income countries is insufficient data and limitations in quality of cancer registries. The Botswana National Cancer Registry (BNCR), first established in 1999, is an IARC-endorsed population-based registry covering a population of 2.1 million. Here we assess BNCR's data quality over time. Methods: We conducted a retrospective review of BNCR data that was collected between January 1, 2005 and December 31, 2010. We assessed basis of cancer diagnosis, as well as key data quality indices (completeness, consistency, uniqueness, and accuracy) over two time periods: 2005–2007 and 2008–2010. We assessed cancer incidence and distribution during this time period, and reviewed Botswana Ministry of Health operational documents to identify major health care initiatives that may have had a bearing on cancer registry data quality. Results: In total, 8,938 cancer cases were registered 2005-2010. Kaposi sarcoma was the most commonly diagnosed cancer (n=1766, 19.4%), followed by cervical cancer (n=1252, 13.8%) and then breast cancer (n=801, 8.8%). During 2005-2007, 79% of all cancers were morphologically verified and 6% of were verified by death certificate alone. By 2008-2010, 89% of cancers were morphologically verified while none (0%) were verified by death certificate alone. There was a marked difference for basis of Kaposi sarcoma diagnosis (26% in 2005-2007, 43.8% 2008-2010), which changed from mainly clinical to pathology-based diagnosis. Factors that have contributed to this improvement include targeted initiatives such as clinician training, as well as broader health system developments such as general laboratory diagnostic capacitation that has facilitated use of histopathology services for cancer. Conclusion: BNCR data quality has improved over the years. These improvements enhance utility of cancer registry data for healthcare planning, and highlight the merit of cross-cutting health systems strengthening developments. This assessment, and the initiatives that have contributed to BNCR data improvement may be relevant to cancer registries in similar settings. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from the authors.

Economic development and road traffic fatalities in two neighbouring African nations

IntroductionThe rapid growth of Botswana’s economy since independence in 1966 has brought more tarred roads and vehicles, accompanied by an escalating road crash fatality rate. We tested the hypothesis that motor vehicle crash fatality increases resulted from, rather than just corresponded with, annual gross domestic product (GDP) increases. Data from Zambia, adjacent to Botswana, were used for comparison.MethodsAnnual social and economic indicators and motor vehicle crash fatality rates in Botswana and Zambia were accessed from 1960 to 2012 and analysed using vector autoregressive analysis and Granger causality tests.ResultsIn Botswana, annual changes in per capita GDP predicted annual changes in motor vehicle crash fatality rates (p = 0.042). The opposite was not observed; annual changes in motor vehicle crash fatality rates did not predict annual GDP changes. These findings suggest that GDP growth in a given year caused additional road traffic fatalities in Botswana and that, on average, every billion dollar increase in GDP produced an increase in the rate of road traffic fatalities. In Zambia, annual GDP changes predicted annual fatality rate changes three years later (p = 0.029), but annual changes in road crash fatality rates also predicted annual increases in per capita GDP (p = 0.026) three years later, suggesting a correlation between trends, but not a causal effect of GDP.ConclusionRoad crash fatalities increased in recent decades in both Zambia and Botswana. But the rapid economic development in Botswana over this time period appears to have driven proportionate road traffic fatality increases. There are opportunities for newly emerging economies such as Zambia, Angola, and others to learn from the Botswana experience. Evidence-based investments in road safety interventions should be concomitant with economic development.

Nurses' communication with patients who are mechanically ventilated in intensive care: the Botswana experience.

Communication is an integral part of nursing practice not just only for therapeutic reasons but also for sharing information. Nurses working in intensive care experience challenges when communicating with patients who are mechanically ventilated due to lack of knowledge and skill. These challenges infringe on the patients' rights to receive information and as such they may impact negatively on the patients' outcomes. This study determined the existing knowledge and skills of intensive care nurses working with mechanically ventilated patients in Botswana. A retrospective descriptive and explorative research design with a quantitative approach was used to audit patients' records. This was augmented by further interviewing nurses for their knowledge and skills when communicating with ventilated patients within the two intensive care units in Botswana. The American Association of Critical Nurses Synergy Model was used to guide the study. One hundred and fifty-nine (159) patients' files were audited and 50 nurses chosen by purposive sampling completed a self-administered 42-item questionnaire. Statistical Package for Social Sciences version 10 and Microsoft Excel were used to analyse the data. Assessment of patients' ability to communicate was recorded in more than 90% of files audited. Four per cent (4%) of the respondents only communicated essential information and no other strategies or devices were used to aid communication. Communication with ventilated patients can be quite challenging to nurses working in the intensive care unit. There is a need for communication skills training to ensure that all nurses working with mechanically ventilated patients are properly trained, equipped and capable of communicating effectively with the patient. A greater understanding of communication dynamics with the intensive care unit with patients who are mechanically ventilated is crucial to enable nurses to improve their care and improve patients' comfort. Incorporating communication in the nursing standards would ensure that patients are treated with dignity which would help improve patient outcomes.

The operation of a sustained clinical pediatric hematology-oncology program at a public hospital in sub-saharan africa: The botswana experience 2007-present

The operation of a sustained clinical pediatric hematology-oncology program at a public hospital in sub-saharan africa: The botswana experience 2007-present

Analysis of Gender and Other Social Dimensions of Household Water Insecurity in Ngamiland, Botswana

This paper analyzes impacts of water insecurity on men, women and children in Botswana, a middle income and semi-arid country. The paper contributes to the burgeoning literature on water security. Households in different settlement categories of Ngamiland, Botswana experience water insecurity. Men, women, girls and children living in water insecurity lifeworlds, play various roles in ensuring household water availability. Women and girls have the greatest agency in ensuring household water availability by spending considerable time transporting water containers loaded on their heads and engaging in rainwater harvesting. Water insecurity negatively affects personal hygiene and gives rise to household interpersonal conflicts. Countries facing water insecurity, e.g. Botswana need to promote research that can inform appropriate water policies, legal frameworks, technologies for water supply and financial mechanisms for enhancing household water security.

Redesigning a Ministry of Health's organizational structure: exploring implementation challenges through Botswana's experiences.

The Botswana's Ministry of Health redesigned and adopted a new organizational structure in 2005, which was poorly implemented. This article explores factors that influenced the implementation of this organizational structure. This article draws from data collected through in-depth interviews with 54 purposively selected key informants comprising policy makers, senior managers and staff of the Ministry of Health (N = 40) and senior officers from various stakeholder organizations (N = 14). Participants generally felt that the review of the Ministry of Health organizational structure was important. The previous structure was considered obsolete with fragmented functions that limited the overall performance of the health system. The new organizational structure was viewed to be aligned to current national priorities with potential to positively influence performance. Some key weaknesses identified included lack of consultation and information sharing with workers during the restructuring process, which affected the understanding of their new roles, failure to mobilize key resources to support implementation of the new structure and inadequate monitoring of the implementation process. Redesigning an organizational structure is a major change. There is a need for effective and sustained leadership to plan, direct, coordinate, monitor and evaluate the implementation phase of the reform. Copyright © 2014 John Wiley & Sons, Ltd.

Biomedicine, Public Health, and Citizenship in the Advent of Antiretrovirals in Botswana

Often celebrated as a model of development in Africa, Botswana nonetheless endured a severe HIV epidemic. This article describes the singularity of the Botswana experience in facing AIDS and creating the widest possible access to antiretroviral medications for its citizens. Through exploration of different sets of actors and the construction of their ethics of treatment, it is possible to examine how free and universal access was created within the national antiretroviral program. This article underscores the importance of the site and the local dynamics in the advent of an ethics of access to treatment for Botswana citizens. At the intersection of national citizenship, pharmaceutical philanthropy, and biomedical collaborations, Botswana is an exemplary case (one of the first and unique in its kind) of global health programs for access to drugs in which patients' rights are tied to science and pharmaceutical development. As such it also bears some limitations and concerns over its sustainability.

WHAT ABOUT MEN? GENDERED RECEPTION OF AN EDUTAINMENT DRAMA

An estimated 34 million people globally are living with HIV, with Sub-Saharan Africa being the most severely affected area, with nearly 1 in every 20 adults diagnosed (UNAIDS, 2012). Botswana experiences one of the highest adult prevalence rates in Sub-Saharan Africa, with almost 100,000 children, in a country of only two million people, having lost a parent to the virus (Botswana Country Report, 2010). Makgabaneng is a serial radio soap drama that addresses critical HIV/AIDS awareness and behaviour change issues in Botswana. This study aims to understand how fans of the programme understand the storyline that presents narratives where female characters are portrayed as educated, independent and confident individuals. Results of 42 in-depth interviews with self-defined fans of the drama show that males are constructed as uneducated, irresponsible and dependent in society. It is recommended that Makgabaneng address this inequity by creating a more balanced number of positive and negative female and male characters.

Challenges of wildland fire management in Botswana: Towards a community inclusive fire management approach

To counteract the growing risk of wildland fire outbreaks countries around the world continue to invest on fire suppression. But there are no clear trends in the reduction of fire catastrophes. Fire activity will intensify with increasing climate variability and extreme events that are projected under climate change. This makes it pertinent to review current fire management strategies and explore more sustainable approaches to fire risk. Botswana experiences frequent unplanned fires that are driven by a combination of climatic factors, policy, land use and social behavior. The country relies on a fire management system that is skewed towards fire suppression and centralized around Government although faced with vast fire prone areas and lacking in resources, coordination and management capacity. This approach has de-coupled fire management from land use and livelihoods that ironically rely on fire and account for most fire outbreaks, putting the country at high risk of fire disasters. This paper explored mechanisms for establishing a sustainable fire management approach in Botswana that is centered on land use fire needs. A fire management strategy that is based on the use of fire for land use management will be community inclusive. Where an appropriate institutional framework is provided, this approach will facilitate effective use of resources, integration of indigenous and modern knowledge systems and help re-focus fire management away from suppression. A community inclusive fire management approach has a greater potential to be of benefit to both land use and ecological requirements of fire and contribute towards adaptation to climate change.

Collaboration and Partnership in Tourism: the Experience of Botswana

This study explores the use of management activities (tourism planning and marketing) in explaining collaboration and partnership in a tourism destination. Analysis of findings was based on seven management activities, evaluation of partnerships with tourism-related organizations, and 23 statements measuring the extent of interaction and collaboration between destination players. Data was collected from three tourism areas in Botswana. Factor analysis, reliability analysis and a series of independent t-tests were used to analyse the data. Study results indicate that tourism marketing has more influence than tourism planning in explaining and evaluating tourism collaboration and partnerships. The study found statistically significant differences between organizations which have tourism marketing activities and those which do not. Destination management organizations need to encourage tourism organizations to design and implement tourism marketing plans with a view to enhancing collaboration and partnerships in a destination.

The contribution of non-formal social protection to social development in Botswana

This article documents the non-formal system of social protection in Botswana, identifies opportunities for synergies between the non-formal and formal systems, and considers the challenges of integrating the two. Non-formal initiatives depend on traditional forms of social protection such as self-help, self-organisation, membership of a social group and cultural norms of community solidarity, reciprocity and obligations; whereas the formal social protection system is undergirded by statutes and laws, institutionalised in policy and legislation, publicly funded and delivered within national norms and eligibility criteria. The article argues that integrating the two could produce a complementary and responsive system of social protection that takes account of indigenous and other non-formal systems of support and enhances the delivery of social protection services, and that other countries in the region might derive lessons from Botswana's experience.