Virginie Mongonou

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

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.

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

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

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.

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.

2/2 A sustainable NHI needs more than financing. In Gaborone, stakeholders highlighted solvency, affordability, transition& private-sector participation as key considerations, alongside opportunities to leverage existing medical-fund expertise, digital systems & long-term capital

1/2 Advancing sustainable health financing in Botswana.@ECA_OFFICIAL Chief of Staff @Abudiaw met with #NBFIRA in Gaborone to discuss the proposed National Health Insurance architecture & how non-bank financial institutions &private investors could help support its implementation.

1/2 Excellent discussions with @BWGovernment Minister of IR, HE Phenyo Butale. Reaffirmed partnership to advance national reforms in health logistics, talent devpt, digital transformation, tourism revenue retention, digital-platform monetisation, & payment-system modernisation...

2/2 "ECA is committed to Botswana’s health financing reforms through the strong political leadership backing these efforts & a shared ambition to show how well-sequenced, country-led reforms can deliver measurable results & lessons for Africa’s devp't,"@abudiaw #HealthFinancing

3/3 Both sides agreed to establish a joint technical working group and develop a 100-day action plan, leveraging digital ID, e-services, payments and interoperable systems to advance National Health Insurance, social protection and #UHC.

2/3 Discussions explored a national data exchange linking financial management, procurement and health information systems to improve transparency, resource allocation and the monitoring of health outcomes.

1/3 In #Gaborone, @ECA_OFFICIAL Chief of Staff @Abudiaw met Hon. David Tshere, Minister of Communications and Innovation, to discuss how digital transformation can strengthen health financing, procurement and public financial management in support of #UHC.

Sierra Leone is already advancing its National Health Sector Strategic Plan 2026–2030, its social health insurance scheme (SLeSHI) and a proposed agency for UHC. ECA analysis is aimed at supporting the shift from expenditure to investments.

Sierra Leone’s life-stage approach to health care, from pregnancy through to older age, puts people at the centre. Today ECA discussed with Minister @DembyAustin and @moh_sl how health financing can back it. #HealthFinancing #SierraLeone

1/4 At the end of the Inter-regional Social Protection Workshop on “Strengthening inclusive, sustainable & shock-responsive social protection systems” that took place from 7–9 Oct 2026 at the UN Conference Centre, in Addis Ababa, Ethiopia, participants echoed the same sentiment:

Finance ministries are central to sustainable health financing. Thank you to Deputy Minister of Finance Isata Marah and the team at @mof_sl for hosting ECA’s delegation. #InvestInHealth #SierraLeone

Courtesy call today with @sesayalpha, Acting Minister of Foreign Affairs and Minister of Trade and Industry. We talked about health as an investment in people and in the economy, and how trade and regional cooperation can support it. Thanks to @UNSierraLeone for all the support.

With @UNSierraLeone, ECA's health financing delegation was received by Vice President @VP_Jalloh. His message: build resilience infrastructure that puts health at the forefront, alongside energy and food security. A strong vision, and one we are glad to support.

Good decisions need good evidence. Today ECA’s health financing delegation met with the Ministry of Planning and Economic Development @moped2025 to talk about how better data and analysis can support Sierra Leone’s health and development goals. #SierraLeone #HealthFinancing