A Comparative Synopsis of Public Health Management in Botswana and Zimbabwe from a Public Administration Perspective
Abstract:
Governments have a huge role to play in the delivery of
public health both at macro and micro levels. The provision of public healthcare
is a matter of social justice and all individuals in a population should have access
to the same programs despite their social status. Improving health and quality of
life and reducing the impact of disease amongst the population should be the core
business of public health administrators. The overall development of a country can be judged by the quality of
its population’s health how healthy people are across the social spectrum. Ever since their
attainment of independence the two Southern African countries of Botswana and Zimbabwe
have pursued aggressive public health policies within, but with varied results.
This paper compares the public health philosophies of these two countries. The paper
then analyses the public administration frameworks within which public health management
can be located in these two countries and evaluates their impacts since independence.
The paper will critique the state of public health management in these countries
against the public administration ideology that each of these countries has pursued.
Keywords: Public Health Management, Public Administration, Theories of Public Administration,
Public Health.
References:
[1].
Botswana AIDS impact survey, 2013.
[2]. Bouckert, G., Chr. Pollitt Public Management
Reform: A Comparative Analysis, 2nd ed., Oxford University Press, 2004.
[3].
Britannica Online Encyclopedia. “Welfare state".
[4].
Chikanda A. Skilled health professionals’ migration
and its impact on health delivery in Zimbabwe. J. Ethn Migr Stud. 2006.
[5].
Farmer P. Pathologies of power: health, human
rights, and the new war on the poor. Vol. 4 Berkeley and Los Angeles (CA): University
of California Press; 2004.
[6]. Gobotswang K, Botswana public health care system
in crisis, September, 2016, http://www.weekendpost.co.bw,http://www.thenewhumanitarian.org.
[7].
Hughes, Owen E., Public Management and Administration:
An Introduction, 3rd ed., Palgrave Macmillan, 2003, p. 17.
[8].
Institute of Medicine. The Future of Public
Health. Washington, D.C.: National Academies Press; 1988.
[9]. John Osika,
Danielle Altman, Leah Ekbladh, Itamar Katz, Ha Nguyen, Josh Rosenfeld Taylor Williamson,
and Sam Tapera. November 2010. Zimbabwe Health System Assessment 2010. Bethesda,
MD: Health Systems 20/20 Project, Abt Associates Inc.
[10]. Kokorwe,
L. K, (Entrepreneurship and Business Leadership Student at Botswana Accountancy
College), Personal Interview, September, 30, 2019.
[11]. Katsamunska P,
Classical and Modern Approaches to Public Administration, Economic
Alternatives, issue 1, 2012.
[12]. Kidia K,
The future of health in Zimbabwe, Glob Health Action. 2018, doi: 10.1080/16549716.2018.1496888.
[13]. Magombeyi,
P, Deputy President of the Zimbabwe medical Doctors Association, Personal interview,
September 2019.
[14]. Makwanya
T, Political Analyst in Zimbabwe, Personal Interview, September 2019.
[15]. Mathambo
K., Botswana governance on The Rise, yourbotswana.com/2019/02/10/botswana-governance-ranking-on-the-rise.
[16]. Mauswa,
T, Medical Doctor at Chitungwiza General Hospital, Personal Interview, August 2019.
[17]. Meldrum
A., Zimbabwe's health-care system struggles on., Lancet, 2008. DOI: 10.1016/s0140-6736(08)60468-7.
[18]. National
Health Accounts report 2013/2014, 2016.
[19]. Ncube J, Zimbabwe: Health Budget Allocation Unacceptable,
2018. http://allafrica.com/.
[20]. Physicians
for Human Rights. Health in ruins: a man-made disaster in Zimbabwe. Cambridge (MA):
Physicians for Human Rights; 2008.
[21]. Preamble
to the Constitution of the World Health Organization as adopted by the International
Health Conference, New York, June 19 – 22, 1946; signed on 22 July 1946 by the representatives
of 61 States (Official Records of the World Health Organization, no. 2, p. 100)
and entered into force on 7 April 1948.
[22]. Ramsay,
J, (Former Deputy Permanent Secretary in the Ministry of Information), Personal
Interview, august 25, 2019).
[23]. https://reliefweb.int/report/zimbabwe/zimbabwes-health-system-crisis.
[24]. Samukange,
T., Zimbabwe’s economy during the life of the coalition government, September 5,
2013, www.newsday.co.zw.
[25]. Transparency
International: Zimbabwe; 2018. [cited 2018 March 20].Available from: https://www.transparency.org/country/ZWE.
[26]. Turnock
BJ. Public Health: What It Is and How It Works. 3rd ed. Sudbury, Mass.: Jones and
Bartlett Publishers; 2004.
[27]. United Nations,
Botswana common country assessment, 2016.
[28]. Woelk GB.
Primary health care in Zimbabwe: can it survive? an exploration of the political
and historical developments affecting the implementation of PHC. Soc Sci Med. 1994.
[29]. World Bank,
Botswana systematic country diagnostic, 2015. www.indexmundi.com.