On Monday, we had our first day of classes. My days usually begin at 8am and end at 2pm. Some days will be longer if I have study trips planned or if I'm working at clinics. I'm taking a total of three courses at Gaborone. Two of them are public-health related. My first public-health class focuses on public and environmental health issues in Botswana with an emphasis on primary health care. The other public-health course is a community health practicum, which is basically integrating public-health sciences and applying them in clinical settings. I'll be interning at clinics in urbanized and rural settings while working with non-governmental organizations. However, I won't start clinical internships until next week. The third course I'm enrolled in is a Setswana language course. This class is quite interesting. I'll be putting up a page soon on my blog just on Setswana! Learning Setswana has been fun so far. It's really fast paced. What makes the course interesting is that it's only lecture based - we have no textbook. This is the first time I'm learning a language without a textbook. I'll be using Setswana frequently during the village home-stay and most importantly, during my clinical internships in rural areas.
In the context of public-health, shortages of healthcare professionals in the country is causing a major "bottleneck" to health improvement. According to the WHO website, they are 24.2 physicians per 10,000 people in the U.S. That's one physician attending to the needs of 413 people. Apparently, we are facing a shortage of doctors. Lets take a look at Botswana. The country has about 3 physicians per 10,000 people. How does a country deal with this issue? The country has witnessed an exodus of professionals to other countries due to lack of proper pay by the Ministry of Health in Botswana. Not many doctors are interested in practicing in villages, where help is most needed. The lack of home-visits is preventing some people from getting treatment. The government of Botswana have sent students abroad to foreign countries for medical school, only to find that the students decided to stay in their respective foreign countries. However, some do come back. In retrospect, the government needs to place effective mechanism for people to return to their country. Recently, the University of Botswana just opened a medical school in 2009 as it was getting costly for the government to send students abroad. Keeping in mind that the private sector in the country is still in its seedling stages, the major employer in Botswana is the government, thanks to diamonds. The country leaped forward by making agreements with China, Cuba, and the U.S. to allow physicians to provide healthcare services in Botswana.
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