Governance in the Health Sector Procurement: The Role of Public and Private Practitioners in Botswana

  • Molefe B. Phirinyane
  • Keneilwe S. Mooketsane
Part of the Contemporary African Political Economy book series (CONTAPE)


This chapter investigates the role of public and private agents in the procurement of medicines and medical equipment through interviews with informants at the ministry of health, the central medical store, and with the private suppliers. The chapter particularly brings to light an array of themes and debates about the cost of short versus long term, lease/rent procurement contracts for medical equipment, the tension between multinational pharmaceuticals and small suppliers of drugs, the role of technological innovation (e-governance) in reform, and bureaucratic centralization in decision-making versus organizational decentralization.


Health Facility Medical Equipment Public Procurement Procurement Officer Procurement Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Access to Medicine Index. 2012. Boehringer-Ingelheim company profile, 2012.
  2. Butt, F.S., Tariq Rafique, Samina Nawab, Najeeb A. Khan, and Raza Ahmed. 2013. Organizational transformation in public sector organisations of Pakistan in the quest of change management. Research Journal of Applied Sciences, Engineering and Technology 6(16): 3086–3093.Google Scholar
  3. Directorate on Corruption and Economic Crime. 1999. The report of auditor general on the management of drugs, performance audit report no. 1. Google Scholar
  4. Directorate on Corruption and Economic Crime. 2002a. Botswana national drug (medicine) policy. Government of Botswana/government printer.Google Scholar
  5. Directorate on Corruption and Economic Crime. 2002b. Public procurement and asset disposal. Google Scholar
  6. Directorate on Corruption and Economic Crime. 2012. Annual report. Gaborone: Government of Botswana.Google Scholar
  7. Habonimana, J. 2014. The growing importance of public procurement and the need for professionalism. UN Special, December 15.
  8. Health Research for Action. 2012. Evaluation of the Norwegian health sector support to Botswana. Final Report –Volume 1. Reet.Google Scholar
  9. Heilbrunn, John R. 2004. Anti-corruption commissions: Panacea or real medicine to corruption. Washington, DC: The World Bank.Google Scholar
  10. GoB. 2012. State of the Nation Address by his Excellency LT. GEN. Seretse Khama Ian Khama President of the Republic of Botswana to the fourth session of the tenth Parliament.
  11. Kaspar, L., and Puddephat A. 2012. Benefits of transparency in public procurement for SMEs general lessons for Egypt. London: Global Partners and Associates.Google Scholar
  12. Khan, Rehman. 2010. Effective legal and practical measures for combating corruption. Resource material. UNAFEI Resource Materials Series 83: 159–165.Google Scholar
  13. Modikwa, Onalenna. 2012. DCEC to stake-out corrupt government officials. The Monitor, November 11. Gaborone.Google Scholar
  14. Morewagae, Isaiah. 2008. Botswana: CMS documents were forgeries—Moumakwa. Mmegi, November 11. 13 June 2014.
  15. Nordås, H.K., G. Sekgoma, and G. Somolekae. 1998. Managing good fortune: Macroeconomic management and the role of aid in Botswana, Evaluation Report 6.98. Oslo: The Royal Ministry of Foreign Affairs.Google Scholar
  16. OECD. 2007. Integrity in public procurement: Good practice from A to Z. Paris: OECD.Google Scholar
  17. OECD. 2009. OECD principles for integrity in public procurement. Paris: OECD.Google Scholar
  18. Phatshwane, Percy, and Pritika Sighn Baliyan. 2011. Towards improved government budgeting, costing and accountability in the health sector: The case of hospital and clinic services in Botswana. International Journal of Economics and Business Studies 1(2): 14–25.Google Scholar
  19. Piet, Bame. 2012. P116 m in drugs to be torched. Mmegi, August 31.Google Scholar
  20. Schapper, Paul R., and Joao N. Veiga Malta. 2011. Public procurement reform in Latin America and the Caribbean. Washington, DC: World Bank LAC.Google Scholar
  21. Schapper, P.R., J.N. Veiga Malta, and D.L. Gilbert. 2006. An analytical framework for the management of reform of public procurement. Journal of Public Procurement 1(3): 1–29.Google Scholar
  22. Stash, Sharon, Jennifer Cooke, Matt Fisher, and Alisha Kramer. 2012. Competing pressures for US PEPFAR in Botswana; Rising ambitions, declining resources. Washington, DC: Centre for Strategic and International Studies.Google Scholar
  23. Sunday Standard Reporter. 2012. PPADB ten years on. Sunday Standard, March 11.Google Scholar
  24. Tayler, Yolanda (ed.). 2004. Battling HIV/AIDS: A decision maker’s guide to the procurement of medicines and related supplies. Washington, DC: The World Bank.Google Scholar
  25. Thai, Khi V. 2001. Public procurement re-examined. Journal of Public Procurement 1(1): 9–50.Google Scholar
  26. The World Bank. 2012. Why reform public procurement? Washington, DC: World Bank.Google Scholar
  27. Transparency International. 2012. Corruption perception index.Google Scholar
  28. Tsimane, Edgar. 2012. CMS supplies fall behind schedule by more than a year. Sunday Standard, September 24.Google Scholar
  29. United States Agency for International Development. 2007. Central medical stores in Botswana: Transformation from within SCMS. Washington, DC: USAID. Scholar
  30. United States Agency for International Development (USAID ) and Partnership for Supply Management (PFSCM). 2013. Botswana Central Medical Stores.
  31. UNODCCP. 2001. Draft United Nations manual on anti-corruption policy. Vienna: UNODCCP (Centre for International Crime Prevention).Google Scholar

Copyright information

© The Editor(s) (if applicable) and The Author(s) 2016

Authors and Affiliations

  • Molefe B. Phirinyane
    • 1
  • Keneilwe S. Mooketsane
  1. 1.Botswana Institute for Development Policy AnalysisGaboroneBotswana

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