The mapping exercise analyzed accountability efforts for Universal Health Coverage (UHC) in Botswana, piloted by the Ministry of Health and Welfare with support from Amref and partners. It is based on a literature review, key informant interviews and a focus group. The analysis identifies actors and their roles: political decision-makers (Parliament, Ministry of Finance and Economic Development, NAHPA), public providers and DHMT, civil society organizations, media and village health committees (CSV). Strengths include strong political commitment, traditional community participation mechanisms (bogosi, kgotla), joint planning processes and weekly reports from health structures. Weaknesses include insufficient centralized monitoring and evaluation at program level, weak routine reporting at national level, CSO dependence on donors, limited access to public information and conflicting interactions with the media. The exercise notes limitations related to COVID-19 which restricted interviews outside Greater Gaborone. Priority recommendations include strengthening parliamentary policy evaluations, improving engagement between MFED and line ministries, decentralizing the M&E department, empowering CSVs through capacity building, diversifying CSO funding and passing an access to information law to increase transparency and accountability in CSU. The conclusions will guide capacity-building initiatives to improve policy design, monitoring and transparency.
