Botswana Health Emergency Preparedness, Response and Resilience Project Using the Multi-Phase Programmatic Approach (WB-P510190)

Regions
  • Africa
Geographic location where the impacts of the investment may be experienced.
Countries
  • Botswana
Geographic location where the impacts of the investment may be experienced.
Financial Institutions
  • World Bank (WB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Approved
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
B
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Oct 9, 2025
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Borrower
Government of Botswana - Botswana Medicines Regulatory Authority; Ministry of Health
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
Sectors
  • Education and Health
  • Law and Government
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
Grant, Loan
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Loan Amount (USD)
$ 40.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Grant Amount (USD)
$ 3.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Project Cost (USD)
$ 43.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Bank Documents
Media Documents
Other Related Projects
Primary Source

Original disclosure @ WB website

Updated in EWS Oct 9, 2026

Disclosed by Bank May 5, 2025

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Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.

According to the Bank’s website, the objective of this project is to strengthen health system resilience and multisectoral preparedness and response to health emergencies in the Republic of Botswana.

This project is proposed under the Health Emergency Preparedness, Response and Resilience (HEPRR) Program using the Multiphase Programmatic Approach (MPA) approved by the World Bank's Executive Directors on September 29, 2023 (P180127, Report No: PAD5376).

Four components are proposed for the Botswana operation, aligned with those of the HEPRR Program including:
* Component 1: Strengthening the Preparedness and Resilience of the Health System to manage health emergencies. This component will support a comprehensive approach to enhancing the preparedness and resilience of Botswana's health system to effectively manage health emergencies, while complementing overall health system strengthening. Two sub-components address key aspects of readiness and response. (i) Access to quality health commodities and (ii) Information systems for health emergencies and the digitalization.
* Component 2: Improving early detection and response to health emergencies through a multisectoral approach. This component will support activities related to strengthening operational readiness and capacities across the critical subsystems to respond to health emergencies. Two sub-components address key aspects of preparedness and response. (i) Collaborative multisectoral surveillance and laboratory diagnostics and (ii) Emergency management, coordination, and essential service continuity.
* Component 3: Project Management. This component will ensure efficient and effective management and implementation of the project.
* Component 4: Contingent Emergency Response Component (CERC). This component will facilitate access to rapid financing by allowing for the reallocation of uncommitted project funds in the event of a natural disaster in Botswana, either by a formal declaration of a national emergency or upon a formal request from the government.

Early Warning System Project Analysis
For a project with severe or irreversible impacts to local community and natural resources, the Early Warning System Team may conduct a thorough analysis regarding its potential impacts to human and environmental rights.

The overall E&S risk rating for the project is Moderate at this stage. Construction, renovation, and equipment installation activities associated with Component 1 and 2 have the potential to cause environmental, health and safety risks and impacts if not appropriately managed. The risks and impacts are considered predictable, short term, limited to the development footprint and not likely to cause serious adverse environmental impacts. Environmental impacts are likely to include air, soil, and water pollution due to general, hazardous, medical, and electronic waste generation and poor management, as well as occupational health and safety of workers, and health and safety of patients and communities. Key potential social risks include: (i) risks related to challenges in ensuring equitable access to health care services by women, youth, people living with disabilities, and remotely located communities; (ii) labor and working conditions risks; (iii) sexual exploitation, abuse, and harassment (SEA/SH) among project workers, stakeholders, and/or local communities; (iv) community health and safety risks involving the transmission of communicable diseases due to interactions among project workers and between the project workforce and local communities; (v) challenges in organizing or obtaining access to grievance redress and referral processes and carrying out proper stakeholder engagement; and (vi) potential risks of exposure of patient-level personal data to unauthorized individuals, particularly as part of activities focusing on digitization activities. Although the project will be implemented nationwide, there are no particularly sensitive geographic areas which might impact the project's implementation.

Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Total Project Cost: US$ 43.00 million
International Bank for Reconstruction and Development: US$ 40.00 million
Trust Funds: US$ 3.00 million


Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.

CONTACT POINT - World Bank

Task Team Leader: Toni Lee Kuguru
Title: Senior Health Specialist
Email: tkuguru@worldbank.org

TTL Contact: Kenneth Munge Kabubei
Job Title: Economist, Health
Email: kkabubei@worldbank.org

ACCESS TO INFORMATION

To submit an information request for project information, you will have to create an account to access the Access to Information request form. You can learn more about this process at: https://www.worldbank.org/en/access-to-information/request-submission

ACCOUNTABILITY MECHANISM OF THE WORLD BANK

The World Bank Inspection Panel is the independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by a World Bank-financed project. If you submit a complaint to the Inspection Panel, they may investigate to assess whether the World Bank is following its own policies and procedures for preventing harm to people or the environment. You can contact the Inspection Panel or submit a complaint by emailing ipanel@worldbank.org. Information on how to file a complaint and a complaint request form are available at: https://www.inspectionpanel.org/how-to-file-complaint

How it works

How it works