Healthcare

Botswana provides universal healthcare to citizens through a network of public clinics and hospitals. However, the public system is not available to foreign residents, and even for citizens, public facilities in smaller towns are often overcrowded and understaffed. Expats should plan to use private healthcare exclusively and carry comprehensive health insurance that includes medical evacuation cover to South Africa.

Private healthcare is the standard for expats in Botswana. Gaborone has several well-regarded private hospitals with modern diagnostic equipment and competent medical staff. Health insurance is not legally required but is essential — a serious medical event without insurance could cost tens of thousands of Pula, and medical evacuation to South Africa runs $5,000–$15,000 per trip.

Gaborone has the country's best private medical facilities. Francistown has adequate private care as well. For expats in Maun or rural areas, a Gaborone hospital or direct evacuation to South Africa is the standard procedure for anything beyond basic care.

Pharmacies in Gaborone are well-stocked with common medications, many imported from South Africa. Smaller towns may have limited pharmaceutical supplies. If you take prescription medications, bring a 3-month supply when you first arrive and confirm local availability early.