Botswana

Botswana–Rutgers Partnership for Health (BRPH)

Established in 2018, the Botswana-Rutgers Partnership for Health (BRPH) is a collaborative research and training initiative between Botswana’s Ministry of Health and Wellness, University of Botswana and the Rutgers Global Health Institute. The partnership aims to help advance Botswana’s national program in cancer care and prevention; create joint research and training programs to improve cancer care and prevention; and create local, subspecialty medical and health professions training programs.

WATCH

BTV's Coverage of the "Go Together" Four-Country Oncology Workshop

“Go Together” held it’s four-country workshop in June 2026. The two-day workshop in Gabarone, Botswana brought together healthcare professionals and oncology specialists from Botswana, Eswatini, Lesotho, and Namibia.

This marked the beginning of a country-led, multidisciplinary effort to jointly assess training needs, share best practices, and develop sustainable strategies for oncology workforce expansion across the region.

Impact at a Glance

DAYS AVERAGE DIAGNOSTIC TIMELINE AT PILOT SITES REDUCED FROM 69–91 DAYS

MEDICAL OFFICERS TRAINED IN NEEDLE BIOPSY ACROSS 36 FACILITIES

NURSES TRAINED FOR PATIENT NAVIGATION

CRITICAL HEALTH SYSTEM GAPS IDENTIFIED IN OUR NATIONAL NEEDS ASSESSMENT

MEDICAL PERSONELL TRAINED IN ONCOLOGIC EMERGENCIES

PROJECT ECHO SESSIONS DELIVERED

CLINICS LAUNCHED WOMEN HEALTH TALKS

HOSPITALS UPGRADED WITH HEALTH IT

Our Approach: Three Pillars, One System

01

Workforce development

Cancer Kitso training, patient navigation training, and hands-on biopsy workshops give frontline workers skills to recognize, refer, and treat cancer earlier.

02

Clinical systems & navigation

A structured navigation model guides patients from first symptom through diagnosis and referral, closing gaps across facilities.

03

Research & digital innovation

A national needs assessment grounded every intervention in evidence, while Project ECHO and new health IT carried specialist knowledge further.

Our History in Botswana

From a single fellowship to a nationwide navigation model — how the partnership grew, year by year.

2018

BRPH founded · Global Oncology Fellowships launched

Rutgers Global Health Institute and Rutgers Cancer Institute of New Jersey partner with Princess Marina Hospital, the University of Botswana, and the Ministry of Health to launch a year-long fellowship pairing visiting oncologists with local mentorship and joint research.

one-month research elective in Botswana11 fellows through 2026
2019

SPARC Award received · "Improving Cancer Care and Prevention" Workshop held

BRPH, administratively supported by the Botswana-Harvard AIDS Institute Partnership, is awarded a SPARC grant for a multifaceted project to improve timely access to care for women with advanced-stage breast cancer, while a national stakeholder workshop sets the policy agenda for the years ahead.

SPARC Award · Round 36 national recommendations
  • October — BRPH receives a SPARC Award as part of the Round 3 cohort of 11 grantees for "Improving timely access to care for women with advanced stage breast cancer in Botswana."
  • A two-day "Improving Cancer Care and Prevention in Botswana" workshop brings together a multi-sector stakeholder group, producing six national recommendations.
  • Consults on the future of Sir Ketumile Masire Teaching Hospital at the invitation of the Ministry of Health and the President's Office.
2020

Cancer Care Needs Assessment launched · Project ECHO & COVID-19 webinars begin

A national needs assessment begins mapping the cancer care system for the first time, while the pandemic drives rapid investment in webinars and health IT.

4 centers assessed44 webinars4 hospitals equipped
  • Cancer Care and Prevention Needs Assessment launched (2020–2021) across all four public oncology centers — found only one practicing oncologist nationwide.
  • Treatment of Oncologic Emergencies course piloted through Project ECHO amongst healthcare providers at the Princess Marina Hospital in Botswana, the Rutgers Cancer Institute of New Jersey, and the Rutgers Robert Wood Johnson Medical School — eight sessions on metabolic, neurologic, and septic emergencies.
  • Health Information Technology Assessment of the Public Cancer Treatment Centers funded, equipping four hospitals (PMH Gaborone, Nyangabgwe Referral Hospital Francistown, Sekgoma Memorial Hospital Serowe, Letsholathebe II Memorial Hospital Maun) with smart screens, laptops, connectivity, and videoconferencing.
  • National COVID-19 educational webinar series for healthcare providers begins — 44 sessions, drawing 20 to 200+ clinicians weekly.
2021

Patient Navigation Program launched · Biopsy Workshops begin

A UICC-funded study on advanced breast cancer sets up two flagship programs: hands-on biopsy training and the region's first patient navigation model.

42 doctors trained75 patients navigated69–91→14 days
  • Advanced Breast Cancer Access project (UICC-funded): focus groups with patients and caregivers, plus biopsy training at five Gaborone-region hospitals.
  • Fine & Core Needle Biopsy Workshops begin (2021–2022) — 42 doctors trained.
  • Greater Gaborone Patient Navigation Program begins (2021–2022) — 20 navigators trained (15 nurse, 5 lay); 75 patients navigated; delay cut from 69–91 to 14 days.
  • Pathology Working Group formed (2021–2024) with Rutgers Cancer Institute and Robert Wood Johnson Medical Center — resident mentorship, later expanded into AI-assisted digital pathology reviews.
2022

Cancer Kitso Training Program launched

A synchronous hybrid course, five sessions over two months plus a final exam — modeled on Botswana's own Kitso AIDS program — rolls out at all four public oncology centers with support from the Bristol Myers Squibb Foundation, offering digital certification to every graduate.

5 sessions / 2 months4 oncology centers
2023

Cancer Kitso Evaluation conducted

BRPH conducted a multi-site, cross-sectional study to evaluate the effectiveness of the Cancer Kitso Clinical Management, Level I training program using the New World Kirkpatrick Framework. Evaluation gathered feedback from trained providers, cancer care experts involved in course development, public oncology center supervisors, and two MOH policy officers..

Kirkpatrick frameworkat 4 public oncology centers
2024

Needs Assessment findings published · Global Oncology Fellowship concludes first run

Findings from the national needs assessment are published in JCO Global Oncology, the Cancer Kitso follow-up evaluation is completed, and the Global Oncology Fellowship completes its initial run of eight trained fellows.

Published in JCO Global Oncology8 fellows total
2025

Patient Navigation Upscale Project launched · Bontleng Breast Clinic opens

The Patient Navigation Upscale Project takes the Gaborone model nationwide, following the same phased playbook that powered Botswana's antiretroviral rollout.

10 districts targeted29 navigators trained15 screened · 8 identified
  • Project targets all 10 health districts across the country's four oncology catchment areas.
  • May — buy-in visits to Sekgoma Memorial and Nyangabwe Referral Hospitals.
  • June–July — 29 navigators trained from the Gaborone District Health Management Team.
  • July — two Gaborone DHMT medical officers trained in biopsy procedures.
  • Bontleng Clinic breast clinic opens as a referral hub for 16 partner clinics — 15 patients screened and 8 cases identified in its first month.
  • November — sensitization visits to seven northern hospitals in the Nyangabwe referral network ahead of rollout.
2026

National rollout begins · Seven northern hospitals onboarded

Phased rollout begins at the seven northern hospitals, coordinated by a dedicated Patient Navigation Coordinator based at Nyangabwe Referral Hospital.

February rollout7 hospitals

Subscribe for news

Receive updates on our partnership in Botswana by subscribing to our monthly enewsletter, Global Health Connection. Each issue brings together global health stories, events, and resources from across Rutgers.