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

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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). Aligned with the Program Development Objective of the HEPRR Program, the Project Development Objective (PDO) for the Republic of Botswana is to strengthen health system resilience and multisectoral preparedness and response to health emergencies in Botswana.Four components are proposed for the Botswana operation, aligned with those of the HEPRR Program including: (i) Strengthening the preparedness and resilience of the health system to manage health emergencies; (ii) Improving early detection and response to health emergencies through a multisectoral approach; (iii) Project management; and (iv) Contingent Emergency Response Component (CERC).Component 1: Strengthening the Preparedness and Resilience of the Health System to manage health emergenciesThis 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.