The Universal Health Service Which Never Happened

Schapera with Lll 1983
Schapera with Lll 1983

In the Monitor of October 10, Dr Jeff Ramsay offered us a selection of 50 known and lesser known facts about this country. One of these ‘facts’ was that, ‘during the 1920s, the Bangwaketse pioneered the creation of a universal health service , two decades before the British NHS (National Health Service).’

Intrigued, I asked in the Monitor of the 12th for more information about four of these facts and in respect of the Bangwaketse initiative asked, how the scheme was financed, how it was administered and what kinds of health services were included? In Mmegi of, I think, the 18th which I picked up from the internet, Ramsay helpfully replied in an article headlined, ‘Yes, Merriweather and Bathoen II delivered health for all’. I quote. ‘The service began when the then Regent Ntebogang (1924-28) supported the Seven Day Adventist (SDA, Sabata) church in establishing a medical mission in Kanye, which was expanded under her successor Kgosi Bathoen II.

In this context, as Isaac Schapera observed in his book “Tribal Innovators” (Athlone, 1970): “In 1929 the Seventh Day Adventist medical mission agreed with Bathoen II that in return for a monthly subsidy (of 50 pounds sterling) it would supply the people with free medicines and treatment. To meet the cost, Bathoen imposed a tribal levy of 2s (shillings) per taxpayer. Some of his people objected.” A quick check with “Tribal Innovators” showed that there was an additional sentence which Ramsay had omitted.

Editor's Comment
Routine child vaccination imperative

The recent Vaccination Day in Motokwe, orchestrated through collaborative efforts between UNICEF, USAID, BRCS, and the Ministry of Health, underscores a commendable stride towards fortifying child health services.The painful reality as reflected by the Ministry of Health's data regarding the decline in routine immunisation coverage since the onset of the pandemic, is a cause for concern.It underscores the urgent need to address the...

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