However, there are a number of problems why they are not making it into the health care delivery system to practice. The number one problem is that they are not covered by the Botswana Health Professions Act of 2001. The act is recent in date but old in content and approach to health professions specialisations. It is completely out of step with where health systems are standing in the world and even the demands of modern Health Care Delivery Systems faced with infectious diseases (such as HIV) and lifestyle diseases (such as those associated with weight gain), hence Botswana ends up soliciting specialised medical care from South Africa and abroad. It follows therefore that such professions are not registerable to practice. Can somebody get this clear?
Secondly the reason why Batswana graduates with speciality training cannot enter the health care system is that there is poor communication between the Department of Student Placement and Welfare (Ministry of Education) and Ministry of Health. Ministry of Education just sends out students for training without an idea about the course content they are enrolling the student in. Upon completion of such programmes graduates are met with a problem of not being registerable to practice. This is sad in that they were sponsored by the same government: The question is was there a training plan for health and was it drafted by Ministry of Education or Health? The answer is simple; "possibly there was no training plan". The training was just for citizens to have some form of qualifications. There is an irritating answer that senior government officials and Ministers often like to give, i.e. "government does not train people to employ all of them".
