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Public Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure Authorized© 2024 The World Bank1818 H Street NW, Washington DC 20433Telephone: 202-473-1000; Internet: www.worldbank.orgSome rights reservedThis work is a product of the staff of The World Bank. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of the Executive Directors of The World Bank or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.Rights and PermissionsThe material in this work is subject to copyright. Because The World Bank encourages dissemination of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes as long as full attribution to this work is given.Attribution—Please cite the work as follows: “World Bank. 2024. Botswana Public Expenditure Review in Health © World Bank.”All queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522-2625; e-mail: pubrights@worldbank.orgTABLE OF CONTENTSAcronyms and Abbreviations .................................................................................................................................................................................................................................................. fAcknowledgments ......................................................................................................................................................................................................................................................................... iExecutive Summary ....................................................................................................................................................................................................................................................................... iii 1. Introduction .................................................................................................................................................................................................................................... 12. Uneven Health Performance with Slow Progress on non-HIV/AIDS Indicators ....................................................................................................... 23. Sources, Trends and Composition of Public Health Expenditure ................................................................................................................................. 64. Low Efficiency of Public Health Expenditure ..........