Private medical facilities in Gaborone are adequate for simple medical problems, but facilities outside of Gaborone are severely limited.
Adequately equipped emergency rooms and trained physicians are available in the capital but services are rudimentary elsewhere.
Professional private emergency rescue services operate air and ground ambulances throughout the country, but care is rendered only after a patient’s ability to pay is established.
Response times are often slow in less populated areas.
Outside of Gaborone, most airports are either not equipped or may have malfunctioning night lighting capability, so airborne medical evacuations can often only be conducted during daylight hours.
Malaria is prevalent only in the north of the country, particularly around the Chobe and Okavango National Parks.
Malaria prophylaxis is not required in Gaborone but is suggested for travel to the north.
For advanced care, U.S. citizens often choose to travel to South Africa.
Many South African manufactured prescription drugs are available in Gaborone.
In many areas of Botswana (including Gaborone), tap water can be unsafe and should be avoided or boiled for at least one minute before drinking.
Bottled water and beverages are believed to be safe.
However, visitors should be aware that many restaurants and hotels serve tap water unless bottled water is specifically requested.
Ice may also come from tap water and should be avoided.
Approximately one-quarter of the population of Botswana is infected with HIV, the virus that causes AIDS.
Travelers are advised to exercise appropriate precautions if engaging in sexual activity or if exposed to blood products through injuries or rendering assistance to accident victims.
Tuberculosis is also endemic to Botswana.
Several hundred cases of extensively drug-resistant tuberculosis (XDR-TB) have been identified in Botswana since January 2008 when Botswana first obtained the ability to test for this form of TB.
Individuals who plan to reside or stay in Botswana for extended periods are advised to obtain a tuberculosis skin test (PPD test) prior to arrival and again upon departure from Botswana.
There are occasional diarrhea outbreaks in areas affected by heavy rains.
Travelers in those regions are encouraged to take necessary precautions when handling food and drinking water.
Traffic Safety and Road Conditions While in Botswana, you may encounter road conditions that differ significantly from those in the United States.
The information below concerning Botswana is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Driving in Botswana is challenging and motorists must drive defensively.
As elsewhere in the region, traffic circulates on the left in Botswana.
While the roads in major population centers are generally good, rural roads can be in poor condition and treacherous.
Rolling power outages mean that many traffic lights and street lamps do not work properly.
The combination of long, tedious stretches of two-lane highways without shoulders, high-speed limits, intoxicated drivers, free-range domestic animals (even in urban centers), and large numbers of pedestrians and hitchhikers in the roadways make fatal accidents a frequent occurrence.
Outside of Gaborone, it is also common to find large numbers of animals along or on the unlit roads, which can be particularly hazardous when driving at night.
The Embassy prohibits government employees from driving outside of Gaborone after dark. ‘Smash and grab’ robberies from vehicles are increasingly common in Botswana, particularly in urban areas at traffic lights.
Motorists should avoid carrying anything of value (handbags, briefcases, purses, cell phones, etc.) in the passenger compartment that could attract potential assailants.