The report provides a comprehensive overview of Botswana’s health financing landscape. Key areas covered include Botswana’s health financing structure, fiscal space for health, health expenditure trends, resource needs, and the funding gap. It evaluates the performance of Botswana’s health system’s financial protection, efficiency, and health outcomes, especially as they relate to challenges like HIV/AIDS and other critical health issues. The report also outlines policy initiatives and strategic options to enhance financial sustainability, improve resource allocation, and support universal health coverage in Botswana. This analysis aims to guide the development of a robust health financing strategy for Botswana that addresses current and future health financing challenges.