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This study investigates the effectiveness of Presidential Directives in comparison to the traditional policy process in Botswana. More precisely, the study determines whether the use of Presidential Directives is a more efficient and effective means of achieving policy outputs, as compared to the traditional policy process. To achieve this, the study conducted a comprehensive analysis of policies and Presidential Directives in Botswana, examining the processes through which they were formulated, implemented, and evaluated. The methodological approach adopted includes an intrepretivist research paradigm as well as a qualitative research approach for both data collection and analysis. Results reveals that Presidential directives achieve outputs faster and more effectively than the traditional policy process, Presidential Directives may have some advantages in terms of speed and flexibility, but they are not necessarily more effective than the traditional policy process in achieving their planned outcomes, policy process, which involves stakeholder consultation, evidence-based decision-making and comprehensive analysis of the policy context, is a more reliable and effective means of policy-making in the long term. However, the study also found that there are some areas where Presidential Directives may be more appropriate, such as in emergency situations or when quick decisions are required. Overall, this research provides valuable insights into the effectiveness of different approaches to policy-making in Botswana, and its findings have important implications for policymakers, practitioners, and researchers in the field of public policy. The study recommends transparency and accountability; stakeholder engagement; evidence-based policy-making and comprehensive policy evaluation.

This study examines the relationship between government expenditure on health and economic growth in Botswana. It seeks to test the existence of cointegration and specification of the deterministic components with special reference to the Pantula Principle. This helps to overcome the shortfall of the method by Johansen, which may lead to spurious results by omitting the presence of deterministic components in the analysis. The cointegration approach is used and tested using three methods by Engle and Granger (1987) or EG, a procedure suggested by Johansen (1988) and error correction model (ECM) approach proposed by Granger(1988) and short-run analysis is made using the pairwise granger causality tests. Findings show that the correct model specification for testing long-run relationships consists of one cointegrating vector with a constant which is the most restrictive hypothesis according to the Pantula principle. Using the Johansen approach, total health expenditure and recurring health expenditure have a cointegration relationship with growth while development health expenditure and growth are not cointegrated. The ECM and the approach by EG confirm a weak and/or no cointegration between the variables. Growth has no effect on government expenditure on health in the short run, but a cointegration relationship suggests that it may marginally contribute to an increase in health expenditure over the long term. The study clarifies the correct model to test for cointegration and specification for the deterministic component. It confirms the existence of a healthcare expenditure-led growth hypothesis. This requires Botswana to design a policy that targets specific parts of recurrent and development health expenditure to support human capital development and influence future growth.