In Botswana, there is limited data available on the health and nutritional status of the San People (also known as the Basarwa or Bushmen), an Indigenous minority group primarily living in the Ghanzi District. Our aim in this study was to assess anemia prevalence among and anthropometric indices of women and young children in Ghanzi District through a cross-sectional survey. We recruited 367 mother–child pairs (women 15–49 years and children 6–59 months) in nine randomly selected areas. A capillary blood sample was collected, and weight and height were measured. Hemoglobin (Hb) concentration was measured with use of a hemoglobinometer (HemoCue, AB), as per global recommendations. Overall, adjusted anemia prevalence was 12% in non-pregnant women (Hb < 120 g/L), 26% in pregnant women (Hb < 110 g/L), and 42% in children (Hb < 110 g/L), but it varied widely depending on whether or not the controversial factor of ethnicity was adjusted for (range of 6–26%, 22–30%, and 35–68% prevalence, respectively). Thirty-nine percent (n = 133/344) of non-pregnant women and 52% (n = 12/23) of pregnant women were underweight (BMI < 18.5 kg/m²). In children aged 6–23 months, 41% were underweight (weight-for-age z-score < −2 SD), 13% were wasted (weight-for-height z-score < −2 SD), and 65% were stunted (height-for-age z-score < −2 SD); in children aged 24–59 months, 57% were underweight, 13% were wasted, and 66% were stunted. Fifty-six percent (n = 205/367) of women self-reported smoking in any form (rolled cigarettes or snuffing). The high prevalence of smoking among women, underweight status among pregnant women, and anemia, stunting, and wasting among children is of the highest concern for public health and should be addressed in future health and nutrition programming.

Understanding the effects of droughts on vegetation and ecosystem services (ES) is important for climate change adaptation. However, drought occurrence varies across space and time. We examined drought dynamics and impacts on vegetation and ES in the semi-arid Limpopo Basin of Botswana. Weather station precipitation, remotely sensed normalized difference vegetation index (NDVI) and participatory mapping exercises provided data for the analyses. Results show that between 1980 and 2015, rainfall anomaly indices of potential drought years ranged between −4.38 and −0.12. The longest spell of below-average rainfall occurred between 1992 and 1996. On average, drought events lasted for 1.9 years and recurred every 2.3 years. Although the overall drought frequency was 3.7 times in every 5 years, drought prevalence increased to 50%, 60% and 70% between 1981–1990, 1991–2000, and 2001–2010, respectively. The wet season average vegetation condition index between 2000 and 2015 revealed the occurrence of severe-to-extreme droughts in 2002–2003, 2005, 2008–2009 and 2012–2013 and light-to-moderate droughts in 2004, 2006–2007 and 2011, giving a drought prevalence of 73.3%. The increased frequency and severity of droughts is diminishing natural vegetation, crop productivity and several provisioning ES through moisture stress and drought-induced agricultural expansions. There exists an urgent need for smallholder irrigation development in Bobirwa sub-district to improve crop productivity and reduce the drought-induced conversion of woodlands to agriculture.

Recent historical work on global health and the threat of infectious disease in Africa has looked at the ecology of infections, disease trajectories, colonial interventions and the impact of disease on local communities in varied geographic landscapes and cultural responses. A particularly valuable avenue of analysis has explored racial prejudices of colonial anti-syphilis programmes, largely looking at sexually transmitted syphilis. As a point of departure from this work, this article examines the history of non-venereal treponematoses in southern Africa with a focus on the ethnicisation of endemic syphilis, or ritshuswa, in the Bakwena reserve (now Kweneng district) in colonial Botswana. The article uses as its evidentiary basis colonial reports and letters located at the Botswana National Archives and Records Services, World Health Organisation reports, early missionary and travellers’ accounts and the thesis of Dr A.M. Merriweather, a local clinician and researcher who addressed endemic syphilis in the Bakwena reserve. The aim is to understand the human ecology of endemic syphilis through a critical analysis of power relations between Tswana mainstream society and ethnic minorities within the context of a history of socio-economic inequalities.