The TEMCO Story
TEMCO is built first as a medical-tourism destination — a 130-bed tertiary hospital at the airport Special Economic Zone where patients from across Southern Africa and beyond fly INTO Botswana for specialist care, earning the country foreign exchange. And in the same building, it keeps Botswana's own complex cases at home — widening specialist access for Batswana — and raises the standard of care for the whole country in the process.
A Medical-Tourism Destination for the Region
Across the region, patients fly off the continent for specialist care — from Lusaka, Harare and beyond to Johannesburg or Bengaluru, and from Botswana to South Africa and India — for procedures such as robotic-assisted surgery, structural-heart intervention or complex electrophysiology, or simply because local capacity is full. That flow, and the foreign exchange that travels with it, can land in Gaborone instead.
TEMCO was built to capture it. Clinicians, engineers, legal advisors and operational leaders assembled around one objective: a 130-bed tertiary and medical-tourism hospital at the Sir Seretse Khama International Airport Special Economic Zone, serving two streams. First, complex and specialist cases drawn inbound from across the SADC region and beyond — a forex-earning health-export asset that brings inbound patients, and their spend, into Botswana. Second, broad local access for Batswana — public-referral, medical-aid and private patients alike — keeping the country's own complex cases at home.
This is a specialist hospital, not a primary-care clinic. It raises the service ceiling above what the region offers today: advanced oncology with two-linac redundancy and next-generation IMRT/VMAT/SBRT/SRS, structural heart and complex electrophysiology, the first robotic-assisted surgical platform in Botswana, and expanded dialysis and trauma capacity — with SADC inbound medical tourism built on top.
Forex-Earning
Health-Export Asset
Inbound regional and international patients pay in foreign currency — turning specialist care into a national export that TEMCO is built to capture.
6-12 Months
Current Wait Times
Current local waiting periods for oncology radiation and cardiac catheterisation; robotic-assisted surgery is not yet available in-country.
Local Access
Cost & Convenience
TEMCO is positioned to deliver specialised care at a meaningful discount to equivalent regional private rates, without the travel burden.
Why TEMCO Matters
Raising the Standard for the Whole Sector
TEMCO is not built to duplicate what Botswana already has. It is built to lift the ceiling above it. A second pool of radiation oncology with redundancy, structural-heart and complex electrophysiology procedures performed in-country for the first time, and the first robotic-assisted surgical platform in Botswana set a new benchmark — and a benchmark, once set, pulls the whole sector up with it.
This grows the pie rather than dividing it. More complex cases treated at home means shorter queues at every facility, a deeper pool of trained specialists for the country to draw on, and a JCI-aligned discipline that becomes the reference point others measure themselves against. Competition at this tier is how a national healthcare system gets better — not by one institution standing alone.
A Specialist Training Pipeline
More than 200 specialists trained and recruited over the operating period — building durable clinical capacity that stays in Botswana long after a single case is closed.
Capacity, Not Substitution
TEMCO adds tertiary capacity alongside the public system and existing private providers — easing pressure across the network rather than competing for the same patients.
A JCI-Pathway Discipline
A Joint Commission International accreditation pathway — the first in Botswana if achieved — embeds an international quality standard from opening, raising the bar for everyone.
The Forward Economic Story
An Engine for the Economy
TEMCO runs on two patient flows: first, capturing inbound regional and international patients who pay in foreign currency — a national health-export asset; and second, keeping complex cases and broad local access at home for Batswana. The figures below are the modelled first-decade contribution.
740
Permanent Roles
At full operation, from 330 at opening — clinical, technical and operational, anchored in Batswana recruitment.
2,300+
Jobs Over the Decade
Direct and indirect employment across the decade, plus around 300 construction roles through the build phase.
200+
Specialists Trained
Trained and recruited over the operating period — durable capacity built for Botswana and the wider region.
BWP 2.74bn (~US$200m)
GDP Contribution
Modelled contribution to Botswana's GDP across the first decade of operation.
BWP 422m (~US$31m) in Tax
Tax contribution to the state over the first decade — revenue generated inside the SEZ framework that funds the wider public good.
Foreign-Exchange Earnings
Inbound regional and international patients pay in foreign currency — turning healthcare into a national export and a net earner of forex for Botswana.
Specialist Access Widened
Broadens local specialist access for Batswana — public-referral and medical-aid patients included — keeping complex cases at home instead of sending them abroad.
Regional Patient Flow
Patients drawn from across the SADC region through the airport catchment — the inbound flow that makes TEMCO a regional gateway, not just a national hospital.
Lives Reached
Local access to specialist oncology, cardiovascular and complex-care services — removing the burden and the risk of delayed cross-border referral.
A Wider Ecosystem
Rehabilitation, recovery medicine, wellness and recovery hospitality grow around the hospital — a medical-tourism ecosystem that spreads economic activity well beyond the wards.
Our Mission
We make Botswana the place the region comes to for specialist care, and we keep Botswana's own complex cases at home. Tertiary and medical-tourism care at the airport Special Economic Zone, delivered at 25 to 35 per cent below South African private rates — drawing inbound patients who earn foreign exchange for the country, creating significant local employment, contributing materially to GDP, and building a specialist training pipeline for the SADC region.
Treatment closer to home. A 90-minute flight to Gaborone instead of a long-haul journey to Johannesburg or Bengaluru, and local access to structural-heart and complex-electrophysiology procedures that currently send patients abroad. Care delivered by BHPC-registered practitioners working alongside international partners.
Our Principles
Six principles govern every decision, from clinical design to investor engagement. Select one to see what it means in practice.
Principle 01 of 06
Clinical credibility comes first
Every design decision answers to evidence-based medicine and internationally recognised standards. We lead with numbers, dates and named systems — not adjectives. When a claim cannot be sourced, we leave it out.
Principle 02 of 06
Aligned with the national agenda
TEMCO is a Healthcare Entry Point Project under Botswana's Economic Transformation Programme and an NDP 12 priority, with BETP Secretariat delivery-readiness validation. The project sits inside the national agenda, not beside it.
Principle 03 of 06
Specialist access, widened
By 2029, a patient in Gaborone needing a structural-heart procedure travels to the airport precinct, not to Johannesburg or Bengaluru. We serve two streams — regional inbound cases, and local Batswana including public-referral and medical-aid patients — not a private elite.
Principle 04 of 06
A forex-earning national asset
Inbound regional patients pay in hard currency. TEMCO earns foreign exchange for Botswana the way tourism and mining do, while keeping the spend that leaves the country today at home. A national economic asset, not a domestic cost.
Principle 05 of 06
Conceived and led by Batswana
The project is led and governed by Batswana professionals. International partnerships add depth to local leadership — they do not replace it. Specialist talent that left the country has a reason to return.
Principle 06 of 06
Open governance, sourced numbers
We pursue the Joint Commission International accreditation pathway from the day the hospital opens. Governance is open, financials are traceable, and every figure we publish is defensible. Restraint is the standard, not the exception.
National-Priority Validation
TEMCO sits inside Botswana's national development and economic-transformation agenda — from development planning through to special-economic-zone qualification. Five markers, in sequence.
NDP 12 Priority
National Development Plan
Listed as a priority project under Botswana's 12th National Development Plan.
BETP Project
Economic Transformation Programme
Accepted into the Botswana Economic Transformation Programme following the BETP Labs cohort.
Ministry of Health
Letter of Support
Formal letter of support from the Ministry of Health, confirming clinical-sector endorsement of the project.
BETP Secretariat Validation
Delivery-Readiness Validation
BETP Secretariat delivery-readiness validation (Making The Most / MTM marker) of the financial model and delivery plan, following the BETP Labs cohort.
SEZA Qualifying
Special Economic Zone Authority
SEZA-qualifying within the Sir Seretse Khama International Airport SEZ framework, sited within the zone's fiscal architecture.
Partnerships and Delivery Model
TEMCO is project team-led, with strategic partnerships that complement local leadership.
Clinical Operations Partner
Protocols, Staffing & Training
An experienced SADC-region clinical operations partner providing protocols, staffing pipelines and training integration — bringing established clinical workflows and specialist recruitment networks to support TEMCO's operational readiness.
BETP Secretariat
Model Reviewer
Reviewed and validated the TEMCO financial model and implementation plan through the BETP process — a BETP Secretariat delivery-readiness validation. An independent implementation-readiness check on the project's delivery plan and economic assumptions.
Project Team-Led Delivery
Engineering, Procurement, Management
Engineering is delivered in-house by the project team. Procurement is managed jointly with approached contractors. Management is project team-led, with an explicit opening for a strategic investor partner to bring hospital-sector operational experience alongside capital.
Meet the Team Behind TEMCO
Clinicians, engineers, legal advisors and operational leaders assembled to deliver Southern Africa's medical-tourism and specialist hospital at Gaborone.