TSIMA, Prof Billy
Botswana - WONCA Africa Region Conference Co-chair
Prof Billy Tsima works in the department of Family Medicine and Public Health at the University of Botswana and a key figure in the preparations for the WONCA Africa 2026 Conference. In this interview, he shares insights into his journey into family medicine, the work of the Botswana Association of Family Physicians, and the significance of Botswana hosting the regional conference.
What led you to a career in family medicine?
My journey into family medicine began during my medical training in Australia, where I was first exposed to the discipline’s unique philosophy and practice. I found myself deeply inspired by the comprehensive and integrative approach to care—what many describe as “whole-person medicine.” Unlike specialties that focus on a single organ system or narrow set of conditions, family medicine embraces the full complexity of people’s lives, considering biological, psychological, and social dimensions simultaneously.
What drew me in most was the opportunity to meet patients at any point in their health journey, often with undifferentiated problems, and to “walk the path” with them as we uncovered the causes of their concerns, explored solutions together, and navigated the healthcare system in a way that felt supportive and empowering. Over time, a core principle of family medicine became a guiding light for me: the shift from asking “what is the matter with the patient?” to “what matters to the patient?” This subtle but profound reframing captures the heart of patient-centered care.
I believed then—and continue to believe today—that practicing medicine grounded in this principle brings the greatest impact. It creates space for trust, continuity, and meaningful relationships, which are the foundations of effective and compassionate healthcare. That belief solidified my commitment to choosing family medicine as my career.
Can you tell us a bit about the role of the Botswana Association of Family Physicians?
The Botswana Association of Family Physicians (BOAFP), formally registered in 2019, serves as the professional voice for Family Physicians in the country. Although the Master’s programme in Family Medicine began in 2011, graduates soon recognized the need for a structured, unified platform through which specialists could advocate for their discipline, collaborate on clinical and academic initiatives, and continue to advance professional development beyond training.
BOAFP was established precisely to meet this need. Its mandate includes promoting evidence-based primary care, supporting research that strengthens Botswana’s health systems, and championing the essential role of Family Medicine in addressing the country’s population health challenges. Through workshops, conferences, policy dialogues, and mentorship programmes, BOAFP continues to cultivate a community of skilled, confident, and engaged Family Physicians who are prepared to lead and innovate within the primary care space.
What does it mean for Botswana to host the upcoming WONCA Africa Conference?
Hosting the WONCA Africa Conference represents a milestone moment for Botswana. It places the country at the center of global and continental conversations about the future of Family Medicine and primary healthcare. For BOAFP, it is an opportunity to showcase the progress made in developing the specialty, highlight local innovations, and strengthen partnerships with regional and international stakeholders.
Importantly, hosting the conference will allow policymakers, academics, clinicians, and trainees within Botswana to engage directly in high-level discussions that shape the evolution of primary care in Africa. This comes at a pivotal time, as the country is actively re-examining how best to revitalize and strengthen its primary healthcare system. The insights gained from the conference will not only elevate awareness of the value of Family Medicine but also influence long-term policy directions and health reforms.
What are your hobbies or interests outside of medicine?
Outside medicine, I enjoy spending time as a small-scale farmer, which keeps me grounded and connected to the rhythms of nature. I am also a classic car enthusiast—a passion that allows me to appreciate craftsmanship, history, and restoration. Whenever time allows, I love to draw, a hobby that provides creative expression and balance.
Is there anything you’d like to share with the global WONCA community?
Yes—WONCA Africa is delighted to host two major events: the regional conference in Botswana in 2026 and the World Conference in South Africa in 2027. These gatherings will be transformative for Family Medicine on the continent, offering platforms for collaboration, knowledge exchange, and advocacy. Most importantly, they promise to accelerate progress toward stronger primary healthcare systems and better health outcomes for communities across Africa.
Find out more about the WONCA Africa Region conference in Botswana in 2026