The increasing burden of non-communicable diseases (NCDs) in sub-Saharan Africa is causing a further burden on healthcare systems that are least equipped to deal with the challenge. In Botswana, NCDs accounted for 38% of deaths in 2021. Despite this high economic, social, and human burden of NCDs, interrogation of the problem and policy responses in Botswana and sub-Saharan Africa more generally have been limited. Much of the literature from Botswana focuses on developing a successful HIV/AIDS policy, but this has not been used to inform the examination of NCD policy development. This thesis describes the NCD policy development process in Botswana. It examines the experiences of translating the 2011 UNGASS political declaration to national policies for the prevention and control of NCDs, the extent to which WHO "best buy" interventions for NCD prevention have been implemented, and the role of actors in shaping and constraining NCD policy development and implementation

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