Shoshong, Botswana: The Pilot Project

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Dr. Richard Brown takes you on a tour of the Shoshong clinic.


In 2011, WSC launched a pilot project in the rural village of Shoshong, Botswana to spearhead the development of a viable model of care for spinal conditions in underserved regions around the world.

The Shoshong project is:

  • Developing sustainable capacity for effective spinal care in Shoshong and the regional health district;
  • Implementing and evaluating spinal care screening, assessment, and treatment protocols, and the associated front-line health worker training program.
  • Conducting research: including an ethnographic study of the burden of spinal conditions in Shoshong, longitudinal treatment outcome studies, and research tracking the nature and frequency of musculoskeletal conditions occurring in patients who are living with HIV/AIDS.
  • Integrating into the health services provided by WSC such indigenous and alternative health care practices as are lawful in Botswana.

Primary Care

A primary spine care clinic has been operating in the village of Shoshong, Botswana since 2012. Over 20 volunteer clinicians had served in this clinic by the end of 2014. The clinic serves as a center for the screening of serious pathology and the diagnosis and management of patients with spinal and musculoskeletal disorder. In addition, the clinic operates as the nexus of research dedicated to the development and testing of outcome measures following treatment and the development of evidence based treatment protocols.

Secondary Care

A diagnostic rehabilitation center and second primary care clinic has been established in the Mahalapye District Hospital. The secondary diagnostic and treatment component of this program is for management of  those patients who have been identified at the primary clinics to require more advanced care. This center has basic x-ray and laboratory facilities as well as access to advanced imaging and primary medical and surgical specialists.

Tertiary Care

Patients who require advanced diagnostic facilities such as MRI, advanced surgical care or surgery are referred to the are transferred to the major teaching hospitals in Gaborone, under arrangement with the Botswana Ministry of Health, WSC’s partner in the WSC Shoshong project. Volunteer spine surgeons and medical specialists including rheumatologists and neurologists affiliated with WSC are available to act as consultants to local specialists, provide education on the latest methods of managing complex spinal disorders and to assist on the management of more complex cases.

The expected outcomes of the Project are:

  • Improved healthcare for people with spinal disorders and injuries in Shoshong and adjacent communities
  • The establishment of community education programs to reduce the impact of spinal disorders
  • To provide an ongoing and sustainable spine care program in Botswana through the training of primary spine care clinicians that can then provide similar programs in other communities.

Clinic Supervisors:

Nadine Harrison

Nadine was born and raised in the sunshine of the Channel Islands before studying her Master of Chiropractic at The Anglo European College of Chiropractic. She was involved in the World Congress of Chiropractic Students throughout her AECC years and served on the Students Union in her final year. On graduating Nadine was awarded a prize for excellence in clinical proficiency. She spent nearly two years working in private practice in Cheltenham, England alongside completing a Post Graduate Certificate in Developmental Chiropractic. She joined World Spine Care in April 2016 as Clinic Supervisor. Nadine is passionate about increasing awareness on the best management of musculoskeletal disorders and the role chiropractors play within this field. In her spare time she enjoys running and adventures in the great outdoors.



Aline Bidlingmeyer

aline500x500-1Aline is a new graduate from the Welsh Institute of Chiropractic (United Kingdom). Throughout her years at University, she was actively involved in the WIOC Student Society and the World Congress of Chiropractic Students. It is also during this period that she became passionate about World Spine Care and its work. On graduating Aline was awarded a prize for her final year Research Project, Leadership and received the Mark Davies Memorial Award. She has now joined the WSC team as a Clinic Supervisor in Botswana. She is passionate about the integration of Chiropractic into the wider healthcare system and patient education. In her spare time, Aline loves to travel and experience new cultures, dance, swim and take part in outdoors activities.