Dr. Kelebogile Moatshe

Dr. Kelebogile Moatshe is a consultant physician in the Department of Internal Medicine at Princess Marina Hospital in Gaborone — Botswana's largest public hospital and the primary tertiary referral centre for the country. With over 10 years of clinical practice, Dr. Moatshe provides comprehensive internal medicine services, with a particular focus on musculoskeletal and autoimmune disease in the context of Botswana's broader infectious disease burden.

Botswana presents a distinctive clinical environment: a middle-income African country with a high prevalence of HIV, tuberculosis, and non-communicable diseases including hypertension, diabetes, and obesity-related disorders. At the same time, autoimmune rheumatological conditions including rheumatoid arthritis and systemic lupus erythematosus (SLE) are increasingly recognised and require specialist physician input for diagnosis and management.

Dr. Moatshe works within the integrated internal medicine service at Princess Marina Hospital, managing ward referrals, outpatient clinics, and complex multimorbid patients requiring coordination across specialties. She trained at the University of Botswana and subsequently completed the MRCP (UK) — the internationally recognised Membership of the Royal Colleges of Physicians examination — building skills applicable both to Botswana's local disease burden and to systemic conditions with shared global presentations.

Dr. Moatshe completed her MBChB at the University of Botswana School of Medicine — the country's principal medical school, which provides training grounded in both African disease epidemiology and international medical standards. She completed her internship and medical officer rotations at Princess Marina Hospital and Nyangabgwe Referral Hospital.

She subsequently obtained the MRCP (UK) — Membership of the Royal Colleges of Physicians of the United Kingdom — demonstrating competence in internal medicine at international standard. She holds the Master of Medicine (MMed) in Internal Medicine from the University of Botswana, achieved through a combination of clinical training and academic examination. She is registered with the Botswana Medical and Dental Council and is a Fellow of the East, Central and Southern African College of Physicians (ECSACOP).

Dr. Moatshe's clinical expertise spans the management of musculoskeletal and autoimmune disease in a resource-constrained environment. She diagnoses and manages rheumatoid arthritis using combination DMARD therapy including methotrexate and hydroxychloroquine, adjusting regimens based on available laboratory monitoring. She manages systemic lupus erythematosus with appropriate immunosuppression and monitors for end-organ complications including lupus nephritis.

Given the high HIV prevalence in Botswana, she is experienced in HIV-associated arthropathy and the interaction of antiretroviral therapy with musculoskeletal health. She performs joint aspiration and steroid injection for inflammatory and crystal arthropathies. Her broader internal medicine practice encompasses hypertension, diabetes, chronic kidney disease, and infectious disease — reflecting the multimorbid patient presentations typical of Botswana's tertiary hospital setting.

Princess Marina Hospital is primarily a public facility serving Botswana's domestic population. International patients — primarily from neighbouring Zimbabwe, Zambia, and South Africa — may access specialist physician consultation at the hospital. Dr. Moatshe consults in English and Setswana.

For complex autoimmune or rheumatological conditions requiring subspecialist investigation not available in Botswana, Dr. Moatshe coordinates referrals to specialist centres in South Africa, particularly at academic hospitals in Johannesburg and Cape Town. She provides comprehensive referral documentation to facilitate continuity of care across borders.

Dr. Moatshe has been recognised by the Botswana Internal Medicine Society for her contributions to physician education and her participation in national non-communicable disease working groups. She has presented at ECSACOP regional conferences on rheumatological disease recognition in sub-Saharan Africa and the challenges of autoimmune disease management in HIV-endemic settings.

She serves as a clinical mentor for University of Botswana medical students and junior doctors in the internal medicine unit, contributing to the development of local specialist physician capacity in Botswana.