Kavango West’s health directorate is burning through as much as N$3 million a year on office rent, underscoring how Namibia’s public health infrastructure gaps are adding recurring costs and delaying service delivery in one of the country’s most underserved regions.
Kavango West health directorate pays N$3m rent
Director Fransiska Hamutenya said the regional and district teams are squeezed into rented space at the Matukuchila complex, while no money has been set aside in the current financial year for a permanent regional office. Only N$2 million is pencilled into the 2027/28 medium-term framework for new offices, leaving the directorate to keep paying private landlords in the meantime.
The cost burden goes beyond headquarters. The planned Ncamagoro district office at Mile 30 Clinic has no allocation this year either, with N$5 million only projected for 2027/28. Hamutenya said the district team is still operating from Rundu because the clinic cannot accommodate staff, creating disputes over duty travel allowances and other benefits.
For investors and policymakers, the story is less about a single rent bill than about the economics of delayed capital spending. Every year of postponement locks in operating expenses, drains ministry budgets and pushes more cash into temporary arrangements instead of fixed assets that would lower long-run costs.
The infrastructure backlog is also feeding direct service risk. Kavango West remains the only region without a proper district hospital, and the old Nankudu hospital lacks an intensive care unit and has limited mortuary capacity, forcing referrals to Rundu, 135km away. That raises the stakes for maternity care, emergency response and broader health outcomes in a region already short of facilities.
Governor Verna Sinimbo has called on the ministry to “prioritise and accelerate” the long-promised Nkurenkuru district hospital, saying residents want to see “dust at the site” after years of delays. Deputy health minister Suzan Ndjaleka said the visit was meant to clarify regional priorities and restore trust, and promised a clearer plan with the regional directorate.
The next test is whether the ministry turns those pledges into allocations before another financial year slips by. Until then, Kavango West will keep paying for rented offices while its permanent health infrastructure remains on the drawing board.
| Entity | Gains | Losses |
|---|---|---|
| Ministry of Health | ▲clearer regional priorities | ▼higher recurring rent costs |
| Kavango West residents | ▲promise of future facilities | ▼delayed hospital and office access |
| Private landlords | ▲steady rental income | ▼none |
| Regional health staff | ▲potential new offices later | ▼current travel and accommodation disputes |



