The school of nursing started in a very small way in 1934 and has grown over the intervening years to become a health training institution affliated to the University of Botswana and financed by the government of Botswana. The Rev. Heinrich Pfitzinger requested the Lutheran Mission of Hemannsburg, Germany to send his sister Emma who happened to be a qualified nurse and a midwife as well as a deconess to help him care for the sick members of the Ramotswa community. Sister Emma Pfitzinger arrived in 1934 and started her nursing work in a roundavel and also undertook home visits in the village. The work increased, to such an extent that she required assistance from interested young women. At this time there were no training facilities for nurses in the whole country and the nearest hospital was situated in Lobatse - 50 kilometers South of Ramotswa. Sister Emma realized that assistance was urgently needed and recruited and trained people from the village. At this time the building of the Hospital facilities commenced with the erection of an Out patients department, a dispensary and a Maternity department with a delivery room and eight beds. The workload increased to such an extent that more beds were required and the recruitment of a doctor. There was a School next door to the small hospital, which could no longer accommodate all the pupils and it was decided that a new school be built else where in the village. The tribe therefore handed over the vacant school buildings to the Mission, and these buildings were then converted into wards and operating theatre. The doctor and sisters commenced training local women in basic nursing and referred to them as "Nurse Aides". There was still no formal training school for nurses.

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