Education in Botswana is free for the first 10 years, which completes the cycle through middle school. The first 7 years of this are at primary school, where the pupil-teacher ratio is approximately 13 to 1.The medium of education is Setswana for the 1st 4 years, thereafter English.
The Ministry of Health in Botswana is responsible for overseeing the quality and distribution of healthcare throughout the country. Life expectancy at birth was 55 in 2009 according to the World Bank, having previously fallen from a peak of 64.1 in 1990 to a low of 49 in 2002.
Many soft drinks and alcoholic drinks are produced in factories in Botswana, including Fanta and Coca-Cola. Local brands are Castle and Lion beers. Milk is fermented to make madila (sour milk) which is eaten on its own or added to porridge. A favorite non-alcoholic homemade drink is ginger beer.