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.
There are various traditionally produced alcoholic drinks. Bojalwa ja Setswana (the beer of Batswana) is brewed from fermented sorghum seeds. Other tribes, like Bakalanga, use lebelebele (millet). A commercially produced and packaged beer, Chibuku, brewed from either maize or sorghum, is a favourite drink particularly in the villages, towns, and in some parts of the city.