Pivio · delivered in Botswana by Wild Health Consulting
A healthier workforce.
A healthier bottom line.
A workplace health programme built on lifestyle medicine — preventing and reversing chronic disease in your employees, and reducing the medical costs that follow it.
See the programme
Pivio, in the words of the people who have lived it
The challenge
Non-communicable disease is Botswana’s fastest-growing cost centre
46%
of all deaths in Botswana each year are caused by non-communicable disease — against a high background prevalence of HIV, and an economic climate straining the supply of diagnostics and chronic medication.World Health Organization, 2019
Rising healthcare costs
Chronic disease management drives medical scheme claims and employer contributions upward year after year.
Lost productivity
Absenteeism, presenteeism and disability claims compound quietly across the payroll.
Premature illness at work
Cardiometabolic disease is striking working-age employees, destabilising teams and retention.
And most wellness programmes don’t touch it
Screening days and gym subsidies are reactive and disconnected, with little ability to quantify outcomes. They do not address the root causes of chronic disease — yet 80% of heart disease, stroke and type 2 diabetes is preventable.
WHO AFRO Botswana STEPS Survey, 2024–2025
What Pivio is
Lifestyle medicine, delivered inside the workplace
Pivio is a workplace health programme designed to improve employee health, reduce healthcare costs and lift productivity by preventing and reversing chronic disease — not simply managing it.
Employees work through structured, evidence-based change in how they eat, move, sleep and manage stress, guided by certified health coaches. The result is measurable clinical improvement and, for many participants, less reliance on medication.
Wild Health Consulting is the first and only provider of Pivio in Africa, adapting the programme to the realities of Southern African workforces.
How the programme works
A comprehensive approach to lasting health habits
- 01
Digital tools & content
A user-friendly platform with engaging multimedia teaching employees how to apply lifestyle medicine day to day.
- 02
Expert coaching support
Group sessions facilitated by certified Pivio health coaches, with personalised guidance throughout.
- 03
Meal planning & resources
An online meal planner with thousands of nutritious recipes, plus practical preparation tools.
- 04
Lasting habit building
The programme is built for durable behaviour change, not a short-term challenge that fades.
What your organisation gets
Pivio is delivered as one complete programme — facilitated, measured and supported from launch through to reporting.
Facilitated group sessions with certified Pivio health coaches
The full digital platform, multimedia curriculum and meal planner
Implementation support, internal marketing and communication tools
Ongoing operational assistance and outcome reporting for your organisation
Measurable outcomes
Clinical improvement you can put in front of a finance committee
Improvements reported by Pivio participants whose readings began outside the ideal range. The programme has repeatedly reduced and reversed risk factors for diabetes, hypertension, obesity and heart disease.
- ~8.8%
- Average reduction in blood sugar
- ≥9%
- Average reduction in cholesterol
- ~6%
- Average reduction in blood pressure
- ~3.9%
- Average reduction in weight and BMI
- 32–38%
- Participants reducing or eliminating medications
- Reductions in insulin, pain, sleep and reflux medication
- Reported consistently across participant cohorts.
Business value
High-impact health, one simple investment
- P30
- saved on medical claims for every P15 invested
- 35+
- years of supporting research behind the programme
- 40+
- peer-reviewed studies published on the approach
Lower claims costs, better clinical outcomes and a more engaged workforce — Pivio maximises the return on health expenditure you are already making, while strengthening organisational performance.
Why Wild Health Consulting
An international programme, delivered by clinicians who work here
First in Africa
Wild Health Consulting is the first and only provider of Pivio on the continent, bringing an established international programme to Botswana employers.
Clinically led, locally rooted
Our partners practise medicine in Gaborone and have worked inside Botswana's health system, from Princess Marina Hospital to the Ministry of Health.
Turn-key delivery
Implementation support, internal marketing and communication tools, and ongoing operational assistance — so your HR team is not left to run it alone.
Corporate and concierge
Programme scaled for all workforces.
Leadership
The clinicians behind the programme
Dr Sara Schwanke Khilji
Lifestyle medicine
MD, MPH, ABIM, IBLM
Associate Professor of Medicine at Oregon Health & Science University and Adjunct Associate Professor at the University of Botswana Faculty of Medicine. Trained at Mount Sinai, with residency at Massachusetts General Hospital and a fellowship with the London School of Hygiene & Tropical Medicine. Based in Botswana since 2020, she certified in Lifestyle Medicine in 2024 and founded a Lifestyle Medicine practice in Gaborone.
Dr Carly Broderick
Founding partner
DC, MPH
Founding partner of Wild Health Consulting and director of Lotus Chiropractic Services in Gaborone. Doctorate from Palmer College of Chiropractic West and an MPH from Kent State University in epidemiology and non-communicable disease. Former Clinical Supervisor for World Spine Care, she authored Botswana's national guidelines for chiropractic medicine and serves on the board of the Botswana Association of Chiropractors.
Dr Tilewa Akerele
Specialist physician
FCP (SA), MMed Internal Medicine, Dip Fam Med, Dip Anaesthesia
Founder of Obsidian Health Services, a specialist internal medicine practice, with more than 20 years in medicine. Trained at the University of Cape Town, Fellow of the College of Physicians of South Africa, and MMed in Internal Medicine from the University of Botswana. She has lectured in the University of Botswana medical programme and served on the Organ Transplant Committee at Princess Marina Hospital.
Get in touch
Let’s look at what Pivio would do for your workforce
Tell us a little about your organisation and we will come back with the delivery options, timelines and costs that fit it. We work with self-insured employers, medical aid schemes and brokers across Botswana and the wider region.