19 May 2011 Last updated at 07:08 ET 
The government said essential staff were not allowed to strike.
But the sackings have prompted nurses and doctors who had remained at work to join the industrial action.
The BBC's Letlhogile Lucas in Gaborone says the strike looks set to continue as talks between the government and public sector unions broke down on Thursday night.
The government had offered a 3% conditional offer, but the unions want a 12% wage increase, the reinstatement of all sacked workers and the reversal of a "no work, no pay" condition.
Our correspondent says there are long queues outside the Princess Marina Hospital in the capital, with patients often returning day after day to seek treatment.
It is running a skeletal service, mainly staffed with foreign workers and student nurses and doctors.
"Our slogan is an injury to one is an injury to all," Odirile Bakae, a doctor at Princess Marina hospital, is quoted by AFP news agency as saying.
"Since the government has decided to fire our colleagues, we have also decided to join the strike and mobilise other health personnel to do the same so that hospitals are left with no doctor or nurse."
Our reporter says the strike has also taken a heavy toll on other public services.
This week the minister of education ordered that all government primary and secondary schools be shut until further notice.
Botswana strike closes hospitals
Most of Botswana's clinics have closed and the main hospital in the capital, Gaborone, is barely functioning due to a civil service strike over salaries.
Earlier this week, the government sacked doctors, nurses, pharmacists and cleaners who had joined the five-week strike in defiance of a court order.The government said essential staff were not allowed to strike.
But the sackings have prompted nurses and doctors who had remained at work to join the industrial action.
The BBC's Letlhogile Lucas in Gaborone says the strike looks set to continue as talks between the government and public sector unions broke down on Thursday night.
The government had offered a 3% conditional offer, but the unions want a 12% wage increase, the reinstatement of all sacked workers and the reversal of a "no work, no pay" condition.
Our correspondent says there are long queues outside the Princess Marina Hospital in the capital, with patients often returning day after day to seek treatment.
It is running a skeletal service, mainly staffed with foreign workers and student nurses and doctors.
"Our slogan is an injury to one is an injury to all," Odirile Bakae, a doctor at Princess Marina hospital, is quoted by AFP news agency as saying.
"Since the government has decided to fire our colleagues, we have also decided to join the strike and mobilise other health personnel to do the same so that hospitals are left with no doctor or nurse."
Our reporter says the strike has also taken a heavy toll on other public services.
This week the minister of education ordered that all government primary and secondary schools be shut until further notice.
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