Author: Josh Panashe

Credits: Voice of America

Zimbabwe’s government is asking for help from the country’s corporate sector, citizens and other well-wishers to fund the import of COVID-19 vaccines. The southern African nation is falling behind in the battle with the coronavirus, despite imposing a 12-hour curfew last month as part of a lockdown to deal with the pandemic, which has infected about 35,000 people in Zimbabwe and caused 1,300 deaths, most of them this year alone.

Itai Rusike, executive director of the nonprofit Community Working Group on Health in Zimbabwe said in an interview he was shocked by the extension of the “usual begging bowl” when President Emmerson Mnangagwa’s government has been lately “bragging of a surplus budget.” He said citizens and companies in Zimbabwe are feeling the impact of the slowed economy, so they cannot donate for COVID-19 vaccine imports.

“So, let us use the budget surplus money to purchase the vaccines. We also have the 2% tax on mobile money transactions,” said Rusike. “We also have the health levy. These funds should be earmarked for the vaccine purchases for now. Even the International Monetary Fund said spend the budget surplus money as long as the financing is transparent and closely monitored.”

Zimbabwean Finance and Economic Development Minister Mthuli Ncube refused to comment Saturday on his call for assistance.

Rusike added that the call for an unspecified amount of funds to import vaccines was confusing after Mnangagwa this week said his government had sourced free vaccines – some 200,000 donated by China. In the same speech, broadcast on national television, Mnangagwa said.

“A national vaccine deployment framework has also been finalized,” he added. “The initial objective is to inoculate at least 60% of the population. Government has set aside the requisite financial resources for the purchase of vaccines.”

Rusike said Zimbabwe should not expect much assistance from its usual donors such as the U.S., Britain and the European Union.

“It will be very difficult for the international donors, to come in and support Zimbabwe at this stage,” said Rusike. “Mainly because the very same donors are having the biggest burden of COVID-19. If you look at the U.S, the U.K, these are the hotspots for COVID-19. A lot of more people [than Zimbabwe] have been infected from COVID-19 and a lot of people continue to die from COVID-19 in those respective countries.”

For years now, the country’s health sector has largely depended on assistance of aid organizations such as USAID. The country’s health workers have on several occasions been on strike – including during this coronavirus outbreak – asking for PPE and better salaries.

Credits: Voice of America

HARARE, ZIMBABWE — An outbreak of typhoid in Zimbabwe’s capital has killed two people and is affecting dozens more, raising fears that the southern African country’s water and sanitation problems are far from over.

Officials say that so far, 126 cases of typhoid have been confirmed in Harare since the start of the rainy season in Zimbabwe about two months ago. There are more than 1,000 other suspected cases nationwide.

But Dr. Prosper Chonzi, who heads the Harare health department, said there was no need to panic.

“What we are doing is to educate the public on awareness issues to do with typhoid — what it is, how it is spread, how to avoid getting it,” Chonzi said. “We are also discouraging people from consuming food from undesignated premises.”

Harare city crews, he added, were clearing blocked sewer pipes in Mbare township and trying to ensure supplies of fresh water in affected areas.

Problems persist

However, a visit to those and other parts of Harare on Wednesday told a different story. Faucets were dry, sewer water could be seen flowing, and some people were using water from open sources like lakes and rivers.

Itai Rusike, executive director of the Community Working Group on Health, said President Robert Mugabe’s government did not learn much from the 2008-09 rainy season, when an outbreak of cholera killed more than 4,000 people in Zimbabwe.

“The fundamental health issues that were supposed to have been attended to from the earlier crisis have not been attended to,” Rusike said. “Authorities are taking advantage of the outdated Public Health Act that we are using, enacted in 1924. Public health trends have changed [since then]. This is why you find that it is easier for the city of Harare to pollute our water bodies and pay the fine, [a] very small fine.”

The pollution he referred to is raw sewer water discharging into rivers, which some people rely on for daily use. Those using the contaminated river can easily contract waterborne diseases such as typhoid and cholera.

Typhoid, an infectious bacterial fever, can be treated with antibiotics, but it still kills more than 220,000 people worldwide each year, according to an estimate from 2014 reported by the World Health Organization.

Credits: Voice of America

HARARE — The United Nations is reporting huge improvements in Zimbabwe’s prenatal, newborn and maternal health care over the past five years.

However, the U.N. Children’s Fund says the survey indicates that Zimbabwe must continue working to improve health standards.

According to research findings released Friday, Zimbabwe’s infant and maternal mortality rates have declined by 20 and 36 percent, respectively, since 2009.

The number of pregnant women who received prenatal care increased from 57 to 70 percent, while mothers accessing care after giving birth had soared from 27 to 78 percent.

The UNICEF research was funded by the European Union and the government of Zimbabwe.

Much of Zimbabwe’s progress is due to assistance from a multinational fund dedicated to improving health care for mothers, newsborns and young children.

Despite these encouraging results, UNICEF’s chief representative in Zimbabwe, Reza Hossaini, says it is still too early to say all is well with early child care in the southern African country.

“Let us keep in mind that, yes, we have won battles here and there,” said Hossaini. “We have bent the [trends of] maternal mortality, but we have really not won the war as yet. These gains cannot be sustained and further progress cannot be made if we lose our focus from those strategic choices that we have made, now that we know they have delivered positive results.”

Two of those strategic choices were investing in the health sector’s human resources and making sure that the country maintains adequate supplies of necessary drugs.

Failure on those fronts was the major undoing of Zimbabwe’s health sector over the past two decades.

It was only after organizations such as the U.S. Agency for International Development and the European Union poured in money that the situation changed.

Optimism

Itai Rusike, who heads the Community Working Group on Health, an organization fighting for all Zimbabweans to enjoy health care, expressed optimism about the UNICEF report.

“Generally it is a good report,” said Rusike. “It gives us hope in the sense that the indicators are kind of improving. But this report has to be linked up to what is happening on the ground.”

But he added there a dire need for better water and sanitation in most parts of Zimbabwe persists. More than 30 percent of Zimbabweans still do not have access to safe drinking water, the research showed, and Rusike said the real number is likely higher than that, since most water taps in urban areas are dry.

Dr. Gerald Gwinji, permanent secretary at Zimbabwe’s Ministry of Health, is more upbea, calling the new health report one that gives the country a sense of direction.

“We now have to work on issues of quality and equity,” he said. “These survey results are going to be one of our pillars of our next health strategy, and the next step is to do a bottleneck analysis [of the] ministry of health and child care. This will help to determine where to focus to help further improve on our health indicators.”

Gwinji said Zimbabwe’s maternal mortality rate — 614 deaths in every 100,000 pregnancies — and infant mortality rate of 75 per 100,000 are still too high. He says further investment can reduce those losses.