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They earn more money, but some migrant health workers say it’s not worth it

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Illustration Byline: Wynona Mutisi

BY GAMUCHIRAI MASIYIWA

Summary: Since the pandemic, many major economies like the United Kingdom have tightened restrictions on visas. Migrant health care workers from Zimbabwe struggle as they must live apart from their children and spouses.

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When Tanya moved to Ireland for care work in 2022, she was certain of three things: Her family would join her soon. Her husband would find work. And her children would attend a good school. Initially, her move was smooth. Visas and permits were no problem. But once in Ireland, reality proved harsh for Tanya, a Zimbabwean who asked Global Press Journal to use her middle name for fear of jeopardizing her visa status.

 

The country’s visa restrictions for the general employment permit meant that for her husband to join her, she’d have to earn at least 30,000 euros annually for two years (about 31,500 United States dollars per year). To reunite with each of her three children, she would need to bring in increasingly more.

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Tanya earns an income of about 27,000 euros per year (about 28,400 dollars). She spends her time caring for children with autism, but her own children live without her in South Africa.

 

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“I struggle to sleep. I am always emotional. I have become too sensitive and negative towards life,” Tanya says.

 

Her story is common in a global economy increasingly reliant on migrant workers, who now constitute 4.9% of the global workforce. The demand has risen steadily since 2013 and surged during the pandemic. But as demand increases, so do restrictions on visa policies regarding family members who want to move to be with their spouses or parents in the world’s biggest economies.

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Health care workers like Tanya in particular are in high demand. Approximately 15% of the global health care workforce is employed outside their home country or country of training.

 

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The situation is especially pronounced in big economies like the United Kingdom, United States and Australia, where labor shortages and aging populations strain health care systems.

 

On the supply side, it’s countries with smaller economies like Zimbabwe that are among the main exporters of talent, especially health care talent. The migration of health workers from Zimbabwe is so severe that in 2023, the World Health Organization added it to a “red list” of 55 countries from which international recruitment of health care personnel is discouraged, due to the critically low numbers of health workers remaining to serve their home populations.

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Some countries, including Switzerland, the UK, Australia and Denmark, relaxed their visa requirements during the pandemic but have since reverted to previous policies, says Godfrey Kanyenze, director of the Labour and Economic Development Research Institute of Zimbabwe, a research think tank.

 

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There has been a rollback of what Kanyenze calls “sensible arrangements” that had enabled migrant workers to relocate with their families.

 

In one such reversal, the UK implemented new measures in December 2023 to curtail migration into the country, which then-Home Secretary of State James Cleverly described as “far too high.”

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Among the changes is that care workers — who were in such high demand at the onset of the pandemic that the UK had to introduce a special visa for them in 2022 — can no longer relocate with their families.

 

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The policy also increased the salary threshold — or the minimum amount of money one must earn to qualify for the visa — for all migrant workers by close to 50%. Now, migrant workers need to earn at least 38,700 British pounds (about 49,000 dollars) per year to retain their visa status.

 

In most cases, low-skilled workers such as care workers earn too little to meet these income requirements, says Hilda TinevimboMahumucha, senior legal consultant with Women and Law in Southern Africa, Zimbabwe, a gender justice organization.

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In 2023, Sweden, a major migration hub, also announced new restrictions on low-skilled labor migration into the country. Scheduled to take effect this year, migrant workers from “third world countries” will be required to earn a monthly minimum of approximately 2,200 euros (about 2,300 dollars) to obtain a work permit, and even higher income requirements to bring family members to join them.

 

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Receiving countries capitalize on the skill sets of migrant workers without bearing any of the costs, especially the cost of training people, says Abel Chikanda, an associate professor at the School of Earth, Environment and Society at McMaster University in Canada.

 

“[They] are essentially benefitting from human resource that they did not contribute towards,” he says.

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For example, in the case of health worker migration, annually, Africa loses about 2 billion dollars invested in medical training when its health workers migrate abroad. Meanwhile, destination countries enjoy substantial savings by bypassing these costs.

 

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The human cost

 

In the end, it is migrant workers and their families who pay the steepest price, each in their own way.

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Senzeni Chiutsi, a psychologist based in Harare, says that while migration allows parents a chance to support their families economically, the children they leave behind are prone to stress and trauma.

 

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A 2018 study on the effects of migration on children and adolescents left behind by their parents noted signs of depression and loneliness. And 8 in 10 of those interviewed reported having once considered suicide.

 

Already, the distance between Tanya and her children is widening. On the rare occasions she visits them, her 9-year-old son finds more comfort in video games, while her two girls remain behind the closed doors of their bedrooms.

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“One time when I went there, my second child said, ‘Mommy … I don’t even know [the last time] I was hugged,’” Tanya says.

 

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Although she stays in touch through phone calls, it is difficult because of the time difference and her working hours. By the time she is home, her children are already asleep.

 

The emotional cost of being abroad is just too high, she says.

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“One of my friends normally jokes about how we were given the wrong information coming here,” she says. “If you’re doing well in Zimbabwe … I don’t see a need of coming here.”

 

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That’s a big question mark. Most people move because their governments have failed to keep their end of the bargain by providing workers with fair conditions such as adequate pay, says Chikanda, the professor.

 

If Tanya were employed as a care worker in Zimbabwe, she would earn an annual income of about 4,284 dollars — a sixth of what she is earning abroad.

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Even so, she’s set a deadline for herself of this year to return to her family if they can’t join her in Ireland.

 

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“What if they’ll be broken adults?” she says. “It’s not like I’m going to be rich, to be honest.”

 

Gamuchirai Masiyiwa is a Global Press Journal reporter based in Harare, Zimbabwe.

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Global Press is an award-winning international news publication with more than 40 independent news bureaus across Africa, Asia and Latin America.

 

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National

Zimbabwe makes gains against TB

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BY WANDILE TSHUMA

The World Health Organization (WHO) data show that Zimbabwe continues to make measurable gains in its fight against tuberculosis (TB).

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According to the Global Tuberculosis Report 2025, Zimbabwe’s estimated TB incidence has declined to 203 per 100,000 population, representing a 3.8 % reduction from 2023. The report states that “TB incidence in Zimbabwe has fallen to 203 per 100 000, a 3.8 % reduction from 2023.” 

On treatment outcomes, the country’s overall success rate for all forms of TB has improved to 91 %, up from 89 % in 2023. The report quotes: “Treatment success for all forms of TB has improved to 91 %, up from 89 % in 2023.” 

For drug-resistant TB (DR-TB), progress has also been recorded: treatment success rose from 64 % for the 2021 cohort to 68 % for the 2022 cohort. As the report notes: “treatment success for drug-resistant TB increased from 64 % for the 2021 cohort to 68 % for the 2022 cohort.” 

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In the critical sphere of TB‐HIV co-infection, Zimbabwe saw a drop in the co‐infection rate to 49 %, down from 51 %. The report states: “TB/HIV co-infection rates have fallen to 49 %, down from 51 %.” 

Zooming out, the 2025 global report shows that across the world TB is falling again, although not yet at the pace required to meet targets. Globally, incidence declined by almost 2 % between 2023 and 2024, and deaths fell around 3 %. 

However, the report warns that progress is fragile. Funding shortfalls, health-system disruptions (especially during the COVID-19 era), and the ongoing challenge of drug-resistant TB threaten to erode gains. The WHO page reminds that the 2025 edition “provides a comprehensive … assessment of the TB epidemic … at global, regional and country levels.” 

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For example, although more people are being diagnosed and treated than in previous years, not enough are being reached with preventive interventions, and many countries are still far from the targets set under the End TB Strategy.

 

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Zimbabwe pushes youth-centred, rights-based, and community-driven reforms ahead of CITES CoP20

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BY NOKUTHABA DLAMINI 

As the world prepares for the 20th Conference of the Parties (CoP20) to the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), Zimbabwe has outlined a bold and comprehensive policy agenda that shifts global discussions beyond ivory and toward broader issues of sustainable use, human rights, and community empowerment.

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In an exclusive interview with VicFallsLive, Dr. Agrippa Sora, board chairman of the Zimbabwe Parks and Wildlife Management Authority (ZimParks), said the country’s proposals are anchored on a simple but transformative message: wildlife conservation must deliver real benefits to the people living with wildlife.

Key proposals Zimbabwe taking to CITES CoP20

1. Commercial trade in elephant leather products

Zimbabwe is pushing for approval to engage in regulated commercial trade in elephant leather products. Authorities argue that this form of value addition can bring economic gains to local communities, promote sustainable use, and reduce reliance on donor funding.

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2. A formal voice for communities within CITES

Zimbabwe is advocating for the establishment of an Advisory Body or Community Forum within CITES, ensuring that the voices of rural people—who coexist with wildlife—formally shape decisions on international trade, conservation restrictions, and benefit-sharing.

This push echoes one of the founding principles of CITES, which acknowledges that “peoples and States are and should be the best protectors of their own wild fauna and flora.”

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3. Recognition of human rights within conservation governance

Zimbabwe’s delegation wants CoP20 to acknowledge the human rights dimensions of conservation—particularly:

  • The right to safety for communities facing human–wildlife conflict
  • The right to food security
  • The right to benefit from natural resources within their landscapes

For Zimbabwe, these rights are inseparable from wildlife management.

Moving beyond ivory: A broader view of sustainable use

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Dr. Sora emphasized that Zimbabwe does not want the CoP20 debate to be reduced to ivory.

Zimbabwe argues that without these broader interventions, the conservation model remains unbalanced—protecting wildlife while leaving the people who live among it trapped in poverty

Youth at the centre of the conservation agenda

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One of the strongest themes in Zimbabwe’s CoP20 position is youth empowerment, an area Dr. Sora said is now central to national conservation policy.

“Zimbabwe is supporting the Youth Ethnic Conservation Agenda, and we want to continue empowering young people,” Dr. Sora said.

“These are young people who travel long distances between villages and shopping centres, often unaware of wildlife incidents happening around them.”

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He revealed that Zimbabwe has approved the establishment of a national chapter of the CITES Rural Youth Network, a platform designed to give young rural citizens a voice in global conservation decision-making.

Dr. Sora said young people—often traveling long distances between villages and service centres—are the first responders to wildlife encounters, yet are rarely included in policy processes.

“Their inclusion is critical for awareness, safety, and community resilience,” he said.

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A rights-based approach linked to national priorities

Dr. Sora linked Zimbabwe’s CITES proposals to the country’s National Development Strategy (NDS2), which prioritises poverty eradication.

“We want to ensure that communities living within wildlife landscapes receive meaningful support and benefits from the natural resources around them,” he said.

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This includes promoting value addition—for example, crafting products from elephant leather—and enabling community enterprises tied to legal wildlife products.

“We are promoting opportunities for value addition so that communities can benefit economically from the wildlife with which they coexist.”

He added that the board is committed to transitioning youth from vulnerability to empowerment, ensuring access to education, business opportunities, and long-term livelihoods.

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Unlocking finance through sustainable use

Zimbabwe also plans to push for financial mechanisms—particularly the sustainable use of existing wildlife stockpiles—to support community development.

“Our aim is to secure mechanisms that allow us to reinvest in these communities, strengthening their resilience and ensuring they thrive alongside wildlife.”

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Zimbabwe argues that restrictive global trade rules deprive communities of funding that could improve safety, reduce human–wildlife conflict, and support conservation programs.

Zimbabwe’s position rooted in CITES founding principles

Zimbabwe’s proposals, Dr. Sora said, are consistent with the spirit of CITES itself.

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The convention’s preamble affirms:

Wild fauna and flora are an irreplaceable part of the earth’s natural systems… Peoples and States are and should be the best protectors of their own wild fauna and flora… International cooperation is essential to prevent over-exploitation…

Zimbabwe believes that empowering communities, recognizing human rights, and enabling sustainable use are simply modern applications of these foundational principles.

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In the community

Drought has brought trucks of shame to Lupane

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BY NOKUTHABA DLAMINI

In rural Lubimbi and Gwayi, Lupane district, the drought has done more than dry up rivers; it is straining communities.

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Year after year, the rains fail, fields are left cracked and hunger tightens its grip. Now, girls as young as 14 are being drawn into sex work—sometimes with their parents’ knowledge—just to put food on the table.

At Gwayi growth point, where haulage trucks park overnight along the Victoria Falls–Bulawayo highway, the trade is an open secret.

Harvest of Pain

“We see a lot of trucks coming here to park,” says Coster Ncube, a Gwayi villager. “Parents end up allowing their daughters to roam around at night for sex work because there’s no food at home. The fathers are unemployed and poverty is crushing us.”

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Ncube’s voice carries both anger and grief. His 13-year-old niece, who was in Grade 7, recently fell pregnant after being sexually exploited by a married man who has since vanished.

“She’s in hospital now, waiting to give birth,” he told NewsHub on 26 September. “It’s heartbreaking. These are children who should be in school, not out here dying of diseases.”

He adds that the girls often come from as far as Jotsholo, Mabale, Cross Dete, Lupote and Lupane Centre—hundreds of kilometres away—drawn by the trucks and the chance to earn a few dollars through commercial sex.

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“They’re between 14 and 21,” he says. “All they want is survival.”

For Selina Mthupha, a 47-year-old widow and small-scale farmer in Lubimbi, climate change has turned her once productive fields into dust.

“We used to have maize and groundnuts stacked in our granaries,” she says. “Now, even the millet dies before it tassels. The borehole water is salty, and the riverbeds are dry.”

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She says she struggles to feed her two teenage daughters. “When I hear that girls their age are doing sex work for two dollars, I don’t judge. I cry. Because hunger can make you do things you never thought possible.”

Selina says she once dreamed of sending her children to college. “Now I just dream of rain.”

The desperation in Lupane mirrors findings from national research.

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A 2025 study titled “Climate Change and the Feminisation of Poverty in Africa” established that climate change in rural Zimbabwe is deepening food insecurity and forcing women and girls into survival strategies that expose them to exploitation.

The study noted that failed harvests and long dry spells have left women with fewer economic options and greater vulnerability to abuse and transactional sex.

Another report published in 2021, “Challenges Faced by Rural People in Mitigating the Effects of Climate Change in the Mazungunye Community, Masvingo Province”, found that communities were already suffering the direct impacts of climate change: failed crops, loss of livestock, and worsening poverty.

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It warned that most rural families lack access to climate-adaptive resources, leaving them trapped in a cycle of vulnerability.

For Ruth Bikwa, director of Hopeville, an organisation which works in child protection in Hwange’s Matabeleland North province, the crisis reflects a dangerous intersection of climate change, poverty, and neglect.

“When harvests fail and there’s nothing to eat, girls start finding other means to survive,” she explains.

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“It’s not about choice, it’s about hunger. They trade sex for one or two dollars, just enough to buy mealie-meal or soap. And once they start, they face abuse, disease, and stigma. It becomes a trap.”

Bikwa says when droughts and economic shocks worsen, so does child exploitation. “It follows the poverty line. The harsher the climate, the more vulnerable the children become.”

“We Are Failing Our Children”

At Gwayi Centre, a resident, Shelter Vengesai Mpofu says drought has turned daily life into a survival theatre.

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“Our boreholes run dry by midday,” she says. “We used to harvest from our fields, but now there’s nothing. The children see others making money from truck drivers and think that’s their only chance.”

She pauses, then continues: “We are failing our children — not because we want to, but because poverty leaves us helpless.”

At Gwayi Valley Primary School, teacher Mthulisi Ncube (name changed as teachers are not always allowed to speak directly with the press) says climate change is not only wiping out crops but also the classroom.

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“We’ve lost many girls from the upper grades,” he says. “Some stop coming because they don’t have uniforms or sanitary pads. Others are lured by quick money. You can tell when hunger follows a child. They stop concentrating, then they disappear.”

He says teachers try to intervene, but most families are too poor to cope. “How do you tell a hungry child to stay in school when there’s no food at home? It’s better though now because the government at times provides hot meals in schools after realising this challenge.”

“It’s Laziness, Not Hunger”

Ward 24 councillor Senzeni Sibanda sees things differently.

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“Our children don’t want to go to school or do physical work,” she says. “We have a vocational training centre and detergent-making lessons for just three dollars, but they refuse. They prefer quick money.”

Sibanda says her office has appealed for limits on overnight truck parking but was told the law allows drivers to rest anywhere along the road.

“The trucks bring prostitution, yes, but our youths are also lazy. They don’t want to work.”

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Her remarks, however, clash sharply with what parents and activists say: that climate-induced poverty, not laziness, is driving desperation.

Human rights advocates warn that without urgent action — food relief, youth empowerment programs, and climate adaptation projects — the situation will worsen.

“It’s easy to judge,” says Bikwa, “but when the earth no longer gives, people do what they must to survive.”

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For many families, this is what climate change looks like—not just cracked soil and empty dams, but lost childhoods and futures fading in the dust.

A 2024 parliamentary meeting revealed a staggering statistic: 4 557 school girls dropped out of school due to pregnancy in 2023 alone.

The majority of these girls (3 942) were from rural schools, and most were in secondary school.

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Then, minister of Primary and Secondary Education, Torerai Moyo, said the Education Management Information System (EMIS) tracked these annual figures, and that the government was introducing guidance, counselling in schools, and legal protections via the Education Amendment Act of 2020, allowing pregnant girls to take a two week maternity leave and return.

Recent statistics from the National AIDS Council (NAC) show that Matabeleland North Province has an adult HIV prevalence rate of about 14.4–14.5% among people aged 15 and above, significantly higher than the national average of around 11.7%.

This elevated rate is linked to factors such as increased sex work around mining sites and business centres, migration, spousal separation, and inconsistent condom use. NAC has specifically flagged Bubi District as one of the areas with high risk due to mining and business centre activity, as well as Lupane and Hwange.

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SOURCE: Newshub

 

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