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EXPLAINER: Why Zimbabwe has the deadliest roads in southern Africa

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A recent report by the United Nations Economic Commission for Africa and United Nations Economic Commission of Europe revealed that Zimbabwe had the highest road crash fatality in southern Africa.

Below is a detailed statement by the United Nations by the two commissions explaining why more people are dying on Zimbabwe’s roads.

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Zimbabwe’s road crash fatality rate increased from 1,836 in 2016 to an average of 2,000 deaths per year – over five deaths per day – from 2017 to 2019, according to the Traffic Safety Council of Zimbabwe (TSCZ).

In reality, this figure may be over three times higher at some 7,000 road deaths per year, according to WHO estimates that also account for victims who die on the way, in hospital or after discharge.

The annual crash death rate is expected to triple in the next 10 years in the absence of concerted action and significantly increased commitment by all stakeholders, warns the United Nations Road Safety Performance Review of Zimbabwe.

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To address this national crisis and key development concern, the review provides the government with targeted recommendations for decisive action.

“With the second United Nations Decade of Action for Road Safety 2021-2030 underway, Zimbabwe has the opportunity to head in the right direction to achieve the goal of halving road traffic crash fatalities and injuries by 2030.

“With increased political and financial commitments from all stakeholders, the country can turn this situation around, guided by the recommendations of this review”, said the UN secretary-general’s special envoy for road safety, Jean Todt.

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Worldwide, 1.3 million people are killed every year from road crashes and over 50 million are injured, with Africa recording the highest fatality rates per million inhabitants.

“Among key measures, I urge the government of Zimbabwe to become contracting party to and fully implement the seven core United Nations Conventions on road safety, the African Road Safety Charter, and the African Pan African Trans-Highway Agreement”, added Todt.

“Africa’s post-2020 strategic directions for road safety as well as the continent’s action plan for the period 2021-2030 are useful tools to address Zimbabwe’s road safety challenges as they are aligned with common challenges faced by African countries.

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“Of course, the recommended actions in continental strategies and plans should be further tailored to Zimbabwe’s specificities”, said UN under-secretary-general and executive secretary of UNECA, Vera Songwe.

“The private sector could also play an important role to curb deaths on Zimbabwe’s roads.

“This could be through involvement in operating vehicle inspection centres, upgrading roads to improve their safety, and financing road safety initiatives.

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“Financing road safety provides clear opportunities for impact investments that would not only save lives but potentially generate economic returns.”

The review, requested by the Government of Zimbabwe, was conducted in partnership with the United Nations Economic Commissions for Europe (UNECE) and Africa (UNECA) with support from the United Nations secretary-general’s special envoy for road safety.

The review provides a detailed assessment of the road safety and management capacity situation in the country, and pinpoints concrete measures to save lives.

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From safer infrastructure to addressing risky behaviour, system-wide efforts are needed

According to the Zimbabwe Road Conditions and Inventory Report in 2017, unsafe road infrastructure is a major issue, with 70 percent of the total road network in poor to mediocre condition, and merely 25 percent in good to very good condition.

Furthermore, the increase of 77 percent in the number of vehicles from 2010 to 2019 has not been accompanied by any meaningful road upgrade or maintenance of existing road infrastructure since independence in 1980.

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The review therefore recommends the adoption of a roads and maintenance improvement programme.

It also calls for the implementation of road safety audits and assessments, especially in urban areas, where ensuring the safety of vulnerable road users – pedestrians, cyclists and two-wheelers – is a particular priority.

WHO reports that an estimated 2,000 pedestrians were killed by motor vehicles in Zimbabwe between 2013 and 2016, while an estimated 30,000 were injured.

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The review points out that Zimbabwe currently does not have an up-to-date framework to monitor and evaluate road safety performance.

Because of gaps and misclassifications in road safety data availability and accuracy, the review stresses the need to create an integrated and coordinated database as a priority to inform action.

It also recommends road safety awareness programmes for road users in rural areas, targeting young road users.

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The national traffic police in Zimbabwe requires equipment and technology to provide relevant metrics for measuring speed and alcohol or other substances to create data admissible at law.

The national traffic police is constrained by limited funding as well as by inefficient database and information management systems.

This means that cities and towns lack traffic enforcement and surveillance, making all urban road users highly vulnerable.

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Strengthening enforcement frameworks and practices with the review of legislation and standards, as well as benchmarking against regional and international good practices and United Nations conventions, are among priority interventions recommended by the review.
Robust institutions as a basis for safety

Zimbabwe’s legal framework offers a strong basis for road safety. However, its enforcement has come under increasing threat of ineffective practices.

The review recommends strengthening the enforcement framework, resourcing, and dealing with corruption, through measures including the urgent development of a “whistle blowing” reporting system managed by enforcement agencies and the Zimbabwe Anti-Corruption Commission (ZACC).

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Although the TSCZ represents the overall road authority to provide safety policies across local governments, road safety management has not been politically championed nor elevated to a human development concern.

Strengthening the role of the lead agency, the championship by the TSCZ, the adoption of a national road safety strategy and a multisectoral action plan, including acceding to United Nations conventions, are among recommended priority interventions.

The review recommends amending the law to require vehicle inspection and certification of vehicle roadworthiness for all vehicles, in alignment with international and regional good practices.

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Zimbabwe’s public health care and emergency care services face severe institutional, human resources, financing, and technical capacity constraints.

Instead of stabilising the number of deaths and mitigating the seriousness of injuries, the system is assisting only a fraction of those who have good chances of survival and recovery from serious injury.

Thus, the review recommends establishing emergency medical services and emergency responses policy, laws, lead agency, and guidelines in line with WHO guidelines, including a common three digit national emergency call number, as well as education for the public.

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About the United Nations secretary-general’s special envoy for road safety

Appointed by the United Nations secretary-general in April 2015, the role of the special envoy for road safety is to promote a global partnership to support the design and implementation of strategies and activities to improve road safety; to advocate with governments, civil society and the private sector for the promotion of road safety, particularly in countries with high level of road fatalities and injuries; to participate in global and regional conferences and meetings on road safety; to advocate the accession to, and more effective implementation of, United Nations road safety legal instruments; and to generate adequate funding for advocacy efforts through strategic partnerships between the public, private and non-governmental sectors.

The special envoy is supporting the RSPRs in Africa giving that it is one of the most affected regions.

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Tens of Thousands in Zimbabwe Go Hungry as the Rains — and US Aid — Hold Back

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Tanayeishe Musau eats baobab porridge after school at his home in Mudzi, Zimbabwe, where the dish has become a daily staple amid worsening drought and hunger. Once a simple supplement, baobab porridge is now a primary meal for families like his, following widespread food shortages and the suspension of international aid.

BY LINDA MUJURU

This story was originally published by Global Press Journal.

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Agnes Tauzeni stands on her parched field. She is a mother to two children, and is expecting another. But now, in a time that might otherwise have been joyful, her hopes wither like the struggling crops before her.

 

Three times she’s gambled on the rains; three times the sky has betrayed her. Her first two plantings failed. The soil was too dry to sustain life. Though her third attempt yielded a few weak shoots, they offered little promise of a meaningful harvest. El Niño-driven droughts have disrupted once-reliable rains, leaving Tauzeni’s family and many like hers struggling to feed themselves.

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“I am always hungry,” Tauzeni says.

 

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She worries about the health of her unborn child, based on how little nutrition she consumes herself.

 

Adding to this, food aid, previously funded by the US Agency for International Development, halted suddenly in January. That transformed what was already a struggle into a desperate battle for survival.

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The food aid ended when US President Donald Trump, on his first day in office, issued an executive order that paused nearly all US foreign aid, most of which was administered by USAID. That agency is now all but defunct.

 

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Food aid in Zimbabwe was an ongoing area of funding for USAID. In November 2024, the agency announced $130 million for two seven-year programs, implemented by CARE and Cultivating New Frontiers in Agriculture, that would provide food aid and other related support to areas of Zimbabwe most in need. The programs, which stopped, were just part of an ongoing slate of activities designed to help Zimbabwe’s neediest people.

 

About 7.6 million people in Zimbabwe — nearly half the country’s population — need humanitarian assistance, according to a 2025 UNICEF report. Of those, nearly 6 million, like Tauzeni, rely on subsistence farming.

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Through the support of organizations with funding from USAID, people previously received cereals, edible seeds, oil and food vouchers.

 

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“A sudden withdrawal can put the entire community in a dire situation,” says Hilton Mbozi, a seed systems and climate change expert.

 

Tauzeni recalls that her community used to receive food supplies such as beans, cooking oil and peanut butter to help combat malnutrition.

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When Tauzeni got married in 2017, her fields promised abundance. Her harvests were plentiful, and her family never lacked food. Now, those memories feel like whispers from another world. The past two agricultural seasons, those harvests have been devastatingly poor.

 

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With an empty granary and dwindling options, Tauzeni’s family survives on the same food every day: baobab porridge in the morning and sadza with wild okra in the evening. But Tauzeniworries whether even this will be on the table in the coming months.

 

“The little maize I have, I got after weeding someone else’s crops, but that won’t take us far,” she says.

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Tauzeni says a 20-kilogram (44-pound) bag of maize costs US$13 in her village, an amount out of reach for her. Her only source of income is farming. When that fails, she has no money at all.

 

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Hunger like Tauzeni experiences is widespread. Some families now eat just once a day.

 

Headman David Musau, leader of Musau village where Tauzenilives, says some people in his village did not plant any seeds this season, fearing losses due to the low rainfall. The government provides food aid inconsistently, usually 7 kilograms (15 pounds) of wheat per person for three months.

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“It’s not enough, but it helps,” he says.

 

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But without any other food aid, survival is at stake, he says. “People will die in the near future.”

 

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Zimbabwe’s new mothers face extortion for ‘free’ child health cards

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Photo credit: Gamuchirai Masiyiwa, GPJ Zimbabwe

BY GAMUCHIRAI MASIYIWA

Summary: The quiet return of maternity fees and the black-market sale of essential documents put extra burdens on mothers as they struggle to navigate a broken system.

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First-time mother Connie Jowastands with her 3-month-old baby nestled against her back, chatting with other mothers in line. Like many women at this crowded clinic in Harare’s Mabvuku suburb, Jowa is trying to get a Child Health Card, which was unavailable when she gave birth at a public hospital, and was still out of reach at her local clinic. Health cards are mysteriously out of stock.

 

But they can be bought under the table, if you know who to ask and are willing to pay.

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Zimbabwe’s Child Health Cards, meant to be free to new mothers, are crucial documents that track babies’ growth, vaccinations and medical histories. Without them, each clinic visit becomes a reset button. Inquiry into the child’s medical history starts from scratch. Since July 2024, the cards have disappeared from health facilities across Harare’s central hospitals and 42 council clinics — even though the card’s producers say they’re making enough to meet demand. This artificial shortage has birthed a shadow market where clinic staff quietly sell this essential document to desperate mothers. This sort of nickel-and-dime bribery exposes deep cracks in a health care system that’s already failing the most vulnerable people.

 

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What started as a clandestine operation has become an open secret.

 

“When cards arrive at a clinic, they’re kept by the sister in charge. But it’s usually nurse aides or junior staff who sell them, working in cahoots with other staff members,” says Simbarashe James Tafirenyika, who leads the Zimbabwe Municipality’s Nurses and Allied Workers Union.

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Someone who sells 100 cards can pocket around US$500, she says, and none of that money goes to the government of the council.

 

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The going rate for the Child Health Card is US$5, say several mothers who spoke to Global Press Journal.

 

Medical Histories on Scraps of Paper

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When the system works as designed, every mother receives a Child Health Card when her baby is born. Now, most mothers must track their infants’ medical histories on scraps of paper.

 

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Harare’s council clinics alone deliver more than 3,000 babies every month, with each mother left scrambling for documentation.

 

“I feel hurt,” Jowa says. “I want to know what vaccines my child has received and their purposes, but I just can’t get that information.”

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A nurse aide assistant at one of the council clinics has witnessed this shadow market.

 

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“If a nurse is selling, they ask the mother to be ‘skillful’ if they need the card,” says the assistant, who requested anonymity for fear of retribution. In Zimbabwe, “skillful” is a common euphemism for paying small bribes.

 

While the Ministry of Health and Child Care is supposed to supply the cards for free, Prosper Chonzi, the City of Harare’s director of health, admits supplies have been erratic for six months and that people have complained about being forced to purchase these cards. Clinic workers may be exploiting the known shortage and coordinating among themselves to sell the cards rather than providing them for free, he says.

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“We can’t rule that out,” he says.

 

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The card shortage coincides with the quiet return of maternity fees in public hospitals. Though not officially announced, hospitals have begun billing mothers after delivery — a policy change the government would neither confirm nor deny.

 

High Inflation, More Corruption

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Between 2011 and 2024, more than 1 million pregnant women in the country delivered babies for free at health care clinics, under a scheme called results-based financing. Maternal mortality rates dropped during that time.

 

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But these gains, partly achieved through better access to safe delivery services, face new hurdles as budget constraints and economic pressures reshape the health care landscape.

 

Even in 2021, a study from Transparency International Zimbabwe surveyed over 1,000 people in Zimbabwe and found that 74% had been asked to pay a bribe while trying to access health care services. A feeling of being underpaid amidst a deteriorating economy and high inflation was a key driver among health workers who solicitated bribes, which has been a rising trend, according to the study.

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“The motivation for earning an extra income is strong especially in countries with a high rate of inflation,” the study states.

 

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Zimbabwe’s health care system faces chronic challenges, including an exodus of health workers to other countries, inadequate funding, drug shortages, obsolete infrastructure and more. In 1991, the government introduced user fees across public institutions as part of an economic structural adjustment program. The government abolished the fees in 2011, only to partially reinstate them around 2013.

 

Prudence Hanyani, a community activist in Harare, says the reintroduction of user fees in public hospitals will burden women who already shoulder extra costs, like paying for midwives, so they can get better treatment when giving birth.

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“Maternal health services should be free,” she says, “because giving birth is a service for the nation that contributes to the country’s population.”

 

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Mothers Pay the Price

 

Valerie Shangwa, who gave birth four and a half months ago at a private maternity hospital, still has no card for her daughter.

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“You know how difficult it is to keep a paper,” she says. “When nurses ask about last month’s weight, you end up guessing, and that distorts the whole record.”

 

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Charlton Prickise, technical director at Print Flow, says his company sells Child Health Cards only to government-authorized health facilities and faces no shortages.

 

“The shortages mean health facilities simply aren’t coming to get them,” he says.

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Though Print Flow hasn’t detected leaks, Prickise recalls finding other versions of this card on the market two years ago, possibly from a nongovernmental organization. Print Flow isn’t the sole supplier of the cards, and they haven’t received any government orders recently.

 

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In a written response to Global Press Journal, Donald Mujiri, spokesperson for the Ministry of Health and Child Care, said the shortage of Child Health Cards is due to supply chain inefficiencies and insufficient donor funding. The cards, he says, are procured with government funding and aid from supporting partners such as the United Nations Children’s Fund. Nevertheless, Mujiri says, the ministry needs to strengthen the supply chain management system at all levels and proactively mobilize resources for procuring the cards.

 

Meanwhile, mothers wait — or pay the price. Faith Musinami, 26, delivered her daughter in July 2024. An orderly told her the clinic only had cards for boys, but if she wanted, they could organize one for US$5. Musinami had not budgeted for the cost. She sacrificed the last penny she had.

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This story was originally published by Global Press Journal.

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