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Health minister criticizes health funders for extortion, calls for regulation

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BY STAFF REPORTER

Zimbabwe’s government is crafting a National Health Insurance scheme to cover the majority of its citizens who lack health insurance.

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Currently, a staggering 90% of Zimbabweans are without health insurance, with medical societies only covering 10% of the population.

The country’s economic woes, including corruption, bad governance, high interest rates, and exorbitant health fees, have eroded trust in health insurance among ordinary citizens.

At the 15th annual Association of Healthcare Funders of Zimbabwe conference in Victoria Falls, Health and Child Care Minister Douglas Mombeshora expressed concern over the extortionist behavior of medical aids and health service providers.

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He assured that the National Health Insurance scheme, whose principles have been sent to Cabinet, will address these anomalies and push out some small health funders.

Mombeshora emphasized the need for alignment towards measurable results, acknowledging the dynamic nature of healthcare.

“Financing of healthcare systems has become a global challenge, especially for low-income countries like ours,”he said.

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“Zimbabwe is working hard to institute reforms that are designed to increase domestic funding for health.

“One key reform that has been on the agenda for long but being accelerated now is the establishment of a National Health Insurance Scheme.”

The Minister also highlighted ongoing legislative reforms, including the Medicines and Allied Substance Act, Health Professions Act, and the Medical Aid Societies Bill.

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These reforms aim to strengthen regulation of health professions, create an enabling environment for health investment, and better respond to challenges and trends.

Mombeshora criticized some health funders for extorting money, stressing the need for regulation.

“We need to stop that and come up with policies on how health funders can be regulated. We have about 40 medical aids but how many are here? If they were genuine, they should be here; it’s not supposed to be a money-making business but a social service. We made a mistake of allowing health funders to be service providers,” he said.

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The conference, themed “Zooming in on Health Outcomes – Making the Main Thing the Main Thing,” started on Wednesday and will end today.

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National

Government to equip Mpilo Hospital with radiotherapy machines funded by sugar tax initiative

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BY WANDILE TSHUMA 

Patients in Matabeleland North who rely on specialized care in Bulawayo are set to benefit from a major upgrade in cancer treatment facilities, as the government begins deploying equipment funded by the national sugar tax.

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The Deputy Minister of Health and Child Care, Sleiman Timios Kwidini, confirmed to Parliament that the Treasury has released approximately $30.8 million to procure critical radiotherapy machines. Two low-energy units are earmarked for the country’s major referral centers, specifically Mpilo Central Hospital in Bulawayo and Parirenyatwa Hospital in Harare.

Advanced payments have been made to suppliers, and the government confirmed that installation is currently in progress alongside the preparation of specialized treatment bunkers. Kwidini described the move as a significant milestone intended to reduce patient waiting times and the costly need for referrals to facilities outside the country.

However, the announcement met with sharp criticism from lawmakers who argued the ministerial update lacked sufficient detail regarding the total revenue collected and the specific types of equipment purchased.

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Surrender Kapoikilu led the debate, questioning whether the ministry had secured essential components like linear accelerators and diagnostic tools like endoscopes. He warned that without adequate surge protection, the high-tech equipment remains at risk from power fluctuations. “ZESA currents have many surges,” Kapoikilu said. “If you just plug it in, in five minutes, a machine is gone”.

 

He emphasized that effective treatment must begin with proper diagnosis, stating, “If you cannot diagnose cancer, you cannot conquer”.

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The discussion expanded to include the dire state of basic patient care, with Corban Madzivanyika pointing out that referral centers often lack fundamental tools. “You get to the hospital and you are told that there is no wheelchair,” Madzivanyika told the House, describing the shortage of stretchers and wheelchairs as embarrassing.

Responding to the concerns, the Acting Speaker, Joseph Tshuma, directed the ministry to defer the matter and return with a more comprehensive dossier detailing the expenditure and the availability of essential medicines.

 

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Parliament weighs 40% community share in carbon credit deals

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BY NOTHANDO DUBE

Lawmakers in Zimbabwe are debating a comprehensive Climate Change Management Bill that supporters say will finally ensure rural communities are no longer “mere spectators” in the multi-billion dollar carbon credit industry.

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The Bill, which moved into its second reading, seeks to regulate carbon trading and protect the country’s natural resources from foreign exploitation.

Mutsa Murombedzi delivered a passionate plea for the legislation, arguing that it is a matter of “justice, survival and the dignity of our people”. “Climate change is not a distant stone,” Murombedzi told the House. “It is the flood that we see in Chimanimani, which sweeps away our schools… the heatwave that scotches our communities in Hwange, one silent drought that empties our granaries”.

A major point of contention and hope is the proposed 40% community share in carbon projects. Lawmakers argued that previous projects often left locals with nothing but “tsotso stoves or bicycles” while profits were “repatriated back to their countries, particularly those from the global north”.

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Master Makope applauded the move to bring transparency to a sector where deals were often done “without the knowledge of the authorities”.

“By having this policy framework, I believe our people are going to benefit,” Makope said.

“The Minister has to make sure that the villagers, the communities, should also have easy access to registration of their own projects because they are the ones who own these forests”.

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The debate also focused on the establishment of a National Climate Fund.

Susan Matsunga insisted on rigorous oversight, suggesting a biennial reporting cycle to Parliament to ensure progress is measurable. “This is about building a culture of transparency that ensures our climate goals are not just promises on paper but measurable achievements,” Matsunga stated.

Murombedzi added that “Climate finance must not vanish into corridors in Harare; it must flow to the ward level where resilience is built”.

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Zim’s backyard pharmacies boom as economic crisis bites

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BY VANESSA GONYE

Health experts have expressed growing concern over the emergence of illegal herbal creams and unregulated drug sales on the streets of Harare and throughout Zimbabwe.

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A disturbing increase in the presence and sale of unregulated medicines is bedeviling the country, with worry rising over the dangerous outcomes associated with these products.

In recent years, the capital has witnessed a sharp rise in informal drug outlets commonly referred to as “backyard pharmacies”.

 These unlicensed operations are often run from residential homes, tuckshops, market stalls, or simply from blankets laid on busy pavements.

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In recent years, the capital has witnessed a sharp rise in informal drug outlets commonly referred to as “backyard pharmacies”.

 These unlicensed operations are often run from residential homes, tuckshops, market stalls, or simply from blankets laid on busy pavements.

Surveys reveal that these backyard pharmacies operate without any quality control, cold chain storage, or professional oversight.

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Some of the drugs may be counterfeit, expired, adulterated, or incorrectly labelled.

Itai Rusike, the executive director of the Community Working Group on Health (CWGH), expressed alarm over the proliferation of these vendors, noting the trend puts patients’ health and safety at serious risk.

“The challenge is and has always been the gap in communicating the dosage schedule and indication for treatment,” Rusike said.

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“There is no accreditation or regulation of the practitioners, their practice, nor their premises, as is done for registered pharmacists trained in conventional medicine”.

Rusike also highlighted a dangerous lack of scientific data: “There is generally a lack of clinical trials, scientific data and evidence to support the efficacy of street medicines, despite some claims from treated individuals”.

He called for widespread health and treatment literacy programmes to stop citizens from “taking wild gambles” with their health.

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Rusike urged that: “the regulatory authorities should also be seen to effectively apply the laws regulating the sale of medicines in the country and protecting the health and safety of the general public without fear or favour”.

Johannes Marisa, president of the Medical and Dental Private Practitioners of Zimbabwe, echoed these concerns, stating that selling drugs from unregulated places is a major threat to public health.

“When we are talking of public health, we become very worried when we see drugs being sold everywhere,” Marisa said.

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He warned that counterfeit drugs can create a “false belief that you are recovering from something, yet you are taking a counterfeit drug, which does not work”.

He added that such practices prolong infections and increase both morbidity and mortality.

The trend is largely driven by economic hardships that have made formal healthcare unaffordable for many, alongside high unemployment that has pushed individuals into pharmaceuticals as a lucrative vending commodity.

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The Medicines Control Authority of Zimbabwe (MCAZ) has repeatedly warned that these unregistered products pose significant risks, including kidney and liver damage, high blood pressure, and increased cancer risk.

In response, the government has introduced stiffer penalties, with offenders now facing up to 20 years in prison.

SOURCE: THE STANDARD

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