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Opinion

My dying grandmother’s pain inspired me to challenge Zimbabwe’s pharmacy system

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BY DUDZAI MUREYI

In July 2015, as my 82-year-old grandmother, Sophie Mafuku, lay dying of a terminal illness in Zimbabwe , I spent a day speaking to fellow pharmacists as I tried to fill her morphine prescription.

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If it takes 24 hours for the grandmother of a well-connected medical professional to access scarce drugs, I thought, how long is it taking people with no connections? It set me off on a journey.

In Zimbabwe, systemic shortages are common.

Sometimes, only a handful of pharmacies have particular drugs in stock.

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The shortages are caused by well-documented economic challenges, which affect Zimbabwe’s capacity to manufacture or import medicines.

Moreover, prices vary across private-sector pharmacies because medicine prices in Zimbabwe are not regulated .

Comparing prices is essential for people who have to spend hard-earned US dollars on medicines (some businesses refuse payments in the local currency and from some health insurance plans)

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The impact of shortages and cost variations are exacerbated in Zimbabwe by advertising laws, which prohibit marketing medicines.

This is not unusual – many governments have such restrictions as a public safety measure.

In Zimbabwe, however, this well-intentioned regulation means that pharmacies cannot publicise that they have a drug that is unavailable or more expensive elsewhere.

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Consequently, people often have to trudge from pharmacy to pharmacy enquiring about availability and price in a process that is costly and distressing when a loved one is ill.

It also undermines a person’s right to access medication.

Motivated by my own family’s experience, I set out to see if there was a way to crowdsource real-time inventory and price information from hundreds of pharmacies around Zimbabwe.

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I came up with the Medical Information Service (MIS) – a platform that would allow Zimbabweans to send the name or picture of the medicines they want to a WhatsApp number.

MIS would then crowdsource information from staff at licensed pharmacies in each region of the country, and in a matter of minutes relay the information about where the drugs were in stock and at what price.

In 2015, this proposal was resisted by state healthcare regulators, who viewed it as a covert way to illegally advertise.

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It took the Supreme Court to rule  in November 2018 that MIS was legal.

A further three years later, in 2021, the Zimbabwean government, through a fund for digital innovators, awarded me a grant of $4 million  (about £16,000 at the time the award was announced), to help implement the service.

The irony was not lost on me that the government, through state regulators, had gone from fighting the MIS to funding it.

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Now, six and a half years after that frantic search for my grandmother’s morphine, the service is up and running.

It did take a long time to put a simple workaround to a critical problem into practice.

However, that time was well spent, engaging with pharmacists and learning about crowdsourcing.

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Preliminary observations from the service have emphasised the need for greater price transparency in Zimbabwe’s pharmaceutical system as a first step towards reducing the costs of illness.

For instance, the price of remdesivir , a medicine used to manage Covid-19, ranges from US$100 to US$135 across pharmacies in the capital, Harare, while the cost of praziquantel, a deworming medication used to treat bilharzia, can cost anywhere between $3 and $18.

Zimbabweans using MIS have been able to make important savings.

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My grandmother died peacefully that July.

She is survived by her children, her grandchildren – and by a frugal crowdsourcing intervention that her morphine prescription inspired.

*Dudzai Mureyi is a global health researcher and pharmacist based in Zimbabwe. This article was first published by The Guardian 

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Opinion

Makona ranger base in Hwange National Park: a keystone for protecting critical wildlife habitat 

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BY AZZEDINE DOWNES

What began with a handshake at the Zimbabwe Parks and Wildlife Management Authority (ZimParks) headquarters roughly three years ago between two unlikely partners has now transformed into a long-term partnership that has played a key role in the protection and conservation of Zimbabwe’s iconic natural resources.

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Marking a significant milestone in the partnership between IFAW and ZimParks, the Makona ranger base in Zimbabwe’s largest protected area—Hwange National Park—is now fully operational.

Hwange National Park is home to 150 species of mammals and designated as an important bird area with 400 distinct species and a population of elephants that is estimated to be around 45,000 individuals.

It is also a core part of the Kavango Zambezi Transfrontier Conservation Area (KAZA TFCA).

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The establishment of the ranger base brings the partnership one major step closer to achieving its core mission: to protect the rich biodiversity of the area, conserve and enhance ecological processes, and secure key critical habitats while providing solutions that enhance ranger welfare holistically across an area spanning 14,651km2 acres.

The concept of enhancing ranger welfare is fundamental to ensuring the long-term success of the initiative.

Rangers must be fully dedicated to the objective at hand, as its breadth and scope are not for the faint of heart.

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Leaving their families for months at a time, the work of a ranger demands a level of personal sacrifice that is often too easily overlooked.

Hence, the inauguration of the Makona ranger base serves needs that go beyond the functional and provides a foundational home and conducive working environment for a team who have chosen to undertake a way of life dedicated to the preservation of wildlife and the natural environment.

The base now includes ranger houses, an office complex, recreational centre, and an enhanced radio communications system.

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The impact of all these investments has been significant, resulting in zero incidents of elephant poaching in IFAW-supported areas including Makona over the last three years.

Complementing this enormous success, the IFAW-ZimParks partnership is also investing in the development of sustainable tourism, providing key upgrades to campsites and lodges, and improving park visibility and viability through the construction of a new multi-purpose entrance gate and ancillary facilities.

 

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As is the case with most effective partnerships, the one between IFAW and ZimParks is built upon trust, transparency, and friendship.

 

As the president and CEO of IFAW and as the director general of ZimParks, we are thrilled to celebrate this achievement together.

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It is a testament to a mutual, long-term commitment to the protection and preservation of biodiversity, grounded in a partnership to deliver transformational change for people, wildlife, and the natural environment.

 

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From our experience, the most successful conservation efforts are those which consider human connection—this is essential for enhancing the stewardship of natural resources across landscapes, regardless of size or culture.

 

These are some of the reasons why we recently upgraded the Dete Old Age Home, a well-known institution located on the periphery of Hwange National Park with the capacity to care for 40 senior citizens.

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The community facility was made age-friendly through upgrades that included wheelchair access, representing just a few of the tangible results of conservation efforts which get transferred to the benefit of marginal local communities and institutions.

Other projects in the area include the installation of boreholes that provide easy access to potable water, directly improving community gardens that enhance nutritional health, and improved food security for local communities.

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Another critical result worth highlighting has been the Environmental Stewardship Programme, an effort targeting schools in the outlying area of the park to build future environmental champions.

To enhance ‘conservation on the go’, the partnership has introduced a Pioneer Wildlife Ambulance in Zimbabwe, enhancing in situ care of both injured and sick animals while also undertaking efforts around disease surveillance.

Not only do the rangers now have the vehicles they need to reach animals in need of assistance, but also the enhanced patrolling capabilities that allow them to cover a far greater swath of the landscape than ever before.

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Alongside the actual vehicles themselves, the roads have been upgraded to improve mobility, allowing the vehicles to traverse more effectively and with lesser damage.

Water supply for animals was also enhanced, providing a critical lifeline for wildlife as well as the surrounding human communities—minimizing the competition resulting from a limited water supply which is so often the source of human-wildlife conflict.

All of these results are essentially building blocks that serve as ideas that can be scaled up to fit the needs of other national parks across the landscape including Zambezi, Victoria Falls, and Kazuma Pan, all strategically located and critical for wildlife dispersal within the Kavango-Zambezi Transfrontier Conservation Area (KAZA TFCA).

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The milestones (and more to come) achieved under this partnership are fundamental to the success of the Room to Roam initiative which seeks to secure connected spaces and safe passage for elephants and other wildlife, ultimately fostering harmonious coexistence with people.

Each milestone has served as an additional keystone for the foundation of our long-term partnership agreement of 25 years—and counting.

Though the first steps of practically any endeavour are usually the hardest, those taken by our respective organizations throughout this mutual partnership have been immensely fulfilling—for wildlife, for the local communities, and for the promise to a more prosperous future where the greatest beneficiary will no doubt be nature itself.

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Written by Azzedine Downes, IFAW president and CEO and Dr. Fulton U. Mangwanya, director-general of Zimbabwe Parks and Wildlife Management Authority (ZimParks)

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Opinion

Best things to do and places to stay in Victoria Falls, Zimbabwe

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BY URBANMATTER STAFF

Every traveller hopes to visit and experience Victoria Falls’ most enjoyable location at least once. However, traveling anywhere costs a lot of money, and seeing Victoria Falls in Zimbabwe is no exception. Naturally, you would also need to set aside some money for this. But how will you confirm that you have created the appropriate budget? Well, this inquiry is both pertinent and essential. Knowing every detail about the area is necessary to find the answer to this critical issue.

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However, the second concern is where to find accurate and comprehensive information about Victoria Falls. Let’s congratulate you and say that this post is here to clear up any questions, worries, or misunderstandings you may have concerning this location. With the help of this article, citizens of the United Kingdom (UK) can find cheap flights to Zimbabwe. So let’s first look at Victoria Falls to see what it offers tourists, the ideal time to go, etc.

Overview of Victoria Falls, Zimbabwe

It is one of the giant water blankets on Earth, more than two kilometres wide at this point, and it thunderously descends through several basalt canyons before dropping 108 metres into a small pit. It is Africa’s fourth-longest river. On November 17, 1855, Scottish missionary and physician David Livingstone made the discovery. He named it Victoria in honour of the UK’s Queen Victoria. Both the Mosi-ao Tunya National Park in Zambia and the Victoria Falls National Park, situated on the Zimbabwean side of the Zambezi River, are included as UNESCO World Heritage Sites.

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Victoria Falls National Park: On the Zimbabwean side, Victoria Falls National Park is a lush rainforest reserve with some of the best views of the falls. You can stroll along the park’s walkways, which wind through the rainforest and emerge with views from where you can see four of the five separate fall sections on this side. Crossing the border between Zimbabwe and Zambia is made simple by the Victoria Falls Bridge.   

Batoka Gorge Swing: Everyone like swinging, right? This raises the bar considerably. You step off the platform while standing 120 meters above the swiftly flowing Zambezi River below. (Or you can run, jump, or dive; your “bravery/stupidity” determines the alternatives!)

Cruise on the river: You may anticipate seeing elephants, hippos, crocodiles, vervet monkeys, baboons, and birds throughout your two-hour trip. A late-afternoon boat trip is a fantastic way to take in the peace of the upper Zambezi and witness an unforgettable African sunset.

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Bungee Jump: Why not attempt the 111-meter Bungee Jump from the Victoria Falls bridge’s centre? Consistently ranked as one of the top 5 bungees in the world, you have just 4 seconds to admire one of the seven wonders of the natural world before hurtling down to the river below! It is among the most exhilarating activities in Victoria Falls!

A helicopter journey is a beautiful method to comprehend Victoria Falls’ enormous immensity. The Mosi-oa-Tunya, or “The Smoke That Thunders,” mist wall that gives the location its local name will be passed over as you soar over the cascades on flights 12 and 13. As you soar above the Zambezi River, you’ll take in the beautiful sights of Batoka Gorge and keep an eye out for hippos or elephants. As a result, Victoria Falls, Zimbabwe, has more to offer than its counterparts here. Let’s shift to the essay’s next section, which discusses picking the ideal moment to travel there. You can find inexpensive flights from the UK to Victoria Falls, Zimbabwe, by using the following advice:

Weekday Flying: A low-cost airline must choose your flight dates, such as Tuesday or Wednesday. These weekdays were selected since they are frequently more affordable than other days. Getting the cheapet flight from the UK to wherever you worked during the week was more straightforward.

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Stopover flight: It is recommended to go with airlines that provide indirect flights rather than direct flights. You might save a lot of money if you plan your trip. The cost of flying direct is prohibitive in comparison. Instead of squandering money, use the enjoyable “Indirect” mode of travelling.

Comparison: Another strategy to locate the most incredible travel deal is to compare flight ticket costs as much as possible. Thanks to it, you’ll be able to make decisions without hesitance or uncertainty. Because it broadens your knowledge and expertise, the comparison tactic is typically adequate. Compare all the airlines on your shortlist.

Being adaptable: If you live in the United Kingdom (UK) and want to visit Victoria Falls, you must choose the right time and dates for your vacation. You will pay more if you book a flight during a significant international holiday like Christmas or New Year’s. Flying tickets might sell out very quickly, depending on the circumstances.

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Pre-booking: Book as far as you can to secure the best and most affordable flights. Almost always, making reservations three or six months in advance is a good idea. Travellers can benefit from substantial discounts, have plenty of time for reflection, add or delete any desired or unwanted items, etc.

Consequently, this article will assist you in reducing any confusion you may have about the location as it explains when to book your cheap flight, how to find inexpensive flights, how to keep your travel expenses down, and how to enjoy Victoria Falls, Zimbabwe, to the fullest. So, prepare for your path with clarity. – UrbanMatter 

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Opinion

Zimbabwean youths drink and smoke themselves to oblivion

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BY CLAYTON MOYO

“Ah, we won’t be having this crew in the next five years. “

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“They are drinking and smoking themselves to oblivion,” says one of the patriarchs as we slaughter a neighbour’s beast in my village in southwestern Zimbabwe over the weekend.

He says so as he points at one of the young lads who has taken a break to gulp down a mouthful from a small bottle of what has become a popular alcoholic beverage across rural and high-density suburbs in Zimbabwe’s urban centres.

The alcoholic volume of the beverage is not immediately given in the package, as is the norm, but observing the sobriety plunge of one who indulges in a few gulps gives absolute pointers of extraordinary potency.

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In the neighbour’s cattle kraal where we slaughter the beast in preparation for a feast, there are about five more young lads who are sharing the beverage, each small empty bottle thrown away goes with a substantial dosage of inhibitions and the chatter constantly threatens to teeter into a brawl.

They are not the only ones who pass the time brawling over alcohol.

In a period of more than a month, I have travelled to many parts of Matabeleland South and Bulawayo provinces coordinating a media and information literacy programme, and the participants in our meetings have been predominantly young women and the elderly.

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After a few meetings, my curiosity gives in and I inquire.

“If you care so much about having young men in your meetings, go and conduct these training sessions from that bottle store,” said Edna Mpala, an elderly lady who oversees activities at Nyandeni Community Training Centre in Matabeleland South.

“We have lost them. They have all become useless.”

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It is not too hard to establish why young people in rural and urban Zimbabwe have become “useless”.

Figuring out Zimbabwe’s unemployment rate is a fool’s errand. Convincing figures are elusive and some estimates go as high as 95 percent.

The World Bank database suggests 5.2 percent as of 2021, suggesting the majority of Zimbabweans are at work.

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At first glance, that is quite positive, except I quickly learn that in Zimbabwe we no longer agree on what unemployment is – the economy has become so informal that such important economic activity indicators like employment rates are fluid.

Making a quick buck selling roasted maize at a dusty street corner before municipality police scatter your stock? Tick, you are employed!

But for those living in the country, the picture is vivid. Once bustling industrial areas of Belmont and Thorngrove in the city of Bulawayo now have lifeless premises, grass overgrown right at the gates.

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Where there is life, a church ministry of one sort or another has taken over, aggressively manufacturing desperate believers who endlessly spend week-day evenings and weekends petitioning their creator for a miracle that will drive out misery.

In desperate times, you choose a pacifier. Young people have a different opiate of choice.

The alcoholism and drug abuse crisis in Zimbabwe has become so palpable and alarming that even the usually non-responsive policymakers are acknowledging the problem.

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For quite a while, the spectacle of zombie-like young bodies, numbed by a cocktail of substances from alcohol to whatever else the street provides, was a distant story on South African television, narrating the nyaope crisis in Johannesburg.

It was never a familiar sight in Zimbabwean communities until it was. The street pavements in Harare and Bulawayo now have, on top of uncollected heaps of refuse, unsightly human bodies, stupefied by an assortment of substances.

The streets of Zimbabwe’s towns are churning out rare destructive ingenuity on improvising harmful substances as alternatives to expensive drugs.

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From boiling diapers and sanitary pads, extracting whatever chemicals hit the right places to concoctions of cough mixtures and alcohol, sobriety has no chance, the possibilities of escaping it are endless.

The concerns of the patriarch in my village are pretty valid. The consumption of copious amounts of alcohol and drugs is not leaving any healthy body behind. Mental health is already flashing red.

The World Health Organisation reports that up to 57% of mental health cases in Zimbabwe are induced by drug abuse.

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Statistics often capture those who turn up at formal health institutions. Dealing with mental health illnesses in Zimbabwean society is much more complex than seeking treatment for other ailments.

The burden of shame that families carry when one member develops a mental health condition creates a whole lot of “under the radar” treatment activities that happen away from medical specialists who can diagnose and offer appropriate treatment.

Spiritual prophets and traditional healers are the go-to for ailments that are believed to be “into zabantu” — afflictions speculated to be caused by witchcraft. Mental health conditions are almost invariably believed to be stirred by the jealous agitations of a relative, neighbour or colleague. On such issues, medicines administered by doctors are believed to be impotent.

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Spiritual prophets and traditional healers do not have standard treatment protocols like medical professionals, and anything goes.

That includes rituals that could worsen a patient’s mental condition.

Their shrines form the busy margins where mental patients are surreptitiously dragged by relatives.

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Zimbabwe’s Mental Health Act guarantees the treatment of mental patients, and treatment and admission at government psychiatric hospitals are free of charge. Great, on paper of course, like most things in the country.

The Zimbabwean healthcare system is facing an all-embracing assault from the economic crisis which no longer has traceable phases, one cycle overrides another.

Currently, inflation that has spectacularly eroded the salaries and living conditions of health workers is emptying hospital wards. Nurses and doctors have updated their passports and found work elsewhere. Young doctors who used to bitterly complain on social media about their working conditions have gone curiously quiet. There is no point in noisily walking away.

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In 2021, Zimbabwe launched the National Drug Master Plan, which “offers both an integrated and comprehensive approach that will address a range of drug-related issues”.

The background section of the plan already betrays the reluctance in tracing illicit drug use in the country as it cites statistics from the Zimbabwe Republic Police’s criminal investigations reports of 2012.

There is a yawning gap between then and 2021.

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The plan rightly captures the causes of drug abuse – the first one being poverty.

For most young people, there is no doubt that poverty pushes them to illicit drug use.

The proposed implementation matrix looks comprehensive as it claims, except there is no control of the drug abusers’ factory – the economic mess.

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As long as Zimbabwe provides no work opportunities for the young lads in my village in Matebeleland South and indeed the rest of the country, the small bottles of alcohol will litter the place and inebriated bodies will compete for space with uncollected refuse in alleyways and pavements.

Back in the neighbour’s kraal, we finish off the half-charred pieces of meat, coated with a bit of ash as is the tradition – when a beast falls, the men who slaughtered it have the first braai at the kraal.

The young lads agree among themselves that it is a perfect day for a proper binge, as the meat has set a “base” for more alcohol. – Mail & Guardian

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This is an edited version of an essay that was a runner-up in this year’s Canon Collins Trust “Troubling Power” Essay Competition.

*Clayton Moyo, a Canon Collins PhD scholar, is a digital media enthusiast teaching broadcast media at the National University of Science and Technology in Zimbabwe. He shares media skills outside the university with citizen journalists and emerging media entrepreneurs. 

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