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Scientists mystified, wary, as Zimbabwe and Africa avoid Covid disaster  

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BY MARIA CHENG AND FARAI MUTSAKA

At a busy market in a poor township outside Harare this week, Nyasha Ndou kept his mask in his pocket, as hundreds of other people, mostly unmasked, jostled to buy and sell fruit and vegetables displayed on wooden tables and plastic sheets.

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As in much of Zimbabwe, here the coronavirus is quickly being relegated to the past, as political rallies, concerts and home gatherings have returned.

“Covid-19 is gone, when did you last hear of anyone who has died of Covid-19?” Ndou said.

“The mask is to protect my pocket,” he said.

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“The police demand bribes so I lose money if I don’t move around with a mask.”

Earlier this week, Zimbabwe recorded just 33 new Covid-19 cases and zero deaths, in line with a recent fall in the disease across the continent, where World Health Organisation data show that infections have been dropping since July.

When the coronavirus first emerged last year, health officials feared the pandemic would sweep across Africa, killing millions.

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Although it’s still unclear what Covod-19’s ultimate toll will be, that catastrophic scenario has yet to materialise in Zimbabwe or much of the continent.

Scientists emphasize that obtaining accurate Covid-19 data, particularly in African countries with patchy surveillance, is extremely difficult, and warn that declining coronavirus trends could easily be reversed.

But there is something “mysterious” going on in Africa that is puzzling scientists, said Wafaa El-Sadr, chair of global health at Columbia University.

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“Africa doesn’t have the vaccines and the resources to fight Covid-19 that they have in Europe and the U.S., but somehow they seem to be doing better,” she said.

Fewer than six percent of people in Africa are vaccinated.

For months, the WHO has described Africa as “one of the least affected regions in the world” in its weekly pandemic reports.

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Some researchers say the continent’s younger population — the average age is 20 versus about 43 in Western Europe — in addition to their lower rates of urbanisation and tendency to spend time outdoors, may have spared it the more lethal effects of the virus so far.

Several studies are probing whether there might be other explanations, including genetic reasons or exposure to other diseases.

Christian Happi, director of the African Center of Excellence for Genomics of Infectious Diseases at Redeemer’s University in Nigeria, said authorities are used to curbing outbreaks even without vaccines and credited the extensive networks of community health workers.

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“It’s not always about how much money you have or how sophisticated your hospitals are,” he said.

Devi Sridhar, chair of global public health at the University of Edinburgh, said African leaders haven’t gotten the credit they deserve for acting quickly, citing Mali’s decision to close its borders before Covid-19 even arrived.

“I think there’s a different cultural approach in Africa, where these countries have approached Covid with a sense of humility because they’ve experienced things like Ebola, polio and malaria,” Sridhar said.

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In past months, the coronavirus has pummelled South Africa and is estimated to have killed more than 89,000 people there, by far the most deaths on the continent.

But for now, African authorities, while acknowledging that there could be gaps, are not reporting huge numbers of unexpected fatalities that might be Covid-related.

WHO data shows that deaths in Africa make up just three percent of the global total.

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In comparison, deaths in the Americas and Europe account for 46 percent and 29 percent.

In Nigeria, Africa’s most populous country, the government has recorded nearly 3,000 deaths so far among its 200 million population.

The US records that many deaths every two or three days.

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The low numbers have Nigerians like Opemipo Are, a 23-year-old in Abuja, feeling relieved.

“They said there will be dead bodies on the streets and all that, but nothing like that happened,” she said.

Oyewale Tomori, a Nigerian virologist who sits on several WHO advisory groups, suggested Africa might not even need as many vaccines as the West.

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It’s an idea that, while controversial, he says is being seriously discussed among African scientists — and is reminiscent of the proposal British officials made last March to let Covid-19 freely infect the population to build up immunity.

That doesn’t mean, however, that vaccines aren’t needed in Africa.

“We need to be vaccinating all out to prepare for the next wave,” said Salim Abdool Karim, an epidemiologist at South Africa’s University of KwaZulu-Natal, who previously advised the South African government on Covid-19.

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“Looking at what’s happening in Europe, the likelihood of more cases spilling over here is very high.”

The impact of the coronavirus has also been relatively muted in poor countries like Afghanistan, where experts predicted outbreaks amid ongoing conflict would prove disastrous.

Hashmat Arifi, a 23-year-old student in Kabul, said he hadn’t seen anyone wearing a mask in months, including at a recent wedding he attended alongside hundreds of guests.

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In his university classes, more than 20 students routinely sit unmasked in close quarters.

“I haven’t seen any cases of corona lately,” Arifi said.

So far, Afghanistan has recorded about 7,200 deaths among its 39 million people, although little testing was done amid the conflict and the actual numbers of cases and deaths are unknown.

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Back in Zimbabwe, doctors were grateful for the respite from Covid-19 — but feared it was only temporary.

“People should remain very vigilant,” warned Dr. Johannes Marisa, president of the Medical and Dental Private Practitioners of Zimbabwe Association.

He fears that another coronavirus wave would hit Zimbabwe next month.

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“Complacency is what is going to destroy us because we may be caught unaware.” – AP

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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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