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Tuberculosis treatment in jeopardy as Zimbabwe loses US Aid

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Natasha Gwashure holds her son, Anashe, who is receiving free tuberculosis treatment at Beatrice Road Infectious Diseases Hospital in Harare. The hospital, which has relied on USAID funding for TB treatment, faces uncertainty following a US aid freeze.

BY LINDA MUJURU

Natasha Gwashure watches as tuberculosis ravages her 1-year-old son Anashe’s frail body. He has been ill for more than a month. Gwashure struggles to accept the diagnosis. Her only solace is that they have access to free medication.

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“Without this support, the chances of defaulting on treatment because of monetary constraints would have been significantly higher,” she says.

 

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For years, the United States Agency for International Development has stood at the front lines of Zimbabwe’s TB battle, providing critical support for detection, treatment and prevention. But this lifeline now hangs in the balance as a US executive order threatens to undermine years of progress, potentially forcing patients, like Gwashure’s son, to abandon lifesaving treatments.

 

TB is a particularly vicious illness. Left untreated, the mortality rate is about 50%. It spreads easily, when an infected person coughs or sneezes, or even sings or speaks.

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US President Donald Trump issued an executive order on Jan. 20, his first day in office, to suspend nearly all international aid. That includes USAID programs, which administer lifesaving health and other services around the world.

 

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The recent funding freeze leaves a huge gap in Zimbabwe, where nearly all funding for TB treatment comes from international donors. Just 4% of that funding is domestic.

 

In 2024, USAID allocated 7 million United States dollars for TB treatment, screening and other necessary interventions in Zimbabwe. Despite decades of medical advances, tuberculosis still rampages across the globe. TB affected 10.8 million people in 2023; 1.3 million of those were children.

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In Zimbabwe, the battle against TB reveals a health care system struggling to keep up. In 2021, just a little over half of an estimated 30,000 new infections received treatment.

 

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The human cost of scrapping USAID programs is already evident here. Hospitals that once benefited from US-backed health programs now face mounting pressure as health workers supported by these initiatives have been forced to stop working.

 

A local nurse, who requested anonymity for fear of retribution, says it’s strained an already overextended health care system. She says that nurses previously funded by USAID-backed organizations, who primarily cared for patients with HIV, TB and other diseases, have stopped reporting to work. And what used to be handled by a full team of nurses is now falling on just a handful.

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The freeze has begun dismantling Zimbabwe’s TB care network. New Start Centre — once a cornerstone facility, providing essential CD4 count testing, TB screening, diagnosis and counseling — has already gone dark, its doors closed as funding runs dry.

 

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Noah Taruberekera, executive director of Population Solutions for Health, which has relied on USAID support for these centers, acknowledges the dire challenges now confronting patients and health care providers. He says he is not authorized to share additional details.

 

The funding crisis ripples beyond TB control, casting a shadow over HIV programs — a critical concern since TB preys particularly on those with HIV. While effective antiretroviral therapy can reduce the risk of developing TB, ongoing screening and preventive measures are vital for those with HIV.

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HIV co-infection affects 68% of TB cases in Zimbabwe, but the national government covers only 7% of the required TB budget. International donors contribute 60%, leaving a significant funding gap.

 

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Despite the mounting challenges, Dr. Fungai Kavenga, deputy director of TB and prevention control in the government’s Ministry of Health and Child Care, remains hopeful.

 

“If donor support diminishes, I am confident that the government of Zimbabwe can still ensure a steady supply of treatment for TB patients,” he says.

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But Barbara Samu, a TB patient receiving care at Beatrice Road Infectious Diseases Hospital, underscores the critical role of donor support. She received free medication because USAID supported the hospital.

 

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“I can’t even begin to imagine where I would find the money for treatment,” she says. “I would be facing a death sentence.”

 

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

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National

Education ministry launches nationwide one laptop, one iPad per pupil program

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BY LWAZI SHOKO

Zimbabwe has launched a nationwide One Laptop, One iPad Per Pupil initiative aimed at bridging the digital divide and expanding access to technology in schools, Minister of Primary and Secondary Education Torerayi Moyo announced on X on Monday.

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The programme, being implemented in partnership with UNICEF Zimbabwe, will see the distribution of ICT equipment including laptops, tablets and projectors to schools across the country, with priority given to disadvantaged and solar-powered schools.

According to Minister Moyo, the initiative is designed to strengthen digital teaching and learning while promoting inclusive and equitable education. He said the programme seeks to ensure that all learners, regardless of geographic location or socio-economic background, have access to modern learning tools.

“As part of this initiative, I had the honour of presiding over the official handover of a major consignment of ICT devices,” Moyo said, adding that the resources would support the delivery of quality education and help prepare learners for a technology-driven future.

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The minister described the programme as a transformative step that goes beyond the provision of devices, framing it as an investment in equity, opportunity and long-term national development.

Moyo also paid tribute to President Emmerson Dambudzo Mnangagwa, crediting his leadership under Vision 2030 and the Presidential Computerisation Programme for driving innovation and public-private partnerships in the education sector.

“By placing a laptop and an iPad in the hands of every pupil, we are building the digital foundations of a knowledge-based economy,” he said.

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Lastly, expressed gratitude to UNICEF Zimbabwe and other development partners for their continued support, noting that the collaboration is key to building a more connected and future-ready education system.

 

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In the community

Two artisanal miners die in Umguza mine shaft collapse

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BY STAFF REPORTER 

Two artisanal miners have died following the collapse of a flooded mine shaft at Cement Side in Umguza District, ZBC has reported.

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The incident occurred early Tuesday morning after heavy water ingress caused the shaft to give way, trapping the two men underground.

When rescue teams arrived at the scene, officers from the Bulawayo Fire and Ambulance Services Department, assisted by local volunteers, were leading recovery efforts.

A survivor of the incident, Khulumani Nkomo, described the terrifying moments leading up to the collapse.

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“We heard a loud cracking sound as we reached the ground, then water started rushing in. The two were behind us, and the shaft just closed, trapping the other one in the tunnel,” he said.

Nkomo added that attempts to rescue the trapped miners proved futile.

“We tried to dig with our hands and tools, but the water kept coming. By the time help arrived, it was already too late.”

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A brother of one of the deceased miners said the family is struggling to cope with the loss, revealing that the victim was only 19 years old.

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National

Unregulated mining pushes Zimbabwe toward environmental and public health crisis

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BY STAFF REPORTER

Zimbabwe is facing a deepening environmental and public health emergency driven by unchecked mining activities, with environmental experts warning that the situation has escalated into a national security concern.

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The alarm was raised during discussions aired on recently at CITE, where environmental leaders unpacked the scale of ecological damage unfolding across the country.

Centre for Natural Resource Governance (CNRG) Executive Director Farai Maguwu said Zimbabwe’s mining boom has reached crisis levels, fuelled largely by economic decline and the collapse of formal employment.

“Mining has become the default survival strategy for many Zimbabweans,” Maguwu said, noting that widespread job losses and industrial shutdowns have pushed communities toward extractive activities as a quick source of income.

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He warned that weak governance has allowed mining to spread into protected and ecologically sensitive areas, despite existing policies that prohibit such activities.

“We are seeing mountains disappearing and rivers being destroyed. Even with a ban on riverbed mining, enforcement has collapsed,” Maguwu said.

According to Maguwu, mining has encroached into UNESCO heritage sites and protected zones such as Mavuradona Wilderness, while areas like Shurugwi and Poterekwa Mountain have suffered extensive damage.

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More concerning, he alleged that some law enforcement agents and senior officials are complicit in environmental destruction.

“In places like Penhalonga, elements within the police, military, senior government structures and intelligence services are allegedly part of mining syndicates,” he said, warning that the crisis now threatens national stability.

Maguwu also highlighted the dangers of mining beneath roads and residential areas, which he said could result in catastrophic collapses and flash floods.

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“They are creating underground dams in mountains. When these give way, people will be swept away,” he said.

He criticised what he described as a lack of urgency from authorities in responding to the scale of destruction.

“If government is concerned about the future of this country, the current level of environmental damage should be setting off alarm bells,” Maguwu said.

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He further explained that the shift from underground mining to open-cast methods has accelerated deforestation, land degradation and loss of agricultural land, undermining food security.

The uncontrolled use of toxic substances such as mercury and cyanide, particularly during the rainy season, has also heightened contamination risks.

“These chemicals are being dumped indiscriminately, with no punitive measures in place,” he said, warning that rainfall washes toxins into rivers, dams and streams.

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Maguwu expressed particular concern for rural communities dependent on untreated water from shallow wells, especially in Marange and Matabeleland North.

“People are drinking contaminated water. The long-term health consequences are devastating and still unfolding,” he said, describing the crisis as an “environmental Armageddon.”

Similar concerns were echoed by Nkosikhona Sibanda, Executive Director of the Centre for Environmental and Corporate Accountability Research (CECAR), who said the crisis is nationwide.

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In Matabeleland North, Sibanda said mining activity—particularly by Chinese-owned companies—has intensified in areas such as Hwange, Kamativi in Binga, and surrounding districts.

“When communities hear about foreign investment, they expect development. Instead, they are experiencing severe environmental degradation,” Sibanda said.

Studies conducted between 2024 and 2025, he added, revealed dangerous levels of air pollution in Hwange.

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“The results were shocking. Air quality is far beyond safe limits, and people are breathing toxic substances daily,” Sibanda said.

Health facilities in affected areas have reportedly recorded a rise in respiratory illnesses and chronic diseases, underscoring the growing human cost of environmental neglect.

“This is no longer just an environmental issue—it is a public health emergency,” Sibanda said.

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This report is based on information originally published by the Centre for Innovation and Technology (CITE).

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