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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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In the community

Victoria Falls Junior Council urged to propose projects for 2026 budget

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BY STAFF REPORTER

In a significant push to empower the youth and encourage community development, Kholwani Mangena, the Chamber Secretary of Victoria Falls City Council, has urged the Junior Council to identify and propose projects they wish to see funded in the 2026 budget.

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This call to action was made during a recent budget consultation meeting held at Chinotimba Clinic, where concerns about the lack of support for the Junior Council and local youth from the council’s livelihoods program were raised.

Mangena highlighted an opportunity, revealing that the council has earmarked a piece of land specifically for youth-led initiatives, particularly in agriculture.

“Otherwise, on the other projects you have proposed such as poultry in this coming budget, for 2026, we have earmarked some piece of land so that if you want to do poultry, you can do that,” she stated. Her message was clear: youth and women, as well as people with disabilities, must take the initiative to define their projects and funding needs.

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The Secretary brought attention to previous efforts made by the council to support marginalized groups, mentioning, “We gave them a piece of land somewhere about three months ago,” referring to the land allocated for various community projects. She encouraged the Junior Council to be proactive in outlining their desired projects, saying, “Identify your projects. Be clear about the projects that you want to do and the funding. And then we can ask the council to fund those.”

Mangena also offered support for fundraising efforts, suggesting that the council could provide initial funding for activities like a talent show to help raise funds for their proposed initiatives. “Before the end of the year, we can do that. For example, maybe you want to do some fundraising. We can give you the money to start that fundraising,” she continued, emphasizing the importance of grassroots efforts in driving change and development.

 

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National

Zimbabwe road traffic fatalities rise to 20 amid recent accidents

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BY STAFF REPORTER

The Zimbabwe Republic Police (ZRP) has confirmed that the death toll from recent road traffic accidents has tragically escalated to at least 20 individuals in the past few days. This surge in fatalities has raised serious concerns regarding road safety across the nation.

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In a statement released today, the ZRP detailed a fatal accident that occurred early this morning at the 246-kilometer peg along the Mutare-Masvingo Road, near Mutendi Complex. A Dragon bus, carrying 20 passengers and traveling from Beitbridge to Mutare, collided with a haulage truck while attempting to overtake. The bus driver swerved back into his lane upon noticing an oncoming vehicle, resulting in a devastating sideswipe that caused timber from the truck to pierce into the bus. Eight people, including the bus driver, died at the scene, and four others were injured in the crash. The injured were transferred to Masvingo General Hospital for treatment.

The ZRP emphasized the alarming trend of road accidents in their statement, noting

that these incidents were predominantly caused by reckless overtaking. “Most of the accidents recorded recently have been due to overtaking errors on the part of drivers,” police officials stated. “We urge all motorists to exercise extreme caution and adhere strictly to traffic regulations.”

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This latest accident follows another tragic incident on August 28 involving a Toyota Fortuner GD6 at the 46-kilometer peg along the same road. The vehicle veered off the road and hit a concrete signpost, resulting in four immediate fatalities. This number subsequently rose to six as two more victims succumbed to their injuries after being admitted to Victoria Chitepo Provincial Hospital.

Additionally, on August 29, a separate accident on the Harare-Nyamapanda Road claimed the lives of seven family members when a kombi they were traveling in lost control during an overtaking maneuver, resulting in an overturn that killed five instantly and two more in the hospital.

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Hwange

Argument over underwear leads to stabbing and attempted murder charge for Hwange woman

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BY STAFF REPORTER

Eunice Ngwenya, a 32-year-old woman from Makwika Village, has appeared in the Hwange Regional Court, facing charges of attempted murder following a domestic dispute that left her boyfriend, Mbekezeli Sibanda, in serious condition.

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The incident, which occurred on the 18th of August, began when Ngwenya, Sibanda, and Ngwenya’s sister were walking together. According to reports, the disagreement erupted over Sibanda’s inner garment, which Ngwenya allegedly refused to return despite his repeated requests.

Following a brief separation, Ngwenya returned to the scene with the garment in hand. However, she had concealed a kitchen knife within it.

As Sibanda reached to reclaim his clothing, Ngwenya allegedly pulled out the knife and stabbed him twice—once in the right arm and once in the right side of his chest.

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Witness accounts indicated that Sibanda sustained serious bleeding injuries as a result of the stabbings.

In a state of distress, he attempted to seek help from a workmate but was unsuccessful. Despite his injuries, he managed to return home, where a friend assisted him in reporting the matter to the police and obtaining medical treatment.

A medical report confirming the wounds has been compiled and will serve as evidence in this case.

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Following the incident, Ngwenya was arrested and charged with attempted murder.

She was remanded in custody today, with the court setting her next appearance for on the 5th of September, pending the finalization of investigations.

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