Connect with us

Slider

Tuberculosis treatment in jeopardy as Zimbabwe loses US Aid

Published

on

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.

Advertisement

 

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

 

Advertisement

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.

Advertisement

 

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.

 

Advertisement

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.

Advertisement

 

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.

 

Advertisement

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.

Advertisement

 

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.

 

Advertisement

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.

Advertisement

 

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.

 

Advertisement

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.

Advertisement

 

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.

 

Advertisement

“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.

Advertisement

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

National

Zimbabwe makes gains against TB

Published

on

BY WANDILE TSHUMA

The World Health Organization (WHO) data show that Zimbabwe continues to make measurable gains in its fight against tuberculosis (TB).

Advertisement

According to the Global Tuberculosis Report 2025, Zimbabwe’s estimated TB incidence has declined to 203 per 100,000 population, representing a 3.8 % reduction from 2023. The report states that “TB incidence in Zimbabwe has fallen to 203 per 100 000, a 3.8 % reduction from 2023.” 

On treatment outcomes, the country’s overall success rate for all forms of TB has improved to 91 %, up from 89 % in 2023. The report quotes: “Treatment success for all forms of TB has improved to 91 %, up from 89 % in 2023.” 

For drug-resistant TB (DR-TB), progress has also been recorded: treatment success rose from 64 % for the 2021 cohort to 68 % for the 2022 cohort. As the report notes: “treatment success for drug-resistant TB increased from 64 % for the 2021 cohort to 68 % for the 2022 cohort.” 

Advertisement

In the critical sphere of TB‐HIV co-infection, Zimbabwe saw a drop in the co‐infection rate to 49 %, down from 51 %. The report states: “TB/HIV co-infection rates have fallen to 49 %, down from 51 %.” 

Zooming out, the 2025 global report shows that across the world TB is falling again, although not yet at the pace required to meet targets. Globally, incidence declined by almost 2 % between 2023 and 2024, and deaths fell around 3 %. 

However, the report warns that progress is fragile. Funding shortfalls, health-system disruptions (especially during the COVID-19 era), and the ongoing challenge of drug-resistant TB threaten to erode gains. The WHO page reminds that the 2025 edition “provides a comprehensive … assessment of the TB epidemic … at global, regional and country levels.” 

Advertisement

For example, although more people are being diagnosed and treated than in previous years, not enough are being reached with preventive interventions, and many countries are still far from the targets set under the End TB Strategy.

 

Advertisement
Continue Reading

Slider

Zimbabwe pushes youth-centred, rights-based, and community-driven reforms ahead of CITES CoP20

Published

on

BY NOKUTHABA DLAMINI 

As the world prepares for the 20th Conference of the Parties (CoP20) to the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), Zimbabwe has outlined a bold and comprehensive policy agenda that shifts global discussions beyond ivory and toward broader issues of sustainable use, human rights, and community empowerment.

Advertisement

In an exclusive interview with VicFallsLive, Dr. Agrippa Sora, board chairman of the Zimbabwe Parks and Wildlife Management Authority (ZimParks), said the country’s proposals are anchored on a simple but transformative message: wildlife conservation must deliver real benefits to the people living with wildlife.

Key proposals Zimbabwe taking to CITES CoP20

1. Commercial trade in elephant leather products

Zimbabwe is pushing for approval to engage in regulated commercial trade in elephant leather products. Authorities argue that this form of value addition can bring economic gains to local communities, promote sustainable use, and reduce reliance on donor funding.

Advertisement

2. A formal voice for communities within CITES

Zimbabwe is advocating for the establishment of an Advisory Body or Community Forum within CITES, ensuring that the voices of rural people—who coexist with wildlife—formally shape decisions on international trade, conservation restrictions, and benefit-sharing.

This push echoes one of the founding principles of CITES, which acknowledges that “peoples and States are and should be the best protectors of their own wild fauna and flora.”

Advertisement

3. Recognition of human rights within conservation governance

Zimbabwe’s delegation wants CoP20 to acknowledge the human rights dimensions of conservation—particularly:

  • The right to safety for communities facing human–wildlife conflict
  • The right to food security
  • The right to benefit from natural resources within their landscapes

For Zimbabwe, these rights are inseparable from wildlife management.

Moving beyond ivory: A broader view of sustainable use

Advertisement

Dr. Sora emphasized that Zimbabwe does not want the CoP20 debate to be reduced to ivory.

Zimbabwe argues that without these broader interventions, the conservation model remains unbalanced—protecting wildlife while leaving the people who live among it trapped in poverty

Youth at the centre of the conservation agenda

Advertisement

One of the strongest themes in Zimbabwe’s CoP20 position is youth empowerment, an area Dr. Sora said is now central to national conservation policy.

“Zimbabwe is supporting the Youth Ethnic Conservation Agenda, and we want to continue empowering young people,” Dr. Sora said.

“These are young people who travel long distances between villages and shopping centres, often unaware of wildlife incidents happening around them.”

Advertisement

He revealed that Zimbabwe has approved the establishment of a national chapter of the CITES Rural Youth Network, a platform designed to give young rural citizens a voice in global conservation decision-making.

Dr. Sora said young people—often traveling long distances between villages and service centres—are the first responders to wildlife encounters, yet are rarely included in policy processes.

“Their inclusion is critical for awareness, safety, and community resilience,” he said.

Advertisement

A rights-based approach linked to national priorities

Dr. Sora linked Zimbabwe’s CITES proposals to the country’s National Development Strategy (NDS2), which prioritises poverty eradication.

“We want to ensure that communities living within wildlife landscapes receive meaningful support and benefits from the natural resources around them,” he said.

Advertisement

This includes promoting value addition—for example, crafting products from elephant leather—and enabling community enterprises tied to legal wildlife products.

“We are promoting opportunities for value addition so that communities can benefit economically from the wildlife with which they coexist.”

He added that the board is committed to transitioning youth from vulnerability to empowerment, ensuring access to education, business opportunities, and long-term livelihoods.

Advertisement

Unlocking finance through sustainable use

Zimbabwe also plans to push for financial mechanisms—particularly the sustainable use of existing wildlife stockpiles—to support community development.

“Our aim is to secure mechanisms that allow us to reinvest in these communities, strengthening their resilience and ensuring they thrive alongside wildlife.”

Advertisement

Zimbabwe argues that restrictive global trade rules deprive communities of funding that could improve safety, reduce human–wildlife conflict, and support conservation programs.

Zimbabwe’s position rooted in CITES founding principles

Zimbabwe’s proposals, Dr. Sora said, are consistent with the spirit of CITES itself.

Advertisement

The convention’s preamble affirms:

Wild fauna and flora are an irreplaceable part of the earth’s natural systems… Peoples and States are and should be the best protectors of their own wild fauna and flora… International cooperation is essential to prevent over-exploitation…

Zimbabwe believes that empowering communities, recognizing human rights, and enabling sustainable use are simply modern applications of these foundational principles.

Advertisement

Continue Reading

In the community

Drought has brought trucks of shame to Lupane

Published

on

BY NOKUTHABA DLAMINI

In rural Lubimbi and Gwayi, Lupane district, the drought has done more than dry up rivers; it is straining communities.

Advertisement

Year after year, the rains fail, fields are left cracked and hunger tightens its grip. Now, girls as young as 14 are being drawn into sex work—sometimes with their parents’ knowledge—just to put food on the table.

At Gwayi growth point, where haulage trucks park overnight along the Victoria Falls–Bulawayo highway, the trade is an open secret.

Harvest of Pain

“We see a lot of trucks coming here to park,” says Coster Ncube, a Gwayi villager. “Parents end up allowing their daughters to roam around at night for sex work because there’s no food at home. The fathers are unemployed and poverty is crushing us.”

Advertisement

Ncube’s voice carries both anger and grief. His 13-year-old niece, who was in Grade 7, recently fell pregnant after being sexually exploited by a married man who has since vanished.

“She’s in hospital now, waiting to give birth,” he told NewsHub on 26 September. “It’s heartbreaking. These are children who should be in school, not out here dying of diseases.”

He adds that the girls often come from as far as Jotsholo, Mabale, Cross Dete, Lupote and Lupane Centre—hundreds of kilometres away—drawn by the trucks and the chance to earn a few dollars through commercial sex.

Advertisement

“They’re between 14 and 21,” he says. “All they want is survival.”

For Selina Mthupha, a 47-year-old widow and small-scale farmer in Lubimbi, climate change has turned her once productive fields into dust.

“We used to have maize and groundnuts stacked in our granaries,” she says. “Now, even the millet dies before it tassels. The borehole water is salty, and the riverbeds are dry.”

Advertisement

She says she struggles to feed her two teenage daughters. “When I hear that girls their age are doing sex work for two dollars, I don’t judge. I cry. Because hunger can make you do things you never thought possible.”

Selina says she once dreamed of sending her children to college. “Now I just dream of rain.”

The desperation in Lupane mirrors findings from national research.

Advertisement

A 2025 study titled “Climate Change and the Feminisation of Poverty in Africa” established that climate change in rural Zimbabwe is deepening food insecurity and forcing women and girls into survival strategies that expose them to exploitation.

The study noted that failed harvests and long dry spells have left women with fewer economic options and greater vulnerability to abuse and transactional sex.

Another report published in 2021, “Challenges Faced by Rural People in Mitigating the Effects of Climate Change in the Mazungunye Community, Masvingo Province”, found that communities were already suffering the direct impacts of climate change: failed crops, loss of livestock, and worsening poverty.

Advertisement

It warned that most rural families lack access to climate-adaptive resources, leaving them trapped in a cycle of vulnerability.

For Ruth Bikwa, director of Hopeville, an organisation which works in child protection in Hwange’s Matabeleland North province, the crisis reflects a dangerous intersection of climate change, poverty, and neglect.

“When harvests fail and there’s nothing to eat, girls start finding other means to survive,” she explains.

Advertisement

“It’s not about choice, it’s about hunger. They trade sex for one or two dollars, just enough to buy mealie-meal or soap. And once they start, they face abuse, disease, and stigma. It becomes a trap.”

Bikwa says when droughts and economic shocks worsen, so does child exploitation. “It follows the poverty line. The harsher the climate, the more vulnerable the children become.”

“We Are Failing Our Children”

At Gwayi Centre, a resident, Shelter Vengesai Mpofu says drought has turned daily life into a survival theatre.

Advertisement

“Our boreholes run dry by midday,” she says. “We used to harvest from our fields, but now there’s nothing. The children see others making money from truck drivers and think that’s their only chance.”

She pauses, then continues: “We are failing our children — not because we want to, but because poverty leaves us helpless.”

At Gwayi Valley Primary School, teacher Mthulisi Ncube (name changed as teachers are not always allowed to speak directly with the press) says climate change is not only wiping out crops but also the classroom.

Advertisement

“We’ve lost many girls from the upper grades,” he says. “Some stop coming because they don’t have uniforms or sanitary pads. Others are lured by quick money. You can tell when hunger follows a child. They stop concentrating, then they disappear.”

He says teachers try to intervene, but most families are too poor to cope. “How do you tell a hungry child to stay in school when there’s no food at home? It’s better though now because the government at times provides hot meals in schools after realising this challenge.”

“It’s Laziness, Not Hunger”

Ward 24 councillor Senzeni Sibanda sees things differently.

Advertisement

“Our children don’t want to go to school or do physical work,” she says. “We have a vocational training centre and detergent-making lessons for just three dollars, but they refuse. They prefer quick money.”

Sibanda says her office has appealed for limits on overnight truck parking but was told the law allows drivers to rest anywhere along the road.

“The trucks bring prostitution, yes, but our youths are also lazy. They don’t want to work.”

Advertisement

Her remarks, however, clash sharply with what parents and activists say: that climate-induced poverty, not laziness, is driving desperation.

Human rights advocates warn that without urgent action — food relief, youth empowerment programs, and climate adaptation projects — the situation will worsen.

“It’s easy to judge,” says Bikwa, “but when the earth no longer gives, people do what they must to survive.”

Advertisement

For many families, this is what climate change looks like—not just cracked soil and empty dams, but lost childhoods and futures fading in the dust.

A 2024 parliamentary meeting revealed a staggering statistic: 4 557 school girls dropped out of school due to pregnancy in 2023 alone.

The majority of these girls (3 942) were from rural schools, and most were in secondary school.

Advertisement

Then, minister of Primary and Secondary Education, Torerai Moyo, said the Education Management Information System (EMIS) tracked these annual figures, and that the government was introducing guidance, counselling in schools, and legal protections via the Education Amendment Act of 2020, allowing pregnant girls to take a two week maternity leave and return.

Recent statistics from the National AIDS Council (NAC) show that Matabeleland North Province has an adult HIV prevalence rate of about 14.4–14.5% among people aged 15 and above, significantly higher than the national average of around 11.7%.

This elevated rate is linked to factors such as increased sex work around mining sites and business centres, migration, spousal separation, and inconsistent condom use. NAC has specifically flagged Bubi District as one of the areas with high risk due to mining and business centre activity, as well as Lupane and Hwange.

Advertisement

SOURCE: Newshub

 

Advertisement
Continue Reading

Trending

Copyright © 2022 VicFallsLive. All rights reserved, powered by Advantage