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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

Elephant kills villager in Nkayi, authorities launch investigation

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BY NOKUTHABA DLAMINI

An elephant trampled a villager to death overnight in Mthoniselwa village in Ward 13 of Nkayi district, local authorities said on Sunday, in the latest human-wildlife conflict incident in the area.

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The fatal attack occurred in the early hours of the morning, according to community leaders, who said the victim was attacked near the homestead.

“We have received a report from our Lupane Investigations Office regarding a tragic incident in Mthoniselwa village, Ward 13 of Nkayi, where a villager was trampled by an elephant,” said Zimbabwe Parks and Wildlife Management Authority (ZimParks spokesperson Luckmore Safuli.

“Further details regarding the identity and circumstances surrounding the deceased are still pending. ZimParks personnel are actively conducting assessments in the area to gather more information. Additionally, the Nkayi Rural District Council officers, in collaboration with the Zimbabwe Republic Police, are on site to investigate the incident and conduct community awareness initiatives,” Saffouli added.

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A message circulated in local community groups earlier in the day alerted residents to the incident and urged caution.

“We received a sad report from police this morning of a person who was attacked and killed by an elephant at night in Mthoniselwa, Ward 13. ZimParks has been notified and a ranger is on the way to track the elephant,” the message read.

Community leaders also urged residents to report the presence of dangerous wildlife and to remain vigilant to avoid further tragedies.

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Zimbabwe has in recent years recorded a rise in human-wildlife conflict cases, particularly involving elephants, as animals stray into villages in search of food and water.

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In the community

Grade 2 pupil and neighbor die in gas-filled well in Nkayi

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BY NOKUTHABA DLAMINI 

A Grade 2 pupil and a young man died on Thursday in a tragic incident at a neighbor’s well in Nkayi Ward 19, after being overcome by suspected carbon monoxide and a total lack of oxygen.

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The tragedy unfolded near Nkayi Primary School area when the young student was reportedly sent into the well by an elderly man  to retrieve a bucket that had fallen to the bottom.

He reportedly lured him on the promise of buying him sweets.

When the child failed to resurface, a neighbor entered the shaft in a desperate rescue attempt.

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Councillor Thubelihle Mabuza Ncube, who visited the scene on Friday, described the harrowing moments that led to the double fatality. “What happened, we understand, is that a bucket fell into the well and the boy, whose mother was not at home at the time, was lured to get in an retrieve it in exchange of sweets and things,” Ncube said. “It is said there was carbon [monoxide]… there was no oxygen at all at the bottom and that’s how he died”.

According to the councillor, the second individual who had reportedly sent the child to fetch the bucket in the well reached the bottom and was briefly able to interact with the child before being overwhelmed . “He reached the bottom, but [the gas] overcame him,” Ncube explained. “He reportedly tapped the child, but then he was overcome by that carbon and lack of air… They both died in the water “.

A third person attempted to enter the well but immediately signaled to be pulled out, reporting a suffocating heat and a total lack of oxygen inside the shaft.

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The councillor expressed deep distress over the decision to send a young child into the well. “It is very painful… a Grade 2 pupil being sent into the well by elders to go and retrieve a container from the bottom,” Ncube said, noting that it appeared the community had grown accustomed to such tasks.

Due to the extreme danger posed by the air quality, rescuers were unable to physically enter the well to recover the bodies. Instead, villagers were forced to use a makeshift tool to retrieve the deceased from the surface.

“They were finally taken out not by being fetched from below; instead, they ended up using something like a wire to pull them because people were afraid to enter where that gas was,” Ncube said.

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The incident has left the Nkayi community in mourning. “Nkayi is hurting deeply,” the councillor added. “It is a very painful situation”.

The accused has been charged by the police, according to the councillor,

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Lifestyle

Molokele mourns the loss of artist Fanuel Mwale

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BY STAFF REPORTER

Daniel Molokele, the Member of Parliament for Hwange Central, paid tribute on Thursday to Fanuel Achimwene Mwale, a prominent local artist and his lifelong friend, who died over the weekend following a brief illness.

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Molokele visited Mwale’s family in Makwika village to offer condolences and visited the artist’s final resting place at the local cemetery. The MP described a personal bond spanning more than 45 years, noting that he and Mwale grew up together in the No. 1 colliery area and remained classmates throughout their years at St Ignatius Primary School.

“I consider him as my first best friend of my entire life,” Molokele said in a statement, adding that the two had shared the formative first five years of their lives together.

Mwale was recognized as a multi-talented artist who represented Hwange on both national and international stages. His career included roles as a dancer, composer, singer, scriptwriter, actor, producer, and director.

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Molokele expressed hope that Mwale’s “exemplary artistic legacy” would serve as an inspiration for other performers emerging from the “hot coalfields of Whange” to achieve similar success .

The MP concluded his tribute by wishing that Mwale’s “dearest artistic soul rest in power”

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