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Village Health Workers engage community influencers to drive demand for health services

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BY FARAI MUTSAKA

Umguza, Zimbabwe – In a tiny office at Mbembesi rural health facility in Matabeleland North’s Umguza district, Thembinkosi Sibanda, a midwife, took stock of the numbers in the facility’s birth register. A contented smile followed. Seven deliveries from the hospital’s maternity wing for the month. Only a single home delivery.

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These are numbers she would hardly have imagined two years ago.

“We would usually record one or two deliveries here but most pregnant women would deliver in unsafe conditions at home,” said Sibanda, whose facility, surrounded by hard-to-reach rural and resettlement areas, now records between eight and ten births a month.

“It’s a turnaround,” she marveled, and, as if speaking to herself, added, “Job well done.”

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Yet, Sibanda refused to take responsibility for the change.

“They are the real heroes, the credit goes to them,” she said, pointing to a group of Village Health Workers (VHWs), local traditional and religious leaders and young people sitting in a shed for an advocacy meeting.

Village Health Workers have forged a transformative partnership with community influencers to increase demand for, and access to primary healthcare services as well as engender improved water, sanitation and hygiene practices.

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As part of interventions to strengthen primary health care services such as immunization, HIV services, non-communicable disease screening and treatment and health education, over 400 VHWs in 11 districts across several provinces recently underwent refresher training on how to intensify demand for services management and treatment of minor ailments at household level.

One of the results of those sessions, conducted by the Ministry of Health and Child Care in partnership with UNICEF and with funding from Gavi, the Vaccine Alliance, with funds from the Government of France., is the increased active participation of influential, authoritative, and trusted members of the community in amplifying the work of VHWs.

Authorities held community advocacy meetings with 1,500 key influencers who are trusted members of the community and included VHWs, interfaith and traditional leaders as well as young people such as peer educators to boost demand for COVID-19 vaccination, HPV vaccination, Vitamin A Supplementation and other vaccines amid successive outbreaks of measles, polio and cholera.

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The meetings, done at ward and village level in all the 11 districts involved in the project, also discussed issues like demand for neonatal and postnatal care, HIV testing and treatment, COVID-19 self-testing, adolescent health services and how to intensify awareness campaigns.
This kind of strengthening of primary health care support has contributed to increased referrals for vaccine hesitant groups and other children facing multiple deprivations. The Village Health Workers embarked on a journey to update their integrated Village Registers to record and account for every child in their respective communities and geo coding using ODK on their smartphones. Out of the 3,879 zero children identified in 2023 in Umguza District, 3,685 – representing 95 per cent – were successfully followed up and vaccinated. Out of the 9,165 zero dose children identified in 2022 in the urban areas of Harare, Bulawayo, and Chitungwiza, 8,706, representing 95 per cent, were successfully tracked and vaccinated. The Village Health Workers also recorded 24,424 under immunised children, with the majority referred or accompanied for vaccination.

Health authorities say they are roping in community influencers into some of their regular programmes to sustain the successes.

“Nowadays we also invite the influencers to the monthly meetings that we ordinarily have with Village Health Workers. They have become dependable partners for Village Health Workers in mobilisation and awareness campaigns,” said Sibanda, the midwife at Mbembesi health facility.

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Faith leaders have become key pillars in intensifying awareness and uptake of vaccines and other modern medicines among denominations whose doctrines undermine health seeking behaviours.

Traditional leaders such as village heads in the highly patriarchal community are now treating Village Health Workers, who are mostly female, as part of their inner circle.

Sheila Ncube is one of the 19 Village Health Workers providing a link between Mbembesi hospital and people in hard-to-reach communities that are part of the facility’s catchment population of over 8,000 people scattered across the vast district.

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With settlements opening up in the area, she needs her village head to point her to new inhabitants, who often lack basic water, sanitation and hygiene infrastructure and are also unfamiliar with health services offered in the area.

“The village head is the one who carries the word when I want people to gather for awareness sessions at a central point or when I am mobilising for campaigns such as vaccination. He is the one who helps me identify pregnant women in the village, he is my eyes and ears,” said the 70 year-old.

One of the village heads at the advocacy meeting, Lucky Sibanda, thinks the compliments belong to the Village Health Workers, whom he describes as his mentors. Sibanda said he was previously indifferent to the services of Village Health Workers – until COVID-19 struck.

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“They saved my community,” he said, referring to Village Health Workers. “They educated people on prevention and treatment and many people ended up overcoming their fear of vaccines.”

When his local Village Health Worker approached him for help to mobilise for measles, polio, cholera vaccines following the outbreaks, Sibanda gladly obliged.

“The Village Health Worker is now my chief whip. She is always by my side when I hold functions. I have made it a rule that no gathering proceeds before she speaks about health,” said Sibanda. He reckons he is also turning into a campaigner, thanks to his increased interactions with VHWs and health workers.

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Ongoing mentorship and coaching that has reached 2,200 health workers and Village Health Workers on issues such as integrated service delivery, data collection, consolidation, analysis and reporting also cascades to community members such as traditional leaders, turning them into cadres.

“She teaches me whatever she would have learned from the workshops she attends. She has equipped me with information so much that nothing escapes me anymore, HIV treatment defaulters, sanitation and hygiene red flags, underweight children and pregnant mothers. I alert her as soon as I notice something amiss,” he said.

Heavy with pregnancy, 28-year-old Polite Ndlovu is one of those grateful for the intervention after being nudged by her village head and Village Health Worker to register her pregnancy at the hospital.

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“I planned to go but I was procrastinating but they warned me and other pregnant women in the village about the dangers,” she said.

“I went to the hospital the following day,” added Ndlovu on the grounds of Mbembesi hospital, where she had gone for a routine check-up.

SOURCE: UNICEF

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

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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.

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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.

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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.”

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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

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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

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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.”

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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.

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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.

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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.

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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.”

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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.

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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.

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VicFallsLive editorial policy

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Preamble:

As VicFallsLive and its staff, we commit ourselves to the highest standards of independent journalism.  We serve the public’s right to know in line with Section 20 of Zimbabwe’s donstitution which guarantees this fundamental right in order to allow citizens to make informed decisions and judgments about their society. We pledge to exercise our role with care and responsibility to safeguard public trust in our integrity.

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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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