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“We are losing ground”: Counsellors’ demotivation threatens Zimbabwe’s HIV gains

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BY NOKUTHABA DLAMINI 

The men and women who have been at the heart of Zimbabwe’s fight against HIV — the primary health counsellors — say their morale has hit rock bottom as they continue to work without job security, inconsistent pay, and uncertain futures.

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These counsellors, stationed across hospitals and clinics countrywide, form the backbone of the country’s HIV prevention and treatment programme. They handle testing, counselling, and patient follow-ups — ensuring those on antiretroviral therapy stay in care and that new infections are detected early.

But as Hwange West legislator Vusumuzi Moyo warned in Parliament, the system supporting these essential workers is “crumbling quietly.”

“Their salaries have been very erratic, sometimes going for months without pay,” Moyo told VicFallsLive after his parliamentary question to the Minister of Health and Child Care. “These people are the heartbeat of HIV management. They’re paid from the Global Fund, but payments have not been consistent, and the government has taken too long to incorporate them into the civil service.”

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Currently, the counsellors are funded under the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) — a donor mechanism that has kept thousands of Zimbabwean health posts afloat for years.

However, global aid shifts, including the ripple effects of the U.S. administration’s restrictions on foreign aid, have made their positions increasingly vulnerable.

Health Minister Dr. Douglas Mombeshora confirmed during a recent parliamentary session that staff bids had been submitted to Treasury for approval to absorb counsellors into the government payroll.

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He said that while donor funding has decreased, both the U.S. Government and Global Fund have continued to prioritise support for human resources at primary healthcare level.

Still, for many of the counsellors — and for communities relying on them — the wait has been too long.

Moyo painted a grim picture of what’s happening in hospitals.

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“If you go to referral hospitals like Forrester, you’ll find that about 90% of male ward patients are people who have defaulted on treatment,” he said. “It’s because counsellors are no longer motivated. They used to follow up with patients, call them if they missed visits, and make sure they stayed in care. But now, with no pay or recognition, there’s no incentive to keep doing that work.”

He warned that the country’s AIDS-related deaths are rising again, undoing the progress Zimbabwe had made in reducing HIV prevalence.

“Our statistics had been improving — even other countries were benchmarking our model. But now, it’s as if we’re back to the old days. You see people sick again, wards filling up, and that speaks to a system that’s failing quietly,” Moyo added.

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Zimbabwe has long been recognised as one of Africa’s HIV success stories, cutting its national prevalence from over 26% in the early 2000s to around 11% today, according to research studies. Much of that progress was driven by a strong network of community-based counsellors who ensured people were tested, treated, and supported.

 

 

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National

Bulawayo mourns Nkulumane MP and poet Desire “Moyoxide” Moyo

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BY NOKUTHABA DLAMINI 

The City of Bulawayo has expressed deep sorrow following the death of Nkulumane MP and acclaimed poet Desire “Moyoxide” Moyo, who died in a car accident early Friday morning near Shangani.

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In a condolence message issued by Town Clerk Christopher Dube on behalf of the Mayor, Senator David Coltart, councillors, and residents, the city described Moyo as “an iconic leader, poet par excellence, and creative who strove to champion the arts in Bulawayo and beyond.”

Moyo, who was affectionately known as Moyoxide, was praised for his commitment to the city’s artistic and civic development. The statement highlighted his impact through his multiple roles — as a Member of Parliament for Ngulumane, a community leader, and a poet who spoke out against injustices while advocating for progress.

“He positively impacted the city through his roles as a leader and poet who challenged all for the development of Bulawayo and the country,” read part of the statement.

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The City of Bulawayo also extended its condolences to the Moyo family, the Bulawayo community, and the nation at large.

“May his soul rest in eternal peace,” the statement added.

The city further wished a speedy recovery to other CCC legislators who were injured in the same accident — Honourables Madalaboy Ndebele, Senator Rittah Ndlovu, Sethulo Ndebele, and Libion Sibanda.

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National

CCC legislators in road accident, Nkulumane MP dies

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BY STAFF REPORTER

One Citizens Coalition for Change (CCC) legislator has died while four others were seriously injured in a road accident that occurred early Friday morning near Shangani along Bulawayo-Harare highway.

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CCC spokesperson Promise Mkhwananzi confirmed the accident, saying it happened between 2 a.m. and 3 a.m. when the vehicle carrying the members collided with an elephant.

“The vehicle hit an elephant along the Shangani area, and unfortunately Honourable Desire Moyo, the Member of Parliament for Ngulumane, died on the scene,” Nkwananzi said.

He added that the other occupants — Honourable Madalaboy Ndebele, Senator Rittah Ndlovu, Honourable Sethulo Ndebele, and Libion Sibanda — sustained serious injuries and were rushed to a hospital in Bulawayo.

Nkwananzi said he was deeply shocked by Moyo’s death, as he had met him just yesterday in Harare.

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“I had seen Moyo yesterday and we spent about an hour chatting outside Jamieson Hotel about the party and our future plans for national development,” he said. “I’m gutted by his passing. It’s a huge loss for the party.”

He conveyed his condolences to the Moyo family and wished a speedy recovery and strength to the families of the other CCC members who remain in critical condition.

He said further details, including the name of the hospital where the injured are receiving treatment, would be released once confirmed.

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In the community

MPs raise alarm over illegal gold mining threatening Inyathi hospital

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BY NOKUTHABA DLAMINI 

The Parliamentary Portfolio Committee on Health and Child Care has raised serious concern over illegal gold mining activities taking place directly beneath Inyathi District Hospital in Bubi District, Matabeleland North — warning that the facility’s infrastructure could collapse if the practice continues unchecked.

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The revelation came during the committee’s ongoing verification visits to rural health centres across Zimbabwe, aimed at assessing the state of medical infrastructure, equipment, and essential drug availability. The visits, led by Hon. Daniel Molokele, are being conducted on behalf of the committee chairperson, Hon. Dr. Thokozani Khupe.

Speaking to VicFallsLive, Molokele said the team was shocked to discover that artisanal miners (amakorokoza) had extended their illegal mining tunnels under the hospital grounds.

“One of the things that we found at Inyathi District Hospital is that amakorokoza are now doing their gold mining right under the hospital,” said Molokele. “They used to do it outside, but now they have gone beneath the facility. There is a real risk that the infrastructure might collapse because of the underground pressure. This is lawlessness that the government urgently needs to address.”

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Molokele added that the situation reflects broader governance and enforcement challenges in mining communities, where unregulated artisanal mining continues to threaten both public safety and environmental health.

“Most of the cases that patients come with are physical wounds — largely injuries from violent clashes among the amakorokoza,” he said. “There’s a lot of violence happening there, and it is putting a heavy burden on an already under-resourced hospital.”

The committee, which began its tour on Monday in Inyathi before proceeding to Avoca in Insiza District (Matabeleland South), Gundura in Masvingo, and Mutiusinazita in Buhera (Manicaland), is compiling findings that will inform parliamentary recommendations.

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“We will produce a report that will have clear recommendations,” Molokele said. “The National Assembly will debate it, and the Minister of Health will use it to engage the Minister of Finance, especially in the upcoming budget process. We are hoping for a renewed focus on rural healthcare centres, which have been neglected and underfunded for many years.”

Molokele said the verification exercise — though limited by time and financial constraints — seeks to highlight conditions in at least one rural health facility per province.

The committee’s findings come at a time when Zimbabwe’s rural health infrastructure is under severe strain, with many facilities struggling with drug shortages, outdated equipment, and deteriorating buildings. The situation in Inyathi now adds a new dimension of danger — where illegal mining is not only threatening livelihoods but also public infrastructure meant to save lives.

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