Connect with us

Special reports

Why Binga’s ‘great river people’ feel cut off from their trade

Published

on

BY FARAI MATAISHE

Advertisement

It is mid-morning in Binga district, on the shores of the Zambezi River, and the sun is already scorching.

Takuchinchi Munsaka of the Batonga tribe services the diesel-powered engine of his fishing rig – a boat made up of cylindrical metal at the base, which allows it to float, and energy-saving lightbulbs at the top which help attract kapenta when the fisherman goes out at night.

Strong river torrents move to and from the shore, almost threatening to carry the boats away on this mighty river sandwiched between Zimbabwe and Zambia, while the loud engines of surrounding rigs whine and rattle – drowning out conversations between fishermen on nearby boats.

Advertisement

When night falls, Munsaka (31), will sail his rig out across the river, lower his black nets into the water below, and fish – kulabula as it is called in his local Tonga language.

Fishing has been a part of his community for generations.

But in recent years, it has become increasingly difficult for many to make it out onto the river at all.

Advertisement

The reason: fishing permits.

A fishing permit is a legally mandated licence, renewable every three or 12 months, that commercial fishermen are required to have to fish in the Zambezi River.

Issued by the Zimbabwe Parks and Wildlife Management Authority (ZimParks), a state agency responsible for wildlife conservation in the country, the permits were introduced in 1990 in a bid to regulate the number of fishers, thus preventing overfishing and aiding conservation.

Advertisement

Those caught fishing without a licence can be fined $2,000 and have their boat impounded.

But the relatively high cost – US$1,200 for a yearly permit, plus thousands of dollars to build a fishing rig that meets government regulations – and the limited number of permits handed out each year, has disproportionately benefitted wealthy fishers from the cities at the expense of communities like the Batonga, locals say.

‘I had to survive’

Advertisement

Munsaka, who is a father of two, lives in Muyobe village, a remote rural community some 50 kilometres from Binga Centre, the financial hub of the district of about 139,000 people.

A tall man of medium build, he has spent much of his life working on the river.

He started young, fighting his way into the fishing industry as a boy, he says.

Advertisement

“When I reached teenage years, I started buying kapenta from fishermen from the city. I walked for nearly five kilometres up the hills from the Zambezi River to Binga Centre with about 30kg of kapenta, on my back. This was for resale to the locals,” he recounted.

In 2012, he tried to secure his own fishing rig, but he had no capital to buy or build one.

And without a boat or rig, he could not get a fishing permit.

Advertisement

Munsaka eventually got a job working for someone else who had a fishing rig and a permit.

“I was paid on commission based on a ‘tonnage system’.

For a captain, if he manages one tonne of kapenta, he was paid US$80 per month while crew members like me were paid US$75 per month,” said Munsaka, whose job involved lowering the nets into the water.

Advertisement

“The working conditions were exploitative but I had no choice.

I had to survive,” he adds.

He feels it was this exploitation that pushed him to work harder, so that he could make money and one day achieve his dream of owning his own fishing rig and getting a permit.

Advertisement

Since 2017, he has rented a permit and a boat from a relative who is among the few Batonga people to have fishing licences in Binga.

Leasing one’s permits to other fishermen is a practice ZimParks does not object to as, according to Tinashe Farawo, a ZimParks spokesperson, “subleasing does not add any fishing rigs into the river”.

By 2020, Munsaka had raised enough money for his fishing rig, which cost $8,000 to build.

Advertisement

He applied for a fishing permit from ZimParks that same year but is yet to be given one.

“I was supposed to be given the permit in June 2021 but I still have not heard from ZimParks. This year I am not sure if I will get it. Perhaps next year,” he said.

‘It’s who we are as people’

Advertisement

Munsaka’s forefathers have fished along the Zambezi River for generations.

Before white colonialists occupied the country, then called Rhodesia, the Batonga were known as “the great river people” and lived in Kariba, making their livelihoods along the river where they could fish and practise agriculture in the surrounding fertile wetlands throughout the year.

Historically, the tribe relied on fish as a source of protein and on fishing for their survival.

Advertisement

These natural resources were freely available to them, and from a young age, Batonga would be taught to fish using tools like fishing baskets and canoes.

They would fish along the Zambezi and its tributaries without fear of breaching any laws, as there were no state regulations on fishing methods, or which part of the river to fish in, or the quantity of fish one could catch.

But all that changed in the 1950s when the colonial government forcibly moved the Batonga to make way for the construction of the Kariba Dam.

Advertisement

Most were resettled in Binga, about 484km away, but some were relocated as far as Siabuwa, 84km from the Zambezi River – making it impossible for them to maintain their normal riverside existence.

After the resettlement, Batonga were given “compensation” in the form of grain to sustain them until they could somehow farm in this otherwise barren land filled with drought-resistant mopane, acacia and baobab trees.

But being cut off from the river, and the tougher restrictions on fishing licences that were introduced in subsequent decades, made much of the tribe feel that their way of life was criminalised.

Advertisement

“Fishing for us has been an important factor being our nutrition as well as being important in our economy. We trace it to who we are as a people,” said Prince Dubeko Sibanda, an opposition party MDC-Alliance member of parliament for Binga North.

“Fishing is not only for economic and other social reasons, but it is part and parcel of our life, it has been part and parcel of our culture,” he said, adding that the colonial laws which were introduced in a bid to conserve the fishing sector were not inclusive of the tribe.

After the construction of the Kariba Dam in the 1950s, the then-Rhodesian government introduced other species of fish such as kapenta in a bid to commercialise the sector.

Advertisement

By the 1970s the sector was flourishing, but with fears of possible overfishing in the Zambezi River and Lake Kariba, licensing processes and regulations were tightened.

During these pre-Independence times, the industry was dominated by white people, while Black people – including the Batonga – had limited access to licences.

Most Batonga in the fisheries sector at the time worked for white people.

Advertisement

After 1980, when Zimbabwe gained independence, the licensing regulations were eased slightly to allow Black people to enter the sector.

The government also introduced a cooperative system – an initiative where a minimum of 10 people could come together to apply for fishing permits.

This was aimed at compensating and empowering the Batonga who had been affected by the displacements in Kariba in the 1950s.

Advertisement

However, the cooperative system was later monopolised by politicians and businessmen, resulting in non-Batonga people benefitting more than the locals, said Munsaka.

Barriers and costs

Today, the Batonga number some 300,000 people and are situated between the northern parts of Zimbabwe (including Binga) and the southern parts of Zambia.

Advertisement

Four decades after independence, Binga, which is one of the most sparsely populated districts in Zimbabwe, has remained under-developed with inaccessible roads, poor connectivity and inadequate infrastructure such as schools and clinics.

Many Batonga homes have no electricity, despite it being generated from Lake Kariba – which lies in the valley that used to be their home – and supplied to cities hundreds of kilometres away.

Farming is not always viable, due to poor soil and insufficient rain, so the Batonga have limited sources of income.

Advertisement

Some depend on traditional craft-making – basketry, wood-carving, textile and jewellery making; others survive on remittances from the diaspora – relatives who live mainly in Zambia, South Africa and Botswana.

Wealthy residents of Harare often come to Binga to enjoy its sand beach, hot springs, boat cruises and recreational fishing. But for most Batonga people, fishing is not a recreational activity – it is their means of survival. To sustain what has historically been their primary source of income, however, they are now required to pay.

Fishermen in Binga believe these levies should be decreased.

Advertisement

“Many locals cannot afford the US$1,200 fees required [for the fishing permit],” says Givemore Gwafa, a chairperson of the Binga Fisheries Association, a membership-based local trade union that represents fishermen. “This is a barrier to many current and aspirant fishermen.”

Civic society groups have expressed and called for the government to relax its licensing process to accommodate more Batonga fishermen.

Cooperatives

Advertisement

Since the 1980s some Batonga from Binga and Kariba have formed cooperatives under the Ministry of Women Affairs, Community, Small and Medium Enterprises to apply for permits from ZimParks.

Tapiwa Mateiswana (40), a Tonga from Shangwe in Kariba, started fishing in 1991, working for rig owners from Harare. But in 2019, he got his own rig and a permit through a cooperative.

“I have been applying as individual several times with no success,” he said, sitting at an old resort-turned-harbour for fishing rigs on the shore of Zambezi in Binga.

Advertisement

The father of 14 children sits barefoot on a wooden stool, wearing brown shorts and a pink shirt. He holds a spanner in his right hand as he talks, determined to finish servicing the diesel-powered engine of his fishing rig before night falls.

He explains that the cooperative system has paid off for him.

“In 2019, we were advised to join hands and apply for the fishing permits as a cooperative. We were lucky we got the licences,” he said, smiling.

Advertisement

While fishermen in Binga say they struggle to get even single permits, Munsaka said he knows of some people from the city who have several permits per person.

“These people from the city have money, some are businesspeople. They just apply and get the licences.

They have the money to have as many fishing vessels as possible.

Advertisement

It is sad that the Batonga people are failing to get even one licence while some rich people from the city can get as many as they want,” he says.

But Clever Mutondori, who relocated to Binga in 2010 from Marondera, about 70km outside Harare, told Al Jazeera that he faced the same struggle as the locals when trying to get a fishing permit.

“I ventured into fishing by buying from local fishermen and resale in Bulawayo and Harare.

Advertisement

I wanted to raise money to buy my own fishing rig. I bought a second-hand rig in 2011 and started fishing in 2012.

“I then started buying several fishing rigs. By December 2014, I had 12 fishing rigs,” said Mutondori.

“The permits I used were all on lease …

Advertisement

‘It was tough to get permits because the authorities tried to minimise the number of fishermen. In 2015, I finally got the fishing permits with assistance from a local chief.”

ZimParks’ Farawo said granting licences to everyone who applies would threaten conservation.

“We risk overfishing. There is a need to make decisions based on scientific assessments. Kariba alone has 275 commercial licences for Zimbabweans and 225 for Zambians,” he says.

Advertisement

“All local headmen have fishing licences and most members of the community belong to cooperatives.

“However, some that have received licences have hired them to other people.”

Making a living from fishing

Advertisement

Munsaka and Mateiswana have been able to look after their families from incomes generated from the fishing industry.

Mateiswana said he uses the profits to pay the school fees for his children “as well as buying all other essentials for the family”.

“I am glad that with this business I am able to make sure that none of my children goes to bed with an empty stomach,” he said.

Advertisement

Fishing is Munsaka’s only source of income.

“In a good month, I can get about 16 bags of kapenta with each bag weighing 30kgs,” he said.

But over the years, overfishing has affected his catch.

Advertisement

“I remember in 2017 when I started renting this fishing rig and permit, I would get about 30 bags with each weighing 30kgs of kapenta in April. But in April 2021, I got about 12 bags of kapenta,” he said.

From the 16 bags he gets today, he says he gives 10 to the fishing vessel owner and keeps the last six for himself to sell.

“There is not much profit. But I have no choice as I want to put food on the table for my family.”

Advertisement

Munsaka says his kapenta attracts buyers from as far away as Bulawayo and Harare.

“We sell our catch to people in Binga and to those from Harare and Bulawayo at wholesale prices.”

He has even employed three people, a captain and two crew members.

Advertisement

But with a reduced catch, he sometimes struggles to pay his workers. “Worse is budgeting the $1,200 for the annual fishing permit,” he added.

Binga Fisheries Association’s Gwafa says fishing produce has gone down over the years due to a number of factors from overfishing, poachers and poor conversation between the fishermen.

He says their counterparts in Zambia often drift into Zimbabwean waters, affecting the conservation efforts of the locals.

Advertisement

“Some fishermen with nets disturb these breeding places. Once the process is disturbed, our production goes down.”

‘I am related to these waters’

Sibanda, the MP for Binga North, describes how, before they were moved in the 1950s and before state regulations for fishing were introduced, the tribe had its own way of practising sustainable fishing and preserving the natural resources.

Advertisement

“The resettlement changed everything,” he said.

“It is not like that we the Batonga never knew how to conserve fish. We knew. The laws that came into place changed the manner we looked at conservation.”

Sibanda said that for the Batonga people to once again benefit from fishing there is a need for the devolution of some decision-making power from the national to the provincial level.

Advertisement

This would empower local authorities to spearhead economic and social development projects in their areas by leveraging local resources.

“We need to make sure that the laws are decided at the level they are implemented.

“We allow the people that are surrounded by the resources to be the people who help in deciding the crafting of the law as well as its implementation,” he said.

Advertisement

“If the Batonga people are to benefit from the fish that God gave them, the board that decides on the fishing laws and the board that give the fishing licences should be controlled by people that are in Binga rather than from Harare.”

For Munsaka, he still hopes that one day the authorities will grant him a licence.

“I am related to these waters,” he said. “I will keep on renting the permit until I get mine, I will never give up.” Aljazeera

Advertisement

Continue Reading
Click to comment

Leave a Reply

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

Slider

Leaders commit to creating pathways for transformative education, skills development for children

Published

on

BY SIRAK GEBREHIWOT

Victoria Falls – A historic gathering of seven Southern African leaders, international representatives, over 7000 children and youth took place at Baobab Primary School in the resort town of Victoria Falls to commemorate regional World Children’s Day.

The event, attended by dignitaries from across the southern Africa region, emphasized universal dedication to the rights and welfare of children, guided by the UN Convention on the Rights of the Child.

His Excellency President Emmerson Mnangagwa of Zimbabwe extending warm welcome to delegates, underlined the unity and shared goals of the Southern African Development Community (SADC). “Today is a powerful reminder of our collective duty to protect the rights of all children,” he affirmed.

President Mnangagwa’s speech underscored the importance of providing children with quality education and resilience against climate change, all while fostering their sense of identity and pride in their African heritage.

The President expressed gratitude to regional counterparts, particularly President Duma Boko of Botswana, for participating in Zimbabwe’s festivities. In a gesture of regional solidarity, he acknowledged, “Though we hail from different nations, we share a common vision for a vibrant, educated, and united Africa.”

Mr. Edward Kallon, the UN Resident and Humanitarian Coordinator for Zimbabwe, echoed the President’s sentiments. He stressed the significance of this event as a platform to emphasize children’s rights, aligning with the Sustainable Development Goals.

“The UN2.0 and its quintet of change—embracing innovation, technology, and inclusivity—guides the United Nations renewed mission towards a brighter future for all children,” Mr. Kallon stated.

He underscored the UN’s reinvigorated strategy, UN 2.0, aiming for transformational change with children at its core. Kallon called on all stakeholders to remain accountable to the children’s Call to Action, reinforcing the imperative to incorporate young voices in policymaking processes and national development programmes.

Education: A Pillar for Progress

UNICEF Regional Director, Ms. Etleva Kadilli, focused on the transformative power of education. She recognized strides made in various SADC countries that have prioritized digital learning, inclusive education, and curriculum reform. “These advancements illustrate that when governments and educators listen to children and act, significant progress can be achieved,” Ms. Kadilli underlined.
Kadilli acknowledged the persistent challenges facing sub-Saharan Africa, where educational disparities remain stark. She encouraged children present, stating, “Your voices are vital. When you speak, you not only shape your future but ours as well.”

Collective Regional Pledge

His Excellency President Duma Boko of Botswana accepted the honor of hosting the next World Children’s Day commemoration. He pledged his administration’s dedication to addressing the needs and aspirations voiced by the children and youth. “We stand ready to work with you, empowering our children to lead with wisdom and courage,” President Boko assured.

Senior officials from Zambia, Namibia, Mozambique, Malawi, and South Africa echoed these commitments. They affirmed their governments’ resolve to enhance children’s access to quality education, healthcare, and social protection, reinforcing their rights as a priority.

Empowering Through Culture and Heritage

The celebration also spotlighted the role of arts, culture, and heritage in building inclusive societies. President Mnangagwa stressed the importance of embracing cultural identity and utilizing natural resources to foster development and unity. “Let us, together, promote our unique cultural products and enhance our children’s understanding of their heritage,” President ED Mnangagwa encouraged.

Combating Emerging Threats

Addressing contemporary challenges such as climate change and drugs and substance abuse, President Mnangagwa reaffirmed Zimbabwe’s commitment to combating these issues through strategic initiatives like the Presidential Borehole Drilling Scheme and the establishment of Child-Friendly Courts. “Our measures ensure that all children, particularly the vulnerable, have their rights upheld and their futures secured,” he stressed.

A Call to Action and Hope

Ms. Etona Ekole, UNICEF Representative for Zimbabwe said, “This World Children Day, I am incredibly proud to see children from Botswana, Namibia, Malawi, Mozambique, South Africa, Zambia, and Zimbabwe raising their voices for change. Their Call-for-Action is a testament to the power of listening to children and investing in their future.

The event underscored a unified call to invest in children as Southern Africa’s future leaders. With collaborative resolve, the leaders and stakeholders committed to translating discussions into concrete actions, guided by the insights and demands of the children and youth.

Facilitating a call to action from children and youth representatives across seven countries, Ms. Sithabile Mtigo, Speaker of the Junior Parliament of Zimbabwe, highlighted the critical role of young advocates throughout Africa. She declared, “We are the leaders of both the present and the future for Africa.”

The Regional World Children’s Day served as a reminder of the shared journey towards a future where every child’s rights and potential are realized, and every opportunity leveraged.

The commitment made in Victoria Falls to “Educate and Skill the African Child for Posterity” is not only a theme but a driving mission as the African continent marches towards a brighter, more inclusive tomorrow.

SOURCE: Sirak Gebrehiwot is UN Partnerships and Development Finance Advisor at the UN Resident Coordinator’s Office in Zimbabwe

Continue Reading

Slider

Botswana’s president concedes defeat in election, ending ruling party’s 58 years in power

Published

on

BY STAFF REPORTER

Botswana’s President Mokgweetsi Masisi conceded defeat in the general election Friday, in a seismic moment of change for the county that ended the ruling party’s 58 years in power.

Advertisement



Masisi’s concession came before final results were announced, with his Botswana Democratic Party trailing in fourth place in the parliamentary elections.

The main opposition Umbrella for Democratic Change held a strong lead in the partial results, making its candidate, Duma Boko, the favorite to become president of a southern African country that is one of the world’s biggest producers of mined diamonds.

Masisi said he had called Boko to inform him he was conceding defeat.

Advertisement



“I concede the election,” Masisi said in an early-morning press conference two days after the election. “I am proud of our democratic processes. Although I wanted a second term, I will respectfully step aside and participate in a smooth transition process.”

“I look forward to attending the coming inauguration and cheering on my successor. He will enjoy my support.”

Masisi’s BDP dominated politics in Botswana for nearly six decades, since independence from Britain in 1966. The nation of just 2.5 million people will now be governed by another party for the first time in its democratic history.

Advertisement



SOURCE:AP

Continue Reading

Slider

Zambia offers health care to Zimbabweans — but for how long?

Published

on

Illustration Credit: Wynona Mutisi for Global Press Journal

BY GAMUCHIRAI MASIYIWA

Summary: Zambia is as generous with patients from neighboring Zimbabwe as it is with its own citizens. That could mean problems for both countries.

This story was originally published by Global Press Journal.

MASHONALAND WEST, ZIMBABWE — When Dube was diagnosed with gallstones in 2013, the public hospital in Zimbabwe recommended surgery costing close to 4,000 United States dollars. She couldn’t afford that.

 

A friend suggested she go to Zambia, about 150 kilometers (94 miles) to the north. There, the friend said, treatment would be cheaper.

 

Over the past decade, Dube has gone to Zambia multiple times for medical treatment. Her most recent trip was in June. Treatment is cheaper there, she says, but the level of care is also far better than what she would get at home. Dube asked that Global Press Journal use her totem name, a symbolic representation of ancestral lineage, out of concern about Zimbabwe’s Patriotic Bill, which discourages criticism of the government.

 

In the 1980s, Zimbabwe had one of the best health care systems in sub-Saharan Africa. But over the years, this glory has faded. An ongoing economic crisis spanning over two decades has left the health care system scrambling to meet the needs of its population. Skilled health care workers have left in droves, drawn to opportunities abroad. More than 4,000 health care workers left Zimbabwe in 2021 and 2022 alone, according to government statistics. By late 2022, Zimbabwe had about 1,700 doctors and about 17,200 nurses to serve a population of 15 million people.

 

Just as health care workers are leaving the country, so are patients.

 

Over the past decade, Zimbabweans have spent more than 4 billion US dollars on cross-border medical migration. Annually, more than 200,000 Zimbabweans spend around 400 million US dollars on specialized medical treatment abroad. India, China, Singapore and South Africa are the main destinations.

 

But an increasingly popular choice is neighboring Zambia. In April alone, the International Organization for Migration surveyed over 260 people migrating from Zimbabwe to Zambia. When asked why they were traveling, 42% stated that it was to access better services — health being the top priority.

 

Precise data is hard to come by, but anecdotal evidence from sources who spoke to Global Press Journal, including border officials, points to a growing trend, raising questions about Zambia’s ability to manage the influx, and the future of health care in Zimbabwe.

 

The choice of Zambia

Zambia and Zimbabwe allocated nearly the same amount of money to their health sectors in 2024, even though Zambia is home to 4 million more people. With that budget, it’s an unlikely alternative to the Zimbabwean healthcare system. And in Africa, it’s South Africa and Kenya that are top destinations for medical tourism.

 

But the border with Zambia isn’t far for many Zimbabweans, making the cost of travel low and the process of crossing the border usually straightforward. A person needs either a passport or a pass issued at the border for just 1 US dollar, says Morgen Moyo, assistant regional immigration officer at the Chirunduborder post.

 

Even without documentation, immigration officials will at times let those seeking health care pass through. “Zambians prioritize life,” Moyo says.

 

It’s not only about convenience. Zambia offers free primary health services, including basic treatment, preventative care, vaccinations and maternal health care services, according to the 2022-2026 Zambia National Health Strategic Plan.

 

While these free services are not available to foreigners long-term, they can access them in emergencies within the first 24 to 48 hours in the country, says Dr. Kennedy Lishimpi, permanent secretary of administration for the Zambian Ministry of Health. Foreigners are expected to pay for Zambian health care after that timeframe.

 

In practice, though, Zambian health workers rarely charge foreigners, according to a 2019 study paid for by the US Agency for International Development, known as USAID.

 

“You wouldn’t want to see somebody from Zimbabwe, for instance, getting to Zambia and not accessing a service and then they end up dying. That is not good. Similarly, we expect that our sister countries do the same to our citizens when they are there,” Lishimpi says.

 

Dr. Mwanza, a Zambian doctor who chose to use only his last name for fear of retribution, says availability of surgical and specialist services in Zambia drives medical migration. In Zimbabwe, these services are rarely available outside of the large provincial and central hospitals. In 2019, for example, about 10% of district hospitals could provide basic surgeries, compared to 83% of provincial and central hospitals, according to a Zimbabwe health ministry assessment.

 

When Mary Chipfuvamiti’s son broke his arm in June, she says she chose a hospital in Zambia — about 93 kilometers (nearly 58 miles) from her home — over local options. She suspected the local hospital’s X-ray machine wouldn’t be working, and they would likely refer her to a private facility where an X-ray would cost her 40 US dollars.

 

“I only had 30 dollars on me,” she says. In Zambia, the total cost came to about 12.50 US dollars.

 

A case for Zimbabwe

Things haven’t always been like this in Zimbabwe. Before the country’s economy took a downturn, it offered free health services in the 1980s to low-income earners. About 90% of the population fell in that bracket.

 

In the early 1990s, the government introduced user fees in public health facilities as part of the austerity measures imposed on the government by the International Monetary Fund to reduce government expenditures. Currently, free health services are offered only to pregnant and lactating mothers, children under age 5 and adults over 60.

 

The economic crisis continues to strain what remains of the health care system. Hospitals struggle with obsolete infrastructure. Shortages of medicines and supplies in public health facilities are the norm.

 

And although Zimbabwe and Zambia have similar health budgets, Zimbabwe’s treasury sometimes delays funds disbursement, says Norman Matara, secretary general for the Zimbabwe Association of Doctors for Human Rights.

 

That was the case in 2021, when the health ministry by September had used just 46% of its budget allocation for the fiscal year due to late disbursement of funds, according to a 2024 situational report by the Zimbabwe Coalition on Debt and Development, a nongovernmental organization that advocates for socioeconomic justice.

 

“There is a mismatch between the money that is put on the budget and what is being received by the health institutions,” Matara says. Reasons include hyperinflation and currency rate fluctuations, he adds.

 

Comparing health services across countries is unfair, says Donald Mujiri, a Zimbabwe health ministry spokesperson. “Each country has its set standards and pricing.”

 

He doesn’t think this migration of patients reflects poorly on Zimbabwe’s health care system. “We have all the services in the country, and they are adequate to serve the people,” he says, adding that people are free to seek health care where they want.

 

Mujiri did not address questions regarding the late disbursement of funds.

 

The cost of the journey

These journeys to Zambia come with challenges.

 

Dube recalled her trips along the bumpy Harare-ChirunduHighway that connects the two countries, when every bump caused piercing pain.

 

In 2019, six years after her initial treatment in Zambia, she began experiencing severe pain. She went to a hospital in Harare for treatment, but a few months later the pain resurfaced. By that time, there was a health care strike at home, forcing her back to Zambia for treatment. Then in 2023, Zambian doctors discovered metal clips from her earlier surgery in Zimbabwe were piercing her liver. She returned to Zambia in January this year for corrective surgery, and again in June.

 

Health care experts warn that such journeys can be especially risky for patients who undergo surgery. If a surgery is performed in Zambia and there is no proper follow-up, there can be complications if doctors in Zimbabwe are unaware of previous procedures or tests, says Mukanya, a health expert working in a Zimbabwean hospital who chose to use his totem, fearing that speaking to the media would cost him his job.

 

In the case of misdiagnosis or malpractice in a foreign country, it’s difficult to get recourse. “In most cases you are powerless because you don’t know the [reporting] process and approaching a lawyer may require money,” he says.

 

Medical migration also comes at a cost to Zambia. The influx of patients complicates health planning, leading to shortages of essential medications and making it difficult to allocate resources effectively, according to USAID. The agency’s report recommends the Zambian government create a fee-for-service system to discourage foreigners from seeking free health care, but doctors in Zambia don’t seem to agree.

 

“Most health care providers interviewed stated that they would continue to provide services free of charge should a foreign patient be unable to pay,” according to the USAID report.

 

Lishimpi, the Zambia health ministry official, had no comment on the report’s concerns.

 

Dube, who is recuperating at home, is uncertain about the solutions. But she thinks the Zimbabwean government needs to prioritize fixing her country’s health care system. “I don’t know how best we can help our hospitals, but if there was any other way, I think they should consider the health sector more than anything else because we are talking of human life,” she says.

 

Gamuchirai Masiyiwa is a Global Press Journal reporter based in Harare, Zimbabwe.

 

Global Press is an award-winning international news publication with more than 40 independent news bureaus across Africa, Asia and Latin America.

Continue Reading

Trending

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