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Witchcraft, poverty, and depression: The triple threat facing Zimbabwe’s elderly

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BY NOKUTHABA DLAMINI

In a small corner of Victoria Falls, a 92-year-old woman named Esther Mpofu calls Chinotimba Old People’s Home her own.

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Allegedly accused of witchcraft by her daughter-in-law and abandoned by her son, she was deprived of the right to family life as stated in Section 72 of the constitution.

Mpofu was left at the home 23 years ago and has never seen her seven grandchildren since.

The pain still lingers, and the isolation has taken a toll on her mental health.

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Esther Mpofu

“I had to comply because that’s what my son wanted for the sake of peace,” Mpofu recalls, her voice trembling.

“I had nowhere to go, no one to turn to, and coming here was the only option available because all my siblings died long ago. What I’m left with is for God to give me some rest because my soul is not at peace.”

As we spend time with her, we meet others like her – abandoned, lonely, and struggling with depression.

The home’s caretaker, Netie Chindedza, shares stories of similar heartbreak, of families turning their backs on their elderly loved ones.

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Netie Chindedza

“It’s just that we cannot have everyone here because of the resources, but if you go around these rural communities, children are abandoning their families, elderly people,” she says.

“Most of them are being accused of witchcraft, while some get tired of seeing them age, and this is the reason why we had to form this home to relieve the abandoned elderly people and save them from depression.”

As we left the female ward, we were taken to the male ward, where we met another elderly man, 82-year-old Jimmy Ndlovu from Nkayi district.

Jimmy Ndlovu

His story was similar – abandoned by his family, he had to travel over 700 kilometers to Victoria Falls to find a home first at Chidobe village in Hwange, and at the charity care facility due to drought-induced poverty.

He has been at the home for a couple of months now.

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“I was brought here by my daughter, who is married in Filabusi, I was starving, and I had no one to turn to,” Ndlovu says.

As we listened to Ndlovu’s story, we couldn’t help but ask ourselves, how could families turn their backs on their loved ones like this?

But our journey wasn’t over yet. As we moved on, we met another elderly man, 96-year-old, whose destination is unknown.

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He is deaf and unable to sit on his own, relying on diapers and constant care from the facility’s staff.

The Hwange district medical officer, Fungai Musinami, notes that such issues of neglect are rampant, and many dying in silence leading to depression.

“There is this concept in our society that a real man doesn’t cry, doesn’t struggle, and has to be strong. But men and elderly people also struggle with depression and anxiety, and we’ve seen them commit suicides due to feeling uncared for.”

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The African Charter’s Article 14 states: Every individual shall have the right to enjoy the best attainable state of physical and mental health.

But why is this happening in the communities?

Musinami explains, “Our society perpetuates a harmful narrative that these must be invincible. But the truth is, they are human too. They face financial pressures, relationship stress, feeling unloved…just like any other person. And when they can’t cope, they’re more likely to take their own lives.”

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The statistics are chilling – recent research published by the Ministry of Health and Child Care and UN partners states that mental health-related morbidity and mortality are increasing in Zimbabwe, with anxiety disorders estimated to affect 2.8 percent of the population and account for 4 percent of total years lived with disability.

For example, 38 suicide attempts, elderly people included, were recorded in January and February this year at Mpilo Hospital, up from 11 in the same period last year.

Assistant Commissioner Paul Nyathi, the Zimbabwe Republic Police spokesperson, added that witchcraft allegations are rampant, leading to violent attacks and displacement.

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“We have received similar cases like those (Mpofu’s), as you might have seen the incident where Masvingo man and his three daughters, including a juvenile, were arrested over a brutal murder of a 77-year-old and 92-year-old relatives rooted in witchcraft allegations.”

“Let me make this clear, in our constitution, it is an offense to call another person a witch and you can be tried in courts for that.”

Under the Witchcraft Suppression Act (Chapter 10:09), Section 3: Prohibits accusing someone of being a witch or practicing witchcraft while Section 4: prohibits damaging someone’s reputation by accusing them of witchcraft.

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For this, Nyathi urges the communities to seek counseling services through the traditional and religious leaders and even through police’s counseling section.

Efforts to trace Mpofu’s son have been fruitless as his contacts, which he gave her are not reachable and at the care, they do not know the village where he lives.

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World AIDS Day: UN Chief says ending AIDS by 2030 “is within grasp”

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BY SONIA HLOPHE

United Nations Secretary-General António Guterres has marked World AIDS Day with a message urging world leaders to scale up investment, confront stigma and ensure that lifesaving HIV services reach everyone who needs them.

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In his statement, Guterres said this year’s commemoration serves as a reminder that the world “has the power to transform lives and futures, and end the AIDS epidemic once and for all.”

He highlighted the major gains achieved over the past decade.

“The progress we have made is undeniable,” he said, noting that “since 2010, new infections have fallen by 40 per cent” while “AIDS-related deaths have declined by more than half.” Access to treatment, he added, “is better than ever before.”

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But despite this global progress, the Secretary-General warned that the crisis is far from over.

“For many people around the world, the crisis continues,” he said. “Millions still lack access to HIV prevention and treatment services because of who they are, where they live or the stigma they endure.”

Guterres also raised concern over shrinking resources:

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“Reduced resources and services are putting lives at risk and threatening hard-won gains.”

He said ending AIDS requires fully supporting communities, scaling up prevention and ensuring treatment for everyone.

“Ending AIDS means empowering communities, investing in prevention and expanding access to treatment for all people.”

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He also called for innovation to be matched by real-world delivery:

“It means uniting innovation with action, and ensuring new tools like injectables reach more people in need.”

Above all, he stressed the need for a human-rights centred response so no one is excluded.

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“At every step, it means grounding our work in human rights to ensure no one is left behind.”

With the 2030 global deadline approaching, the UN chief said success is still possible if momentum is sustained.

“Ending AIDS as a public health threat by 2030 is within grasp. Let’s get the job done.”

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Zimbabwe fast-tracks approval of long-acting HIV prevention drug Lenacapavir

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BY WANDILE TSHUMA

Zimbabwe has taken a major step in the fight against HIV following the rapid approval of Lenacapavir, a groundbreaking long-acting injectable for HIV pre-exposure prophylaxis (PrEP). The Medicines Control Authority of Zimbabwe (MCAZ) authorised the drug in just 23 days, marking one of the fastest regulatory approvals in the country’s history.

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The application, submitted by pharmaceutical company Gilead Sciences in October, underwent an expedited review because of its public health importance. MCAZ says the fast-tracked process did not compromise scientific scrutiny, with the product subjected to a rigorous assessment of its safety, efficacy and quality.

Lenacapavir is designed for adults and adolescents weighing at least 35kg who are HIV-negative but at substantial risk of infection. Unlike traditional daily oral PrEP, the medicine is administered as a six-monthly injection, following an initiation phase that includes one injection and oral tablets on Days 1 and 2. Health authorities say this long-acting formulation could dramatically improve adherence and expand prevention options, particularly for communities where daily pill-taking is difficult.

MCAZ Director-General  Richard T. Rukwata described the approval as a landmark moment in Zimbabwe’s HIV response.

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“The rapid approval of Lenacapavir reflects MCAZ’s dedication to accelerating access to trusted, high-quality health products. This milestone brings new hope for HIV prevention and reinforces our commitment to safeguarding public health,” he said.

To fast-track the process, the Authority applied a regulatory reliance approach, drawing on scientific assessments from the World Health Organization’s Prequalification Programme (WHO PQ). This allowed evaluators to build on internationally recognised review processes while ensuring Zimbabwe’s own standards were met.

The introduction of Lenacapavir comes as Zimbabwe continues efforts to reduce new HIV infections, particularly among young people and key populations who face barriers to consistent PrEP use. Public health experts say the drug’s twice-yearly dosing could be a game changer in improving uptake and protection.

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MCAZ says it remains committed to ensuring Zimbabweans have access to safe, effective and good-quality medical products, in line with its mandate under the Medicines and Allied Substances Control Act.

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Zimbabwe makes gains against TB

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BY WANDILE TSHUMA

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

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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.” 

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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.” 

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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.

 

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