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

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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.

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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.

 

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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.

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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.

 

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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.

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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.

 

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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

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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.

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

 

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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.

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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.

 

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“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.

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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.

 

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“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

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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.

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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.

 

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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.

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“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.

 

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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.

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

 

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The cost of the journey

These journeys to Zambia come with challenges.

 

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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.

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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.

 

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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.

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“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.

 

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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.

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

 

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

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Inside Boschpoort Predators: A candid tour with Hannes Wessels

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BY NOKUTHABA DLAMINI 

When l visited South Africa recently with the Zimbabwe Parliament and Wildlife Management Authority delegation, I was taken on a private tour of Boschpoort Predators by Hannes Wessels — President of the South African Predator Association, SUCo-SA member, and one of the industry’s most outspoken defenders. For hours, he walked us through his sanctuary, breeding areas, and off-site hunting properties, offering an unusually frank look into a sector that is often hidden behind controversy and media narratives.

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“The youth are our conservationists”

We began in the sanctuary section, where Hannes explained why thousands of schoolchildren visit the property each year.

“On Tuesdays and Thursdays school groups visit us free of charge,” he said. “Our school system in South Africa has no conservation value in the syllabus anymore. The youth are our conservationists, and that’s why it’s important to bring their schools in and take them through the jobs.”

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The sanctuary is one of three main sections: the public sanctuary, tiger breeding facilities in the valley, and a mountain breeding area that is closed to visitors.

“We don’t want human imprint on animals that are going into the hunting land,” he explained.

Breeding, hunting and the “Buffer” argument

Hannes spoke openly about the role of the predator-breeding industry in South Africa.

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“We need to keep this industry open, because it’s a buffer for the wild populations we’ve got,” he said.

“There’s been unnecessary negativity. People see an animal in a cage and think it’s starving today because of what they see in the media.”

He argued that captive-bred lions reduce pressure on wild reserves, especially as some national parks face disease challenges.

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“A specimen like that, you won’t find in our national parks anymore — Kruger is compromised due to disease in the lions. Other metapopulations are under pressure.”

He also highlighted the economic contribution:

“This industry contributes five hundred million to GDP from lion hunting alone,” he said. “If you look at the whole value chain — taxidermy, shipping agents — it makes up to a billion.”

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Traditional use and sustainability

Standing beside the enclosures, he spoke about cultural practices involving animal parts:

“Animals are part of traditional medicine in our culture, and there’s nothing wrong with it as long as it’s used sustainably. You cannot change the culture of a nation, but you can teach sustainability.”

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The challenge of tiger genetics and DNA markers

At the tiger section, he turned to what he called South Africa’s biggest challenge in tiger management:

“South Africa cannot export tigers to the countries of origin because we haven’t got DNA markers,” he said.

“I can say this is a Siberian, but it’s got Bengal blood — nobody can tell me. That’s the problem: there’s no regulation or DNA system to determine pure lines.”

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He mentioned that one of his colleagues is working to change that.

“One of my staff members is working on that to see if we can get tiger markers in, so we can actually determine what we’ve got.”

Traceability

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Hannes described a new programme they believe will reshape South Africa’s predator sector:

“We’ve got a new traceability programme, written by one of the best, especially for the lion industry,” he said.

“We can trace a lion from cradle to grave — DNA, parentage, everything.”

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This, he said, is crucial for international acceptance:

“The US (United State of America) wants traceability on the product. They don’t just want to know it doesn’t threaten the species — they want enhancement findings. It must prove a benefit.”

He argued that once traceability is universal:

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“CITES (Convention on International Trade in Endangered Species of Wild Fauna and Flora) will open up, because then we can prove we are not busy with inbreeding.”

A database to counter inbreeding claims

He said their internal database already captures detailed lineage:

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“I’ve got parentage, I’ve got DNA, I’ve got everything. We can prove we’re not breeding irresponsibly.”

But he added that government itself lacks accurate numbers:

“If you ask the department how many one-year-old male lions we have in captivity, they battle to tell us.”

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The new programme aims to force uniform reporting across the industry.

Re-wilding and new conservation fund

Hannes revealed a new initiative:

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“Every lion that will be hunted in the future will contribute to a conservation fund,” he said.

“That fund is busy with projects like re-wilding.”

He insisted re-wilding can work:

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“They say you cannot re-wild a lion — it’s like teaching a house cat to hunt. We re-wilded lions in 2016, and it’s working.”

Breeding success and natural mortality

He explained that captive-breeding success mirrors natural patterns:

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“The success rate is usually four cubs, but there’s a 25% loss. Four will be born, you’ll raise three — one is always lost.”

In nature, he said, mortality is even more brutal due to pride takeovers.

“A new male kills all the cubs because he wants his own blood. That’s why it’s almost impossible for a father to mate with his daughter in the wild.”

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Some online images showing thin lions mislead the public, he argued:

“Most of those pictures are lions growing old. They’re not sick — they just go old and starve naturally once they’re chased out.”

The 1984 Smith study: “Putting facts ahead”

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Hannes cited the work of Dr Smith, who sedated a number lions in Kruger in 1984 to establish physical averages.

“Smith claims a big lion male should be 1.05 metres at the shoulder,” he said, standing beside one of his large males.

“This one is 1.32 — higher than a normal lion male. That’s the genetics we’re working with.”

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He emphasised that quality genetics drive higher industry prices.

Industry scrutiny and advocacy

Hannes believes misinformation is one of the industry’s greatest challenges.

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“We are confronted with opinions. We’ve got the science, we’ve got the proof. NGOs are sponsoring opinions and we haven’t got the funding to put the facts out.”

He credited sector associations

“If it wasn’t for Peter, Stephen, and especially Richard — attending meetings, fighting for us — we would have lost this industry a long time ago.”

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He dismissed political threats to shut predator farming:

“The wish of the government to close the industry is the same as my wish to win the lottery — it will never happen.”

Inside the facility: Slaughterhouse, hospital, and daily Realities

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At one point we passed the onsite veterinary building.

“That’s our hospital where we treat all our animals,” he said. “It’s also the slaughterhouse for carcasses — nothing is wasted.”

He explained they had just processed a horse that had died that morning following an attack with a wildebeest.

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Gabi and the nocturnal predators

The tour almost ended with Gabi, a six-year-old predator kept in the sanctuary.

“Normally nocturnal,” Hannes said, “but she’s quite big, and she was hand-raised before being released on the property.”

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A controversial but transparent vision

My tour with Hannes revealed a man deeply committed to a model that blends conservation, utilisation, and economic sustainability — a model many organisations and countries intensely debate. He insists that with science, genetics, traceability, and strict record-keeping, the predator-breeding industry can both protect wild populations and support livelihoods.

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Government extends Victoria Falls Border Post operating hours to 24 hours

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BY WANDILE TSHUMA

The government has officially extended the operating hours of the Victoria Falls Border Post to a full 24-hour schedule, according to an Extraordinary Government Gazette published on Thursday.

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The change was announced under General Notice 2265A of 2025, issued in terms of section 41 of the Immigration Act [Chapter 4:02]. The notice states that the Minister of Home Affairs and Cultural Heritage has approved the extension with immediate effect from the date of publication.

The Gazette declares:

“It is hereby declared that in terms of section 41 of the Immigration Act [Chapter 4:02], the Minister has extended the operating hours for the Victoria Falls Border Post to twenty-four (24) hours on a daily basis, with effect from the date of publication of this notice.”

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The move is expected to boost tourism, trade, and regional mobility along one of Zimbabwe’s busiest tourist corridors, which connects the country to Zambia and the broader SADC region.

Stakeholders in tourism and logistics have long advocated for extended operating hours, citing increased traffic through Victoria Falls and the need to align with neighbouring countries that already run round-the-clock border operations.

 

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Victoria Falls airport handles over 460 000 passengers in 2025

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BY NOKUTHABA DLAMINI

Passenger traffic through Victoria Falls International Airport has continued its upward trend this year, with the Airports Company of Zimbabwe (ACZ) reporting a total of 463 848 passengers handled between January and September 2025.

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This marks a 13.57 percent increase from the 408 436 passengers recorded over the same period in 2024.

According to ACZ, the rise shows sustained growth in travel activity through one of Zimbabwe’s busiest tourism gateways.

“Victoria Falls International Airport handled a total of 463 848 passengers in the months under review (January – September 2025) compared to 408 436 passengers for the same period in 2024, representing a 13.57 percent increase in passenger traffic,” said the Airports Company of Zimbabwe in a statement accompanying the report.

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The cumulative data shows that passenger numbers have been rising steadily each month since April, with August 2025 recording the highest monthly total of 70 080 passengers, followed by July (62 532) and September (64 209).

In 2024, the same months recorded 59 033, 54 247, and 56 582 passengers respectively.

The figures underline a positive recovery pattern for the airport since the pandemic years, when total annual passenger traffic had dropped to just 64 202 in 2020 and 129 914 in 2021.

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ACZ said it will continue to release detailed passenger traffic reports for other airports across Zimbabwe as part of its ongoing transparency and performance updates.

“Following up on our prior cumulative report, we continue releasing detailed annual passenger traffic reports for each Zimbabwean airport. Stay connected to ACZ for the upcoming statistics,” the company said.

 

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