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Zimbabwe’s healthcare system in crisis: CWGH calls for action

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BY NOKUTHABA DLAMINI

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The Community Working Group on Health (CWGH) has raised alarm over the deteriorating healthcare system in the country, citing a depleted and demotivated healthcare workforce, inadequate infrastructure, and shortages of essential drugs and medical supplies.

According to the CWGH report, the healthcare system  is facing a multitude of challenges that are compromising the quality of healthcare services.

The report notes that the country’s healthcare workforce is severely depleted, with a brain drain of skilled healthcare professionals leaving the country in search of better opportunities.

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“The parlous human resource situation reflects a number of factors that include: inadequate number, mix and distribution resulting from inadequate output from training institutions and the outward migration of health workers to other countries,” the report read.

“In particular, the outmigration of health workers has been driven by heavy workloads, inadequate compensation exacerbated by the high inflation, limited career development prospects, and challenging working conditions. The outmigration of health workers has led to longer waiting times, reduced patient care time, and compromisedhealth outcomes.

“District level health facilities have been the worst affected by the outmigration of health workers. Specialists who migrate take with them valuable expertise, experience, and knowledge. This loss has impacted on the quality of health services, particularly in specialized areas where their skills are in high demand.”

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The CWGH report also highlights the inadequate infrastructure and ill-equipped public healthcare facilities, making it difficult for healthcare workers to provide quality care.

The shortage of essential drugs and medical supplies has also become a major concern, with many patients unable to access the treatment they need.

Furthermore, the report notes the rising incidence of Non-Communicable Diseases (NCDs) and injuries from accidents, which is putting a strain on the already overwhelmed healthcare system.

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To address these challenges, the CWGH recommends that the government increase public spending on healthcare to at least 15% of the total budget, address the human resources situation, strengthen manufacturing capacity to improve access to quality-assured essential medicines, and improve access to sexual and reproductive health services, especially for adolescents.

The CWGH also calls for increased investment in addressing mental health issues and combating the scourge of NCDs through prevention programs and early diagnosis and management.

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National

Migration on the rise: Matabeleland North tops outbound movement in latest ZimLAC report

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BY NOKUTHABA DLAMINK

Matabeleland North has recorded some of the highest levels of migration in Zimbabwe, with 12.6% of households moving to urban areas and 7.8% leaving the country, according to the 2024–2025 Zimbabwe Livelihoods Assessment Committee (ZimLAC) report.

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The figures highlight a growing trend in which families are uprooting in search of work, education, and better living conditions, with the province’s migration rate well above the national averages of 9.9% for rural-to-urban moves and 5.0% for emigration.

For many in Matabeleland North, economic necessity drives these decisions.

“I had to send my son to Bulawayo because there was simply no work here,” said Thabani Ncube, a smallholder farmer in Lupane. “Even piece jobs have dried up. At least in town, he can hustle and maybe support the family.”

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The ZimLAC report shows that employment opportunities are the leading reason behind rural-to-urban migration nationally (6.3%). In Matabeleland North, 7.7% cited education as the next big pull factor, followed by new residential land and improved living standards.

Experts warn that while migration can bring relief through remittances, it also risks hollowing out rural communities.

“This trend is a double-edged sword,” explained Dr. Nomalanga Sibanda, a livelihoods researcher in Bulawayo. “Families may benefit from remittances, but local economies lose critical labour and skills. Over time, this weakens resilience in rural districts.”

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Other Provinces: Contrasting Patterns

Matabeleland South recorded the highest rate of emigration, with 13.5% of households reporting that members had left the country — nearly triple the national average. Masvingo followed closely, with 16.5% moving to towns and 7.7% leaving for the diaspora.

Meanwhile, Mashonaland Central had the lowest levels of outward movement, with just 4.4% moving to towns and 1.0% emigrating.

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Midlands also stood out, with 12.9% shifting to urban areas and 6.2% relocating abroad, driven mainly by job opportunities and schooling.

National Picture

Across Zimbabwe, nearly one in ten households (9.9%) reported rural-to-urban migration, while 5% indicated emigration outside the country. Employment, education, and improved living standards remain the strongest motivators.

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For ordinary families, the story is about survival and hope.

“My husband left for South Africa last year,” said Memory Dube of Gwanda, Matabeleland South. “He sends money when he can, but life is tough there too. Still, we rely on that income to buy food and pay school fees.”

ZimLAC, which advises the government through the Food and Nutrition Council (FNC), says the data will guide evidence-based interventions. The report stresses that migration trends are not just statistics, but reflect deeper issues of economic opportunity, resilience, and service delivery across provinces.

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Matabeleland North tops in open defecation as sanitation gaps persist

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BY NOKUTHABA DLAMINI

The latest 2025 Rural Livelihoods Assessment by the Zimbabwe Livelihoods Assessment Committee (ZimLAC) has revealed that Matabeleland North province has the highest proportion of households practising open defecation in the country, underscoring deep-rooted poverty and infrastructure challenges in rural communities.

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According to the report, Binga district leads with a staggering 80.1% of households without toilets, followed by Tsholotsho at 56.5%. Kariba (50.8%) and Mwenezi (49.4%) also recorded alarming levels of open defecation.

Nationally, there has been modest progress. The proportion of households with basic sanitation services increased slightly from 51% in 2020 to 55% in 2025. At the same time, open defecation declined from 29% in 2020 to 24% in 2025.

While these statistics point to progress at a national level, the reality in provinces like Matabeleland North paints a starkly different picture. Communities continue to struggle with extreme poverty, limited resources, and inadequate support to build or maintain proper sanitation facilities.

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ZimLAC noted that the findings are critical for shaping livelihoods policies and targeting interventions where they are most needed. The report emphasized that tackling inequalities in rural sanitation remains central to advancing Zimbabwe’s development goals.

Community Voices: Life Without Toilets in Matabeleland North

In Binga, where most households lack toilets, villagers say poverty is at the heart of the crisis:

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“We want toilets, but we cannot afford cement or bricks,” said 64-year-old grandmother from Sidinda. “Even when NGOs come, they only build for a few households. The rest of us dig shallow pits which collapse in the rains. That’s why many people just go to the bush.”

In Tsholotsho, young people express frustration over promises that never materialize:

“We were told about sanitation projects, but they stopped halfway. People survive by selling firewood; where will they get money for toilets?” asked Sikhumbuzo Ndlovu, a 22-year-old.

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For families living along the Zambezi in Binga, land conditions add another challenge:

“The soil is sandy and unstable. Even if we dig, the pit does not last long. Poverty makes it worse, because we cannot reinforce the toilets like people in towns,”another villager explained.

In Nkayi, the harsh climate compounds the problem:

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“We focus on finding food and water first. A toilet is a luxury for many families here,” said Joseph Moyo, a farmer battling drought conditions.

Despite the struggles, communities across Matabeleland North expressed a strong desire for better sanitation, linking the lack of toilets to health risks, dignity, and children’s wellbeing.

As ZimLAC’s findings show, progress is possible — but without targeted support in the hardest-hit areas, open defecation will remain entrenched in Zimbabwe’s rural poverty landscape.

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Zimbabwe selected for groundbreaking HIV prevention initiative

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BY STAFF REPORTER 

The U.S. Embassy in Zimbabwe has announced an exciting development in the fight against HIV: Zimbabwe has been selected as one of the ten countries globally to roll out lenacapavir, a breakthrough in HIV prevention.

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“Yes Zimbabwe, it’s happening!” the embassy declared, highlighting the significance of this initiative.

“For decades, we’ve fought to turn the tide against this epidemic, and each day we get closer,” the statement continued. This new treatment represents a pivotal moment in HIV prevention efforts, as it is the first twice-yearly HIV prevention medicine.

The implementation of lenacapavir is made possible through a partnership with U.S.-based Gilead Sciences and the Global Fund. A key finding from a large-scale clinical trial shows that more than 99% of people on lenacapavir remained HIV negative. While this has the potential to save millions of lives, the Embassy emphasized that for Zimbabwe, it represents a major step toward ending new infections.

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“But this is more than medicine—it advances us on a pathway to a safer, stronger, and healthier future!” noted the embassy’s announcement.

The initiative particularly focuses on pregnant and breastfeeding women, aiming to protect the next generation. It will also work toward strengthening healthcare systems, empowering Zimbabwe to lead its own fight against HIV. Moreover, the goal of making lenacapavir more affordable and accessible ensures that no one is left behind.

The embassy highlighted, “This is American leadership at its best: driving innovation, and building a world where children, mothers, and communities can thrive.”

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As this initiative rolls out, the message is clear: “Together, we’re not just fighting HIV—we’re winning.”

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