Connect with us

Slider

Zimbabwe’s new mothers face extortion for ‘free’ child health cards

Published

on

Photo credit: Gamuchirai Masiyiwa, GPJ Zimbabwe

BY GAMUCHIRAI MASIYIWA

Summary: The quiet return of maternity fees and the black-market sale of essential documents put extra burdens on mothers as they struggle to navigate a broken system.

Advertisement

First-time mother Connie Jowastands with her 3-month-old baby nestled against her back, chatting with other mothers in line. Like many women at this crowded clinic in Harare’s Mabvuku suburb, Jowa is trying to get a Child Health Card, which was unavailable when she gave birth at a public hospital, and was still out of reach at her local clinic. Health cards are mysteriously out of stock.

 

But they can be bought under the table, if you know who to ask and are willing to pay.

Advertisement

 

Zimbabwe’s Child Health Cards, meant to be free to new mothers, are crucial documents that track babies’ growth, vaccinations and medical histories. Without them, each clinic visit becomes a reset button. Inquiry into the child’s medical history starts from scratch. Since July 2024, the cards have disappeared from health facilities across Harare’s central hospitals and 42 council clinics — even though the card’s producers say they’re making enough to meet demand. This artificial shortage has birthed a shadow market where clinic staff quietly sell this essential document to desperate mothers. This sort of nickel-and-dime bribery exposes deep cracks in a health care system that’s already failing the most vulnerable people.

 

Advertisement

What started as a clandestine operation has become an open secret.

 

“When cards arrive at a clinic, they’re kept by the sister in charge. But it’s usually nurse aides or junior staff who sell them, working in cahoots with other staff members,” says Simbarashe James Tafirenyika, who leads the Zimbabwe Municipality’s Nurses and Allied Workers Union.

Advertisement

 

Someone who sells 100 cards can pocket around US$500, she says, and none of that money goes to the government of the council.

 

Advertisement

The going rate for the Child Health Card is US$5, say several mothers who spoke to Global Press Journal.

 

Medical Histories on Scraps of Paper

Advertisement

 

When the system works as designed, every mother receives a Child Health Card when her baby is born. Now, most mothers must track their infants’ medical histories on scraps of paper.

 

Advertisement

Harare’s council clinics alone deliver more than 3,000 babies every month, with each mother left scrambling for documentation.

 

“I feel hurt,” Jowa says. “I want to know what vaccines my child has received and their purposes, but I just can’t get that information.”

Advertisement

 

A nurse aide assistant at one of the council clinics has witnessed this shadow market.

 

Advertisement

“If a nurse is selling, they ask the mother to be ‘skillful’ if they need the card,” says the assistant, who requested anonymity for fear of retribution. In Zimbabwe, “skillful” is a common euphemism for paying small bribes.

 

While the Ministry of Health and Child Care is supposed to supply the cards for free, Prosper Chonzi, the City of Harare’s director of health, admits supplies have been erratic for six months and that people have complained about being forced to purchase these cards. Clinic workers may be exploiting the known shortage and coordinating among themselves to sell the cards rather than providing them for free, he says.

Advertisement

 

“We can’t rule that out,” he says.

 

Advertisement

The card shortage coincides with the quiet return of maternity fees in public hospitals. Though not officially announced, hospitals have begun billing mothers after delivery — a policy change the government would neither confirm nor deny.

 

High Inflation, More Corruption

Advertisement

 

Between 2011 and 2024, more than 1 million pregnant women in the country delivered babies for free at health care clinics, under a scheme called results-based financing. Maternal mortality rates dropped during that time.

 

Advertisement

But these gains, partly achieved through better access to safe delivery services, face new hurdles as budget constraints and economic pressures reshape the health care landscape.

 

Even in 2021, a study from Transparency International Zimbabwe surveyed over 1,000 people in Zimbabwe and found that 74% had been asked to pay a bribe while trying to access health care services. A feeling of being underpaid amidst a deteriorating economy and high inflation was a key driver among health workers who solicitated bribes, which has been a rising trend, according to the study.

Advertisement

 

“The motivation for earning an extra income is strong especially in countries with a high rate of inflation,” the study states.

 

Advertisement

Zimbabwe’s health care system faces chronic challenges, including an exodus of health workers to other countries, inadequate funding, drug shortages, obsolete infrastructure and more. In 1991, the government introduced user fees across public institutions as part of an economic structural adjustment program. The government abolished the fees in 2011, only to partially reinstate them around 2013.

 

Prudence Hanyani, a community activist in Harare, says the reintroduction of user fees in public hospitals will burden women who already shoulder extra costs, like paying for midwives, so they can get better treatment when giving birth.

Advertisement

 

“Maternal health services should be free,” she says, “because giving birth is a service for the nation that contributes to the country’s population.”

 

Advertisement

Mothers Pay the Price

 

Valerie Shangwa, who gave birth four and a half months ago at a private maternity hospital, still has no card for her daughter.

Advertisement

 

“You know how difficult it is to keep a paper,” she says. “When nurses ask about last month’s weight, you end up guessing, and that distorts the whole record.”

 

Advertisement

Charlton Prickise, technical director at Print Flow, says his company sells Child Health Cards only to government-authorized health facilities and faces no shortages.

 

“The shortages mean health facilities simply aren’t coming to get them,” he says.

Advertisement

 

Though Print Flow hasn’t detected leaks, Prickise recalls finding other versions of this card on the market two years ago, possibly from a nongovernmental organization. Print Flow isn’t the sole supplier of the cards, and they haven’t received any government orders recently.

 

Advertisement

In a written response to Global Press Journal, Donald Mujiri, spokesperson for the Ministry of Health and Child Care, said the shortage of Child Health Cards is due to supply chain inefficiencies and insufficient donor funding. The cards, he says, are procured with government funding and aid from supporting partners such as the United Nations Children’s Fund. Nevertheless, Mujiri says, the ministry needs to strengthen the supply chain management system at all levels and proactively mobilize resources for procuring the cards.

 

Meanwhile, mothers wait — or pay the price. Faith Musinami, 26, delivered her daughter in July 2024. An orderly told her the clinic only had cards for boys, but if she wanted, they could organize one for US$5. Musinami had not budgeted for the cost. She sacrificed the last penny she had.

Advertisement

This story was originally published by Global Press Journal.

Advertisement
Continue Reading
Click to comment

Leave a Reply

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

Slider

From skins to steaks — How wildlife trade is fueling communities in South Africa

Published

on

BY NOKUTHABA DLAMINI 

In the small town of Bela-Bela, a quietly flourishing business is unfolding — one that turns wildlife into livelihood, education, and economic opportunity. On a humid afternoon, we walked into the operations of Estelle Nel Taxidermy (and its parent networks), where rows of beautiful animal mounts — from antelope horns to zebra skins, skulls to full-body trophies — line the walls.

Advertisement

But beyond the busts and custom mounts lies a deeper purpose: this is not simply a display of hunting trophies. It is a system of sustainable use — where animals that die naturally or are hunted legally are completely utilised: meat, skin, horns, bones — nothing goes to waste, and everything acquires value.

As we discovered from our conversations, this network extends beyond taxidermy. Adjacent to the showrooms are processing facilities, butcheries, and game-meat wholesalers — all integral to transforming South Africa’s wild fauna into a formal, regulated, and sustainable economy.

“This is home” — an artisan’s vocation

Advertisement

I sat down with Melanie Viljoen, who serves as Export Secretary at Estelle Nel Taxidermy. Her voice was calm, resolute.

“For me, it’s like this is home and it’s something that I love to do. I love art. I studied art at school. I can’t think of anything else I’d rather do.”

She told us she’s been with the business for thirteen to fourteen years. Over that time she’s mastered a unique craft. “I’ve found my niche,” she said, “and I’m not going anywhere.”

Advertisement

Melanie explained how the business flows: outfitters bring in international clients to hunt on private farms, then process the animals: trophy mounts for some, meat for others. Locals also bring animals — sometimes for trophies, sometimes just for meat. There is even “school-mount” work: smaller species, sometimes a mother and its young, carefully preserved — not just for hunters, but for children to touch and learn about wildlife up close.

“We mount animals that have died naturally or were hunted… we use everything, from the meat to the skins and curls. It’s a sustainable way of doing business, and everything has a monetary value.”

This, she says, is both business and passion — blending artistry, conservation, and commerce.

From workshops to global markets — taxidermy meets commerce

Advertisement

According to membership details o South African Taxidermy & Tannery Association, Estelle Nel Taxidermy offers a wide range of services: from mounting mammals, birds, reptiles; tanning skins and capes; cleaning, mounting and articulating skulls, bones, horns, tusks; to producing novelty leather items, polished horn décor, engraved bones, hoof lamps — even gunbags and furniture. They offer full export packing and crating services, and help clients ship internationally.

What this means is that skins, hides and trophies — once the culmination of a hunt — become far more than personal souvenirs. They become export commodities, contributing to livelihoods of artisans, packers, shippers, and everyone in between.

Yet, as Pieter Swart President of South African Taxidermy & Tannery Association  (SATTA)/chairman of SUCO-SA) told us, that path to global markets is not without obstacles.

“Certain airlines allow the shipping of these trophies. I think it’s about four airlines that you can ship them overseas, but the rest refuse to take their hunting trophies to destinations. As well as the sea shipments — there’s only one ship going to America every three months. The rest of the shipping lines refuse to take hunting trophies.”

Advertisement

He lamented the difficulty in logistics. And yet, he sees themselves as part of a broader — and misunderstood — effort. “This anti-animal works movement created the idea that hunting is killing the animals and destroying them to extinction — but that is actually quite the opposite,” he said. “More and more, the guys are farming the animals; that is creating a better future for the animals.”

In other words: regulated, sustainable use — of every part of the animal — can coexist with conservation, economic empowerment, and community upliftment.

Game meat: from farm to fork

Advertisement

Next door to the taxidermy showroom, we toured a modest but hygienic meat-processing Camo Meat facility, run by people like Ina Hechter. They explained that their business started small — in 2012 as a private processing butcher for animals from farms. Around 2017 they expanded into wholesale for local markets. Export remains limited, but local demand is growing.

Their meats include species typical of the South African game-meat industry: kudu, impala, springbok, wildebeest, zebra and others. What began as a niche — somewhat stigmatised — trade is slowly gaining acceptance. Some supermarkets and lodges are carrying game meat; more restaurants are offering “veld flavour.”

Ina told me that in times of drought — when traditional livestock farming may suffer — game-meat businesses often see increased activity. Farms with overstocked wildlife or animals unable to survive drought may harvest and sell meat, skins and other resources. In this way, what might have been a loss can become income, conservation, and food security.

Advertisement

“Our parks are so small that they can’t sustain all the animals that are there,” Ina said. “Especially in drought years … when it’s not raining a lot you will see they die and then they sell the animals.”M

She sees game meat not only as a business, but as part of a broader sustainable economy — offering healthy, lean protein to consumers, easing pressure on overburdened habitats, and circulating value in rural and peri-urban communities.

More than meat and trophies — a conservation-economy model

What struck me during the tour was how holistic the operation is. It isn’t just about hunters bringing back trophies. It’s about using every bit of what exists: meat, skins, hides, horns, bones — even skulls, and decorative by-products. From full-body mounts to polished horn décor, from retail game-meat packages to furniture made from hoofs: this is a full-value chain.

Advertisement

Companies like Estelle Nel Taxidermy are members of formal trade associations and provide professional services — tanning, mounting, packing, export documentation — and in doing so, they help formalize trade in wildlife products.

Meanwhile, the game meat industry — though historically informal — is slowly growing more regulated. According to a recent national biodiversity-economy strategy, game-meat production supports economic growth, food security, and employment. The most commonly produced and consumed species: impala, kudu, wildebeest, springbok.

In other words: when properly managed, this sector has the potential to transform perceptions of wildlife — from being simply “wild animals” to resources that can feed, employ and uplift entire communities.

Advertisement

Challenges — logistics, stigma, regulation

But it’s not all smooth. As Pieter Swart highlighted, export logistics remain a bottleneck: only a few airlines transport trophies; shipping lines are often reluctant; sea freight to markets like the United States may come only every few months. This makes it harder for the industry to scale globally.

Domestically, the market for game meat and wildlife products still battles cultural and regulatory stigma. Many people still frown at game meat; supermarkets and restaurants are only slowly integrating it.

Advertisement

Regulation is another issue: for the industry to be sustainable, wildlife needs to be farmed or managed responsibly, harvesting must follow quotas, and processing must meet health and safety standards. When abattoirs, tanneries, and exporting agents comply with regulation, this gives the industry legitimacy — but it also requires oversight, capacity, and buy-in from all stakeholders.

A snapshot

Our visit painted a picture of a wildlife economy that’s evolving: where skilled artisans turn skins, horns, skulls into enduring art; where processors supply game meat to homes, restaurants and hotels; where farms, outfitters, taxidermists, meat processors, exporters, and even children (learning from mounted displays) all form part of an ecosystem.

It’s a world that challenges simplistic ideas of wildlife as either “pristine wilderness” or “endangered species.” Instead, it shows how — if managed with respect, regulation, and purpose — natural resources can sustain livelihoods, build economies, and forge a bridge between conservation and commerce.

Advertisement

For many of those involved — from Melanie Viljoen to Ina Hechter and Pieter Swart — it’s not just business. It’s home. It’s art. It’s the future.

Advertisement
Continue Reading

In the community

Foot and mouth disease outbreak in Mat North

Published

on

BY NIZBERT MOYO

The provincial Veterinary Department has urged farmers to comply with livestock movement regulations following an outbreak of the Foot and Mouth Disease (FMD) in some parts of Matabeleland North.

Advertisement

Acting provincial veterinarian Gwinyai Zhandire confirmed the outbreak to Southern Eye, saying the government has instituted movement controls, vaccination and active surveillance in the affected areas.

“There are some dip tanks affected in the Nyamandlovu area,” Zhandire said.

“The government has instituted movement controls and vaccination, and we are conducting surveillance.

Advertisement

“Farmers are encouraged to observe and comply with livestock movement regulations to prevent further spread.”

He highlighted that the rainy season increases the risk of other livestock diseases.

With tick populations on the rise, farmers should be vigilant against tick-borne illnesses such as Anaplasmosis (Gall Sickness), Theileriosis (January Disease), Ehrlichiosis (Heartwater) and Babesiosis (Redwater).

Advertisement

“Weekly dipping is encouraged to prevent transmission between animals,” Zhandire said.

He emphasised the importance of routine vaccination against other seasonal threats, including anthrax and lumpy skin diseases.

The outbreak has also affected farmers in the Umguza area, who have similarly been directed to adhere to animal movement restrictions.

Advertisement

Foot and mouth disease is a highly contagious viral disease that affects cloven-hoofed animals, including cattle, sheep and goats.

The disease is characterised by fever and the development of painful sores or blisters in the mouth and on the feet, often leading to severe lameness and a drop in productivity.

The virus spreads easily through direct contact between animals, as well as via contaminated equipment, vehicles and feed.

Advertisement

The disease can result in significant economic losses in the livestock industry due to trade restrictions and animal health costs.
Source: Southern Eye

 

Advertisement
Continue Reading

In the community

Brother-in-law jailed for repeated rape of mentally incompetent 16-year-old

Published

on

BY WANDILE TSHUMA

The Hwange Regional Magistrates’ Court has convicted and sentenced a 41‑year‑old man to 20 years’ imprisonment for the repeated rape of his 16‑year‑old sister‑in‑law, a mentally incompetent juvenile.

Advertisement

The court heard that the victim was staying at the offender’s homestead in Lupane. Between November 2024 and May this year, the offender exploited her mental incapacity and his position of trust to rape her on multiple occasions.

In the first incident, the offender’s sister pushed the victim into a bedroom where the offender was waiting, locked the door, removed the victim’s clothes and raped her. He threatened the victim and ordered her to remain silent when she tried to cry out for help.

The abuse continued on various occasions. In May, a community member discovered the abuse and reported it to the Zimbabwe Republic Police in Lupane.

Advertisement

Medical and psychiatric examinations confirmed the victim’s mental status and the ordeal. The offender and his sister assaulted the victim with a sjambok and a stick and threatened her not to disclose the matter.

 

 

Advertisement

Continue Reading

Trending

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