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

Published

7 months ago

March 24, 2025

VicFallsLive

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.

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.

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.

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.

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

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

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.

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.”

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

“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.

“We can’t rule that out,” he says.

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

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.

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.

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

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.

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

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.

“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.”

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.

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.

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.

This story was originally published by Global Press Journal.

Lifestyle

Marvin Dube: Spreading hope and gratitude through gospel music

Published

1 week ago

October 24, 2025

VicFallsLive

BY NOKUTHABA DLAMINI

Born in Kadoma and raised across various towns in Zimbabwe, gospel artist Marvin Dube carries with him the deep spiritual and cultural roots of his Tonga heritage from Junamina village in Binga. Now based in the United Kingdom, Marvin is making waves in the gospel music scene, using his voice and message to uplift, heal, and inspire.

Following his previous single “Munoziva Zvose”, Marvin continues to evolve as a gospel minister and artist. His latest songs, Tinetariro and Tendai Mwari, showcase a refreshing mix of faith, gratitude, and reflection on the moral and spiritual challenges facing society today.

Below are excerpts from his interview with Nokuthaba Dlamini, Managing Editor for VicFallsLive, where Marvin opened up about his inspiration, journey, and the purpose behind his new work.

What inspired these new songs, and what message do you hope listeners take away from them?

Marvin Dube:

Both Tinetariro and Tendai Mwari were born out of reflection and prayer. Tinetariro speaks about hope — the kind that reminds us we are God’s children, even in times of moral decline and confusion. I was inspired by the challenges we are facing today, especially among the youth. Many have lost direction and respect, and social media has become a space where spiritual values are often mocked.

I wanted to use Tinetariro to remind people that there’s still hope for our generation — that God hasn’t forgotten us.

Tendai Mwari carries a message of gratitude. It encourages us to appreciate God for the little we have and to remain thankful even before we receive the big things we dream of — the car, the house, the job. Gratitude opens doors, and I want listeners to embrace that attitude of thankfulness every day.

How do these songs reflect your personal journey or growth as a gospel artist?

Marvin Dube:

These songs mark a point of maturity in my journey. I’ve grown to understand that gospel music is more than melody — it’s ministry. I now write with more purpose, aiming to address real issues affecting believers and society. Tinetariro and Tendai Mwari reflect my growth in both faith and artistry, showing that gospel music can heal, correct, and inspire all at once.

Can you tell us about the creative process, from writing to production, and who you worked with on this project?

Marvin Dube:

My creative process is very spiritual and organic. I draw a lot of inspiration from preaching. Often, a melody will start as a small tune in my mind — it keeps ringing until I can’t ignore it. Usually, the chorus comes first. I then take time to pray for inspiration to write the verses so that the message aligns with what God wants to say through the song.

After that, I play the song on my guitar, record a rough version, and share it with the producer or the band I’ll be working with. For this project, I worked with Hertz Records, who have produced all my music to date. They truly understand my sound and help me bring my ideas to life.

I also want to give a special shout-out to my wife, Leonora, and my two little kids. They’ve been my biggest supporters and motivation throughout this journey. Their love and encouragement mean everything to me.

How do you see gospel music evolving in Zimbabwe and Africa, and where do you see your work fitting into that movement?

Marvin Dube:

Gospel music in Zimbabwe and across Africa is evolving in powerful ways. Artists are finding new ways to reach wider audiences by blending traditional gospel messages with contemporary sounds. It’s exciting to see how the gospel is being shared in modern, relatable ways — especially among young people.

I see my work fitting right into that movement. My goal is to be a bridge between generations — to deliver timeless spiritual truths with a fresh, modern sound that speaks to today’s world while staying true to the Word of God.

What has been the most powerful reaction or testimony you’ve received from people who have listened to your music?

Marvin Dube:

One of the most powerful testimonies I’ve received came from a young listener who said Tinetariro gave them hope again after going through a very dark season. They told me the song reminded them that God still has a plan for their life. Hearing that touched me deeply. It’s moments like those that remind me this is more than music — it’s ministry, and I’m humbled that God is using my songs to touch lives.

Closing Note

Marvin Dube:

I’m truly grateful for the love and support I’ve received for Tinetariro and Tendai Mwari. If you haven’t listened yet, both songs are available on all streaming platforms and on my YouTube channel, Marvin Dube. The year 2026 will be even more exciting, with several projects already in motion that I believe will uplift and bless many lives.

National

Zimbabwe moves to establish tough drug control agency amid rising substance abuse crisis

Published

2 weeks ago

October 22, 2025

VicFallsLive

BY NOKUTHABA DLAMINI

As Zimbabwe battles a surge in drug and substance abuse, the government has tabled a new Bill in Parliament seeking to establish a powerful agency to coordinate enforcement, rehabilitation, and prevention programmes across the country.

The National Drug and Substance Abuse Control and Enforcement Agency Bill (H.B. 12, 2025) proposes the creation of a dedicated agency mandated to combat the supply and demand of illicit drugs, provide rehabilitation services, and strengthen coordination between law enforcement and social service institutions.

According to the explanatory memorandum of the Bill, the agency will operate under two main divisions — a Social Services Intervention Division to focus on prevention, treatment and community rehabilitation, and an Enforcement Division to target supply chains, trafficking networks, and related financial crimes.

The legislation describes drug abuse as “a grave internal national security threat” and “a public health crisis” that fuels organised crime, corruption and violence. It notes that drug profits have enabled criminal cartels to “purchase the instrumentalities of crime, including weapons,” and to corrupt both civilian and non-civilian public officials.

Under the new framework, the agency will have powers to:

Investigate and arrest individuals involved in drug trafficking and production;
Work jointly with the Zimbabwe Republic Police, Zimbabwe Revenue Authority, and Medicines Control Authority of Zimbabwe;
Establish checkpoints at ports of entry and exit to intercept harmful substances; and
Expand the legal definition of “harmful drugs” to include emerging synthetic substances, in consultation with the Medicines Control Authority of Zimbabwe.

The Social Services Division will lead prevention campaigns, develop demand-reduction programmes, and facilitate the creation of rehabilitation and detoxification centres nationwide. It will also introduce a monitoring system requiring schools, employers, and local authorities to adopt anti-drug awareness and intervention programmes within 90 days of the Act’s commencement.

Each province and district will host offices of the agency to decentralise services and ensure community-level engagement, while traditional leaders will help devise local prevention strategies.

The Bill further empowers the agency to employ prosecutors from the National Prosecuting Authority to handle drug-related cases, signalling a shift toward specialised prosecution of narcotics offences. It also introduces a new, stricter “standard scale of fines” and penalties for drug crimes — higher than those prescribed under existing criminal laws.

In a major development, the proposed law integrates the agency into Zimbabwe’s Money Laundering and Proceeds of Crime Act, allowing it to pursue unexplained wealth orders and seize assets linked to drug cartels.

The Bill stresses rehabilitation and social reintegration as key pillars. It obliges the agency to support affected individuals through psychosocial counselling, vocational training, and community wellness programmes aimed at helping addicts rebuild their lives.

If passed, the National Drug and Substance Abuse Control and Enforcement Agency will replace fragmented anti-drug efforts currently scattered across ministries and law enforcement agencies, creating a central authority to drive national strategy and coordination.

Parliament is expected to debate the Bill in the coming weeks amid growing concern over youth addiction to crystal meth, cough syrups, and other illicit substances that have taken root in both urban and rural communities.

National

Hwange unit 8 breaks down, deepening Zimbabwe’s power supply challenges

Published

2 weeks ago

October 21, 2025

VicFallsLive

BY WANDILE TSHUMA

ZESA Holdings has announced that Hwange Unit 8 has been taken off the national grid following a technical fault, a development expected to worsen Zimbabwe’s persistent electricity shortages.

In a statement released on Monday, the power utility said the unit would be out of service for ten days while restoration work is carried out.

“Hwange Unit 8 has been taken off the grid due to a technical fault. The unit will be out of service for 10 days while restoration work is carried out,” ZESA said.

The company said Hwange Unit 7 remains operational, generating 335 megawatts (MW) to support system stability, while power generation at Kariba South Power Station has been ramped up with “careful management of water allocations” to compensate for the temporary shortfall.

ZESA apologized for the inconvenience and appealed for public understanding as engineers work to restore the unit.

Zimbabwe has faced recurring electricity supply challenges over the past two decades, driven by ageing infrastructure, limited generation capacity, and low water levels at Kariba Dam. While the commissioning of Hwange Units 7 and 8 in 2023 brought some relief, frequent breakdowns have continued to disrupt supply, forcing industries and households to endure prolonged load-shedding.

The latest fault at Hwange comes at a time when power demand is surging across the country, particularly during the hot season when air conditioning and irrigation systems increase pressure on the grid.

Energy experts say the outage highlights the need for greater investment in maintenance, renewable energy, and grid modernization to stabilize Zimbabwe’s power supply in the long term.