Zimbabwe - International - Médecins du Monde

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Zimbabwe


In 2009, in full-blown political and economic crisis, the Zimbabwean health system practically collapsed. Many health worker had left the country, the availability of medicines was greatly reduced while the HIV pandemic grew to affect 23% of the population and the country was hit by a food crisis and a cholera epidemic. MdM redirected its activities towards maintenance of the existing health system in Chipinge district in the south-east of the country.

Zimbabwe
© Photo - Lachène ABIB



INFANT MORTALITY 81‰

LIFE EXPECTANCY 40.9

HDI 0.513; RANK 151/177

GDP/CAPITA ($) 2,038



The health situation in Zimbabwe continues to be characterised by high mortality rates, related to the high prevalence of HIV/AIDS, the collapse of the health system in recent years and the drastic shortage of health workers in the country. These issues are particularly bad in Chipinge, a poor and isolated district where MdM is the only health NGO present.

Tackling HIV/AIDS and providing primary care

Chipinge district, Manicaland province- Long term


ACTIVITIES

MdM is aiming to help improve primary healthcare, particularly for pregnant women and children, in three hospitals and 23 clinics in the district. The activities include training nurses, improving the supply of medicines and refurbishment. An ambulance service has also been introduced. MdM is also supporting the decentralisation of HIV testing and treatment for both HIV and opportunistic infections. The district hospital, now autonomous, and five new clinics have been accredited to be able to provide treatment.
At the community level, the focus is on home-based care and the creation of nutritional gardens for people living with HIV, awareness-raising among young people and care for vulnerable orphans (provided by the ‘grandmothers of the heart’). This work helps to reduce stigma, to increase the uptake of tests and to improve adherence to treatment programmes.


RESULTS

223 caesarians have been carried out. 356 health agents and 125 nurses have been trained. 25,147 people have been tested for HIV and 1,570 orphans supported.

OUTLOOK

MdM plans to consolidate this integrated mother and child health programme to improve the quality, availability and access to maternal and child health services (including HIV services) and, therefore, to increase the number of children receiving antiretroviral treatment. A new programme in the poor and overcrowded areas of Harare is being considered

  Life expectancy : 47 yrs
IDH : 0.140 ; rang : 169/169 *

Population 
Beneficiaries : 23,500

Target : 285,000

Personnel

Local : 53

Expatriate : 1

Co-ordinators :
Programme : Vincent Faucherre and Simona Zompi
Field : Joe De Koning
HQ : Stéphanie Derozier

 Budget 2010 : €1,247,686

Funding : DG Echo, MdM

Wilbert Mangava

“My wife and I fell ill in 2007. I joined the MdM home-based care programme after I tested HIV-positive. After a year of antiretrovirals I feel better, I’ve got my strength back and gained weight. My wife encouraged me to go back to my work as an electrician. For many people I am an example because we have survived and got our lives back. We take out treatment and have managed to send our children to school.”

August 2010


* Source : unpd 2007