Duduzile Nyathi
Zimbabwe stares down a sobering reality as Matabeleland Provinces grapple with the country’s highest HIV prevalence rates.
Matabeleland South recorded a shocking prevalence rate of 17.3% for the year ending December 2023, followed by Matabeleland North at 14.5%. Bulawayo is third on 11.70% prevalence. This high prevalence places immense strain on healthcare systems and social structures and dwarfs the national average of 9-11%, with Manicaland boasting a comparatively low 9.4%.
Addressing Parliament on Wednesday, Minister of Health and Childcare Douglas Mombeshora, acknowledged the alarming disparity and emphasized the need for deeper investigation. Provincial reports are crucial, he stressed, to pinpoint the root causes specific to Matabeleland and tailor effective solutions.
There’s a flicker of hope amidst the challenge. Zimbabwe has over 1.2 million people on anti-retroviral treatment, a testament to the country’s progress. “We hope this figure dips further,” said Minister Mombeshora, “as some on treatment see natural attrition and new generations are born HIV-free thanks to modern treatment.”
However, funding sustainability beyond donor support remains a pressing concern. The National AIDS Council, through the National AIDS Trust Fund, has played a pivotal role, but long-term solutions are being explored.
“We’ve come a long way,” Minister Mombeshora highlighted. “From a peak of nearly 30%, we’re now down to 8-14%. But the fight isn’t over.”
Emakhandeni-Luveve MP Discent Bajila raised concerns about the lack of local production for contraceptives and condoms. This dependence on imports raises questions about affordability and availability, especially for vulnerable groups.
Minister Mombeshora acknowledged the import reliance but revealed plans to bolster local manufacturing, inspired by successful models like Egypt. This shift would not only ensure consistent supply but also create jobs and strengthen the economy.
While government-distributed condoms are free, concerns linger about market-priced options. Minister Mombeshora addressed the possibility of some diverting free supplies for profit, highlighting the need for further investigation to ensure those who need them most have access.
