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  ZIMBABWE - Country Profile Updated: Feb 2005  

AIDS Programmes

National Strategic Framework
Status

Completed. (Period 2000-2004)

National policies
  • National HIV/AIDS policy launched in 1999 covering human rights, public health, care for PLWA, gender, Information, Education and Communication (IEC) Programme and research.
  • An AIDS levy exclusively for HIV/AIDS raises about Z$20 million dollars per year. 3% of both companies and employees in Zimbabwe.

Ministry of Health and Child Welfare
AIDS and TB Unit
Contact person: Dr Owen Mugurungi
Harare, Zimbabwe
Tel: +263 4 726 803 / +263 4 703 330 / +263 4 730 011
Fax: +263 4 795 191

National AIDS Council (NAC):
Contact person: Dr. David Chitate, Director a.i.
P.O. Box MP 1311, Mount Pleasant
Harare, Zimbabwe
Tel: +263 4 791 171/2
Email: /

  • Coordinates, facilitates, sustains and monitors an expanded national multisectoral response to HIV/AIDS.
  • HIV/AIDS Organisations:

    1. Actionaid
      P.O. Box 2451, Causeway
      Harare, Zimbabwe
      Tel: +263 4 70 3336
      Fax: +263 4 788 124
      Co-ordination of HIV/AIDS programmes in African countries.

  • AIDS Counselling Trust (ACT)
    Contact person: Prisca Munonyara
    P.O. Box 7225
    Harare, Zimbabwe
    Tel: +263 4 79 2340
    Fax: +263 4 797 041
    Email:
    Counselling; home-based care; training; materials development; information, education and communication.
  • Africare
    Contact person: Cassie Chipere - Officer in charge
    Tel: +263 4 745 859/61
    Fax: +263 4 498 108
    Email:
    Website: www.africare.org
    Capacity building of communities to ensure the sustainability in the implementation and management of HIV/AIDS programmes in all Africare Zimbabwe projects.
  • The Centre
    Contact person: Lynde Francis
    P.O. Box A930, Avondale
    Harare, Zimbabwe
    Tel: +263 4 732 966
    Fax: +263 4 732 965
    Email:
    Website: www.kubatana.net
    Self-help drop-in centre; counselling; research; training project for people with HIV/AIDS.
  • Family AIDS Caring Trust (FACT)
    Contact person: Jephias Mundondo
    P.O. Box 970
    Mutare, Zimbabwe
    Tel: +263 20 63673 / +263 20 66015
    Fax: +263 20 65281
    Email:
    Education for young people, workers, churches, women, sex workers and the wider community, care; children's care; training; peer education; advocacy.
  • Farm Orphan Support Trust (FOST)
    Contact person: Lynn Walker
    Agriculture House, Marlborough Drive / Adylinn Road
    P.O. Box WGT 390, Westgate
    Harare, Zimbabwe
    Tel: +263 4 309 800
    Fax: +263 4 309 869
    Email:
    Orphan care and support; awareness; training; evaluation and monitoring; nutrition support; educational support; psychosocial support.
  • Gweru Women's AIDS Prevention Association (GWAPA)
    Contact person: Mrs Govathson
    Tel: +263 54 20749
    Fax: +263 54 23254
    Email:
    Focuses on AIDS education and prevention. Members are all disadvantaged women; living with AIDS, single, widowed, divorced.
  • Mashambanzou Care Trust
    Contact person: Sr M. McAllen, Co-ordinator, Patrick Smet, Networking Officer
    Tel: +263 4 610 937 / +263 4 610 079
    Fax: +263 4 610 079
    Email:
    An interdenominational organisations providing care and support for people affected by HIV/AIDS in the high-density areas of Harare, and helps empower the local community to deal with the AIDS pandemic.
  • Matabeleland AIDS Council (MAC)
    Contact person: Danmore Sithole, Director; Linda Ncube, Information Officer
    Tel: +263 9 62370
    Fax: +263 9 61540
    Email: /
    Supports People Living with HIV and their families to control the spread of HIV in Matabeleland; counselling, information and education.
  • National AIDS Council (NAC)
    Contact person: Dr. Magure
    P.O. Box MP 1311, Mount Pleasant
    Harare, Zimbabwe
    Tel: +263 4 791 171/2
    Email:
    Coordinates; facilitates; sustains and monitors an expanded national multisectoral response to HIV/AIDS.
  • Population Services International (PSI)
    30 The Chase West
    Emerald Park Offices, Block E
    Emerald Hill, Harare
    Zimbabwe
    Contact Person Karin Hatzold
    Tel: +263 4 334 631
    Fax: +263 4 339 632
    Email:
    Website: www.psi.org
    Uses social marketing to deliver health products, services and information that enable low-income and other vulnerable people to lead healthier lives.
  • Southern African AIDS Training Programme (SAT)
    Contact person: Sihle Mpofu / Benitta Mabvira
    Tel: +263 4 781 123/9
    Email:
    Website: www.satregional.org
    Supports community responses to HIV and AIDS through in-depth partnership, networking, skills exchange and lesson sharing in HIV prevention, HIV and AIDS care and support throughout the region.
  • Southern Africa AIDS Information Dissemination Service (SAfAIDS)
    Contact person: Sarah Page
    Tel: +263 4 307 898
    Fax: +263 4 336 195
    Email:
    Website: www.safaids.org.zw
    Building capacity of its partner organisations; providing assistance to other organisations in mainstreaming HIV/AIDS into their development and workplace policies.
  • UN Theme Group on HIV/AIDS, Chair
    Contact person: Mr J. Victor Angelo
    Resident Coordinator, UNDP Resident Representative
    Tel: +263 4 708 101
    Email:
    Website: www.undp.org
    Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
  • UNAIDS Country Coordinator
    Contact person: Ms Hege Waagan a.i.
    Tel: + 263 4 792 681/6
    Fax: + 263 4 250 691
    Email:
    Website: www.unaids.org
    UNAIDS, leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
  • Zimbabwe AIDS Network (ZAN)
    Contact person: Mrs M. Masunda (Chairperson) / Kate Mhambi (National Coordinator)
    Tel: +263 4 703 819 / +263 4 700 832 / +263 4 700 924
    Fax: +263 4 700 330
    Email: / /
    Website: www.zan.co.zw
    A National Network for NGOS with AIDS programmes. Its seeks to develop the capacity of its members, as well as lobbying and advocacy. It promotes information sharing and effective mobilisation and use of resources and provides a forum for coordination and information exchange.
  • Zimbabwe AIDS Prevention Project (ZAPP)
    Contact person: Ronald Sagonda - Acting Administrator
    Tel: +263 4 770 610/1
    Fax: +263 4 770 170 / +263 4 749 865
    Email:
    ZAPP seeks to provide qualitative VCT services to clients and assess the acceptability of short course AZT prevention regimen on HIV infected pregnant women.
  • Zimbabwe National Family Planning Council (ZNFPC)
    Contact person: Godfrey Tinarwo, Executive Director
    Tel: +263 4 620 281/5 / +263 4 661 962/4 / +263 4 661 748 / +263 4 668 770
    Fax: +263 4 661 748 / +263 4 668 770
    Email:
    Coordinates the provision of sustainable, accessible family planning and selected reproductive health services and information to men, women and special needs groups. Also seeks to ensure adequate supply and effective logistics management of contraceptives and condoms for pregnancy and STI/HIV prevention.
  • Zimbabwe National Network for People living with HIV/AIDS (ZNNP+)
    Contact person: Jefter Mxotshwa, Director
    Tel: +263 4 778 109
    Email:
    ZNNP+ is involved in nationwide HIV/AIDS programmes, including, provision of holistic home-based care, access to affordable treatment and support, nutritional advice, pre- and post-test counselling, and advocacy and awareness.
Country Indicators
Demographic data Year Estimate Source
Total population (thousands) 2004 12,932 UN population division database
Female population aged 15-24 (thousands) 2004 1617 UN population division database
Population aged 15-49 (thousands) 2004 6212 UN population division database
Annual population growth rate (%) 1992-2002 1.5 UN population division database
% of urban population 2003 34.7 UN population division database
Average annual growth rate of urban population 2000-2005 1.79 UN population division database
Crude birth rate (births per 1,000 pop.) 2004 31.5 UN population division database
Crude death rate (deaths per 1,000 pop.) 28.5 UN population division database
Maternal mortality rate (per 100,000 live births) 2000 1100 WHO (WHR2004)/UNICEF
Life expectancy at birth (years) 2002 37.9 World Health Report 2004, WHO
Total fertility rate 2002 4 World Health Report 2004, WHO
Infant mortality rate (per 1,000 live births) 2000 71 World Health Report 2004, WHO
Under 5 mortality rate (per 1,000 live births) 2000 108 World Health Report 2004, WHO
For consistency reasons the data used in the above table are taken from official UN publications
Socio-economic data Year Estimate Source
Gross national income, ppp, per capita (Int.$) 2002 2120 UN population division database
Gross domestic product, per capita % growth 2001-2002 -6.6 World Bank
Per capita total expenditure on health (Int.$) 2001 142 World Health Report 2004, WHO
General government expenditure on health as % of total expenditure on health 2001 45.3 World Health Report 2004, WHO
Total adult illiteracy rate 2000 11.3 UNESCO
Adult male illiteracy rate 2000 7.2 UNESCO
Adult female illiteracy rate 2000 15.4 UNESCO
Gross primary school enrolment ratio, male 2000/2001 96 UNESCO
Gross primary school enrolment ratio, female 1996 93 UNESCO
Gross secondary school enrolment ratio, male 1996 47 UNESCO
Gross secondary school enrolment ratio, female 1996 42 UNESCO
For consistency reasons the data used in the above table are taken from official UN publications

Source: WHO/UNAIDS epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update.
Email:
Epidemiological Fact Sheet
Estimated number of adults and children living with HIV/AIDS, end of 2003
These estimates include all people with HIV infection, whether or not they have developed symptoms of AIDS, alive at the end of 2003:
Adults and children 1,800,000  
Adults (15-49) 1,600,000 Adult rate(%) 24.6
Women (15-49) 930,000  
Children (0-15) 120,000  
Estimated number of deaths due to AIDS
Estimated number of adults and children who died of AIDS during 2003:
Deaths in 2003 170,000  
Estimated number of orphans
Estimated number of children who have lost their mother or father or both parents to AIDS and who were alive and under age 17 at the end of 2003:
Current living orphans 980,000  

Assessment of the epidemiological situation (2004)

Information on HIV prevalence among antenatal clinic (ANC) attendees is available from Zimbabwe since 1989. In the major urban areas, Harare, Bulawayo, and Chitungwiza, HIV prevalence among antenatal clinic attendees tested increased from 10 percent in 1989 to 30 percent in 1995. HIV prevalence remained at about 30 percent from 1995-2002.

Sentinel surveillance information among ANC attendees in rural areas such as communal lands, small-scale commercial farms, is available since 1990. Since 1990, median HIV prevalence among ANC women tested increased from 16 percent in 1990 to 20 percent in 1997. From 1997 to 2002, median HIV prevalence ranged around 20 percent. In 2000, age detail of HIV prevalence came from 19 sites and included major urban areas. In other areas, such as large-scale commercial farms, administrative centers, mines, etc., HIV prevalence is much higher. HIV among ANC attendees tested in these areas has been around 35 percent since 1997.

In 1994-1995, 86 percent of sex workers tested in Harare were HIV positive. In 2001, 50 percent of sex workers tested in Mutorashonga were HIV positive.

In Harare, HIV prevalence among STD clinic patients tested increased from 52 percent in 1990 to 71 percent in 1995. In 1996, HIV prevalence was 53 percent among female STD clinic patients. Outside of Harare, median HIV prevalence among STD clinic patients was 6 percent from 2 testing sites in 1987. Among 15 testing sites in 1991 and 1992, median HIV prevalence reached 46 percent and 45 percent, respectively. In 1995, median HIV prevalence from 7 testing sites was 65 percent. In 1996, only one site reported HIV prevalence outside of Harare; 72 percent of STD clinic patients tested HIV positive.



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