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 Wednesday 16 June 2010
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Country Profile: Zimbabwe
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AIDS Programmes

National Strategic Framework: 2006-2010

The Zimbabwe National HIV and AIDS Strategic Plan (ZNASP) 2006-2010 will replace the HIV and AIDS policy of Zimbabwe and the Strategic Framework, both of 1999. The new plan includes policies on previously omitted areas such:
 ART—for both children and adults
 Settlement patterns and mobility of mine workers

Situation Report (WHO):
Zimbabwe’s health system is currently experiencing numerous difficulties due to the prevailing harsh economic conditions and reduced donor support, hindering the progress of the national response to the epidemic. The shortage of human resources is one of the major constraints, as trained health personnel continue to immigrate to other countries and a growing number of other health workers succumb to HIV/AIDS. Shortages of drugs and supplies comprise another major constraint essentially due to high and rising costs, the inadequate availability of foreign exchange reserves and fragmented procurement and distribution systems for drugs and supplies. Additional laboratory support (especially with regard to equipment and reagents) is required. The policy framework for expanding antiretroviral therapy services needs to be developed, including policies regarding payment of antiretroviral therapy services, social criteria for setting priorities among people receiving treatment in the public sector and workplace antiretroviral therapy programmes. Links between testing and counselling services and services for preventing mother-to-child transmission and antiretroviral therapy need to be strengthened. The treatment of children and training guidelines for this need to be developed. Stigma surrounding HIV and AIDS remains one of the biggest obstacles to the effective treatment and care of people infected and affected by HIV.

HIV/AIDS Organisations

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

  National AIDS Council (NAC)
Contact person: Dr T. Magure, chief executive officer Tel: +263 4 791 170/ 791 172
Location: P.O. Box MP 1311, Mount Pleasant
Harare, Zimbabwe
What we do: Coordinates, facilitates, sustains and monitors an expanded national multi-sectoral response to HIV/AIDS.

Contact person: Tel: +263 4 70 3336
Location: P.O. Box 2451, Causeway
Harare, Zimbabwe
Fax: +263 4 788 124
What we do: Co-ordination of HIV/AIDS programmes in African countries.

 AIDS Counselling Trust (ACT)
Contact person: Prisca Munonyara Tel: +263 4 797 039/40
Location: P.O. Box 7225
Harare, Zimbabwe
Fax: +263 4 797 041
What we do: Counselling; home-based care; training; materials development; information, education and communication; food relief, low-input gardening; youth art programme.

Contact person: Cassie Chipere, Officer in charge Tel: +263 4 745 859/61
Location: Fax: +263 4 498 108
What we do: Capacity building of communities to ensure the sustainability in the implementation and management of HIV/AIDS programmes in all Africare Zimbabwe projects.

 Family AIDS Caring Trust
Contact person: Tel: +263 2 061 648
Location: 12 Robert Mugabe Way
Mutare, Zimbabwe
Fax: +263 2 065 281
What we do: 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: Moira Ngaru Tel: +263 4 309 800
Location: Agriculture House, Marlborough Drive / Adylinn Road
P.O. Box WGT 390, Westgate
Harare, Zimbabwe
Fax: +263 4 309 869
What we do: Orphan care and support; awareness; training; evaluation and monitoring; nutrition support; educational support; psychosocial support.

 Gweru Women's AIDS Prevention Association (GWAPA)
Contact person: Tel: +263 54 220 749
Location: P.O. Box 2474
Gweru, Zimbabwe
Fax: +263 54 227 500
What we do: 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
Location: Fax: +263 4 610 079
What we do: 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: Tel: +263 9 62370
Location: P.O. Box 1280
Bulawayo, Zimbabwe
Fax: +263 9 61540
What we do: Supports People Living with HIV and their families to control the spread of HIV in Matabeleland; counselling, information and education.

 Population Services International (PSI)
Contact person: Karin Hatzold Tel: +263 4 334 631
Location: 30 The Chase West
Emerald Park Offices, Block E
Emerald Hill
Harare, Zimbabwe
Fax: +263 4 339 632
What we do: 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
Location: Fax:
What we do: 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
Location: Fax: +263 4 336 195
What we do: Building capacity of its partner organisations; providing assistance to other organisations in mainstreaming HIV/AIDS into their development and workplace policies.

 Zimbabwe AIDS Network (ZAN)
Contact person: Costain Mpala; Lindiwe Chaza-Jangira, national director Tel: +263 4 775 520
+263 4 795 337
Location: Fax: +263 4 700 832
What we do: A National Network for NGOS with AIDS programmes. Is 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
Location: Fax: +263 4 770 170
  +263 4 749 865
What we do: 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
Location: +263 4 661 962/4
  Fax: +263 4 661 748
What we do: 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
Location: Fax:
What we do: 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

 UNAIDS Country Co-ordinator
Contact person: Kwame Ampomah Tel: +263 4 79 26 81/86
Location: Fax: +263 4 25 06 91
What we do: 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.

 UN Theme Group on HIV/AIDS, Chair
Contact person: Mr Bruce P. Campbell Tel: +263 4 792 681/5
+263 4 795 971
Location: UNFPA Country representative
5th Floor, Takura House
67-69 Kwame Nkurumah Avenue
PO Box 4775
Harare, Zimbabwe
Fax: +263 4 795 977
What we do: 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.

Sources: - The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map

Adult HIV Prevalence Rate (%): 20.1%
No. Of People living with HIV/AIDS: 1.7 million
No. Of HIV Testing & Counseling Sites: 436
No. Of People in need of ART (July 2006): 306,000
No. Of People On ART (July 2006): 46,000
No. Of Sites Reportedly Distributing ART (Oct. 2006):  44
No. Of People on ART Public Sector: n/a
No. Of People on ART Private Sector: n/a
No. Of People on ART in Non-Governmental Programmes: n/a
No. Of People Expected to be on ART (2006 End): n/a, however as of time of update, the government was between 5-7,000 patients away from its original year-end target of 60,000.
Front Line Drug Regimen: stavudine + lamivudine + nevirapine
*PMTCT Regime n/a
HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006: US$10,334,954
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006: nil
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year: nil

Sources: National AIDS Council, UNAIDS


Demographics (United Nations Population Fund):
Population: 13,010,000
Population aged 15-59: 7.1 million
Urban population: 4,666,000

Under 5 mortality per 1000 births: 117
Male life expectancy: 37 years
Female life expectancy: 34 years
Combined average life expectancy: 35.5 years
Combined average life expectancy 1975-1980: 57.7 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths: 43 percent
Females with secondary education as percentage of secondary school-age youths: 38 percent

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older: 93.8 percent
Percentage of literate females aged 15 or older: 86.3 percent
Combined literacy rate for aged 15 or older: 90 percent
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