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Aid
programme dramatically improves health service
IRIN
News
September
20, 2011
http://www.irinnews.org/report.aspx?reportID=93765
Stella Moyo
lost her child three months after his birth in late 2007 because
her local health facility in Chivu District, some 160km southeast
of Harare, lacked antibiotics to treat the infant's throat
infection.
"When
I visited a clinic close to my home, I was referred to Chivu Hospital
[50km away] because there were no drugs at the clinic. Unfortunately,
the hospital had long run out of antibiotics and I watched as my
son's condition deteriorated, until he died," Moyo told
IRIN.
She and her
husband, who survive through farming and were experiencing a lean
period due to drought, could not afford to buy the drugs from a
private pharmacy. They resorted instead to traditional and faith
healers who proved ineffective.
At the time
Zimbabwe's health system was experiencing a critical shortage
of not only drugs, but equipment and trained staff, the result of
an economic meltdown characterized by hyperinflation, shortages
of basic commodities and a brain drain. The impact on the country's
social services was compounded by a political crisis which saw Zimbabwe
isolated by many governments, international financial institutions
and donors.
Moyo, 30, vowed
not to have another child after the traumatic death of her son,
but is expecting her third child in a few weeks.
"I told
myself that it was pointless to fall pregnant when there was no
guarantee that my child would survive due to poor service at clinics
or hospitals," she said. "However, I have changed my
attitude because the situation at health centres has improved."
An elderly nurse
who works at a public clinic in Warren Park, a suburb about 6km
west of Harare, agreed.
"During
the period of critical shortages of drugs and staff, I witnessed
many children, women and other people die because they could not
get vital drugs and there was no one to attend to them. Those deaths
could have been avoided and, gladly, we can avoid them now,"
said the nurse, who identified herself as Gogo Matilda.
She added that although there were still times when essential drugs,
particularly antibiotics, ran out, patients could easily get them
from other health centres and "replenishments do not take
too long to come".
Multi-donor
programme
The improved
availability of essential medicines in Zimbabwe's public health
sector is largely due to a multi-donor programme started in 2008
through collaboration between the government, the UN Children's
Fund (UNICEF) Zimbabwe, the European Union (EU), the UK, Australia,
Canada and Ireland.
To date, the
Essential Medicines Supply Programme (EMSP) has received US$52 million
in funding, according to UNICEF. The money is used to buy drugs
and medical supplies which are distributed to health centres by
Natpharm, the supply arm of the Ministry of Health and Child Welfare.
According to
a survey carried out by the EU, 80 percent of essential medicines
are now available at over 80 percent of health facilities compared
to only 28 percent availability of vital drugs at public health
institutions in 2008.
The programme
recently received a shot in the arm through a $14 million grant
from the EU.
"This
will go a long way to ensuring that Zimbabwe stays on the path to
full recovery of the health sector, in particular to ensuring that
the poor and vulnerable members of society also have access to health
services," Peter Salama, UNICEF country representative said
at the grant-signing ceremony.
Salama added
that the essential medicines programme had "helped reduce
the disparity in availability of essential medicines between rural
and urban health facilities" and had the potential to improve
the system for distributing drugs and medical supplies.
"Our health delivery system is on the road to recovery [and]
we hope that soon, every Zimbabwean will be able to exercise the
basic human right of access to quality health care," said
Health Minister Henry Madzorera.
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