Online Reporter
Johnson Siamachira
IN the heart of Zimbabwe, where rolling hills meet the resilient spirit of its people, a quiet revolution is underway. As the sun rises over Harare, pregnant women and mothers are transforming their future, armed with knowledge, support, and hope in the fight against HIV, syphilis and hepatitis B.
Zimbabwe stands at the forefront of a global initiative aiming to eliminate mother-to-child transmission (MTCT) of these diseases by 2030.
Despite the challenges posed by a history of high HIV prevalence, Zimbabwe has achieved remarkable progress in combating mother-to-child transmission.
With 95 percent of people living with HIV knowing their status and 98 percent of those diagnosed receiving antiretroviral treatment, the nation is setting a precedent for HIV management in sub-Saharan Africa. Through community-driven initiatives and targeted health policies, Zimbabwe aims to ensure that no child is born with HIV.
When Ms Letwin Painona, a 40-year-old mother of seven from Bindura District in Mashonaland Central Province, first learnt she was HIV-positive, she felt her world collapse. Yet, with support from her husband, Mr Kissmore Chitoleni, and the prevention-of-mother-to-child transmission (PMTCT) programme, Painona’s story transformed.
“I never imagined that I could give birth to six HIV-negative children,” she said, her voice filled with gratitude.
“My journey reflects the remarkable strides we are making in Zimbabwe.”
Painona’s experience mirrors a national trend. The PMTCT programme, launched in Zimbabwe in 2002, has significantly reduced the rate of mother-to-child HIV transmission from 10 percent in 2015 to 7.78 percent in 2018. The goal is to achieve a global MTCT rate of below five percent by 2025.
“At our community clinic, I learnt about exclusive breastfeeding and the importance of testing my babies for HIV,” Ms Painona explained.
Her commitment to following through on the guidelines provided by health workers has resulted in all her children being HIV-negative.
Dr Angela Mushavi, Zimbabwe’s National PMTCT and pediatric HIV Care Co-ordinator, emphasises the importance of tailored support for young mothers.
“Adolescent girls often struggle to navigate their new roles,” she said.
“By connecting them with peer mentors, we address their unique needs and empower them to advocate for their health.”
Ms Grace Mutungambera, an 18-year-old mother from Hurungwe District in Mashonaland West Province, embodies this resilience. Living with HIV since childhood, Grace walks over 14 kilometres to access health services for herself and her baby.
“I have to be strong,” Ms Mutungambera says, determination etched on her face.
“My baby’s health depends on me.”
Despite facing challenges in her personal life, Ms Mutungambera has found strength in the Young Mentor Mothers Community Initiative, which provides essential support to young mothers.
This initiative, implemented by Africaid Zvandiri and supported by Unicef, has become a lifeline for young women. Mrs Evelyne Mtetwa, who works with youth living with HIV, highlighted its dual benefits.
“Not only does the programme support young mothers, but it also empowers mentor mothers, enhancing their employability,” she said.
Zimbabwe’s success is rooted in strong political will and community engagement. The Ministry of Health and Child Care, in collaboration with organisations like UNDP and the Global Fund, has invested over $2,3 billion since 2003 to bolster HIV programme.
“We are committed to scaling up treatment and prevention efforts, particularly for vulnerable populations,” said Dr Desta Tiruneh, World Health Organisation (WHO) Zimbabwe representative.
However, challenges persist. Women and girls, especially in rural areas, remain disproportionately affected by HIV. A staggering 4 000 young women and girls globally contracted HIV each week in 2022. In Zimbabwe, the prevalence among women is 16,7 percent, significantly higher than the 10,5 percent among men.
“We must address the underlying inequalities that hinder progress,” Dr Tiruneh urged.
As Zimbabwe aims to eliminate MTCT by 2030, initiatives like the Path to Elimination Roadmap, created in 2024, will guide efforts. The roadmap focuses on integrating HIV prevention and treatment services, ensuring that every pregnant woman receives the care she needs.
Painona’s story is not just an individual triumph; it is a testament to the collective progress made in Zimbabwe. As she reflects on her journey, she emphasises the importance of education and support in combating stigma.
“The community is beginning to understand that being HIV-positive does not mean a death sentence,” she said.
Dr Douglas Mombeshora, Zimbabwe’s Minister of Health and Child Care, celebrated these achievements.
“The success we’ve seen reflects our commitment to tackling HIV. We will continue to work with all stakeholders to end Aids by 2030,” he said. — Ziana.
