An MSF counselor talks to a patient at the Edith Opperman clinic in Mbare, Zimbabwe, where MSF provides free, confidential medical treatment and psycho-social support to survivors of sexual violence
ZIMBABWE 2017 © Charmaine Chitate
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This information is excerpted from MSF’s 2016 International Activity Report.

Doctors Without Borders/Médecins Sans Frontières (MSF) ran projects in partnership with the Zimbabwean Ministry of Health and Child Care (MoHCC), providing treatment for HIV, tuberculosis (TB), non-communicable diseases and mental health issues. The health sector faced numerous challenges, including shortages of essential medicines.

While HIV prevalence has decreased from 30 percent in the early 2000s to 15 percent today, there were still major gaps in services. In 2016, MSF supported the rollout of viral load monitoring for patients on ARVs country-wide.

In Harare, MSF offered comprehensive support to survivors of sexual violence and health services to adolescents in the urban district of Mbare. In Epworth polyclinic, MSF provided care for HIV, TB, and multidrug-resistant TB, and provided cervical cancer screenings and early treatment for HIV-positive women. MSF also worked to ensure that people in the city’s most vulnerable neighborhoods had access to clean water.

In Chikurubi maximum security prison, MSF supported the diagnosis and treatment of HIV and TB and provided mental health services. In Harare central hospital, MSF offered psychiatric treatment and support and provided infrastructure improvements. MSF also provided decentralized psychiatric care and community follow-up to discharged patients.

In Gutu, where MSF has provided HIV care since 2011, the results of a survey conducted by MSF Epicentre indicated that the district was on track to reach the 90-90-90 HIV treatment goals set by the United Nations, where 90 percent of all people living with HIV know their status, 90 percent are on antiretroviral (ARV) treatment, and 90 percent have reached the stage where the virus has been suppressed.

In Mwenezi, MSF worked with the Ministry of Health and Child Care (MoHCC) to implement the “test and start” strategy for 18,000 people, where patients diagnosed with HIV were immediately put on ARV treatment. MSF supported the MoHCC in implementing community groups (CAGs) in which people take turns picking up ARV drug refills and teams provided cervical cancer screening and treatment.

MSF supported the rollout of CAGs throughout Manicaland province. In Beitbridge, teams provided mental health support and medical care to Zimbabweans who had been deported from South Africa.