Background: Marondera District recorded perinatal mortality ratios of 58.6/1000 and 64.6/1000 live births in 2007 2008 respectively. These were above provincial averages 32/1000 36/1000 during the same periods. We determined factors associated with District. Methods: A 1:2 unmatched case control study was carried out from June to August 2009. any mother who had a stillbirth or early neonatal death 01/08/2008 31/07/2009. whose baby survived period period. calculated Odds Ratios their 95%...

Background: Noise induced hearing loss (NIHL) is within the top five occupational illnesses in Zimbabwe. Workers at a mining company complained about of mine clinic.Objective: To determine prevalence NIHL among employees Mine. Methods: We conducted descriptive cross sectional study mine. were proportionally selected to represent all departments or working areas. measured noise levels various sites, walk-through survey observe related worker practices and audiometric testing.Results: Mean age...

With the introduction of 2016 World Health Organization guidelines recommending universal antiretroviral therapy (ART), there has been increased recognition lack men engaging in HIV testing and treatment. Studies sub-Saharan Africa indicate have challenges HIV-positive into This qualitative study explored women's perspective their male partner's attitudes towards ART how it shapes woman's experience with ART. Data were collected through in-depth interviews focus group discussions pregnant...

Farm workers are at a very high risk of occupational diseases due to exposure pesticides resulting from inadequate education, training and safety systems. The farm worker spends lot time exposed these harmful agrochemicals. Numerous acute cases with symptoms typical agrochemical were reported the commercial farms. We assessed health effects agrochemicals in farms Kwekwe District (Zimbabwe), 2006.An analytical cross sectional study was conducted amongst sample 246 who handled when discharging...

The 2007 United Nations General Assembly Report on HIV/AIDS in Zimbabwe reported nondisclosure of HIV status as a challenge the PMTCT programme. Preliminary investigations among 21 women tested for at Chinhoyi Hospital showed that only six had disclosed their status. We investigated determinants status.A cross sectional analytic study was conducted health facilities Makonde district. Theory Planned Behaviour adapted to guide socio-cultural variables assessed. Antenatal and postnatal program...

Introduction: Injury rate among mining workers in Zimbabwe was 789/1000 2008. The proportion of severe occupational injuries increased from 18% 2008 to 37% 2009. We investigated factors associated with at the mine.

Zimbabwe is one of the five countries worst affected by HIV/AIDS pandemic with HIV infection contributing increasingly to childhood morbidity and mortality. Among children born positive mothers participating in PMTCT programme, 25% tested HIV. We investigated factors associated among on programme.A 1:1 unmatched case-control study was conducted at Chitungwiza Hospital, Zimbabwe, 2008. A case defined as a child who positive, mother had been programme. control negative An...

Zimbabwe's Ministry of Health and Child Care (MOHCC) adopted 2013 World Organization (WHO) prevention mother-to-child HIV transmission (PMTCT) guidelines recommending initiation HIV-positive pregnant breastfeeding women (PPBW) on lifelong antiretroviral treatment (ART) irrespective clinical stage (Option B+). Option B+ was officially launched in Zimbabwe November 2013; however the acceptability life-long ART its potential uptake among not known. A qualitative study conducted at selected...

Background: In Zimbabwe, the annual incidence of HIV among adolescent girls and young women (AGYW) is 9.5 times that boys men. There an AGYW initiative aimed at reducing new infections in Zimbabwe. We analyzed data for Zimbabwe to determine trends reached with HIV/AIDS education, reasons dropping out school, access clinical services. Methods: An analysis 2018-2021 from National AIDS Council database was conducted. Variables were proportion school accessing Excel used generate frequencies,...

Introduction: In Zimbabwe, malaria continues to be a major public health problem. Gokwe South, pre-elimination district, failed meet targets in case management indicators, investigation (44%), cases with microscopy (34%), and given primaquine (51%). We evaluated the performance of South district 2023. Method: A process outcome evaluation using logical framework approach was used. Data were collected among healthcare workers an interviewer-administered questionnaire, key informant guide,...

Introduction: In 2023, Zimbabwe declared a cholera outbreak that spread across multiple cities, reaching Kadoma by January 2024. Cholera outbreaks pose major public health threat due to their potential rapidly. Inadequate infection prevention and control (IPC) measures in treatment facilities can accelerate disease transmission, putting healthcare workers, patients, surrounding communities at risk. Evaluating IPC implementation during is essential identify gaps, improve adherence guidelines,...

Introduction: The Kunda-Nqob’I TB program introduced the full package of Palliative Care to improve quality life and treatment results for patients with tuberculosis (TB). components care include adherence, physical, psychosocial support. physical support provides pain relief, while involves counselling cope stress associated TB. Treatment adherence included directly observed by a community-based volunteer. Among five districts in Midlands province implementing Care, Chirumhanzu had highest...

Introduction: Antiretroviral drugs (ARVs) are associated with the occurrence of adverse drug reactions (ADRs). The Medicines Control Authority Zimbabwe requires that all ADRs be reported within 15 days detection. In 2020, only 24% ARV in Mazowe District were reported. We evaluated performance ADR surveillance system District. Methods: conducted a descriptive cross-sectional study using updated United States Centre for Disease guidelines. recruited doctors and nurses managing HIV health...

Background: On November 2, 2020, 5 patients presented at Highfield Polyclinic with fever, diarrhoea, abdominal pain, vomiting and some dehydration after attending the same party on October 31, 2020. We aimed to determine factors associated this outbreak identify a possible etiological agent. Methods: conducted retrospective cohort study investigate foodborne illness amongst guests in Suburb, Harare City, Pretested questionnaires were administered participants drawn from guest list along...

Introduction: Malaria remains a public health burden in Zimbabwe despite considerable efforts reducing the incidence. We determined malaria incidence elimination districts as well proportion of cases that were managed by community care workers control during year 2021. Methods: conducted mixed methods study comprising key informant interviews and secondary data analysis on from DHIS2 verified electronic databases. A standard questionnaire was used to obtain information informants. QGIS...

Introduction: In 2023, Zimbabwe declared a cholera outbreak that spread across multiple cities, reaching Kadoma by January 2024. Cholera outbreaks pose major public health threat due to their potential rapidly. Inadequate infection prevention and control (IPC) measures in treatment facilities can accelerate disease transmission, putting healthcare workers, patients, surrounding communities at risk. Evaluating IPC implementation during is essential identify gaps, improve adherence guidelines,...

Two suspected cholera cases at Beatrice Road Infectious Diseases Hospital were reported to Harare City Health Department on 14 October 2008 setting in motion investigation and control measures. We determined the extent of epidemic risk factors for contracting cholera.An unmatched 1:1 case-control study was conducted.Any resident City, 2 years above, with acute watery diarrhoea, or without vomiting from 30 01 December 2008.Any neighbour a case, who did not contract during same period.From 21...

Malaria is a leading cause of morbidity and mortality among forcibly displaced populations, including refugees, approximately two-thirds whom reside in malaria endemic regions. Data from the rapid disease notification system (RDNS) reports for Manicaland Province Zimbabwe showed that despite implementation control initiatives, there was an increase number cases above action thresholds at Tongogara refugee camp Chipinge district during weeks 12-14 2021. An investigation described outbreak by...

Although the World Health Organization recommends HIV-exposed infants receive a 6-week diagnostic test, few results by 12 weeks. Point-of-care (POC) early infant diagnosis (EID) may improve timely and treatment. This study assesses impact of routine POC versus laboratory-based EID on return weeks age.This was cluster-randomized stepped-wedge trial in Kenya Zimbabwe. In each country, 18 health facilities were randomly selected for inclusion randomized to timing implementation.Nine thousand...

To improve early infant HIV diagnosis (EID) programs, options include replacing laboratory-based tests with point-of-care (POC) assays or investing in strengthened systems for sample transport and result return.We used the CEPAC-Pediatric model to examine clinical benefits costs of 3 EID strategies Zimbabwe infants 6 weeks age.We examined (1) (LAB), (2) (S-LAB), (3) POC (POC). LAB/S-LAB differed sensitivity (LAB/S-LAB 100%, 96.9%) specificity 99.6%, 99.9%). LAB/S-LAB/POC algorithms also in:...

Point-of-care early infant diagnosis (POC EID) increases access to HIV test results and shortens time result-return antiretroviral therapy initiation, as compared central laboratory-based EID. However, scale-up POC EID, governments need more information about programmatic costs.We evaluated EID costs from a health systems perspective. Our primary analysis assessed the Abbott m-PIMA 2 versions of Cepheid GeneXpert IV platforms-with solar battery or gel battery-used in Zimbabwe, with...

Visual inspection with acetic acid and cervicography (VIAC) is a method used to screen for cervical cancer. VIAC can be as part of “see treat” strategy. Nine Harare city council health facilities offer free charge the aim reducing morbidity mortality from Between 2014 2016, number women utilising dropped by 35%. We analysed records clients who utilise at characterise accessing their outcomes make recommendations improving services. conducted descriptive cross-sectional study using data...