The human resource implications of improving financial risk protection for mothers and newborns in Zimbabwe

Peer reviewedPublisher PD

On the periphery: Missing urbanisation in Zimbabwe

Zimbabwe’s 2012 census report suggests that notable de-urbanisation occurred between 2002 and 2012. Some external commentators have cited urban–rural migration and the Fast Track Land Reform Programme – jambanja – initiated in 2000 as the principal drivers of this phenomenon. During field research in the second half of 2016, I found that ordinary citizens and key informants – in politics, government and civil society – expressed bewilderment at suggestions that the country is de-urbanising. While the populations of the large cities appear to be growing slowly, if at all, unadjusted boundaries mean that the demographic growth associated with urban sprawl has not been captured. In-depth analysis also reveals rapid population growth in peri-urban areas that should be designated as urban, and in small and intermediate urban settlements. Overestimation of the urban populations, and the rate at which urbanisation levels are increasing in African countries, is a consistent feature of international organisation reports.1 But for Zimbabwe, underestimation seems to have occurred. While the rate of urbanisation may have slowed, the extent of the slowdown appears exaggerated and it is likely to be reversed when boundary changes are made. It is not inconceivable that Zimbabwe could still be majority urban by 2050

A review of municipal solid waste data for Harare, Zimbabwe

Abstract: Municipal solid waste (MSW) data sources in Harare metropolitan province show significantly varying data with regards to generation and composition. The sources of variations include data lumping; exclusion of MSW managed outside the formal system and remain uncol-lected, lack of a clear definition of what constitutes MSW within the Zimbabwean context as well as temporal variations. It is therefore important for waste generation and characterisation studies to be undertaken building upon the already existing datasets to ensure the accuracy and reliability needed for data credibility for use in MSW management planning

Anemia in children aged 6-59 months was significantly associated with maternal anemia status in rural Zimbabwe.

Globally, anemia is a public health problem affecting mostly women of reproductive age (WRA, n = 452) and children aged 6–59 months (n = 452) from low- and lower-middle-income countries. This cross-sectional study assessed the prevalence and determinants of anemia in WRA and children aged 6–59 months in rural Zimbabwe. The venous blood sample was measured for hemoglobin utilizing a HemoCue machine. Anthropometric indices were assessed and classified based on World Health Organization standards. Socioeconomic characteristics were assessed. The median (±inter quartile range (IQR)) age of WRA was 29 ± 12 years and that for children was 29 ± 14 months. The prevalence of anemia was 29.6% and 17.9% in children and WRA, respectively, while the median (±IQR) hemoglobin levels were 13.4 ± 1.8 and 11.7 ± 1.5 g/dl among women and children, respectively. Multiple logistic regression analysis was used to assess determinants of anemia. Anemia in children was significantly associated with maternal anemia (odds ratio (OR) = 2.02; 95% CI 1.21–3.37; p = .007) and being a boy (OR = 0.63; 95% CI 0.41–0.95; p = .029), while anemia in WRA was significantly associated with the use of unimproved dug wells as a source of drinking water (OR = 0.36; 95% CI 0.20–0.66; p = .001) and lack of agricultural land ownership (OR = 0.51; 95% CI 0.31–0.85; p = .009). Anemia is a public health problem in the study setting. The positive association between maternal and child anemia reflects the possibility of cross-generational anemia. Therefore, interventions that focus on improving preconceptual and maternal nutritional status may help to reduce anemia in low-income settings

Anemia in children aged 6–59 months was significantly associated with maternal anemia status in rural Zimbabwe

Globally, anemia is a public health problem affecting mostly women of reproductive age (WRA, n = 452) and children aged 6–59 months (n = 452) from low- and lower-middle-income countries. This cross-sectional study assessed the prevalence and determinants of anemia in WRA and children aged 6–59 months in rural Zimbabwe. The venous blood sample was measured for hemoglobin utilizing a HemoCue machine. Anthropometric indices were assessed and classified based on World Health Organization standards. Socioeconomic characteristics were assessed. The median (±inter quartile range (IQR)) age of WRA was 29 ± 12 years and that for children was 29 ± 14 months. The prevalence of anemia was 29.6% and 17.9% in children and WRA, respectively, while the median (±IQR) hemoglobin levels were 13.4 ± 1.8 and 11.7 ± 1.5 g/dl among women and children, respectively. Multiple logistic regression analysis was used to assess determinants of anemia. Anemia in children was significantly associated with maternal anemia (odds ratio (OR) = 2.02; 95% CI 1.21–3.37; p = .007) and being a boy (OR = 0.63; 95% CI 0.41–0.95; p = .029), while anemia in WRA was significantly associated with the use of unimproved dug wells as a source of drinking water (OR = 0.36; 95% CI 0.20–0.66; p = .001) and lack of agricultural land ownership (OR = 0.51; 95% CI 0.31–0.85; p = .009). Anemia is a public health problem in the study setting. The positive association between maternal and child anemia reflects the possibility of cross-generational anemia. Therefore, interventions that focus on improving preconceptual and maternal nutritional status may help to reduce anemia in low-income settings

The Impact of Mobile Technology on Micro and Small Enterprises in Zimbabwe in the Post-Hyperinflation Economic Era

This paper investigates the impact of mobile technology on Micro and Small Enterprises (MSEs) in the developing world in the post-hyperinflation era. Data was collected from a multi-staged sample of 114 MSE owners within the capital province of Zimbabwe, namely Harare. The data was collected and analysed using descriptive quantitative survey methods, which comprised of hard-copy questionnaires, structured interviews and online questionnaires. The findings suggest that mobile technology has incremental, transformational and production influence on MSEs in Zimbabwe. The findings show that mobile technology amplifies communication and relations with customers, MSE’s productivity and MSE’s revenues. Mobile technology is also spurring new and innovative offerings such as mobile money, mobile banking and mobile advertising for the MSEs. The paper also provide the evidence that mobile technology is contributing to the creation of jobs in the indirect mobile industry sector, such as mobile money service and mobile application development. The paper generates insights that inform and compel creation of policies that enable and support the creation and growth of business in the mobile money, mobile retail services and mobile application development sectors

Pathways out of poverty for Zimbabwe.

An IES Conference Paper on the socio-economic situation among Zimbabwe's children during the years 1990- 2008.Children in Zimbabwe suffered badly during the long socioeconomic crisis in Zimbabwe from about 1990 to 2008. During its peak, from 2002 to 2008, health, nutrition, education and other social indicators in Zimbabwe reached extremely low levels. Despite recent improvements in the situation of Zimbabwe’s children, many of the effects of the socioeconomic crisis on them are long-term, even permanent. Pre-natal and early childhood malnutrition, orphan-hood, and disrupted education have all created lasting damage. The Government of Zimbabwe faces several challenges in re-establishing social services for children. The country’s fiscal capacity is not what it once was, yet public expectations for improvements are high. In such a situation of high expectations, it is tempting to tiy to do everything at once. Suggestions are made for focusing on re-establishing basic services, with an emphasis on building quality, equity, coverage and participation.The research presented in this publication is a result of a project funded by Canada’s International Development Research Centre (www.idrc.ca

Private Sector Participation in Health Care in Zimbabwe: What’s the Value Added and Institutional Challenges?

This paper analyses the private healthcare sector’s role in Zimbabwe’s health delivery system, especially after economic challenges reduced in real terms fiscal support for public health system funding. This paints a sharp contrast between practicalities of achieving affordable and accessible public healthcare on one hand, and the economic and social realities of underfunded and skills-constrained health systems. Using as empirical models and analytical lenses the country’s 2009–2013 National Health Strategy and the WHO’s health system building blocks, we examine the role played by private sector health delivery actors in the last 10 years and suggest that although the private sector added value, there is a bigger challenge of weak macro-level coordination and communication within the health sector which create problems for systemic design, strategy formulation and feedback mechanisms, important for institutional innovation and timely responses to changing dynamics. Macro-level coordination can be aided by documentation and standardization of procedures, processes and approaches by different health delivery actors to align with national health delivery goals, allowing more predictable and measurable impact from interventions by different actors

An investigation into the progression of premarital fertility since the onset of Zimbabwe's fertility transition

Premarital fertility, that is, childbearing before first marriage, is an important yet under researched demographic topic in sub-Saharan Africa. In Zimbabwe, the distinction by marital status in fertility research is hardly drawn. Hence, a gap exists in the knowledge of premarital fertility levels. This research aims to investigate levels of, and factors associated with, premarital fertility since the onset of Zimbabwe's fertility transition in the mid-1980s. The research employed direct fertility estimation techniques to effectively compare premarital, marital, and overall fertility trends between 1988 and 2015. Cox proportional-hazards regression and forest plot analyses were then used to explain changes in factors associated with the timing of premarital first births over the same period. Data quality assessments were carried out using the method of cohortperiod fertility rates to provide explanations for any erratic results. The results showed that premarital fertility was constant and moderate, with an average of 0.7 children per woman, between 1988 and 2015. While most premarital first births consistently occurred to younger women, from 2005 onwards, they increased among women aged above 24 years and decreased among adolescents. An increase in age, commencing sexual activity after adolescence, and improved socio-economic status including level of education decreased the relative risk of having a premarital first birth. However, delaying marriage past young womanhood, history of contraceptive use, Ndebele ethnicity, and residence in regions other than Manicaland and Masvingo, especially Ndebele dominated regions, increased the same risk by 465.0%, 45.5%, 136.0% and up to 135.0% respectively. The stagnation of premarital fertility between 1988 and 2015 while both marital and overall fertility first declined and then stalled indicates that there is insufficient evidence to suggest that premarital fertility had contributed to the stall of fertility decline in Zimbabwe from the mid-1990s. The timing of premarital first births since the start of the fertility transition in the 1980s has had a strong ethnic and cultural bias. Due to evidence of the effect of migrancy and tourism on premarital fertility in border and tourism towns, an extension into the theory of migrant premarital sexual behaviour to detail the risk of premarital fertility among border town residents who interact with but are neither migrants nor tourists is recommended