Primary health care in Zimbabwe: Can it survive?

Exploring Access to Care in Zimbabwe Using the 3‐Delay Model

“…Further background context of the healthcare system in Zimbabwe provides important insight into the current environment we describe in Zimbabwe. Zimbabwe was recognized in the 1980s to early 1990s as one of the most robust healthcare systems in sub-Saharan Africa [8,9]. Between the Years 2000 and 2007, under the same government leadership, health expenditure decreased from 7% to 4.4%, leaving hospitals without even the most basic infrastructural resources such as running water and electricity [10].…”

Exploring Access to Care in Zimbabwe Using the 3‐Delay Model

“…Further background context of the healthcare system in Zimbabwe provides important insight into the current environment we describe in Zimbabwe. Zimbabwe was recognized in the 1980s to early 1990s as one of the most robust healthcare systems in sub-Saharan Africa [8,9]. Between the Years 2000 and 2007, under the same government leadership, health expenditure decreased from 7% to 4.4%, leaving hospitals without even the most basic infrastructural resources such as running water and electricity [10].…”

Multimorbidity and health system priorities in Zimbabwe: A participatory ethnographic study

“…Following independence in 1980, huge strides were made in expanding access to healthcare. This included moving from an urban, curative, and racially-biased health system to one focused on delivering affordable primary healthcare to underserved communities [ 22 – 24 ]. Zimbabwe came to boast one of Africa’s strongest health systems, with thriving teaching hospitals and academic sector, well-trained health workforce, and decentralised care system organised around its essential medicine list, national treatment guideline (EDLIZ) and co-produced training manuals [ 25 ].…”

Assembling the Challenge of Multimorbidity in Zimbabwe: A Participatory Ethnographic Study

“…[21] Following independence in 1980, huge strides were made in expanding access to healthcare, including in moving from an urban, curative, and racially-biased health system to one focused on delivering affordable primary healthcare to underserved communities. [22–24] Zimbabwe came to boast one of Africa’s strongest health systems, with thriving teaching hospitals and academic sector, well-trained health workforce, and decentralised care system organised rationally around its essential medicine list and national treatment guideline (EDLIZ) and co-produced training manuals. [25] However, the achievements of the 1980s–90s were undone by political instability, economic structural adjustment (which decreased public spending in favour of privatisation), hyperinflation, the reintroduction of user fees in hospitals and urban clinics, and the HIV and AIDS epidemic.…”

Exploring Access to Care in Zimbabwe Using the 3‐Delay Model

“…Further background context of the healthcare system in Zimbabwe provides important insight into the current environment we describe in Zimbabwe. Zimbabwe was recognized in the 1980s to early 1990s as one of the most robust healthcare systems in sub-Saharan Africa [8,9]. Between the Years 2000 and 2007, under the same government leadership, health expenditure decreased from 7% to 4.4%, leaving hospitals without even the most basic infrastructural resources such as running water and electricity [10].…”

Multimorbidity and health system priorities in Zimbabwe: A participatory ethnographic study

“…Following independence in 1980, huge strides were made in expanding access to healthcare. This included moving from an urban, curative, and racially-biased health system to one focused on delivering affordable primary healthcare to underserved communities [ 22 – 24 ]. Zimbabwe came to boast one of Africa’s strongest health systems, with thriving teaching hospitals and academic sector, well-trained health workforce, and decentralised care system organised around its essential medicine list, national treatment guideline (EDLIZ) and co-produced training manuals [ 25 ].…”

Assembling the Challenge of Multimorbidity in Zimbabwe: A Participatory Ethnographic Study

“…[21] Following independence in 1980, huge strides were made in expanding access to healthcare, including in moving from an urban, curative, and racially-biased health system to one focused on delivering affordable primary healthcare to underserved communities. [22–24] Zimbabwe came to boast one of Africa’s strongest health systems, with thriving teaching hospitals and academic sector, well-trained health workforce, and decentralised care system organised rationally around its essential medicine list and national treatment guideline (EDLIZ) and co-produced training manuals. [25] However, the achievements of the 1980s–90s were undone by political instability, economic structural adjustment (which decreased public spending in favour of privatisation), hyperinflation, the reintroduction of user fees in hospitals and urban clinics, and the HIV and AIDS epidemic.…”

Exploring Access to Care in Zimbabwe Using the 3‐Delay Model

“…Further background context of the healthcare system in Zimbabwe provides important insight into the current environment we describe in Zimbabwe. Zimbabwe was recognized in the 1980s to early 1990s as one of the most robust healthcare systems in sub-Saharan Africa [8,9]. Between the Years 2000 and 2007, under the same government leadership, health expenditure decreased from 7% to 4.4%, leaving hospitals without even the most basic infrastructural resources such as running water and electricity [10].…”

Multimorbidity and health system priorities in Zimbabwe: A participatory ethnographic study

“…Following independence in 1980, huge strides were made in expanding access to healthcare. This included moving from an urban, curative, and racially-biased health system to one focused on delivering affordable primary healthcare to underserved communities [ 22 – 24 ]. Zimbabwe came to boast one of Africa’s strongest health systems, with thriving teaching hospitals and academic sector, well-trained health workforce, and decentralised care system organised around its essential medicine list, national treatment guideline (EDLIZ) and co-produced training manuals [ 25 ].…”

Assembling the Challenge of Multimorbidity in Zimbabwe: A Participatory Ethnographic Study

“…[21] Following independence in 1980, huge strides were made in expanding access to healthcare, including in moving from an urban, curative, and racially-biased health system to one focused on delivering affordable primary healthcare to underserved communities. [22–24] Zimbabwe came to boast one of Africa’s strongest health systems, with thriving teaching hospitals and academic sector, well-trained health workforce, and decentralised care system organised rationally around its essential medicine list and national treatment guideline (EDLIZ) and co-produced training manuals. [25] However, the achievements of the 1980s–90s were undone by political instability, economic structural adjustment (which decreased public spending in favour of privatisation), hyperinflation, the reintroduction of user fees in hospitals and urban clinics, and the HIV and AIDS epidemic.…”