im tat Zimbabwe National Statistics Agency

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1 im tat Zimbabwe National Statistics Agency

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3 Z I M B A BW E National Health Profile 21 im tat Zimbabwe National Statistics Agency I N T E R N A T I O N A L Ministry of Health and Child Welfare Department of Epidemiology and Disease Control National Health Information and Surveillance Unit (NHISU) with the Zimbabwe National Statistics Agency (ZIMSTAT) and the Research Triangle Institute (RTI) International

4 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 ACKNOWLEDGEMENTS The Zimbabwe National Health Profile report of 21 was produced with funding support from the United States President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Department of Health and Human services Centers for Disease Control and Prevention (CDC) Grant No. 1U2GPS The grant is being administered by the Research Triangle Institute (RTI) International under the ZimHISP project (Strengthening Health Data Dissemination and Information Use Systems Project (ZimHISP) in the National Health Information and Surveillance Unit (NHIU). This report was developed with guidance from the Directorate of Epidemiology and Disease Control in the Zimbabwe Ministry of Health and Child Welfare (MOHCW), the National Health Information and Surveillance Unit in collaboration with Zimbabwe National Statistics Agency (ZIMSTAT) and with technical support, the collation of statistics and the compilation of the report from RTI International. The authors especially thank the following individuals for their contributions to this report: The MoHCW - Dr Portia. Manangazira, Dr Ponesai. Nyika, Mr Joshua. Katiyo; ZIMSTAT - Ms Evelyn Marima; RTI International Mr Henry Chidawanyika, Ms Fortunate Machingura, Mr Anthony Sox, Mr Tongai Chokuda, Ms Rita Sembajwe, Ms Eileen Reynolds; CDC Zimbabwe Ms Elizabeth Gonese and Dr Peter Kilmarx 2 I N T E R N A T I O N A L 3

5 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 FOREWORD 4

6 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 TABLE OF CONTENTS 1 GENERAL INFORMATION PHYSICAL AND ADMINISTRATIVE BOARDERS Zimbabwe Administrative Boarders CLIMATE AND RAINFALL PATTERNS Rainfall (millimetres) Recorded at Main Meteorological Stations by Province/City and by Month, Rainfall (millimeters) Recorded at Main Meteorological Stations by Province/City and by Month, POPULATION PROFILE Population Projection by Province and Age Group, National Population Projections by Age Group and Sex, Population Projection Trends by Province/City and Year Population Projections by Province and District, Economically Active and Inactive Population, EDUCATION PRIMARY SCHOOL ENROLMENTS Primary School Enrolments by Level and Sex, SECONDARY SCHOOL ENROLMENTS Secondary School Enrolments by Level and Sex, WATER AND SANITATION MAIN SOURCE OF DRINKING WATER Percent Distribution of Household Population According to Main Source of Drinking Water, TYPE OF TOILET FACILITY Percent Distribution of Household Population According to Type of Toilet Facility Used by Household, NUTRITIONAL STATUS WEIGHT FOR AGE Weight for Age by Age Group, Province and City, Low Weight for Age by Age Group (Under 5), Low Weight for Age by Province (Under 5), Underweight Percentage by District/City and Province (Under 5 yrs), Underweight in the Under 5 Years; Top 2 Districts, Underweight for the Under 5 Years by Year, Top Ten Districts, Under 5 Years Total Weighted and Below Line by Month, Total Children (Under 5 Years) Weighed by Month, Percentage below the Line, Weight for Age Trend by Year, by Age Group, Weight for Age Trends BIRTH WEIGHT TRENDS Low Birth Weight Trends by Year, Low Birth Weight (National Percentages), CLINICAL NUTRITIONAL DEFICIENCIES Total Clinical Nutritional Deficiencies Trends, NOTIFIABLE DISEASES Notifiable Diseases by Province, All Ages, Notifiable Diseases Trends by Year, OUT-PATIENT AND IN -PATIENT DISEASES / CONDITIONS OUT-PATIENT DISEASES/ CONDITIONS Out-Patient General New Disease/ Conditions by Age Groups, Top Ten Out -Patient General New Disease/ Conditions, Out-Patient General Diseases/Conditions by Province/City, Out-Patient General Diseases/Conditions by Age-Group, Selected Out-Patient General New Disease Breakdown, by Age Group, Selected Out-Patient General New Disease Breakdown by Province/City, Out-Patient Chronic Disease/ Conditions by Age Group, Province and City, Out-Patient Chronic Disease Conditions by Age Group, Province, City and National, INPATIENT DISEASES /CONDITIONS Inpatient Diseases /Conditions by Age Group, Excluding Central Hospital, Total Inpatient Diseases/Conditions and Average Length of Stay, Excluding Central Hospitals, TOP TEN (1) OPD ATTENDANCES Top 1 OPD Attendances by age group, Top Ten Causes of Mortality by Age Gro up, Excluding Central Hospitals, Top 1 Causes of Hospital Bed Stay (All Ages Excluding Central Hospital), National Outpatient and Inpatient Cases and Deaths, Excluding Central Hospitals, Causes of Hospital Admissions and Deaths for all Age Groups Including Central Hospitals, Top 1 In -patient Diseases and Conditions, Including Central Hospitals,

7 T H E Z I M B A B W E H E A LT H P R O F I L E Top Ten Causes of Hosp italisation ( Including Central Hospitals) EXPANDED PROGRAMME ON IMMUNIZATION (EPI) EPI Target Diseases by Vaccina tion Status by Province, EPI Target Diseases by Age Group, Vaccination status and Province/ City, EPI Target Diseases: Inpatient Cases and Deaths by Province/City, Measles, Neonatal Tetanus and Polio/AFP by year, Measles Cases Trend by Age Group, Measles Inpatient Cases and Deaths by Age Group and Province/City, WEEKLY DISEASE SURVEILLANCE REPORT Weekly Disease Surveillance Report, HIV/AIDS AND RELATED DISEASES/CONDITIONS HIV/AIDS New AIDS Cases by Sex and Age Group, New Cases of AIDS and Related Diseases by Province/City, HIV and Related Conditions by Year, HIV Sentinel Surveillance Data in Ante Natal Care Women by Year, TUBERCULOSIS Tuberculosis New Cases by Province, Age Group and Sex, ACUTE RESPIRATORY INFECTIONS (ARI) OUTPATIENT CASES ARI Outpatient Cases by Age Group, Province/City, OPD New ARI Breakdown by Province/City, OPD New Diseases of Acute Respiratory Infection by Age Group, OPD New Cases of Acute Respiratory Infection by Age Group, MALARIA All Malaria New Cases by Province, Malaria Cases: Suspected, Tested, Positive and Positivity Rate by Province, Confirmed Malaria Cases by Province, Confirmed Malaria Cases by Age Group, Confirmed Malaria Cases and Rainfall by Year Monthly Trends of Confirmed Malaria Cases, Malaria Inpatient Cases and Deaths by Province, Hospital Case Fatality Ratio, Provincial Hospitalization Rate Malaria Top 2 Districts, Malaria Incidence Rate/1 Population, Top 2 Districts, Malaria Incidence Rates/1 Population, Top 2 Districts, DIARRHOEA AND DYSENTERY CASES National Diarrhoea and Dysentery Cases and Incidence Rates by Province, National Diarrhoea and Dysentery Cases and Incidence Rates by Province, Monthly Trends of Diarrhoea and Dysentery, Monthly Trends of Diarrhea and Dysentery, National Diarrhoea and Dysentery Cases, National Diarrhea and Dysentery Cases, Diarrhoea and Dysentery Incidence Rates by District, All Ages, Top Ten Diarrhoea Incidence Rate (per 1) by District, All Ages, Top Ten Dysentery Incidence Rate (pe r 1) by District, All Ages, LEPROSY CASES Leprosy Cases by Province, National Leprosy New Cases, Leprosy New Cases, SCHISTOSOMIASIS (BILHARZIASIS) CASES Schistosomiasis Cases by Age Group and Province/City, Schistosomiasis Incidence Rates by Province/City, Schistosomiasis Incidence Rates by Age Group Schistosomiasis (Bilharziasis) Outpatient Cases by Year and Age Group Schistosomiasis (Bilharziasis) Outpatient Incidence Rates by Year, chistosomiasis Incidence Rates and Rainfall Trends, National Schistosomiasis Cases for All Ages and Rainfall Figures, Schistosomiasis New Cases by Month, INJURIES Injuries by Age Group and Province/ City, Injuries in under-fives Common Causes of Injury Cases and Deaths Among Inpatients by Age and Province/City/Hospital, LIFE EXPECTANCY Life Expectancy at Birth by Year and Sex Life Expectancy at Birth by Year and Sex

8 T H E Z I M B A B W E H E A LT H P R O F I L E MORTALITY INFANT MORTALITY Infant Mortality Rates by Year INSTITUTIONAL PERINATAL DEATHS Hospital Based (Institutional) Perinatal Deaths, Institutional Mortality by Age Group and Year, HEALTH FACILITIES HEALTH FACILITY LEVELS IN ZIMBABWE Health facilities in Zimbabwe, RURAL HOSPITALS AND CLINICS/RURAL HEALTH CENTRES Rural Hospitals and Clinics/Rural Health Centres by Ownership and Provinces/ Major Cities, PROVINCIAL HEALTH INSTITUTIONS Provincial Health Institution Distribution by Referral Level, GOVERNMENT AND MISSION HOSPITALS Government and Mission Hospitals by District, HOSPITAL BEDS DISTRIBUTION Hospital Beds Distribution by Function, WAITING MOTHER SHELTERS (WMS) Waiting Mother Shelters (WMS) by Province, SERVICES IN HEALTH INSTITUTIONS Services in Health Institutions by Province/City, Total X-Ray Performance by Institution Level; District, Provincial and Main Hospitals, Distribution of Pharmacies by Province/City, HUMAN AND FINANCIAL RESOURCES FOR HEALTH SUMMARY OF STAFF RETURNS BUDGET ALLOCATION Government Budget Allocation Breakdown, Vote 15. Ministry of Health and Child Welfare Budget, Ministry of Health and Child Welfare Expenditure by Sector, Vote 15. Ministry of Health and Child Welfare, HEALTH SERVICES PREVENTIVE AND PROMOTING ACTIVITIES Ante-natal and Post-natal Care by Province/City, Ante-natal and Post-natal Care by Province/City, Post-natal Care by Year; Maternity Care by Province/City, Low Birth Weight Rate (1) by Province/City, Maternity Care by Province/City, Maternity Care by Year, Maternity Care by Year Maternal Mortality Ratio/1 by Province/City, Major Causes of Maternal Mortality, Comparison of Reported Maternal Deaths by Notification Forms vs T5 Forms by Year Family Planning Visits by Province and Contraceptive Methods, Family Planning (New and Repeat) Visits by Province/City, Methods of Contraception by Number Issued and Province/City, Methods of Contraception by Province/City, Methods of Contraception by Year Vaccination Type by Age Group and Province/City, Vaccination Type by Year and Age Group, NHIS Completeness of the Data Submission by Province/City, CURATIVE ACTIVITIES OPD Utilisation Rates by Province/City, OPD Utilisation Rates by Year, National Workload (OPD Attendances-all services; Inpatient Referrals Discharge and Deaths) by Level of Institution, National Workload (OPD Attendances-All Services; Inpatient Referrals Discharge and Deaths) by Year,

9 T H E Z I M B A B W E H E A LT H P R O F I L E GENERAL INFORMATION 1.1 PHYSICAL AND ADMINISTRATIVE BOARDERS Zimbabwe Administrative Boarders Zambia Victoria Falls Hwange Botswana Hurungwe Guruve Centenary Mt Darwin Rushinga UMP Kariba Shamva Mudzi Mazowe Gokwe North Bindura Mutoko Zvimba Harare Binga Murehwa Nyanga Kadoma Chegutu Gokwe South Seke Marondera Makoni Hwedza Lupane Mutasa Nkayi Chikomba Kwekwe Chirumanzu Buhera Tsholotsho Gweru Bubi Gutu Shurugwi Umguza Bulawayo Insiza Masvingo Bikita Bulililama Umzingwane Zvishavane Chivi Zaka Mangwe Mberengwa Matobo Gwanda Chiredzi Mwenezi Beitbridge Makonde Mozambique Mutare Chimanimani Chipinge Mozambique N South Africa 8

10 T H E Z I M B A B W E H E A LT H P R O F I L E CLIMATE AND RAINFALL PATTERNS Rainfall (millimetres) Recorded at Main Meteorological Stations by Province/City and by Month, 21 Manicaland Mash Central Mash East Mash West Mat North Mat South Midlands Masvingo Harare City Bulawayo City National Year Month Mm mm mm mm mm mm mm mm mm mm mm 21 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec TOTAL Source: Department of Meteorology 9

11 T H E Z I M B A B W E H E A LT H P R O F I L E Rainfall (millimeters) Recorded at Main Meteorological Stations by Province/City and by Month, 21 1

12 T H E Z I M B A B W E H E A LT H P R O F I L E POPULATION PROFILE Population Projection by Province and Age Group, 21 Province / City Manicaland Population Mash Central Mash East Mash West Under 1 yr Under 5 yrs yrs Mat North Mat South Midlands Masvingo Above 15 yrs Women of Child Bearing age Expected Pregnant Women Expected births Population Proportions by Age Group Under 1 yr Under 5yrs yrs Above 15 yrs Women yrs Pregnant Women Expected births Source: Zimbabwe National Statistics Agency Harare Chitungwiza Bulawayo National

13 T H E Z I M B A B W E H E A LT H P R O F I L E National Population Projections by Age Group and Sex, 21 Age group In years Males Females Total Total Source: Zimbabwe National Statistics Agency Population Projections by Age Group and Sex, Population Age group in years Males Females 12

14 T H E Z I M B A B W E H E A LT H P R O F I L E Population Projection Trends by Province/City and Year Province/City Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Harare Bulawayo National Source: Zimbabwe National Statistics Agency 13

15 T H E Z I M B A B W E H E A LT H P R O F I L E Population Projections by Province and District, 21 National Population all ages Manicaland District Name Population Under 1Yr % 1-4 Yrs % All Ages Buhera Chimanimani Chipinge Makoni Mutare Mutasa Nyanga Total Under 5Yrs % Yrs % Yrs+ % Mashonaland Central District Name Population Under 1Yr % 1-4 Yrs % All Ages Bindura Centenary Guruve Mazowe Mt. Darwin Rushinga Shamva Total Under 5Yrs % Yrs % Yrs+ % Mashonaland East District Name Population Under 1Yr % 1-4 Yrs % All Ages Chikomba Goromonzi Ump Wedza Marondera Mudzi Murewa Mutoko Seke Under 5Yrs % Yrs % Yrs+ % Total

16 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 Mashonaland West District Name Under 1Yr % 1-4 Yrs % Population All Ages Chegutu Hurungwe Kadoma Kariba Makonde Zvimba Total Under 5Yrs % Yrs % Yrs+ % Matabeleland North District Name Population Under 1Yr % 1-4 Yrs % All Ages Binga Bubi Hwange Lupane Nkayi Tsholotsho Umguza Total Under 5Yrs % Yrs % Yrs+ % Matabeleland South District Name Population Under 1Yr % 1-4 Yrs % All Ages Beit Bridge Bulilima Mangwe Gwanda Insiza Matobo Umzingwane Total Under 5Yrs % Yrs % Yrs+ %

17 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 Midlands District Name Population Under 1Yr % 1-4 Yrs % All Ages Chirumhanzu Gokwe North Gokwe South Gweru Kwekwe Mberengwa Shurugwi Zvishavane Under 5Yrs Total % Yrs % Yrs+ % Masvingo District Name Population Under 1Yr % 1-4 Yrs % All Ages Bikita Chiredzi Chivi Gutu Masvingo Mwenezi Zaka Under 5Yrs Total % Yrs % Yrs % Harare District Name Population All Ages Under 1Yr % 1-4 Yrs % Under 5Yrs % Harare Yrs % Yrs % 59 Chitungwiza District Name Under 1Yr % 1-4 Yrs % Under 5Yrs % Population All Ages Chitungwiza Yrs % Yrs % 61 Bulawayo District Name Population All Ages Under 1Yr % 1-4 Yrs % Under 5Yrs % Bulawayo Yrs % Yrs % 64 16

18 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 Students 68.8% Source: ICDS 28 Table Economically Active and Inactive Population, 28 Total Population 1% Children Under % Adult 15 Years and Above 58.6% Economically Inactive 23.1% Activity Not Stated 1.6% Economically Active 75.2% Home Makers 21.6% Retired, Sick/ Too Old/ Other 9.7% Unemployed 5.7% Employed 94.3% 17

19 T H E Z I M B A B W E H E A LT H P R O F I L E EDUCATION 3.1 PRIMARY SCHOOL ENROLMENTS Primary School Enrolments by Level and Sex, 21 Grade Special Total Male Female Total Source: Ministry of Education Note: special - this is a class for children with handicaps Primary School Enrolments by Level and Sex, Enrolment Grade/Class Male Female 18

20 T H E Z I M B A B W E H E A LT H P R O F I L E SECONDARY SCHOOL ENROLMENTS Secondary School Enrolments by Level and Sex, 21 Grade/Form I II III IV V VI Special Total Male Female Total Source: Ministry of Education Note: special - this is a class for children with handcaps Secondary School Enrolments by Level and Sex, Enrolment I II III IV V VI Special Form/Class Male Female Source: Ministry of Education, Sport, Arts and Culture 19

21 T H E Z I M B A B W E H E A LT H P R O F I L E WATER AND SANITATION 4.1 MAIN SOURCE OF DRINKING WATER Percent Distribution of Household Population According to Main Source of Drinking Water, 29 Characteristic Area Urban Rural Total Main Source of Drinking Water Improved Source Piped into dwelling Piped into yard/plot Public tap/standpipe Tubewell/borehole Protected well Protected spring..1.3 Bottled water.1.. Non-Improved Source Unprotected well Unprotected spring Tanker truck/cart with drum Dam/lake/canal Other Source Total Percentage Using any improved source of drinking water Source: Multiple Indicator Monitoring Survey (MIMS) TYPE OF TOILET FACILITY Percent Distribution of Household Population According to Type of Toilet Facility Used by Household, 29 Type of toilet/latrine facility Area Urban Rural Total Improved, not shared facility Flush/pour flush to piped sewer system Flush/pour flush to septic tank Flush/pour flush to pit latrine Ventilated improved pit (VIP) latrine/blair toilet Pit latrine with slab Compositing Toilet... Non-improved facility Flush/pour flush to somewhere else.7..2 Pit latrine without slab/open pit Bucket.1.. Other No facility/bush/field Total Source: Multiple Indicator Monitoring Survey (MIMS) 29 2

22 T H E Z I M B A B W E H E A LT H P R O F I L E NUTRITIONAL STATUS 5.1 WEIGHT FOR AGE Weight for Age by Age Group, Province and City, 21 AGE GROUP Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South (Months) Total Below Total Line Total Below Line Total Below Line Total Below Line Total Below Line Below Line Weighed N % Weighed n % Weighed N % Weighed N % Weighed n % Weighed n % TOTAL AGE GROUP Midlands Masvingo Chitungwiza Bulawayo Harare National (Months) Total Below Line Total Below Line Total Below Line Total Below Line Total Below Line Total Below Line Weighed N % Weighed n % Weighed n % Weighed N % Weighed n % Weighed n % TOTAL Source: T5 returns. Note: Cut off point for low weight for age is a line representing the third percentile, i.e. 8% of the Harvard Standard 21

23 T H E Z I M B A B W E H E A LT H P R O F I L E Low Weight for Age by Age Group (Under 5), % Below Line Total Age in Months Low Weight for Age by Province (Under 5), % Below line Manicaland Mashonaland Mashonaland Mashonaland Matebeleland Matebeleland Midlands Masvingo Chitungwiza Bulawayo Harare National Centra East West North South Province/City 22

24 T H E Z I M B A B W E H E A LT H P R O F I L E Underweight Percentage by District/City Manicaland Province % Below Line Mashonaland East and Province (Under 5 yrs), 21 % Below Line Matabeleland North % Below Line Midlands % Below Line Buhera 6.6 Chikomba 6.7 Binga 13. Chirumhanzu 6.1 Chimanimani 5.9 Goromonzi 7.7 Bubi 9.4 Gokwe North 7.7 Chipinge 6.6 Hwedza 8.3 Hwange 8.6 Gokwe South 1.7 Makoni 6.2 Marondera 7.4 Lupane 9.6 Gweru 4.8 Mutare 3.7 Mudzi 8.6 Nkayi 8.8 Kwekwe 4.2 Mutasa 6.2 Murewa 9. Tsholotsho 1.9 Mberengwa 8.1 Nyanga 8.5 Mutoko 9.3 Umguza 8.6 Shurugwi 3.8 PROVINCE 5.9 Seke 9.1 PROVINCE 1.1 Zvishavane 7. Mashonaland Central UMP 1.3 PROVINCE 7.1 PROVINCE 8.5 % Below Line Mashonaland West % Below Line Matebeleland South % Below Line Masvingo % Below Line Bindura 6.2 Chegutu 6.6 Beitbridge 4. Bikita 3.5 Centenary 8. Hurungwe 6. Bulilima 1.8 Chiredzi 3. Guruve 4.8 Kariba 3.8 Gwanda 6.8 Chivi 2.6 Mazowe 8.1 Makonde 2.3 Insiza 7.5 Gutu 1.7 Mbire 6.7 Mhondoro 5.4 Mangwe 11.2 Masvingo 2.4 Mount Darwin 5.6 Sanyati 4.3 Matobo 11.4 Mwenezi 4. Rushinga 8.4 Zvimba 6.7 Umzingwane 7. Zaka 2.8 Shamva 6.3 PROVINCE 5.4 PROVINCE 8.6 PROVINCE 2.7 PROVINCE 6.8 Bulawayo City 3.4 Harare City 2.8 Chitungwiza City

25 T H E Z I M B A B W E H E A LT H P R O F I L E Underweight in the Under 5 Years; Top 2 Districts, 21 Source :- T5 Forms Ranking District % Underweight 1 Binga Matobo Mangwe Tsholotsho Bulilima Gokwe South UMP Lupane Bubi Mutoko Seke Murewa Nkayi Umguza Mudzi Hwange Nyanga Rushinga Hwedza Mazowe

26 T H E Z I M B A B W E H E A LT H P R O F I L E Underweight for the Under 5 Years by Year, Top Ten Districts, Rank Name % Below Line Name % Below Line Name % Below Line Name % Below Line 1 Bubi 11.2 Mutoko 11.1 Binga 12.5 Binga Binga 1.7 Seke 11. Tsholotsho 11.4 Matobo Tsholotsho 1.5 Tsholotsho 1.6 Mangwe 1.8 Mangwe Mangwe 1.2 Murewa 9.9 Murewa 1.5 Tsholotsho Mutoko 1. Wedza 9.9 UMP 1.3 Bulilima Shamva 1. Motobo 9.8 Matobo 1.3 Gokwe South Murewa 9.5 Mazowe 9.6 Gokwe North 1.3 UMP Seke 9.5 U.M.P 9.3 Seke 9.8 Lupane Mudzi 9. Mangwe 9.2 Bubi 9.7 Bubi Mazowe 8.7 Binga 9.1 Mazowe 9.7 Mutoko 9.3 National Average 5.4 National Average 5.5 National Average 6.1 National Average 5.5 Source :- T5 Forms 25

27 T H E Z I M B A B W E H E A LT H P R O F I L E Under 5 Years Total Weighted and Below Line by Month, MONTH Total Below % Total Below % Total Below % Total Below % Weighed Line Weighed Line Weighed Line Weighed Line Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Monthly average Pop. <5yrs % Of Children Weighed Source: T5 returns Total Children (Under 5 Years) Weighed by Month, % of low weight for age Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Months

28 T H E Z I M B A B W E H E A LT H P R O F I L E Percentage below the Line, Weight for Age Trend by Year, by Age Group, 21 Age (Months) Total Weighings Source: T5 returns Weight for Age Trends Weight or age (%) months months months -5 months 6-11 months 27

29 T H E Z I M B A B W E H E A LT H P R O F I L E BIRTH WEIGHT TRENDS Low Birth Weight Trends by Year, LBW % Total Babies Under 2.5kg Source: T5 returns Low Birth Weight (National Percentages), % Low birth weight Years 28

30 T H E Z I M B A B W E H E A LT H P R O F I L E CLINICAL NUTRITIONAL DEFICIENCIES Total Clinical Nutritional Deficiencies Trends, OUT-PATIENT 24 Inc. 25 Inc. 26 Inc. 27 Inc. 28 Inc. 29 Inc. 21 Inc. Disease/Condition n % /1 n % /1 n % /1 n % /1 n % /1 n % /1 n % /1 Kwashiorkor Marasmus Pellagra Total Nutrit. Deficiencies Total All New Cases Under 5 y population Annual Population Source: T5 returns. Incidence/1 Population Year

31 T H E Z I M B A B W E H E A LT H P R O F I L E NOTIFIABLE DISEASES Notifiable Diseases by Province, All Ages, 21 Cholera Plague Yellow Typhus Viral Haemo- Rabies Anthrax Hepatitis Meningococcal Typhoid PROVINCE Fever Fever rragic Fever Meningitis S C D S C D S C D S C D S C D S C D S C D S C D S C D S C D Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Harare City Chitungwiza Bulawayo City TOTAL

32 T H E Z I M B A B W E H E A LT H P R O F I L E Notifiable Diseases Trends by Year, 2-21 Cholera Plague Yellow Typhus Viral Haemo- Rabies Anthrax Hepatitis Meningococcal Year Fever Fever rragic Fever Meningitis S C D S C D S C D S C D S C D S C D S C D S C D S C Source : T2 Monthly Returns Key : S = Suspected Cases C =Confirmed Cases D=Deaths - = not reported D Typhoi d S C D

33 T H E Z I M B A B W E H E A LT H P R O F I L E OUT-PATIENT AND IN-PATIENT DISEASES / CONDITIONS 7.1 OUT-PATIENT DISEASES/ CONDITIONS Out-Patient General New Disease/ Conditions by Age Groups, 21 Out-Patient Cases Cases Cases Cases ALL Disease/Condition -4 yrs % 5+ yrs % 15+yrs % AGES Diarrhoea Nutritional Deficiencies Malaria ARI Bilharzia Acute mental disorder Diseases of the eye Skin diseases Dental conditions Burns + Other Injuries Poisoning & Toxic Effects Dysentery All other TOTAL NEW CASES TOTAL REPEAT VISITS REFERRALS OUT Source: T5 returns. % Disease/Condition -4yrs % 5-14 yrs % yrs % 2-29yrs % Top Ten Out-Patient General New Disease/ Conditions, yrs % STI STI REPEAT VISITS Disease/Condition -9yrs % 1-24 yrs % yrs % 5+yrs % Totals % STI STI REPEAT VISITS All other 24.3 Dysentery.4 Burns + Other Injuries 3.1 Out -patient disease/condition Dental conditions Skin diseases Diseases of the eye 3 Bilharzia 1 ARI 51 Malaria 2.7 Diarrhoea % of Total new cases 32

34 T H E Z I M B A B W E H E A LT H P R O F I L E Out Patient - General Diseases/Conditions by Province/City, 21 Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Disease/ Condition All Ages % All ages % All ages % All ages % All ages % All ages % Diarrhoea Nutritional Deficiencies Malaria ARI STD Bilharzia Acute Mental Disorders Diseases of the Eye Skin Diseases Dental Conditions Burns/Other Injuries Poisoning & Toxic Effects Dysentery All Other Total New Cases Total Repeat Visits Referrals Out MIDLANDS MASVINGO HARARE CHITUNGWIZA BULAWAYO NATIONAL Disease/ Condition All ages % All ages % All ages % All ages % All ages % All ages % Diarrhoea Nutritional Deficiencies Malaria ARI STD Bilharzia Acute Mental Disorders Diseases of the Eye Skin Diseases Dental Conditions Burns/Other Injuries Poisoning & Toxic Effects Dysentery All Other Total New Cases Total Repeat Visits Referrals Out

35 T H E Z I M B A B W E H E A LT H P R O F I L E Out-Patient General Diseases/Conditions by Age-Group, 21 Top ten out patient conditions in -4 years, 21 All other 11.1 Dysentery Burns + Other Injuries 6.2 Skin diseases Diagnosis Diseases of the eye Bilharzia ARI Malaria Nutritional Deficiencies Diarrhoea % of new cases Top ten out patient conditions in 5-14 years, 21 All other 35.9 Dysentery.4 Poisoning & Toxic Effects.3 Burns + Other Injuries 7.4 Diagnosis Dental conditions 1.2 Skin diseases 17.2 Diseases of the eye 5.5 Bilharzia 6.2 Malaria 13.3 Diarrhoea % of new cases Top ten out patient conditions in 15+ years, 21 All other 32.8 Dysentery.4 Burns + Other Injuries 3.9 Dental conditions 1.4 Skin diseases Diagnosi s Diseases of the eye Bilharzia 1.3 ARI 46.1 Malaria Diarrhoea % of new cases 34

36 T H E Z I M B A B W E H E A LT H P R O F I L E Selected Out-Patient General New Disease Breakdown, by Age Group, 21 Out- Patient National Total By Age Group Diseases/conditions -4 yrs 5-14 yrs 15+yrs All Ages n % n % n % n % No Dehydration Some dehydration Diarrhoea Severe dehydration TOTAL Kwashiorkor Nutritional Marasmus Deficiencies Pellagra TOTAL Ear, Nose & Throat Mild Moderate Severe ARI TOTAL Urethral Discharge Genital Ulcers Ophthalmia Neonatarum PID STD Other forms of STD Skin Diseases Injuries TOTAL Chicken Pox Herpes Zoster Scabies Other Forms TOTAL Burns & Scalds All Other Injuries TOTAL Out-Patient National Total By Age Group Diseases/Conditions -4 yrs % 5-14 yrs Std Urethral Discharge PID % 15-19yrs % 2-29yrs % 3-49yrs % Genital Ulcers Ophthalmia Neonatarum Other forms of STD TOTAL Out-Patient National Total By Age Group Diseases/Conditions -9 yrs % 1-24yrs Std Urethral Discharge PID % 25-49yrs % 5+yrs % Total Genital Ulcers Ophthalmia Neonatarum Other forms of STD TOTAL %

37 T H E Z I M B A B W E H E A LT H P R O F I L E Selected Out-Patient General New Disease Breakdown by Province/City, 21 MANICALAND MASH. CENTRAL MASH. EAST MASH.WEST MAT NORTH MAT SOUTH MIDLANDS MASVINGO HARARE CHITUNGWIZ A BULAWAYO TOTAL DISEASES/CONDITIONS No Dehydration Diarrhoea Some dehydration Severe dehydration TOTAL Kwashiorkor Nutritional Marasmus Deficiencies Pellagra TOTAL Ear, Nose, Throat Mild ARI Moderate Severe TOTAL Urethral Discharge Genital Ulcers STD OphthalmiaNeonatarum PID Other forms of STD TOTAL Chicken Pox Herpes Zoster Skin Scabies Diseases Other Forms TOTAL Injuries Burns & Scalds Source: T5 Forms RTA All Other Injuries TOTAL

38 T H E Z I M B A B W E H E A LT H P R O F I L E Out-Patient Chronic Disease/ Conditions by Age Group, Province and City, 21 OUT-PATIEN T MANICALAND MASHONALAND CENTRAL 26+ DIAGNOSIS -14 yrs -24yrs yrs yrs -14 yrs -24yrs yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes Asthma Leprosy Epilepsy Mental Illness Disabled/Handicapped Hypertension R.H.D CCF CRF Breast Cancer cervix cancer Prostate Cancer Other Cancers Total OUT-PATIENT MASHONALAND EAST MASHONALAND WEST DIAGNOSIS -14 yrs -24yrs yrs New Follow-up New Follow-up New Follow-up New Follow-up Diabetes Asthma Leprosy Epilepsy Mental Illness Disabled/Handicapped Hypertension R.H.D CCF CRF Breast Cancer cervix cancer Prostate Cancer Other Cancers Total yrs -14 yrs -24yrs New Follow-up yrs New Follow-up New Follow-up yrs New yrs New Follow-up Follow-up

39 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 (Cont d). Out-Patient Chronic Disease/ Conditions by Age Group, Province and City, 21 OUT-PATIENT MATABELELAND NORTH MATABELELAND SOUTH 26+ DIAGNOSIS -14 yrs -24yrs yrs yrs -14 yrs -24yrs yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes Asthma Leprosy Epilepsy Mental Illness Disabled/Handicapped Hypertension R.H.D CCF CRF Breast Cancer cervix cancer Prostate Cancer Other Cancers Total OUT-PATIENT MIDLANDS MASVINGO DIAGNOSIS -14 yrs -24yrs yrs New Follow-up New Follow-up New Follow-up New Follow-up Diabetes Asthma Leprosy Epilepsy Mental Illness Disabled/Handicapped Hypertension R.H.D CCF CRF 3 13 Breast Cancer cervix cancer Prostate Cancer 2 37 Other Cancers Total yrs -14 yrs -24yrs yrs New Follow-up New Follow-up New Follow-up yrs New Follow-up yrs New Follow-up

40 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 (Cont d). Out- Patient Chronic Disease/ Conditions by Age Group, Province and City, 2 1 OUT-PATIENT MATAB ELELAND NORTH MATABELELAND SOUTH DIAGNOSIS -14 yrs -24yrs yrs 26+ yrs -14 yrs -24yrs yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes Asthma Leprosy Epilepsy Mental Illness Disabled/Handicapped Hypertension R.H.D CCF CRF Breast Cancer cervix cancer Prostate Cancer Other Cancers Total OUT-PATIENT MIDLANDS MASVINGO DIAGNOSIS -14 yrs -24yrs yrs 26+ yrs -14 yrs -24yrs yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes Asthma Leprosy Epilepsy Mental Illness Disabled/Handicapped Hypertension R.H.D CCF CRF Breast Cancer cervix cancer Prostate Cancer Other Cancers Total yrs New yrs New Follow-up Follow-up

41 T H E Z I M B A B W E H E A LT H P R O F I L E Out-Patient Chronic Disease Conditions by Age Group, Province, City and National, 21 OUT-PATIENT MANICALAND DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT MASHONALAND CENTRAL DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT MASHONALAND EAST DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT MIDLANDS DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT MATEBELELAND NORTH DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT MATEBELELAND SOUTH DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis

42 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 (Cont d) Out-Patient Chronic Disease Conditions by Age Group, Province, City and National, 21 OUT-PATIENT MASVINGO DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT MASHONALAND WEST DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT HARARE DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT BULAWAYO DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT CHITUNGWIZA DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis OUT-PATIENT NATIONAL TOTALS DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49yrs -9yrs 1-24yrs 25-49rs 5yrs New New New New New New New New New Kaposis Sarcoma Tuberculosis

43 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 Out-Patient Chronic Disease Conditions by Age Group, Province, City, 21 OUT-PATIENT BULAWAYO DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up Aids OUT-PATIENT CHITUNGWIZA DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up OUT-PATIENT HARARE DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up OUT-PATIENT MANICALAND DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up OUT-PATIENT MASHONALAND CENTRAL DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up

44 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 (Cont d). Out-Patient Chronic Disease Conditions by Age Group, Province, City, 21 OUT-PATIENT MASHONALAND EAST DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up OUT-PATIENT MASHONALAND WEST DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up OUT-PATIENT MIDLANDS DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up Aids OUT-PATIENT MATEBELELAND NORTH DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up OUT-PATIENT MATEBELELAND SOUTH DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up

45 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 (Cont d) Out-Patient Chronic Disease Conditions by Age Group, Province, City and National, 21 OUT-PATIENT MASVINGO DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up OUT-PATIENT NATIONAL TOTALS DIAGNOSIS -4 yrs 5-14yrs 15-19yrs 2-29yrs 3-49rs Aids New Follow up New Follow up New Follow up New Follow up New Follow up yrs 1-24 yrs yrs 5+yrs New Follow up New Follow up New Follow up New Follow up

46 T H E Z I M B A B W E H E A LT H P R O F I L E INPATIENT DISEASES /CONDITIONS Inpatient Diseases /Conditions by Age Group, Excluding Central Hospital, 21 Disease/Conditions Under 1 Yea r 1-4 years 5 years and Over Total/ All Ages Patient Days Cases Deaths Cases Deaths Cases Deaths Cases Deaths 1. Intestinal Infections Pulmonary TB Extra-pulmonary TB Meningococcal & other Meningitis Other bacterial Measles HIV related / AIDS Other viral Diseases Malaria Other Anthropod-borne Venereal Other Infectious & Parasitic Malignant Neoplasm of Oesophagus Kaposi's Sarcoma Malignant Neoplasm of Female Breast Malignant Neoplasm of Cervix Uterine Lymphomas & Other Lymphatic, Haematopoietic Tissue All Other Malignant Neoplasms Benign Neoplasms Diabetes Mellitus Other Endocrine, Metabolic & Immunity Disorders Nutritional Deficiencies Anaemias & Bloodforming Organ Diseases Mental Disorders Nervous System Eye and Adnexae Ear and Mastoid Process Acute Rheumatic Fever & Rheumatic Heart Disease Hypertensive Disease Ishaemic Heart Disease Cerebo-vascular Accidents (CVAs) Pulmonary Circulation &other Circul. System Dis ARI (Upper Tract) ARI (Lower Tract) Chronic Bronchitis & other Obstructive Pulmonary Other Respiratory Diseases Oral Cavity & Digestive System Urinary System Male Genital Organs Salpingitis & Pelvic Tissue Inflammatory

47 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 (Cont d) Inpatient Diseases /Conditions by Age Group, Excluding Central Hospital, 21 Disease/Conditions Under 1 Year Cases Deaths 1-4 years 5 years and Over Cases Deaths Cases Deaths Total/ All Ages Cases Deaths Patient Days 41. Other Female Genital Organs Abortion 43. Direct & Indirect Obstetric Causes 44. Normal Delivery 45. Skin and Subcutaneous Musculoskeletal Syst. & Connective Tissue Congenital Anomalies Certain Conditions orig. in the Peri-natal period Signs, Symptoms and ill-defined conditions Fractures Intracranial & Internal Injuries, including nerves Open Wounds & all Other Injuries Burns Poisoning & Toxic Effects Complications & Late Effects of Injuries, Poisoning Other reasons for Contact with Health Services TOTAL EXTERNAL CAUSES External Causes of Injury and Poisoning DISEASES / CONDITIONS Under 1 year 1-4 years 5 years and over Cases Deaths Cases Deaths 1. Motor Vehicle & Road Traffic Accidents Other Transport Accidents Accidental Poisoning Accidental Falls 5. Accidents by Fires and Flames Other Accidents, incl. during Medical Care Drugs, Medicaments Adverse Effects Suicide and Self-inflicted injury 9. Homicide & Injury purposely inflicted by other Persons Other Violence Cases Deaths Total all Ages Cases Patient Stay Deaths days TOTAL Source :Inpatient Quarterly Returns - T

48 T H E Z I M B A B W E H E A LT H P R O F I L E Total Inpatient Diseases/Conditions and Average Length of Stay, Excluding Central Hospitals, 21 DISEASE / CONDITIONS Cases Deaths Patient Stay Days Average Length of Stay (Days) Number % Number % Number % 1. Intestinal Infections Pulmonary TB Extra-pulmonary TB Meningococcal & other Meningitis Other bacterial Measles HIV related / AIDS Other viral Diseases Malaria Other Anthropod-borne Venereal Other Infectious & Parasitic Malignant Neoplasm of Oesophagus Kaposi's Sarcoma Malignant Neoplasm of Female Breast Malignant Neoplasm of Cervix Uteri Lymphomas & All Other Lymphatic, Haematopoietic Tissue All Other Malignant Neoplasms Benign Neoplasms Diabetes Mellitus Other Endocrine & Metabolic Diseases & Immunological Disorders Nutritional Deficiencies Anaemias & Blood-forming Organ Diseases Mental Disorders Nervous System Eye and Adnexae Ear and Mastoid Process Acute Rheumatic Fever & Rheum. Heart Dis Hypertensive Disease Ischaemic Heart Disease Cerebo-vascular accidents Pulmonary Circulation &other Circulatory. System Disorders ARI (Upper Tract) ARI (Lower Tract) Chronic Brochitis & other Obstructive Pulmonary Other Respiratory Diseases Oral Cavity & Digestive System Urinary System Male Genital Organs Salpingitis & Pelvic Tissue Inflammatory Disease

49 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 DISEASE / CONDITIONS Cases Patient Stay days Average Number % Deaths Number % Number % Patient Stay (days) 41. Other Female Genital Organs Abortion Direct & Indirect Obstetric Causes Normal Delivery Skin and Subcutaneous Musculoskeletal Syst. & Connective Tissue Congenital Anomalies Certain Conditions orig. in the Perinatal period Signs, Symptoms and ill-defined conditions Fractures Intracranial & Internal Injuries, including nerves Open Wounds & all Other Injuries Burns Poisoning & Toxic Effects Complications & Late Effects of Injuries, Poisoning Other reasons for Contact with Health Services TOTAL EXTERNAL CAUSES External Causes of Injury and Poisoning DISEASE / CONDITIONS Cases Deaths Patient Stay days Number % Number % Number % Average Patient Stay (days) 1. Motor Vehicle & Road Traffic Accidents Other Transport Accidents Accidental Poisoning Accidental Falls Accidents by Fires and Flames Other Accidents, incl. during Medical Care Drugs, Medicaments Adverse Effects Suicide and Self-inflicted injury Homicide & Injury purposely inflicted by other Persons Other Violence TOTAL Source :Inpatient Quarterly Returns - T9 48

50 T H E Z I M B A B W E H E A LT H P R O F I L E TOP TEN (1) OPD ATTENDANCES Top 1 OPD Attendances by age group, Under one (1) year Rank Disease / Conditions Cases 1 ARI (Lower Tract) Certain Conditions originating in the Perinatal period Intestinal Infections Malaria 7 5 Nutritional Deficiencies ARI (Upper Tract) 46 7 Ill-defined conditions Other Respiratory Diseases Skin and Subcutaneous Oral Cavity & Digestive System 173 Diagnosis Oral Cavity & Digestive System Skin and Subcutaneous Other Respiratory Diseases Ill-defined conditions ARI (Upper Tract) Nutritional Deficiencies Malaria Intestinal Infections Certain Conditions originating in the Perinatal period ARI (Lower Tract) Number of cases years Rank Disease / Conditions Cases 1 ARI (Lower Tract) Malaria Nutritional Deficiencies Intestinal Infections ARI (Upper Tract) Burns Ill-defined conditions Skin and Subcutaneous Fractures Other Respiratory Diseases 215 Other Respiratory Diseases Fractures Skin and Subcutaneous Ill-defined conditions Diagnosis Burns ARI (Upper Tract) Intestinal Infections Nutritional Deficiencies Malaria ARI (Lower Tract) Cases Five years and over Rank Disease / Conditions Cases 1 Normal Delivery Direct & Indirect Obstetric Causes Pulmonary TB ARI (Lower Tract) Malaria HIV related / AIDS Fractures Abortion Intestinal Infections Hypertensive Disease All age Groups Rank Disease / Conditions Cases 1 Normal Delivery ARI (Lower Tract) Malaria Direct & Indirect Obstetric Causes Pulmonary TB Intestinal Infections HIV related / AIDS Fractures Abortion Ill-defined conditions

51 T H E Z I M B A B W E H E A LT H P R O F I L E Top Ten Causes of Mortality by Age Group, Excluding Central Hospitals, Under one (1) year Rank Disease / Conditions Deaths Certain Conditions originating. in the Perinatal 1 period ARI (Lower Tract) Intestinal Infections 13 4 Nutritional Deficiencies 66 5 ARI (Upper Tract) 4 6 HIV related / AIDS 36 7 Ill-defined conditions 35 8 Other viral Diseases 27 9 Oral Cavity & Digestive System 19 1 Malaria : 1-4 years Rank Disease / Conditions Deaths 1 Nutritional Deficiencies Intestinal Infections 18 3 ARI (Lower Tract) 16 4 Malaria 35 5 Other viral Diseases 24 6 HIV related / AIDS 21 7 Burns 2 8 Ill -defined conditions 14 9 ARI (Upper Tract) 13 1 Endocrine, Metabolic & Immunity Disorders : Five years and above Rank Disease / Conditions Deaths 1 Pulmonary TB HIV related / AIDS ARI (Lower Tract) Other viral Diseases Intestinal Infections Meningococcal & other Meningitis Malaria Pulmonary &other Circulation System Disoders Hypertensive Disease Other Infectious & Parasitic : All Age Groups Rank Disease / Conditions Deaths 1 ARI (Lower Tract) 96 2 Pulmonary TB HIV related / AIDS Intestinal Infections Other viral Diseases Certain Conditions orig. in the Perinatal period Meningococcal & other Meningitis Malaria Nutritional Deficiencies Pulmonary &other Circulation System Disoders. 254 Source :Inpatient Quarterly Returns - T9 5

52 T H E Z I M B A B W E H E A LT H P R O F I L E Top 1 Causes of Hospital Bed Stay (All Ages Excluding Central Hospital), 21 Number of : Rank Disease/ Condition Cases Patient Stay Days Average Stay Days % Stay Days 1 Normal Delivery ARI (Lower Tract) Pulmonary TB HIV related / AIDS Direct & Indirect Obstetric Causes Malaria Other viral Diseases Intestinal Infections Nutritional Deficiencies Hypertensive Disease Total All Diseases Source: Inpatient Quarterly Returns- T National Outpatient and Inpatient Cases and Deaths, Excluding Central Hospitals, Year OPD INPATIENT (T9) Total New Cases Cases Deaths CFR % Source: T9 Quarterly Returns & T5(OPD) Monthly forms

53 T H E Z I M B A B W E H E A LT H P R O F I L E Causes of Hospital Admissions and Deaths for all Age Groups Including Central Hospitals, 21 Diseases/Conditons Provincial Totals Central Hospitals National Totals Cases % Deaths % Cases % Deaths % Cases % 1. Intestinal Infections Pulmonary TB Extra-pulmonary TB Meningococcal & other Meningitis Other bacterial Measles HIV related / AIDS Other viral Diseases Malaria Other Anthropod-borne Venereal Other Infectious & Parasitic Malignant Neoplasm of Oesophagus Kaposi's Sarcoma Malignant Neoplasm of Female Breast Malignant Neoplasm of Cervix Uteri Lymphomas & All Other Lymphatic, Haematopoietic Tissue All Other Malignant Neoplasms Benign Neoplasms Diabetes Mellitus Other Endocrine, Metabolic & Immunity Disorders Nutritional Deficiencies Anaemias & Blood-forming Organ Diseases Mental Disorders Nervous System (except meningitis) Eye and Adnexae Ear and Mastoid Process Acute Rheumatic Fever & Rheumatic Heart Disease Hypertensive Disease Ischaemic Heart Disease Cerebo-vascular accidents Pulmonary Circulation &other Circulatory System Disorders ARI (Upper Tract) ARI (Lower Tract) Chronic Bronchitis & other Obstructive Pulmonary Other Respiratory Diseases Oral Cavity & Digestive System Urinary System Male Genital Organs Salpingitis & Pelvic Tissue Inflammatory Diseases Other Female Genital Organs Abortion Direct & Indirect Obstetric Causes Normal Delivery Skin and Subcutaneous Musculoskeletal Syst. & Connective Tissue Congenital Anomalies Certain Conditions orig. in the Perinatal period Ill-defined conditionsconditions Fractures Intracranial & Internal Injuries, including nerves Open Wounds & all Other Inj uries Burns Poisoning & Toxic Effects Complications & Late Effects of Inj uries, Poisoning Other reasons for Contact with Health Services TOTAL Source :Inpatient Quarterly Returns - T9 Deaths %

54 T H E Z I M B A B W E H E A LT H P R O F I L E Top 1 In-patient Diseases and Conditions, Including Central Hospitals, 21 Cases, All Ages Rank Disease / Conditions Cases 1 Normal Delivery ARI Direct & Indirect Obstetric Causes Intestinal Infections Malaria Pulmonary TB Certain Conditions Originating in Peri-natal period HIV related / AIDS Abortion Fractures Top Ten Causes of Hospitalisation ( Including Central Hospitals) Deaths, All Ages Rank Disease / Conditions Deaths 1 HIV related / AIDS ARI Pulmonary TB Certain Conditions Originating in Perinatal period Intestinal Infections Other Endocrine, Metabolic & Immunity Disorders 86 7 Meningococcal & other Meningitis Nervous System (except meningitis) 68 9 Pulmonary & other Circulation System Disorders Oral Cavity & Digestive System 445 Source :Inpatient Quarterly Returns - T9 s e s o g n ia D s e s o n g ia D Top Ten Causes of Hospitalisation (Including Central Hospitals) Fractures Abortion HIV related / AIDS Certain Cond.orig. inperinatal period Pulmonary TB Malaria Intestinal Infections Dir. & Indirect Obstetric Causes ARI Normal Delivery Cases Top Ten Causes of Hospitalisation ( Including Central Hospitals) Oral Cavity & Digestive System Pulmonary Circulation &o. Circul. Sym Dis. Nervous System (except meningitis) Meningococcal & other Meningitis O.Endocrine & Metabolic Dis & Immunity Disorders Intestinal Infections Certain Cond. orig. inperinatal period Pulmonary TB ARI HIV related / AIDS Deaths 53

55 T H E Z I M B A B W E H E A LT H P R O F I L E EXPANDED PROGRAMME ON IMMUNIZATION (EPI) EPI Target Diseases by Vaccination Status by Province, 21 Vaccination Measles Diphtheria Pertussis Tetanus Neonatal Afp Province / City Status Cases Cases Cases Cases Cases n % n % n % n % n % Vaccinated Unvaccinated Manicaland Unknown TOTAL Vaccinated 4 7 Unvaccinated Mash. Central Unknown 1 2 TOTAL 56 1 Vaccinated Unvaccinated Mash. East Unknown TOTAL Vaccinated Unvaccinated Mash. West Unknown TOTAL Vaccinated 85 7 Unvaccinated Mat. North Unknown 9 7 TOTAL Vaccinated Unvaccinated 7 12 Mat. South Unknown TOTAL Vaccinated Unvaccinated Midlands Unknown TOTAL Vaccinated Unvaccinated 14 4 Masvingo Unknown 16 6 TOTAL Vaccinated Unvaccinated Harare City Unknown TOTAL Vaccinated 11 1 Unvaccinated Chitungwiza City Unknown TOTAL 11 1 Vaccinated Unvaccinated Bulawayo City Unknown 69 4 TOTAL Vaccinated Unvaccinated National Unknown TOTAL

56 T H E Z I M B A B W E H E A LT H P R O F I L E EPI Target Diseases by Age Group, Vaccination status and Province/ City, 21 Province Vaccination Measles NNT AFP / Polio Under 1 yr 1-4 yrs Vaccination Status Under yrs 5-14 yrs n % n % n % Vaccinated Unvaccinated Manicaland Unknown Total Vaccinated Mash Unvaccinated Central Unknown 1 Total Vaccinated Unvaccinated Mash. East Unknown Total Vaccinated Unvaccinated Mash. West Unknown Total Vaccinated Unvaccinated Mat. North Unknown Total Vaccinated Unvaccinated Mat. South Unknown 16 Total Vaccinated Unvaccinated Midlands Unknown Total Vaccinated Unvaccinated Masvingo Unknown Total Vaccinated Unvaccinated Harare City Unknown Total Vaccinated Chitungwiza Unvaccinated City Unknown Total yrs n % <28days n % n % n % yrs n % yrs n % Vaccinated Bulawayo Unvaccinated City Unknown Total Vaccinated Unvaccinated National Unknown Total

57 T H E Z I M B A B W E H E A LT H P R O F I L E EPI Target Diseases: Inpatient Cases and Deaths by Province/City, 21 Province Disease Cases Deaths Tetanus 1 AFP 2 1 Manicaland Tuberculosis Measles 24 3 Diphtheria Mashonaland. Central Tetanus AFP Tuberculosis Measles Diphtheria Mashonaland. East Tetanus 2 1 AFP Tuberculosis Measles Diphtheria 1 Mashonaland. West Tetanus 2 AFP 2 Tuberculosis Measles Diphtheria Matabeleland. North Tetanus AFP Tuberculosis Measles 81 2 Diphtheria Matabeleland. South Tetanus AFP Tuberculosis Measles 74 Diphtheria Midlands Tetanus 3 1 AFP 5 Tuberculosis Measles 8 1 Diphtheria Masvingo Tetanus AFP Tuberculosis Measles Diphtheria Harare City Tetanus AFP Tuberculosis Measles Diphtheria Bulawayo City Tetanus AFP Tuberculosis Measles Diphtheria National Tetanus 8 2 AFP 9 1 Tuberculosis Measles Diphtheria 1 56

58 T H E Z I M B A B W E H E A LT H P R O F I L E Measles, Neonatal Tetanus and Polio/AFP by year, Disease Vaccination Status Cases % Cases % Cases % Cases % Cases % Cases % MEASLES Vaccinated All ages Unvaccinated Unknown TOTAL NEONATAL Vaccinated TETANUS Unvaccinated <28 days Unknown TOTAL POILIO/AFP Vaccinated years Unvaccinated Unknown TOTAL Measles Cases Trend by Age Group, Year Under 5 5 Yrs+ Total New Cases Rate per 1, population Source: T9 returns Measles Inpatient Cases and Deaths by Age Group and Province/City, 21 Prov/City New Cases Deaths National Under yrs + Total Under yrs + Total Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Harare City Chitungwiza Bulawayo City Total Source -T9 Returns 57

59 T H E Z I M B A B W E H E A LT H P R O F I L E WEEKLY DISEASE SURVEILLANCE REPORT Weekly Disease Surveillance Report, Trends of diarrhoea cases Week Numbers Trends of malaria cases - 29 Cases Week Numbers C s a se Trends of dysentery cases Week Number Cases 58

60 T H E Z I M B A B W E H E A LT H P R O F I L E HIV/AIDS AND RELATED DISEASES/CONDITIONS 1.1 HIV/AIDS New AIDS Cases by Sex and Age Group, 21 Age Group Male Female Total Total Source :T5 New AIDS Cases by Age Group and Sex, 2 1 New Cases Age Group Male Female 59

61 T H E Z I M B A B W E H E A LT H P R O F I L E New Cases of AIDS and Related Diseases by Province/City, 21 Province AIDS Kaposi' Sarcoma TB STI Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Harare Bulawayo National Source: T5 returns Note: - Data not available New cases of AIDS and Related Diseases by Province/City, Rate per Province AIDS Kaposi' Sacoma TB STI 6

62 T H E Z I M B A B W E H E A LT H P R O F I L E HIV and Related Conditions by Year, AIDS new cases Kaposi's Sarcoma STI episodes TB new cases Source: T5 returns Thousands Year AIDS new cases Kaposi's Sarcoma TB new cases STI episodes 61

63 T H E Z I M B A B W E H E A LT H P R O F I L E HIV Sentinel Surveillance Data in Ante Natal Care Women by Year, PROVINCE SITE n % HIV+ n % HIV+ n % HIV+ Manicaland Murambinda Hospital Sakubva Clinic Mashonaland Central Karanda Hospital Chipadze Clinic Mashonaland East Mutoko Hospital Sadza Hospital Mash West Kadoma Hospital Matabeleland North Binga Hospital Chinotimba Hospital Matabeleland South Gwanda Hospital Beitbridge Hospital Midlands Mkoba Clinic Masvingo Chiredzi Hospital Gutu Mission Hospital Harare City Kuwadzana Clinic Chitungwiza St Mary's Clinic Bulawayo Nkulumane Clinic SOURCE :- Antenatal Care Sentinel Surveillance Reports KEY :- n = Sample Size 62

64 T H E Z I M B A B W E H E A LT H P R O F I L E TUBERCULOSIS Tuberculosis New Cases by Province, Age Group and Sex, 21 AGE GROUP MANICALAND MASH. CENTRAL MASH. EAST MASH. WEST MAT. NORTH MAT. SOUTH (Years) Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total TOTAL Year Pop TB INCIDENCE (/1) MALE- FEMALE RATIO AGE GROUP MIDLANDS MASVINGO BULAWAYO CITY Harare City(Incl. Chitungwiza City) NATIONAL (Years) Male Female Total Male Female Total Male Female Total Male Female Total Male % Female % Total TOTAL Year Pop TB INCIDENCE (/1) MALE- FEMALE RATIO

65 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 Tuberculosis New Cases by Province, Age Group and Sex, New cases Age Group Male Female 64

66 T H E Z I M B A B W E H E A LT H P R O F I L E ACUTE RESPIRATORY INFECTIONS (ARI) OUTPATIENT CASES ARI Outpatient Cases by Age Group, Province/City, 21 Province/City All Under 5yrs 5 yrs & Over Ages Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Harare City Chitungwiza City Bulawayo City Total ARI Outpatient Cases by Age Group, Province/City, 21 Bulawayo City Chitungwiza City Harare City Masvingo Province Midlands Matabeleland South Matabeleland North Mashonaland West Mashonaland East Mashonaland Central Manicaland Number of new cases 5 years and Over Under 5 yrs 65

67 T H E Z I M B A B W E H E A LT H P R O F I L E OPD New ARI Breakdown by Province/City, 21 Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South ARI All Ages All Ages All Ages All Ages All Ages All Ages no. % no. % no. % no. % no. % no. % Ear, Nose, Throat Mild Moderate Severe TOTAL Total New Gen Dis/Con ARI % out tot NEW Incidence Rate Midlands Masvingo Harare Chitungwiza Bulawayo NATIONAL ARI All Ages All Ages All Ages All Ages All Ages All Ages no. % no. % no. % no. % no. % no. % Ear, Nose, Throat Mild Moderate Severe TOTAL Total New Gen Dis/Con ARI % out tot NEW Incidence Rate

68 T H E Z I M B A B W E H E A LT H P R O F I L E OPD New Diseases of Acute Respiratory Infection by Age Group, 21 Years OPD New ARI Cases ARI Incidence Rate /1 Total New Disease/Condition Population Under 5 yrs 5 yrs + All Ages Under 5 yrs 5yrs + All Ages ARI % Out Of Total All Ages Under 5 yrs 5yrs+ All Ages OPD New Diseases of Acute Respiratory Infection by Age Group, Number of cases in millions Year Under 5 yrs Five yrs Number of cases per Year Under 5 yrs Five yrs + 67

69 T H E Z I M B A B W E H E A LT H P R O F I L E OPD New Cases of Acute Respiratory Infection by Age Group, 21 Province ARI (Upper Tract) ARI (Lower Tract) Cases Deaths CFR% Cases Deaths CFR% < 5 yrs 5 yrs + All Ages < 5 yrs 5 yrs + All Ages < 5 yrs 5 yrs + All Ages < 5 yrs 5 yrs + All Ages Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Harare Bulawayo Total Source: T5 returns. 68

70 T H E Z I M B A B W E H E A LT H P R O F I L E MALARIA All Malaria New Cases by Province, 21 PROVINCE / CITY Suspected Cases Tested Cases Confirmed Cases Positivity Rate Manicaland Mashonaland Central Mashonaland East Mashonaland West Matebeleland North Matebeleland South Midlands Masvingo Harare City Chitungwiza City Bulawayo City NATIONAL Malaria Cases: Suspected, Tested, Positive and Positivity Rate by Province, 21 PROVINCE / CITY Confirmed Cases Incidence Confirmed Cases Incidence Confirmed Cases Incidence Total Confirmed Cases Incidence Under 5 yrs Rate/ yrs Rate/1 15 yrs + Rate/1 All Ages Rate/1 Manicaland Mashonaland Central Mashonaland East Mashonaland West Matebeleland North Matebeleland South Midlands Masvingo Harare City Chitungwiza City Bulawayo City NATIONAL Source - OPD returns excluding the Central Hospitals 69

71 T H E Z I M B A B W E H E A LT H P R O F I L E Confirmed Malaria Cases by Province, 21 Incidence Rate per Masvingo Harare Chitungwiza Bulawayo PROVINCES Confirmed Malaria Cases by Age Group, Incidence Rate per Under 5 years 5-14 years 15 years + Age Group 7

72 T H E Z I M B A B W E H E A LT H P R O F I L E Confirmed Malaria Cases and Rainfall by Year Year Malaria Rainfall OPD Cases NB-Data from 29 and onwards include confirmed cases only while for 28 and backwards included suspected and confirmed cases Monthly Trends of Confirmed Malaria Cases, 21 MONTH All Cases Confirmed Cases January Febuary March April May June July August September October November December National Cases (Thousands) January February March April May June MONTHS July August September October November December 71

73 T H E Z I M B A B W E H E A LT H P R O F I L E Malaria Inpatient Cases and Deaths by Province, 21 A B C E Malaria Deaths as % Province Malaria Cases Malaria Deaths Malaria CFR of all deaths Manicaland Mash Ctral Mash East Mash West Mat North Mat South Midlands Masvingo Hre City National Hospital Case Fatality Ratio, Ratio Manicaland Mashonaland Central Mashonaland East Mashonaland West Matebeleland North Matebeleland South PROVINCE/NATIONAL Midlands Masvingo Harare National Provincial Hospitalization Rate 1 Incidence Rate Manicaland Mashonaland East Matabeleland North Midlands Harare Province 72

74 T H E Z I M B A B W E H E A LT H P R O F I L E Malaria Top 2 Districts, 21 Ranking District Incidence/1 1 Mudzi Binga Ump Nyanga Guruve Shamva Chimanimani Rushinga Mutoko Mt. Darwin Kariba Mutasa Chipinge Bindura Centenary Chiredzi Hwange Tsholotsho Lupane Mutare Malaria Incidence Rate/1 Population, Top 2 Districts, 21 Cases MUDZI BINGA UMP NYANGA GURUVE SHAMVA CHIMANIMANI RUSHINGA MUTOKO MT. DARWIN KARIBA MUTASA CHIPINGE BINDURA CENTENARY CHIREDZI HWANGE TSHOLOTSHO LUPANE MUTARE District 73

75 T H E Z I M B A B W E H E A LT H P R O F I L E Malaria Incidence Rates/1 Population, Top 2 Districts, 21 74

76 T H E Z I M B A B W E H E A LT H P R O F I L E DIARRHOEA AND DYSENTERY CASES National Diarrhoea and Dysentery Cases and Incidence Rates by Province, 21 Diarrhoea Dysentery Province/City Cases Incidence Incidence Cases Incidence Incidence per 1 District Range per 1 District Range Manicaland Mashonaland Central Mashonaland East Mashonaland West Matebeleland North Matebeleland South Midlands Masvingo Harare Chitungwiza Bulawayo Total National Diarrhoea and Dysentery Cases and Incidence Rates by Province, 21 Source: T5 Returns 75

77 T H E Z I M B A B W E H E A LT H P R O F I L E Monthly Trends of Diarrhoea and Dysentery, 21 Jan Feb Mar Apr May Jun Jul Diarrhoea Dysentery Aug Sep Oct Nov Dec Monthly Trends of Diarrhea and Dysentery, THOUSANDS Diarrhoea Dysentery Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Source: T5 Returns National Diarrhoea and Dysentery Cases, Diarrhoea Dysentery National Diarrhea and Dysentery Cases, Cases Year Diarrhoea Dysentery Source: T5 Returns 76

78 T H E Z I M B A B W E H E A LT H P R O F I L E Diarrhoea and Dysentery Incidence Rates by District, All Ages, 21 Province District Diarrhoea Cases Diarrhoea Incidence Dysentery Cases Dysentery Incidence Rate Per 1 Rate Per 1 Buhera Chimanimani Chipinge Manicaland Makoni Mutare Mutasa Nyanga Bindura Centenary Guruve Mashonaland Central Mazowe Mt. Darwin Rushinga Shamva Chikomba Goromonzi Marondera Mudzi Mashonaland East Murewa Mutoko Seke U.M.P Wedza Chegutu Hurungwe Mashonaland West Kadoma Kariba Makonde Zvimba Binga Bubi Matabeleland North Hwange Lupane Nkayi Tsholotsho Umguza Beitbridge Bulilima Gwanda Matabeleland South Insiza Mangwe Matobo Umzingwane Chirumanzu Gokwe North Gokwe South Midlands Gweru Kwekwe Mberengwa Shurugwi Zvishavane Bikita Chiredzi Chivi Masvingo Gutu Masvingo Mwenezi Zaka Harare City Chitungwiza City Bulawayo City National

79 T H E Z I M B A B W E H E A LT H P R O F I L E Top Ten Diarrhoea Incidence Rate (per 1) by District, All Ages, Incidence Rate District Top Ten Dysentery Incidence Rate (per 1) by District, All Ages, Incidence Rate District 78

80 T H E Z I M B A B W E H E A LT H P R O F I L E LEPROSY CASES Leprosy Cases by Province, 21 Province/ City Cases Manicaland 8 Mashonaland Central 16 Mashonaland East Mashonaland West 2 Matebelwland North 2 Matebeleland South 1 Midlands Masvingo Harare 3 Bulawayo 98 Total National Leprosy New Cases, Year Cases Source:T5 Returns Leprosy New Cases, Cases Year 79

81 T H E Z I M B A B W E H E A LT H P R O F I L E SCHISTOSOMIASIS (BILHARZIASIS) CASES Schistosomiasis Cases by Age Group and Province/City, 21 Province Age Group Incidence Under 5 Years 5-14 Years 15 Years + All Ages per 1 Manicaland Masho Central Mashonaland East Mashonaland West Matabeleland North Matebeleland South Midlands Masvingo Harare Chitungwiza Bulawayo National Incidence per Schistosomiasis Incidence Rates by Province/City, 21 Incidence Rate per Province/City Schistosomiasis Incidence Rates by Age Group Incidence Under 5 Years 5 Years and Above All Ages Age Group 8

82 T H E Z I M B A B W E H E A LT H P R O F I L E Schistosomiasis (Bilharziasis) Outpatient Cases by Year and Age Group Years OPD New Cases Incidence Rate/1 Rainfall Under5yrs 5yrs and Above All ages Under5yrs 5yrs and Above All ages Oct- Apr/mm , Schistosomiasis (Bilharziasis) Outpatient Incidence Rates by Year, Incidence Rate Under5yrs Year 5yrs and Above 81

83 T H E Z I M B A B W E H E A LT H P R O F I L E chistosomiasis Incidence Rates and Rainfall Trends, Year OPD New cases Incidence Rate/1 Rainfall(mm) (Oct-Apr) National Schistosomiasis Cases for All Ages and Rainfall Figures, Schistosomiasis -All ages 16, 14, 12, 1, 8, 6, 4, 2, Years OPD New Cases(All Ages) Rainfall(mm),(Oct-Apr) 82

84 T H E Z I M B A B W E H E A LT H P R O F I L E Schistosomiasis New Cases by Month, 21 Month January February March April May June July August September October November December Total Out Patient Schistosomiasis New Cases by Month, Number of cases in Thousands 2 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Months 83

85 T H E Z I M B A B W E H E A LT H P R O F I L E INJURIES Injuries by Age Group and Province/ City, 21 Province Manicaland Mash.Central Mash.East Under 5Yrs 5Yrs+ Under 5Yrs 5Yrs+ Under 5Yrs 5Yrs+ n % n % n % n % n % n % Burns and Scalds All Other Injuries Road Traffic Accidents Total Province Mash.West Mat.North Mat.South Under 5Yrs 5Yrs+ Under 5Yrs 5Yrs+ Under 5Yrs 5Yr+ n % n % n % n % n % n % Burns and Scalds All Other Injuries Road Traffic Accidents Total Province Midlands Masvingo Harare Under 5Yrs 5Yrs+ Under 5Yrs 5Yrs+ Under 5Yrs 5Yr+ n % n % n % n % n % n % Burns and Scalds All Other Injuries Road Traffic Accidents Total Province Total Chitungwiza Bulawayo Under 5Yrs 5Yrs+ Under 5Yrs 5Yrs+ Under 5Yrs 5Yr+ n % n % n % n % n % n % Burns and Scalds All Other Injuries Road Traffic Accidents Total Injuries in under-fives Burns and Scalds 28.2% All other Injuries 69.% RTA 2.9% 84

86 T H E Z I M B A B W E H E A LT H P R O F I L E Common Causes of Injury Cases and Deaths Among Inpatients by Age and Province/City/Hospital, 21 Province Manicaland Mashonaland Central Mashonaland East INJURY TYPE < Yrs 5 Yrs + All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths Fractures Intracranial/internal injuries Open wounds & other injuries Burns Poisoning & Toxic Effects Complications of injuries.& poisoning Total injuries Province Mashonaland West Matabeleland North Matabeleland South INJURY TYPE < Yrs 5 Yrs+ All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths Fractures intracranial/internal injuries Open wounds & other inj Burns Poisoning & Toxic Effects Complications of injuries.& poisoning Total injuries Province Midlands Masvingo Harare INJURY TYPE < Yrs 5 Yrs+ All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths Fractures intracranial/internal injuries Open wounds & other inj Burns Poisoning & Toxic Effects Complications of injuries.& poisoning Total injuries Province Bulawayo National INJURY TYPE < Yrs 5 Yrs+ All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths CFR CFractures intracranial/internal injuries Open wounds & other inj Burns Poisoning & Toxic Effects Complications of injuries.& poisoning Total injuries CFR = Number of deaths due to a specific cause X 1/Total number of cases of that specific cause 2.CFR Represents Hospital based Case Fatality Rate Only No Submission 4. All Central Hospital Did Not Report 85

87 T H E Z I M B A B W E H E A LT H P R O F I L E LIFE EXPECTANCY Life Expectancy at Birth by Year and Sex Year Male Female Average Source: CSO Zimbabwe 1992 National Census Report CSO; Zimbabwe 1992 National Census Report CSO; 28 Inter-Censal Demographic Survey(ICDS); Life Expectancy at Birth by Year and Sex 86

88 T H E Z I M B A B W E H E A LT H P R O F I L E MORTALITY 12.1 INFANT MORTALITY Infant Mortality Rates by Year Year *1999 *25/ Infant Mortality Rate ( IMR) Source: Zimbabwe National Statistics Agency * Zimbabwe Demographic and Health Survey /6 Multiple Indicator Monitoring Survey (29) Infant Mortality Rates by Year Cases *1999 *25/ Year 87

89 T H E Z I M B A B W E H E A LT H P R O F I L E INSTITUTIONAL PERINATAL DEATHS Hospital Based (Institutional) Perinatal Deaths, 21 Year Live Births SB SB Rate END ENM Rate Perinatal PM Rate T9 Perinatal T9 Perinatal In as % of H- Institution Deaths x 1 Deaths IMR SOURCE: T5 T9 routine forms Institutional Mortality by Age Group and Year, 21 Deaths Under 1 y Source:T9 HS3/5 and Central Hospitals Annual Reports Key: H-IMR = Hospital Based Infant Mortality Rate Under 5 y MR = Under five Mortality Rate H-CrudeMR = Hospital based Crude Mortality Rate Under 5 y MR x 1 T9 Deaths All Ages HS3/HS5 Deaths All Ages H- CrudeMR x 1 Year Live Births H-IMR Deaths x y

90 T H E Z I M B A B W E H E A LT H P R O F I L E HEALTH FACILITIES 13.1 HEALTH FACILITY LEVELS IN ZIMBABWE Health facilities in Zimbabwe, 21 Provinces Primary Level First Referral Level Second Referral Level Third Referral Level Total Harare Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Bulawayo TOTAL KEY 1. Primary Level = Clinics and rural health centres 2. First Referral Level = District mission and rural hospitals 3. Second Referral Level = Provincial hospitals = Central hospitals and infectious diseases 4. Third Referral Level 89

91 T H E Z I M B A B W E H E A LT H P R O F I L E RURAL HOSPITALS AND CLINICS/RURAL HEALTH CENTRES Rural Hospitals and Clinics/Rural Health Centres by Ownership and Provinces/ Major Cities, Rural Hospitals Province Total Govt/Public Sector Rural Councils Municipality ZRP/Army Mission Private Manicaland Mashonaland Central 2 2 Mashonaland East 5 5 Mashonaland West 7 7 Matabeleland North 2 2 Matabeleland South 5 5 Midlands 4 4 Masvingo 5 5 Harare City Chitungwiza City Bulawayo City Total Clinics/Rural Health Centres Province Total Govt/Public Sector Rural Councils Municipality Zrp/Army Mission Private Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Harare City Chitungwiza City Bulawayo City Total SOURCE: Provincial Health Profiles and City Health Department data 9

92 T H E Z I M B A B W E H E A LT H P R O F I L E PROVINCIAL HEALTH INSTITUTIONS Provincial Health Institution Distribution by Referral Level, 21 Manicaland Mash Central Mash East Mash West Cities Facilities Beds Facilities Beds Facilities Beds Facilities Beds Facilities Beds Primary Level Clinic/RHc 251 1, Rural Hospitals TOTAL Secondary Level District Hospitals Other Referral hospitals (District and other) TOTAL Tertiary Level (Provincial and General) 1 Provincial Hospitals , General Hospitals , TOTAL Specialised Hospitals Quartenary Hospitals Central Hospitals 5 4,173 GRANT TOTAL Mid Year Population 1,682,15 1,67,232 1,331,33 1,313,11 2,636,78 Area/sqkm 36,459 25,346 32,23 57,441 DENSITY/CLINIC POP/CLINIC 4,947 8,968 9,55 1,339 POP/SECONDARY LEVEL FACILITIES 28, , , ,835 POP/SECONDARY LEVEL BEDS 4,184 8,24 7,66 8,363 POP/TOTAL BEDS , Mat North Mat South Midlands Masvingo Total Facilities Beds Facilities Beds Facilities Beds Facilities Beds Facilities Beds Primary Level Clinic/RHc Rural Hospitals TOTAL Secondary Level District Hospitals Other Referral hospitals (District and other) TOTAL Tertiary Level (Provincial and General) Provincial Hospitals ,267 General Hospitals 4 TOTAL Specialised Hospitals Quartenary Level Central Hospitals GRANT TOTAL Mid Year Population 755,8 7,162 1,569,598 1,415, Area/sqkm 75,25 54,173 51,992 56, DENSITY/CLINIC POP/CLINIC 151,16 7,78 7,887 9,193 POP/SECONDARY LEVEL FACILITIES 125,967 14,32 196,2 353,922 POP/SECONDARY LEVEL BEDS 6,998 6,251 6,17 7,821 POP/TOTAL BEDS SOURCE: Provincial Health Profiles 91

93 T H E Z I M B A B W E H E A LT H P R O F I L E GOVERNMENT AND MISSION HOSPITALS Government and Mission Hospitals by District, 21 Province District Government Hospital Mission Manicaland Buhera 1 Chimanimani 1 1 Chipinge 1 3 Makoni 1 2 Mutare 1 2 Mutasa 1 4 Nyanga 1 4 Mashonaland Central Bindura Centenary 1 Guruve 1 Mazowe 1 Mt Darwin 1 Rushinga 1 1 Shamva 1 Mashonaland East Chikomba 1 Goromonzi 1 UMP 1 Hwedza 1 Marondera Mudzi 1 Murewa 1 2 Mutoko 1 Seke 1 Mashonaland West Chegutu 1 Hurungwe 1 Kariba Makonde 1 Mhondoro Sanyathi 1 Zvimba 1 Matabeleland North Binga 1 Bubi 1 Hwange 1 Lupane Nkayi 1 Tsholotsho 1 Umguza Matabeleland South Beit Bridge 1 Bulilimamangwe 1 2 Gwanda Insiza 1 Matobo 1 2 Umzingwane 1 Midlands Chirumhanzi 1 3 Gokwe North 1 2 Gokwe South 1 1 Gweru 1 1 Zvishavane 1 Kwekwe 1 1 Mberengwa 1 2 Shurugwi 1 Masvingo Bikita 2 Chiredzi 1 Chivi 1 Gutu 1 Masvingo 1 Mwenezi 1 Zaka 1 92

94 T H E Z I M B A B W E H E A LT H P R O F I L E HOSPITAL BEDS DISTRIBUTION Hospital Beds Distribution by Function, 21 Function Of Manicaland Mashonaland Central Mashonaland East HOSPITAL BED General(G) Mashonaland West Matabeleland North Matabeleland South Midlands Maternity(M) Paediatric TOTAL Population Expected Pregnant women yrs population yrs Population Population/G+S BED PREGANTS/MAT.BEDS POP/ Paeds. Beds SOURCE: HS3/ Masvingo Bulawayo Harare TOTAL

95 T H E Z I M B A B W E H E A LT H P R O F I L E WAITING MOTHER SHELTERS (WMS) Waiting Mother Shelters (WMS) by Province, 21 Statistics Manicaland Mashonaland Central Mashonaland East Mashonaland West Matabeleland North Matabeleland South Midlands Masvingo Waiting Mother's Shelter Buildings Total Expected Pregnant Women Area(sp km) PREGNANTS /WMS SqKm/WMS SOURCE: Provincial Health Profiles and City Health Department data SqKM/WMS refers to Waiting Mother Shelters per Square Kilometer 94

96 T H E Z I M B A B W E H E A LT H P R O F I L E SERVICES IN HEALTH INSTITUTIONS Services in Health Institutions by Province/City, 21 PROVINCE No. Built BEFORE 198 No. OF WMS No WITH SOLAR or ELECTRICTY COVERAGE WITH SOLAR/ ELECTRICITY No WITH PIPED WATER COVERAGE WITH PIPED WATER No WITH RADIO OR TELEPHONE COVERAGE WITH COMMUNICATION NUMBER FENCED MANICALAND MASHONALAND CENTRAL MASHONALAND EAST MASHONALAND WEST MATABELELAND NORTH MATABELELAND SOUTH MIDLANDS MASVINGO SUB TOTAL CITY CHITUNGWIZA HARARE BULAWAYO SUB TOTAL GRANT TOTAL GRANT TOTAL 95

97 T H E Z I M B A B W E H E A LT H P R O F I L E Total X-Ray Performance by Institution Level; District, Provincial and Main Hospitals, 21 STATISTICS DISTRICT MISSION GENERAL PROVINCIAL CENTRAL NATIONAL Number Number Number Number Number Number Attendances Routine X-Rays No. of Films Ultrasound Scan C.T. Scans TOTAL

98 T H E Z I M B A B W E H E A LT H P R O F I L E Distribution of Pharmacies by Province/City, 21 Government Private Manicaland 38 2 Mash Central 15 1 Mash East Mash West Mat North 22 5 Mat South 2 5 Midlands Masvingo Harare Chitungwiza 2 32 Bulawayo 4 5 Total Distribution of Pharmacies by Province/City, 21 97

99 T H E Z I M B A B W E H E A LT H P R O F I L E HUMAN AND FINANCIAL RESOURCES FOR HEALTH 14.1 SUMMARY OF STAFF RETURN S Category Establishment In post Dec 28 Vacant as of Dec 28 % vacant Dec 28 In post Dec 29 Vacant as of Dec 29 % Vacant Dec 29 In post Dec 21 Vacant as of Dec 21 % Vacant Dec 21 Top Management Team Doctors Nurses All Grades Environmental Health Department Pharmacy Radiography Physiotherapy Nutrition Orthopaedic Oral Health Laboratory Research Officers Health Information Health Promotion Hospital Equipment Administration General Program Managers Total

100 T H E Z I M B A B W E H E A LT H P R O F I L E BUDGET ALLOCATION Government Budget Allocation Breakdown, 21 MINISTRY Allocation Office of the President and Cabinet Office of the Prime Minister Parliament of Zimbabwe Public Service Defense Finance Audit Industry and Commerce Agriculture, Mechanisation and Irrigation Development Mines and Mining Development Environment and Natural Resources Management Transport and Infrastructural Development Foreign Affairs Local Government, Urban and Rural Development Health and Child Welfare Education, Sport and Culture Higher and Tertiary Educ ation Youth Development, Indigenisation and Empowerment Home Affairs Justice and legal Affairs Media, Information and Publicity Small and Medium Enterprises and Co-operative Development Energy and Power Development Economic Planning and Investment Promotion Science and Technology Development 6 35 Women Affirsa, Gender and Community Development Rural Housing and Social Amenities Water Resources Development and Management Constitutional and Parliamentary Affairs Tourism and Hospitality Industry Labour and Social Services State Enterprises and Parastals 1 47 Information Communication Technology Public Works Regional Integration and International Co-operation Lands and Rural Resettlement Judicial Services Commission TOTAL BUDGET

101 T H E Z I M B A B W E H E A LT H P R O F I L E Vote 15. Ministry of Health and Child Welfare Budget, 21 ADMINISTRATION AND GENERAL 21 $ A Employment costs 1 94 B Goods and services C Maintenance 161 D Current transfers 1 92 E Acquisition of fixed capital assets F Capital transfers MEDICAL CARE SERVICES A Employment costs B Medical supplies and services 79 4 C Maintenance 5 D Current transfers E Programme 16 6 F Hospital and health centres G Acquisition of fixed capital assets 3 26 H Capital transfers 8 1 Sub Total PREVENTIVE SERVICES A Employment costs 9 98 B Goods and services 1 7 C Medical supplies and services 2 D Maintenance 65 E Current transfers F Programmes G Acquisition of fixed capital assets 8 H Capital transfers 11 Sub Total RESEARCH A Employment costs B Goods and services 447 C Maintenance 41 D Current transfers 39 E Programmes 367 F Acquisition of fixed capital assets 2 Sub Total GRAND TOTAL

102 T H E Z I M B A B W E H E A LT H P R O F I L E Ministry of Health and Child Welfare Expenditure by Sector, 21 SECTOR EXPENDITURE Administration and General Medical Care Services Preventive Services Research Total Source: Health Expenditure Section (MoHCW) Ministry of Health and Child Welfare Expenditure by Sector, 21 11

103 T H E Z I M B A B W E H E A LT H P R O F I L E Vote 15. Ministry of Health and Child Welfare, 21 ORIGINAL REVISED UNAUDITED BUDGET BUDGET EXPENDITURE BUDGET ESTIMATE ESTIMATE TO OCTOBER ESTIMATE Amount Amount Amount Amount US$ US$ US$ US$ I. ADMINSTRATION CURRENT EXPENDITURE Employment costs 1,23, 1,23, 1,585,923 1,94, Goods and services 1,755, 1,755, 5,845,12 4,298, Maintenance 1, 1, 198,23 161, Current transfers 952,72 977,72 1,732,982 1,92, CAPITAL EXPENDITURE Acquisition of fixed capital assets 15,829, 15,829, 6,545,15 19,155, Capital transfers 3, 54, 3, 19,866,72 2,191,72 16,411,378 27,54, II. MEDICAL CARE SERVICES CURRENT EXPENDITURE Employment costs 42,32, 57,11, 52,813,55 91,671, Medical supplies and services 2,, 2,, 2,687,572 79,4 Maintenance 1,2, 1,2, 21,18 5, Current transfers 38,13, 38,13, 28,99,818 52,967, Programme 25, 25, 6,82 16,6 Hospital and health centres 28,2, 3,2, 27,342,166 21,66, CAPITAL EXPENDITURE Acquisition of fixed capital assets 5,632, 5,632, 2,566,88 3,26, Capital transfers 4,575, 4,325, 5,771,996 8,1, 122,19, 138,748, 12,172, ,884, III. PREVENTIVE SERVICES CURRENT EXPENDITURE Employment costs 4,87, 4,87, 6,319,996 9,98, Goods and services 242, 242, 164,31 1,7, Medical supplies and services 4, 4, 84,19 2, Maintenance 7, 7, 72,68 65, Current transfers 1,641, 1,641, 2,195,813 4,436, Programmes 5,, 5,, 1,346,498 2,486, CAPITAL EXPINDUTIRE Acquisition of fixed capital assets 12, 12, 8, Capital transfer 11, 12,28, 12,28, 1,182,794 19,642, IV. RESEARCH CURRENT EXPINDITURE Employment costs 2,59, 2,59, 3,2,147 5,454, Goods and services 178, 178, 55, , Maintenance 4, 4, 1,562 41, Current transfers 2, 2, 6, 39, Programmes 2, 2, 125,3 367, CAPITAL EXPINDUTIRE 15, 15, Acquisition of fixed capital assets 2,962, 2,962, 3,217,327 6,368, TOTAL 157,127,72 174,181,72 149,983, ,398, Source: BUDGETS ESTIMATES for the year ending December

104 T H E Z I M B A B W E H E A LT H P R O F I L E HEALTH SERVICES 15.1 PREVENTIVE AND PROMOTING ACTIVITIES Ante-natal and Post-natal Care by Province/City, 21 ANC & PNC Statistics Manicaland Mash. Cent - Under First ANC visits 16 wks wks wks & over Total Repeat ANC visits ANC referrals PNC visits T.T. 1st Dose T.T. 2nd - 5th Doses Mash. East Mash. West Mat. North Mat. South Midlands Masvingo Harare Chitungwiza Byo National Vital Drugs Essential Drugs Necessary Drugs PAP Smear Tests Done Institutional live births Live births at home Total reported live births Expected births Expected pregnant women Expected women of child bearing age st ANC COVERAGE (general) vs Expected Pregnancies. Woman (%) TT1 vaccination coverage vs Expected pregnant women (%) TT2+ vaccination coverage vs CBA women (%) TT1-TT2+ VACCINATION DROP OUT ( %) PNC COVERAGE vs Expect Births (%) PNC COVERAGE vs Live Births (%) st ANC-PNC DROP OUT (%)

105 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 NATIONAL BYO CHITUNGWIZA HARARE Ante-natal and Post-natal Care by Province/City, Percent - MASVINGO MIDLANDS MAT. SOUTH Province / City MAT. NORTH MASH. WEST MASH. EAST MASH. CENT MANICALAND ANC COVERAGE PNC COVERAGE 15

106 T H E Z I M B A B W E H E A LT H P R O F I L E Post-natal Care by Year; ANC & PNC STATISTICS First ANC visits - Under 16 wks wks wks & over Total Repeat ANC visits ANC referrals PNC visits T.T. 1st Dose T.T. 2nd - 5th Doses Vital Drugs Essential Drugs Necessary Drugs PAP Smear Tests Done Institutional live births Live births at home Total reported live births Expected births Expected pregnant women Expected women of child bearing age st ANC COVERAGE (general) vs Expected Pregnancies Woman (%) TT1 vaccination coverage vs expected pregnancies women (%) TT2+ vaccination coverage vs CBA women (%) TT1-TT2+ VACCINATION DROP OUT (%) PNC COVERAGE vs Expect Births (%) PNC COVERAGE vs Live Births (%) st ANC-PNC DROP OUT (%) Post-natal Care by Year; Percentage Year ANC PNC TT2 15

107 T H E Z I M B A B W E H E A LT H P R O F I L E Maternity Care by Province/City, 21 Delivery Care Manicaland Statistics Institutional Live births < 25g 1 93 Total Institutional Live births by trained Live births at home TM by others Total 9 15 Total live births Still births - - Mash Cent Fresh Macerated Total Total institutional (live & still) births Total (live & still) births Early neonatal deaths Maternal deaths Maternal referrals out Mash East Expected births 47 4 Women of child bearing age yrs GENERAL FERTILITY RATE (x 1) 75.1 MATERNAL MORTALITY RATE (x 1) Note: INST refers to Institutional INST.LOW BIRTH WEIGHT RATE (x 1) INST.DELIVERY COVERAGE (x 1) TRAINED TM DELIVERY RATE (%) INST. STILL BIRTH RATE (x 1) INST. PERINATAL MORT. RATE (x1) MATERNAL REFERRAL OUT RATE (x 1) Mash West Mat North Mat South Midlands Masvingo Harare Chitungwiza Bulawayo National

108 T H E Z I M B A B W E H E A LT H P R O F I L E Low Birth Weight Rate (1) by Province/City, Low Birth Weigh Rate (x 1) Perinatal Mortality Rate (x 1). PROVINCE / CITY Maternity Care by Province/City, Inst. Delivery Coverage % PROVINCE / CITY Inst. Delivery Coverage Perinatal Mortality Rate Still Birth Rate 17

109 T H E Z I M B A B W E H E A LT H P R O F I L E Maternity Care by Year, DELIVERY CARE STATISTICS Institutional Live births < 25g Total Institutional Live births by trained Live births at home TM by others Total Total live births Institutional Still births - Fresh Macerated Total Total institutional (live & still) births Total (live & still) births Institutional Early neonatal deaths Maternal deaths Maternal referrals out Expected births Women of child bearing age yrs Maternity Care by Year GENERAL FERTILITY RATE ( x 1 ) INST. LOW BIRTH WEIGHT RATE (x 1) INST. DELIVERY COVERAGE (x 1) TRAINED TM DELIVERY RATE (%) INST. STILL BIRTH RATE (x 1) INST. PERINATAL MORT. RATE (x 1) MATERNAL REFERRAL OUT RATE (x 1) MATERNAL MORTALITY RATE (x 1) Note: INST refers to Institutional 18

110 T H E Z I M B A B W E H E A LT H P R O F I L E Maternal Mortality Ratio/1 by Province/City, Province/City/Hospital No. of Rate/ No. of Rate/ No. of Rate/ No. of No. of No. of Rate/ Deaths Deliveries 1 Deaths Deliveries 1 Deaths Deliveries 1 Deaths Deliveries 1 Deaths Deliveries 1 Manicaland Mash Cent Mash East Mash West Masvingo Mat North Mat South Midlands Chitungwiza Hosp Harare Hosp Parirenyatwa Hosp Harare Urban UBH Mpilo Bulawayo Urban TOTAL Province/City/Hospital No. of Rate/ No. of Rate/ No. of Rate/ No. of Rate/ No. of Rate/ Deaths Deliveries 1 Deaths Deliveries 1 Deaths 1 Deaths 1 Deaths Manicaland Mash Cent Mash East Mash West Mat North Mat South Midlands Masvingo Chitungwiza Hosp./Urban Harare Hosp Parirenyatwa Hosp Harare Urban UBH Mpilo Bulawayo Urban TOTAL Live Births Live Births Live Births 1 19

111 T H E Z I M B A B W E H E A LT H P R O F I L E Major Causes of Maternal Mortality, 21 RANK CONDITION NUMBER PERCENT (%) 1 Sepsis Haemorhage Hpovolaemic shock Pneumonia Haemerrhoegic shock Eclampisia Anaemia Malaria Menengitis Pueperal Sepsis Other TOTAL Major Causes of Maternal Mortality, 21 11

112 T H E Z I M B A B W E H E A LT H P R O F I L E Comparison of Reported Maternal Deaths by Notification Forms vs T5 Forms by Year Year Maternal Notification Forms T5 Form % of Notified Deaths Maternal Deaths Reports by Notification Forms and T5 Forms, Number of Forms/Deaths Year Notification Forms T5 Form 111

113 T H E Z I M B A B W E H E A LT H P R O F I L E Family Planning Visits by Province and Contraceptive Methods 21, FAMILY PLANNING MANICALAND MASH. CENTRAL MASH. EAST MASH. WEST MAT. NORTH MAT. SOUTH MIDLANDS STATISTICS ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ CLINIC CLINIC CLINIC CLINIC CLINIC CLINIC CLINIC ORAL PILLS CONDOMS INJECTABLES IUDs NORPLANT VASECTOMY TUBAL LIGATION OTHER TOTAL FAMILY PLANNING MASVINGO HARARE CHITUNGWIZA BULAWAYO NATIONAL STATISTICS ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/CLINIC Total CLINIC CLINIC CLINIC CLINIC n % n % n % ORAL PILLS CONDOMS INJECTABLES IUDs NORPLANT VASECTOMY TUBAL LIGATION OTHER TOTAL

114 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 Family Planning Visits by Province and Contraceptive Methods, 21 OTHER.76 TUBAL LIGATION.2 VASECTOMY NORPLANT IUDs INJECTABLES Contraceptive CONDOMS ORAL PILLS Percentage Supplied ZNFPC GOV - OTHER 113

115 T H E Z I M B A B W E H E A LT H P R O F I L E Family Planning (New and Repeat) Visits by Province/City, 21 Family Planning Manicaland Mash. Central Mash. East Mash. West Mat. North Mat. South Statistics ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ CLINIC CLINIC CLINIC CLINIC CLINIC CLINIC New Clients Repeat Visits TOTAL % NEW CLIENTS Family Planning Midlands Masvingo Harare Chitungwza Bulawayo Total Statistics ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/ ZNFPC HOSP/CLINIC Total CLINIC CLINIC CLINIC CLINIC CLINIC n % n % n % New Clients Repeat Visits TOTAL % NEW CLIENTS

116 T H E Z I M B A B W E H E A LT H P R O F I L E Methods of Contraception by Number Issued and Province/City, 21 Method MANICALAND MASH. CENTRAL MASH. EAST MASH. WEST Conversion factor Number Equivalent CYP Number Equivalent CYP Number Equivalent CYP Number Equivalent CYP Number Issued Number % Issued Number % Issued Number % Issued Number % Issued Oral Pills Condoms Injectables IUDs Norplant Others TOTAL TOTAL TOTAL TOTAL TOTAL Method Conversion factor Number MIDLANDS MASVINGO HARARE CHITUNGWIZA Equivalent CYP Number Equivalent CYP Number Equivalent CYP Number Equivalent CYP Number Issued Number % Issued Number % Issued Number % Issued Number % Issued Oral Pills Condoms Injectables IUDs Norplant Others TOTAL TOTAL TOTAL TOTAL TOTAL MAT. NORTH MAT. SOUTH Equivalent CYP Number Equivalent CYP Number % Issued Number % TOTAL BULAWAYO TOTAL Equivalent CYP Number Equivalent CYP Number % Issued Number % TOTAL

117 T H E Z I M B A B W E H E A LT H P R O F I L E Methods of Contraception by Province/City, 21 NATIONAL BYO CHIT HRE MAS MID MAT. S MAT. N Province/City MASH. W MASH. E MASH. C MAN Percentage of CYP Supplied ORAL PILLS CONDOMS INJECTABLES IUDs OTHERS NORPLANT 116

118 T H E Z I M B A B W E H E A LT H P R O F I L E Methods of Contraception by Year Conversion METHOD factor Number Equivalent CYP Number Equivalent CYP Number Equivalent CYP Number Equivalent CYP Issued Number % Issued Number % Issued Number % Issued Number % ORAL PILLS CONDOMS INJECTABLES IUDs NORPLANT OTHERS TOTAL TOTAL TOTAL TOTAL Notes: unit considered is "cycle" for ORAL PILLS "vial" for INJECTABLES "device" for IUDs "operation" for STERILIZATIONS; methods of contraception are compared by the total of Couple Years of Protection (CYP) offered by each method Percentage of CYP Supplied. ORAL PILLS CONDOMS INJECTABLES IUDs NORPLANT YEARS

119 T H E Z I M B A B W E H E A LT H P R O F I L E Vaccination Type by Age Group and Province/City, 21 IMMUNIZATION Manicaland Mash. Central Mash. East Mash. West Mat. North Mat. South Midlands Masvingo Harare Chitungwiza Bulawayo Total STATISTICS month year month year month year month year month year month year month year month year month year month year month year month year BCG Polio Polio Polio Polio booster Pentavalent Pentavalent Pentavalent DPT DPT DPT DPT booster DT DT DT booster Measles Adverse Effects Expected children < 1 yr BCG COVERAGE < 1 yr POLIO 3 COVERAGE < 1 yr Pentavalent 3 COVERAGE < 1 yr MEASLES COVERAGE POLIO 1-POLIO 3 DROP OUT (%) Penta 1-Penta 3 DROP OUT (%) POLIO 3-MEASLES DROP OUT (%)

120 T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 Vaccination Type by Age Group and Province/City, Percentage Province/City BCG Coverage POLIO 3 Coverage Pentavalent 3 Coverage MEASLES Coverage 119

121 T H E Z I M B A B W E H E A LT H P R O F I L E Vaccination Type by Year and Age Group, 21 IMMUNIZATION STATISTICS month years month years month years month years month years BCG Polio Polio Polio Polio booster Pentavalent Pentavalent Pentavalent DPT DPT DPT DPT booster DT DT DT booster Measles Adverse Effects Expected children < 1 yr BCG COVERAGE < 1 yr POLIO 3 COVERAGE < 1 yr Pentavalent 3 COVERAGE < 1 yr MEASLES COVERAGE POLIO 1-POLIO 3 DROP OUT (%) Penta 1-Penta 3 DROP OUT (%) POLIO 3-MEASLES DROP OUT (%)

122 T H E Z I M B A B W E H E A LT H P R O F I L E NHIS Completeness of the Data Submission by Province/City, 21 T 5 HS3/5 PROVINCE Returns Expected Returns received % Returns Expected Returns received % Manicaland Mash Central Mash East Mash West Mat North Mat South Midlands Masvingo Harare Chitungwiza Bulawayo NATIONAL

123 T H E Z I M B A B W E H E A LT H P R O F I L E CURATIVE ACTIVITIES OPD Utilisation Rates by Province/City, 21 OPD Manicalan Mashonala STATISTICS d nd Central General New EPI Diseases Chronic Total New Diseases 539 Repeat Visit General Follow Ups Chronic Total Repeats Referrals Out Total New Diseases Total Patients (All Ages) Total Attendences (All Ages) Period Considered (Days) Mashonal and East Mashonala nd West Matabelela nd North Population Visits Daily Average Average Visit per Patient % Repeats Visits OPD Attendences Rate (x 1) Source: T5 and HS3/5 Returns Matabelela nd South Midlands Masvingo Harare Chitungwi za Bulawayo Annual Average Total

124 T H E Z I M B A B W E H E A LT H P R O F I L E OPD Utilisation Rates by Year, 21 OPD STATISTICS New Diseases General ,548,23 3,4,45 EPI ,354 5,37 Chronic ,748 37,799 Total New Disease Conditions ,586,332 3,83,214 Repeat Visits/Follow ups General ,224 9,452 Chronic ,125,216 1,115,432 Total Repeat Visits/Follow -up ,967, Referrals Out , Total New Diseases ,2, Total Patients (All Ages) ,882,8 7,787,5 Total Attendances (All Ages) Period Considered (Days) National Population ,47,79 12,595,418 Visits Daily Average ,11 19,774 Average Visits Per Patients % Repeats Visits OPD Attendences Rate (x 1) Source: T5 and HS3/5 Returns 123

125 T H E Z I M B A B W E H E A LT H P R O F I L E National Workload (OPD Attendances-all services; Inpatient Referrals Discharge and Deaths) by Level of Institution, 21 Rural Government All Total for All Provincial Whole All National Hospitals, Rural Clinics District Mission Districts Hospitals Provincial Central Totals & Health Centres Hospitals Hospitals (excl. Prov. Hosps.) Only Totals Hospitals New Diseases/conditions (Province & City) Patients (Central Hospitals) Total New Diseases Population all ages Attendance rate Referrals Out Patients OPD Register (Province & City) Number of Patients (Centrals & Chit.G.H.) Total Patients All Ages Total Attendances (Prov. & City) Total Attendances (Centrals + Chitungwiza General Hospital) Total Attendances All Ages OPD Preventative Services (Attendances) Preventative Services as % of OPD Grand Total OPD GRAND Total (All Services) In-Patient Deaths In-Patient Referrals Out In-Patient Discharges In-Patient Total Discharges (including Deaths)

126 T H E Z I M B A B W E H E A LT H P R O F I L E National Workload (OPD Attendances-All Services; Inpatient Referrals Discharge and Deaths) by Year, New Diseases/conditions (Province & City) Patients (Central Hospitals) Total New Diseases Population all ages Attendance rate Referrals Out Patients OPD Register (Province & City) Number of Patients (Centrals & Chitungwiza General Hospital Total Patients All Ages Total Attendances (Prov. & City) Total Att endances (Centrals + Chitungwiza General Hospital) Total Attendances All Ages OPD Preventative Services (Attendances) Preventative Services as % of OPD Grand Total OPD Grand Total (All Services) In-Patient Deaths In-Patient Referrals Out In-Patient Discharges In-Patient Total Discharges (inc. Deaths) SOURCE:T5 and HS3/5 Returns 125

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