im tat Zimbabwe National Statistics Agency

im tat Zimbabwe National Statistics Agency

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

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. 1U2GPS3118-. 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

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

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... 8 1.1 PHYSICAL AND ADMINISTRATIVE BOARDERS... 8 1.1.1 Zimbabwe Administrative Boarders... 8 1.2 CLIMATE AND RAINFALL PATTERNS... 9 1.2.1 Rainfall (millimetres) Recorded at Main Meteorological Stations by Province/City and by Month, 21 9 1.2.2 Rainfall (millimeters) Recorded at Main Meteorological Stations by Province/City and by Month, 21 1 2 POPULATION PROFILE... 11 2.1.1 Population Projection by Province and Age Group, 21... 11 2.1.2 National Population Projections by Age Group and Sex, 21... 12 2.1.3 Population Projection Trends by Province/City and Year... 13 2.1.4 Population Projections by Province and District, 21... 14 2.1.5 Economically Active and Inactive Population, 28... 17 3 EDUCATION... 18 3.1 PRIMARY SCHOOL ENROLMENTS... 18 3.1.1 Primary School Enrolments by Level and Sex, 21... 18 3.2 SECONDARY SCHOOL ENROLMENTS... 19 3.2.1 Secondary School Enrolments by Level and Sex, 21... 19 4 WATER AND SANITATION... 2 4.1 MAIN SOURCE OF DRINKING WATER... 2 4.1.1 Percent Distribution of Household Population According to Main Source of Drinking Water, 29... 2 4.2 TYPE OF TOILET FACILITY... 2 4.2.1 Percent Distribution of Household Population According to Type of Toilet Facility Used by Household, 29 2 5 NUTRITIONAL STATUS... 21 5.1 WEIGHT FOR AGE... 21 5.1.1 Weight for Age by Age Group, Province and City, 21... 21 5.1.2 Low Weight for Age by Age Group (Under 5), 21... 22 5.1.3 Low Weight for Age by Province (Under 5), 21... 22 5.1.4 Underweight Percentage by District/City and Province (Under 5 yrs), 21... 23 5.1.5 Underweight in the Under 5 Years; Top 2 Districts, 21... 24 5.1.6 Underweight for the Under 5 Years by Year, Top Ten Districts, 27-21... 25 5.1.7 Under 5 Years Total Weighted and Below Line by Month, 27-21... 26 5.1.8 Total Children (Under 5 Years) Weighed by Month, 27-21... 26 5.1.9 Percentage below the Line, Weight for Age Trend by Year, by Age Group, 21... 27 5.1.1 Weight for Age Trends 24-21... 27 5.2 BIRTH WEIGHT TRENDS... 28 5.2.1 Low Birth Weight Trends by Year, 23-21... 28 5.2.2 Low Birth Weight (National Percentages), 23-21... 28 5.3 CLINICAL NUTRITIONAL DEFICIENCIES... 29 5.3.1 Total Clinical Nutritional Deficiencies Trends, 24-21... 29 6 NOTIFIABLE DISEASES... 3 6.1.1 Notifiable Diseases by Province, All Ages, 21... 3 6.1.2 Notifiable Diseases Trends by Year, 2-21... 31 7 OUT-PATIENT AND IN -PATIENT DISEASES / CONDITIONS... 32 7.1 OUT-PATIENT DISEASES/ CONDITIONS... 32 7.1.1 Out-Patient General New Disease/ Conditions by Age Groups, 21... 32 7.1.2 Top Ten Out -Patient General New Disease/ Conditions, 21... 32 7.1.3 Out-Patient General Diseases/Conditions by Province/City, 21... 33 7.1.4 Out-Patient General Diseases/Conditions by Age-Group, 21... 34 7.1.5 Selected Out-Patient General New Disease Breakdown, by Age Group, 21... 35 7.1.6 Selected Out-Patient General New Disease Breakdown by Province/City, 21... 36 7.1.7 Out-Patient Chronic Disease/ Conditions by Age Group, Province and City, 21... 37 7.1.8 Out-Patient Chronic Disease Conditions by Age Group, Province, City and National, 21... 4 7.2 INPATIENT DISEASES /CONDITIONS... 45 7.2.1 Inpatient Diseases /Conditions by Age Group, Excluding Central Hospital, 21... 45 7.2.2 Total Inpatient Diseases/Conditions and Average Length of Stay, Excluding Central Hospitals, 21 47 7.3 TOP TEN (1) OPD ATTENDANCES... 49 7.3.1 Top 1 OPD Attendances by age group, 21... 49 7.3.2 Top Ten Causes of Mortality by Age Gro up, Excluding Central Hospitals, 21... 5 7.3.3 Top 1 Causes of Hospital Bed Stay (All Ages Excluding Central Hospital), 21... 51 7.3.4 National Outpatient and Inpatient Cases and Deaths, Excluding Central Hospitals, 21 21... 51 7.3.5 Causes of Hospital Admissions and Deaths for all Age Groups Including Central Hospitals, 21... 52 7.3.6 Top 1 In -patient Diseases and Conditions, Including Central Hospitals, 21... 53 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 7.3.7 Top Ten Causes of Hosp italisation ( Including Central Hospitals)... 53 8 EXPANDED PROGRAMME ON IMMUNIZATION (EPI)... 54 8.1.1 EPI Target Diseases by Vaccina tion Status by Province, 21... 54 8.1.2 EPI Target Diseases by Age Group, Vaccination status and Province/ City, 21... 55 8.1.3 EPI Target Diseases: Inpatient Cases and Deaths by Province/City, 21... 56 8.1.4 Measles, Neonatal Tetanus and Polio/AFP by year, 25-21... 57 8.1.5 Measles Cases Trend by Age Group, 23-21... 57 8.1.6 Measles Inpatient Cases and Deaths by Age Group and Province/City, 21... 57 9 WEEKLY DISEASE SURVEILLANCE REPORT... 58 9.1.1. Weekly Disease Surveillance Report, 29-21... 58 1 HIV/AIDS AND RELATED DISEASES/CONDITIONS... 59 1.1 HIV/AIDS... 59 1.1.1 New AIDS Cases by Sex and Age Group, 21... 59 1.1.2 New Cases of AIDS and Related Diseases by Province/City, 21... 6 1.1.3 HIV and Related Conditions by Year, 21-21... 61 1.1.4 HIV Sentinel Surveillance Data in Ante Natal Care Women by Year, 24-29... 62 1.2 TUBERCULOSIS... 63 1.2.1 Tuberculosis New Cases by Province, Age Group and Sex, 21... 63 1.3 ACUTE RESPIRATORY INFECTIONS (ARI) OUTPATIENT CASES... 65 1.3.1 ARI Outpatient Cases by Age Group, Province/City, 21... 65 1.3.2 OPD New ARI Breakdown by Province/City, 21... 66 1.3.3 OPD New Diseases of Acute Respiratory Infection by Age Group, 21... 67 1.3.4 OPD New Cases of Acute Respiratory Infection by Age Group, 21... 68 1.4 MALARIA... 69 1.4.1 All Malaria New Cases by Province, 21... 69 1.4.2 Malaria Cases: Suspected, Tested, Positive and Positivity Rate by Province, 21... 69 1.4.3 Confirmed Malaria Cases by Province, 21... 7 1.4.4 Confirmed Malaria Cases by Age Group, 21... 7 1.4.5 Confirmed Malaria Cases and Rainfall by Year... 71 1.4.6 Monthly Trends of Confirmed Malaria Cases, 21... 71 1.4.7 Malaria Inpatient Cases and Deaths by Province, 21... 72 1.4.8 Hospital Case Fatality Ratio, 21... 72 1.4.9. Provincial Hospitalization Rate... 72 1.4.1 Malaria Top 2 Districts, 21... 73 1.4.11 Malaria Incidence Rate/1 Population, Top 2 Districts, 21... 73 1.4.12 Malaria Incidence Rates/1 Population, Top 2 Districts, 21... 74 1.5 DIARRHOEA AND DYSENTERY CASES... 75 1.5.1 National Diarrhoea and Dysentery Cases and Incidence Rates by Province, 21... 75 1.5.2 National Diarrhoea and Dysentery Cases and Incidence Rates by Province, 21... 75 1.5.3 Monthly Trends of Diarrhoea and Dysentery, 21... 76 1.5.4 Monthly Trends of Diarrhea and Dysentery, 21... 76 1.5.5 National Diarrhoea and Dysentery Cases, 24-21... 76 1.5.6 National Diarrhea and Dysentery Cases, 24-21... 76 1.5.7 Diarrhoea and Dysentery Incidence Rates by District, All Ages, 21... 77 1.5.8 Top Ten Diarrhoea Incidence Rate (per 1) by District, All Ages, 21... 78 1.5.9 Top Ten Dysentery Incidence Rate (pe r 1) by District, All Ages, 21... 78 1.6. LEPROSY CASES... 79 1.6.1 Leprosy Cases by Province, 21... 79 1.6.2 National Leprosy New Cases, 23-21... 79 1.6.3 Leprosy New Cases, 23-21... 79 1.7 SCHISTOSOMIASIS (BILHARZIASIS) CASES... 8 1.7.1 Schistosomiasis Cases by Age Group and Province/City, 21... 8 1.7.2 Schistosomiasis Incidence Rates by Province/City, 21... 8 1.7.3 Schistosomiasis Incidence Rates by Age Group... 8 1.7.4 Schistosomiasis (Bilharziasis) Outpatient Cases by Year and Age Group 21-21... 81 1.7.5 Schistosomiasis (Bilharziasis) Outpatient Incidence Rates by Year, 21-21... 81 1.7.6 chistosomiasis Incidence Rates and Rainfall Trends, 21-21... 82 1.7.7 National Schistosomiasis Cases for All Ages and Rainfall Figures, 21-21... 82 1.7.8 Schistosomiasis New Cases by Month, 21... 83 1.8 INJURIES... 84 1.8.1 Injuries by Age Group and Province/ City, 21... 84 1.8.2 Injuries in under-fives... 84 1.8.3 Common Causes of Injury Cases and Deaths Among Inpatients by Age and Province/City/Hospital, 21 85 11 LIFE EXPECTANCY... 86 11.1.1 Life Expectancy at Birth by Year and Sex... 86 11.1.2 Life Expectancy at Birth by Year and Sex... 86 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 12 MORTALITY... 87 12.1 INFANT MORTALITY... 87 12.1.1 Infant Mortality Rates by Year... 87 12.2 INSTITUTIONAL PERINATAL DEATHS... 88 12.2.1 Hospital Based (Institutional) Perinatal Deaths, 21... 88 12.2.2 Institutional Mortality by Age Group and Year, 21... 88 13 HEALTH FACILITIES... 89 13.1 HEALTH FACILITY LEVELS IN ZIMBABWE... 89 13.1.1 Health facilities in Zimbabwe, 21... 89 13.2 RURAL HOSPITALS AND CLINICS/RURAL HEALTH CENTRES... 9 13.2.1 Rural Hospitals and Clinics/Rural Health Centres by Ownership and Provinces/ Major Cities, 21... 9 13.3 PROVINCIAL HEALTH INSTITUTIONS... 91 13.3.1 Provincial Health Institution Distribution by Referral Level, 21... 91 13.4 GOVERNMENT AND MISSION HOSPITALS... 92 13.4.1 Government and Mission Hospitals by District, 21... 92 13.5 HOSPITAL BEDS DISTRIBUTION... 93 13.5.1 Hospital Beds Distribution by Function, 21... 93 13.6 WAITING MOTHER SHELTERS (WMS)... 94 13.6.1 Waiting Mother Shelters (WMS) by Province, 21... 94 13.7 SERVICES IN HEALTH INSTITUTIONS... 95 13.7.1 Services in Health Institutions by Province/City, 21... 95 13.7.2 Total X-Ray Performance by Institution Level; District, Provincial and Main Hospitals, 21... 96 13.7.3 Distribution of Pharmacies by Province/City, 21... 97 14 HUMAN AND FINANCIAL RESOURCES FOR HEALTH... 98 14.1 SUMMARY OF STAFF RETURNS 28-21... 98 14.2 BUDGET ALLOCATION... 99 14.2.1 Government Budget Allocation Breakdown, 21... 99 14.2.2 Vote 15. Ministry of Health and Child Welfare Budget, 21... 1 14.2.3 Ministry of Health and Child Welfare Expenditure by Sector, 21... 11 14.2.4 Vote 15. Ministry of Health and Child Welfare, 21... 12 15 HEALTH SERVICES... 13 15.1 PREVENTIVE AND PROMOTING ACTIVITIES... 13 15.1.1 Ante-natal and Post-natal Care by Province/City, 21... 13 15.1.2 Ante-natal and Post-natal Care by Province/City, 21... 14 15.1.3 Post-natal Care by Year; 26-21... 15 15.1.4 Maternity Care by Province/City, 21... 16 15.1.5 Low Birth Weight Rate (1) by Province/City, 21... 17 15.1.6 Maternity Care by Province/City, 21... 17 15.1.7 Maternity Care by Year, 26-21... 18 15.1.8 Maternity Care by Year 26-21... 18 15.1.9 Maternal Mortality Ratio/1 by Province/City, 21-21... 19 15.1.1 Major Causes of Maternal Mortality, 21... 11 15.1.11 Comparison of Reported Maternal Deaths by Notification Forms vs T5 Forms by Year... 111 15.1.12 Family Planning Visits by Province and Contraceptive Methods, 21... 112 15.1.13 Family Planning (New and Repeat) Visits by Province/City, 21... 114 15.1.14 Methods of Contraception by Number Issued and Province/City, 21... 115 15.1.15 Methods of Contraception by Province/City, 21... 116 15.1.16 Methods of Contraception by Year... 117 15.1.17 Vaccination Type by Age Group and Province/City, 21... 118 15.1.18 Vaccination Type by Year and Age Group, 21... 12 15.1.19 NHIS Completeness of the Data Submission by Province/City, 21... 121 15.2 CURATIVE ACTIVITIES... 122 15.2.1 OPD Utilisation Rates by Province/City, 21... 122 15.2.2 OPD Utilisation Rates by Year, 21... 123 15.2.3 National Workload (OPD Attendances-all services; Inpatient Referrals Discharge and Deaths) by Level of Institution, 21... 124 15.2.4 National Workload (OPD Attendances-All Services; Inpatient Referrals Discharge and Deaths) by Year, 21... 125 7

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 1 GENERAL INFORMATION 1.1 PHYSICAL AND ADMINISTRATIVE BOARDERS 1.1.1 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

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 1.2 CLIMATE AND RAINFALL PATTERNS 1.2.1 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 18.18 161.6 15.3 184.39 169.75 58.5 94.43 48.52 183.95 126.15 1285 Feb 284.52 225.8 155.27 137.77 156.7 16. 111.45 157.6 138.9 6.4 1533 Mar 115.86 6.55 69.12 61.6 16.6 43.5 81.1 56.74 75.18 76.45 8 Apr 96.55 33.7 59.4 49.6 53.83 137.25 63.78 1.48 56.48 66.8 717 May 46.66 1.67 22.6 11.31 4.48 4.35 16.23 61.28 5.85 55.55 23 Jun 4.8 5.75 1. 5.62.25..35 4.18 1.38 1.1 24 Jul 17.42..47...48. 2.16.58. 21 Aug 6.31..57....1 1.56.. 9 Sep 4.5. 3.85...6. 1.8.. 1 Oct 17.63. 43.28 15.87 18.28 9.43 17.65 8.54 24.23 13.5 168 Nov 169.54 97.1 167.4 81.48 114. 119.58 98.4 62.66 16.7 74.65 192 Dec 217.6 331.35 229.75 28.87 179.9 19.5 184.4 133.62 151.85 147.75 1895 TOTAL 21 189.12 916.88 92.64 755.96 857.17 588.73 667.88 637.88 745.8 622.35 7783.68 Source: Department of Meteorology 9

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 1.2.2 Rainfall (millimeters) Recorded at Main Meteorological Stations by Province/City and by Month, 21 1

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 2 POPULATION PROFILE 2.1.1 Population Projection by Province and Age Group, 21 Province / City Manicaland Population 1 698 927 1 77 95 Mash Central Mash East 1 344 344 Mash West 1 326 142 Under 1 yr 55 859 37 32 42 315 42 827 Under 5 yrs 267 618 169 67 22 156 199 749 5-14 yrs 552 468 334 55 412 121 39 78 Mat North 763 358 28 63 131 728 245 797 Mat South 77 164 22 584 19 969 219 945 Midlands 1 585 295 52 551 249 53 465 943 Masvingo 1 429 846 44 973 22 449 471 151 Above 15 yrs 878 841 573 792 73 67 735 685 Women of Child Bearing age15-49 411 82 252 122 324 39 316 948 Expected Pregnant Women 55 433 34 185 42 945 41 482 385 833 377 31 869 945 738 246 172 91 163 567 38 629 348 739 24 588 23 189 5 189 47 387 Expected births 47 4 25 7 32 399 35 48 2 458 17 467 43 12 Population Proportions 41 894 by Age Group Under 1 yr 3.3 3.4 3.1 3.2 3.8 3.2 3.3 3.1 Under 5yrs 15.8 15.7 15. 15.1 17.3 15.6 15.7 15.4 5-14 yrs 32.5 31. 3.7 29.5 32.2 31.1 29.4 33. Above 15 yrs 51.7 53.2 54.3 55.5 5.5 53.4 54.9 51.6 Women 15-49 yrs 24.2 23.4 24.1 23.9 22.7 23.1 24. 24.4 Pregnant Women 3.3 3.2 3.2 3.1 3.2 3.3 3.2 3.3 Expected births 2.8 2.3 2.4 2.7 2.7 2.5 2.7 2.9 Source: Zimbabwe National Statistics Agency Harare 1 579 679 5 55 235 372 45 977 938 329 51 864 49 34 32 699 3.2 14.9 25.7 59.4 31.8 3.1 2.1 Chitungwiza 35 44 11 21 5 56 85 761 214 227 85 376 11 255 8 856 3.2 14.3 24.5 61.2 24.4 3.2 2.5 Bulawayo National 732 715 12 595 418 22 714 411 237 12 58 1 938 787 164 128 3 748 54 466 7 6 98 282 194 243 2 958 356 23 821 379 688 14 81 34 79 3.1 3.3 14. 15.4 22.4 29.8 63.6 54.8 26.5 23.5 3.3 3. 2. 2.4 11

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 2.1.2 National Population Projections by Age Group and Sex, 21 Age group In years Males Females Total -4 1 98 15 1 128 772 2 226 83 5-9 955 194 985 526 1 94 763 1-14 663 819 672 769 1 336 631 15-19 72 778 713 934 1 416 755 2-24 616 199 624 714 1 24 956 25-29 518 768 536 156 1 54 966 3-34 391 18 44 665 831 724 35-39 279 792 315 458 595 29 4-44 231 413 271 664 53 118 45-49 186 489 214 5 4 58 5-54 137 818 153 771 291 63 55-59 19 956 113 98 223 97 6-64 94 126 11 84 24 97 65-69 6 3 6 335 12 678 7-74 52 133 51 354 13 531 75+ 47 36 56 823 13 899 Total 6 144 854 6 449 894 12 595 418 Source: Zimbabwe National Statistics Agency Population Projections by Age Group and Sex, 21 12 1 8 Population6 4 2-4 5-9- 1-14- 15-19 2-24 25-29 3-34 35-39 4-44 45-49 5-54 55-59 6-64 65-69 7-74 75+ Age group in years Males Females 12

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 2.1.3 Population Projection Trends by Province/City and Year Province/City 23 24 25 26 27 28 29 21 Manicaland 1 584 623 1 6 465 1 616 474 1 632 638 1 648 965 1 665 451 1 682 15 1 698 927 Mashonaland Central 1 5 383 1 15 435 1 25 591 1 35 847 1 46 23 1 56 665 1 67 232 1 77 95 Mashonaland East 1 138 687 1 15 74 1 279 95 1 173 191 1 184 922 1 317 852 1 331 33 1 344 344 Mashonaland West 1 236 92 1 249 271 1 261 762 1 274 381 1 287 127 1 3 11 1 313 11 1 326 142 Matabeleland North 711 997 719 117 726 38 733 573 74 97 748 317 755 8 763 358 Matabeleland South 659 585 666 18 672 842 679 572 686 367 693 23 7 162 77 164 Midlands 1 478 633 1 493 419 1 58 351 1 523 437 1 538 668 1 554 57 1 569 598 1 585 295 Masvingo 1 333 642 1 346 979 1 36 449 1 374 54 1 387 794 1 41 672 1 415 688 1 429 846 Harare 1 915 13 1 934 252 1 836 78 1 973 133 18 72976 1 891 7 1 91 617 1 929 723 Bulawayo 683 418 69 261 697 156 74 127 711 168 718 278 725 46 732 715 National 12 74 467 11 865 453 11 984 18 12 1 526 12 224 984 12 347 233 12 47 79 12 595 418 Source: Zimbabwe National Statistics Agency 13

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 2.1.4 Population Projections by Province and District, 21 National Population all ages 12 595 418 Manicaland 1 698 927 District Name Population Under 1Yr % 1-4 Yrs % All Ages Buhera 238 293 7 387 3.1 29 787 12.5 Chimanimani 124 85 3 995 3.2 15 981 12.8 Chipinge 37 36 11 63 3.6 41 486 13.5 Makoni 295 628 8 869 3. 35 475 Mutare 425 399 14 38 3.3 5 197 Mutasa 18 454 6 316 3.5 22 196 Nyanga 126 996 4 191 3.3 16 637 Total 1 698 927 55 859 3 211 759 12. 11.8 12.3 13.1 12 Under 5Yrs 37 174 19 976 52 549 44 344 64 235 28 512 2 827 267 618 % 15.6 16. 17.1 15. 15.1 15.8 16.4 16 5-14 Yrs 88 169 41 575 99 874 11 696 119 962 58 647 42 544 552 468 % 37. 33.3 32.5 34.4 28.2 32.5 33.5 33 15Yrs+ % 112 951 47.4 63 299 5.7 154 882 5.4 149 588 5.6 241 21 56.7 93 295 51.7 63 625 5.1 878 841 52 Mashonaland Central 1 77 95 District Name Population Under 1Yr % 1-4 Yrs % All Ages Bindura 154 16 5 83 3.3 17 866 11.6 Centenary 116 77 4 21 3.6 14 355 12.3 Guruve 2 652 6 822 3.4 24 881 12.4 Mazowe 211 78 6 754 3.2 24 97 11.8 Mt. Darwin 216 558 7 58 3.5 27 286 12.6 Rushinga 72 754 2 983 4.1 1 331 14.2 Shamva 16 139 3 69 3.4 12 949 12.2 Total 1 77 95 37 32 3 132 575 12 Under 5Yrs 22 948 18 556 31 73 31 662 34 866 13 314 16 558 169 67 % 14.9 15.9 15.8 15. 16.1 18.3 15.6 16 5-14 Yrs 41 43 37 23 65 413 62 69 71 31 24 445 32 266 334 55 % 26.9 31.9 32.6 29.7 32.8 33.6 3.4 31 15Yrs+ % 89 637 58.2 6 921 52.2 13 537 51.6 116 726 55.3 11 661 51.1 34 995 48.1 57 315 54. 573 792 53 Mashonaland East 1 344 344 District Name Population Under 1Yr % 1-4 Yrs % All Ages Chikomba 13 211 3 385 2.6 14 193 1.9 Goromonzi 192 687 6 359 3.3 2 232 1.5 Ump 112 981 3 728 3.3 14 462 12.8 Wedza 76 533 2 219 2.9 13 317 17.4 Marondera 167 493 5 36 3.2 17 587 1.5 Mudzi 138 794 4 858 3.5 17 627 12.7 Murewa 175 64 5 268 3. 2 546 11.7 Mutoko 143 227 4 727 3.3 17 474 12.2 Seke 26 814 6 411 3.1 24 44 11.8 Under 5Yrs 17 579 26 591 18 19 15 536 22 947 22 485 25 814 22 2 3 815 % 13.5 13.8 16.1 2.3 13.7 16.2 14.7 15.5 14.9 5-14 Yrs 43 23 47 28 38 75 25 639 41 76 48 717 58 476 48 268 6 83 % 33.2 24.5 33.7 33.5 24.9 35.1 33.3 33.7 29.4 15Yrs+ % 69 43 53.3 118 888 61.7 56 716 5.2 35 358 46.2 12 841 61.4 67 593 48.7 91 314 52. 72 759 5.8 115 195 55.7 Total 1 344 344 32 571 2 125 415 9 157 987 12 321 682 24 541 777 4 14

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 1 326 142 District Name Under 1Yr % 1-4 Yrs % Population All Ages Chegutu 243 813 7 82 3.2 28 38 Hurungwe 336 29 1 759 3.2 41 17 Kadoma 255 86 8 186 3.2 29 418 Kariba 63 666 2 292 3.6 7 831 Makonde 187 594 6 378 3.4 22 886 Zvimba 239 55 7 411 3.1 27 73 11.5 12.2 11.5 12.3 12.2 11.6 Total 1 326 142 42 827 3 156 921 12 Under 5Yrs 35 84 51 776 37 64 1 123 29 265 35 141 199 749 % 14.7 15.4 14.7 15.9 15.6 14.7 15 5-14 Yrs 67 292 18 932 71 882 16 999 56 278 69 326 39 78 % 27.6 32.4 28.1 26.7 3. 29. 29 15Yrs+ % 14 68 57.7 175 51 52.2 146 321 57.2 36 544 57.4 12 51 54.4 134 588 56.3 735 685 55 Matabeleland North 763 358 District Name Population Under 1Yr % 1-4 Yrs % All Ages Binga 129 951 5 978 4.6 19 623 15.1 Bubi 51 836 1 711 3.3 6 946 Hwange 143 434 4 733 3.3 17 69 11.9 Lupane 16 843 3 953 3.7 15 279 14.3 Nkayi 121 526 4 253 3.5 17 257 14.2 Tsholotsho 129 597 4 795 3.7 17 625 13.6 Umguza 8 169 3 27 4. 9 3 11.6 Total 763 358 28 63 4 13 98 14 Under 5Yrs 25 6 13.4 8 657 21 82 19 232 21 51 22 42 12 56 131 728 % 19.7 16.7 15.2 18. 17.7 17.3 15.6 17 5-14 Yrs 43 144 16 588 38 44 37 69 43 992 45 1 2 924 245 797 % 33.2 32. 26.8 35.2 36.2 34.8 26.1 32 15Yrs+ % 61 27 47.1 26 592 51.3 83 192 58. 5 3 46.8 56 23 46.1 62 77 47.9 46 739 58.3 385 833 51 Matabeleland South 77 164 District Name Population Under 1Yr % 1-4 Yrs % All Ages Beit Bridge 112 318 4 43 3.6 14 826 13.2 Bulilima 12 135 2 758 2.7 12 154 11.9 Mangwe 84 638 2 539 3. 1 241 12.1 Gwanda 14 794 4 55 3.2 15 91 11.3 Insiza 92 716 3 152 3.4 11 96 12.9 Matobo 17 986 3 456 3.2 14 38 13. Umzingwane 66 576 2 13 3.2 8 255 12.4 Total 77 164 22 584 3 87 385 12 Under 5Yrs 18 869 14 912 12 78 2 415 15 113 17 494 1 386 19 969 % 16.8 14.6 15.1 14.5 16.3 16.2 15.6 16 5-14 Yrs 35 43 33 75 26 576 35 58 31 153 37 39 21 371 219 945 % 31.2 33. 31.4 24.9 33.6 34.3 32.1 31 15Yrs+ % 58 45 52. 53 621 52.5 45 239 53.5 85 321 6.6 46 451 5.1 53 453 49.5 34 819 52.3 377 31 53 15

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 1585295 District Name Population Under 1Yr % 1-4 Yrs % All Ages Chirumhanzu 76 267 2 212 2.9 8 771 Gokwe North 232 12 8 356 3.6 32 265 Gokwe South 317 948 11 128 3.5 42 287 Gweru 243 794 7 558 3.1 27 792 Kwekwe 39 186 1 23 3.3 37 12 Mberengwa 198 595 6 554 3.3 25 619 Shurugwi 95 713 2 967 3.1 1 72 Zvishavane 111 672 3 574 3.2 12 396 Under 5Yrs 11.5 1 982 13.9 4 621 13.3 53 415 11.4 35 35 12. 47 35 12.9 32 172 11.2 13 687 11.1 15 969 Total 1 585 295 5 34 3 188 181 12 238 52 % 14.4 17.5 16.8 14.5 15.3 16.2 14.3 14.3 15 5-14 Yrs 23 719 68 94 94 749 67 531 88 736 66 529 26 34 29 75 442 224 % 31.1 29.7 29.8 27.7 28.7 33.5 27.2 26.6 28 15Yrs+ % 41 565 54.5 122 559 52.8 169 88 53.4 14 913 57.8 173 144 56. 99 893 5.3 55 992 58.5 65 998 59.1 828 38 52 Masvingo 1429846 District Name Population Under 1Yr % 1-4 Yrs % All Ages Bikita 169 944 5 268 3.1 2 733 Chiredzi 253 41 8 616 3.4 33 45 Chivi 168 536 5 225 3.1 2 898 Gutu 214 986 5 85 2.7 24 723 Masvingo 285 828 8 861 3.1 32 299 Mwenezi 136 698 4 784 3.5 18 317 Zaka 2 444 6 414 3.2 25 56 Under 5Yrs 12.2 26 1 13.2 42 66 12.4 26 123 11.5 3 528 11.3 41 159 13.4 23 12 12.5 31 47 Total 1 429 846 44 973 3 175 477 12 22 449 % 15.3 16.6 15.5 14.2 14.4 16.9 15.7 15 5-14 Yrs 61 35 78 557 62 695 74 815 77 174 46 24 7 356 471 151 % 36.1 31. 37.2 34.8 27. 33.8 35.1 33 15Yrs+ 82 593 132 787 79 717 19 643 167 495 67 392 98 619 738 246 % 48.6 52.4 47.3 51. 58.6 49.3 49.2 52 Harare 1 579 679 District Name Population All Ages Under 1Yr % 1-4 Yrs % Under 5Yrs % Harare 1 579 679 5 55 3 184 822 12 235 372 15 5-14 Yrs % 45 977 26 15Yrs+ 938 329 % 59 Chitungwiza 35 44 District Name Under 1Yr % 1-4 Yrs % Under 5Yrs % Population All Ages Chitungwiza 35 44 11 21 3 38 855 11 5 56 14 5-14 Yrs % 85 761 25 15Yrs+ 214 227 % 61 Bulawayo 732 715 District Name Population All Ages Under 1Yr % 1-4 Yrs % Under 5Yrs % Bulawayo 732 715 22 714 3 79 866 11 12 58 14 5-14 Yrs % 164 128 22 15Yrs+ 466 7 % 64 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 Students 68.8% Source: ICDS 28 Table 3.1.1. Economically Active and Inactive Population, 28 Total Population 1% Children Under 15 41.4% 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

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 3 EDUCATION 3.1 PRIMARY SCHOOL ENROLMENTS 3.1.1 Primary School Enrolments by Level and Sex, 21 Grade 1 2 3 4 5 6 7 Special Total Male 235 19 212 83 192 599 181 849 173 889 169 265 158 969 11 72 1 335 492 Female 23 26 29 83 189 686 183 822 174 39 169 623 16 742 8 839 1 326 787 Total 465 225 422 66 382 285 365 671 347 928 338 888 319 711 19 911 2 662 279 Source: Ministry of Education Note: special - this is a class for children with handicaps Primary School Enrolments by Level and Sex, 21 25 2 15 Enrolment 1 5 1 2 3 4 5 6 7 Grade/Class Male Female 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 3.2 SECONDARY SCHOOL ENROLMENTS 3.2.1 Secondary School Enrolments by Level and Sex, 21 Grade/Form I II III IV V VI Special Total Male 112 196 15 281 99 628 93 987 1 511 14 218 42 436 241 Female 114 669 18 29 98 77 85 76 8 833 1 863 298 427 285 Total 226 865 213 49 198 335 179 693 19 344 25 81 718 863 526 Source: Ministry of Education Note: special - this is a class for children with handcaps Secondary School Enrolments by Level and Sex, 21 12 1 Enrolment 8 6 4 2 I II III IV V VI Special Form/Class Male Female Source: Ministry of Education, Sport, Arts and Culture 19

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 4 WATER AND SANITATION 4.1 MAIN SOURCE OF DRINKING WATER 4.1.1 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 54.5 1.2 18.1 Piped into yard/plot 18.5 1.5 6.9 Public tap/standpipe 3.7 3.8 3.7 Tubewell/borehole 13.9 35.9 28.9 Protected well 7.2 18.4 14.8 Protected spring..1.3 Bottled water.1.. Non-Improved Source Unprotected well 1.5 25.1 17.6 Unprotected spring. 2.3 1.6 Tanker truck/cart with drum.1.1.1 Dam/lake/canal.1 11.2 7.7 Other Source.2.3.3 Total 1. 1. 1. Percentage Using any improved source of drinking water 98. 61.1 72.8 Source: Multiple Indicator Monitoring Survey (MIMS) 29 4.2 TYPE OF TOILET FACILITY 4.2.1 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 85.2 1.1 27.8 Flush/pour flush to septic tank 5.8 1.3 2.7 Flush/pour flush to pit latrine.9.1.3 Ventilated improved pit (VIP) latrine/blair toilet 1.7 23.6 16.7 Pit latrine with slab 3.6 17.1 12.8 Compositing Toilet... Non-improved facility Flush/pour flush to somewhere else.7..2 Pit latrine without slab/open pit.9 8.9 6.4 Bucket.1.. Other.2.2.2 No facility/bush/field 1. 47.7 32.9 Total 1. 1. 1. Source: Multiple Indicator Monitoring Survey (MIMS) 29 2

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 5 NUTRITIONAL STATUS 5.1 WEIGHT FOR AGE 5.1.1 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 % - 5 83 82 1 684 2. 63 851 1 78 2.8 68 14 2 7 3. 52 993 1 71 2. 32 618 992 3. 33 259 884 2.7 6-11 94 11 3 831 4.1 65 615 3 597 5.5 79 8 4 591 5.8 53 6 2 177 4.1 29 26 1 898 6.5 32 579 1 822 5.6 12-23 93 586 8 63 9.2 6 299 6 646 11. 79 643 1 943 13.7 46 771 4 42 9.4 26 413 4 68 17.4 28 591 4 99 14.3 24-59 1 15 7 84 7.8 57 275 4 82 8.4 94 166 9 562 1.2 43 36 2 931 6.8 24 782 3 914 15.8 28 593 3 718 13. TOTAL 37 793 21 922 5.9 247 4 16 825 6.8 32 957 27 166 8.5 196 13 1 581 5.4 113 19 11 412 1.1 123 22 1 523 8.6 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 % - 5 67 211 1 689 2.5 73 531 75 1. 29 241 249.9 63 95 1 289 2. 122 545 2 434 2. 69 376 14 847 2.2 6-11 61 526 2 995 4.9 75 148 1 394 1.9 29 117 753 2.6 46 35 1 562 3.4 11 6 2 37 2.3 666 464 26 99 4. 12-23 55 51 6 74 12.1 72 271 2 954 4.1 26 618 1 196 4.5 36 219 2 357 6.5 14 411 4 3 3.9 63 323 56 578 9. 24-59 58 164 5 888 1.1 77 41 2 917 3.8 21 41 675 3.2 31 735 89 2.8 97 77 3 53 3.1 633 564 46 154 7.3 TOTAL 242 42 17 312 7.1 297 991 7 97 2.7 16 386 2 873 2.7 177 894 6 98 3.4 425 93 11 887 2.8 2 62 727 144 569 5.5 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

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 5.1.2 Low Weight for Age by Age Group (Under 5), 21 1 9 8 7.3 6 4 5.5 % Below Line 4 2.2 2-5 6-11- 12-23 - 24-59 Total Age in Months 5.1.3 Low Weight for Age by Province (Under 5), 21 12 1 1.1 8.5 8.6 8 6.8 7.1 5.9 % Below line 6 5.4 5.5 4 3.4 2.7 2.7 2.8 2 Manicaland Mashonaland Mashonaland Mashonaland Matebeleland Matebeleland Midlands Masvingo Chitungwiza Bulawayo Harare National Centra East West North South Province/City 22

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 5.1.4 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 2.7 23

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 5.1.5 Underweight in the Under 5 Years; Top 2 Districts, 21 Source :- T5 Forms Ranking District % Underweight 1 Binga 13. 2 Matobo 11.4 3 Mangwe 11.2 4 Tsholotsho 1.9 5 Bulilima 1.8 6 Gokwe South 1.7 7 UMP 1.3 8 Lupane 9.6 9 Bubi 9.4 1 Mutoko 9.3 11 Seke 9.1 12 Murewa 9. 13 Nkayi 8.8 14 Umguza 8.6 15 Mudzi 8.6 16 Hwange 8.6 17 Nyanga 8.5 18 Rushinga 8.4 19 Hwedza 8.3 2 Mazowe 8.1 24

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 5.1.6 Underweight for the Under 5 Years by Year, Top Ten Districts, 27-21 27 28 29 21 Rank Name % Below Line Name % Below Line Name % Below Line Name % Below Line 1 Bubi 11.2 Mutoko 11.1 Binga 12.5 Binga 13. 2 Binga 1.7 Seke 11. Tsholotsho 11.4 Matobo 11.4 3 Tsholotsho 1.5 Tsholotsho 1.6 Mangwe 1.8 Mangwe 11.2 4 Mangwe 1.2 Murewa 9.9 Murewa 1.5 Tsholotsho 1.9 5 Mutoko 1. Wedza 9.9 UMP 1.3 Bulilima 1.8 6 Shamva 1. Motobo 9.8 Matobo 1.3 Gokwe South 1.7 7 Murewa 9.5 Mazowe 9.6 Gokwe North 1.3 UMP 1.3 8 Seke 9.5 U.M.P 9.3 Seke 9.8 Lupane 9.6 9 Mudzi 9. Mangwe 9.2 Bubi 9.7 Bubi 9.4 1 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

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 5.1.7 Under 5 Years Total Weighted and Below Line by Month, 27-21 27 28 29 21 MONTH Total Below % Total Below % Total Below % Total Below % Weighed Line Weighed Line Weighed Line Weighed Line Jan 31 622 14 727 4.9 244 15 12 625 5.2 155 289 8 51 5.9 125 83 7 74 5.6 Feb 285 792 15 384 5.4 263 92 14 884 5.6 196 52 1 993 5.6 144 416 8 451 5.9 Mar 31 256 17 165 5.5 248 866 13 158 5.3 27 347 12 884 6.1 156 913 9 564 6.1 Apr 282 785 15 354 5.4 266 48 12 633 4.7 22 358 12 29 5.8 141 615 8 699 6.1 May 247 19 13 334 5.4 245 945 11 339 4.6 21 597 11 23 5.5 174 65 1 954 6.3 Jun 379 727 23 88 6.3 247 332 12 212 4.9 3 235 19 159 6.4 167 795 1 229 6.1 Jul 251 547 12 7 4.8 247 28 12 375 5. 173 258 9 354 5.7 122 148 7 226 5.9 Aug 258 386 12 373 4.8 349 244 22 149 6.3 12 78 6 912 5.8 299 756 14 4 4.8 Sep 278 96 14 588 5.2 238 977 12 884 5.4 81 214 5 747 5.8 296 469 14 843 5. Oct 278 391 15 367 5.5 216 944 12 379 5.7 128 188 7 889 6. 314 451 16 72 5.1 Nov 249 44 13 531 5.4 185 997 1 83 5.8 127 453 7 628 5.9 334 195 18 123 5.4 Dec 297 65 18 54 6.2 171 647 12 76 7. 162 529 12 589 7.1 342 534 Monthly average 285 52 15 515 5.4 243 859 13 293 5.5 171 337 1 392 6.1 218 394 Pop. <5yrs 1 884 635 19861 1 919 591 1 938 787 % Of Children Weighed 15.1 12.8 8.9 11.3 Source: T5 returns. 18 934 5.5 12 47 5.5 5.1.8 Total Children (Under 5 Years) Weighed by Month, 27-21 8 7 6 5 % of low weight for age 4 3 2 1 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Months 21-27 - 28-29 - 26

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 5.1.9 Percentage below the Line, Weight for Age Trend by Year, by Age Group, 21 Age (Months) 24 25 26 27 28 29 21-5 2.4 2.2 2.2 2.2 2.2 2.3 2.2 6-11 4. 3.4 3.3 3.6 3.8 4. 4. 12-23 9.5 7.9 7.7 7.8 8.4 9.3 9. 24-59 1.8 8.2 7.8 7.9 7.8 8.5 7.3-59 7.2 5.6 5.4 5.4 5.5 6.1 5.5 Total Weighings 4 71 18 3 28 85 3 918 998 3 42 63 2 926 35 2 56 48 2 62 727 Source: T5 returns. 5.1.1 Weight for Age Trends 24-21 12. 1. Weight or age (%) 8. 6. 4. 2.. 24 25 26 27 28 29 21-59 months 24-59 months 12-23 months -5 months 6-11 months 27

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 5.2 BIRTH WEIGHT TRENDS 5.2.1 Low Birth Weight Trends by Year, 23-21 23 24 25 26 27 28 29 21 LBW % 1.9 11.2 15.1 11.9 1.3 9. 8.9 8.6 Total Babies Under 2.5kg 18 562 24 518 114 78 12 918 22 118 16 387 9 685 15 724 Source: T5 returns. 5.2.2 Low Birth Weight (National Percentages), 23-21 16 15.1 14 % Low birth weight 12 1 8 1.9 11.2 11.9 1.3 9 8.9 8.6 6 4 2 23-24 - 25-26 - 27-28 - 29-21 - Years 28

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 5.3 CLINICAL NUTRITIONAL DEFICIENCIES 5.3.1 Total Clinical Nutritional Deficiencies Trends, 24-21 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 1473.5 1. 16183.6 1.4 14477.5 1.2 1281.5 1.4 1133.4.9 12463.2 1. 1395.1 1. Marasmus 3896.1.3 5363.2.4 4715.2.4 3678.1.4 3419.1.3 521.1.4 5346.1.4 Pellagra 5232.2.4 5538.2.5 521.2 Total Nutrit. Deficiencies 33822 1. 2.3 2784 1.1 2.3 17352.5.4 49.2.6 4487.2.4 2945.1 1.1 2659.8 2.3 1929.7 1.6 2618.4.2 2513..2 1.7 2954.2 1.7 Total All New Cases 3263416 255424 2813612 2646596 2645992 553792 9339984 Under 5 y population 2245513 184931 1867522 1886133 19584 1919591 1938787 Annual Population 14539728 1198418 1213953 12224984 12347385 124779 12595418 Source: T5 returns. Incidence/1 Population 2.5 1.5.5 2 1 24-2.3 25-2.3 26 - Year 1.1 27-2.3 28-1.6 29-1.7 21-1.7 29

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 6 NOTIFIABLE DISEASES 6.1.1 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 31 2 1 1 37 1 Mashonaland Central 11 11 55 42 Mashonaland East - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Mashonaland West 336 74 8 16 77 8 1 33 6 4 8 4 2 2 1 Matabeleland North 85 16 31 Matabeleland South - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Midlands 5 1 1 251 3 1 1 1 1 1 1 Masvingo - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Harare City - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Chitungwiza - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Bulawayo City - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TOTAL 383 16 9 1 858 3 1 182 8 1 34 7 4 9 6 2 33 1 3

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 6.1.2 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 2 1 239 53 91 1 3 43 7 2 55 8 3 29 41 16 5 1 21 1 68 66 91 92 7 5 35 7 1 17 3 22 1 918 441 99 36 1 356 5 9 198 1 3 24 78 27 1 23 1 66 54 38 2 19 1 385 6 19 2 5 8 38 85 13 1 24 75 9 5 1 742 15 7 344 19 2 11 25 24 7 25 621 17 17 8 729 1 1 51 13 4 59 24 9 16 7 26 589 114 46 1 823 1 5 362 2 2 37 43 1 7 4 27 41 15 6 2 917 233 6 1 24 13 1 4 3 28 5 412 444 227 3 9 16 917 5 5 94 2 18 6 3 17 29 15 11 3 727 432 2 71 3 19 2 3 4 3 1 21 383 16 9 1 858 3 1 182 8 1 34 7 4 9 6 Source : T2 Monthly Returns Key : S = Suspected Cases C =Confirmed Cases D=Deaths - = not reported D 2 4 2 2 2 Typhoi d S C D 7 4 1 4 1 1 3 3 2 3 2 3 2 1 1 33 1 31

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 7 OUT-PATIENT AND IN-PATIENT DISEASES / CONDITIONS 7.1 OUT-PATIENT DISEASES/ CONDITIONS 7.1.1 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 315 277 8.7 44 787 12.4 194 149 3.3 554 213 Nutritional Deficiencies 11 176.3 273.1 1 993. 13 442 Malaria 45 96 1.3 47 927 13.3 174 726 3. ARI 2 439 714 67.3. 2 679 475 46.1 Bilharzia 6 418.2 22 298 6.2 73 234 1.3 268 559 5 119 189 11 95 Acute mental disorder 216. 86. 3 82.1 3 384 Diseases of the eye 12 579 2.8 19 772 5.5 173 756 3. Skin diseases 225 33 6.2 61 725 17.2 261 531 4.5 296 17 548 586 Dental conditions 3 72.1 4 232 1.2 82 423 1.4 89 727 Burns + Other Injuries 57 861 1.6 26 761 7.4 226 938 3.9 311 56 Poisoning & Toxic Effects 2 968.1 1 226.3 11 948.2 16 142 Dysentery 1 84.3 1 512.4 24 525.4 36 121 All other 42 835 11.1 129 241 35.9 1 98 463 32.8 2 44 539 TOTAL NEW CASES 3 623 436 1 359 84 1 5 816 243 1 1 29 61 TOTAL REPEAT VISITS 339 742 82 453 81 365 1 223 56 REFERRALS OUT 46 753 1 858 121 977 179 588 Source: T5 returns. % 5.5.1 2.7 51 1 3 5.5.9 3.1.2.4 24.3 97.7 Disease/Condition -4yrs % 5-14 yrs % 15-19 yrs % 2-29yrs % 7.1.2 Top Ten Out-Patient General New Disease/ Conditions, 21 3-49yrs % STI 1 73 1 318 4 814 2 35 742 16 39 341 17 STI REPEAT VISITS 298 181 956 5 463 6 69 Disease/Condition -9yrs % 1-24 yrs % 25-49 yrs % 5+yrs % Totals % STI 3 447 1 25 256 11 92 443 4 27 12 23 91 2.3 STI REPEAT VISITS 534 4 12 14738 5 313 38 185 All other 24.3 Dysentery.4 Burns + Other Injuries 3.1 Out -patient disease/condition Dental conditions Skin diseases.9 5.5 Diseases of the eye 3 Bilharzia 1 ARI 51 Malaria 2.7 Diarrhoea 5.5 1 2 3 4 5 6 % of Total new cases 32

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 7.1.3 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 91 411 5.9 65 392 6.4 76 741 6.5 48 822 6.4 38 447 5.4 27 214 4.2 Nutritional Deficiencies 2 768.2 1 815.2 1 77.1 1 186.2 748.1 656.1 Malaria 71 692 4.6 68 949 6.8 56 385 4.8 11 889 1.6 28 238 3.9 1 339.2 ARI 781 77 5.6 372 43 36.6 559 828 47.2 435 259 57.3 368 431 51.4 338 158 52.1 STD 31 639 2. 25 752 2.5 29 111 2.5 2 63 2.6 1 217 1.4 14 987 2.3 Bilharzia 17 713 1.1 19 735 1.9 17 68 1.5 7 798 1. 1 888.3 3 2.5 Acute Mental Disorders 655. 631.1 54. 18. 15. 178. Diseases of the Eye 41 24 2.7 34 623 3.4 33 43 2.8 18 311 2.4 18 626 2.6 17 85 2.7 Skin Diseases 87 674 5.7 47 2 4.6 48 993 4.1 28 22 3.7 49 537 6.9 44 433 6.8 Dental Conditions 11 573.7 14 335 1.4 1 711.9 7 224 1. 8 73 1.2 5 54.9 Burns/Other Injuries 49 326 3.2 45 445 4.5 38 81 3.2 25 339 3.3 17 317 2.4 18 428 2.8 Poisoning & Toxic Effects 2 178.1 1 355.1 2 115.2 2 3.3 655.1 1 625.3 Dysentery 6 692.4 6 376.6 4 86.3 3 417.4 3 665.5 1 27.2 All Other 349 797 22.6 314 121 3.9 37 586 25.9 149 84 19.7 169 97 23.7 174 479 26.9 Total New Cases 1 546 65 1 1 17 574 1 1 186 994 1 759 533 1 716 556 Total Repeat Visits 152 117 117 11 129 456 64 61 65 997 Referrals Out 25 575 12 365 19 429 13 625 8 26 1 649 159 1 64 569 11 224 MIDLANDS MASVINGO HARARE CHITUNGWIZA BULAWAYO NATIONAL Disease/ Condition All ages % All ages % All ages % All ages % All ages % All ages % Diarrhoea 67 362 6.4 88 664 5.8 33 768 3. 7 16 11.1 9 286 2.5 554 213 5.5 Nutritional Deficiencies 1 689 Malaria 5 653 ARI 526 484 STD 26 726.2 1 286.5 21 478 5.2 759 136 2.5 39 331.1 5 1.4 1 724 49.5 77 879 2.6 2 58..2 67.9 1.8 212 885 22 375 2 287.3 1.4 35.1 3.6 875 327 184 889 9 47.2.1 49.9 2.6 13 442.1 268 559 2.7 5 119 189 51. 23 91 2.3 Bilharzia 11 38 1.1 21 343 1.4 1 96.1 189.3 198.1 11 95 1. Acute Mental Disorders 353. 268. 195. 149.2 85. 3 384. Diseases of the Eye 33 167 3.2 58 56 3.8 29 13 2.6 3 52 4.8 8 739 2.4 296 17 3. Skin Diseases 59 441 5.7 96 999 6.3 51 462 4.5 3 987 6.3 3 856 8.3 548 586 5.5 Dental Conditions 9 916.9 13 575.9 3 6.3 2 19 3.2 3 44.8 89 727.9 Burns/Other Injuries 33 447 3.2 41 691 2.7 3 692 2.7 2 793 4.4 9 1 2.4 311 56 3.1 Poisoning & Toxic Effects 1 562 Dysentery 3 861 All Other 268 62.1 2 77.4 5 255 25.6 384 47.2 1 396.3 689 25.1 19 832.1.1 16.8 38 193 18 138.6.3 28.4 13 617 112 749..2 3.5 16 142.2 36 121.4 2 44 539 24.3 Total New Cases 1 49 589 1 1 534 322 1 1 135 814 1 63 765 1 37 239 1 1 29 61 1 Total Repeat Visits 11 24 23 14 168 935 12 86 135 156 Referrals Out 18 85 23 28 32 286 2 549 12 451 1 223 56 179 588 33

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 7.1.4 Out-Patient General Diseases/Conditions by Age-Group, 21 Top ten out patient conditions in -4 years, 21 All other 11.1 Dysentery.3 1.6 Burns + Other Injuries 6.2 Skin diseases Diagnosis Diseases of the eye Bilharzia.2 2.8 67.3 ARI Malaria 1.3.3 Nutritional Deficiencies Diarrhoea 8.7 1 2 3 4 5 6 7 8 % 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 12.4 5 1 15 2 25 3 35 4 % 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 3 4.5 Bilharzia 1.3 ARI 46.1 Malaria Diarrhoea 3 3.3 5 1 15 2 25 3 35 4 45 5 % of new cases 34

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 7.1.5 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 14 539 98.1 36 52 43.6 12 389 77.1 26 98 75.5 Some dehydration. 44 881 54.3 26 831 17.2 71 712 2.8 Diarrhoea Severe dehydration 1 983 1.9 1 77 2.1 9 5 5.8 12 758 3.7 TOTAL 16 522 1 82 73 1 156 225 1 345 45 1 Kwashiorkor 8 28 69. 444 52.2 339 13. 8 811 58.4 Nutritional Marasmus 3 328 28.6 213 25.1 241 9.2 3 782 25.1 Deficiencies Pellagra 279 2.4 193 22.7 2 3 77.8 2 52 16.6 TOTAL 11 635 1 85 1 2 61 1 15 95 1 Ear, Nose & Throat 63 157 1.4 55 599 17.3 137 355 18.1 256 111 15.2 Mild 25 19 41. 12 914 37.7 235 1 31. 65 943 35.9 Moderate 279 548 45.8 139 311 43.4 369 318 48.8 788 177 46.7 Severe 17 418 2.9 4 941 1.5 15 682 2.1 38 41 2.3 ARI TOTAL 61 142 1 32 765 1 757 365 1 1 688 272 1 Urethral Discharge 179 6.2 319 4.4 83 467 49. 83 965 48.2 Genital Ulcers 73 2.5 23 25.7 33 492 19.6 33 768 19.4 Ophthalmia Neonatarum 2 435 84.7.. 2 435 1.4 PID 18.6 31 3.9 19 63 11.5 19 679 11.3 STD Other forms of STD 17 5.9 237 3. 33 864 19.9 34 271 19.7 Skin Diseases Injuries TOTAL 2 875 1 79 1 17 453 1 174 118 1 Chicken Pox 4 336 3 6 51 7 5 833 3 16 67 4 Herpes Zoster 732.5 1 971 2. 17 729 1.5 2 432 4.9 Scabies 39 487 26.3 26 312 26.8 21 542 12.7 87 341 2.9 Other Forms 15 42 7.3 63 51 64.6 124 35 73.4 293 226 7.2 TOTAL 149 975 1 98 285 1 169 49 1 417 669 1 Burns & Scalds 11 51 33.5 5 798 11.4 11 265 7.2 28 564 11.8 All Other Injuries 22 78 66.5 45 194 88.6 144 627 92.8 212 61 88.2 TOTAL 34 281 1 5 992 1 155 892 1 241 165 1 Out-Patient National Total By Age Group Diseases/Conditions -4 yrs % 5-14 yrs Std Urethral Discharge 47 2.7 112 PID 11.6 17 % 15-19yrs 35.2 2 318 5.3 423 % 2-29yrs % 3-49yrs % 48.2 18 25 5.9 18 742 47.6 8.8 3 33 9.2 5 137 13.1 Genital Ulcers 27 1.6 111 34.9 934 19.4 7 52 19.7 7 499 19.1 Ophthalmia Neonatarum 1 572 9.9.... Other forms of STD 73 4.2 78 24.5 1 139 23.7 7 182 2.1 7 963 2.2 TOTAL 1 73 1 318 1 4 814 1 35 742 1 39 341 1 Out-Patient National Total By Age Group Diseases/Conditions -9 yrs % 1-24yrs Std Urethral Discharge 27 7.8 12 862 PID 18.5 2 483 % 25-49yrs 5.9 45 965 9.8 1 856 % 5+yrs % Total 49.7 1 181 37.7 18 72 47.2 11.7 5 365 19.9 27 613 12. Genital Ulcers 124 3.6 4 787 19. 17 185 18.6 4 436 16.4 42 155 18.3 Ophthalmia Neonatarum 2 849 82.7... 4 421 1.9 Other forms of STD 186 5.4 5 124 2.3 18 437 19.9 7 18 26. 47 2 2.5 TOTAL 3 447 1 25 256 1 92 443 1. % 27 1 23 91 1 35

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 7.1.6 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 8 67 6 635 73 24 Diarrhoea Some dehydration 9 932 4 693 2 958 Severe dehydration 872 64 579 TOTAL 91 411 65 392 76 741 Kwashiorkor 1 855 1 181 1 162 Nutritional Marasmus 654 556 464 Deficiencies Pellagra 259 78 81 TOTAL 2 768 1 815 1 77 Ear, Nose, Throat 14 562 39 563 Mild 278 428 137 46 ARI Moderate 381 818 188 681 Severe 16 899 6 753 TOTAL 781 77 372 43 Urethral Discharge 14 116 13 21 75 737 28 325 262 648 13 118 559 828 13 633 Genital Ulcers 6 25 5 97 5 421 STD OphthalmiaNeonatarum 628 454 755 PID 7 367 5 16 6 145 Other forms of STD 3 53 1 975 3 157 TOTAL 31 639 25 752 29 111 Chicken Pox 2 656 2 768 2 966 Herpes Zoster 2 587 2 282 2 511 Skin Scabies 17 762 3 542 5 183 Diseases Other Forms 64 669 38 41 TOTAL 87 674 47 2 38 333 48 993 Injuries Burns & Scalds 5 444 5 153 4 268 Source: T5 Forms RTA 2 148 2 689 1 769 All Other Injuries 41 734 37 63 TOTAL 49 326 45 445 32 44 38 81 45 391 3 224 27 48 822 732 29 245 1 186 58 139 166 353 2 581 1 186 435 259 1 375 3 838 322 3 442 2 86 2 63 1 872 1 81 2 497 22 32 28 22 2 859 1 788 2 692 25 339 36 45 2 281 121 38 447 452 249 47 748 47 135 114 791 22 1 4 495 368 431 3 9 1 969 142 2 995 1 211 1 217 1 427 1 485 12 319 34 36 49 537 1 88 6 14 99 17 317 24 889 2 145 18 27 214 32 266 7 656 43 167 124 28 165 752 5 31 338 158 7 25 2 98 25 3 127 1 542 14 987 1 597 1 771 7 497 33 568 44 433 1 912 689 15 827 18 428 56 924 1 15 333 67 362 1 186 332 171 1 689 59 83 192 51 263 56 11 124 526 484 11 939 4 4 285 5 539 4 563 26 726 2 51 2 278 11 668 43 444 59 441 3 558 2 142 27 747 33 447 78 497 9 599 568 88 664 683 443 16 1 286 74 96 249 496 422 534 12 2 759 136 17 99 7 163 413 8 38 5 457 39 331 2 784 3 722 22 81 67 683 96 999 4 858 1 831 35 2 41 691 27 96 5 83 59 33 768 413 62 25 5 171 4 256 4 317 53 25 972 77 879 1 925 2 977 991 3 118 2 497 2 58 2 394 1 957 7 83 4 28 51 462 4 342 1 923 24 427 3 692 862 6 146 98 7 16 169 41 2 212 2 896 1 97 7 317 1 255 22 375 882 531 32 548 294 2 287 341 25 452 2 944 3 987 38 191 2 222 2 793 8 423 493 383 81 57 696 53 3 134 9 286 554 213 51 8 663 222 3 498 143 1 281 875 13 442 38 12 714 924 72 611 1 81 616 7 47 2 482 82 3 796 11 829 184 889 5 119 189 4 527 18 72 1 826 42 155 194 4 421 1 595 47 2 1 328 27 613 9 47 23 91 1 79 22 565 1 177 21 821 4 651 95 464 23 319 48 736 3 856 548 586 1 253 35 835 362 16 132 7 386 259 593 9 1 311 56 36

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 7.1.7 Out-Patient Chronic Disease/ Conditions by Age Group, Province and City, 21 OUT-PATIEN T MANICALAND MASHONALAND CENTRAL 26+ DIAGNOSIS -14 yrs -24yrs 15-25 yrs yrs -14 yrs -24yrs 15-25 yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes 1 24 98 9 44 4133 3 66 18 2 Asthma 98 525 1 117 91 855 575 14825 2 38 159 1246 7 6 Leprosy 1 2 3 5 7 81 9 4 5 Epilepsy 1 22 66 955 8 6 22 6138 1 39 53 829 7 37 Mental Illness 19 69 184 6 154 211 7833 19 157 4 19 Disabled/Handicapped 1 15 35 16 52 1 1 Hypertension 18 11 135 16 21 938 41424 33 28 184 2 R.H.D. 1 28 17 13 4 56 679 11 79 1 CCF 4 14 21 4 18 285 23 17 4 2 CRF 5 4 7 62 96 11 Breast Cancer 937 3 5 1 26 46 3 1 cervix cancer 5 8 95 72 1 3 Prostate Cancer 2 3 73 168 Other Cancers 1 5 5 29 222 1 31 Total 111 1773 316 2536 13 192 2978 78188 22 113 472 2765 19 128 OUT-PATIENT MASHONALAND EAST MASHONALAND WEST DIAGNOSIS -14 yrs -24yrs 15-25 yrs New Follow-up New Follow-up New Follow-up New Follow-up Diabetes 2 22 2 112 3 92 296 5351 Asthma 4 436 54 994 35 634 38 1838 Leprosy 3 19 2 1 4 199 Epilepsy 7 176 29 812 13 583 185 666 Mental Illness 2 17 61 24 8 448 145 7134 Disabled/Handicapped 54 112 21 69 6 571 Hypertension 24 89 146 146 988 46838 R.H.D. 1 28 61 144 4 75 1274 CCF 6 1 37 2 28 377 3343 CRF 2 12 21 2 Breast Cancer 11 1 1 18 29 cervix cancer 5 1 34 55 Prostate Cancer 12 93 Other Cancers 1 6 7 1 6 75 Total 19 951 338 258 86 22 2655 922 26+ yrs -14 yrs -24yrs New Follow-up 2 39 142 2 16 2 74 3 4 6 11 2 46 257 15-25 yrs New Follow-up New Follow-up 15 87 15 84 745 44 263 1 1 5 62 2 127 22 296 2 48 3 4 95 2 45 19 95 12 12 4 1 5 2 6 9 2 3 218 1967 5 56 26+ yrs New 341 464 251 32 111 41 329 53 4 148 151 19 333 8 1 26+ yrs New 265 311 141 132 829 92 144 21 61 28 19 251 2 6 Follow-up 4425 1437 85 595 5293 62 494 429 1853 132 17 258 274 335 7364 Follow-up 2534 8923 31 3584 3539 154 24695 566 87 67 8 22 94 56 45143 37

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 15-25 yrs yrs -14 yrs -24yrs 15-25 yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes 3 2 38 7 2 99 141 3 3 9 1 19 Asthma 62 23 37 8 51 339 212 83 3 178 22 374 4 318 Leprosy 1 12 3 4 2 47 1 1 1 1 3 Epilepsy 5 11 17 498 6 295 56 2738 4 6 11 269 9 28 Mental Illness 11 8 18 8 116 17 399 1 4 2 39 46 Disabled/Handicapped 14 1 12 5 28 12 5 Hypertension 1 5 24 1 36 193 17157 1 17 3 96 R.H.D. 4 38 4 93 1 11 326 2 45 2 69 1 CCF 1 5 2 24 1 49 86 4 5 1 6 CRF 1 5 1 2 3 Breast Cancer 1 1 8 5 2 1 1 1 cervix cancer 9 28 1 Prostate Cancer 3 4 1 Other Cancers 2 2 3 13 61 1 2 1 1 Total 73 4 78 1594 75 818 769 3421 39 34 5 786 56 73 OUT-PATIENT MIDLANDS MASVINGO DIAGNOSIS -14 yrs -24yrs 15-25 yrs New Follow-up New Follow-up New Follow-up New Follow-up Diabetes 5 24 18 1123 Asthma 71 237 6 3 29 539 145 5618 Leprosy 3 11 12 95 Epilepsy 9 9 3 3 295 28 1636 Mental Illness 12 4 82 38 1936 Disabled/Handicapped 1 2 2 7 361 Hypertension 2 26 1 135 71 1517 R.H.D. 21 3 4 8 CCF 2 1 15 7 494 CRF 3 13 Breast Cancer 226 3 7 cervix cancer 1 6 35 Prostate Cancer 2 37 Other Cancers 1 3 5 5 38 Total 83 64 6 9 44 113 346 2199 26+ yrs -14 yrs -24yrs 15-25 yrs New Follow-up 11 83 596 8 5 18 11 1 4 2 2 63 7 52 1 91 1439 New Follow-up New Follow-up 13 12 65 79 1712 52 12 8 3 28 856 6 637 7 37 9 327 41 4 146 1 133 13 196 1 7 57 1 61 1 3 7 2 1 5 1 7 165 3387 7 2279 26+ yrs New Follow-up 145 2318 234 852 4 14 84 2769 128 3385 2 15 273 23319 17 28 131 119 7 48 11 7 5 7 8 16 1 71 159 4186 26+ yrs New 233 369 82 117 422 29 23 12 36 26 3 1568 9 Follow-up 6496 2936 35 6712 9236 448 4164 719 3132 87 56 151 91 16 89899 38

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 15-25 yrs 26+ yrs -14 yrs -24yrs 15-25 yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes 3 2 38 7 2 99 141 3 3 9 1 19 Asthma 62 23 37 8 51 339 212 83 3 178 22 374 4 318 Leprosy 1 12 3 4 2 47 1 1 1 1 3 Epilepsy 5 11 17 498 6 295 56 2738 4 6 11 269 9 28 Mental Illness 11 8 18 8 116 17 399 1 4 2 39 46 Disabled/Handicapped 14 1 12 5 28 12 5 Hypertension 1 5 24 1 36 193 17157 1 17 3 96 R.H.D. 4 38 4 93 1 11 326 2 45 2 69 1 CCF 1 5 2 24 1 49 86 4 5 1 6 CRF 1 5 1 2 3 Breast Cancer 1 1 8 5 2 1 1 1 cervix cancer 9 28 1 Prostate Cancer 3 4 1 Other Cancers 2 2 3 13 61 1 2 1 1 Total 73 4 78 1594 75 818 769 3421 39 34 5 786 56 73 OUT-PATIENT MIDLANDS MASVINGO DIAGNOSIS -14 yrs -24yrs 15-25 yrs 26+ yrs -14 yrs -24yrs 15-25 yrs New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up New Follow-up Diabetes 5 24 18 1123 11 13 12 65 Asthma 71 237 6 3 29 539 145 5618 83 596 79 1712 52 12 Leprosy 3 11 12 95 8 8 3 Epilepsy 9 9 3 3 295 28 1636 5 18 28 856 6 637 Mental Illness 12 4 82 38 1936 11 7 37 9 327 Disabled/Handicapped 1 2 2 7 361 1 4 41 Hypertension 2 26 1 135 71 1517 2 4 146 1 133 R.H.D. 21 3 4 8 2 63 13 196 1 CCF 2 1 15 7 494 7 7 57 1 61 CRF 3 13 1 Breast Cancer 226 3 7 52 3 cervix cancer 1 6 35 1 7 2 Prostate Cancer 2 37 1 Other Cancers 1 3 5 5 38 5 1 7 Total 83 64 6 9 44 113 346 2199 91 1439 165 3387 7 2279 26+ yrs New 145 234 84 128 273 17 131 4 2 7 11 1 159 5 8 26+ yrs New 233 369 82 117 422 29 23 12 36 26 3 1568 9 Follow-up 2318 852 14 2769 3385 15 23319 28 119 48 7 7 16 71 4186 Follow-up 6496 2936 35 6712 9236 448 4164 719 3132 87 56 151 91 16 89899 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 7.1.8 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 1 21 11 16 11 61 Tuberculosis 46 35 68 32 829 25 672 2481 1283 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 5 5 13 3 3 114 81 Tuberculosis 6 7 7 39 13 393 516 2962 136 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 7 12 26 1 11 77 44 Tuberculosis 57 54 61 492 1331 158 581 333 1362 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 2 5 9 7 Tuberculosis 78 111 57 437 115 1 12 49 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 3 4 4 28 36 Tuberculosis 53 48 32 176 544 137 281 1211 592 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 1 1 25 2 22 9 Tuberculosis 27 33 39 312 665 94 35 1451 671 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 (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 1 4 25 1 3 14 23 Tuberculosis 6 183 79 471 146 114 254 1243 869 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 2 5 9 3 35 314 23 Tuberculosis 8 32 58 319 656 165 536 2719 123 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 3 18 116 999 27 Tuberculosis 113 143 7 671 1314 12 2826 811 3215 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 3 1 2 25 21 Tuberculosis 6 52 89 365 88 186 32 1412 758 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 2 64 79 184 33 179 62 1547 569 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 12 9 2 43 181 37 219 173 575 Tuberculosis 528 762 639 3768 8749 2652 6875 26478 11994 41

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 194 398 18 27 131 372 182 18654 2828 4211-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up Aids 645 6771 839 1961 4783 69594 25 36659 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 2 135 64 336 79 526 184 1277 33 2799-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 191 263 65 1466 1658 4885 592 2382 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 33 2483 174 2373 91 223 99 12344 1714 31444-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 2697 1134 4829 19488 22582 19298 6248 38883 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 485 1347 685 2439 294 1662 1497 636 5272 21639-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 1214 3465 1687 566 9447 29685 5273 15598 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 39 86 37 18 19 51 122 281 249 893-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 2364 2714 2421 282 14624 245 5675 5341 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, 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 441 1344 545 1144 78 736 293 3682 3415 8778-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 177 3438 2496 4136 14492 23136 6343 164 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 134 57 2 83 155 57 794 411 1427 975-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 256 1239 3285 338 1719 16421 4858 5585 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 537 1333 595 1746 253 87 1534 314 4126 11921-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up Aids 1 11 14 2 82 1836 455 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 379 191 319 114 11 313 585 2266 1494 746-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 656 3477 675 38 3462 17628 1852 8783 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 472 1329 157 78 145 323 652 2229 1248 5836-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 768 2254 758 2222 474 1234 1795 6363 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 (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 242 2129 333 2252 146 1152 846 594 1924 17724-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 639 1123 774 321 4664 13279 2437 1381 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 3246 16124 3217 14993 2122 11622 1298 55558 24 151156-9 yrs 1-24 yrs 25-49 yrs 5+yrs New Follow up New Follow up New Follow up New Follow up 12938 3695 18414 55951 96825 316447 3949 14512 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 7.2 INPATIENT DISEASES /CONDITIONS 7.2.1 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 1 122 13 1 15 18 2 896 391 5 168 629 17 438 2. Pulmonary TB 95 12 182 8 5 291 926 5 568 946 44 143 3. Extra-pulmonary TB 28 4 3 2 62 7 66 76 5 597 4. Meningococcal & other Meningitis 4 1 51 5 1 66 317 1 157 332 6 954 5. Other bacterial 56 5 2 243 17 319 22 1 18 6. Measles 169 1 18 3 328 6 677 1 2 276 7. HIV related / AIDS 157 36 139 21 3 793 716 4 89 773 24 945 8. Other viral Diseases 116 27 143 24 2 423 447 2 682 498 17 524 9. Malaria 7 17 1 721 35 4 897 266 7 318 318 2 995 1. Other Anthropod-borne 11 44 1 132 8 187 9 738 11. Venereal 5 1 1 67 2 73 3 32 12. Other Infectious & Parasitic 128 16 8 9 81 188 1 9 213 5 9 13. Malignant Neoplasm of Oesophagus 6 2 1 25 6 32 8 177 14. Kaposi's Sarcoma 2 2 12 1 16 1 249 15. Malignant Neoplasm of Female Breast 24 3 24 3 274 16. Malignant Neoplasm of Cervix Uterine 17 3 17 3 612 17. Lymphomas & Other Lymphatic, Haematopoietic Tissue 13 13 91 18. All Other Malignant Neoplasms 6 12 1 287 41 35 42 1 849 19. Benign Neoplasms 2 7 215 18 224 18 1 652 2. Diabetes Mellitus 2 1 1 1 177 75 1 18 76 5 569 21. Other Endocrine, Metabolic & Immunity Disorders 82 12 81 1 341 62 54 84 2 34 22. Nutritional Deficiencies 498 66 1 36 161 261 34 2 65 261 14 943 23. Anaemias & Bloodforming Organ Diseases 19 2 55 7 815 12 889 111 6 198 24. Mental Disorders 11 1 12 1 1 198 79 1 221 81 5 436 25. Nervous System 14 1 61 5 733 69 88 75 5 171 26. Eye and Adnexae 39 1 48 1 473 9 1 56 1 4 219 27. Ear and Mastoid Process 3 2 27 1 55 4 112 7 45 28. Acute Rheumatic Fever & Rheumatic Heart Disease 4 8 177 7 189 7 2 186 29. Hypertensive Disease 5 1 4 2 65 189 2 659 19 13 271 3. Ishaemic Heart Disease 3 4 3 4 126 31. Cerebo-vascular Accidents (CVAs) 3 1 1 59 15 1 62 151 5 133 32. Pulmonary Circulation &other Circul. System Dis. 1 1 17 1 1 559 252 1 586 254 9 1 33. ARI (Upper Tract) 46 4 488 13 68 23 1 556 76 4 655 34. ARI (Lower Tract) 2 733 271 2 5 16 4 954 583 9 737 96 46 9 35. Chronic Bronchitis & other Obstructive Pulmonary 96 4 153 3 1 18 43 1 357 5 5 919 36. Other Respiratory Diseases 255 16 215 3 476 39 946 58 3 55 37. Oral Cavity & Digestive System 173 19 189 7 1 561 157 1 923 183 8 211 38. Urinary System 25 2 39 535 29 599 31 2 986 39. Male Genital Organs 15 61 555 14 631 14 3 492 4. Salpingitis & Pelvic Tissue Inflammatory 6 25 3 865 48 896 51 1 879 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) 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 2 9 42. Abortion 43. Direct & Indirect Obstetric Causes 44. Normal Delivery 45. Skin and Subcutaneous 227 4 363 46. Musculoskeletal Syst. & Connective Tissue 12 2 3 47. Congenital Anomalies 45 6 33 48. Certain Conditions orig. in the Peri-natal period 1 434 338 18 49. Signs, Symptoms and ill-defined conditions 394 35 379 5. Fractures 36 1 289 51. Intracranial & Internal Injuries, including nerves 35 2 138 52. Open Wounds & all Other Injuries 39 23 53. Burns 141 9 462 54. Poisoning & Toxic Effects 6 2 3 55. Complications & Late Effects of Injuries, Poisoning 24 6 58 56. Other reasons for Contact with Health Services 4 4 2 867 3 336 6 155 39 159 1 1 699 2 74 244 2 426 14 2 559 4 3 75 3 1 758 2 11 2 57 3 37 4 668 1 75 12 32 58 3 45 19 28 32 16 18 39 2 25 5 2 2 878 3 336 6 155 39 159 2 289 782 322 1 878 3 332 4 75 1 931 2 343 1 173 46 75 83 14 3 212 32 8 73 58 21 988 3 71 511 5 11 697 23 4 32 34 2 4 372 9 353 29 11 646 23 12 561 44 3 66 2 9 74 54 1 923 1 1 416 3 1 911 3 188 TOTAL 9 522 1 17 1 619 594 19 889 5 943 13 3 7 644 486 817 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 19 2 43 26 2. Other Transport Accidents 1 1 12 2 3. Accidental Poisoning 6 3 36 2 4. Accidental Falls 5. Accidents by Fires and Flames 28 2 77 7 6. Other Accidents, incl. during Medical Care 21 4 77 1 7. Drugs, Medicaments Adverse Effects 2 1 8. Suicide and Self-inflicted injury 9. Homicide & Injury purposely inflicted by other Persons 1 3 3 1. Other Violence 12 14 4 Cases 1 545 81 69 41 321 8 259 485 Deaths 52 4 2 8 9 1 26 7 Total all Ages Cases 1 67 13 111 515 419 11 263 511 Patient Stay Deaths days 8 3542 7 98 7 352 17 1 559 14 1 77 1 29 29 492 11 1 365 TOTAL 99 12 Source :Inpatient Quarterly Returns - T9 263 45 3 178 19 3 54 166 9 954 46

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 7.2.2 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 5 168 4. 629 8.2 17 438 3.6 3 2. Pulmonary TB 5 568 4.3 946 12.4 44 143 9.1 8 3. Extra-pulmonary TB 66.5 76 1. 5 597 1.1 8 4. Meningococcal & other Meningitis 1 157.9 332 4.3 6 954 1.4 6 5. Other bacterial 319.2 22.3 1 18.2 3 6. Measles 677.5 1.1 2 276.5 3 7. HIV related / AIDS 4 89 3.1 773 1.1 24 945 5.1 6 8. Other viral Diseases 2 682 2.1 498 6.5 17 524 3.6 7 9. Malaria 7 318 5.6 318 4.2 2 995 4.3 3 1. Other Anthropod-borne 187.1 9.1 738.2 4 11. Venereal 73.1 3. 32.1 4 12. Other Infectious & Parasitic 1 9.8 213 2.8 5 9 1. 5 13. Malignant Neoplasm of Oesophagus 32. 8.1 177. 6 14. Kaposi's Sarcoma 16. 1. 249.1 16 15. Malignant Neoplasm of Female Breast 24. 3. 274.1 11 16. Malignant Neoplasm of Cervix Uteri 17.1 3. 612.1 6 17. Lymphomas & All Other Lymphatic, Haematopoietic Tissue 13.. 91. 7 18. All Other Malignant Neoplasms 35.2 42.5 1 849.4 6 19. Benign Neoplasms 224.2 18.2 1 652.3 7 2. Diabetes Mellitus 1 18.9 76 1. 5 569 1.1 5 21. Other Endocrine & Metabolic Diseases & Immunological Disorders 54.4 84 1.1 2 34.4 4 22. Nutritional Deficiencies 2 65 1.6 261 3.4 14 943 3.1 7 23. Anaemias & Blood-forming Organ Diseases 889.7 111 1.5 6 198 1.3 7 24. Mental Disorders 1 221.9 81 1.1 5 436 1.1 4 25. Nervous System 88.6 75 1. 5 171 1.1 6 26. Eye and Adnexae 1 56 1.2 1.1 4 219.9 3 27. Ear and Mastoid Process 112.1 7.1 45.1 4 28. Acute Rheumatic Fever & Rheum. Heart Dis. 189.1 7.1 2 186.4 12 29. Hypertensive Disease 2 659 2. 19 2.5 13 271 2.7 5 3. Ischaemic Heart Disease 3. 4.1 126. 4 31. Cerebo-vascular accidents 1 62.8 151 2. 5 133 1.1 5 32. Pulmonary Circulation &other Circulatory. System Disorders. 1 586 1.2 254 3.3 9 1 1.9 6 33. ARI (Upper Tract) 1 556 1.2 76 1. 4 655 1. 3 34. ARI (Lower Tract) 9 737 7.5 96 12.6 46 9 9.5 5 35. Chronic Brochitis & other Obstructive Pulmonary 1 357 1. 5.7 5 919 1.2 4 36. Other Respiratory Diseases 946.7 58.8 3 55.7 4 37. Oral Cavity & Digestive System 1 923 1.5 183 2.4 8 211 1.7 4 38. Urinary System 599.5 31.4 2 986.6 5 39. Male Genital Organs 631.5 14.2 3 492.7 6 4. Salpingitis & Pelvic Tissue Inflammatory Disease 896.7 51.7 1 879.4 2 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 DISEASE / CONDITIONS Cases Patient Stay days Average Number % Deaths Number % Number % Patient Stay (days) 41. Other Female Genital Organs 878.7 14.2 3 212.7 4 42. Abortion 3 336 2.6 32.4 8 73 1.8 3 43. Direct & Indirect Obstetric Causes 6 155 4.7 58.8 21 988 4.5 4 44. Normal Delivery 39 159 3.1 3.4 71 511 14.7 2 45. Skin and Subcutaneous 2 289 1.8 5.7 11 697 2.4 5 46. Musculoskeletal Syst. & Connective Tissue 782.6 23.3 4 32.9 6 47. Congenital Anomalies 322.2 34.4 2 4.4 6 48. Certain Conditions orig. in the Perinatal period 1 878 1.4 372 4.9 9 353 1.9 5 49. Signs, Symptoms and ill-defined conditions 3 332 2.6 29 2.7 11 646 2.4 3 5. Fractures 4 75 3.1 23.3 12 561 2.6 3 51. Intracranial & Internal Injuries, including nerves 1 931 1.5 44.6 3 66.6 2 52. Open Wounds & all Other Injuries 2 343 1.8 2.3 9 74 2. 4 53. Burns 1 173.9 54.7 1 923 2.2 9 54. Poisoning & Toxic Effects 46.3 1.1 1 416.3 3 55. Complications & Late Effects of Injuries, Poisoning 75.6 3.4 1 911.4 3 56. Other reasons for Contact with Health Services 83.1 3. 188. TOTAL 13 3 1. 7644 1. 486 817 1. 4 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 1 67 45.4 8 48.2 3 542 35.6 2 2. Other Transport Accidents 13 2.9 7 4.2 98 9.1 9 3. Accidental Poisoning 111 3.1 7 4.2 352 3.5 3 4. Accidental Falls... 5. Accidents by Fires and Flames 515 14.5 17 1.2 1 559 15.7 3 6. Other Accidents, incl. during Medical Care 419 11.8 14 8.4 1 77 17.1 4 7. Drugs, Medicaments Adverse Effects 11.3 1.6 29.3 3 8. Suicide and Self-inflicted injury... 9. Homicide & Injury purposely inflicted by other Persons 263 7.4 29 17.5 492 4.9 2 1. Other Violence 511 14.4 11 6.6 1 365 13.7 3 TOTAL 3 54 1. 166 1. 9 954 1. 3 Source :Inpatient Quarterly Returns - T9 48

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 7.3 TOP TEN (1) OPD ATTENDANCES 7.3.1 Top 1 OPD Attendances by age group, 21 7.3.1.1 Under one (1) year Rank Disease / Conditions Cases 1 ARI (Lower Tract) 2 733 2 Certain Conditions originating in the Perinatal period 1 434 3 Intestinal Infections 1 122 4 Malaria 7 5 Nutritional Deficiencies 498 6 ARI (Upper Tract) 46 7 Ill-defined conditions 394 8 Other Respiratory Diseases 255 9 Skin and Subcutaneous 227 1 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) 5 1 15 2 25 3 Number of cases 7.3.1.2 1-4 years Rank Disease / Conditions Cases 1 ARI (Lower Tract) 2 5 2 Malaria 1 721 3 Nutritional Deficiencies 1 36 4 Intestinal Infections 1 15 5 ARI (Upper Tract) 488 6 Burns 462 7 Ill-defined conditions 379 8 Skin and Subcutaneous 363 9 Fractures 289 1 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) 5 1 15 2 25 Cases 7.3.1.3 Five years and over Rank Disease / Conditions Cases 1 Normal Delivery 39 159 2 Direct & Indirect Obstetric Causes 6 155 3 Pulmonary TB 5 291 4 ARI (Lower Tract) 4 954 5 Malaria 4 897 6 HIV related / AIDS 3 793 7 Fractures 3 75 8 Abortion 3 336 9 Intestinal Infections 2 896 1 Hypertensive Disease 2 65 7.3.1.4 All age Groups Rank Disease / Conditions Cases 1 Normal Delivery 39 159 2 ARI (Lower Tract) 9 737 3 Malaria 7 318 4 Direct & Indirect Obstetric Causes 6 155 5 Pulmonary TB 5 568 6 Intestinal Infections 5 168 7 HIV related / AIDS 4 89 8 Fractures 4 75 9 Abortion 3 336 1 Ill-defined conditions 3 332 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 7.3.2 Top Ten Causes of Mortality by Age Group, Excluding Central Hospitals, 21 7.3.2.1 Under one (1) year Rank Disease / Conditions Deaths Certain Conditions originating. in the Perinatal 1 period 338 2 ARI (Lower Tract) 271 3 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 17 7.3.2.2 : 1-4 years Rank Disease / Conditions Deaths 1 Nutritional Deficiencies 161 2 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 1 7.3.2.3 : Five years and above Rank Disease / Conditions Deaths 1 Pulmonary TB 926 2 HIV related / AIDS 716 3 ARI (Lower Tract) 583 4 Other viral Diseases 447 5 Intestinal Infections 391 6 Meningococcal & other Meningitis 317 7 Malaria 266 8 Pulmonary &other Circulation System Disoders 252 9 Hypertensive Disease 189 1 Other Infectious & Parasitic 188 7.3.2.4 : All Age Groups Rank Disease / Conditions Deaths 1 ARI (Lower Tract) 96 2 Pulmonary TB 946 3 HIV related / AIDS 773 4 Intestinal Infections 629 5 Other viral Diseases 498 6 Certain Conditions orig. in the Perinatal period 372 7 Meningococcal & other Meningitis 332 8 Malaria 318 9 Nutritional Deficiencies 261 1 Pulmonary &other Circulation System Disoders. 254 Source :Inpatient Quarterly Returns - T9 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 7.3.3 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 39 159 71 511 2 14.7 2 ARI (Lower Tract) 9 737 46 9 5 9.5 3 Pulmonary TB 5 568 44 143 8 9.1 4 HIV related / AIDS 4 89 24 945 6 5.1 5 Direct & Indirect Obstetric Causes 6 155 21 988 4 4.5 6 Malaria 7 318 2 995 3 4.3 7 Other viral Diseases 2 682 17 524 7 3.6 8 Intestinal Infections 5 168 17 438 3 3.6 9 Nutritional Deficiencies 2 65 14 943 7 3.1 1 Hypertensive Disease 2 659 13 271 5 2.7 Total All Diseases 13 3 486 817 4 1. Source: Inpatient Quarterly Returns- T9 7.3.4 National Outpatient and Inpatient Cases and Deaths, Excluding Central Hospitals, 21 21 Year OPD INPATIENT (T9) Total New Cases Cases Deaths CFR % 2 12 44 879 454 641 22 943 5. 21 12 546 518 294 783 14 539 22 11 87 371 34 975 18 329 5.4 23 11 71 342 251 56 15 56 6. 24 11 189 389 317 728 17 686 25 1 6 877 326 751 22 918 7. 26 9 176 493 19 211 14 629 7.3 27 9 349 423 146 373 1 345 7.1 28 7 479 831 136 258 7 78 5.2 29 7 716 983 17 117 6 842 6.4 21 11 362 22 13 3 7 644 5.9 Source: T9 Quarterly Returns & T5(OPD) Monthly forms 4.9 5.6 51

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 7.3.5 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 5 168 4. 629 8.2 4 527 5.7 362 4. 9 695 4.6 2. Pulmonary TB 5 568 4.3 946 12.4 1 586 2. 451 5. 7 154 3.4 3. Extra-pulmonary TB 66.5 76 1. 254.3 12 1.1 914.4 4. Meningococcal & other Meningitis 1 157.9 332 4.3 648.8 312 3.5 1 85.9 5. Other bacterial 319.2 22.3 299.4 79.9 618.3 6. Measles 677.5 1.1 224.3 12.1 91.4 7. HIV related / AIDS 4 89 3.1 773 1.1 3 25 4.1 1214 13.4 7 339 3.5 8. Other viral Diseases 2 682 2.1 498 6.5 142.2 6.1 2 824 1.4 9. Malaria 7 318 5.6 318 4.2 979 1.2 76.8 8 297 4. 1. Other Anthropod-borne 187.1 9.1 1.. 188.1 11. Venereal 73.1 3. 8. 1. 81. 12. Other Infectious & Parasitic 1 9.8 213 2.8 58.6 164 1.8 1 517.7 13. Malignant Neoplasm of Oesophagus 32. 8.1 63.1 26.3 95. 14. Kaposi's Sarcoma 16. 1. 58.1 24.3 74. 15. Malignant Neoplasm of Female Breast 24. 3. 58.1 5.1 82. 16. Malignant Neoplasm of Cervix Uteri 17.1 3. 182.2 38.4 289.1 17. Lymphomas & All Other Lymphatic, Haematopoietic Tissue 13.. 43.1 18.2 56. 18. All Other Malignant Neoplasms 35.2 42.5 574.7 123 1.4 879.4 19. Benign Neoplasms 224.2 18.2 394.5 23.3 618.3 2. Diabetes Mellitus 1 18.9 76 1. 1 77 1.4 119 1.3 2 257 1.1 21. Other Endocrine, Metabolic & Immunity Disorders 54.4 84 1.1 3 337 4.2 776 8.6 3 841 1.8 22. Nutritional Deficiencies 2 65 1.6 261 3.4 1 568 2. 164 1.8 3 633 1.7 23. Anaemias & Blood-forming Organ Diseases 889.7 111 1.5 1 495 1.9 283 3.1 2 384 1.1 24. Mental Disorders 1 221.9 81 1.1 316.4 19.2 1 537.7 25. Nervous System (except meningitis) 88.6 75 1. 1 719 2.2 533 5.9 2 527 1.2 26. Eye and Adnexae 1 56 1.2 1.1 6.8 4. 2 16 1. 27. Ear and Mastoid Process 112.1 7.1 56.1 7.1 168.1 28. Acute Rheumatic Fever & Rheumatic Heart Disease. 189.1 7.1 59.1 1.1 248.1 29. Hypertensive Disease 2 659 2. 19 2.5 1 342 1.7 222 2.5 4 1 1.9 3. Ischaemic Heart Disease 3. 4.1 29. 7.1 59. 31. Cerebo-vascular accidents 1 62.8 151 2. 411.5 144 1.6 1 473.7 32. Pulmonary Circulation &other Circulatory System Disorders 1 586 1.2 254 3.3 1 98 1.4 344 3.8 2 684 1.3 33. ARI (Upper Tract) 1 556 1.2 76 1. 2 47 2.6 15 1.2 3 63 1.7 34. ARI (Lower Tract) 9 737 7.5 96 12.6 6 347 8. 934 1.3 16 84 7.7 35. Chronic Bronchitis & other Obstructive Pulmonary 1 357 1. 5.7 634.8 53.6 1 991 1. 36. Other Respiratory Diseases 946.7 58.8 581.7 73.8 1 527.7 37. Oral Cavity & Digestive System 1 923 1.5 183 2.4 1 391 1.8 262 2.9 3 314 1.6 38. Urinary System 599.5 31.4 1 3 1.3 11 1.2 1 62.8 39. Male Genital Organs 631.5 14.2 427.5 9.1 1 58.5 4. Salpingitis & Pelvic Tissue Inflammatory Diseases 896.7 51.7 578.7 39.4 1 474.7 41. Other Female Genital Organs 878.7 14.2 289.4 9.1 1 167.6 42. Abortion 3 336 2.6 32.4 3 879 4.9 35.4 7 215 3.5 43. Direct & Indirect Obstetric Causes 6 155 4.7 58.8 4 899 6.2 66.7 11 54 5.3 44. Normal Delivery 39 159 3.1 3.4 12 995 16.5 3. 52 154 25. 45. Skin and Subcutaneous 2 289 1.8 5.7 1 144 1.4 5.6 3 433 1.6 46. Musculoskeletal Syst. & Connective Tissue 782.6 23.3 371.5 2.2 1 153.6 47. Congenital Anomalies 322.2 34.4 983 1.2 146 1.6 1 35.6 48. Certain Conditions orig. in the Perinatal period 1 878 1.4 372 4.9 5 791 7.3 944 1.4 7 669 3.7 49. Ill-defined conditionsconditions 3 332 2.6 29 2.7 2 4 3. 293 3.2 5 732 2.7 5. Fractures 4 75 3.1 23.3 1 487 1.9 45.5 5 562 2.7 51. Intracranial & Internal Injuries, including nerves 1 931 1.5 44.6 42.5 34.4 2 351 1.1 52. Open Wounds & all Other Inj uries 2 343 1.8 2.3 945 1.2 17.2 3 288 1.6 53. Burns 1 173.9 54.7 1 27 1.3 71.8 2 2 1.1 54. Poisoning & Toxic Effects 46.3 1.1 1 361 1.7 4.4 1 767.8 55. Complications & Late Effects of Inj uries, Poisoning 75.6 3.4 132.2 12.1 882.4 56. Other reasons for Contact with Health Services 83.1 3. 923 1.2. 1 6.5 28 TOTAL 13 3 1. 7 644 1. 78 959 1. 9 38 1. 989 1. Source :Inpatient Quarterly Returns - T9 Deaths 991 1 397 178 644 11 22 1 987 54 394 9 4 377 34 25 8 41 18 165 41 195 86 425 394 1 68 14 14 17 412 11 295 598 181 1 894 13 131 445 141 23 9 23 67 124 33 1 43 18 1 316 52 68 78 37 125 5 42 3 16 682 % 5.9 8.4 1.1 3.9.6.1 11.9 3. 2.4.1. 2.3.2.1..2.1 1..2 1.2 5.2 2.5 2.4.6 3.6.1.1.1 2.5.1 1.8 3.6 1.1 11.4.6.8 2.7.8.1.5.1.4.7.2.6.3 1.1 7.9 3..4.5.2.7.3.3. 1. 52

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 7.3.6 Top 1 In-patient Diseases and Conditions, Including Central Hospitals, 21 Cases, All Ages Rank Disease / Conditions Cases 1 Normal Delivery 52 335 2 ARI 16 84 3 Direct & Indirect Obstetric Causes 11 331 4 Intestinal Infections 9 695 5 Malaria 8 297 6 Pulmonary TB 8 68 7 Certain Conditions Originating in Peri-natal period 7 669 8 HIV related / AIDS 7 339 9 Abortion 7 247 1 Fractures 5 562 7.3.7 Top Ten Causes of Hospitalisation ( Including Central Hospitals) Deaths, All Ages Rank Disease / Conditions Deaths 1 HIV related / AIDS 2 494 2 ARI 2 75 3 Pulmonary TB 1 575 4 Certain Conditions Originating in Perinatal period 1 316 5 Intestinal Infections 991 6 Other Endocrine, Metabolic & Immunity Disorders 86 7 Meningococcal & other Meningitis 644 8 Nervous System (except meningitis) 68 9 Pulmonary & other Circulation System Disorders 598 1 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 1 2 3 4 5 6 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 5 1 1 5 2 2 5 3 Deaths 53

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 8 EXPANDED PROGRAMME ON IMMUNIZATION (EPI) 8.1.1 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 79 38 6 5 2 4 Unvaccinated 965 51 6 5 3 6 Manicaland Unknown 27 11 1 1 TOTAL 1881 1 12 1 1 1 5 1 Vaccinated 4 7 Unvaccinated 51 91 Mash. Central Unknown 1 2 TOTAL 56 1 Vaccinated 1924 56 2 67 Unvaccinated 139 3 Mash. East Unknown 458 13 3 1 1 33 TOTAL 3421 1 3 1 3 1 Vaccinated 399 63 1 1 1 5 5 83 Unvaccinated 161 25 1 17 Mash. West Unknown 78 12 2 1 1 5 TOTAL 638 1 2 1 1 1 2 1 6 1 Vaccinated 85 7 Unvaccinated 28 23 Mat. North Unknown 9 7 TOTAL 122 1 Vaccinated 31 53 1 1 1 1 Unvaccinated 7 12 Mat. South Unknown 21 36 TOTAL 59 1 1 1 1 1 Vaccinated 46 33 1 5 Unvaccinated 713 57 2 33 1 5 Midlands Unknown 129 1 4 67 TOTAL 1248 1 6 1 2 1 Vaccinated 143 54 1 1 Unvaccinated 14 4 Masvingo Unknown 16 6 TOTAL 263 1 1 1 Vaccinated 912 41 2 1 5 83 Unvaccinated 511 23 1 17 Harare City Unknown 783 35 TOTAL 226 1 2 1 6 1 Vaccinated 11 1 Unvaccinated Chitungwiza City Unknown TOTAL 11 1 Vaccinated 66 38 Unvaccinated 37 22 Bulawayo City Unknown 69 4 TOTAL 172 1 Vaccinated 478 47 1 33 18 6 1 17 17 71 Unvaccinated 3616 36 8 27 6 25 National Unknown 1771 17 2 67 4 13 5 83 1 4 TOTAL 1167 1 3 1 3 1 6 1 24 1 54

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 8.1.2 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 1 1-4 yrs 5-14 yrs n % n % n % Vaccinated 84 34 241 36 Unvaccinated 151 6 375 55 Manicaland Unknown 15 6 6 9 Total 25 1 676 1 292 356 89 737 Vaccinated 1 8 3 Mash Unvaccinated 4 1 12 92 34 Central Unknown 1 Total 4 1 13 1 38 Vaccinated 456 58 664 63 Unvaccinated 269 34 318 3 Mash. East Unknown 66 8 74 7 Total 791 1 156 1 Vaccinated 4 45 114 66 Unvaccinated 42 48 47 27 Mash. West Unknown 6 7 11 6 Total 88 1 172 1 52 313 189 122 173 59 32 264 Vaccinated 26 93 35 83 23 Unvaccinated 2 7 4 1 22 Mat. North Unknown 3 7 3 Total 28 1 42 1 48 Vaccinated 3 75 3 1 8 Unvaccinated 1 25 6 Mat. South Unknown 16 Total 4 1 3 1 3 Vaccinated 5 28 123 32 Unvaccinated 98 55 236 62 Midlands Unknown 3 17 24 6 Total 178 1 383 1 154 316 28 498 Vaccinated 7 35 33 49 68 Unvaccinated 12 6 32 47 52 Masvingo Unknown 1 5 3 4 3 Total 2 1 68 1 123 Vaccinated 167 33 32 Unvaccinated 257 51 8 Harare City Unknown 8 16 168 Total 54 1 55 55 15 31 1 31 11 291 72 Vaccinated 2 1 39 1 22 Chitungwiza Unvaccinated City Unknown Total 2 1 39 1 22 4 48 12 1 8 89 3 1 51 31 18 1 66 22 12 1 48 46 6 1 27 2 53 1 31 63 6 1 55 42 2 1 43 16 41 1 1 1 15+ yrs n % 92 83 43 218 1 1 284 139 129 552 72 13 29 114 1 3 4 17 5 22 79 63 47 189 35 8 9 52 142 64 244 45 2 2 42 38 2 1 1 1 51 25 23 1 63 11 25 1 25 75 1 77 23 1 42 33 25 1 67 15 17 1 32 14 54 1 1 1 <28days n % 1 1 3 3 1 1 2 1 1 1 1 5 5 1 n % n 3 3 1 1 2 1 1 2 1 1 1 1 % 1 1 5 5 1 5 5 1 1 1 1 1 5-14 yrs n % 1 3 4 1 1 4 4 1 1 2 2 1 3 25 75 1 1 1 1 1 5 5 1 67 33 1 15+ yrs n % 1 1 1 1 Vaccinated 1 24 13 Bulawayo Unvaccinated 24 59 4 City Unknown 7 17 9 Total 41 1 26 Vaccinated 863 45 1568 Unvaccinated 86 45 118 National Unknown 25 11 352 Total 1928 1 328 5 27 15 4 35 22 1 53 52 1591 37 1272 12 674 1 3537 51 8 42 1 45 36 19 1 16 5 31 52 758 376 54 1674 31 1 6 1 45 22 32 1 1 5 6 17 83 1 7 1 1 9 78 11 11 1 9 5 14 64 36 1 1 1 1 1 55

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 8.1.3 EPI Target Diseases: Inpatient Cases and Deaths by Province/City, 21 Province Disease Cases Deaths Tetanus 1 AFP 2 1 Manicaland Tuberculosis 75 72 Measles 24 3 Diphtheria Mashonaland. Central Tetanus AFP Tuberculosis Measles Diphtheria Mashonaland. East Tetanus 2 1 AFP Tuberculosis 1 59 187 Measles 254 1 Diphtheria 1 Mashonaland. West Tetanus 2 AFP 2 Tuberculosis 46 86 Measles 164 3 Diphtheria Matabeleland. North Tetanus AFP Tuberculosis 929 167 Measles 81 2 Diphtheria Matabeleland. South Tetanus AFP Tuberculosis 2 54 362 Measles 74 Diphtheria Midlands Tetanus 3 1 AFP 5 Tuberculosis 976 148 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 6 228 122 Measles 677 1 Diphtheria 1 56

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 8.1.4 Measles, Neonatal Tetanus and Polio/AFP by year, 25-21 Disease Vaccination Status 25 26 27 28 29 21 Cases % Cases % Cases % Cases % Cases % Cases % MEASLES Vaccinated 528 92 156 56 23 95 195 95 129 44 478 47 All ages Unvaccinated 18 3 24 9 3 1 3 1 114 38 3616 36 Unknown 28 5 99 35 1 4 7 3 54 18 1751 17 TOTAL 574 1 279 1 243 1 25 1 297 1 1147 1 NEONATAL Vaccinated 21 88 64 88 58 89 16 24 1 17 TETANUS Unvaccinated 2 67 2 8 8 11 6 9 3 4 5 83 <28 days Unknown 1 33 1 4 1 1 1 2 5 72 TOTAL 3 1 24 1 73 1 65 1 69 1 6 1 POILIO/AFP Vaccinated 9 5 5 38 144 95 144 95 39 44 17 71-14 years Unvaccinated 8 44 8 62 1 1 1 1 31 35 6 25 Unknown 1 6 6 4 6 4 19 21 1 4 TOTAL 18 1 13 1 151 1 151 1 89 1 24 1 8.1.5 Measles Cases Trend by Age Group, 23-21 Year Under 5 5 Yrs+ Total New Cases Rate per 1, population 23 228 277 55 4.3 24 382 711 193 9.2 25 42 172 574 4.8 26 176 13 279 2.3 27 156 95 251 2.4 28 42 26 68 1.9 29 117 185 32 2.4 21 349 328 667 5.3 Source: T9 returns. 8.1.6 Measles Inpatient Cases and Deaths by Age Group and Province/City, 21 Prov/City New Cases Deaths National Under 1 1-4 5yrs + Total Under 1 1-4 5yrs + Total Manicaland 8 9 7 24 1 1 1 3 Mashonaland Central Mashonaland East 61 61 132 254 1 1 Mashonaland West 39 48 77 164 1 2 3 Matabeleland North 26 14 41 81 1 1 2 Matabeleland South 15 21 38 74 Midlands 2 27 33 8 1 1 Masvingo Harare City Chitungwiza Bulawayo City Total 169 18 328 677 1 3 6 1 Source -T9 Returns 57

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 9 WEEKLY DISEASE SURVEILLANCE REPORT 9.1.1. Weekly Disease Surveillance Report, 29-21 Trends of diarrhoea cases 6 5 4 3 2 1 1 4 7 1 13 16 19 22 25 28 31 34 37 4 43 46 49 52 Week Numbers 21 29 16 14 12 1 8 6 4 2 Trends of malaria cases - 29 Cases 1 4 7 1 13 16 19 22 25 28 31 34 37 4 43 46 49 52 Week Numbers 21 29 C s a se 7 6 5 4 3 2 1 Trends of dysentery cases 1 4 7 1 13 16 19 22 25 28 31 34 37 4 43 46 49 52 Week Number 21 29 Cases 58

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 1 HIV/AIDS AND RELATED DISEASES/CONDITIONS 1.1 HIV/AIDS 1.1.1 New AIDS Cases by Sex and Age Group, 21 Age Group Male Female Total -4 4 14 3 721 7 735-9 3 816 4 174 7 99 5-14 4 563 4 73 9 293 1-24 3 435 5 588 9 23 15-19 2 15 3 566 5 716 2-29 6 267 15 96 22 227 25-49 19 49 36 916 56 325 3-49 27 275 47 379 74 654 5+ 19 38 19 669 38 77 Total 89 967 141 73 231 67 Source :T5 New AIDS Cases by Age Group and Sex, 2 1 New Cases 5 45 4 35 3 25 2 15 1 5-4 -9 5-14 1-24 15-19 2-29 25-49 3-49 Age Group Male Female 59

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 1.1.2 New Cases of AIDS and Related Diseases by Province/City, 21 Province AIDS Kaposi' Sarcoma TB STI Manicaland 28 334 229 5 921 31 639 Mashonaland Central 21 287 251 5 69 25 752 Mashonaland East 38 885 178 7 426 29 111 Mashonaland West 48 61 391 5 723 2 63 Matabeleland North 8 291 111 3 74 1 217 Matabeleland South 7 99 6 3 597 14 987 Midlands 32 67 23 2 255 26 726 Masvingo 23 25 71 4 319 39 331 Harare 17 744 1 46 21 29 22 795 Bulawayo 5 437 61 4 32 9 47 National 231 67 2 781 62 445 23 91 Source: T5 returns Note: - Data not available New cases of AIDS and Related Diseases by Province/City, 2 1 6 5 Rate per 1 4 3 2 1 Province AIDS Kaposi' Sacoma TB STI 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 1.1.3 HIV and Related Conditions by Year, 21-21 21 22 23 24 25 26 27 28 29 21 AIDS new cases 6 621 4 95 4 96 41 983 6 732 7 291 24 566 23 199 14 8 231 67 Kaposi's Sarcoma 4 52 42 353 41 8 3 918 6 731 9 187 5 627 3 67 1 632 2 781 STI episodes 661 426 535 777 69 313 721 185 828 876 828 876 453 964 315 59 174 118 23 91 TB new cases 43 311 39 28 43 892 44 987 43 762 47 77 143 154 11 31 48 12 62 445 Source: T5 returns 25 9 2 8 7 Thousands 15 1 5 6 5 4 3 2 1 21 22 23 24 25 26 27 28 29 21 Year AIDS new cases Kaposi's Sarcoma TB new cases STI episodes 61

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 1.1.4 HIV Sentinel Surveillance Data in Ante Natal Care Women by Year, 24-29 PROVINCE SITE 24 26 29 n % HIV+ n % HIV+ n % HIV+ Manicaland Murambinda Hospital 331 19.7 331 15.7 356 25.6 Sakubva Clinic 332 17.7 332 13.9 342 14.6 Mashonaland Central Karanda Hospital 34 12.1 34 9.4 336 11.3 Chipadze Clinic 351 24.6 351 13.7 34 14.4 Mashonaland East Mutoko Hospital 328 2.5 328 17.1 355 15.5 Sadza Hospital 397 22.9 397 17.6 355 11.8 Mash West Kadoma Hospital 34 21.9 34 22.4 359 1.9 Matabeleland North Binga Hospital 348 1.3 348 7.8 339 8.3 Chinotimba Hospital 338 35.8 338 25.4 345 26.4 Matabeleland South Gwanda Hospital 333 26 333 24.9 35 19.7 Beitbridge Hospital 332 26.3 332 25.6 353 23.5 Midlands Mkoba Clinic 333 19.9 333 18.6 351 18 Masvingo Chiredzi Hospital 348 17.8 348 2.4 351 25.1 Gutu Mission Hospital 391 23.4 391 17.1 335 14 Harare City Kuwadzana Clinic 552 19.7 552 15.6 59 12.2 Chitungwiza St Mary's Clinic 569 2.3 569 15.5 659 11.4 Bulawayo Nkulumane Clinic 597 18.1 597 17.3 574 14.1 SOURCE :- Antenatal Care Sentinel Surveillance Reports KEY :- n = Sample Size 62

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 1.2 TUBERCULOSIS 1.2.1 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 -4 2 26 46 2 4 6 22 35 57 1 7 8 3 23 53 13 14 27-9 95 11 25 22 191 393 76 82 158 88 77 165 85 52 137 3 64 94 5-14 22 13 35 3 4 7 24 3 54 16 16 32 24 24 48 2 13 33 1-24 334 338 672 236 28 516 258 323 581 23 36 536 11 171 281 129 176 35 15-19 37 31 68 3 4 7 28 33 61 2 38 58 12 2 32 1 29 39 2-29 124 178 32 17 22 39 172 32 492 135 184 319 75 11 176 91 221 312 25-49 1 245 1 236 2 481 1 455 1 57 2 962 1 596 1 734 3 33 1 323 1 396 2 719 628 583 35-49 42 49 829 44 59 13 643 688 1 331 334 322 656 261 283 544 5+ 725 558 1 283 529 57 1 36 732 63 1 362 6 63 1 23 31 282 592 TOTAL 3 22 2 899 5 921 2 491 2 578 5 69 3 551 3 875 7 426 2 747 2 976 5 723 1 535 1 539 1 211 3 74 756 695 1 451 383 282 665 388 283 671 1 82 1 777 3 597 Year Pop. 1 698 927 1 77 95 1 344 344 1 326 142 763 358 77 164 TB INCIDENCE (/1) 3.5 4.7 5.5 4.3 4. 5.1 MALE- FEMALE RATIO 1. 1. 1.1 1.1 1. 1. 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 % -4 47 31 78 31 29 6 31 29 6 14 29 133 31 1 227 1 528-9 1 1 63 51 114 13 83 186 577 622 1 199 1 32 4 Total 1 332 4 2 652 5-14 52 59 111 1 83 183 25 27 52 124 83 27 41 1 352 1 762 1-24 112 142 254 131 171 32 1 715 1 713 3 428 3 255 1 3 62 12 6 875 15-19 28 29 57 43 36 79 39 5 89 91 58 149 311 1 328 1 639 2-29 21 236 437 28 263 471 157 28 365 447 48 855 1 627 5 25-49 8 4 12 613 63 1 243 693 719 1 412 5 26 4 631 9 657 13 343 42 35-49 573 577 1 15 578 468 1 46 441 367 88 99 78 1 617 4 586 15 5+ 217 192 49 416 453 869 415 343 758 2 21 1 763 3 784 6 353 2 TOTAL 1 127 1 128 2 255 2 164 2 155 4 319 2 35 1 997 4 32 11 14 1 15 21 29 31 56 1 Year Pop. 1 585 295 1 429 846 2 141 7 3 768 13 135 42 26 478 4 163 13 8 749 5 641 18 11 994 3 939 1 62 445 732 715 1 929 723 12 595 418 TB INCIDENCE (/1) 1.4 3. 5.5 1.9 5. MALE- FEMALE RATIO 1. 1. 1..9 1. 63

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, 2 1 16 14 12 1 8 6 New cases 4 2-4 -9 5-14 1-24 15-19 2-29 25-49 35-49 5+ Age Group Male Female 64

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 1.3 ACUTE RESPIRATORY INFECTIONS (ARI) OUTPATIENT CASES 1.3.1 ARI Outpatient Cases by Age Group, Province/City, 21 Province/City All Under 5yrs 5 yrs & Over Ages Manicaland 323 527 458 18 781 77 Mashonaland Central 198 646 173 397 372 43 Mashonaland East 244 23 315 85 559 828 Mashonaland West 186 815 248 444 435 259 Matabeleland North 165 72 22 711 368 431 Matabeleland South 15 698 187 46 338 158 Midlands 294 2 379 915 673 917 Masvingo 254 424 357 279 611 73 Harare City 379 215 391 664 77 879 Chitungwiza City 11 26 11 169 22 375 Bulawayo City 81 467 13 422 184 889 Total 2 289 743 2 829 446 5 119 189 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 5 1 15 2 25 3 35 4 45 5 Number of new cases 5 years and Over Under 5 yrs 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 1.3.2 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 14 562 13 39 563 11 75 737 14 58 139 13 47 135 13 43 167 13 Mild 278 428 36 137 46 37 28 325 37 166 353 38 114 791 31 124 28 37 Moderate 381 818 49 188 681 51 262 648 47 2 581 46 22 1 55 165 752 49 Severe 16 899 2 6 753 2 13 118 2 1 186 2 4 495 1 5 31 1 TOTAL 781 77 372 43 559 828 435 259 368 431 338 158 Total New Gen Dis/Con 1 823 515 1 197 867 1 324 894 1 44 562 785 823 677 532 ARI % out tot NEW 43 31 42 42 47 5 Incidence Rate 279 317 265 21 317 318 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 59 83 11 74 96 1 171 4 22 2 896 13 38 12 21 714 924 14 Mild 192 51 36 249 496 33 256 4 33 1 97 49 72 611 39 1 81 616 35 Moderate 263 56 5 422 534 56 317 53 41 7 317 33 7 47 38 2 482 82 49 Severe 11 124 2 12 2 2 25 972 3 1 255 6 3 796 2 11 829 2 TOTAL 526 484 759 136 77 879 22 375 184 889 5 119 189 Total New Gen Dis/Con 1 182 32 1 663 25 1 367 567 93 891 417 77 11 577 785 ARI % out tot NEW 45 46 56 24 44 44 Incidence Rate 214 34 316 64 166 269 66

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 1.3.3 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 21 1 7 94 2 112 291 3 183 231 517 186 237 31 1 295 498 2 71 652 Under 5 yrs 5yrs+ All Ages 11 342 513 22 91 84 1 696 325 2 598 129 48 18 223 26 1 67 86 2 21 881 9 423 782 23 684 121 1 412 534 2 96 655 35 148 178 31 11 96 994 2 245 513 9 517 131 24 1 89 29 62 97 1 79 999 826 61 144 15 11 659 215 1 319 199 1 152 739 25 1 74 157 2 2 48 3 76 637 58 198 257 31 1 6 877 1 851 29 26 997 812 1 95 451 2 93 263 534 185 24 32 9 176 493 1 867 522 27 548 524 1 295 27 1 843 551 291 125 151 17 11 35 178 1 886 47 28 684 122 1 412 534 2 96 655 36 135 17 28 7 535 174 1 9 584 29 61 142 1 78 13 1 688 272 318 12 135 19 8 716 376 1 919 591 21 1 348 217 1 983 944 3 332 161 695 186 265 29 11 577 785 1 938 786 1 133 77 1 295 418 1 338 578 1 446 649 1 551 272 1 656 786 13 414 165 11 634 663 11 762 644 11 865 453 11 984 16 12 13 953 12 224 984 12 347 233 12 47 862 12 595 418 OPD New Diseases of Acute Respiratory Infection by Age Group, 21 3 14 3 2 2 1 1 Number of cases in millions 21 22 23 24 25 26 27 28 29 21 Year Under 5 yrs Five yrs + 12 1 8 6 4 2 Number of cases per 1 21 22 23 24 25 26 27 28 29 21 Year Under 5 yrs Five yrs + 67

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 1.3.4 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 15 13 28 2 3 5 2 668 574 1242 32 35 67 5 Mashonaland Central Mashonaland East 116 121 237 6 4 1 4 1 431 1 315 2 746 84 153 237 9 Mashonaland West 323 53 376 24 2 26 7 416 361 777 2 38 58 7 Matabeleland North 236 135 371 14 3 17 5 533 68 1 141 51 11 152 13 Matabeleland South 14 125 229 5 8 13 6 977 1 23 2 27 119 153 272 12 Midlands 64 71 135 2 3 5 4 758 866 1 624 71 13 174 11 Masvingo Harare Bulawayo Total 948 68 1 556 53 23 76 5 4 783 4 954 9 737 377 583 96 1 Source: T5 returns. 68

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 1.4 MALARIA 1.4.1 All Malaria New Cases by Province, 21 PROVINCE / CITY Suspected Cases Tested Cases Confirmed Cases Positivity Rate Manicaland 18 488 86 465 71 692 86.7 Mashonaland Central 5 28 8 37 68 949 85.8 Mashonaland East 78 985 86 447 56 385 65.2 Mashonaland West 51 921 26 433 11 889 44.9 Matebeleland North 24 924 47 63 28 237 6. Matebeleland South 5 512 3 715 1 339 36. Midlands 13 698 14 99 5 653 37.9 Masvingo 35 41 3 854 21 478 69.6 Harare City 6 238 1 989 1 724 86.7 Chitungwiza City 1 88 1 559 885 56.8 Bulawayo City 71 882 327 46.6 NATIONAL 453 573 388 686 268 559 69.1 1.4.2 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/1 5-14 yrs Rate/1 15 yrs + Rate/1 All Ages Rate/1 Manicaland 14 575 54 15 199 28 41 918 48 71 692 42 Mashonaland Central 12 151 72 1 167 3 55 631 97 68 949 64 Mashonaland East 8 126 4 14 36 35 33 953 47 56 385 42 Mashonaland West 2 17 1 2 43 6 7 469 1 11 889 9 Matebeleland North 4 952 38 9 113 37 14 172 37 28 237 37 Matebeleland South 113 1 258 1 968 3 1 339 2 Midlands 68 3 1 49 3 3 564 4 5 653 4 Masvingo 3 41 14 3 891 8 14 546 2 21 478 15 Harare City 165 1 99 1 46 2 1 724 1 Chitungwiza City 52 1 41 792 4 885 3 Bulawayo City 34 41 252 1 327 NATIONAL 45 96 24 47 927 13 174 725 25 268 558 21 Source - OPD returns excluding the Central Hospitals 69

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 1.4.3 Confirmed Malaria Cases by Province, 21 Incidence Rate per 1 7. 6. 5. 4. 3. 2. 1.. Masvingo Harare Chitungwiza Bulawayo PROVINCES 1.4.4 Confirmed Malaria Cases by Age Group, 21 3 25 Incidence Rate per 1 2 15 1 5 Under 5 years 5-14 years 15 years + Age Group 7

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 1.4.5 Confirmed Malaria Cases and Rainfall by Year Year Malaria Rainfall OPD Cases 2 1 533 96 13 68 21 1 564 342 11 424 22 1 348 137 5 616 23 1 547 177 8 64 24 1 83 181 8 4 25 1 484 91 5 76 26 1 585 723 5 64 27 1 25 555 5 832 28 1 18 43 6 263 29 146 664 7 48 21 268 559 7 784 NB-Data from 29 and onwards include confirmed cases only while for 28 and backwards included suspected and confirmed cases 1.4.6 Monthly Trends of Confirmed Malaria Cases, 21 MONTH All Cases Confirmed Cases January 33 14 17 473 Febuary 31 529 21 741 March 44 84 31 983 April 64 6 49 72 May 67 986 61 588 June 34 733 22 555 July 19 291 8 198 August 3 53 7 967 September 26 423 7 617 October 37 439 16 263 November 34 364 11 435 December 28 851 12 37 National 453 573 268 559 Cases (Thousands) 7 6 5 4 3 2 1 January February March April May June MONTHS July August September October November December 71

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 1.4.7 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 172 29 2.71 5.3 Mash Ctral - - - - Mash East 2398 84 3.5 3.98 Mash West 1371 139 1.14 16.47 Mat North 211 34 1.62 3.4 Mat South 2 2 1.. Midlands 176 12 6.82.8 Masvingo - - - - Hre City - - - - National 7318 318 4.35 4.1 1.4.8 Hospital Case Fatality Ratio, 21 1 8 Ratio 6 4 2 Manicaland Mashonaland Central Mashonaland East Mashonaland West Matebeleland North Matebeleland South PROVINCE/NATIONAL Midlands Masvingo Harare National 1.4.9. Provincial Hospitalization Rate 1 Incidence Rate 8 6 4 2 Manicaland Mashonaland East Matabeleland North Midlands Harare Province 72

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 1.4.1 Malaria Top 2 Districts, 21 Ranking District Incidence/1 1 Mudzi 18.4 2 Binga 126.2 3 Ump 12.1 4 Nyanga 112.3 5 Guruve 13.8 6 Shamva 97.7 7 Chimanimani 93.5 8 Rushinga 91.2 9 Mutoko 81.5 1 Mt. Darwin 77.8 11 Kariba 62.9 12 Mutasa 59.5 13 Chipinge 54.4 14 Bindura 43.5 15 Centenary 41.4 16 Chiredzi 41. 17 Hwange 32.2 18 Tsholotsho 3.5 19 Lupane 29.2 2 Mutare 28. 1.4.11 Malaria Incidence Rate/1 Population, Top 2 Districts, 21 Cases 2. 18. 16. 14. 12. 1. 8. 6. 4. 2.. MUDZI BINGA UMP NYANGA GURUVE SHAMVA CHIMANIMANI RUSHINGA MUTOKO MT. DARWIN KARIBA MUTASA CHIPINGE BINDURA CENTENARY CHIREDZI HWANGE TSHOLOTSHO LUPANE MUTARE District 73

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 1.4.12 Malaria Incidence Rates/1 Population, Top 2 Districts, 21 74

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 1.5DIARRHOEA AND DYSENTERY CASES 1.5.1 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 91 411 53.8 3. - 75.6 6 692 3.9 1.2-9.3 Mashonaland Central 63 15 58.6 35.8-82.4 6 376 5.9 4.1-7.7 Mashonaland East 78 983 58.8 28. - 126.9 4 86 3. 1.4-9.9 Mashonaland West 48 822 36.8 26.5-81.3 3 417 2.6 2. - 11.4 Matebeleland North 38 447 5.4 36.4-6.8 3 665 4.8 1.9-11.2 Matebeleland South 27 214 38.5 25.8-57.3 1 27 1.8 1. - 3.2 Midlands 67 362 42.5 27.3-69.6 3 861 2.4 1.4-3.3 Masvingo 88 664 62. 46. - 83.4 5 255 3.7 1.4-5.6 Harare 31 4 19.6 689.4 Chitungwiza 9 87 28.2 193.6 Bulawayo 9 286 12.7 617.8 Total 554 213 44. 36 121 2.9 1.5.2 National Diarrhoea and Dysentery Cases and Incidence Rates by Province, 21 Source: T5 Returns 75

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 1.5.3 Monthly Trends of Diarrhoea and Dysentery, 21 Jan Feb Mar Apr May Jun Jul Diarrhoea 4 178 35 113 37 18 49 897 46 941 44 194 4 19 Dysentery 2 485 1 849 1 867 2 328 2 38 1 98 1 667 Aug 42 924 3 74 Sep 52 897 3 58 Oct 58 264 4 26 Nov 59 413 5 544 Dec 47 22 5 251 1.5.4 Monthly Trends of Diarrhea and Dysentery, 21 7 6 5 4 THOUSANDS 3 2 1 Diarrhoea Dysentery Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Source: T5 Returns 1.5.5 National Diarrhoea and Dysentery Cases, 24-21 24 25 26 27 28 29 21 Diarrhoea 272 127 36459 51772 531415 485272 345 45 554 213 Dysentery 51 53 75 868 66448 61 19 42626 2288 36 121 1.5.6 National Diarrhea and Dysentery Cases, 24-21 Cases 6 5 4 3 2 1 564 59 517 72 531 415 554 213 485 272 345 45 272 127 51 53 75 868 66 448 61 19 42 626 22 88 36 121 24 25 26 27 28 29 21 Year Diarrhoea Dysentery Source: T5 Returns 76

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 1.5.7 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 18 11 75.6 1 36 5.7 Chimanimani 7 223 57.9 1 167 9.3 Chipinge 21 815 71. 2 7 6.5 Manicaland Makoni 8 873 3. 595 2. Mutare 22 338 52.5 1 67 2.5 Mutasa 6 44 35.7 224 1.2 Nyanga 6 711 52.8 272 2.1 Bindura 8 215 53.3 792 5.1 Centenary 6 63 56.6 829 7.1 Guruve 14 652 73. 1 525 7.6 Mashonaland Central Mazowe 13 66 64.5 1 79 5.1 Mt. Darwin 7 746 35.8 887 4.1 Rushinga 5 994 82.4 561 7.7 Shamva 6 334 59.7 73 6.6 Chikomba 6 125 47. 217 1.7 Goromonzi 9 31 46.9 393 2. Marondera 4 69 41.5 318 2.8 Mudzi 8 592 112.3 757 9.9 Mashonaland East Murewa 1 41 62.2 621 3.7 Mutoko 11 67 84.1 293 2.1 Seke 8 264 47.1 433 2.5 U.M.P 1 487 73.2 77 5.4 Wedza 9 714 47. 284 1.4 Chegutu 9 791 4.2 574 2.4 Hurungwe 8 916 26.5 786 2.3 Mashonaland West Kadoma 9 561 37.4 44 1.7 Kariba 5 174 81.3 727 11.4 Makonde 6 584 35.1 44 2.2 Zvimba 8 796 36.8 486 2. Binga 7 66 58.5 1 452 11.2 Bubi 2 179 42. 211 4.1 Matabeleland North Hwange 8 687 6.6 57 4. Lupane 3 913 36.6 428 4. Nkayi 5 259 43.3 45 3.7 Tsholotsho 7 885 6.8 41 3.1 Umguza 2 918 36.4 153 1.9 Beitbridge 6 435 57.3 137 1.2 Bulilima 4 8 39.9 327 3.2 Gwanda 5 158 6.9 175 2.1 Matabeleland South Insiza 3 235 23. 24 1.4 Mangwe 3 96 33.4 157 1.7 Matobo 2 781 25.8 22 1.9 Umzingwane 2 429 36.5 68 1. Chirumanzu 4 94 53.7 147 1.9 Gokwe North 13 323 57.4 752 3.2 Gokwe South 11 926 37.5 841 2.6 Midlands Gweru 11 286 46.3 34 1.4 Kwekwe 8 45 27.3 665 2.2 Mberengwa 6 531 32.9 487 2.5 Shurugwi 6 658 69.6 264 2.8 Zvishavane 5 94 45.6 365 3.3 Bikita 14 17 83.4 946 5.6 Chiredzi 16 184 63.9 781 3.1 Chivi 7 747 46. 631 3.7 Masvingo Gutu 12 539 58.3 245 1.1 Masvingo 16 273 56.9 1 16 3.9 Mwenezi 1 39 76. 592 4.3 Zaka 11 361 56.7 954 4.8 Harare City 31 4 19.6 689.4 Chitungwiza City 9 87 28.2 193.6 Bulawayo City 9 286 12.7 617.8 National 554 213 44. 36 121 2.9 77

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 1.5.8 Top Ten Diarrhoea Incidence Rate (per 1) by District, All Ages, 21 14. 126.9 12. 1. 92.8 Incidence Rate 8. 6. 4. 83.4 82.4 81.5 81.3 76. 75.6 73. 71. 2.. District 1.5.9 Top Ten Dysentery Incidence Rate (per 1) by District, All Ages, 21 12. 11.4 11.2 1. 9.3 8. 7.7 7.6 7.1 6.8 6.6 6.5 Incidence Rate 6. 4. 5.7 2.. District 78

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 1.6. LEPROSY CASES 1.6.1 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 13 1.6.2 National Leprosy New Cases, 23-21 Year Cases 23 76 24 381 25 564 26 43 27 38 28 2 342 29 185 21 13 Source:T5 Returns 1.6.3 Leprosy New Cases, 23-21 25 2 15 Cases 1 5 23 24 25 26 27 28 29 21 Year 79

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 1.7 SCHISTOSOMIASIS (BILHARZIASIS) CASES 1.7.1 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 875 16 838 17 713 1. 4 875 Masho Central 2 143 17 592 19 735 18. 3 2 143 Mashonaland East 1 86 16 594 17 68 13. 2 1 86 Mashonaland West 457 7 341 7 798 5. 9 457 Matabeleland North 134 1 754 1 888 2. 5 134 Matebeleland South 99 2 93 3 2 4. 2 99 Midlands 421 1 887 11 38 7. 1 421 Masvingo 971 2 372 21 343 14. 9 971 Harare 2 1 85 1 285. 7 2 Chitungwiza 32 166 198. 3 32 Bulawayo 6 418 95 532 11 95 8. 3 6 418 National 3.4 9.2 8.3 3.4 Incidence per 1 875 16 838 17 713 1. 4 875 1.7.2 Schistosomiasis Incidence Rates by Province/City, 21 Incidence Rate per 1 2. 18. 16. 14. 12. 1. 8. 6. 4. 2.. Province/City 1.7.3 Schistosomiasis Incidence Rates by Age Group 1. 9. 8. 7. Incidence 6. 5. 4. 3. 2. 1.. Under 5 Years 5 Years and Above All Ages Age Group 8

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 1.7.4 Schistosomiasis (Bilharziasis) Outpatient Cases by Year and Age Group 21-21 Years OPD New Cases Incidence Rate/1 Rainfall Under5yrs 5yrs and Above All ages Under5yrs 5yrs and Above All ages Oct- Apr/mm 21 3565 8813 84378 1.2 9 6 11424 22 3153 13418 16571 1.2 9 5 5616 23 3897 111972 115869 2.2 11 1 864 24 5152 131116 136268 3.1 13 12 84 25 5959 145184 151143 3.2 14. 12.6 576 26 4169 16445 11614 2.2 1. 9.1 564 27 6233 139979 146212 3 13 12 5832 28 4189 95627 99816 2 9 8 6263 29 3996 96878 1874 2 8 6 748 21 6418 95532 11,95 3 9 8 7784 1.7.5 Schistosomiasis (Bilharziasis) Outpatient Incidence Rates by Year, 21-21 16 14 Incidence Rate 12 1 8 6 4 2 21 22 23 24 25 26 27 28 29 21 Under5yrs Year 5yrs and Above 81

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 1.7.6 chistosomiasis Incidence Rates and Rainfall Trends, 21-21 Year OPD New cases Incidence Rate/1 Rainfall(mm) (Oct-Apr) 21 84 378 6 1 52 22 16 565 5 1 67 23 115 869 1 1 67 24 136 268 1 67 25 151 143 13 5 76 26 11 614 9 5 64 27 146 212 12 5 832 28 99 816 11 6 263 29 1 874 1 7 48 21 11 95 8 7 784 1.7.7 National Schistosomiasis Cases for All Ages and Rainfall Figures, 21-21 Schistosomiasis -All ages 16, 14, 12, 1, 8, 6, 4, 2, 9 8 7 6 5 4 3 2 1 21 22 23 24 25 26 27 28 29 21 Years OPD New Cases(All Ages) Rainfall(mm),(Oct-Apr) 82

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 1.7.8 Schistosomiasis New Cases by Month, 21 Month January February March April May June July August September October November December Total Out Patient 4 849 5 317 5 459 5 763 7 471 8 731 8 399 11 23 13 22 13 54 11 412 7 9 11 95 Schistosomiasis New Cases by Month, 21 14 12 1 8 6 4 Number of cases in Thousands 2 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Months 83

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 1.8 INJURIES 1.8.1 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 2 437 29.9 3 7 7.3 2 283 26. 2 87 7.8 1 922 28.4 2 346 7.5 All Other Injuries 5 453 66.8 36 281 88.1 6 147 7. 31 456 85.8 4 68 69.1 27 364 87.4 Road Traffic Accidents 268 3.3 1 88 4.6 348 4. 2 341 6.4 171 2.5 1 598 5.1 Total 8 158 1 41 168 1 8 778 1 36 667 1 6 773 1. 31 38 1 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 1 334 3.4 1 525 7.3 876 33.3 932 6.3 787 31.2 1 125 7.1 All Other Injuries 2 896 66. 17 796 84.9 1 741 66.1 13 168 89.7 1 697 67.3 14 13 88.8 Road Traffic Accidents 157 3.6 1 631 7.8 16.6 584 4. 36 1.5 653 4.1 Total 4 387 1 2 952 1 2 633 1 14 684 1 2 52 1. 15 98 1 Province Midlands Masvingo Harare Under 5Yrs 5Yrs+ Under 5Yrs 5Yrs+ Under 5Yrs 5Yr+ n % n % n % n % n % n % Burns and Scalds 1 558 3.1 2 7.1 2 18 28.4 2 84 8.2 2 16 25. 1 789 8.2 All Other Injuries 3 456 66.8 24 291 85.9 4 95 69.6 3 52 86.9 6 48 71.8 18 379 84.2 Road Traffic Accidents 16 3.1 1 982 7. 144 2. 1 687 4.9 27 3.2 1 653 7.6 Total 5 174 1 28 273 1 7 112 1 34 579 1 8 424 1. 21 821 1 Province Total Chitungwiza Bulawayo Under 5Yrs 5Yrs+ Under 5Yrs 5Yrs+ Under 5Yrs 5Yr+ n % n % n % n % n % n % Burns and Scalds 17 2.1 21 1.8 722 26.1 531 8.5 16 213 28.2 19 175 7.6 All Other Injuries 634 74.9 1 588 81.6 1 996 72.2 5 39 86.4 39 698 69. 219 895 86.7 Road Traffic Accidents 43 5.1 148 7.6 48 1.7 314 5. 1 661 2.9 14 471 5.7 Total 847 1. 1 946 1. 2 766 1. 6 235 1. 57 572 1. 253 541 1. 1.8.2 Injuries in under-fives Burns and Scalds 28.2% All other Injuries 69.% RTA 2.9% 84

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 1.8.3 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 49 24 289 1 - - - - 47 435 482 4 Intracranial/internal injuries 16 114 13 2 - - - - 26 43 429 8 Open wounds & other injuries. 29 244 273 1 - - - - 49 288 337 4 Burns 69 76 145 3 - - - - 16 18 214 7 Poisoning & Toxic Effects 15 126 141 2 - - - - 6 98 14 Complications of injuries.& poisoning 6 149 155 1 - - - - 16 196 212 5 Total injuries 184 949 1 133 19 - - - - 25 1 528 1 778 28 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 21 224 245 9 49 248 297 83 1 978 2 61 1 intracranial/internal injuries 16 279 295 9 83 411 494 1 1 137 147 4 Open wounds & other inj. 18 17 188 4 66 314 38 1 41 59 631 1 Burns 75 68 143 3 1 75 175 11 144 98 242 7 Poisoning & Toxic Effects 5 5 4 45 49 1 5 79 84 4 Complications of injuries.& poisoning 35 23 265 12 4 4 15 38 53 2 Total injuries 165 976 1 141 37 32 1 97 1 399 23 298 2 92 3 218 19 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 71 67 678 8 - - - - intracranial/internal injuries 17 375 392 11 - - - - Open wounds & other inj. 39 475 514 9 - - - - 2 Burns 8 12 2 23 - - - - 2 2 4 Poisoning & Toxic Effects 1 12 13 3 - - - - Complications of injuries.& poisoning 1 38 39 1 - - - - Total injuries 29 1 627 1 836 55 2 2 4 2 Province Bulawayo National INJURY TYPE < Yrs 5 Yrs+ All Ages Deaths < Yrs 5 Yrs+ All Ages Deaths CFR CFractures - - - - 32 3 732 4 52 23.6 intracranial/internal injuries - - - - 168 1 719 1 887 44 2.3 Open wounds & other inj. - - - - 242 2 81 2 323 22.9 Burns - - - - 576 547 1 119 54 4.8 Poisoning & Toxic Effects - - - - 31 365 396 1 2.5 Complications of injuries.& poisoning - - - - 73 655 728 3 4.1 Total injuries - - - - 1 41 9 99 1 59 183 1.7 1.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. 3. - No Submission 4. All Central Hospital Did Not Report 85

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 11 LIFE EXPECTANCY 11.1.1 Life Expectancy at Birth by Year and Sex Year 1986 1988 199 1995 28 Male 61 61 58 52.6 4.8 Female 61 63 62 57.2 46.2 Average 61 62 61 55 43.5 Source: CSO Zimbabwe 1992 National Census Report CSO; Zimbabwe 1992 National Census Report CSO; 28 Inter-Censal Demographic Survey(ICDS); 11.1.2 Life Expectancy at Birth by Year and Sex 86

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 12 MORTALITY 12.1 INFANT MORTALITY 12.1.1 Infant Mortality Rates by Year Year 1988 199 1994 1995 *1999 *25/6 28 29 Infant Mortality Rate ( IMR) 61 66 53 8 65 6 63.5 6 Source: Zimbabwe National Statistics Agency * Zimbabwe Demographic and Health Survey 1999 25/6 Multiple Indicator Monitoring Survey (29) Infant Mortality Rates by Year 8 7 6 5 4 Cases 3 2 1 1988 199 1994 1995 *1999 *25/6 28 29 Year 87

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 12.2 INSTITUTIONAL PERINATAL DEATHS 12.2.1 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 1996 251 374 4 452 17 3 292 13 7 744 3 1 223 28.3 1997 255 23 6 283 24 4 561 18 1 844 41 1 143 31.9 1998 255 18 6 77 23 4 577 18 1 654 41 1 192 31.9 1999 263 133 6 116 23 5 32 19 11 148 41 1 296 34.7 2 272 657 6 341 23 4 811 17 11 152 4 1 61 29.9 21 24 256 5 365 22 4 212 17 9 577 39 62 14.9 22 217 835 4 863 22 3 43 16 8 293 37 697 15.4 23 26 832 3 83 14 2 871 11 6 71 25 59 2.3 24 27 463 5 299 19 2 82 1 5 869 23 63 2.8 25 252 747 7 764 3 4 665 18 12 429 48 79 3.7 26 248 359 4 899 19 3 392 13 8 291 33 83 3.9 27 264 987 4 364 16 4 365 1 9 678 36 19 4.6 28 279 846 5 261 18 4 532 16 9 238 38 95 4.2 29 18 332 3 649 33 1 192 11 318 3 6 867 21 135 978 3 84 22.2 2 478 17.9 372 2.7 7 647 SOURCE: T5 T9 routine forms 12.2.2 Institutional Mortality by Age Group and Year, 21 Deaths Under 1 y 21 111 168 914 6.6 596 1.1 7647 2 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 1 1-4 y 1994 3 622 242 8 15 2 28 24 3 47 36 886 3.3 1995 4 135 244 258 17 2 611 28 33 111 36 361 3.2 1996 4 326 251 374 17 3 75 29 39 48 45 9 3.8 1997 3 739 255 23 15 2 743 25 33 894 45 314 3.7 1998 3 254 311 272 1 1 775 16 18 588 44 745 4.7 1999 3 536 322 36 11 2 436 19 22 216 44 326 3.4 2 1 61 283 59 4 2 254 12 22 43 56 11 3.6 21 62 24 256 3 163 3 14 676 32 951 3.9 22 697 217 835 3 1 93 12 16 347 29 78 3.7 23 2 597 26 832 1 2 74 18 15 51 32 178 3.8 24 2 479 24 519 1 1 965 18 17 686 2 531 3.2 25 1 487 878 634 2 1 677 4 16 25 42 228 3.7 26 1 572 241 61 7 1 562 13 16 92 25 63 3.9 27 1 346 264 987 5 968 9 15 639 28 796 4.1 28 1 268 279 846 5 897 8 12 678 26 987 3.8 29 886 154 173 6 1 234 14 6 867 7 64 15 88

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 13 HEALTH FACILITIES 13.1 HEALTH FACILITY LEVELS IN ZIMBABWE 13.1.1 Health facilities in Zimbabwe, 21 Provinces Primary Level First Referral Level Second Referral Level Third Referral Level Total Harare 45 7 52 Manicaland 253 36 1 29 Mashonaland Central 13 13 1 144 Mashonaland East 168 22 1 191 Mashonaland West 128 22 1 151 Matabeleland North 92 17 19 Matabeleland South 15 18 1 124 Midlands 26 28 1 235 Masvingo 17 23 1 194 Bulawayo 34 7 41 TOTAL 1 331 179 7 14 1 531 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

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 13.2 RURAL HOSPITALS AND CLINICS/RURAL HEALTH CENTRES 13.2.1 Rural Hospitals and Clinics/Rural Health Centres by Ownership and Provinces/ Major Cities, 21 13.2.1.1 Rural Hospitals Province Total Govt/Public Sector Rural Councils Municipality ZRP/Army Mission Private Manicaland 11 11 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 41 41 13.2.1.2 Clinics/Rural Health Centres Province Total Govt/Public Sector Rural Councils Municipality Zrp/Army Mission Private Manicaland 82 132 12 4 31 3 288 Mashonaland Central 61 63 3 3 6 1 146 Mashonaland East 76 84 5 3 16 9 193 Mashonaland West 52 63 12 5 7 12 151 Matabeleland North 54 28 2 1 12 13 97 Matabeleland South 57 36 2 4 7 4 11 Midlands 81 73 22 4 2 23 223 Masvingo 85 63 4 2 26 16 196 Harare City 1 39 3 52 Chitungwiza City 1 5 1 1 8 Bulawayo City 3 2 18 41 Total 562 542 126 27 125 139 1 464 SOURCE: Provincial Health Profiles and City Health Department data 9

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 13.3 PROVINCIAL HEALTH INSTITUTIONS 13.3.1 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 1,327 119 45 147 453 127 645 Rural Hospitals 11 645 2 56 15 195 17 351 TOTAL 262 1972 121 56 162 648 144 996 Secondary Level District Hospitals 6 7 7 535 6 594 6 636 Other Referral hospitals 4 447 5 57 6 722 (District and other) TOTAL 6 7 11 982 11 1164 12 1358 Tertiary Level (Provincial and General) 1 Provincial Hospitals 1 21 1 12 1 1,164 1 443 General Hospitals 1 285 1 2,24 3 757 TOTAL 495 1 12 2 3188 1 443 3 757 Specialised Hospitals Quartenary Hospitals Central Hospitals 5 4,173 GRANT TOTAL 5 4173 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 46 42 41 23 POP/CLINIC 4,947 8,968 9,55 1,339 POP/SECONDARY LEVEL FACILITIES 28,351 152,462 221,839 218,835 POP/SECONDARY LEVEL BEDS 4,184 8,24 7,66 8,363 POP/TOTAL BEDS 519 664 6,278 469 Mat North Mat South Midlands Masvingo Total Facilities Beds Facilities Beds Facilities Beds Facilities Beds Facilities Beds Primary Level Clinic/RHc 93 466 97 21 172 73 1 461 4 71 Rural Hospitals 4 26 12 332 21 213 23 447 12 2499 TOTAL 97 726 19 332 222 213 195 1177 1 563 657 Secondary Level District Hospitals 7 667 7 516 9 594 7 75 55 6148 Other Referral hospitals 7 628 11 1 354 7 1 34 78 7642 12 (District and other) 2 69 1 739 121 3 TOTAL 7 667 14 1144 2 4638 14 3478 239 23888 Tertiary Level (Provincial and General) Provincial Hospitals 1 178 1 466 1 476 7 18,267 General Hospitals 4 TOTAL 1 178 1 466 1 476 11 18267 Specialised Hospitals Quartenary Level Central Hospitals GRANT TOTAL Mid Year Population 755,8 7,162 1,569,598 1,415,688 389 232 Area/sqkm 75,25 54,173 51,992 56,566 387 763 DENSITY/CLINIC 1 13 3 25 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 259 43 466 76 SOURCE: Provincial Health Profiles 91

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 13.4 GOVERNMENT AND MISSION HOSPITALS 13.4.1 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

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 13.5 HOSPITAL BEDS DISTRIBUTION 13.5.1 Hospital Beds Distribution by Function, 21 Function Of Manicaland Mashonaland Central Mashonaland East HOSPITAL BED General(G) 1 845 654 1 Mashonaland West Matabeleland North Matabeleland South Midlands 164 1 339 76 949 Maternity(M) 444 219 334 31 233 321 Paediatric 482 212 313 333 242 263 TOTAL 2 771 1 85 1 811 1 982 1 181 1 533 Population 1698 926 177 95 1344 344 1326 142 763 358 77 164 Expected Pregnant women 55 433 34 185 42 945 41 482 24 588 23 189-4 yrs population 267 618 169 67 22 156 199 749 131 728 19 969 5+ yrs Population 1431 38 98 298 1142 188 1126 393 631 63 597 195 5+ Population/G+S BED 88 1 449 1 2 876 938 655 3 675 1 497 736 5 98 1585 295 5 189 249 53 1335 792 PREGANTS/MAT.BEDS 125 156 129 134 16 72 34-4 POP/ Paeds. Beds 555 8 646 6 544 418 SOURCE: HS3/5 379 339 Masvingo 1 983 463 453 2 899 1429 846 47 387 22 449 129 397 634 12 487 Bulawayo 1 622 27 45 2 234 732 715 23 821 12 58 63 135 43 115 253 Harare 1 56 332 446 2 338 1579 679 49 34 285 428 1294 251 872 148 64 TOTAL 15 497 4 36 3 885 23 742 12245 374 43 58 1938 787 136 587 8 35 93 499 93

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 13.6 WAITING MOTHER SHELTERS (WMS) 13.6.1 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 82 1 22 33 29 29 11 59 275 Total Expected Pregnant Women 55 433 34 185 42 945 41 482 24 588 23 189 5 189 47 387 319 398 Area(sp km) 36 459 25 346 32 23 57 441 75 25 54 173 51 992 56 566 389 232 PREGNANTS /WMS 676 3 419 1 952 1 257 848 8 4 563 83 1 161 SqKm/WMS 445 2 535 1 465 1 741 2 587 1 868 4 727 959 1 415 SOURCE: Provincial Health Profiles and City Health Department data SqKM/WMS refers to Waiting Mother Shelters per Square Kilometer 94

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 13.7 SERVICES IN HEALTH INSTITUTIONS 13.7.1 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 14 82 - - 256 95.5 223 83.2 245 186 MASHONALAND CENTRAL 59 1 71 53.4 78 58.3 78 58.6 79 69 MASHONALAND EAST 115 22 63 36.2 15 6.3 15 86.2 118 137 MASHONALAND WEST 93 33 134 85.4 125 31. 131 83.4 129 126 MATABELELAND NORTH 68 29 64 59.3 8 74.1 72 66.7 83 97 MATABELELAND SOUTH 43 29 44 39.3 9 8.4 68 6.7 9 72 MIDLANDS 167 27 69 27. 92 35.9 124 48.4 144 194 MASVINGO 115 59 12 56.4 151 83.4 144 79.6 174 SUB TOTAL 764 291 547 39.7 977 52.4 99 55.7 888 1 55 CITY CHITUNGWIZA 2 4 1. 4 1. 4 1. 4 2 HARARE 39 31 1. 31 1. 31 1. 31 39 BULAWAYO 27 27 1. 27 1. 35 1. 17 27 SUB TOTAL 68 62 43.7 62 43.7 7 49.3 142 68 GRANT TOTAL 832 291 69 4.7 1 39 52.8 1 6 15. 1 3 1 123 GRANT 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 2 1 13.7.2 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 35 198 46 5 7 18 29 829 45 665 198 352 Routine X-Rays 23 531 25 815 4 62 32 62 34 726 139 645 No. of Films 42 561 53 465 7 58 4 55 126 126 38 741 Ultrasound Scan 767 4 575 1 22 3 813 9 812 29 292 C.T. Scans 153 27 1 596 1 937 TOTAL 12 21 13 382 2 33 16 29 217 925 677 967 96

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 13.7.3 Distribution of Pharmacies by Province/City, 21 Government Private Manicaland 38 2 Mash Central 15 1 Mash East 25 15 Mash West 24 21 Mat North 22 5 Mat South 2 5 Midlands 25 28 Masvingo 21 13 Harare 3 218 Chitungwiza 2 32 Bulawayo 4 5 Total 199 417 Distribution of Pharmacies by Province/City, 21 97

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 14 HUMAN AND FINANCIAL RESOURCES FOR HEALTH 14.1 SUMMARY OF STAFF RETURN S 28-21 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 81 16 4 71 42 39 42 42 42 46 Doctors 1753 738 824 53 67 1146 1767 916 851 48 Nurses All Grades 19347 13699 5591 29 11965 7382 19356 1729 2327 12 Environmental Health Department 2394 1157 123 52 131 1363 248 1433 147 42 Pharmacy 578 332 216 39 328 25 585 472 113 19 Radiography 461 261 195 43 242 219 466 26 26 56 Physiotherapy 475 368 89 19 316 159 47 377 93 2 Nutrition 11 787 218 22 778 232 13 95 125 12 Orthopaedic 48 35 7 17 16 32 49 33 16 33 Oral Health 323 181 121 4 172 151 324 239 85 26 Laboratory 633 317 263 45 184 449 572 417 155 27 Research Officers 46 36 51 59 24 22 46 24 22 48 Health Information 229 145 85 37 115 114 225 166 59 26 Health Promotion 76 38 24 39 32 44 73 45 28 38 Hospital Equipment 212 85 7 45 98 114 194 15 89 46 Administration General 7793 5879 1914 25 696 1697 7373 615 1268 16 Program Managers 42 9 45 83 8 34 118 9 19 67 Total 3551 2483 1983 31 2254 13447 3517 385 23718 19 98

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 14.2 BUDGET ALLOCATION 14.2.1 Government Budget Allocation Breakdown, 21 MINISTRY Allocation Office of the President and Cabinet 133 386 272 Office of the Prime Minister 13 271 Parliament of Zimbabwe 14 739 2 Public Service 88 154 5 Defense 241 472 586 Finance 311 539 737 Audit 3 587 Industry and Commerce 4 463 Agriculture, Mechanisation and Irrigation Development 19 55 8 Mines and Mining Development 5 379 Environment and Natural Resources Management 6 823 Transport and Infrastructural Development 63 365 5 Foreign Affairs 68 573 Local Government, Urban and Rural Development 48 79 Health and Child Welfare 232 398 Education, Sport and Culture 523 94 Higher and Tertiary Educ ation 28 122 4 Youth Development, Indigenisation and Empowerment 33 535 Home Affairs 236 752 Justice and legal Affairs 84 98 5 Media, Information and Publicity 5 122 Small and Medium Enterprises and Co-operative Development 4 794 Energy and Power Development 37 743 Economic Planning and Investment Promotion 2 181 Science and Technology Development 6 35 Women Affirsa, Gender and Community Development 7 267 Rural Housing and Social Amenities 25 777 Water Resources Development and Management 27 986 Constitutional and Parliamentary Affairs 12 27 Tourism and Hospitality Industry 3 737 Labour and Social Services 31 333 State Enterprises and Parastals 1 47 Information Communication Technology 4 369 Public Works 33 813 Regional Integration and International Co-operation 1 662 Lands and Rural Resettlement 8 292 Judicial Services Commission 15 515 TOTAL BUDGET 2 661 27 99

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 14.2.2 Vote 15. Ministry of Health and Child Welfare Budget, 21 ADMINISTRATION AND GENERAL 21 $ A Employment costs 1 94 B Goods and services 4 298 C Maintenance 161 D Current transfers 1 92 E Acquisition of fixed capital assets 19 155 F Capital transfers 3 27 54 MEDICAL CARE SERVICES A Employment costs 91 671 B Medical supplies and services 79 4 C Maintenance 5 D Current transfers 52 967 E Programme 16 6 F Hospital and health centres 21 66 G Acquisition of fixed capital assets 3 26 H Capital transfers 8 1 Sub Total 178 884 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 4 436 F Programmes 2 486 G Acquisition of fixed capital assets 8 H Capital transfers 11 Sub Total 19 642 RESEARCH A Employment costs 5 454 B Goods and services 447 C Maintenance 41 D Current transfers 39 E Programmes 367 F Acquisition of fixed capital assets 2 Sub Total 6 368 GRAND TOTAL 232 398 1

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 14.2.3 Ministry of Health and Child Welfare Expenditure by Sector, 21 SECTOR EXPENDITURE Administration and General 16 411 378 Medical Care Services 12 172 452 Preventive Services 1 182 794 Research 3 217 327 Total 149 983 951 Source: Health Expenditure Section (MoHCW) Ministry of Health and Child Welfare Expenditure by Sector, 21 11

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 14.2.4 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 21 21 21 211 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, 12,172,452 178,884, 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, 55,615 447, 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 157,127,72 174,181,72 149,983,951 232,398, Source: BUDGETS ESTIMATES for the year ending December 31 211 12

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 15 HEALTH SERVICES 15.1 PREVENTIVE AND PROMOTING ACTIVITIES 15.1.1 Ante-natal and Post-natal Care by Province/City, 21 ANC & PNC Statistics Manicaland Mash. Cent - Under First ANC visits 16 wks 4 238 4 342-16 - 27 wks 23 136 2 431-28 wks & over 17 197 15 614 Total 44 571 4 387 Repeat ANC visits 53 73 67 625 ANC referrals 9 195 2 699 PNC visits 11 979 18 77 T.T. 1st Dose 8 474 14 7 T.T. 2nd - 5th Doses 11 973 19 77 Mash. East 2 17 15 57 15 845 33 522 42 747 4 184 27 38 6 794 1 416 Mash. West 2 575 14 52 11 659 28 736 36 89 2 22 23 19 7 52 11 64 Mat. North 1 472 1 872 5 935 18 279 26 666 2 722 12 52 4 155 5 99 Mat. South 1 416 9 651 6 51 17 577 21 16 2 821 13 92 3 452 5 165 Midlands 3 159 19 232 16 526 38 917 37 61 6 36 8 24 7 162 1 177 Masvingo 6 952 26 348 13 57 46 357 6 8 6 41 36 431 8 71 14 76 Harare Chitungwiza 49 5 473 1 93 16 785 5 367 3 239 1 124 3 789 14 28 41 1 638 3 143 5 191 2 839 5 713 Byo National 446 27 526 2 856 149 79 5 653 122 42 8 955 299 277 12 481 48 537 2 798 45 433 22 337 18 317 1 78 65 267 2 974 16 758 Vital Drugs 12 27 4 998 9 27 6 64 3 192 8 3 4 331 1 344 36 118 1 335 59 475 Essential Drugs 8 9 3 825 6 9 3 839 2 371 5 18 3 344 6 535 36 115 947 41 92 Necessary Drugs 6 464 2 84 5 798 2 81 1 99 3 125 2 126 4 11 24 95 484 29 678 PAP Smear Tests Done 38 199 17 176 98 7 139 37 2 784 4 37 3 536 Institutional live births 21 924 21 395 22 61 12 388 8 412 7 922 16 18 24 648 18 864 8 355 11 122 173 658 Live births at home 9 15 8 565 8 719 7 199 4 1 3 67 6 636 4 137 1 253 1 545 787 55 473 Total reported live births 3 939 29 96 31 329 19 587 12 422 11 529 22 654 28 785 2 117 9 9 11 99 229 131 Expected births 47 4 25 7 32 399 35 48 2 458 17 467 43 12 41 894 32 699 8 856 14 81 319 51 Expected pregnant women 55 433 34 185 42 945 41 482 24 588 23 189 5 189 47 387 49 34 11 255 23 821 43 58 Expected women of child bearing age 411 82 252 122 324 39 316 948 172 91 163 567 38 629 348 739 51 864 85 376 194 243 3 152 599 1st ANC COVERAGE (general) vs Expected Pregnancies. Woman (%) 8.4 118.1 78.1 69.3 74.3 75.8 77.5 97.8 34.2 46.1 37.6 74.2 TT1 vaccination coverage vs Expected pregnant women (%) 15.3 41.2 15.8 18.1 16.9 14.9 14.3 17. 7.7. 7.5 16.2 TT2+ vaccination coverage vs CBA women (%) 2.9 7.8 3.2 3.7 3.4 3.2 2.7 4.2 2.8. 1.5 3.4 TT1-TT2+ VACCINATION DROP OUT ( %) -29.2-28.8-34.8-35.4-29.7-33.2-29.6-45.1-73.. -4.1-38.9 PNC COVERAGE vs Expect Births (%) 25.3 72.3 84.3 65.5 58.9 79.6 19. 87. 3.4 64.5 15.9 56.4 PNC COVERAGE vs Live Births (%) 38.7 6.3 87.2 118.4 97. 12.6 36.2 126.6 5.6 57.7 187.6 78.7 1st ANC-PNC DROP OUT (%) 272.1 123.4 22.8 23.9 51.7 26.4 374.4 27.2 1393.3-9.1-59.9 66. 13

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 15.1.2 Ante-natal and Post-natal Care by Province/City, 21 16 14 12 1 8 6 4 2 Percent - MASVINGO MIDLANDS MAT. SOUTH Province / City MAT. NORTH MASH. WEST MASH. EAST MASH. CENT MANICALAND ANC COVERAGE PNC COVERAGE 15

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 15.1.3 Post-natal Care by Year; 26-21 ANC & PNC STATISTICS 26 27 28 29 21 First ANC visits - Under 16 wks 55757 5428 41357 2354-16 - 27 wks 182286 119528 17338 11445-28 wks & over 134622 67662 6375 88255 Total 372665 24147 2124 22224 Repeat ANC visits 769887 78743 687862 412318 ANC referrals 54363 52171 5295 27219 PNC visits 267963 - - 16818 18317 T.T. 1st Dose 18186 168365 14569 8835 T.T. 2nd - 5th Doses 28953 31733 235475 141448 27526 14979 12242 299277 48537 45433 65267 16758 Vital Drugs - - - 51648 59475 Essential Drugs - - - 35628 4192 Necessary Drugs - - - 2376 29678 PAP Smear Tests Done 15193 15193 1782 181 3536 Institutional live births 18742 215666 182575 18332 Live births at home 39729 218 17129 45841 Total reported live births 148471 415684 35364 154173 Expected births 514517 5214 539722 545117 Expected pregnant women 698888 567174 56871 578574 Expected women of child bearing age 2931785 296111 39479 3121384 173658 55473 229131 31951 4358 3152599 1st ANC COVERAGE (general) vs Expected Pregnancies Woman (%) 53.3 43.6 22.1 38.4 74.2 TT1 vaccination coverage vs expected pregnancies women (%) 26. 29.7 9.4 15.3 16.2 TT2+ vaccination coverage vs CBA women (%) 9.9 9.9.8 4.5 3.4 TT1-TT2+ VACCINATION DROP OUT (%) -37.2-44.2-38.4-37.5-38.9 PNC COVERAGE vs Expect Births (%) 52.1.. 29.5 56.4 PNC COVERAGE vs Live Births (%) 18.5.. 14.3 78.7 1st ANC-PNC DROP OUT (%) 39.1 - - 27.6 66. Post-natal Care by Year; 26-21 1. 8. Percentage 6. 4. 2.. -2. -4. -6. 26 27 28 29 21 Year ANC PNC TT2 15

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 15.1.4 Maternity Care by Province/City, 21 Delivery Care Manicaland Statistics Institutional Live births < 25g 1 93 Total Institutional Live births 21 924 - by trained Live births at home TM 4 247 - by others 4 768 Total 9 15 Total live births 3 939 Still births - - Mash Cent 1 924 21 395 4 36 4 259 8 565 29 96 Fresh 588 267 Macerated 41 143 Total 998 41 Total institutional (live & still) births 22 922 Total (live & still) births 31 937 21 85 3 37 Early neonatal deaths 261 259 Maternal deaths 36 45 Maternal referrals out 2 666 1 37 Mash East 2 34 22 61 3 483 5 236 8 719 31 329 282 228 51 23 12 31 839 27 31 2 247 Expected births 47 4 Women of child bearing age 15-49 yrs 411 82 GENERAL FERTILITY RATE (x 1) 75.1 MATERNAL MORTALITY RATE (x 1) 116.4 Note: INST refers to Institutional 25 7 252 122 118.8 INST.LOW BIRTH WEIGHT RATE (x 1) 8.8 9. INST.DELIVERY COVERAGE (x 1) 48.4 87.2 TRAINED TM DELIVERY RATE (%) 13.3 14.2 INST. STILL BIRTH RATE (x 1) 43.5 18.8 INST. PERINATAL MORT. RATE (x1) 31.2 13.5 MATERNAL REFERRAL OUT RATE (x 1) 8.3 4.3 15.2 32 399 324 39 96.6 1.3 71.4 1.9 22.1 16. 7.1 98.9 Mash West 972 12 388 3 417 3 782 7 199 19 587 191 133 324 12 712 19 911 187 32 1 238 35 48 316 948 61.8 7.8 35.9 17.2 25.5 16.3 6.2 163.4 Mat North 72 8 412 1 973 2 37 4 1 12 422 19 82 191 8 63 12 613 69 19 57 2 458 172 91 71.8 8.3 42.1 15.6 22.2 15.1 4. 153. Mat South 631 7 922 1 585 2 22 3 67 11 529 117 84 21 8 123 11 73 16 9 1 4 17 467 163 567 7.5 8. 46.5 13.5 24.7 17.1 8.6 78.1 Midlands 888 16 18 3 15 3 531 6 636 22 654 25 186 436 16 454 23 9 563 4 2 67 43 12 38 629 59.5 5.5 38.2 13.4 26.5 18.9 9. 17.7 Masvingo 1 321 24 648 1 522 2 615 4 137 28 785 26 172 432 25 8 29 217 226 2 1 321 41 894 348 739 82.5 5.4 59.9 5.2 17.2 14.8 4.5 69.5 Harare 2 55 18 864 497 756 1 253 2 117 111 378 489 19 353 2 66 472 6 3 698 32 699 51 864 4.1 1.9 59.2 2.4 25.3 23.7 17.9 298.3 Chitungwiza 1 973 8 355 93 1 452 1 545 9 9 72 21 282 8 637 1 182 162 72 1 177 8 856 85 376 116. 23.6 97.5.9 32.7 27.7 11.6 727.3 Bulawayo National 988 15 724 11 122 173 658 256 24 484 531 3 989 787 55 473 11 99 229 131 52 2 299 98 2 124 15 4 423 11 272 178 81 12 59 233 554 184 2 759 1 338 2 675 19 97 14 81 319 51 194 243 3 152 599 61.3 72.7 8.9 9.1 76.2 55.7 2.1 1.5 13.3 24.8 12.4 18.9 22.2 8.5 84. 147.5 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 15.1.5 Low Birth Weight Rate (1) by Province/City, 21 25. 23.6 2. 15. 1.3 1.9 1. 8.8 9. 7.8 8.3 8.9 9.1 8. 5.5 5.4 5. Low Birth Weigh Rate (x 1) Perinatal Mortality Rate (x 1). PROVINCE / CITY 15.1.6 Maternity Care by Province/City, 21 1. 8. 6. 4. 2.. 12. 1. 8. 6. 4. 2.. Inst. Delivery Coverage % PROVINCE / CITY Inst. Delivery Coverage Perinatal Mortality Rate Still Birth Rate 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 15.1.7 Maternity Care by Year, 26-21 DELIVERY CARE STATISTICS 26 27 28 29 21 Institutional Live births < 25g 12 918 22 118 16 387 9 685 15 724 Total Institutional Live births 18 742 215 666 182 575 18 332 173 658 - by trained Live births at home TM 19 44 37 137 33 321 22 453 24 484 - by others 2 685 37 378 38 293 23 388 3 989 Total 39 729 74 515 71 614 45 841 55 473 Total live births 148 471 29 181 254 189 154 173 229 131 Institutional Still births - Fresh 2 64 3 276 3 44 2 125 2 299 - Macerated 1 289 2 771 2 46 1 524 2 124 Total 3 353 6 47 5 45 3 649 4 423 Total institutional (live & still) births 112 95 221 713 188 25 111 981 Total (live & still) births 151 824 296 228 259 639 157 822 178 81 233 554 Institutional Early neonatal deaths 1 964 2 938 2 94 1 192 2 759 Maternal deaths 243 325 316 22 338 Maternal referrals out 12 78 21 484 17 411 1 254 19 97 Expected births 514 517 52 14 525 135 545 117 Women of child bearing age 15-49 yrs 2 931 785 3 59 881 3 9 479 15.1.8 Maternity Care by Year 26-21 3 121 384 319 51 3 152 599 GENERAL FERTILITY RATE ( x 1 ) 51.8 94.8 82.2 49.4 72.7 INST. LOW BIRTH WEIGHT RATE (x 1) 11.9 7.6 6.4 8.9 9.1 INST. DELIVERY COVERAGE (x 1) 21.8 42.6 35.8 2.5 55.7 TRAINED TM DELIVERY RATE (%) 3.7 12.5 12.8 14.2 1.5 INST. STILL BIRTH RATE (x 1) 29.9 27.3 29. 32.7 24.8 INST. PERINATAL MORT. RATE (x 1) 47.4 4.5 4.1 23.1 18.9 MATERNAL REFERRAL OUT RATE (x 1) 8.4 7.3 6.7 6.5 8.5 MATERNAL MORTALITY RATE (x 1) 163.7 112. 124.3 131. 147.5 Note: INST refers to Institutional 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 15.1.9 Maternal Mortality Ratio/1 by Province/City, 21-21 21 22 23 24 25 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 45 3415 147.95 46 36941 124.52 48 3555 135.2 523 35762 1462.45 246 13911 187.91 Mash Cent. 35 23127 151.34 37 28464 129.99 29 26188 11.74 33 27188 121.38 9 89766 1.26 Mash East 25 18669 133.91 23 28548 8.57 24 27844 86.19 28 2837 98.92 99 96213 12.9 Mash West 4 25578 156.38 64 Masvingo 37 18369 21.43 2 Mat North 18 17777 11.25 14 Mat South 35 63955 54.73 17 Midlands 45 3482 129.3 53 Chitungwiza Hosp. 3 382 78.53 14 Harare Hosp. 149 11923 1249.69 162 Parirenyatwa Hosp. 7 3298 212.25 9 Harare Urban 1 2542 3.94 - UBH 1 1367 73.15 12 Mpilo 35 5731 61.71 55 Bulawayo Urban 2 8184 24.44 3 TOTAL 329 28494 117.29 3 3267 211.45 56 1499 19.49 3 17389 8.51 14 54527 31.18 32 38251 138.56 52 4427 316.24 1 1336 1212.57 3955 117.56 1 12471-2556 469. - 9867 557.41 814 37 27363 19.64 296 27875 14726 17572 3699 35427 1278 3195 6722 232476-2.9 61 23.72 23 79.67 17 88.65 38 146.78 37 78.25 3. 27 312.99 7. 3. 22 3157 17175 19834 39512 392 4354 979 3114 24994-3 - - 127.32 822-158 566 2956 193.61 18 133.92 81 85.71 66 96.17 213 94.39 141 68.9 54. 315 224.79 63 -. 12 278.8 1653 97992 183.69 54234 149.35 5295 124.75 12339 177. 12375 113.94 3576 153.95 68817 457.74 1869 337.8 71736 4.18 - - 3699 332.26 25545. 116673 162.59 26 27 28 29 21 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 42 2 679 23.1 61 38294 159.29 41 35278 116.22 55 26659 26.31 36 3939 116.36 Mash Cent. 14 13 931 1.5 35 29234 119.72 36 26148 137.68 16 16813 95.16 45 2996 15.2 Mash East 24 14 77 163.19 32 31284 12.29 39 281 139.28 25 18883 132.39 31 31329 98.95 Mash West 17 14 139 12.23 41 32356 126.72 56 3778 181.95 26 11773 22.84 32 19587 163.37 Mat North 18 7 66 234.99 27 1745 154.73 26 15817 164.38 17 882 193.14 19 12422 152.95 Mat South 8 8 346 95.85 4 16925 23.63 24 15194 157.96 13 1546 123.27 9 11529 78.6 Midlands 24 15 567 154.17 31 31622 98.3 2 25612 78.9 14 16192 86.46 4 22654 17.66 Masvingo 14 19 299 72.54 34 39771 85.49 6 38434 156.11 32 24294 131.72 2 28785 69.48 Chitungwiza Hosp./Urban 1 5 268 189.83 11 9213 119.4 11 6293 174.8 5176. 72 99 727.27 Harare Hosp. 12 3 595 333.8 1 435 229.89 - - - - - - - - - Parirenyatwa Hosp. 13 2 74 48.77 5 1214 411.86 - - - - - - - - - Harare Urban 3 9 193 32.63 2 11112 18. 2 12453 16.6 2 9365 21.36 6 2117 298.26 UBH 16 2 618 611.15 11 898 1224.94 - - - - - - - - - Mpilo 28 6 927 44.22 19 3719 51.89 - - - - - - - - - Bulawayo Urban 3 838. 11 4287 256.59 1 3623 27.6 2 567 35.27 1 1199 83.97 TOTAL 243 148 471 163.67 325 267814 121.35 316 237631 132.98 22 154173 131.2 338 229131 147.51 Live Births Live Births Live Births 1 19

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 15.1.1 Major Causes of Maternal Mortality, 21 RANK CONDITION NUMBER PERCENT (%) 1 Sepsis 23 7.9 2 Haemorhage 17 5.8 3 Hpovolaemic shock 15 5.2 4 Pneumonia 14 4.8 5 Haemerrhoegic shock 12 4.1 6 Eclampisia 11 3.8 7 Anaemia 1 3.4 8 Malaria 1 3.4 9 Menengitis 9 3.1 1 Pueperal Sepsis 9 3.1 11 Other 161 55.3 TOTAL 291 1. Major Causes of Maternal Mortality, 21 11

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 15.1.11 Comparison of Reported Maternal Deaths by Notification Forms vs T5 Forms by Year Year 22 23 24 25 26 27 28 29 21 Maternal Notification Forms 163 163 121 29 322 244 189 299 291 T5 Form 3 296 822 1653 243 325 316 22 338 % of Notified Deaths 95.4 54.33 55.7 19.83 86.1 132.51 99.8 148.2 86.9 Maternal Deaths Reports by Notification Forms and T5 Forms, 23-21 18 16 14 12 1 Number of Forms/Deaths 8 6 4 2 23 24 25 26 27 28 29 21 Year Notification Forms T5 Form 111

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 15.1.12 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 3 274 163 266 1 193 11 4 679 124 885 141 119 892 499 51 695 41 43 419 4 55 15 756 CONDOMS 2 259 656 3 838 693 2 63 419 1 967 36 1 342 52 1 649 8 2 649 1 INJECTABLES 229 62 466 39 48 73 354 47 421 115 37 439 37 29 924 31 44 476 279 55 791 IUDs 19 65 1 465 26 21 675 2 371 25 14 92 17 91 6 953 2 695 NORPLANT 8 171 3 75 513 1 93 1 22 919 1 367 433 877 188 426 VASECTOMY 5 1 25 15 61 3 TUBAL LIGATION 1 64 2 63 22 9 39 OTHER 555 793 67 2 473 391 1 66 1 58 27 1 549 TOTAL 113 121 236 925 52 242 672 27 333 178 321 266 157 791 1 82 84 144 882 9 38 11 563 211 286 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 483 154 849 15 883 3 291 133 7 344 13 675 6 1 28 291 69.94 1 41 966 5.3 CONDOMS 1 524 95 536 116 127 5 1 51 837 - - 19 8 431 91.82 INJECTABLES 57 63 18 8 21 4 13 6 5 757 1 534 1 4747 27.71 49 4 1.98 IUDs 21 993 1 496 71 43 857 1 26 14 24 114 92 18372 1.25 222 486 1.7 NORPLANT 436 73 1 4 2 511 1 4738.32 7 249.4 VASECTOMY 9 91 55. 146. TUBAL LIGATION 6 8 21 28 26 255.2 281. OTHER 45 1 38 969 18 329 139 11121.76 11 26.5 TOTAL 23 2 221 553 25 154 43 857 8 6 194 13 476 222 9 1 14732 1. 2 7 823 1. 112

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. 1.32 92 1.25 1 27.71 Contraceptive CONDOMS ORAL PILLS 6 69.94. 2. 4. 6. 8. 1. Percentage Supplied ZNFPC GOV - OTHER 113

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 15.1.13 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 1 6 39 962 3 37 45 22 737 27 426 25 23 68 1 125 18 292 551 22 331 Repeat Visits 13 61 196 963 22 25 267 4 596 15 895 241 134 111 677 65 852 331 68 49 TOTAL 113 121 236 925 52 242 672 27 333 178 321 266 157 791 1 82 84 144 882 9 38 % NEW CLIENTS 88.5 16.9 57.7 15.4 83.2 15.4 9.4 15. 62.4 21.7 62.5 24.7 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 9 835 32 196 22 71 35 591 6 84 43 857 1 874 94 4 14 21 24 9.5 248 981 16.9 45 5 26.6 Repeat Visits 1 728 179 9 31 185 962 19 7 6 726 1 9 336 21 66 9.5 1 221 321 83.1 1 242 387 73.4 TOTAL 11 563 211 286 23 2 221 553 25 154 43 857 8 6 194 13 476 222 9 1. 1 47 32 1. 1 692 392 1. % NEW CLIENTS 85.1 15.2 98.7 16.1. 24.2 1. 21.8 48.5 3.7 9.5 16.9 26.6 114

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 15.1.14 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.77 662149 5935 48.7 639618 4921 41.2 46353 31258 31.5 41224 31694 43.9 218313 Condoms.11 2259656 24763 23.7 3838693 4268 35.2 263419 22613 22.8 196736 21557 29.9 134252 Injectables.25 834 276 19.2 56613 14153 11.8 59163 14791 14.9 4934 12335 17.1 4246 IUDs 2.5 19 48. 8 2.2 19 273.3 475 1188 1.6 98 Norplant 5. 4 2.. 2 1.1. Others 12.5 698 8725 8.3 1111 13888 11.6 2422 3275 3.5 429 5363 7.4 138 TOTAL 14566 1. TOTAL 11951 1. TOTAL 9939 1. TOTAL 72136 1. 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.77 536641 4128 38.4 85111 61932 55.8 71 5385 1.3 7616 586 6.8 16557 Condoms.11 26491 293 27. 152495 1672 15.1 536116 38745 97.1 1275 1392 16.1 151837 Injectables.25 711 17525 16.3 64942 16236 14.6 811 228.5 4261 165 12.3 1785 IUDs 2.5 259 648.6 45 113.1.. 11 Norplant 5. 17 85.1... Others 12.5 1513 18913 17.6 1274 15925 14.4 343 4288 1.1 447 5588 64.7 317 TOTAL 1748 1. TOTAL 1197 1. TOTAL 39915 1. TOTAL 8631 1. TOTAL MAT. NORTH MAT. SOUTH Equivalent CYP Number Equivalent CYP Number % Issued Number % 16793 28.7 164819 12678 18.6 14713 25.1 16498 1871 26.6 1512 17.9 5167 1292 19. 245.4 17 268.4.. 1635 27.9 1928 241 35.4 58612 1. TOTAL 6819 1. BULAWAYO TOTAL Equivalent CYP Number Equivalent CYP Number % Issued Number % 1274 6.5 3939211 3316 25.9 11527 59.2 198431 589841 5.5 2696 13.8 497272 124318 1.6 28.1 123 38.3. 41 25. 3963 2.3 1179 147375 12.6 19487 1. TOTAL 1167763 1. 115

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 15.1.15 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 2 4 6 8 1 Percentage of CYP Supplied ORAL PILLS CONDOMS INJECTABLES IUDs OTHERS NORPLANT 116

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 15.1.16 Methods of Contraception by Year 27 28 29 21 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.77 5 994 23 461 79 47.9 5 434 79 418 6 48.3 3 12 98 24 75 42.7 3 939 211 33 16 38.5 CONDOMS.11 2 533 388 225 23 23.4 19 97 152 29 284 24.2 13 56 747 143 88 25.4 19 8 431 28 312 26.5 INJECTABLES.25 941 927 235 482 24.5 833 37 28 259 IUDs 2.5 7 956 19 89 2.1 4 19 1 48 24. 498 482 124 621 22.2 497 272 124 318 15.8 1.2 7 686 19 215 3.4 1 23 3 8.4 NORPLANT 5. 3 92 15 46 1.6 3 192 15 96 1.8 4 41 22 5 3.9 41 25. OTHERS 12.5 482 6 25.6 381 4 763.5 1 66 13 325 2.4 11 79 147 375 18.7 TOTAL 962 959 1. TOTAL 866 319 1. TOTAL 562 329 1. TOTAL 786 233 1. 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 4. 2. Percentage of CYP Supplied. ORAL PILLS CONDOMS INJECTABLES IUDs NORPLANT YEARS 27 28 29 21 117

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 15.1.17 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 -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ -11 1+ 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 44 481 8 38 454 3 39 538 11 3 375 15 269 12 893 13 39 946 27 11 596 18 24 357 9 46 12 419 737 278 788 817 Polio 1 37 999 313 35 526 97 36 87 246 28 295 198 14 656 295 16 425 133 39 799 1 133 13 364 634 27 411 82 9 83 12 16 269 528 276 417 3 671 Polio 2 31 557 193 31 431 35 33 281 136 25 519 166 12 226 558 14 921 159 35 553 79 1 637 627 26 356 15 8 738 12 14 826 35 245 45 3 41 Polio 3 27 814 297 3 46 Polio booster 19 58 31 774 49 31 464 187 23 2 24 21 938 19 79 1 425 999 7 946 14 5 352 11 578 33 59 1 389 174 8 637 97 22 296 25 426 34 24 473 8 952 5 53 14 9 548 227 874 5 2 9 766 174 296 Pentavalent 1 2 19 56 33 312 26 21 263 58 2 135 35 9 25 19 8 827 11 22 465 23 81 23 24 5 645 8 789 173 35 228 Pentavalent 2 16 724 11 29 785 4 19 554 58 18 123 24 7 724 7 99 13 2 146 37 9 22 455 1 5 75 8 33 155 915 184 Pentavalent 3 15 86 12 28 488 25 19 32 72 16 359 55 7 295 8 7 642 39 2 315 76 71 21 679 1 4 951 8 39 149 232 283 DPT 1 2 657 18 9 5 352 26 365 62 11 14 125 28 1 89 117 142 2 2 892 29 12 633 476 DPT 2 2 534 16 67 4 863 19 314 33 9 127 7 952 44 137 3 2 526 1 11 462 19 DPT 3 2 381 18 DPT booster 14 25 18 819 14 4 318 21 225 12 56 11 343 66 7 5 341 127 15 6 449 1 34 43 75 146 13 34 2 14 7 2 671 2 138 2 1 99 37 5 761 14 47 DT 1 64 9 191 19 37 27 33 24 93 537 43 453 198 152 1 311 9 44 1 212 49 33 151 2 974 3 236 DT 2 471 19 36 DT booster 9 523 13 8 63 138 5 56 93 9 353 8 434 33 136 3 665 71 63 5 113 97 15 43 318 9 34 16 1 26 618 14 1 97 11 94 1 574 866 3 956 75 42 Measles 36 75 1 21 3 128 3 297 29 988 439 24 239 988 11 43 943 13 953 733 33 31 1 8 168 2 516 23 526 5 6 331 55 12 718 226 23 262 1 269 Adverse Effects 887 8 185 215 34 63 53 131 3 779 1 2 431 Expected children < 1 yr 55859 3742 3732 42315 42827 2863 22584 52551 44973 555 1121 22714 411236 BCG COVERAGE < 1 yr 79.6 13.8 93.4 7.9 53.3 57.1 76. 25.8 48.2 84.5 54.7 67.8 POLIO 3 COVERAGE < 1 yr 49.8 82.1 74.4 53.8 36.4 62.2 63.9 19.2 5.3 79.9 62. 55.4 Pentavalent 3 COVERAGE < 1 yr 27. 76.9 45.6 38.2 25.5 33.8 38.7.2 42.9 44.2 35.4 36.3 MEASLES COVERAGE 65.8 81.4 7.9 56.6 39.9 61.8 62.9 18.2 46.5 56.5 56. 56. POLIO 1-POLIO 3 DROP OUT (%) 26.8 14.4 14.7 18.6 28.9 14.5 15.6 35.4 7.2 8.7 13.4 17.6 Penta 1-Penta 3 DROP OUT (%) 25. 14.5 9.2 18.8 2.7 13.4 9.6 6.2 6.6 12.3 8.5 13.8 POLIO 3-MEASLES DROP OUT (%) -32.1.9 4.7-5.3-9.6.7 1.7 5.4 7.5 29.3 9.7-1. 118

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, 21 16. 14. 12. 1. 8. 6. 4. 2.. Percentage Province/City BCG Coverage POLIO 3 Coverage Pentavalent 3 Coverage MEASLES Coverage 119

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 15.1.18 Vaccination Type by Year and Age Group, 21 IMMUNIZATION 26 27 28 29 21 STATISTICS -11 1-4 -11 1-4 -11 1-4 -11 1-4 -11 1-4 month years month years month years month years month years BCG 376 974 2 234 347 157 1 389 316 619 988 228 229 359 278 788 817 Polio 1 35 923 4 776 32 244 4 675 322 81 3 154 224 699 4 775 276 417 3 671 Polio 2 32 568 6 245 283 63 3 463 284 413 4 19 196 68 3 583 245 45 3 41 Polio 3 35 61 1 14 263 867 5 32 259 471 6 528 178 984 5 957 227 874 5 2 Polio booster 38 237 196 954 192 669 264 747 174 296 Pentavalent 1 - - - - - - - - 173 35 228 Pentavalent 2 - - - - - - - - 155 915 184 Pentavalent 3 - - - - - - - - 149 232 283 DPT 1 356 169 2 914 33 275 1 627 78 431 892 4 371 36 12 633 476 DPT 2 2 238 4 33 297 99 2 523 7 655 1 189 34 94 237 11 462 19 DPT 3 312 53 6 656 279 55 4 27 65 188 2 148 32 214 31 1 99 37 DPT booster 249 242 217 982 186 25 15 284 14 47 DT 1 19 336 1 352 6 965 4 584 15 331 2 974 3 236 DT 2 4 668 1 857 4 599 1 673 5 918 1 574 866 DT booster 39 581 158 462 128 442 113 499 75 42 Measles 33 653 244 475 264 472 16 981 252 977 17 657 26 32 61 98 23 262 1 269 Adverse Effects 4612 3569 2431 Expected children < 1 yr 3937 4138 43134 47165 411236 BCG COVERAGE < 1 yr 95.9 86.6 78.5 56.1 67.8 POLIO 3 COVERAGE < 1 yr 77.8 65.8 64.4 44. 55.4 Pentavalent 3 COVERAGE < 1 yr.... 36.3 MEASLES COVERAGE 84.1 65.9 62.8 5.6 56. POLIO 1-POLIO 3 DROP OUT (%) 12.9 17.6 19.6 2.3 17.6 Penta 1-Penta 3 DROP OUT (%) - - - - 13.8 POLIO 3-MEASLES DROP OUT (%) -8.2 -.2 2.5-15.1-1. 12

T H E Z I M B A B W E H E A LT H P R O F I L E 2 1 15.1.19 NHIS Completeness of the Data Submission by Province/City, 21 T 5 HS3/5 PROVINCE Returns Expected Returns received % Returns Expected Returns received % Manicaland 3 252 3 49 94 36 299 83 Mash Central 1 716 1 686 98 12 96 8 Mash East 2 472 2 411 98 276 21 76 Mash West 2 28 2 123 96 324 276 85 Mat North 1 464 1 428 98 24 187 92 Mat South 1 464 1 463 1 24 199 98 Midlands 2 676 2 632 98 336 32 9 Masvingo 2 328 2 292 98 324 296 91 Harare 468 447 96 36 Chitungwiza 96 96 1 12 Bulawayo 264 264 1 36 23 64 NATIONAL 18 48 17 891 97 2 232 1 888 85 121

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 15.2 CURATIVE ACTIVITIES 15.2.1 OPD Utilisation Rates by Province/City, 21 OPD Manicalan Mashonala STATISTICS d nd Central General 521 31 21 589 New EPI 15 23 12 365 Diseases Chronic 3 456 2 71 Total New Diseases 539 Repeat Visit General 1 51 216 932 56 655 264 Follow Ups Chronic 156 997 99 238 Total Repeats 257 929 155 52 Referrals Out 24 569 21 563 Total New Diseases 2 16 325 1 399 21 Total Patients (All Ages) 96 253 1 123 19 Total Attendences (All Ages) 1 21 236 56 487 Period Considered (Days) 365 365 Mashonal and East 1 1 266 13 3 266 69 142 211 18 333 23 777 326 254 91 236 458 365 823 253 451 14 235 365 Mashonala nd West 1 1 41 11 3 415 166 16 272 17 2 12 923 236 21 25 462 425 452 877 236 31 345 64 365 Matabelela nd North 362 371 56 63 115 7 444 523 499 8 1 45 12 356 413 897 254 236 563 635 54 814 365 Population 1 698 927 1 77 95 1 344 344 1 326 142 Visits Daily Average 3 291 1 536 2 129 2 531 Average Visit per Patient 1 1 1 % Repeats Visits 21 28 27 3 763 358 1 369 1 23 OPD Attendences Rate (x 1) 71 52 58 7 65 Source: T5 and HS3/5 Returns Matabelela nd South 23 9 1 111 126 322 24 559 69 15 9 36 456 53 959 458 264 589 438 22 232 866 365 77 164 638 1 46 33 Midlands 377 13 3 91 236 666 394 812 155 325 112 267 16 523 848 236 963 21 489 522 589 23 365 1 585 295 1 614 1 45 37 Masvingo 433 14 2 25 562 425 45 12 173 214 156 329 19 235 449 235 925 635 76 344 788 1 365 1 429 846 2 159 1 42 55 Harare 83 18 11 125 145 236 112 56 146 215 32 69 25 281 36 715 883 614 91 256 1 23 12 365 1 579 679 2 83 1 21 65 Chitungwi za 32 7 1 15 12 42 4 447 11 17 2 6 3 23 53 34 133 523 16 25 55 369 365 35 44 152 3 32 16 Bulawayo Annual Average 131 11 3 Total 632 253 337 3 4 45 523 11 17 133 279 111 3 15 37 799 146 266 267 594 3 211 123 1 156 75 38 9 452 51 61 1 354 92 953 1 115 432 51 167 99 2 15 884 456 14 966 179 588 199 425 825 628 9 97 54 477 25 648 917 7 787 5 566 785 61 456 7 217 477 365 365 365 732 715 1 145 38 12 595 418 1 553 1 648 19 774 1 1 1 11 28 28 77 53 57 122

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 15.2.2 OPD Utilisation Rates by Year, 21 OPD STATISTICS 26 27 28 29 21 New Diseases General 1 55 268 8 835 979 8 87 916 3,548,23 3,4,45 EPI 379 231 844 453 113 4,354 5,37 Chronic 83 141 38 89 31 198 33,748 37,799 Total New Disease Conditions 1 967 64 9 719 241 8 119 227 3,586,332 3,83,214 Repeat Visits/Follow ups General 3 651 848 2 519 352 1 837 115 842,224 9,452 Chronic 862 583 946 778 724 189 1,125,216 1,115,432 Total Repeat Visits/Follow -up 4 92 977 3 466 13 2 561 34 1,967,44 2 15 884 Referrals Out 288 522 34 28 216 3 116,933 179 588 Total New Diseases 1 96 117 1 544 6 17 743 499 1,2,629 9 741 462 Total Patients (All Ages) 6 745 928 6 259 43 5 433 84 8,882,8 7,787,5 Total Attendances (All Ages) 1 865 584 11 523 88 8 715 637 12 938 895 11 127 123 Period Considered (Days) 365 365 365 365 365 National Population 11 984 18 12 224 988 12 347 233 12,47,79 12,595,418 Visits Daily Average 29 769 31 572 23 878 19,11 19,774 Average Visits Per Patients 2 2 2 1 1 % Repeats Visits 39 36 32 28 28 OPD Attendences Rate (x 1) 57 95 94 56 62 Source: T5 and HS3/5 Returns 123

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 15.2.3 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) 6 255 53 467 549 737 623 7 46 675 65 329 6 587 214 6 587 214 Patients (Central Hospitals) 9 799 67 356 1. Total New Diseases 3 819 96 467 549 737 623 7 46 675 65 329 9 878 149 29 391 9 97 54 Population all ages 12347238 12347238 Attendance rate 8 8 2. Referrals Out 187 652 2 22 5 922 195 776 225 179 39 279 179 588 - Patients OPD Register (Province & City) 1 76 36 582 597 816 194 322 755 13 229 5 365 124 5 365 124 - Number of Patients (Centrals & Chit.G.H.) 9 799 1 421 881 3. Total Patients All Ages 1 516 7 582 597 816 194 322 755 13 229 7 777 26 9 799 7 787 5 - Total Attendances (Prov. & City) 3 33 194 112 88 112 88 3 258 954 129 88 6 125 236 6 125 236 - Total Attendances (Centrals + Chitungwiza General Hospital) 24 672 564 362 4. Total Attendances All Ages 3 33 194 112 88 112 88 3 258 954 129 88 11 124 956 24 672 11 127 123 OPD Preventative Services (Attendances) 9 797 373 488 215 971 411 11 256 999 63 512 12 246 225 119 323 12 365 548 Preventative Services as % of OPD Grand Total 76 81 9 78 33 43 76 57 5.OPD GRAND Total (All Services) 12 83 567 61 95 1 84 291 14 515 953 192 6 18 419 241 143 995 18 563 236 6. In-Patient Deaths -4 86 4 317 4 76 4 271 21 713 28 791 574 29 365 7. In-Patient Referrals Out 6 961 3 397 4 375 14 733 1 25 14 333 12 35 26 368 8. In-Patient Discharges 146 98 77 352 82 454 35 94 29 386 411 23 11 366 422 569 9. In-Patient Total Discharges (including Deaths) 141 292 81 669 87 214 31 175 51 99 439 994 11 94 451 934 124

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 15.2.4 National Workload (OPD Attendances-All Services; Inpatient Referrals Discharge and Deaths) by Year, 21 24 25 26 27 28 29 21 New Diseases/conditions (Province & City) 1127 845 11 765 99 1 882 334 9 359 636 7 526 4 7 566 32 6 587 214 Patients (Central Hospitals) 3185 289 156 385 334 28 86 216 9 799 36 322 67 356 1. Total New Diseases 14393 134 1 192 484 1 882 334 9 359 636 7 526 4 1 548 333 9 97 54 Population all ages 11865 453 11 984 18 12 13 949 12 224 988 12 347 233 12 47 79 12347238 Attendance rate 121 1 9 77 27 63 8 2. Referrals Out 28 56 356 568 39 995 261 128 196 1 23 539 179 588 - Patients OPD Register (Province & City) 3568 645 4 413 275 5 678 974 2 365 214 425 984 6 523 236 5 365 124 - Number of Patients (Centrals & Chitungwiza General Hospital 235 929 156 385 334 28 86 216 9 799 125 32 1 421 881 3. Total Patients All Ages 15498 292 4 413 275 5 678 974 2 365 214 425 984 3 235 147 7 787 5 - Total Attendances (Prov. & City) 8 894 61 8 894 61 1 231 525 4 274 11 3 388 42 6 147 698 6 125 236 - Total Att endances (Centrals + Chitungwiza General Hospital) 246 576 191 897 346 155 12 52 24 672 266 145 564 362 4. Total Attendances All Ages 16 95 689 9 841 74 1 577 68 4 274 11 3 388 42 7 34 632 11 127 123 OPD Preventative Services (Attendances) 2 89 634 1 62 434 1 277 766 12 277 6 11 32 511 12 451 321 12 365 548 Preventative Services as % of OPD Grand Total 14 52 49 59 63 54 57 5. OPD Grand Total (All Services) 19 7631 716 2 462 138 2 855 446 2 825 622 18 96 595 19 263 451 18 563 236 6. In-Patient Deaths 39 524 42 228 37 976 26 832 25 984 25 22 29 365 7. In-Patient Referrals Out 25 326 26 594 19 347 17 479 15 983 18 263 26 368 8. In-Patient Discharges 484 892 545 417 324 154 343 892 335 29 341 687 422 569 9. In-Patient Total Discharges (inc. Deaths) 549 742 587645 475528 37724 361274 382 364 451 934 SOURCE:T5 and HS3/5 Returns 125

126 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