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Z i m b a b w e

Progress and Challenges
Country Programme
Young Child Survival & Development
Water, Sanitation & Hygiene
Basic Education, Gender & Equality
Child Protection
Social Policy, Strategic Planning &
Fundraising & Donor Relations
Human Interest Stories

In the health sector. vaccines and technologies. I wish to express my gratitude to our partners in the development and donor communities for their continued commitment to the work that we do in support of the women and children of Zimbabwe. every pupil now has a textbook in core subjects while efforts are ongoing to increase access and improve quality through school improvement grants. and strengthening community resilience. Access to water. through the donor-supported transition funds in health and nutrition. Access to justice and welfare services for children exposed to violence. and provided technical The Government has led efforts to revive the social sectors through engaging donors to pool funds to revitalize social sectors support for health policy. in particular the transition funds.000 poor and labour-constrained households are receiving financial support benefitting 98. Though the situation still remains precarious for children and women. In education. primary education. UNICEF Zimbabwe . strengthening institutional capacities for service delivery. Zimbabwe had some of the best and most robust social sector systems in Africa. the status has changed for the better. water and sanitation. education. blood and other medical products. a change to the current framework for re-engagement with international financial institutions and donors becomes inevitable. and social and child protection have been eroded. teacher training. These funds are channeled through UNICEF and have been instrumental in building a better policy environment. The Government has led efforts to revive the social sectors through engaging donors to pool funds to revitalize social sectors. These systems however have not escaped the economic and social difficulties of the last decade. planning and financing.000 lives and registered 100. the funds have ensured availability of essential medicines. development-oriented planning as encapsulated in the Zimbabwe Agenda for Sustainable Socio-Economic Transformation (ZimAsset). access to water and sanitation.000 cases. More than 40. This decline was symptomized by the cholera outbreak of 2008 which claimed 4. sanitation and hygiene continues to improve through the ongoing rehabilitation of water and sanitation facilities in 14 small towns and the rural WASH program currently operating in 33 districts. many of the gains made earlier in child survival and nutrition. This change may have implications on the current funding modalities. and curriculum review. Reza Hossaini. As Zimbabwe moves from the transitional phase of the last five years to more long-term. procurement of vital program supplies.000 children through the social cash transfer program. It therefore becomes imperative for UNICEF to make the necessary anticipatory adjustments to ensure that the gains made are sustained. and social and child protection. Representative.Foreword In the decade after independence in 1980. for example. trained and retained appropriate numbers of staff in the health system. abuse and exploitation is being expanded through various justice for children initiatives and strengthening of case management systems. We look forward to your continued support in 2014. And to the Government of Zimbabwe whose leadership and collaboration has made it possible for UNICEF to achieve the results outlined in this report.

The adopted constitution was particularly poignant for UNICEF because. . for the first time in the country’s history and due to concerted advocacy. it included a Bill of Rights for children.

000 benefited from rehabilitated sewage collection 166.000 .000 received hygiene messages 384 new bush pumps benefitted 78.progress & challenges 90% 87% 95% 70% 69% 81% primary health centers offering free maternal and child health services health centers.000 young people participated in HIV-related activities 1:1 book ratio maintained in urban areas receieved improved water supply WASH health 1 million 6. with at least 80 % of essential medicines in stock immunization coverage health facilities provided integrated management of childhood illnesses and neonatal resuscitation skilled personnel increased from 67 per cent in 2012 to 69 per cent 52% education 96% 52% primary enrolment maintained secondary enrolment maintained skilled personnel increased from 67% in 2012 to 69% paediatric antiretroviral therapy increased to 52% Over 4.

1 million children benefited from cash transfers 165.000 adults and children living with the HIV 100% 69% of eligible HIV+ adults are on treatment 80% 74 dependents per 100 persons aged between 15-64 years. 20% while only 45% 45% of of HIV positive HIV+ children children adults areare on treatment on treatment HIV has contributed to a high orphan rate of 25% .000 98. received child protection services. including those with disabilities.000 vulnerable children. 60% 40% 272 out of 355 alleged child offenders received juvenile justice assistance.90.

It is implemented in close collaboration with the Ministries of Health and Child Care. cultural and religious practices. and the Health Transition Fund. while also addressing social norms underpinning behavior. Public Service. basic education. and child protection. These transition funds provide large-scale. multiyear predictable financing for critical national scale interventions. is set to run end in 2015. the Education Development Fund. . Environment. and sector strategic plans in health. education. Its focus is to help rebuild service delivery through high-impact interventions targeting the most vulnerable children. Between 2012 and 2015. Primary and Secondary Education. launched in 2012. Labour and Child Welfare. Among non-emergency rebuild service delivery through highimpact interventions targeting the most vulnerable children Country Programme The current country programme. Public Works and National Housing. Water. UNICEF manages and supports the technical implementation of large-scale pooled funds in health. and Local Government. the Zimbabwe UN Development Assistance Framework (ZUNDAF). UNICEF is managing large scale programmes targeting 33 rural districts and 14 small urban towns. gender inequality. Zimbabwe’s Country Programme is the third largest UNICEF programme worldwide. and harmful social. In WASH. and Climate. the country programme seeks to increase access and improve quality service delivery at national scale but with a special focus on the most disadvantaged districts and hard-to-reach communities. water and sanitation. They include the Child Protection Fund. and child protection. It is aligned with the Zimbabwe Agenda for Sustainable Social Economic Transformation (ZIMASSET).

newborn.revitalize the health sector and increase access to care through high impact and cost effective maternal. child health (MNCH) interventions and health system strengthening .

As a result. Furthermore. the United States Government. 2. With support from the Global Fund.000 units of blood to be administered free of charge to pregnant and post-partum women.000 per month to 8 provincial hospitals.000 midwives annually. UNICEF refurbished and revitalized 19 midwifery schools. were supplied to 7. critical post allowances were provided to doctors. UNICEF supported treatment of severe acute malnutrition through the supply of 9.160 Village Health Workers (VHWs). and exclusive breastfeeding for the first six months. early initiation of breastfeeding. The HTF continued to provide US$750 per month to 1. As a result.380 primary health clinics (PHCs). child health (MNCH) interventions and health system strengthening.500 per month to 62 district hospitals. including bicycles. resources have been mobilized to revitalize the health sector and increase access to care through high impact and cost effective maternal. According to the 2013 Vital Medicines and Health Survey. To improve access to quality MNCH services. and OPV. midwives and senior managers. there has been a decline in the number of facilities charging user fees for antenatal services from 19 per cent to 4 per cent. More than 19. This funding is primarily designed to defray routine running costs of health facilities. measles. Through the HTF. The HTF also provided allowances to all 18.500 in 2013. 68 per cent of pregnant women attending ante natal care were tested for HIV and 81 per cent of HIV positive pregnant women received anti-retroviral treatment (ART) for prophylaxis and for their health.000 boxes of ready-to-use therapeutic food (RUTF) to 1.800 health personnel and 3.Young Child Survival & Development The Young Child Survival and Development (YCSD) programme achieves its results through the Health Transition Fund (HTF). UNICEF supported the scale up of maternal iron and folate supplementation. .000 community sites managing acute malnutrition. immunization rates stood at over 90 per cent for BCG. and US$2. The capacity of all district hospitals to perform emergency obstetrics was enhanced with deployment of at least one doctor able to perform all the 9 signal functions of emergency obstetric and newborn care. US$1. UNICEF supported the introduction of the new Rotavirus vaccine to help suppress the number of diarrheal related deaths among children. 87 per cent of all health facilities (compared to 84 per cent in 2012) had 80 per cent of selected essential medicines to manage maternal complications and common childhood illnesses. for which they would charge user fees. To address under-nutrition and stunting. and UNICEF. PMTCT services were scaled up to 95 per cent of all facilities. which UNICEF manages.100 units are needed annually to prevent maternal deaths due to excessive bleeding. Utility kits. UNICEF procured 2. Pentavalent 3. newborn.500 VHWs.000 primary health care packages and bulk medicines valued at USD 5 million were purchased for distribution to health facilities. with a capacity to train 1. the number of doctors at district level has increased from 70 in 2011 to 126 in 2013 and practicing midwives from 500 in 2011 to 1. As of September 2013.

According to the 2011 Country Status Overview. water and sanitation facilities in 520 schools in five districts are at various stages of construction. soap. Six additional schools were provided with new boreholes under the Child-Friendly Schools Initiative while five schools in Chiredzi.3 million people in 33 rural districts. including growth centers. Sanitation & Hygiene improve access to water and sanitation for 350. UNICEF is in the second year of implementing a large rural water and sanitation program funded by the United Kingdom and the Swiss Government for 2. For other towns.000 people affected by or at risk of diarrhea and cholera in 12 districts benefited from this partnership. In 2013. Zimbabwe has not been spared from recurrent and sporadic outbreaks of water-borne diseases. Under the Zimbabwe Community Approaches to Total Sanitation (ZimCATS) project.000 people in 14 towns and 2. UNICEF. Reports from urban settlements. To respond to such emergencies. Efforts to improve access to water and sanitation services in rural areas have also been extended to schools. ZimCATS has now been scaled up to 31 additional districts. an additional investment of USD 234 million is required for water supply and USD 325 million for sanitation in urban areas if the country is to achieve the Millennium Development Goals on water and sanitation. Although strides have been made to ensure that water and sanitation services return to normalcy in urban centers. significant gaps remain. UNICEF also advocated with Bindura Municipality for a dedicated power line from Freda Rebecca Gold Mine Limited. six private suppliers of latrine construction materials are active in Binga and Hwange. is encouraging at least 1. German Agro Action. In 2013. A total of 378 new boreholes have so far been drilled and fitted with a Bush Pump under the program and are providing safe water to 136. potential private sector partners have been identified and discussions are ongoing on supporting operations and maintenance of water and sanitation services.000 people. a gold mine located just outside the town. Mercy Corps. Over one million people now have access to improved water supply following the completion of the rehabilitation of water treatment plants. Under a USD 30 million grant from the Government of Australia. to minimize power disruptions to the water pumping station works.000 people in 14 towns. and Oxfam GB are readily available to distribute water treatment tablets. Chipinge and Mhondoro districts completed the construction of latrine blocks. 372 communities in 15 of the 33 districts received new boreholes while 97 boreholes were rehabilitated in 9 districts.3 million people in 33 rural districts UNICEF manages two programs to improve community access to safe water and sanitation: the urban water and sanitation program and the rural water and sanitation program. In addition. Rusape has been able to obtain assistance from Delta Corporation to improve refuse collection. . oral rehydration solution and hygiene promotion material during emergencies.000 communities to become open defecation free through building their own sanitation facilities using locally available materials. the urban program aims to improve access to water and sanitation for 350. Partnering with local private business enterprises has proved advantageous to achieving results. Following the completion of the pilot project in Hwange and Binga. UNICEF partners Action Contre la Faim. together with government and NGO partners. approximately 27. paint a consistent picture of distribution systems in need of repair. For example.Water.

The teaching force is now stable. . a reflection of improving levels of access and participation. ECD kits and science kits. The Second-Chance Education program.000 children have been registered at 480 sites. Procurement and distribution of 2. provision of educational supplies. Thirteen thousand copies of ECD and Agriculture syllabuses were printed and distributed to schools with UNICEF support. 23. Secondary school completion rates rose substantially from 40 per cent in 2009 to 53 per cent in 2012. The improvement in primary pass rates can partly be attributed to the stabilization brought about by the Education Development Fund (EDF) managed by UNICEF. a key pillar of EDF.Basic Education. professional development of teachers. but low morale remains a bottleneck. is providing alternative learning opportunities for young people who are out of school. UNICEF continued to restock schools with textbooks. There has been an improvement in student results at the primary school level from 45 per cent recorded in 2011 to 49 per cent in 2012. UNICEF. Revision of the national curricula was initiated and should enhance the quality and relevance of primary education. continues to support teacher professional development.500 science kits for the teaching and learning of science in all secondary schools in the country is underway. and performance assessments. through EDF funding. To date. inclusive education outcomes through among others curriculum reform. Gender & Equality The Basic Education and Gender Equality program aims to improve equitable access to and completion of quality. Zimbabwe has had no comprehensive curriculum review for a decade.

A total of 5. provision of educational supplies. The School Improvement Grants program was piloted in 100 primary and secondary schools in Goromonzi district as well as 32 special schools. Figures from the Education Management Information System (EMIS) show that 436. inclusive education outcomes through among others curriculum reform. However. funding is inadequate and reaches only half of children in need. skills. and performance assessments Basic Education. Gender & Equality UNICEF supported the development of Teacher Minimum Standards. attitudes and the professional performance expected to be demonstrated by teachers in the classroom. care. professional development of teachers.000 school children received assistance from the Basic Education Assistance Module (BEAM) in 2013. knowledge. teachers and staff will be given information related to HIV prevention. UNFPA and UNESCO. through which all learners. . 37 of the 100 schools used part of the school improvement grants to offset fees for orphans and vulnerable children. and support. the Ministry of Primary and Secondary Education launched the National Life Skills. treatment.000 para-professional teachers graduated to support Early Childhood Development. Therefore. Through joint support from UNICEF. which would in turn result in a reduction in school fees and levies. Sexuality and HIV & AIDS Education Strategic Plan.improve equitable access to and completion of quality. a set of standards on teacher qualifications. It will provide financially constrained schools with resources to address their most basic needs.

upholding the best interests of the child in all matters relating to the child as well as rights on women and persons with disabilities .

Through the National Case Management System introduced by UNICEF and partners in 2012 to increase access to social welfare and justice services for vulnerable children. shows that approximately one in three girls and one in ten boys aged between 18-24 years has experienced sexual abuse in childhood. As there is no free legal assistance for children. Approximately USD 7. increasing from 44 per cent in 2011 to 76 per cent in 2013. managed by UNICEF. An additional 2. abuse. exploitation and neglect received free quality support and care services. to provide mobile birth registration services to beneficiary households on the social cash transfer program. Bulawayo. adopted in a referendum in March 2013. either directly or through their caregiver.5 million was disbursed to these households in 2013. launched in November 2013. only 7 per cent of alleged child offenders have legal representation.000 by the end of 2015. Statistics show that about 263 children are arrested monthly in the three main cities of Harare. almost 90. It also contains equally progressive rights on women and persons with disabilities. The CPF has contributed to a measurable improvement in children’s self-reported well-being. Only 3 per cent of the girls receive the professional help they need. Labor and Social Welfare. which include the principle of upholding the best interests of the child in all matters relating to the child. The National Baseline Survey on Life Experiences of Adolescents. UNICEF continued to support the Ministry of Public Service. non-civil service social workers are now allowed to perform legal functions related to child protection. 77 per cent of referred children had their cases diverted from the criminal justice system. . UNICEF’s advocacy has led to the adoption of ‘lawyers for children’ as a national priority while the Legal Aid Directorate is being put into place.000 in 2012. a new cadre of community paraprofessionals is now in place to identify. Zimbabwe also ratified the Optional Protocol to the CRC on the Sale of Children.000 poor children in 13 districts. manage and refer child protection cases. increasing by 50 per cent the social welfare workforce. working with the Registrar-General. As part of a national effort to create specialized judicial services for children.000 children at risk of and exposed to violence. and Mutare yet only 8 to 15 referrals are made per month and around 57 per cent of detained children remain in remand for up to two years. Child Prostitution and Child Pornography and the Optional Protocol on the UN Convention on the Rights of Persons with Disabilities. For the first time in Zimbabwe’s history. helping the families to meet costs such as bus fares to the local clinic for HIV testing and buying of food. More work however is needed to reach the UNICEF target of 12. compared to 1. Zimbabwe has a severe shortage of legal aid and probation officers while there is only one social worker for every 49.000 survivors of sexual violence had their cases heard in Victim Friendly Courts. Through the Child Protection Fund (CPF).Child Protection The new constitution. The Harmonized Social Cash Transfer program has since 2011 benefitted more than 98. UNICEF supported the Judicial Services Commission to expand the victim friendly courts to the whole country. Through the pre-trial diversion program launched in 2013 for children in conflict with the law.000 children. Birth registration remains low in Zimbabwe at only 31 per cent. contains strong provisions on child rights.

UNICEF’s analysis of the 2013 Budget shows that there is a huge discrepancy between planned and actual expenditure in all the social sectors. The Poverty Income Consumption and Expenditure Survey. and secondary analysis of DHS 2010-2011. Working with ZYC. The 2012 MDG report shows that Zimbabwe was not on track to achieve 5 of the 8 MDGs. which culminated in the presentation of recommendations to Cabinet Ministers and the Minister of Finance for consideration in the national budget. supported MTP monitoring and reporting. Apostolic Birth Camps Study. Zimbabwe Early Learning Assessment. UNICEF supported the costing of the Essential Health Benefit Package. the Urban Poverty Assessment and an assessment of children’s vulnerabilities to climate change. as well as the 2012/13 Census Post Enumerations Survey were completed. and subsequently supported the development of ZIM-ASSET. These documents provide critical evidence for identification of fiscal space and further costing/benefit analyses. Assessment Quality of Child Protection Services. UNICEF supported ZimStat to undertake studies such as the Labor Force and Child Labor Survey. UNICEF’s advocacy message was to keep children out of harm‘s way and ensure their access to basic services. and subsequently supported the development of ZIM-ASSET Twelve of the 15 studies planned in 2013 were completed: The National Baseline Survey on the Life Experiences of Adolescents. Strategic Planning & Communication Following the July elections. the 2012 census. inauguration and advocacy initiatives of the 20th Session of the Junior Parliament. rapid urbanization and constrained rural and urban livelihoods. the National Food and Security policy. Key highlights from these surveys include an annual population growth rate of 1. As a strategy to improve the quality and quantity of media reports on women and children. Anthony Lake in March 2013. through its analyses and advocacy efforts. Rural WASH Baseline Survey. During the visit of the Executive Director. 30 local journalists were trained in maternal/child health reporting. the Government’s Medium Term Plan (MTP) 2010-2015 was replaced by the ZIM-ASSET. through its analyses and advocacy efforts. H4+ Initiative for Maternal Newborn and Child Health Baseline. In partnership with Barclays Bank and the Zimbabwe Youth Council (ZYC). This message was repeated on numerous advocacy occasions. Cash Transfer Quantitative Baseline Survey.Social Policy. UNICEF supported the launch of the National Youth Policy by the President and also facilitated In an election year. supported MTP monitoring and reporting. UNICEF remained neutral and was available to share evidence-based information to the media whenever requested. Equity Studies on Child Poverty and Children Living with Disabilities.000 children participated in the Child-Friendly National Budgeting Initiative. Micronutrient Survey. Vital Medicines and Health Services Survey.1 per cent. the National Disability Survey. . attention was drawn to the need to keep children out of harm’s way and to give them uninterrupted access to basic social services. over 50. UNICEF. and the Social Protection Floor. extreme poverty at just under 70 per cent. the induction. School Grants Pilot Baseline Evaluation. resulting in tens of print and electronic media stories and formation of an association for health journalists.

UNICEF also supported the Government to develop adequate preparedness and response plans to mitigate the more immediate effects of flooding and hailstorm damage and drought-induced water stress on women and children. as well as university public health students. with particular emphasis on the minimum age of marriage. To improve capacity for strategic C4D planning. Th e report shows that in 2010. . with 3. Hygiene messages reached about 7 million people through the SMS platform of a popular mobile network service provider and IEC materials.000 people in 7 urban centers were reached with messages on safe hygiene. the economy. humanities and hospitality. a combined National Sanitation Week and Global Hand Washing Day commemoration was held in Uzumba Maramba Pfungwe district. The position paper will guide the review of marriage laws to bring them in line with the new Constitution and CEDAW and CRC. Over 160. The sanitationfocused Participatory Health and Hygiene Education approach to promoting demand-led sanitation is being rolled out to 31 additional districts.1 million people abandon open defecation. planning. It will ensure that 1. Human Rights-Based Approach to Cooperation In line with its commitment to reach populations least accessed by important services. UNICEF supported the consultations and drafting of the position paper on reforming marriage laws. UNICEF and the Institute of Environmental Studies (IES) conducted participatory consultations with school children to identify gaps in the current syllabus on climate change. mental health. UNICEF supported the Government to develop the Zimbabwe national climate change response strategy. and violence. and trafficking. drug and substance abuse.” the first since 2002. UNICEF strengthened the gender analysis. on the laws and services related to child sex tourism. particularly to minimize discrimination in service provision. monitoring and evaluation of most programs. participation in decision making. In collaboration with International Organization for Migration. women’s enrolment in tertiary colleges was limited to arts. supported the umbrella body of the Apostolic community to develop a 3-year Cross-Cutting Priorities strategic plan that will guide their members to revise some of their teachings that prohibit the use of modern medicine. to analyze gender issues in education. National Urban Hygiene Promotion guidelines on open defecation in urban areas have been developed and adopted by the Urban WASH sub-committee of the National Action Committee (NAC). UNICEF trained officials from the health. women constituted only 7 per cent of total enrolment in engineering and 9 per cent in mechanical and electrical engineering. immigration and tourism sectors. Environmental Sustainability Gender Equality and Mainstreaming The Government produced a report on “Women and Men in Zimbabwe.Communication for Development To raise awareness and promote safe hygiene practices. UNICEF conducted a workshop for its programme staff and implementing partners.000 people in attendance.

Sweden and Germany. Top to the The United Kingdom 100 million EuropeN Commission/EC Australia Sweden (SIDA) Germany GPE Swiss Development Cooperation Canada Norway Japan Finland Netherlands Ireland As of 17 Dec 2013 200 million 300 million .3 million. to review progress and challenges in program implementation and to enhance transparency and accountability. The UK and the EU currently fund 61 per cent of the Country Program. Through the Global Partnership for Education (GPE).The bulk of development aid from the international donor community continued to be channeled through the transition funds. A first consultative meeting was held with Sida.000. UNICEF held quarterly meetings with the UK. An additional Swedish Konnor 100 million will be made available for 2014 and 2015. or 75 per cent of the budget. which represented 79 per cent of external funding (Other Resources) required for the entire Country Program. By November 2013. the office had received USD 271. in that order. the only donor providing country-specific thematic funding of Swedish Konnor 100 million. the EU pledged to fund the Multiple Indicator Cluster Survey (MICS) by providing EUR 1.6 million. In addition. to be managed by UNICEF. the largest contributor to the Country Program (GBP 141 million).8 million grant for the Education Development Fund. the EU. Barclays Bank increased its funding to UNICEF’s Child-Friendly Budgeting Initiative by an additional USD 45. for in-service teacher training. The top five donors to UNICEF in 2013 were the UK.4 million. Zimbabwe received USD 23. Australia. Fundraising & Donor Relations EU/UNICEF bilateral relations resulted in a EUR 13.

as he talks about the history of the school. that he is proud of what has been accomplished in the past seven years. The headmaster says some of these challenges will be overcome as long as the current community cohesion continues to exist. though. Instead of children having their lessons out in the open. Their hard work attracted the attention of international organisations including UNICEF and the International Organization for Migration who stepped in to lend a helping hand. The ‘little’ school has grown by leaps and bounds with enrollment currently at 213 pupils (110 boys and 103 girls). Freddy Mufunganzira sits in his small office – a space meant to store books for the school. It is appropriate. It is clear.Educating Zimbabwe’s most disadvantaged children through community participation The school motto. Nyamukwarara was established as a satellite Child Friendly School in 2006 following the relocation of more than 200 families who were displaced by Operation Murambatsvina/Clean-Up Cam- paign in 2005. As well. With the assistance of parents and volunteers the first classes were held under a tree. the school now has four classroom blocks that cater for all the children at the school including an Early Childhood Development (ECD) class. to establish Nyamukwarara Primary School. printed on the white board in the small school office. . is simple: “Education is a necessity”. It is dimly lit – the school has no electricity. after finishing primary education the majority of the children have to walk more than 20 kilometers to the nearby secondary school. toilets and housing for the teachers. The Child-Friendly Schools initiative in Zimbabwe promotes the rights of children and aims to improve the quality of primary education through a set of multi-sectoral interventions. there is no nearby secondary school. The school’s Acting Headmaster Mr. A firm belief in that simple truth led the people of this community in Mutasa District in Manicaland. There is much that Nyamukwarara still needs beyond more classroom space: a clean water source. With their own hands they made mud bricks and have been supporting all the construction projects at the school. But the parents of this resilient community dreamed of bigger things for their children.

The resulting water challenges present an even more daunting list of problems. dancing and ululating. As noted by Mr. to date. Towards the end of 2013. including disease and interrupted schooling especially for girls. the community of Manjolo officially took over the management of the borehole from UNICEF and the Ministry of Water Resources Development and Management after many years without access to clean water. “In our culture. They are the ones on the front line of these problems. “Now that we have water. “We were competing for water with the livestock.” said Chido Mufiri. starting with the dry climate in the area.Changing lives through the provision of clean water in rural Zimbabwe In a ceremony punctuated by singing. my dream will be to see our children being committed to their studies… without being disturbed by elders sending them to riverbanks to fetch water. A systematic approach that focuses on quality or building to minimum standards. a villager who has a family living in Manjolo village. it is the role of the females to ensure the family is fed and that there is sufficient water for the family to use.” Prior to the construction of the borehole. The journey to water independence for Manjolo. has been successful but far from smooth.” says Peggy Masetela. the ward councilor. When it comes to water and sanitation. Walter Musanga an official with the Ministry of Water Resources Development and Management. Matebeleland North Province formally assumed ownership of a new borehole that provides clean water for its nearly 6. the people in Binga face a myriad of problems. the Manjolo community used to draw water from the same source with domestic animals. maintenance and use are equally important and there is need to invest now to save more future lives and impairments of many kinds.000 residents. “Drilling or rehabilitating boreholes and building latrines is not enough. “So women bear the brunt of this water scarcity.” says Chido.” . The region’s rainfall levels tend to be relatively low and erratic. the Zimbabwean village of Manjolo in Binga.

She positioned the baby on the bed and began extracting mucus from his mouth and nose. Anxious relatives waited eagerly outside the labour room at Karoi District Hospital in Mashonaland West Province. since April 2012. often as a result of pre-term delivery. The 26 -year-old was the only nurse on duty that night. I was very scared as it was the mother’s first baby. A young mother. thanks to support from UNICEF and the Ministry of Health and Child Care. asphyxia and infection. I immediately cut the umbilical cord and took the baby to the new-born care corner in the labour room. “When the baby was born. Musamba calmly took action.Nurses save more babies through newborn care corners Less than a day after taking part in a new-born resuscitation training workshop. Half of these deaths occur during delivery and the following 24 hours. Many babies with breathing complications can be saved if they receive the appropriate care during the first minute of life. Nurse Tatenda Musamba put her newly acquired skills to work when she saved the life of a baby boy who was not breathing. I then did bag and mask ventilation for 30 seconds. After that.” Musamba recalled. He took a breath. she stimulated the baby by rubbing his back and flicking the soles of his feet. . it was blue and completely floppy. Every year an estimated 11.” she said.” “That moment. had been in prolonged labour most of the evening. “and I could see the baby turning pink and breathing on his own. Musamba is one of the more than 150 health providers at 20 health facilities in rural Zimbabwe who. childbirth and postpartum care. Through the program. UNICEF has simplified health standards and tools that give nurses and other providers a step-by-step roadmap to deliver quality care to mothers and newborns. have been receiving specialized training in quality labour. “The baby was not breathing. “The baby was breathing but very feebly.000 newborns die during the first month of life in Zimbabwe. I felt overjoyed for having saved the baby!” Musamba said the young mother’s family was so thankful for saving the baby that they named him Tinotenda (we are thankful).” Recalling her training just hours before. pregnant with her first child.