East, Central and Southern Africa Health Community
Fostering Regional Cooperation for Better Health
Zimbabwe

Zimbabwe in the ECSA Health Community
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Zimbabwe joined ECSA health Community in the year 1980. Since joining ECSA Zimbabwe has hosted the ECSA Health Ministers Conference in 1985 and 2004 and was chairperson to the Advisory committee in 1987, 1999 and 2004.
Zimbabwe is an active member of ECSA with the ministry of Health and Child welfare supporting the activities and programmes of the ECSA Health community over the last two. Zimbabwe like all other member states provides financial contribution to the ECSA Health Community that ensured that the secretariat functions continue to be executed in a timely manner in line with the resolutions of the Ministers of health.
Since 1980 Ministers of Health in Zimbabwe have ensured that the country continues to share its experiences and challenges in implementation of various health programmes during ECSA forums such as the Directors expert committee, programme expert committees, the forums for best practice in health care and the annual ECSA Health Ministers Conference. Senior Ministry officials led by permanent secretaries have held various leadership roles in ECSA’s expert committees and played their part in ensuring the organization remains relevant, focused and responsive to the needs for the member countries.

1.0 Overview of key indicators
a. Socio-economic and Demographic
Indicator
Value
Source
GDP growth rate.
-5.3%
World Bank database 2005
Population dependency ratio (under 15 and over 65 years)
81%
Inter-Censal Demographic Survey (ICDS 2008
Life expectancy at birth (all gender)
43 years
ICDHS 2009
Population growth rate
0.7%
CSO 2007/08
 
b. Maternal and Child Health & Family and Reproductive Health
Indicator
Value
Source
Infant mortality rate per 1000 live births
67
MIMS 2009
Maternal mortality rate per 100 000 live births
725
Zimbabwe Maternal and Perinatal Mortality Study
Under five mortality rate per 1000 live births
94
MIMS 2009
Births attended by skilled health personnel
60%
MIMS 2009
Contraceptive prevalence
65%
MIMS 2009
Full immunization coverage amongst 1 year olds
62%
Routine Immunization Coverage Survey 2010
ANC coverage (%) at least one visit
93%
MIMS 2009
Unmet need for Family Planning
13.5%
ZDHS 2005/06
Total fertility rate
3.3
ICDS 2008
c. HIV/AIDS, TB and Malaria 
Indicator
Value
Source
Adult (15-49) HIV prevalence
11.6%
UNGASS 2009
Condom use at last high-risk sex
70.9%
ZDHS 2005/06
PMTCT coverage
95%
MOHCW HIV & AIDS data base 2009
Tuberculosis prevalence per 100 000 population
714
WHO Global TB control report 2009
Tuberculosis treatment success under DOTS
100%
MOHCW database 2010
% of pregnant women sleeping under an ITN
3%
ZDHS 2009/10
d. Health Systems
Indicator
Value
Source
General government expenditure on health as % of GDP
4.1%
Based on data in WHO statistics database 2010
Out of pocket expenditure as a % of private expenditure on health
50.4%
WHO statistics database 2010
No. of doctors per 10 000 population
2
WHO statistics database 2010
No. of nurses per 10 000 population
7
WHO statistics database 2010
No. of health workers per 10 000 population
Client Satisfaction Rate
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