Zimbabwe is situated in southern Africa, bordered by South Africa in the south, Mozambique in the east, Botswana in the west and Zambia in the north.
Administratively, Zimbabwe is made up of ten provinces (Manicaland, Mashonaland Central, Mashonaland East, Mashonaland West, Matabeleland North, Matabeleland South, Midlands, Masvingo, Harare and Bulawayo). According to the 2002 census, the population of Zimbabwe was 11.6 million.
Key MNH Indicators for Zimbabwe
• Maternal mortality ratio – 581/100,000 live births*
• Neonatal mortality rate – 39.2/1000 live births**
• Skilled birth attendance – 80%**
• ANC attendance (at least one visit) – 94%**
• ANC attendance (at least four visits) – 70%**
CMNH has been working in Zimbabwe since 2009 and has been involved in the following projects/studies:
- Making it Happen Programme (MiH)
- Causes of Stillbirth in Referral Facilities in Zimbabwe
- Independent Evaluation of Health Transition Fund (HTF)
Making it Happen Programme (MiH)
The MiH programme aims to reduce maternal and newborn mortality and morbidity by increasing the availability and improving the quality of Skilled Birth Attendance (SBA) and Emergency Obstetric and Newborn Care (EmONC). The programme was delivered in 11 countries: in Sub-Saharan Africa and in Asia between 2011- 2015.
In Zimbabwe the MiH programme delivered:
- 924 in service health care workers trained in EmONC
- 630 pre-service students trained in EmONC
- 118 course facilitators and tutors trained in delivering EmONC.
- 35 health care workers trained in data collection and usage
- 31 health care workers trained in quality improvement methodologies.
CMNH has also provided support to the five central hospitals through the development of skills rooms and embedding their use into practice with a focus on supportive supervision.
There has been:
- 84.1% increase in knowledge of healthcare providers in targeted facilities
- 99.9% increase in skills of healthcare professionals in targeted facilities
Following completion of the saturation training the focus of the programme in Zimbabwe has been embedding the use of skills rooms in practice. This has been evidenced by over 750 skills room sessions being carried out across all cadres. This has led to an increased pass rate among midwifery students and has been recognized for CPD points for doctors.
Causes of Stillbirth in Referral Facilities in Zimbabwe
The stillbirth study aims to investigate the cause of, and factors contributing to, stillbirth in low- and middle-income countries. The study focuses on four countries: Kenya, Malawi, Sierra Leone and Zimbabwe. Under the project, healthcare providers in three targeted facilities per country have been trained to conduct perinatal death reviews. A total of 1300 cases of stillbirth across the four countries have been reviewed and data collected for analysis. The outcomes of the study are identification of the major cause of, and factors contributing to, stillbirth in these countries. Development of tools to help healthcare providers in low-resource settings to identify cause of stillbirth, and take action to reduce mortality.
Independent Evaluation of Health Transition Fund (HTF)
Designed in line with the evaluation criteria endorsed by the OECD-Development Assistance Committee, our mixed methods evaluation utilizes both quantitative and qualitative data. The analysis of existing reports and secondary data available through HMIS and national surveys is complemented by the design and implementation of regular, comprehensive health facility assessments. Health facility assessments, representative at national level, are scheduled to be conducted for three consecutive years, and form part of the evaluation to track progress in availability and quality of MNH interventions in the country. Key informant interviews are also administered at various levels of the health system, to explore the views of key actors and to explore the main barriers and facilitators to change.