Abstract
Zimbabwe did not achieve the health-related 2015 Millennium Development Goals (MDGs), and unless bold measures to improve the situation are taken, the 2030 Sustainable Development Goals (SDGs) health targets could be missed too. Understanding the healthcare challenges in Zimbabwe is key in proposing suggestions for positioning the country’s healthcare delivery system along the path of the 2030 SDGs. This chapter aimed to explore the key issues impacting Zimbabwe’s path toward ensuring healthy living and well-being (SDG3). It sheds light on the state of health and healthcare delivery in Zimbabwe since independence. This was achieved through a review and synthesis of literature and statistics on selected health-related indicators drawn from the United Nations (UN) tier classification of SDGs. The review showed that inadequate healthcare financing, more spending on salaries than on service delivery, the bias of public healthcare spending toward urban-based higher-level health facilities, and lack of community participation in health matters are among the challenges impacting efficient healthcare delivery in Zimbabwe. To improve health and healthcare delivery in the country, there is a need to enhance community participation in health issues, adequately equip lower-level health facilities, adopt strategies to retain health personnel, and raise additional resources for healthcare delivery.
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Notes
- 1.
- 2.
For each survey, information collected covered some 3–5 years preceding the survey.
- 3.
While the core health workers considered in this WHO statistic comprise doctors, nurses, and midwives only, the critical roles played by other health cadres such as pharmacists, dentists, laboratory, and environmental health workers continue to be recognized.
- 4.
The nurse category is composed of primary care, state-certified, and registered general nurses as well as midwives.
- 5.
Hyperinflation continued to haunt the country until the introduction of the multiple currency system in February 2009.
- 6.
- 7.
Before the use of the Health Levy to subsidise the availability of blood at public hospitals, a pint of blood used to cost about US$135 (Chipunza, 2018).
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Chipunza, T., Nhamo, S. (2023). Health and Healthcare Delivery in Zimbabwe: Past and Present. In: Mhlanga, D., Ndhlovu, E. (eds) Post-Independence Development in Africa. Advances in African Economic, Social and Political Development. Springer, Cham. https://doi.org/10.1007/978-3-031-30541-2_10
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