Audit of Global Fund Grants in Zimbabwe
26 March 2020
Despite a prolonged economic crisis, Zimbabwe has made significant progress in the fight against the three diseases. National malaria incidence almost halved in 2017. TB incidence declined by 60% between 2010 and 2017, with treatment coverage and treatment success rate both exceeding 80% by 2018. HIV prevalence has decreased significantly; AIDS-related deaths fell by 60% and annual infections fell by 38% from 2010 to 2018.
However, a number of challenges remain. HIV data anomalies need to be investigated to inform national strategy. Viral load testing mechanisms require significant improvement and there are gaps in testing HIV-affected children and putting them on appropriate treatment. Low warehouse capacity at all levels is preventing good inventory management.