The State of Health Service delivery in Harare

Introduction

Health service delivery across Harare has been in a bad state for quite some time. The situation has worsened during the Covid-19 pandemic. Most of the 65 clinics operated by the City of Harare have closed. A number of reasons have been cited for the closure of health institutions, and chief among them is the shortage of Personal Protective Equipment (PPE) for health personnel. Nurses at community clinics have not been spared. Resultantly, they have resorted to industrial action, calling for safe working conditions which minimise the risk of contracting Covid-19. The striking nurses are also demanding the availability of other essentials needed for effective health service provision such as drugs and better remuneration. The few remaining clinics lack some or all of the essentials needed for smooth and effective health services provision. In a bid to appreciate the gravity of the situation at hand, the Harare Residents Trust (HRT) carried out a survey covering 15 clinics across Harare.

Justification

The survey sought to uncover the situation in Harare regarding the state of clinics. The paper provides valuable information to concerned policy makers and decision-makers in the government, Harare City Council and the Ministry of Health and Child Care. It reveals the actual state of affairs on clinics by unveiling the gaps which need attention. Therefore, the paper can inform policy making and be used as a tool to improve health service delivery in clinics across the Harare Metropolitan Province.

Download full report here (240KB PDF)

Source: Harare Residents Trust