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Article: Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe.

Makurumidze, Richard

2021 Volume 13, Page(s) 823–828

Abstract: Zimbabwe adopted the Treat All recommendations and started to implement them nationwide in 2017. Before launch, Treat All was piloted in nine districts. The sharing of implementation experiences and knowledge gained will significantly contribute to the ... ...

Abstract	Zimbabwe adopted the Treat All recommendations and started to implement them nationwide in 2017. Before launch, Treat All was piloted in nine districts. The sharing of implementation experiences and knowledge gained will significantly contribute to the implementation success in settings where Treat All still needs to be rolled out. We report on experiences and lessons learnt from the implementation of Treat All during the pilot phase in Zimbabwe. Coordination and well-structured engagement plans with the districts led to the successful implementation of the Treat All pilot. The established technical working groups offered standardisation and a platform for the exchange of experience between the implementing partners and the Ministry of Health and Child Care. Training and capacity building of the healthcare workers through mentoring, support and supervision, and the provision of job aides were necessary to equip them with the required skills. Community knowledge, commitment and support were critical to the successful implementation of the guidelines. Health facilities preparedness was of great importance. This enabled the health facilities to develop mitigating strategies at the local level using existing resources. Studies examining how patient outcomes will progress under Treat All are pertinent.
Language	English
Publishing date	2021-08-16
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2520734-9
ISSN	1179-1373
ISSN	1179-1373
DOI	10.2147/HIV.S319850
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Coronavirus-19 disease (COVID-19): A case series of early suspected cases reported and the implications towards the response to the pandemic in Zimbabwe.

Makurumidze, Richard

Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi

2020 Volume 53, Issue 3, Page(s) 493–498

Abstract: Zimbabwe is among the countries that have been identified to be at risk of the COVID-19 pandemic. As of the ... ...

Abstract	Zimbabwe is among the countries that have been identified to be at risk of the COVID-19 pandemic. As of the 15
MeSH term(s)	Adult ; Betacoronavirus/isolation & purification ; COVID-19 ; Communicable Diseases, Imported/diagnosis ; Communicable Diseases, Imported/epidemiology ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Delivery of Health Care ; Female ; Humans ; Male ; Mass Screening/statistics & numerical data ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Public Health ; SARS-CoV-2 ; Travel ; Zimbabwe/epidemiology
Keywords	covid19
Language	English
Publishing date	2020-04-13
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	1497590-7
ISSN	1995-9133 ; 1684-1182 ; 0253-2662
ISSN (online)	1995-9133
ISSN	1684-1182 ; 0253-2662
DOI	10.1016/j.jmii.2020.04.002
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Article ; Online: Coronavirus-19 disease (COVID-19)

Richard Makurumidze

Journal of Microbiology, Immunology and Infection, Vol 53, Iss 3, Pp 493-

A case series of early suspected cases reported and the implications towards the response to the pandemic in Zimbabwe

2020 Volume 498

Abstract: Zimbabwe is among the countries that have been identified to be at risk of the COVID-19 pandemic. As of the 15th of March 2020, there was no confirmed case of the virus. Official reports of suspected cases were used to appraise the general screening, ... ...

Abstract	Zimbabwe is among the countries that have been identified to be at risk of the COVID-19 pandemic. As of the 15th of March 2020, there was no confirmed case of the virus. Official reports of suspected cases were used to appraise the general screening, case management, and the emergency preparedness and response of the country towards the COVID-19 pandemic. In terms of the surveillance and capacity to screen at the ports of entry, the country seems to be faring well. The country might not be screening optimally, considering the number of COVID-19 tests conducted to date and the suspected cases who missed testing. Three of the suspected cases faced mental, social, and psychological consequences due to them being suspected cases of COVID-19. There is a need to enhance the screening process and infrastructure at all the ports of entry. More COVID-19 diagnostic tests should be procured to increase the testing capacity. Training and awareness on mental, social, and psychological consequences of COVID-19 should be offered to the health care workers and the general public. More financial resources should be sourced to enable the country control the pandemic.
Keywords	Coronavirus ; COVID-19 ; Africa ; Zimbabwe ; Emergency preparedness and response ; Microbiology ; QR1-502 ; covid19
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Coronavirus-19 disease (COVID-19)

Makurumidze, Richard

Journal of Microbiology, Immunology and Infection

A case series of early suspected cases reported and the implications towards the response to the pandemic in Zimbabwe

2020 Volume 53, Issue 3, Page(s) 493–498

Keywords	Immunology and Allergy ; Microbiology (medical) ; General Immunology and Microbiology ; Infectious Diseases ; General Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	1497590-7
ISSN	1684-1182 ; 0253-2662
ISSN	1684-1182 ; 0253-2662
DOI	10.1016/j.jmii.2020.04.002
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Empathy and use of evidence in handling travellers coming from covid-19 high-risk countries

Makurumidze, Richard

Pan Afr. Med. J.

Abstract: Most African countries have implemented the recommendation to quarantine travellers coming from COVID-19 high-risk countries. This is a noble public health intervention which has been shown to reduce new infections and mortality. There have been reports ... ...

Abstract	Most African countries have implemented the recommendation to quarantine travellers coming from COVID-19 high-risk countries. This is a noble public health intervention which has been shown to reduce new infections and mortality. There have been reports of hostility towards travellers returning from COVID-19 high-risk countries regarding quarantine especially in developing countries. Some have been housed in squalid conditions or asked to pay for their own accommodation in private facilities. Moreover, quarantine has been associated with mental and psychological consequences. With the developments in the rapid antibody diagnostic tests, a better understanding of the immunopathogenesis and progression of COVID-19 there might be a need to implement screening algorithms so that only travellers that pose a danger to the community are quarantined.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #706185
Database	COVID19

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Article: Coronavirus-19 disease (COVID-19): A case series of early suspected cases reported and the implications towards the response to the pandemic in Zimbabwe

Makurumidze, Richard

J Microbiol Immunol Infect

Abstract	Zimbabwe is among the countries that have been identified to be at risk of the COVID-19 pandemic. As of the 15th of March 2020, there was no confirmed case of the virus. Official reports of suspected cases were used to appraise the general screening, case management, and the emergency preparedness and response of the country towards the COVID-19 pandemic. In terms of the surveillance and capacity to screen at the ports of entry, the country seems to be faring well. The country might not be screening optimally, considering the number of COVID-19 tests conducted to date and the suspected cases who missed testing. Three of the suspected cases faced mental, social, and psychological consequences due to them being suspected cases of COVID-19. There is a need to enhance the screening process and infrastructure at all the ports of entry. More COVID-19 diagnostic tests should be procured to increase the testing capacity. Training and awareness on mental, social, and psychological consequences of COVID-19 should be offered to the health care workers and the general public. More financial resources should be sourced to enable the country control the pandemic.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #46624
Database	COVID19

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Article ; Online: Coronavirus-19 disease (COVID-19)

Makurumidze, Richard

Journal of microbiology, immunology and infection, In Press

A case series of early suspected cases reported and the implications towards the response to the pandemic in Zimbabwe

2020

Abstract	Zimbabwe is among the countries that have been identified to be at risk of the COVID-19 pandemic. As of the 15th of March 2020, there was no confirmed case of the virus. Official reports of suspected cases were used to appraise the general screening, case management, and the emergency preparedness and response of the country towards the COVID-19 pandemic. In terms of the surveillance and capacity to screen at the ports of entry, the country seems to be faring well. The country might not be screening optimally, considering the number of COVID-19 tests conducted to date and the suspected cases who missed testing. Three of the suspected cases faced mental, social, and psychological consequences due to them being suspected cases of COVID-19. There is a need to enhance the screening process and infrastructure at all the ports of entry. More COVID-19 diagnostic tests should be procured to increase the testing capacity. Training and awareness on mental, social, and psychological consequences of COVID-19 should be offered to the health care workers and the general public. More financial resources should be sourced to enable the country control the pandemic.
Keywords	COVID-19 ; Zimbabwe ; Africa ; Emergency preparedness and response ; Coronavirus ; covid19
Language	English
Publishing country	de
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Essential health services delivery in Zimbabwe during the COVID-19 pandemic: perspectives and recommendations.

Murewanhema, Grant / Makurumidze, Richard

The Pan African medical journal

2020 Volume 35, Issue Suppl 2, Page(s) 143

Abstract: Zimbabwe reported its first case of COVID-19 on 20 March 2020, and since then the number has increased to over 4000. To contain the spread of the causative SARS-CoV-2 and prepare the healthcare system, public health interventions, including lockdowns, ... ...

Abstract	Zimbabwe reported its first case of COVID-19 on 20 March 2020, and since then the number has increased to over 4000. To contain the spread of the causative SARS-CoV-2 and prepare the healthcare system, public health interventions, including lockdowns, were imposed on 30 March 2020. These resulted in disruptions in healthcare provision, and movement of people and supply chains. There have been resultant delays in seeking and accessing healthcare by the patients. Additionally, disruption of essential health services in the areas of maternal and child health, sexual and reproductive health services, care for chronic conditions and access to oncological and other specialist services has occurred. Thus, there may be avoidable excess morbidity and mortality from non-COVID-19 causes that is not justifiable by the current local COVID-19 burden. Measures to restore normalcy to essential health services provision as guided by the World Health Organisation and other bodies needs to be considered and implemented urgently, to avoid preventable loss of life and excess morbidity. Adequate infection prevention and control measures must be put in place to ensure continuity of essential services whilst protecting healthcare workers and patients from contracting COVID-19.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Chronic Disease/epidemiology ; Communicable Disease Control/organization & administration ; Continuity of Patient Care ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Delivery of Health Care ; Guidelines as Topic ; Health Resources/supply & distribution ; Health Services Accessibility ; Humans ; Medically Uninsured ; Medicine ; Models, Theoretical ; Mortality ; Neoplasms/therapy ; Pandemics/prevention & control ; Patient Acceptance of Health Care ; Personal Protective Equipment/supply & distribution ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Reproductive Health Services/supply & distribution ; SARS-CoV-2 ; World Health Organization ; Zimbabwe/epidemiology
Keywords	covid19
Language	English
Publishing date	2020-08-11
Publishing country	Uganda
Document type	Journal Article
ZDB-ID	2514347-5
ISSN	1937-8688 ; 1937-8688
ISSN (online)	1937-8688
ISSN	1937-8688
DOI	10.11604/pamj.supp.2020.35.143.25367
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Article ; Online: Investigation of an anthrax outbreak in Makoni District, Zimbabwe.

Makurumidze, Richard / Gombe, Notion Tafara / Magure, Tapuwa / Tshimanga, Mufuta

BMC public health

2021 Volume 21, Issue 1, Page(s) 298

Abstract: Background: Anthrax continues to be a disease of public health importance in Zimbabwe, with sporadic outbreaks reported annually in many parts of the country. A human anthrax outbreak occurred in wards 22 and 23 of Makoni District from mid-June 2013 to ... ...

Abstract	Background: Anthrax continues to be a disease of public health importance in Zimbabwe, with sporadic outbreaks reported annually in many parts of the country. A human anthrax outbreak occurred in wards 22 and 23 of Makoni District from mid-June 2013 to end of January 2014, following cattle deaths in the wards. Laboratory tests confirmed anthrax as the cause for the cattle deaths. This study investigated the clinical characteristics, distribution of cases (places, person and time) and risk factors for contracting the anthrax disease. We also assessed the environment, district preparedness and response, and outbreak prevention and control measures. Methods: We conducted an outbreak investigation using a mixed-methods design. A 1:1 case-control study was used to assess risk factors for contracting anthrax. The controls were frequency matched to cases by sex. Data were collected using a structured interviewer-administered questionnaire. Environmental assessment, district preparedness and response, and outbreak prevention and control measures were assessed using a checklist, observations, and key informant interviews. Multivariable unconditional logic regression analysis was performed to identify independent risk factors associated with contracting anthrax. Results: We interviewed 37 of the 64 cases, along with 37 controls. All the cases had cutaneous anthrax, with the hand being the most common site of the eschar (43%). Most of the cases (89%) were managed according to the national guidelines. Multivariable analysis demonstrated that meat sourced from other villages [vs butchery, OR = 15.21, 95% CI (2.32-99.81)], skinning [OR = 4.32, 95% CI (1.25-14.94)], and belonging to religions that permit eating meat from cattle killed due to unknown causes or butchered after unobserved death [OR = 6.12, 95% CI (1.28-29.37)] were associated with contracting anthrax. The poor availability of resources in the district caused a delayed response to the outbreak. Conclusion: The described anthrax outbreak was caused due to contact with infected cattle meat. Although the outbreak was eventually controlled through cattle vaccination and health education and awareness campaigns, the response of the district office was initially delayed and insufficient. The district should strengthen its emergency preparedness and response capacity, revive zoonotic committees, conduct awareness campaigns and improve surveillance, especially during outbreak seasons.
MeSH term(s)	Animals ; Anthrax/epidemiology ; Case-Control Studies ; Cattle ; Disease Outbreaks ; Humans ; Skin Diseases, Bacterial/epidemiology ; Zimbabwe/epidemiology
Language	English
Publishing date	2021-02-05
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/s12889-021-10275-0
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Article: Essential health services delivery in Zimbabwe during the COVID-19 pandemic: perspectives and recommendations

Murewanhema, Grant / Makurumidze, Richard

Pan African Medical Journal

Abstract: Zimbabwe reported its first case of COVID-19 on 20 March 2020, and since then the number has increased to over 4000 To contain the spread of the causative SARS-CoV-2 and prepare the healthcare system, public health interventions, including lockdowns, ... ...

Abstract	Zimbabwe reported its first case of COVID-19 on 20 March 2020, and since then the number has increased to over 4000 To contain the spread of the causative SARS-CoV-2 and prepare the healthcare system, public health interventions, including lockdowns, were imposed on 30 March 2020 These resulted in disruptions in healthcare provision, and movement of people and supply chains There have been resultant delays in seeking and accessing healthcare by the patients Additionally, disruption of essential health services in the areas of maternal and child health, sexual and reproductive health services, care for chronic conditions and access to oncological and other specialist services has occurred Thus, there may be avoidable excess morbidity and mortality from non-COVID-19 causes that is not justifiable by the current local COVID-19 burden Measures to restore normalcy to essential health services provision as guided by the World Health Organisation and other bodies needs to be considered and implemented urgently, to avoid preventable loss of life and excess morbidity Adequate infection prevention and control measures must be put in place to ensure continuity of essential services whilst protecting healthcare workers and patients from contracting COVID-19
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #864160
Database	COVID19

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