Sharon Chigeza
CHIPINGE- Chipinge District, located in the southernmost part of Manicaland, has recorded the lowest HIV prevalence and incidence rates in the region.
According to recent estimates, the district boasts a prevalence rate of 7.9 percent and an incidence rate of just 0.12 percent. These figures are particularly significant given the district’s unique challenges, including its status as a border area with high cross-border movement.
During an awareness and sensitisation tour organised by the National Aids Council, Chipinge District Aids Coordinator (DAC), Doreen Jambaya shared insights into the district’s HIV landscape.
She revealed that approximately 19,725 individuals are currently living with HIV in Chipinge, as per the 2024 HIV estimates.
Jambaya highlighted that while the overall rates are encouraging, certain hotspots in the district present ongoing challenges. Areas such as Checheche, Gaza, Junction Gate, Chinyamukwakwa, Tongogara and Mabeye have been identified as regions of concern. The major drivers of HIV transmission in these areas include cross-border trade, a rising incidence of drug and substance abuse, and the prevalence of child marriages.
“Despite the low prevalence rates, we must remain vigilant. The dynamics of our border communities can sometimes exacerbate vulnerabilities, especially among the youth,” she said.
Jambaya said key drivers of new HIV infections were high mobile populations, early sexual debut, child marriage low health seeking behaviours.
“In Gaza, Chipinge town, it is densely populated with sex trade characterising the area. Transactional sex and drug and substance abuse has been noted as a key driver in the town. Mabeye is one of the border communities and camp for uniformed forces and a hard to reach area.
“High mobility, low condom use, generational gap relationships and child marriages have been noted as the key drivers in the area. Chinyamukwakwa which is also characterised by the apostolic sect has key drivers such as low health seeking behaviour, child marriages and high mobility,” she said.
New Sexually Transmitted Infections (STI) were noted to be prevalent in Mabeye, Tongogara, Chinyamukwakwa, Tanganda and Paidamoyo.
The geographical position of Chipinge, bordering Mozambique, facilitates a high level of cross-border movement. This mobility can lead to increased exposure to high-risk behaviours and practices, making continuous education and intervention crucial. The influx of traders and travellers can also complicate public health efforts, as individuals may not always participate in local health initiatives or awareness campaigns.
Despite recording low prevalence and incident rates, Chipinge District Development Coordinator, William Mashava pointed out that the challenges posed by drug abuse and child marriages require urgent attention.
“Though HIV/AIDS interventions have recorded significant successes in a difficult environment, we are witnessing a worrying trend where we have an influx of drugs being smuggled from neighbouring Mozambique and young girls are being married off at an early age, which puts them at significant risk of HIV infection and other health issues,” he stated.
The intertwining of these social issues with public health makes it imperative for local authorities and NGOs to implement comprehensive strategies that address both health and social determinants.
“The National Aids Council’s together with Government agencies’ ongoing initiatives in Chipinge are aimed at strengthening community resilience against HIV. By fostering collaboration between local health services, schools, and community organisations, the goal is to create a supportive environment that empowers individuals with knowledge and access to resources,” added Jambaya.
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