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United States Ambassador to Zimbabwe Pamela Tremont has sought to reassure the public regarding concerns over a potential condom crisis in the country, following the announcement that the US President’s Emergency Plan for AIDS Relief (PEPFAR) will end its 20 years of funding.
Gertrude Ncube, the HIV Prevention Coordinator at the Ministry of Health and Childcare, recently said that funding for the purchase of “maDeMbare” condoms will cease in 2026, attributing this decision to donor fatigue. Said Ncube:
<blockquote>
As we are here gathered as government, civil society and partners, let us know that our condom funding is at stake and PEPFAR has already told us that from 2026, there won’t be any condoms funded by them.
We need as a country to look at how best we mobilise even domestic funding actually to fund condoms.
</blockquote>
“Madembare” refers to a type of condom distributed for free, particularly in areas with high sexual activity, to help prevent HIV/AIDS and other sexually transmitted infections (STIs).
These condoms are known for their strong, often unpleasant smell, which has led to some users rejecting them.
With PEPFAR accounting for 77% of all condom funding in Zimbabwe, its withdrawal could have a detrimental effect on efforts to combat the spread of STIs in the country.
However, during a recent press event at the US Embassy’s postponed Independence celebrations, Ambassador Tremont assured journalists that discussions are underway with their partners to ensure the continuation of their programmes. Said Tremont (via <a href="https://www.newzimbabwe.com/boost-for-hiv-fight-as-us-ambassador-reveals-presidential-plan-is-engaging-partners-to-continue-programme/">NewZimbabwe.com</a>):
<blockquote>
PEPFAR is not exiting in the foreseeable future. It was an emergency response so we are looking to our PEPFAR partners to start looking at the sustainability of the programme.
</blockquote>
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Pindula News

The US Ambassador to Zimbabwe, Pamela Tremont, is trying to calm fears about a possible condom shortage in the country. The program that funds condoms is ending after 20 years, but discussions are happening to keep it going. "Madembare" condoms, which are smelly but important for stopping HIV/AIDS, might be affected. The US is a big part of funding condoms in Zimbabwe, so it's important to find a solution. Don't worry, says Ambassador Tremont, they are working on keeping the program going for now.

US Ambassador Pamela Tremont Responds To Fears Of Condom Crisis In Zimbabwe

Zimbabwe faces a significant funding shortfall for its national condom programme, needing to raise over US$10 million to ensure adequate supplies in 2025 and 2026.
The country currently has three main condom distribution channels:
<ul>
<li>Public sector: Free condoms provided through government health facilities.</li>
<li>Social sector: Condoms sold at subsidized prices.</li>
<li>Commercial sector: Condoms sold at full market prices.</li>
</ul>
The majority of Zimbabweans who use condoms obtain them from the free public sector program.
This public condom programme has been primarily funded by two major donors – the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund.
However, PEPFAR and the Global Fund have recently announced they will be withdrawing funding for Zimbabwe’s public condom programme in 2026. This will create a significant funding gap.
According to Anna Machiya, the Ministry of Health’s national coordinator for STI prevention and condom distribution, Zimbabwe needs to raise nearly $1.8 million to cover the funding shortfall for female condoms in 2025, and an additional $9.4 million for both male and female condoms in 2026. She said (via <a href="https://www.herald.co.zw/us10m-needed-to-procure-condoms/">The Herald</a>):
<blockquote>
The Global Fund committed US$3.3 million towards condom procurement in 2024 and PEPFAR funds that have been committed to procure male and female condoms including lubricants amount to US$7.1 million.
For 2025, we have US$1.96 million committed from Global Fund and about US$2.15 million committed from PEPFAR so we have a funding gap of US$1.8 million for female condoms.
In 2026, there is no committed funding for both male and female condoms so we require US$9.4 million.
</blockquote>
Machiya said the funding gap would need to be funded from Treasury as well as the National Aids Trust Fund (Aids Levy). She said:
<blockquote>
We started some advocacy sometime back around increasing domestic funding and removal of VAT and duty for commercial sector condoms to create an environment where we have more commercial sector players coming into the condom market with cheaper brands of condoms.
This will relieve the burden on free public condom distribution as people may migrate to use those other condom brands that will be available on the market.
These are issues that we are pursuing as a Ministry and as a programme.
</blockquote>
According to data from the Ministry of Health and Child Care, public-sector male condom distribution increased by over 6 million for 2023 as compared to 2022.
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Zimbabwe needs $10 million to buy condoms. The country gets condoms from the government, at cheap prices, and at full price. The U.S. and other organizations help pay for the free condoms, but they will stop funding in 2026. Zimbabwe needs to raise money to buy enough condoms. They hope to get some money from taxes and make condoms cheaper in stores. They are also trying to get more people to use condoms. Public sector condom use in Zimbabwe has increased.

Zimbabwe Needs US$10 Million To Procure Condoms

The international funding for condoms in Zimbabwe is coming to an end in 2025, a development that may reverse the gains made by the country in the fight against the prevention of HIV and AIDS.
Speaking at the second quarter HIV Prevention Partnership Forum organised by Safaids in Harare last week, the National HIV Prevention Coordinator in the Ministry of Health and Child Care Gertrude Ncube, said (via <a href="https://www.sundaynews.co.zw/international-condom-funding-coming-to-an-end-next-year/">The Sunday News</a>):
<blockquote>
There is actually donor fatigue for condom funding, so as a country, we are saying should we risk all the gains made through our condom programming because there is no funding.
We need to look at how best we mobilise even our domestic funding to support condom procurement.
</blockquote>
Ncube said that the country has been too dependent on condom support from partners such as PEPFAR through USAID for both the Zimbabwe National Family Planning Council and the public sector. She said:
<blockquote>
PEPFAR has already told us that from 2026, there will not be any condom funding.
</blockquote>
Deputy Director HIV and STI Programme Dr Tsitsi Apollo said the country has to look for alternative funding sources for programmes such as Public Private Partnerships. She said:
<blockquote>
Do we know what will happen from 2027 and beyond after the funding expires considering what is happening globally and the funding being given to countries?
If Zimbabwe gets to that upper-middle income bracket we are less likely to receive external funding because the Global Fund uses a certain allocation formula to fund countries based on their economies.
</blockquote>
National Aids Council (NAC) Director Programmes Raymond Yekeye said the AIDS Levy was not enough to meet the council’s requirements. He said:
<blockquote>
It’s the whole HIV response program that is at a critical stage on how it is going to be sustained and how it is going to be funded, there is a need to develop a sustainability roadmap for the HIV response.
The levy is probably 25 to 30 percent of our requirements for the HIV response and that is why we are discussing other financing mechanisms such as the National Health Insurance Scheme because the levy on its own will not be able to sustain.
</blockquote>
The AIDS Levy is a tax introduced by the government in 1999 to raise funds for the national HIV/AIDS response.
The levy is charged as a 3% tax on all income, including salaries, pensions, and investment earnings.
The funds collected from the AIDS Levy are channelled towards NAC, which is responsible for coordinating Zimbabwe’s multi-sectoral HIV/AIDS programmes and initiatives.
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Zimbabwe Faces Potential HIV Prevention Setback As International Condom Funding Expires

A local non-governmental organisation (NGO) which offers free HIV services to sex workers says there has been a notable uptake of female condoms since the introduction of flavoured varieties, reported <a href="https://www.zimlive.com/flavoured-female-condoms-a-hit-with-kadoma-sex-workers-ngo/">ZimLive</a>.
The Centre for Sexual Health and HIV/AIDS Research (CeSHHAR) has been distributing female condoms for some time, but they have observed a rise in uptake since the introduction of flavoured condoms.
Speaking to journalists recently, Audrey Chikeya, CeSHHAR’s HIV outreach officer for Kadoma, said:
<blockquote>
With female condoms, we have seen an increase in uptake because when we started, female condoms were not very popular with the sex workers but last month, we had 600 female condoms of different flavours distributed to them.
They are flavoured with strawberry, vanilla and all and they are now a hit. We have attributed that to the different flavours that come with female condoms, which then attract more partners for the sex workers. 
They say it’s more marketable and sometimes their partners feel like they don’t need to wear a condom but if it’s the women wearing one, then it’s fine.
</blockquote>
Chikeya also attributed the increased uptake of female condoms to their sexual education awareness programmes targetting sex workers. She said:
<blockquote>
We can have an average of 20 clients per day, translating to about 100 in a week but most of them are female sex workers.
For males, we see about three to five sex workers including the transgender but the number is rising.
We screen them for sexually transmitted infections and treat them, we also do condom education and other HIV services for free to sex workers in Mhondoro and Sanyati Districts.
</blockquote>
Chikeya said since 2021, about 5,000 male and female sex workers from Sanyati and Mhondoro Districts of Mashonaland West Province have benefited from CeSHHAR’s condom use promotion, free HIV testing and treatment, STI screening and treatment programmes.
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Flavoured Female Condoms Popular With Kadoma Sex Workers - NGO

Population Solutions for Health (PSH), the distributor of Protector Plus condoms, has urged the Government to remove Value Added Tax (VAT) and import duty on condoms to make them easily accessible to promote condom usage in the country.
This comes as Zimbabwe celebrates International Condom Day this Tuesday, 13 February, a day set aside to recognise the role played by condoms in preventing HIV infection, Sexually Transmitted Infections, and unwanted pregnancies.
In a statement, PSH said there is a shortage of domestic funding for condom procurement, hence its call for duty and VAT to be scrapped for condoms. It said:
<blockquote>
Population Solutions for Health Calls for Increased Domestic Support for Condom Procurement on International Condom Day Population Solutions for Health (PSH), the distributor of Protector Plus condoms, is pleased to join the Ministry of Health and Child Care (MoHCC) and the global community in commemorating International Condom Day on Tuesday, February 13, 2024.
This day serves as a reminder of the critical role condoms play in preventing HIV, sexually transmitted infections (STIs), and unintended pregnancies.
As we observe this day, we want to emphasize the shortage of domestic funding for condom procurement and call for the removal of import duty and VAT for condoms. This will make condoms more affordable in the market and secure the future availability of condoms without donor funding.
While Zimbabwe has achieved considerable success in condom programming, more work needs to be done to address the challenges that threaten to reverse the gains.
</blockquote>
PSH noted that the condom programme in Zimbabwe heavily relies on donor support which has reduced over the years. It said:
<blockquote>
The condom program heavily relies on donor support which has reduced over the years, negatively impacting funding for public and social marketing sector condoms, which serve the marginalized communities and low-income earners.
The shortage of domestic funding for condom procurement and related programming further worsens the situation.
The commercial sector’s condom supply has been decreasing over the past two decades, partly due to higher taxes (VAT and Import Duty) on condoms, which make commercial condoms expensive and unviable.
PSH is actively supporting the MoHCC in developing a sustainable condom market that promotes long-term condom use with reduced reliance on donor funding.
A key aspect of this effort is advocating for increased domestic funding for condoms and the removal of VAT and import duty on condoms.
As International Condom Day is commemorated, PSH remains committed to advancing condom programming and expanding access to quality sexual and reproductive health services and products.
By addressing challenges in the market, significant progress can be made in preventing HIV, STIs, and unintended pregnancies.
</blockquote>
Using condoms has several benefits which include protection against sexually transmitted infections (STIs), such as HIV/AIDS, gonorrhoea, chlamydia, and syphilis.
They are also an effective form of contraception, helping to prevent unplanned pregnancies when used consistently and correctly.
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Govt Implored To Remove VAT, Duty On Condoms

The City of Gweru has witnessed a concerning increase in cases of sexually transmitted infections (STIs). According to Dr. Samson Sekenhamo, the Health Director of Gweru City Council, there were a total of 214 STIs reported in November 2023, with 128 cases among females and 86 cases among males, <a href="http://cvz.org.zw/2024/02/11/gweru-record-an-increase-in-sti-cases/">Community Voices Zimbabwe</a> reported.
This sharp rise in STI cases, compared to the 138 cases reported in October, has raised significant alarm and highlights a growing public health problem. Dr. Sekenhamo attributes the surge in infections to the consumption of illegal drugs like mutoriro, which is contributing to risky sexual behaviour. He expressed particular concern about the younger generation, as their involvement in promiscuous activities driven by drug abuse is leading to the increased spread of STIs. He said:
<blockquote>
The rise in these infections is very worrisome, especially among younger generations. We have noticed that these children are engaging in promiscuous behavior due to the high usage of drugs. As a result, STIs are on the rise because of drug and substance abuse.
</blockquote>
The Midlands Hotel has emerged as a prominent hub for commercial sex work, further exacerbating the situation. To address this crisis, health education campaigns targeting adolescents, who are at the heart of the problem, are being implemented. Despite the availability of an adequate supply of condoms, their usage remains low among individuals aged 18-24, as indicated by the statistics.
Sexually transmitted diseases encompass a range of infections primarily transmitted through sexual contact. These infections can be promptly diagnosed and treated. The situation in Gweru reflects a more complex issue that demands a comprehensive approach. A study conducted between 2020 and 2022 in Zimbabwe revealed a high prevalence rate of STIs among young people, with 20% testing positive for at least one of three common STIs: Chlamydia, Gonorrhea, and Trichomonas. This underscores the urgent need for improved STI screening and awareness programs within communities.
Dr. Sekenhamo emphasized the importance of prevention in curbing the spread of STIs. Consistent use of protection during sexual activity, limiting the number of sexual partners, and seeking proper diagnosis are vital measures to control the transmission of STIs.
<h3><a href="https://www.pindula.co.zw/">More Pindula News</a></h3>

Gweru Witnesses A Concerning Surge In STIs

There has been an increase in the uptake of condoms in the Gweru District where over 600 000 condoms for both females and males have been distributed from January to date.
388 030 condoms were distributed during the same period in 2021.
Petros Mazengwa, who is Gweru District HIV and Aids co-ordinator at the National Aids Council (NAC) told the Chronicle that this is mainly attributed to the role played by Condom Champions (CC) who are supporting the distribution of condoms. Said Mazengwa:
<blockquote>
Gweru district has recorded a surge in condom use after over 600 000 condoms both female and male were distributed from January to date. Condoms distributed are 581 709 males and 24 716 females.
A total 388 030 condoms were distributed last year in the district meaning we have a surge in condom distribution this year.
</blockquote>
He said the CC volunteers are based in the wards and are involved in condom distribution, monitoring and information dissemination on “combination HIV prevention”. Said Mazengwa:
<blockquote>
The district currently has 19 Condom Champions covering all wards. The Condom Champions also support other combination prevention programs by way of creating demand for services like HIV testing services (HTS), voluntary medical male circumcision (VMMC), prevention of mother-to-child transmission (PMTCT), cancer screening and others.
</blockquote>
He said condoms are usually distributed at hotspots like beer outlets, clubs and other public drinking facilities as well as at universities and colleges.
When used correctly and consistently, condoms are a reliable method of preventing pregnancy and protecting both partners from sexually transmitted infections (STIs). | <a href="https://www.chronicle.co.zw/gweru-records-546pc-surge-in-condom-distribution/">Chronicle</a>

Gweru Records Surge In Condom Distribution

Seke District, in Mashonaland East Province, has a quarterly uptake of 200 000 male condoms while female condoms have a range of 5 000 to 10 000, a National AIDS Council (NAC) official has said.
Speaking to <a href="https://healthtimes.co.zw/2022/12/07/seke-district-uses-200-000-condoms-every-three-months/">Health Times</a> in a recent interview, NAC District AIDS Coordinator (DAC) for Seke District Florence Nyandoro said:
<blockquote>
Our quarterly average uptake for male condoms is 200 000 and the female condoms are in the range of 5 000 and 10 000.
What happens is that the awareness on female condoms came way later than that of male condoms.
Otherwise, awareness on the female condom is increasing which has resulted in the improved use of the female condom.
We are telling our community cadres to promote the female condom as much as they do the male condom.
We are hoping with time, the uptake of the female condom will be as high.
</blockquote>
Nyandoro also said they have noted that in discordant couples, males would take female condoms for their partners. She said:
<blockquote>
The other commendable thing we have observed is females are also taking male condoms.
There are very few cases in discordant couples where males take the female condom for their partners. This is very interesting.
We are encouraging and promoting the use of condoms because of their dual protection against STIs and HIV.
</blockquote>
A discordant couple is a couple in which one partner has a sexually transmitted disease (STD), such as HIV, while the other partner does not.
Nyandoro also dismissed as false claims that some condoms are small because they are manufactured in China. She said:
<blockquote>
That condoms here in Zimbabwe are too small as being made in China is misinformation and a myth.
Alongside our partners, we tell communities that there is no truth in that. Condoms are manufactured in a one size fits all technique.
There is no such thing as condoms being small and unusable. We don’t encourage such mindsets.
If we give people accurate information, this promotes the usage of condoms thus protecting people from unwanted pregnancies, STIs and HIV.
</blockquote>
Nyandoro discouraged the use of herbal sex-enhancement drugs, saying people should seek medical advice.

Seke District Uses 200 000 Condoms Every Three Months

The National AIDS Council (NAC) Monitoring and Evaluation Director, Amon Mpfofu has urged married couples to consider using condoms as the latest nationwide HIV estimates show that the risk of HIV infection is high among married couples.
Mpofu attributed the high number of new HIV infections in Matebelenad South to spousal separation as married couples are separated by work or migration into neighboring countries. He said:
<blockquote>In 2020, the highest HIV prevalence was recorded in Tsholotsho which recorded 21.9% and the lowest was in Binga which recorded 5.3%.
The situation is almost similar in Plumtree and Beitbridge. As for Tsholotsho, this high prevalence can be attributed to spousal separation in the province.
As you know, most people in those parts have either migrated or work in South Africa and Botswana and they leave their families here in Zimbabwe.
When they come home and because they would have spent some time away from their spouses, they do not even use condoms for protection hence the high prevalence.
We encourage married couples to use condoms as they are also at greater risk of infection. As long as you have unprotected sex, you are at risk of infection.
A few years ago, we used to conduct a blitz every festive season in conjunction with the Zimbabwe Republic Police (ZRP) where would distribute condoms at roadblocks especially targeting returning Zimbabweans.</blockquote>
Mpofu made the remarks while speaking to Editors and Station Managers during a sensitization meeting that was organized by NAC in Chinhoyi recently.
Last year the highest incidence rate or the number of new HIV infections was recorded in Bulilima and Mangwe, while Mbire and Muzarabani recorded the lowest.
Meanwhile, the absolute number of new infections was highest in Harare and Bulawayo and lowest in Mbire and Rushinga.
<h4>More: <a href="https://healthtimes.co.zw/2021/04/24/zim-married-couples-urged-to-use-condoms/" rel="noopener" target="_blank">Health Times</a></h4>

Zimbabwean Married Couples Urged To Use Condoms

A Grade One pupil at Helen McGhee Primary School was apprehended by alert staff at OK Supermarket on Monday after he stole a packet of condoms that he had mistaken for sweets.
According to Masvingo Mirror, the boy’s mother noticed that her son was holding something in his hand as she got to the security checkpoint at the point of exit.
Security guards who searched the boy found more condom packets in his pockets and when asked, the boy said he mistook the condoms for sweets.
The boy and his mother were taken to the back of the supermarket where he was cautioned and let go. Masvingo Mirror quoted a source as having said:
<blockquote>A boy who was accompanied by his mother took packets of Durex condoms and put some in his pockets. The mother realised after she had paid for her goods at the till that her child was holding something.</blockquote>
<h4>More: <a href="https://masvingomirror.com/grade-1-pupil-steals-condoms-from-ok/" rel="noopener noreferrer" target="_blank">Masvingo Mirror</a></h4>

Grade One Pupil Shoplifts Condoms From OK Supermarket

The government has been urged to stop the free distribution of c_ndoms and use the resources to provide free sanitary pads for women.
The call was made by Thandikile Mkwananzi, a gender activist who was addressing delegates to the Women’s Coalition of Zimbabwe (WCoZ) conference. She said:
<blockquote>Imagine you have three girls in your family, you add yourself then look at the price of sanitary pads. It becomes a burden and expensive. Then you look around and realise condoms are distributed for free even when sex is a pleasure and by choice.</blockquote>
<a href="https://news.pindula.co.zw/2019/06/24/govt-removes-import-duty-on-sanitary-wear-products/" rel="noopener noreferrer" target="_blank">The government, through Statutory Instrument 264 of 2018, suspended duty on sanitary wear for women for imports done during the period December 1, 2018, to November 30, 2019.</a>
Meanwhile, the price of sanitary pads has remained high and unaffordable for most women with <a href="https://news.pindula.co.zw/2018/05/04/girls-aged-9-using-contraceptives-due-to-high-cost-of-sanitary-pads/" rel="noopener noreferrer" target="_blank">some reports claiming that young girls as young as 9 years old have resorted to the use of contraceptive bills.</a>
<h4>More: <a href="https://www.newzimbabwe.com/women-withdraw-free-condoms-and-issue-sanitary-pads-instead/" rel="noopener noreferrer" target="_blank">NewZimbabwe.com</a></h4>

Fund Free Sanitary Pads For Women Instead Of Male C_ndoms - Govt Urged

The Population Services International (PSI) Zimbabwe has increased the price of condoms by over 100 per cent with effect from 1 August 2019.
In a memo seen by NewsDay, consumers will part with ZWL$6.00 for a three-pack packet of condoms. The memo reads:
<blockquote>Please note that prices of Protector Plus condoms have gone up effective August 1, 2019.</blockquote>
Before the latest increase, Protector Plus condoms, which comes in various flavours including strawberry, banana and vanilla, were being sold for ZWL$2.00 and ZWL$3.00 in most retail outlets.
Reports indicate that Zvimba district has been hit by a shortage of condoms and contraceptives with fears of a spike in the STIs and unwanted pregnancies. Fungisayi Dube, of the Citizens Health Watch, said:
<blockquote>It is disappointing that sexual reproductive health rights are under threat yet Zimbabwe has made tremendous progress in addressing family planning challenges 
and gaps.
Unwanted and unplanned pregnancies will increase, leading to backyard abortions. The government should take these shortages seriously and put women’s lives and health first, for once.</blockquote>
<h4>More: <a href="https://www.newsday.co.zw/2019/08/psi-hikes-prices-of-condoms-by-100/" rel="noopener noreferrer" target="_blank">NewsDay</a></h4>

Price Of Condoms Hiked By Over 100 Per Cent

Youths in Manicaland Province have bemoaned the rise in the prices of flavoured condoms.
The price of the flavoured condoms (mainly Carex) which is considered to be a favourite of many, now costs $25 from $8 for three condoms in Mutare.
There is fear that the development may force the youths to indulge in unprotected sex exposing themselves to Sexually Transmitted Diseases.
A student at Mutare Polytechnic told Manica Post that though sex is a choice, it has to be protected. Said the student:
<blockquote>Prices of condoms have increased beyond our reach and this compromises our health as we end up engaging in unprotected sexual relations.
Although having sex is a choice, it has to be safe.</blockquote>
The Zimbabwe National Family Planning Council (ZNFPC) is providing unflavoured free condoms. ZNFPC provincial communications and marketing officer Daniel Maromo said:
<blockquote>The Government is committed to continuing supplying condoms for free through social institutions.
We supply condoms based on enhancing protection and not luxury hence our condoms are not flavoured as it becomes expensive on our part.
We have condoms for all genders and they come in different types.</blockquote>
<h4>More: <a href="https://www.manicapost.co.zw/youths-fret-over-condom-price-hike/" rel="noopener noreferrer" target="_blank">Manica Post</a></h4>

Youths Complain Over Hike In Price Of Flavoured Condoms

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