Earlier this year, then 46-year-old Lydia Musundiwa, based in the Zimbabwean capital Harare, was diagnosed with colon cancer, which, already at an advanced stage, killed her in less than two months. Now, Landeni, her 49-year-old widower, has to contend with the burden of looking after their three children single-handedly. In Zimbabwe, a lack of cancer […]

Women waiting to be screened for cervical cancer at a hospital in the Zimbabwean capital Harare. Zimbabwe has rising cancer cases and deaths the detection of the disease often comes too late. Credit: Jeffrey Moyo/IPS

By Jeffrey Moyo
HARARE, Jul 29 2024 (IPS)

Earlier this year, then 46-year-old Lydia Musundiwa, based in the Zimbabwean capital Harare, was diagnosed with colon cancer, which, already at an advanced stage, killed her in less than two months.

Now, Landeni, her 49-year-old widower, has to contend with the burden of looking after their three children single-handedly.

In Zimbabwe, a lack of cancer awareness and radiotherapy treatment is problematic, as cancer is only picked up in the late stages.

Based on the Global Cancer Observatory data, four years ago, Zimbabwe reported 16,083 new cases of cancer and 10,676 deaths due to the disease.

On X, formerly Twitter, Hopewell Chin’ono, a renowned Zimbabwean freelance journalist and documentary filmmaker with thousands of followers on his handle, has gone on record protesting the ravages of cancer in the Southern African nation, which he calls a “carefree” regime.

“Zimbabwe doesn’t have a single working radiotherapy cancer treatment machine. If you get cancer in Zimbabwe today, it’s a death sentence. You will die,” Chin’ono said.

The Zimbabwean government last year came out in the state media claiming it had purchased new, advanced radiotherapy machines used to treat cancer.

However, appearing before the country’s Parliamentary Portfolio Committee on Health and Child Care last year in March, Zimbabwe’s Permanent Secretary in the Ministry of Health, Jasper Chimedza, said the country had only a single functional radiotherapy machine to service all the country’s cancer patients.

As a result, many Zimbabweans, like Lydia, have had the disease detected at an advanced stage, resulting in a painful demise.

Unable to afford private healthcare, Zimbabwe’s cancer patients, both young and old, very often die without treatment.

One such young patient is 22-year-old Tangai Chaurura, who suffers from liver cancer and, doctors told him the cancer is already at stage four. His brother, Mevion, says Chaurura is now only receiving home-based care.

“We are just waiting for his final day. We can’t lie to ourselves that he will live given his dire condition now unless a miracle happens,” Chaurura’s brother, Mevion, told IPS.

There are no recorded statistics for the young people battling cancer in this Southern African nation, but the Zimbabwe National Cancer Registry’s latest statistics show that 7,841 new cancer cases were diagnosed in 2018.

Then, the majority of the cancers recorded were cervical cancer, prostate cancer and breast cancer.

However, the Cancer Association of Zimbabwe says that cancer is not necessarily a death sentence.

“There are quite a number of myths and misconceptions about cancer and that is one of the reasons why people think that having cancer is actually a death sentence, but at the Cancer Association of Zimbabwe, we know that is not true,” the association’s information research and evaluation officer, Lovemore Makurirofa, told IPS.

Makurirofa said cancers were increasing every year in Zimbabwe and these, to him, were officially recorded cases at public hospitals, with many other cancer cases going unnoticed.

As cancer ravages many in Zimbabwe, Makurirofa said the answer lies in “leading a healthy lifestyle where people have a good diet and exercise.”

A Zimbabwean government health official said many people were succumbing to cancer because of the late detection of the disease.

Last year, in Cote d’Ivoire, Kenya and Zimbabwe, the World Health Organization launched an initiative to support better access to breast and cervical cancer detection, treatment and care services.

Then, remarking at the initiative, Dr. Matshidiso Moeti, the WHO Regional Director for Africa, said: “Early detection is a key contributor to better cancer treatment outcomes. With this approach, we aim to bolster the role of primary health care services to help avert the excess mortality of African women from preventable cancers.”

The WHO, however, says that limited access to early detection, diagnosis, and treatment services, as well as a lack of awareness of the disease, have made early detection difficult throughout Africa and Zimbabwe in particular.

With Zimbabwe not spared, based on the 2018 Global Survey of Clinical Oncology Workforce, a single oncologist provides care for between 500 and 1000 patients across many African countries, which is up to four times the International Atomic Energy Agency recommendation of 200 to 250 patients per oncologist.

Zimbabwean cancer activists like Bakie Padzaronda, based in New Jersey in the USA, have said cancer treatment in Zimbabwe is on the expensive side, making it unaffordable for many.

“Medication and treatment must not be as punitive as they are today. It needs to be affordable and we expect the government to look into this seriously by subsidizing the costs of treatment. Hospitals must be equipped with proper and modern medical equipment,” Padzaronda told IPS.

But as cancer cases keep rising in Zimbabwe, cancer experts like Michelle Madzudzo have said the country’s growing aging population and urbanization contribute to the disease.

“The rise in cancer cases can be attributed to aging populations, urbanization and changes in lifestyle,” Madzudzo told IPS. “In our country, cancer mortality rates are high due to various factors, which include late detection and diagnosis.”

Founder and president of Talk Cancer Zimbabwe, an organization whose mandate is to help improve cancer awareness, Madzudzo is a Zimbabwean radiation therapist.

IPS UN Bureau Report