ARV TREATMENT SITES — HIV and AIDS Information LISTED BY PROVINCE AND AREA Dissemination Service

MASVINGO · Bulilima: Plumtree District hospital: · Bikita: Silveira Mission Hospital: Tel: (038)324 Tel. (019) 2291; 2661-3 · : Hippo Valley Estates Clinic: · : Gwanda OI Clinic: Tel: (084)22661-3: Tel: (031)2264 - Mangwe: St. Anne’s Brunapeg: · Chiredzi: Colin Saunders Hosp. Tel: (082) 361/466 AN HIV/AIDS Tel: (033)6387:6255 · Kezi-Matobo: Tshelanyemba Mission Hosp: · Chiredzi: Hosp.: Tel: (033) Tel: (082) 254 · Gutu: Gutu Mission Hosp: · Maphisa District Hosp: Tel. (082) 244 Tel: (030)2323:2313:2631:3229 · : Morgenster Mission Hosp: MIDLANDS Tel: (039)262123 · General Hosp: Tel: (056):2644:2351 TREATMENT - Masvingo Provincial Hosp: · Chirumhanzu: Muvonde Hosp: Tel: (032)346 Tel: (039)263358/9; 263360 · Mvuma: St Theresa’s Mission Hosp: - Masvingo: Mukurira Memorial Private Hospital: Tel: (0308)208/373 Tel. (039) 264919 · : Gweru Provincial Hospital: ROADMAP FOR · Mwenezi: Matibi Mission Hospital: Tel. (0517) 323 Tel: (054) 221301:221108 · Zaka: Musiso Mission Hosp: · Gweru: Gweru City Hospital: Tel: (054) Tel: (034)2286:2322:2327/8 221301:221108 - Gweru: Mkoba 1 Polyclinic, Tel. MATEBELELAND NORTH - Gweru: Lower Gweru Rural Health Clinic: · : St Patrick’s Mission Hosp: Tel: (054) 227023 Tel: (081)34316-7 · : Kwekwe General Hospital: · Lupane: St Lukes Mission Hosp: Tel: (055)22333/7:24828/31 Tel: (0898)362:549:349 · Mberengwa: Mnene Mission Hospital: · Tsholotsho: Hosp: Tel. (0518) 352/3 Tel: (0878) 397/216/299 A guide for accessing anti- PRIVATE DOCTORS retroviral treatment in MATEBELELAND SOUTH For a list of private doctors who have special Zimbabwe: what it is, where · : Hosp: training in ARV treatment and counselling, ask Tel.(086) 22496-8 your own doctor or contact SAfAIDS. to go, how much it costs, the treatment stages and more Live a longer, healthier FOR MORE INFORMATION life with ARV medicines Talk to people who already take ARVs: they know a lot. As well as the places listed in this brochure, many other organisations can give you information about HIV counselling, testing and treatment. Ask a local health worker, clinic, hospital, HIV organisation or support group. You can also contact Southern Africa HIV/AIDS Information Dissemination Service (SAfAIDS) SAfAIDS directly (address on the cover) or your local branch of Zimbabwe AIDS Network (ZAN) 17 Beveridge Road, Avondale, or National AIDS Council (NAC). P O Box A509, Avondale, Harare, Zimbabwe Tel: (263–4) 336 193/4; 307 898 SAfAIDS thanks the many people who generously provided information to help compile this Roadmap. E-mail: [email protected] Please keep us updated on new developments. Website: www.safaids.org.zw Issue 1 / June 2006

8 1 ANTI-RETROVIRALS (ARVs): AN OVERVIEW ARV TREATMENT SITES — LISTED BY PROVINCE AND AREA There IS treatment for HIV and AIDS, and a work well to attack the HIV in your body. brighter healthier future. Read more . · This is why it’s essential that you only take the exact combination and dosage of ARV drugs prescribed MASHONALAND CENTRAL WHAT ARE ARVS? for you by a registered doctor. You should never · Mpilo Hosp: Tel: (09)252011/9; 74961/3 · : Bindura Provincial Hosp: · ARVs (antiretroviral medicines) are medicines stop or change this combination without a doctor’s · United Bulawayo Hosp: Tel: (071)6555:6666:6267:6291 you can take to fight HIV in your body and live prescription. You also need regular medical tests, Tel: (09)252111:231647:234221 · Centenary: St Alberts Hosp: a longer healthier life. They DON’T cure HIV or especially CD4 counts, to make sure that the drugs · Khami Road Clinic, Tel: Tel: (057)2218:2238:23753 AIDS, but they reduce the amount of HIV in are working well for you. · Follow-up clinics: Nkulumane, Pelandaba, · Guruve: Hosp: Tel: (058)2594-7 your blood. As a result, your immune system · It’s important to learn as much as you can Luveve, Entumbane, Nketa, Northern Suburbs, · Mazowe: Concession Dist. Hosp: gets stronger, your body can fight diseases about ARVs. It’s also helpful to join a support Ingutsheni Central Tel: (0756)2569:2596: 2769: 2672 group with other people taking ARVs and to better, and can give you a much longer · Mazowe: Howard Mission Hosp: healthier life when you take them correctly. ‘disclose’ (tell someone that you’re positive) in order to get emotional support. They can HARARE Tel: (0758)2433:2474 · Not everyone who is HIV positive needs ARVs; · Connaught Clinic: Tel: (04)746874, 091 282996 · Mt Darwin: Karanda Mission Hosp: Tel: (076)2463 you can live for years before you need this also help you take your ARVs correctly. · Harare Central Hosp- OI Clinic and Harare Children’s - Mt Darwin District Hosp: Tel:(076):2408-10:2294 treatment. With or without ARVs, it’s always · Also, once you start taking ARVs, you must important to have only safe sex (so you don’t get take them for life – every day, in the right way; Hosp: Tel : (04)621100-11; 665561-4 re-infected or infect others), treat any infections so get as much information as you can. · Parirenyatwa Hosp: Tel: (04) 701555-7, 708864-5 MASHONALAND EAST you get, and build up your strength with a healthy Stopping and starting, even missing a few · Wilkins Hosp, OI Clinic: Tel: (04)-740404: · Seke: General Hosp: diet, preventive medicine and positive living. doses, also causes drug resistance and is very 740321:740464:749849 Tel : (070) 23863:31038:31850:31843 · ARVs are powerful drugs and people take a dangerous. Even if you feel better, or have · J.F. Kapnek Trust (children): · : Marondera Provin. Hosp: combination of three different ones. They do side-effects from the drugs, you must not stop Tel (04)723375, 722250 Tel: (079) 2486-9:23042-4 this in order to prevent the HIV virus from taking them or change your exact dose · CIMAS Clinic, Milton Park: Tel (04) 797166, · Murewa: Murewa District Hosp: changing its shape. If the virus changes, the drugs without seeing the doctor. 011 629 976/ 7 Tel: (078)22525:22005, · This is why it’s dangerous to buy unknown cannot fight the new strain of HIV effectively · G. Spagnolli Centre, Marlborough - Nhowe Mission Hosp: Tel: (078)22464 and you develop ‘drug resistance’. It may then be ARVs on the street or from fleamarkets, or to share your ARVs or take someone else’s. (For mothers only), Tel. (04) 300195 · : Mutoko: District Hospl: difficult to find ARV drug combinations that will · The Centre: Tel: (04) 251429, 724494 Tel:(072) 2411-6 See the ROADMAP on the centre pages for more details about the steps for taking ARV medicines. · GALZ Positive (at The Centre): - Mutoko: Luisa Guidotti, All Souls Mission: Tel:(04)741736, 740614 Tel: (072)2729:2592 WHERE CAN I GET ARVS AND advising on ARV treatment, and remember to ask · Hatcliff Extension: Dominican Missionary · Mudzi: Kotwa District Hospital HOW MUCH DO THEY COST? about getting ‘adherence counselling’. Sisters, Tel: (04) 701727 Tel: 011 756 183; (072) 2614-7 People get ARVs in a variety of ways: from government The ARV medicines vary a lot in price, but you or mission hospitals and Opportunistic Infections (OI) must ONLY take the ones your doctor prescribes. MANICALAND MASHONALAND WEST clinics; private doctors or clinics – often through In September 2006, a month’s supply of basic (first- · : Murambinda Mission Hosp: Tel: (021)2192 · : Hosp. line) ARVs cost at least Z$______, and prices keep medical aid; NGOs and community organisations; · Chimanimani: Mutambara Mission Hosp: Tel: (053):2226:2481:2447 from their workplaces (including the armed forces rising with inflation. Most people take first-line and police); or through research programmes. See drugs produced in Zimbabwe or India. You also Tel: (026)2280 · Hurungwe: District Hosp: the list of treatment places on pages 6 to 8. Regular need blood and other tests to see if you qualify for · : Mt Selinda Hosp Tel: (027)3228/9 Tel :(064) 6315: 6671/3 tests and check-ups are also essential; you must add ARVs. These cost around $______for a CD4 test · Makoni: District Hosp: Tel: (025)3377- · Hurungwe: Chidamoyo Mission Hosp: these to the cost of treatment if they aren’t free. only; $______-______for the blood tests 8/ 2363:2369 Tel: (064) 6519:7048:7200:6519 Remember: You MUST get your ARV prescription and including CD4. Tests are available at medical/clinical · : Mutare Provincial Hosp. · Kadoma: Kadoma General Hosp: tests through a registered doctor. laboratories throughout the country, through CIMAS Tel: (020)64321/64204 Tel (068) 22066-9: 22071-2 clinics, and at many govt and mission hospitals. · Mutare: Mutare City Hosp. Tel: (020)64321/64204 · Kadoma:St Michaels Mission Hosp: PRIVATE DOCTORS AND CLINICS CIMAS clinics in Harare (Rowland Square, · Mutare: Sakubva Clinic: Tel:(020)61709-followup Tel: (068) 32064 If you can afford it, you can get ARVs through private Milton Park) and Mutare are open to everyone. - CIMAS Health Care Clinic: Tel: (020) 60282 · : Chinhoyi Provincial Hosp. doctors and clinics. You pay the normal fees for CIMAS members on the add-on scheme don’t pay - Mutasa: Hauna District Hosp. Tel (028) 2502/3/5/9 Tel: (067)22305:22546/ 22547 consultations and medical aid schemes are an for any treatment; people on Vitality and Premier · Mutasa: Bonda Mission Hosp: · Zvimba: Father O’Hea Hosp: pay a lower fee. CIMAS is also planning to open excellent way to help with the costs. (See next section) Tel: (029)2294:2205 (078)22464 Tel: (069)2178:0679 Most private doctors are trained in prescribing and clinics in Bulawayo, Gweru and later Chitungwiza.

2 7 THE ROADMAP FOR TAKING ARVS

If you are negative, stay that way with: If you are positive and don’t ·Prevention (safer sex/ABC) need ARVs, you should take ·Healthy living these steps: TEST WHENEVER ·Learn more about HIV and ore ·Positive prevention AIDS m ·Healthy living AT RISK ·Become a treatment buddy r ·Positive living ·Tell others about advantages o ·Good nutrition of testing 0 ·Treatment of OIs 0

2 ·Join support group

4 ·Alternative therapies

D

It’s important to NEGATIVE C learn your HIV status, to know if S you are positive or P negative I O F CD4 DR 0 You should go for an 20 HIV test, where you’ll If you are positive, then BE W also get counselling you need: LO POSITIVE ·CD4 count tests ·Viral load tests To prepare for ARV treatment , ·Other tests (like liver you need to take these steps function and TB) to see C ·Treatment is for life, so think about if your body can take ARV D how you will continue to pay for pills treatment 4 2 ·Disclosure (who will you tell?) 0 0 ·Who will support you? or A “treatment buddy” less ·Treatment counselling ·Adherence counselling When you need ARVs, find a ·Treatment of OIs place and programme that ·Good nutrition suits you. Positive living See details and places on pages 2 – 3, and 6 – 8. ·You MUST get proper medical supervision ·Get on a waiting list if necessary READY LIFE ·Start taking ARVs FO R ·Good nutrition – healthy food R T ENT FO and herbs/vitamins REATM IS ·Positive living T ·Have hope and get support N E Take the pills correctly; treatment is for life. This means: M ·A longer healthy life T When starting ·Able to work and earn for your family

A treatment: ·Able to plan for the future ·You might experience ·Further your education E side-effects, like When you’re on ·Have a better lifestyle R rash, nausea, treatment, you must You can also help others now that you have treatment T vomiting. follow it for life ·Share your knowledge of HIV, ARVs and positive living ·Talk to your nurse or TAKE YOUR MEDICINES EVERY DAY Take the pills every TAKING ·Break the silence: talk openly about HIV and AIDS doctor. THE RIGHT TIMES, THE RIGHT WAY day, the right times TREATMENT ·DON’T stop taking and the right way PILLS WELL Continue positive living FOR LIFE Forgetting or Back to the pills ( good nutrition, stopping the pills regular treating OIs, preventing (non-adherence) illnesses WHAT DOES IT MEAN? re-infection) will mean: Adherence Taking the treatment every day, in the right way – not missing any pills A short time after ·Your HIV becomes Opportunistic Infections (OIs) TB and other infections that you get more easily when starting treatment, you resistant to ARV you’re HIV positive. (pneumonia, diarrhoea, malaria). will find these benefits: medicines. CD4 Test Shows how strong your body is. CD4 cells help you fight germs and infections. ·You feel stronger and ·You can spread this HIV kills CD4 cells fast, so with HIV you get ill more easily and take longer to get better. better untreatable HIV to AIDS A CD4 count of 500 is healthy; if your CD4 count is below 200, you need to start ARVs. ·Your CD4 count goes FORGETTING PILLS OR your partner that Viral load The amount of HIV in your blood. ARVs can keep this very low. up STOPPING TREATMENT ·Infections and can’t be Positive living Keeping your mind and body strong with healthy food, rest and exercise, ·Your viral load goes illnesses return, and treated, a positive attitude to life and the future down can’t be cured and an Positive prevention An HIV positive person takes precautions (like condoms) to avoid ·Prolonged life ·Your health gets early infecting others and being re-infected themselves. ·Reduced stigma and worse death. Treatment buddy A person who helps someone who is taking ARV medicines discrimination

4 5 MEDICAL AID/INSURANCE one fee for consultation and tests and 3 months WHAT IS COUNSELLING AND TESTING (VCT), SCHEMES of ARVs; in June 2006 this was $380 (revalued). AND WHAT HAPPENS WHEN YOU GET TESTED? CIMAS has a special “chronic add-on” to the You have to go to the hospital for check-ups monthly fees for ALL its packages that will at least once a month at the beginning, so add cover the cost of ARV medicines and other on transport costs. Voluntary counselling and testing (VCT) is a term what the HIV test means for you, and then decide treatment. (Basicare contributions start at $642 people often use to describe the process of taking whether you want to be tested or not. The test is monthly, with an add-on of $150 a month). MISSION HOSPITALS, NGOS, an HIV test and finding out whether you are HIV done safely in a private room. The nurse takes a Individuals must be on CIMAS for 2 years before COMMUNITY ORGANISATIONS they can start the free treatment, so it’s worth You can find these all over Zimbabwe, and positive or HIV negative. This is also called few drops of blood from your finger. You get the joining even if you can’t benefit immediately. some support government clinics and “knowing your status” and includes counselling results the same day, often in less than an hour. Employees of companies with over 20 hospitals. Costs vary, and many programmes before and after the test. Many people decide to members on CIMAS add-on get free HIV are subsidised but often have a waiting list. get tested because – whatever the result - it WHERE CAN I GET VCT? AND treatment immediately. Vitality and Premier helps them make important choices about their HOW MUCH DOES IT COST? have similar schemes, but only for employees WORKPLACES AND ARMED lives and their family’s health and future. And New Start centres all over Zimbabwe offer excellent paid for through their companies. FORCES/POLICE/PRISONS with greater availability of ARVs, and so much HIV counselling and testing for only ten Zim dollars Many big and small companies and IMPORTANT NOTE ON COSTS organisations, and the police, prisons and information about positive living, it’s a real (July 2006). (See the list of centres below.) You Prices given here are for September 2006 armed forces, have free or subsidised treatment advantage to get tested. can also get tested in government clinics and and may change. for employees and close family members. hospitals, through private doctors and clinics, and Some programmes are subsidised for people Encourage your workplace to do the same: it’s The HIV test is voluntary, meaning that it’s your in mobile clinics. Many other organisations also who don’t have medical aid and cannot cheaper for them in the long run. choice. At a VCT centre, you can find out about offer counselling; this is often free. afford to pay for public or private treatment. Some people in prison also receive ARVs. If you can’t pay the fees at government hospitals, you can go through Social Welfare RESEARCH PROGRAMMES NEW START CENTRES IN ZIMBABWE to get an Assisted Medical Treatment Order (DART AND ZAPP) (AMTO). It’s not always easy, but keep trying These are free, but are not enrolling new and do other things to live positively. patients at the moment. Find out more before enrolling on one of these programmes: there BINDURA: Hope Humana, First St/Appleby Ave. Civic Centre, Tel: (054) 220746 PUBLIC HOSPITALS AND CLINICS: are important conditions. Tel (071) 6833/6731 HARARE: New Africa House, Tel: (04) Adults: Once you are enrolled for treatment, BULAWAYO: Bambanani NS Centre, 4th Floor, 775327/775927, Genesis, Cnr Nelson Mandela a month’s supply of ARVs costs $50. You also Haddon &Sly Blding, Cnr 8th/Fife St, Tel. (09) 882690; Ave/Fifth St. Tel: (04) 797124, Wilkins Hospital, Genito have to pay the current user fees at the hospital Nkulumani Clinic, Nkulumane Drive, Tel: (09) 482134, Urinary Centre, Tel: (04) 740404/740321/740464 or clinic. (In September 2006, outpatient TAKE ACTION NOW! Matabeleland AIDS Council (MAC), 97AJ. Tongogara HWANGE: Lubancho House, Stand F35/36, consultation cost $3,515 at a central hospital Str. Tel: (09) 62370 Lwendulu village, Hwange. Tel (081) 22760 (adults, and children 12 years and over; $1805 CHINHOYI: Chinhoyi Provincial Hospital, KADOMA: Kadoma Centre, Stand No. 6726, for children under 12; fees are lower at Some government, mission and Tel: (067) 25383/24420-5: Chidavaenzi Building, 46 Mupamombe Rd, Rimuka, Tel: (068) 25057 provincial and district hospitals. (There is also community/NGO places are not enrolling new Midway Avenue, Tel: (067) 27868 MASVINGO: 10Hoffmeyer Rd./J. Tongogara Ave, a lower “chronic consultation” fee to cover people right now - but many programmes are CHIPINGE: FACT MDM, 208 Philips Avenue, Tel Tel: (039) 262928/262577 several visits: ask at the hospital.) You also have expanding and new treatment sites are (027) 2353 MURAMBINDA: Murambinda Mission Hospital, to pay for your own blood tests; these are opening, some later this year. CHIREDZI: Chiredzi New Start Centre, FACT, Stand Tel: (021) 2192 expensive. Don’t forget your transport costs – you will have to visit the doctor/hospital once So: Get tested, get information and get on a 3246, Light Industrial Sites, Tshovani Township, MUTARE: Red Cross Mutare Division, 25 G. Silundika a month to get your pills, and more often at waiting list if necessary. And start living Tel: (031) 3375 St Tel: (020) 64412/62120 the beginning for tests, counselling and positively and learning about the many steps CHITUNGWIZA: Shop No. 32, Chitungwiza Town MUTOKO: Mutoko New Start Centre, No. 14 training. Ask your doctor or nurse if you can you can take to improve your health, fight HIV Centre, Tel: (070) 30976 Chinzanga Township, Tel: (072) 2711, Cell: 011 795178 get your pills through your local clinic after the and give you a longer healthier life. CONCESSION: North Eastern Medical Centre, Cnr. TRIANGLE: The Colin Saunders Hospital, first 3 or 6 months. Craigengower Rd/White Cliff Siding, Tel: (0756)2661 Tel: (033) 6255/6387 Children: Harare Children’s Hospital, takes For more information on testing and GWERU: The Medical Centre, Mtapa Administration VICTORIA FALLS: Chinotimba Clinic, Tel: (013) 41501 children from around the country, and charges counselling, see page 6 > > >

6 3