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An Hiv/Aids Treatment Roadmap for Zimbabwe

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An Hiv/Aids Treatment Roadmap for Zimbabwe ARV TREATMENT SITES — Southern Africa 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 · Chiredzi: Hippo Valley Estates Clinic: · Gwanda: 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: Chiredzi District Hosp.: Tel: (033) Tel: (082) 254 · Gutu: Gutu Mission Hosp: · Maphisa District Hosp: Tel. (082) 244 Tel: (030)2323:2313:2631:3229 TREATMENT · Masvingo: Morgenster Mission Hosp: MIDLANDS Tel: (039)262123 · Chivhu General Hosp: Tel: (056):2644:2351 - 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 ROADMAP FOR Tel. (039) 264919 · Gweru: Gweru Provincial Hospital: · 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 ZIMBABWE - Gweru: Mkoba 1 Polyclinic, Tel. MATEBELELAND NORTH - Gweru: Lower Gweru Rural Health Clinic: · Hwange: St Patrick’s Mission Hosp: Tel: (054) 227023 Tel: (081)34316-7 · Kwekwe: Kwekwe General Hospital: · Lupane: St Lukes Mission Hosp: Tel: (055)22333/7:24828/31 Tel: (0898)362:549:349 · Mberengwa: Mnene Mission Hospital: · Tsholotsho: Tsholotsho District 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 · Beitbridge: Beitbridge District 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, Harare 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 BULAWAYO MASHONALAND CENTRAL WHAT ARE ARVS? for you by a registered doctor. You should never · Mpilo Hosp: Tel: (09)252011/9; 74961/3 · Bindura: 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: Guruve District 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: ‘disclose’ (tell someone that you’re positive) · healthier life when you take them correctly. HARARE Tel: (0758)2433:2474 Not everyone who is HIV positive needs ARVs; in order to get emotional support. They can · · 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. treatment. With or without ARVs, it’s always · Also, once you start taking ARVs, you must · Harare Central Hosp- OI Clinic and Harare Children’s - Mt Darwin District Hosp: Tel:(076):2408-10:2294 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: Chitungwiza 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: 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 ARVs on the street or from fleamarkets, or to · and you develop ‘drug resistance’. It may then be (For mothers only), Tel. (04) 300195 · Mutoko: Mutoko: District Hospl: difficult to find ARV drug combinations that will share your ARVs or take someone else’s. · 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 about getting ‘adherence counselling’. Sisters, Tel: (04) 701727 Tel: 011 756 183; (072) 2614-7 COST? The ARV medicines vary a lot in price, but you People get ARVs in a variety of ways: from government must ONLY take the ones your doctor prescribes. MANICALAND MASHONALAND WEST In September 2006, a month’s supply of basic (first- or mission hospitals and Opportunistic Infections (OI) · Buhera: Murambinda Mission Hosp: Tel: (021)2192 · Chegutu: Chegutu District Hosp. line) ARVs cost at least Z$ 14,000, and prices keep clinics; private doctors or clinics – often through · Chimanimani: Mutambara Mission Hosp: Tel: (053):2226:2481:2447 medical aid; NGOs and community organisations; rising with inflation. Most people take first-line Tel: (026)2280 · Hurungwe: Karoi District Hosp: from their workplaces (including the armed forces drugs produced in Zimbabwe or India. You also and police); or through research programmes. See need blood and other tests to see if you qualify for · Chipinge: Mt Selinda Hosp Tel: (027)3228/9 Tel :(064) 6315: 6671/3 the list of treatment places on pages 6 to 8. Regular ARVs. These cost around $12,000 for a CD4 test · Makoni: Rusape District Hosp: Tel: (025)3377- · Hurungwe: Chidamoyo Mission Hosp: tests and check-ups are also essential; you must add only; $13,000-14,000 for the blood tests including 8/ 2363:2369 Tel: (064) 6519:7048:7200:6519 these to the cost of treatment if they aren’t free. CD4. Tests are available at medical/clinical · Mutare: Mutare Provincial Hosp. · Kadoma: Kadoma General Hosp: Remember: You MUST get your ARV prescription and laboratories throughout the country, through CIMAS Tel: (020)64321/64204 Tel (068) 22066-9: 22071-2 tests through a registered doctor. clinics, and at many govt and mission hospitals. · Mutare: Mutare City Hosp. Tel: (020)64321/64204 · Kadoma:St Michaels Mission Hosp: CIMAS clinics in Harare (Rowland Square, · Mutare: Sakubva Clinic: Tel:(020)61709-followup Tel: (068) 32064 PRIVATE DOCTORS AND CLINICS Milton Park) and Mutare are open to everyone. - CIMAS Health Care Clinic: Tel: (020) 60282 · Chinhoyi: Chinhoyi Provincial Hosp. If you can afford it, you can get ARVs through private 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 for any treatment; people on Vitality and Premier doctors and clinics. You pay the normal fees for · Mutasa: Bonda Mission Hosp: · Zvimba: Father O’Hea Hosp: pay a lower fee. CIMAS is also planning to open consultations and medical aid schemes are an Tel: (029)2294:2205 (078)22464 Tel: (069)2178:0679 excellent way to help with the costs. (See next section) clinics in Bulawayo, Gweru and later Chitungwiza.
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