CMP Prod Oct2012.pdf - Training and Research Support Centre

There has also been a small reported improvement in access to safe sanitation during 2012,
although still with 20% of sites reporting less than a quarter of sites having access to safe
sanitation. Mashonaland East and Mashonaland Central have poor reported access to safe
sanitation. Harare also has low access to safe water and sanitation from suburbs such as
Epworth and Hatcliffe Extension. Lack of progress in water and sanitation exposes
households to water borne diseases particularly with the onset of the rain season.
“The council should erect and properly maintain public toilets in public places like
Mupedzanammo and Mbare Informal Industry (Siyaso)”
Monitor, Harare
Transport availability and cost
determines access to services. The
nominal transport costs to the nearest
centre where health services can be
accessed was reported to have remained
relatively constant since June 2009,
except for a lower average level reported
in September 2011 (Table 11).
Matabeleland North had the highest
reported transport cost. While these
costs have remained relatively constant
improved availability of supplies,
including in local health services, means
that people have less distance to travel to
access servces, For example if women
have to travel to district hospitals to
access maternity services (and
Table 11:Nominal costs of transport to nearest
centre
Province
US$ Cost
Total Sept 2012 1.20
Total June 2012 1.20
Total Sept 2011 0.98
Total June 2011 1.13
Total Sept 2010 1.19
Total June 2010 1.15
Total June 2009 1.20
Total Sept 2009 1.03
Total Oct 2007 1.05
Total Aug 2005 0.89
Total July 2004 1.01
Note: 2004, 2005 and 2007 fares used parallel
exchange rates for Z$ conversion
midwives) this increases transport cost barriers to use of services and the costs will be
much higher than the $1.20 noted above as the cost to the nearest centre.
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