Economic implications of COVID-19 for the HIV epidemic and the response in Zimbabwe

Understanding the economic implications of COVID-19 for the HIV epidemic and response is critical for designing policies and strategies to effectively sustain past gains and accelerate progress to end these colliding pandemics. While considerable cross-national empirical evidence exists at the global level, there is a paucity of such deep-dive evidence at national level. This article addresses this gap. While Zimbabwe experienced fewer COVID-19 cases and deaths than most countries, the pandemic has had profound economic effects, reducing gross domestic product by nearly 7% in 2020. This exacerbates the long-term economic crisis that began in 1998. This has left many households vulnerable to the economic fallout from COVID-19, with the number of the extreme poor having increased to 49% of the population in 2020 (up from 38% in 2019). The national HIV response, largely financed externally, has been one of the few bright spots. Overall, macro-economic and social conditions heavily affected the capacity of Zimbabwe to respond to COVID-19. Few options were available for borrowing the needed sums of money. National outlays for COVID-19 mitigation and vaccination amounted to 2% of GDP, with one-third funded by external donors. Service delivery innovations helped sustain access to HIV treatment during national lockdowns. As a result of reduced access to HIV testing, the number of people initiating HIV treatment declined. In the short term, there are likely to be few immediate health care consequences of the slowdown in treatment initiation due to the country's already high level of HIV treatment coverage. However, a longer-lasting slowdown could impede national progress towards ending HIV and AIDS. The findings suggest a need to finance the global commons, specifically recognising that investing in health care is investing in economic recovery

Levels, method choice and predictors of contraceptive use among males in southern Africa

This study assessed the relative risk of using male and partner contraceptive methods relative to non-use, identified the types of methods preferred by participants, and assessed the associated determinants of the use of male and partner methods. It used secondary data from the Demographic and Health Surveys conducted in Lesotho, Namibia, South Africa, and Zimbabwe. Participants were sexually active men aged 15­54. The study found that 32% of respondents did not utilize any method, while 36% and 32% used partner and male methods, respectively. The male method was more prevalent among men who had two or more sexual partners and among urban dwellers, while the partner method was predominant among those with less than two children and those who were indifferent about whether contraception is a woman's business. The study recommends that family planning programs should pay attention to male contraceptive needs and concerns. (Afr J Reprod Health 2022; 26[6]:27-35).

Helichrysum caespititium (DC.) Harv.: Review of its medicinal uses, phytochemistry and biological activities

Helichrysum caespititium is a valuable and well-known medicinal plant in south and central Africa. The current studyexamined ethnomedicinal uses, chemical and biological properties of H. caespititium. Information on medicinal uses,phytochemistry, and biological activities of H. caespititium were assembled from several internet sources whichincluded Scopus, Google Scholar, Elsevier, Science Direct, Web of Science, Pubmed, SciFinder, and BMC. Additionalinformation was sourced from journal articles, scientific reports, theses, books, and book chapters gathered from theUniversity library. The current study showed that H. caespititium is used for treating several medical conditions,particularly respiratory infections, sexually transmitted infections, nausea, headache, wounds, ulceration, and usedas an aphrodisiac. The pharmacological research showed that H. caespititium extracts and compounds isolated fromthe species have antibacterial, antigonorrhea, antimycobacterial, antifungal, antioxidant, and cytotoxicity activities.This research showed that H. caespititium is an integral part of indigenous pharmacopeia in southern Africa, but thereis lack of alignment between the ethnomedicinal uses and existing biological screening. Therefore, future researchshould focus on evaluation of the chemical and pharmacological properties of H. caespititium extracts and compoundsisolated from the species.

Acacia karroo Hayne: Ethnomedicinal uses, phytochemistry and pharmacology of an important medicinal plant in southern Africa

Acacia karroo (A. karroo) has been used as herbal medicine by the indigenous people of southern Africa for several centuries. The potential of A. karroo as herbal medicine, its associated phytochemistry and biological activities are reviewed. The extensive literature survey revealed that A. karroo is traditionally used to treat or manage 32 and five human and animal diseases and ailments, respectively. The species is used as herbal medicine for diseases and ailments such as colds, diarrhoea, dysentery, flu, malaria, sexually transmitted infections (STIs), wounds, and also as colic and ethnoveterinary medicine. Multiple classes of phytochemicals such as flavonoids, phenols, phytosterols, proanthocyanidin, tannin, terpenes as well as several minerals have been identified from leaves and roots of A. karroo. Scientific studies on A. karroo indicate that it has a wide range of pharmacological activities which include antibacterial, antifungal, antigonococcal, antihelmintic, antilisterial, antimalarial, antimycobacterial, antioxidant, HIV-1 reverse transcriptase, anti-inflammatory and analgesic. A. karroo has a lot of potential as a possible source of pharmaceutical products for the treatment of a wide range of both human and animal diseases and ailments. Future research should focus on the mechanisms of action of the different plant parts used as herbal medicines, isolated compounds, their efficacy, toxicity and clinical relevance.

Euclea undulata Thunb.: Review of its botany, ethnomedicinal uses, phytochemistry and biological activities

Euclea undulata (E. undulata) is traditionally used for the treatment of body pains, chest complaints, cough, diabetes, diarrhoea, headaches, heart diseases and toothaches in southern Africa. This study was aimed at reviewing the botany, ethnopharmacology and biological activities of E. undulata in southern Africa. Results presented in this study are based on review of literature using search engines such as Science Direct, Springerlink, Scopus, PubMed, Web of Science, BioMed Central and Google Scholar. Herbal medicine is prepared from the decoctions of the roots, bark and leaves, and extracts of these plant parts have demonstrated anticholinesterase, anti-inflammatory, antimicrobial, antimycobacterial, antiplasmodial, antioxidant and hypoglycaemic activities. Multiple classes of phytochemical compounds such alkaloids, diterpenes, fatty acids, flavonoids, glycosides, naphthoquinones, phenolics, phytosterols, reducing sugars, saponins and tannins have been isolated from the species. E. undulata has a lot of potential as herbal medicine in tropical Africa, and advanced research is required aimed at correlating its medicinal uses with the phytochemistry and pharmacological properties.

Acacia karroo Hayne: Ethnomedicinal uses, phytochemistry and pharmacology of an important medicinal plant in southern Africa

Acacia karroo (A. karroo) has been used as herbal medicine by the indigenous people of southern Africa for several centuries. The potential of A. karroo as herbal medicine, its associated phytochemistry and biological activities are reviewed. The extensive literature survey revealed that A. karroo is traditionally used to treat or manage 32 and five human and animal diseases and ailments, respectively. The species is used as herbal medicine for diseases and ailments such as colds, diarrhoea, dysentery, flu, malaria, sexually transmitted infections (STIs), wounds, and also as colic and ethnoveterinary medicine. Multiple classes of phytochemicals such as flavonoids, phenols, phytosterols, proanthocyanidin, tannin, terpenes as well as several minerals have been identified from leaves and roots of A. karroo. Scientific studies on A. karroo indicate that it has a wide range of pharmacological activities which include antibacterial, antifungal, antigonococcal, antihelmintic, antilisterial, antimalarial, antimycobacterial, antioxidant, HIV-1 reverse transcriptase, anti-inflammatory and analgesic. A. karroo has a lot of potential as a possible source of pharmaceutical products for the treatment of a wide range of both human and animal diseases and ailments. Future research should focus on the mechanisms of action of the different plant parts used as herbal medicines, isolated compounds, their efficacy, toxicity and clinical relevance.

Euclea undulata Thunb.: Review of its botany, ethnomedicinal uses, phytochemistry and biological activities

Euclea undulata (E. undulata) is traditionally used for the treatment of body pains, chest complaints, cough, diabetes, diarrhoea, headaches, heart diseases and toothaches in southern Africa. This study was aimed at reviewing the botany, ethnopharmacology and biological activities of E. undulata in southern Africa. Results presented in this study are based on review of literature using search engines such as Science Direct, Springerlink, Scopus, PubMed, Web of Science, BioMed Central and Google Scholar. Herbal medicine is prepared from the decoctions of the roots, bark and leaves, and extracts of these plant parts have demonstrated anticholinesterase, anti-inflammatory, antimicrobial, antimycobacterial, antiplasmodial, antioxidant and hypoglycaemic activities. Multiple classes of phytochemical compounds such alkaloids, diterpenes, fatty acids, flavonoids, glycosides, naphthoquinones, phenolics, phytosterols, reducing sugars, saponins and tannins have been isolated from the species. E. undulata has a lot of potential as herbal medicine in tropical Africa, and advanced research is required aimed at correlating its medicinal uses with the phytochemistry and pharmacological properties.

On Reasons of High Prevalence of HIV/AIDS in Southern Africa: A view of Sociology and Ethics / 中国医学伦理学

HIV/AIDS has become one of the principal factors which seriously threatened the security of the human race since 80s,which draw worldwide attention.Given that Southern Africa is at present generally believed to be the epicenter of this pandemic,HIV/AIDS has come to represent an unprecedented threat to the human security of the region's states in particular.The article analyses the causes,and attributes the phenomenon to such factors as poor public health sector,the impacts of SAPs,the backward tradition and superstition,stigmatization,status of women and the adverse effect of urbanization.