Publications by authors named "R Simbi"

Background: Although Zimbabwe has transitioned out of the 30 high-burden countries, it still remained in the 30 high multidrug-resistant (MDR)/rifampicin-resistant tuberculosis (TB) burden. Rapid detection of rifampicin (RIF) and isoniazid (INH) is essential for the diagnosis of MDR-TB. The World Health Organization has recommended the use of molecular WHO-recommended rapid diagnostic (mWRD) for TB and DR-TB.

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Background: The Global Fund partnered with the Zimbabwean government to provide end-to-end support to strengthen the procurement and supply chain within the health system. This was accomplished through a series of strategic investments that included infrastructure and fleet improvement, training of personnel, modern equipment acquisition and warehouse optimisation. This assessment sought to determine the effects of the project on the health system.

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Background: SARS-CoV-2 continues to be a major issue in resource-limited settings, particularly owing to the limited supply of vaccinescaused by inequitable distribution.

Objective: To monitor diagnostic gene targets to identify potential test failures caused by mutations, which is important for public health.

Methods: Here we analysed the genome sequence of SARS-CoV-2 from the second wave in Zimbabwe.

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The COVID-19 pandemic was declared a Public Health Emergency of International Concern on January 30, 2020. The government of Zimbabwe through the Ministry of Health and Child Care set up the COVID-19 national preparedness and response plan in which the laboratory was a key pillar. The implementation of PCR testing, genomic sequencing, and the establishment of quality management systems during the COVID-19 response strengthened the capacity of the public health laboratory system in responding to the pandemic.

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Article Synopsis
  • PEPFAR supports diagnostic networks for HIV and tuberculosis in low and middle-income countries, which were leveraged for SARS-CoV-2 testing during the COVID-19 pandemic.
  • From April 2020 to March 2021, 27 countries reported on the use of these networks, with a focus on 46 key indicators for COVID-19 response activities.
  • Overall, participating labs contributed to over 3.4 million SARS-CoV-2 tests, demonstrating the effectiveness of PEPFAR resources in emergency health responses.
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