Gutu District

Gutu District was the second district in Zimbabwe along with Tsholotsho to scale up the CHCs between 1999 and 2001 in a DFID funded   boreholes rehabilitation project, implemented by the newly founded Zimbabwe AHEAD. In total 85 CHCs were started in 11 wards with 4,489 members. The level of response was high for the CHCs with an average of 53 per CHC. In total 253 boreholes were rehabilitated in the two districts, and the cost per beneficiary includes the provision of safe drinking water. The district was included in the  PhD research conducted by Dr. Waterkeyn.

  • Country: Zimbabwe
  • Period: 1997-2000
  • Donor: DFID
  • Partner: Ministry of Health
  • Province: Masvingo
  • District: Gutu
  • Wards: 11 in 2000 & 5 wards in 2012
  • Number of Villages: 85
  • Number of households: 4,489
  • Number of CHCs: 85
  • Number of Members: 4,489
  • Number of EHTs: 7
  • Number of CHC facilitators: 85
  • Number of beneficiaries: 26,934
  • Cost of Project: GBP 395,000
  • Cost per beneficiary: GBP 14.65
  • Date: Jan 2012 – December 2013
  • 5 Wards: 5,6,7,19,23
  • Partner: Action Contra la Faim
  • Number of CHCs: 214
  • Number of Members: 4,489
  • Percentage CHC coverage: 6,640 CHC households out of 8274 (80%)
  • Number of project officers: 
  • Number of CHC facilitators: 70
  • Number of beneficiaries: 34,339 (27,996 were CHC members)
  • Cost of Project: US$132,000
  • Cost per beneficiary: US$3.84

Zero open defecation in Gutu

In 2012 Zim AHEAD started health and hygiene promotion in 11 wards of Gutu and Mberengwa districts of Zimbabwe. An intensive blanket coverage approach was adopted to rope in the participation of every household in the target wards. Villagers were enrolled into 457 Community Health Clubs led by 154 Community Based Facilitators and 11 Zimbabwe AHEAD Project Officers. Of the 17,578 households enrolled, 4,482 had toilets at baseline (25%) and the rest of the households practiced open defecation. The public health promotion sessions conducted in the following 6 months resulted in households building 4,559 toilets and an additional 3,212 pits being dug as work in progress. Upon completion of the dug pits, this would leave the communities with 12,253 toilets (70% of the households with toilets). From a baseline of 25% coverage to an end line of 70% after 6 months of sanitation promotion is phenomenal.  This shows just how well communities can improve their health with appropriate stimuli from external stakeholders. They just need support to change their mind set from donor dependency to self supply initiatives. Community Health Clubs proved to be a vehicle to this change in behaviour. This cost $3,65 per beneficiary per year, water and sanitation related diseases  to generate changes in general health and hygiene practices .


Zim AHEAD Annual Report 2012    page 7-11