In Gwanda, MSF provides medical care to artisanal miners, their families and host communities through mobile clinics. People in this hard-to-reach area are exposed to health risks linked to unsafe working conditions, a lack of local health facilities and other barriers to care, such as affordability. In 2025, MSF ran a range of medical services at 36 mining locations, including general healthcare, treatment for HIV, tuberculosis (TB), silicosis and mental health conditions, and health promotion.  

To facilitate earlier detection and diagnosis of TB and silicosis (a lung disease that typically affects people working in construction, mining, and stone cutting) in these remote communities, we introduced a portable x-ray and computer-aided detection system. We also adopted a peer-led model for mental health care, recruiting peer educators who are integrated in the community and can refer people for mental health services with MSF.  

In Mbare and Epworth, densely populated settlements in the capital, Harare, MSF teams continue to offer youth-friendly, one-stop sexual and reproductive health services, focused on addressing the multiple and evolving health needs of adolescents and young people. We offer testing and treatment for HIV and sexually transmitted infections, as well as HIV pre-exposure prophylaxis (PrEP), counselling and mental health support. Through our peer-led, community participation model, we also worked to reduce barriers to access, promote continuity of care and strengthen adolescents’ agency in managing their health.