10
in excess of 4, which is considerably higher than any comparable primary care population 5,
including populations containing survivors of torture 6. It is even in excess of the prevalence
obtained in a Zimbabwean refugee setting or the prevalence found in a war veteran group 7. In
fact, it is comparable with multiply traumatised populations, such as those found in
Matabeleland, where the population had suffered from organised violence and torture in two
successive decades.
Percentage prevalence of psychological disorders in various
populations in Zimbabwe.
(data taken from various Zimbabwe studies)
90%
80%
70%
60%
50%
40%
30%
20%
10%
PH
C
(C
hiw
PH esh
e
C
(H )
ar
ar
e)
M
T
D
ar
w
M
in
uz
ar
ab
M
R
oz
an
i
am ots
i
vic
bic
tim
an
s
r
ef
C
om
ug
W
ee
m
a
er
s
cia r Ve
l fa
te
ra
rm
ns
w
or
ke
rs
0%
As can be seen from the table above, the rates obtained from the IDP group are hugely
greater than virtually all previous studies from a wide variety of different populations. The rate
reported here is nearly 20% higher than the rate obtained from a displaced persons
population – Mozambican refugees – and is nearly 40% higher than the rate obtained from
Zimbabwean primary care and community samples. It is higher than the rates found in Mount
Darwin and Muzarabani, in which there was specific screening for victims of organised
violence and torture, and in which they were previously very high rates of human rights
violations reported. The rate is even higher than that found amongst Zimbabwean war
5
See REELER,A.P., WILLIAMS,H., & TODD,C.,H.,(1993), Psychopathology in Primary Care patients: A four-year
study in rural and urban settings, CENTRAL AFRICAN JOURNAL OF MEDICINE, 39, 1-8; Patel V et al. 1997.
Common mental disorders in primary care in Harare: associations and risk factors. British Journal of Psychiatry 171:
60-64; Patel V et al. 1998. Outcome of common mental disorders in Harare. British Journal of Psychiatry 172: 5357.
6
See REELER,A.P., MBAPE,P., MATSHONA,J., MHETURA,J., & HLATYWAYO,E. (2001), The prevalence and
nature of disorders due to torture in Mashonaland Central Province, Zimbabwe, TORTURE, 11, 4-9.
7
See REELER,A.P., & IMMERMAN, R.(1994), An initial investigation into psychological disorders in Mozambican
refugees: Prevalence and clinical features, CENTRAL AFRICAN JOURNAL OF MEDICINE, 40, 309-315;
REELER,A.P. (1995), Trauma in Mozambican refugees: Findings from a training programme for refugee workers,
TORTURE, 5, 18-21. See also REELER,A.P., & MUPINDA,M. (1996), An Investigation into the psychological
sequelae of Torture and Organised Violence in Zimbabwean war veterans, LEGAL FORUM, 8, 12-27.
AMANI TRUST: Preliminary Report of a Survey on Internally Displaced Persons from Commercial Farms in
Zimbabwe.