Zimbabwe has the legal, political and social structures that would allow such work without
endangering victims (individuals or communities) or researchers.
There is good understanding of the health consequences of organized violence in Zimbabwe. The
morbidity due to the Liberation War has been best documented to date, and the most reliable study
indicated a likely prevalence of trauma sufferers of approximately 1 adult in 10 over the age of 30
years in 1997. The Government has not provided any national programme of specialized medical or
psychological assistance for these victims, although war veterans have been beneficiaries on a
number of occasions of financial compensation. Morbidity due to the Gukurahundi has also received
some attention, although remarkably little given the genocidal nature of the events associated with
Gukurahundi. This lack of attention has itself resulted in a widespread belief in south western
Zimbabwe (among both populations and professionals) of systematic denial. One small study, in
Gwanda district, indicated that 5 adults in 10 over the age of 18 years were suffering from significant
psychological disorders, with over 90% of the sample reporting an experience with organized
violence and torturexiii. The majority of these experiences dated from the 1980s rather that the
Liberation War. In general, the events of Gukurahundi and their social and psychological sequelae are
a very clear example of social denial and the silencing of suffering despite at least one group‘s
remarkable and innovative attempts at community level healing.xiv
There is no good estimate of the morbidity due the violence occasioned by the Food Riots in 1998. At
the time the Zimbabwe Republic Police estimated that over 3,000 persons had been arrested, and the
Human Rights Forum was able to obtain data on 1,431 cases of persons that had been arrested. Only
44 persons eventually elected to report to the Human Rights Forum, but 36% were diagnosed as
having clinically significant psychological disorders. It is clearly inappropriate to extrapolate from such
a small sample, but it is probable that the numbers affected were significant xv. The very low number
of victims who chose to report to the Humans Rights Forum speaks directly to widespread public
suspicion of the impartiality of the police and other legal bodies.
Finally, there has been a virtual epidemic of organized violence and torture since February 2000, as
seen in Table 1 above, and this is attested to by the vast outpouring of reports since that time. Very
few studies have been done on the effects on victims, and certainly no reliable epidemiological
studies. There are two indicative studies, however. The first, examining internally-displaced workers
from the commercial farms demonstrated that 85% of the sample was suffering clinically significant
psychological disordersxvi, whilst the second, a ―snap survey‖ of Zimbabwean refugees in
Johannesburg, Gauteng, indicated a point prevalence rate of 14% in the sample xvii.
These latter two studies are important for the purposes of understanding the effects of O peration
Murambatsvina since they examine populations of displaced persons. Estimates of psychological
disorders due to trauma are much higher amongst refugees or internally displaced persons than they
are in the general population, as they are in specific populations such as those living in complex
emergencies such as civil wars, or low intensity conflicts. In 2005, in the aftermath of Operation
Murambatsvina, ActionAid International conducted a community survey, xviii and this indicated the
following:
The major finding was an extremely high rate of clinically significant psychological
disorder in the sample. 69% of the sample had scores in the clinically significant
range, which indicates a probable population needing psychological assistance of
about 820,000 persons. The prevalence was higher in the HIV/AIDS group [75%].
It was also evident in the ActionAid study that women were considerably more vulnerable than men,
with older women-headed households and single women-headed households the most vulnerable.
Clearly, unaccompanied children and child-headed households are likely to be the most vulnerable.
Additionally, there is considerable evidence that children are very common witnesses to the OVT that
has taken place since 2000, and the many reports of violence within rural communities indicate this.