For some Zimbabwe children with heart disease, a rare lifeline restores hope

San Francisco Chronicle​

a day ago

HARARE, Zimbabwe (AP) — Tubes snaked across 3-year-old Gracious Chikova's bandaged chest in the intensive care unit of a government hospital in Zimbabwe's capital, Harare. Just a day earlier, surgeons had opened her tiny heart to repair a defect that threatened her life. Now she sipped a drink from a syringe, her mother anxiously watching her every breath.
'I had given up. Those with money have been taking their children to India for surgery, but I simply couldn't afford it,' said Vimbainashe Chakanungwa as she helped her daughter sip her meal. Chakanungwa's monthly salary as a teacher is about $300, barely enough for household basics, let alone surgery.
Gracious is one of 10 children who received free open-heart surgery in July at Parirenyatwa Hospital from a visiting team of Egyptian surgeons working alongside Zimbabwean doctors.
In a country with just a handful of cardiothoracic specialists and chronic shortages of functioning equipment in public hospitals, the 'heart camp' offered hope to families who can't imagine raising the $15,000 needed for surgery abroad.
Zimbabwe has only five cardiothoracic surgeons, including Dr. Kudzai Kanyepi, the country's first and only female heart surgeon.
'There is no medication that can replace surgery. The burden of disease remains, and unfortunately some of the children pass away without getting the help they desperately need,' Kanyepi said. 'It is the reason why we continue to work in our country. There is nothing greater than helping your own people.'
Zimbabwe resumed open-heart operations in 2023 after they were paused in 2018 due to economic turmoil. Since then, local surgeons have operated on 55 children.
Another 19 have benefited from two surgical camps last year and in July with Egyptian assistance and supported by nongovernmental organizations such as Gift of Life International.
Globally, about one in every 100 children is born with congenital heart disease, making it the world's most common birth defect, according to the U.S. Centers for Disease Control and Prevention. In Zimbabwe, an estimated 4,500 children are born with heart disease each year, with many unable to access surgery, said Dr. Simukayi Machawira, head of cardiology at the hospital.
Of those, 30% — or around 1,200 infants — are likely to die in their first year if untreated, he said.
'You can imagine, it's quite a lot of children,' he said.
Dr. Hesham Shawky, the Egyptian team leader, has organized similar camps in Kenya and Uganda. 'This is the only solution for many people in Africa because they can't afford private care,' he said.
On the ward in Zimbabwe, mothers hovered over their children, relief etched on their faces. Machines beeped softly as nurses adjusted tubes. One baby slept beside a balloon scrawled with a smiley face.
For Chakanungwa, the joy over her child was hard to measure.
'I had resorted to prayer, just hoping for a miracle,' Chakanungwa said, smiling. 'It's impossible to open my heart to show my gratitude and happiness. I was afraid that I could lose my baby, but here is the baby. She's back to life.'