The cholera epidemic that affected multiple countries in Eastern and Southern Africa in 2023 persists and continues to impact the region, placing additional strain on communities and healthcare facilities. Since 2023, 13 countries in the region have battled one of the worst cholera outbreaks to hit the region in years, and as of mid-January 2024, more than 200,000 cases, including over 3000 deaths, have been reported.
Poor sanitation and water treatment in Africa is a major concern especially during the rainy season where water levels start to rise. Communities are facing a shortage of safe playing areas for children, as raw sewage continues to flow into backyards and on the streets. In Zimbabwe's capital city, the issue is also further exacerbated due to the population density in certain areas, such as the Highfield Western Triangle suburb.
According to the UNICEF Director for East and Southern Africa region, “The cholera outbreak in the region is a significant concern to the health and well-being of children” In Zambia, the cholera escalation led to the postponement of the start of the school until 29 January for all schools. Approximately 4.3 million learners were affected.
RIATT-ESA through its advocacy and Care and Support Technical Working Groups works with governments, international organizations, and Regional economic communities in advocating for child friendly and HIV sensitive programs including water, sanitation and hygiene programs that affects disproportionately the vulnerable poor and children living with and affected by HIV. Investments in strengthening systems to address the root causes of cholera and other public health emergencies, particularly on enhancing access to clean water, improved sanitation and hygiene, social behavior change, quality of case management, and care and support are imperative in dealing with the pandemic.