When her contractions became unbearably painful, 18-year-old Perseverance Kanyoza rushed to a maternity hospital in Zimbabwe’s capital, Harare. But the doors were closed amid a weekslong strike by public health workers. With no money for private care, panic set in.
A hospital guard directed her to a tiny apartment in the poor suburb of Mbare nearby. The midwife: a grandmother with no formal training and claiming to be guided by the Holy Spirit.
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When her contractions became unbearably painful, 18-year-old Perseverance Kanyoza rushed to a maternity hospital in Zimbabwe’s capital, Harare. But the doors were closed amid a weekslong strike by public health workers. With no money for private care, panic set in.
“It was a miracle,” she told The Associated Press with a beaming smile. “I feared for the worst. I didn’t know what to do after finding the hospital closed.”
Since then, Gwena said, she has delivered more than 100 babies and no mothers have died. She doesn’t charge for her services and helping stranded pregnant women is her concern.
She said she has been delivering up to 20 babies a day in her two-room apartment.
“They need the bed more,” she said. “I rarely get time to sleep, they are always coming in … in the middle of the night.”
Less than two hours later, the number of pregnant women had swelled to 10, their bags piled in a corner. More stood in line in the hallway outside.
Before her visit “I used my bare hands,” Gwena said. She asks women to bring their own razor blades, cord clamps and other items.
One birth caused a brief scare. The baby popped out but seemed lifeless. Some in the room held their breath. Others screamed and the mother began to cry.
The city’s health director, Dr. Prosper Chonzi, said such home childbirth services are becoming rampant.
“There is no proper management of blood and blood products,” he said. “After birth, what happens? There are certain processes that need to happen during labor and after labor both to the mother and to the child. These are now missed opportunities.” Those include helping to prevent HIV transmission from mother to child.
“Both my child and I could have died had it not been for Gogo (grandmother),” said Kanyoza, the new mother, making her way home.
Women wait for their turn to deliver their babies, in a cramped apartment in the poor suburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Samantha Nazarere smiles as she is handed her new baby, delivered in a tiny apartment in the poor Mbare suburb in Harare, Zimbabwe, Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
72-year old grandmother Esther Zinyoro Gwena is seen in her a tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe in this Saturday, Nov. 16, 2019. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Perseverance Kanyoza, left, shows her newly delivered baby, after the birth in a tiny apartment in the poor suburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019. Kanyoza delivered a baby girl with the help of 72 year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants. (AP PhotoTsvangirayi Mukwazhi)
Thirteen hours later, Kanyoza gave birth to a healthy baby girl.
Mothers hold their babies delivered in a tiny apartment in the poor suburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
“It was a miracle,” she told The Associated Press with a beaming smile. “I feared for the worst. I didn’t know what to do after finding the hospital closed.”
Her baby was one of dozens delivered in the past week alone with the help of 72-year-old Esther Zinyoro Gwena. She has become a local hero as the southern African country’s worst economic crisis in more than a decade is forcing desperate women to seek out traditional birth attendants who often deliver babies using their bare hands with no sterilization or post-natal care.
Some worried Zimbabweans say Gwena’s work only highlights the collapse of a health sector once regarded as one of the best in Africa. Doctors have been on strike for more than two months, seeking better pay than the roughly $100 they receive a month, and nurses and midwives in Harare walked off the job two weeks ago.
72-year old grandmother Esther Zinyoro Gwena holds one of the babies she helped deliver in her tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe, in this Saturday, Nov. 16, 2019. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Since then, Gwena said, she has delivered more than 100 babies and no mothers have died. She doesn’t charge for her services and helping stranded pregnant women is her concern.
“I never trained as a midwife. I started by befriending pregnant women at the church and then eight years ago I just started delivering babies. It is the holy spirit,” she said.
“I have had no rest since the nurses’ strike started. The work is becoming too much for one person. I am even losing weight,” Gwena said.
72-year old grandmother Esther Zinyoro Gwena is seen in her a tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
She said she has been delivering up to 20 babies a day in her two-room apartment.
When the AP visited on Saturday, four pregnant women writhed in pain while sitting on blankets on the floor in the tiny living room-turned-maternity ward.
The bedroom is now the “recovery room” where several women holding newborn babies huddled on Gwena’s small bed.
Samantha Nazarere smiles as she is handed her new baby, delivered in a tiny apartment in the poor Mbare suburb in Harare, Zimbabwe, Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
“They need the bed more,” she said. “I rarely get time to sleep, they are always coming in … in the middle of the night.”
Neighbors, relatives of the pregnant women and some of Gwena’s children, who help clean the blood, fetch water from a nearby well and cook, sat on a bench. Others stood in the packed room.
“Make way, another one is coming,” one woman shouted. A heavily pregnant young woman walked in carrying a small plastic bucket, blanket and bag.
A woman holds a baby delivered in a tiny apartment in the poor suburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019, after the baby was delivered with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Less than two hours later, the number of pregnant women had swelled to 10, their bags piled in a corner. More stood in line in the hallway outside.
“I was apprehensive,” said Grace Musariri, one of the women in line. “But I have already seen four women leaving with their babies in the few hours I was here. The fear is gone.”
The makeshift maternity ward contained little but boxes of cotton and gloves donated by President Emmerson Mnangagwa’s wife, Auxillia, who visited on Friday after Gwena’s story made headlines in Zimbabwe’s state media.
Esther Zinyoro Gwena comforts a woman in labor, in her tiny apartment in the poor suburb of Mbare in Harare, Zimbabwe in this Saturday, Nov, 16, 2019. 72-year old grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Before her visit “I used my bare hands,” Gwena said. She asks women to bring their own razor blades, cord clamps and other items.
“My biggest challenges are space, water and protective clothing. I need help, and fast,” she told a team of senior health officials who visited on Saturday.
She told them she had delivered 15 babies overnight and seven more before lunchtime.
72-year old grandmother Esther Zinyoro Gwena, left, attends to a woman in labor in her tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants. (AP PhotoTsvangirayi Mukwazhi)
One birth caused a brief scare. The baby popped out but seemed lifeless. Some in the room held their breath. Others screamed and the mother began to cry.
Gwena splashed water on the baby’s forehead and the child let out a cry.
“She is so big,” one woman exclaimed, joining others in cleaning a pool of blood from plastic that would be reused later.
72-year old grandmother Esther Zinyoro Gwena, left, attends to 18-year old Perseverance Kanyoza, after helping to deliver her baby in her tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe in this Saturday, Nov. 16, 2019. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants. (AP PhotoTsvangirayi Mukwazhi)
The city’s health director, Dr. Prosper Chonzi, said such home childbirth services are becoming rampant.
“Throughout Harare there are a lot of traditional birth attendants,” he said. “If you go to our clinics right now they are empty. Where are these women going to? They are now coming to deliver here. There are no follow-ups when these women have delivered. It’s really worrying.”
Chonzi said hygienic conditions such as water availability, infection prevention and disposal of placentas were a worry.
Samantha Nazarere goes into labor in a tiny apartment in the poor Mbare suburb in Harare, Zimbabwe, Saturday, Nov. 16, 2019, to deliver a baby boy with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
“There is no proper management of blood and blood products,” he said. “After birth, what happens? There are certain processes that need to happen during labor and after labor both to the mother and to the child. These are now missed opportunities.” Those include helping to prevent HIV transmission from mother to child.
The health director added, “I am really depressed, to say the least. Something needs to be done. This is not the way to deliver health services in an urban, local authority.” He told Gwena he would put in a word with his bosses to provide her with more gloves, cord clamps, sterile linens and other items.
The pregnant women flooding Gwena’s apartment are happy to receive any assistance as state-provided services either become unavailable or sharply deteriorate.
Women celebrate after a baby is delivered in a tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
“Both my child and I could have died had it not been for Gogo (grandmother),” said Kanyoza, the new mother, making her way home.
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A pregnant woman waits in a passageway, waiting for her turn to deliver her baby, in a tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe, in this Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Women wait for their turn to deliver their babies, in a cramped apartment in the poor suburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Samantha Nazarere smiles as she is handed her new baby, delivered in a tiny apartment in the poor Mbare suburb in Harare, Zimbabwe, Saturday, Nov. 16, 2019, with the help of 72-year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
72-year old grandmother Esther Zinyoro Gwena is seen in her a tiny apartment in the poor surburb of Mbare in Harare, Zimbabwe in this Saturday, Nov. 16, 2019. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants.(AP PhotoTsvangirayi Mukwazhi)
Perseverance Kanyoza, left, shows her newly delivered baby, after the birth in a tiny apartment in the poor suburb of Mbare in Harare, Zimbabwe, Saturday, Nov. 16, 2019. Kanyoza delivered a baby girl with the help of 72 year old grandmother Esther Zinyoro Gwena. Grandmother Esther Zinyoro Gwena claims to be guided by the holy spirit and has become a local hero, as the country’s economic crisis forces closure of medical facilities, and mothers-to-be seek out untrained birth attendants. (AP PhotoTsvangirayi Mukwazhi)