Zimbabwe’s leading public hospitals are hemorrhaging billions due to systemic mismanagement, according to a damning report by Acting Auditor-General Rheah Kujinga. The audit, which examined Mpilo, United Bulawayo Hospitals (UBH), Ingutsheni, and Parirenyatwa Group of Hospitals, revealed widespread irregularities including ghost workers, missing inventory, and unqualified personnel. At Mpilo, four former employees continued to receive salaries totaling ZWL40 million due to outdated payroll systems, while UBH failed to verify staff attendance and employed professionals lacking valid practicing certificates.

The report also highlighted serious accountability failures at Ingutsheni Hospital, where medication and other inventory could not be traced. Parirenyatwa Group of Hospitals reported discrepancies in medical aid payments and incomplete capital projects, raising concerns about financial oversight. Across all four institutions, the absence of functioning management boards—despite legal requirements—has exacerbated the crisis, with previous audit recommendations largely ignored.

These findings point to a deep-rooted governance breakdown in Zimbabwe’s public health sector. The lack of transparency and accountability not only undermines service delivery but also risks patient safety and public trust. As the country grapples with economic challenges, the Auditor-General’s revelations underscore the urgent need for reform and enforcement of oversight mechanisms in the healthcare system.

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