This sophisticated smuggling operation is diverting state-provided contraceptive pills from Zimbabwean healthcare facilities to underground markets in South Africa.
The scheme involves medical professionals, transportation networks, and informal vendors capitalising on the high demand for affordable family planning options among migrant communities.
At the centre of this illicit trade are two contraceptive brands – Secure (progesterone-only) and Control (combined oral contraceptive). Distributed at minimal cost through Zimbabwe’s public health system, these medications command premium prices when sold individually (“blister by blister”) in South African townships.
Zimbabwean Government Speaks On Contraceptive Smuggling Crisis
Health Ministry Permanent Secretary Dr. Aspect Maunganidze acknowledged receiving reports of similar misconduct in 2022 from Masvingo Provincial Hospital, resulting in staff dismissals and legal proceedings. The ministry has since implemented electronic inventory systems across 1,000+ facilities to combat stock leakage.
“We are strengthening our entire pharmaceutical supply chain to prevent such abuses,” emphasized Dr. Maunganidze.

Police Commissioner Paul Nyathi confirmed authorities are monitoring border points and will investigate any smuggling allegations, though no recent cases have been formally reported.
How the Smuggling Operation Works
The scheme begins with healthcare workers falsifying dispensing records. One Kuwadzana nurse (identifying only as “Sister Prisca”) admitted diverting 200-300 pill packs weekly, selling them to transporters at $1 per pack.
Cross-border couriers (“omalayitsha”) conceal the contraceptives among legitimate cargo, exploiting lax border checks for pharmaceutical products. Veteran transporter Thulani Manda (43) revealed earning R500-R1000 extra per trip by hiding pills in food parcels or bag linings.
The South African Demand Driving the Trade
In migrant communities like Yeoville and Kempton Park, Zimbabwean women resell the pills at 100% markups. Rutendo (29), a Kempton Park vendor, explained:
“South African brands cause side effects. Women trust Secure and Control – even locals buy from me at R25-R30 per blister.”
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With South African pharmacies charging over R130 for equivalent products, the smuggled Zimbabwean contraceptives (priced at R55 locally) fill a critical gap for low-income and undocumented women.
Women’s rights organisation Springs of Life Zimbabwe condemned the diversion of subsidised medications. Director Precious Msindo demanded prosecution of those involved, stating:
“This cartel deprives Zimbabwean women of essential healthcare while profiting from their needs.”
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