There are no official statistics on the incidence of brain tumours. No particular protocol for the management of brain tumours in most if not all hospitals. The majority of misdiagnosed altogether.
The economic situation in situation in the country has further compounded the situation with most of the equipment in the hospitals non-functional.
There are two Major Referral Centres in Zimbabwe which are supposed to deal with such cases, Harare Hospital and Parirenyatwa. Parirenyatwa at the moment is the only referral hospital with Neurosurgeons. There are a few mission hospitals like Karanda Mission Hospital that have surgeons who can insert ventriculoperitoneal shunts to relieve some of the symptoms but even they are highly limited in what they can do.
CT scan is the mainstay of confirming the diagnosis in Zimbabwe, unfortunately, the majority of patients cannot afford the test. A few can manage past this expensive but crucial stage, some few manage to get sponsorship for the CT-Scan. What makes the situation sadder is that despite getting a confirmed diagnosis which should ideally be the first step to treatment, the patients still may not receive any treatment due to constrictive non-functional theatres, challenges such as intensive care facilities, lack of adequate anaesthetic drugs lack of specialist stuff.
In the private sector operations are done more readily however the costs are prohibitive. On average the surgery alone costs 6000USD, exclusive of hospital costs and the costs of medication. The tumours do not respect social or economic status. However, those who are well up usually have more information at their disposal and hence the tumours are caught earlier, when they are more curable . In addition, they also have the means to get the operation done. Those in the lower socio-economic bracket delay in presentation, delay in getting investigations done and ultimately have a poorer prognosis (probable outcome).
Conclusion
Brain tumours are a rare form of tumour or cancer. Because of this much awareness is needed to at least facilitate the early diagnosis of the tumours. Most cases have a poor prognosis because, despite the people with the technical know-how available, their hands are tied by the fact that there are a few places which charge an arm and a leg to use their facilities . Unless the situation changes and drugs are made available to the patient as well as information on how to care for such patients, the future looks bleak. More awareness is needed to show people that early detection may save a life. The grey ribbon I believe is the first step towards that.

