One year after President Robert Mugabe’s fall, Zimbabwe’s economic problems have worsened and restrictions on basic freedoms remain, bringing some Zimbabweans to ask ‘What has changed?’ and ‘Are things better?’

The euphoria at Mugabe’s fall has evaporated. Mnangagwa promised Zimbabwe “a new dawn” but to many the country looks depressingly familiar with long lines at the banks to withdraw paltry amounts of cash and shortages of basic goods have led to the rationing of cooking oil, bottled water and beer.

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“They played us, we marched for nothing,” Adrea Magoronye, a Harare resident said as she stood in a line for cooking oil at a supermarket.

Mnangagwa started well but his disputed election victory in July, followed by the military opening fire and shooting dead six civilians, a cholera outbreak and an economic implosion have cast a pall over the 76-year-old’s first year in power.

Mnangagwa promised to turn the collapsed economy into a middle-class one by 2030, underpinned by democratic reform and reengagement with the U.S. and other Western countries that placed sanctions during Mugabe’s time.

Those sanctions have not yet been lifted and the signs are not reassuring. In September, inflation climbed to its highest since 2010, according to Zimstat, the national statistics agency.

Drugs are in short supply in a country where the health system has long been on the brink of collapse. Private pharmacies with drugs in stock are charging in U.S dollars cash that are scarce and out of the reach of many.

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“Our patients are relapsing, deteriorating, operations being cancelled. We urge the government to increase the allocation of forex (foreign exchange) as the gap is currently huge as a matter of urgency,” said the Zimbabwe Medical Association in a statement last week.

Zimbabwe is recovering from an outbreak of cholera, a disease described by the president as “medieval,” that killed at least 50 people in the capital, Harare.

Many fear the current crisis, induced by foreign currency shortages and a ballooning debt, could spiral into the kind of economic collapse seen a decade ago when Zimbabwe’s hyperinflation reached 500 billion percent, according to the International Monetary Fund, and cholera killed more than 4,000 people.

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Plastic bags of 100-trillion Zimbabwe dollar banknotes were not enough to buy basic groceries. People fear a return to that hyperinflation.

The new currency shortage has forced the government to rely on the printing of bond notes, which are rapidly losing value.

The government has also been paying civil servants through electronic funds that show up in bank accounts but cannot be turned into cash. There is also a system of mobile money. All of which are devaluing quickly against the U.S. dollar on the black market.