of the UMATI goals is to reduce abortion-related morbidity and mortality by increasing
awareness of unsafe abortion. Youth friendly health services currently reach only a
fraction of the target population (an estimated 1 per cent). Efforts are being made by the
Government to promote youth friendly health services by adopting the 2005 Standards.35
In Zanzibar the Demographic and Health Surveys do not provide separate estimates on
maternal mortality for Zanzibar, but data reported by Zanzibar Poverty Reduction
Strategy Paper for 2004/05, MMR for Zanzibar was 349 per 100,000 live births. This
shows a slight reduction coverage to year 1999 which was 377 per 100,000 live births.
Water and Sanitation - In 2004, only 49 per cent of the population in rural communities
and 85 per cent in urban areas had access to safe drinking water (62 per cent overall).
There is a small variations of water supply coverage between Tanzania Mainland and
Zanzibar, whereby the coverage of Zanzibar is 92 percent in Urban areas 59 percent in
Rural areas” ( This is according to the Zanzibar Household Budget Survey (HBS). This
makes 71 percent overall in Zanzibar.
Coverage of sanitation facilities was estimated to be 47 per cent. Cholera outbreaks are
reported annually in both the mainland and Zanzibar.
Measure taken so far in water and sanitation include:
·
Review of the Draft of Zanzibar National Water Policy (2002) and Establishment of
Zanzibar National Water Policy (2004). In April 2006 the Zanzibar Water Act was
enacted and in 14th August 2006 the Director General was appointed to establish
Zanzibar Water Authority (ZAWA).
·
Expansion of existing water schemes in rural areas - Out of 794 water schemes which
required rehabilitation and expansion, 122 were rehabilitated between 1998 and 2003;
35
Information and counselling on reproductive health, sexuality and safe sex ; Testing services VCT,STI and
Pregnancy; Management of STIs, VCT+,PMTCT+HIV/AIDS; Focused ante-natal care; Post natal care; Post abortion
care; Contraception including emergency contraception; Condom promotion and provision; Other related health issues
substance abuse, violence, injuries, mental health chronic disease etc.
39