Goal:
To significantly reduce maternal and child morbidity and mortality in remote coastal regions of Zanzibar through improved access to healthcare, capacity building, and community-driven interventions.
Objectives:
Improve Access to Quality Maternal and Child Healthcare:
- Deploy mobile clinics to reach isolated coastal areas.
- Upgrade existing rural health facilities with essential equipment and medications.
Capacity Building for Local Health Workers:
- Train 100+ community health workers (CHWs) and midwives in maternal and neonatal care.
- Provide continuing medical education to rural clinicians.
Community Education & Engagement:
- Launch awareness campaigns on prenatal care, safe delivery, breastfeeding, nutrition, and family planning.
- Establish 50 maternal care support groups and safe birthing spaces.
Data-Driven Health Monitoring:
- Implement a mobile health (mHealth) reporting system for maternal and child. health indicators.
- Conduct quarterly health surveys to monitor progress and identify needs.
Key Activities:
- Mobile clinic deployment: biweekly visits to 30+ coastal villages.
- Renovation and equipping of 10 primary health centers.
- Maternal and child health training workshops (biannual).
- Community town halls and health outreach days.
- Distribution of maternal kits, nutritional supplements, and clean delivery kits.
- Integration of solar-powered refrigeration units for vaccine storage.
Expected Outcomes:
- 50% reduction in maternal mortality rates in target areas by Year 3.
- 60% increase in facility-based births.
- 80% of trained CHWs retained and actively serving their communities.
- 90% immunization coverage for children under five in target zones.
Beneficiaries:
- Direct: 15,000+ pregnant women, 18,000 children under five, 100+ healthcare workers.
- Indirect: 100,000+ residents of coastal communities in Zanzibar.
Duration:
36 months (July 2025 – June 2028)
Project Partners:
- Zanzibar Ministry of Health.
- UNICEF Tanzania.
- Save the Children.
- Zanzibar Nurses Association.
- Local Community-Based Organizations (CBOs)
Estimated Budget: $1,450,000 USD
| Category | Amount (USD) | Details |
|---|---|---|
| Mobile Clinics & Outreach | $400,000 | Purchase & operation of 3 mobile clinics, fuel, maintenance, medical supplies |
| Health Facility Upgrades | $250,000 | Renovation, solar equipment, delivery beds, ultrasound machines |
| Training & Capacity Building | $180,000 | CHW training, midwife certification, CME workshops |
| Community Engagement & Education | $120,000 | IEC materials, campaign logistics, town halls, radio programs |
| Medical Supplies & Kits | $150,000 | Clean delivery kits, nutritional supplements, maternal care packages |
| Monitoring, Evaluation & mHealth | $100,000 | App development, tablets for CHWs, baseline/endline surveys |
| Personnel (Local Staff & Consultants) | $180,000 | Program coordinators, technical advisors, trainers |
| Administration & Logistics | $50,000 | Transportation, insurance, office supplies, communications |
| Contingency (5%) | $20,000 | Unforeseen costs |
Sustainability Plan:
- Integration with Zanzibar’s national health strategy for long-term adoption.
- Training local trainers to ensure knowledge transfer and continuity.
- Strengthening health information systems for ongoing monitoring.
- Community ownership of health groups and outreach activities.
Conclusion:
From Coast to Clinic represents a bold and compassionate step toward health equity in Zanzibar. By connecting the dots between coastal communities and clinical care, this initiative will create a lasting impact on generations of women and children, ensuring every birth is safe and every child thrives—no matter where they are born.