Education
Project Summary:
Zanzibar, a semi-autonomous archipelago of Tanzania, faces significant maternal and child health challenges—particularly in remote coastal areas. Limited access to healthcare services, high rates of maternal and neonatal mortality, inadequate antenatal and postnatal care, and a lack of trained health personnel underscore the urgent need for a comprehensive, community-based intervention.
From Coast to Clinic is a 3-year multi-tiered health initiative aimed at improving maternal and child health outcomes by bridging the gap between underserved coastal communities and quality healthcare services. This project will strengthen local health systems, empower communities, and deliver innovative, sustainable healthcare solutions.
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:
- Deploy mobile clinics to reach isolated coastal areas.
- Upgrade existing rural health facilities with essential equipment and medications.
- Train 100+ community health workers (CHWs) and midwives in maternal and neonatal care.
- Provide continuing medical education to rural clinicians.
- Launch awareness campaigns on prenatal care, safe delivery, breastfeeding, nutrition, and family planning.
- Establish 50 maternal care support groups and safe birthing spaces.
- Implement a mobile health (mHealth) reporting system for maternal and child. health indicators.
- Conduct quarterly health surveys to monitor progress and identify needs.
Improve Access to Quality Maternal and Child Healthcare:
Capacity Building for Local Health Workers:
Community Education & Engagement:
Data-Driven Health Monitoring:
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.
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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.
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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 | $250,000 | Renovation, solar equipment, delivery beds, ultrasound machines |
| Health Facility Upgrades | $120,000 | IEC materials, campaign logistics, town halls, radio programs |
| 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.
