Unguja. On the day of Zanzibar’s national budget presentation, expectations are high. Citizens and economic experts are calling for a budget that prioritises individual prosperity, supports small enterprises, and expands the role of the private sector all while reducing the government’s dependency on foreign aid.
The 2025/26 national budget follows the conclusion of deliberations on sectoral budgets during the 19th session of the 10th House of Representatives — the final sitting before the end of the current legislative term (2020–2025).
Many Zanzibaris, including ordinary citizens and economic analysts, are urging the government to adopt a people-first approach that fosters grassroots growth.
Dr Twahir Mohamed Khalfan, an economist and independent policy advisor, emphasised the need for an enabling environment that encourages business growth and broadens the tax base.
“If Zanzibar is to attain middle-income status, individual incomes must rise. That won’t happen unless the business environment is friendlier, the tax system more equitable, and economic systems more inclusive,” he said.
He noted that despite relatively high tax collection compared to other East African nations, the structure remains regressive.
“We need reforms that allow broader tax participation without overburdening small businesses or local investors,” he said.
“No country can build its future on foreign aid. We must create sustainable revenue strategies to fund essential sectors like education and infrastructure.”
Support for the private sector Dr Khalfan also called for deeper private sector engagement, particularly among local entrepreneurs.
“The local private sector is often sidelined in favour of foreign investors. That’s a mistake. Empowering local players is critical to sustainable development,” he added.
While tax rates in Zanzibar may not seem high on paper, Dr Khalfan said the cumulative burden — particularly social security contributions — is stifling growth.
“Private businesses are required to contribute 21 percent to the ZSSF and 6 percent to health insurance, amounting to 27 percent per employee. To hire four employees, a business effectively pays for five. That’s unsustainable for small firms,” he explained.
“These colonial-era frameworks need urgent reform if we want to encourage hiring and investment.”
Faida Abdulla Ali, a lecturer at the State University of Zanzibar (SUZA), said she hopes to see the government shift toward digital tax systems to improve efficiency and reduce paperwork.
“Digital systems are the future. They make revenue collection more transparent and accountable — but they must be easy to use, or they become just another obstacle,” she noted.
“We can’t talk about development without first addressing the structural barriers that hold our economy back.” Rethinking tax exemptions Experts also raised concerns about how tax exemptions are distributed — arguing that small traders and youth entrepreneurs are often left out.
“Young people finishing school want to start businesses, but instead they face a maze of penalties and taxes before they even make their first sale,” Dr Khalfan said.
“The tax system should nurture — not punish — new entrepreneurs.” Tax specialist Haji Ali Omar urged the government to use the budget to tackle inflation and reduce the cost of living — particularly by cutting taxes on food. “When food prices rise, it’s the average citizen who suffers. Businesspeople simply pass the cost on to consumers. Tax relief on essential goods would make a real difference,” he said.
Citizens speak out Ordinary citizens echoed these calls, Mr pressing a desire for real change. Mohamed Khamis said that while infrastructure development is visible, the impact on individual lives has been limited.
“We’re told the economy is growing, but people are still struggling. This budget needs to focus on money circulation and job creation, not just largescale projects,” he said.
He also called for equitable development between Zanzibar’s two main islands. “Pemba still lags behind Unguja. It’s time the budget addressed this imbalance with clear, targeted plans.”
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Tanzania Declares Marburg Outbreak – Africa CDC Mobilizes Immediate Response
Addis Ababa, January 20, 2025</Strong> — Tanzania has declared a Marburg virus disease (MVD) outbreak after confirming one case and identifying 25 suspected cases in the Kagera Region of Northwestern Tanzania. The Marburg virus, a highly infectious and often fatal disease, is similar to Ebola and is transmitted to humans from fruit bats and monkeys. This outbreak marks the nation’s second encounter with the deadly virus, following the outbreak in Bukoba District of Kagera Region in March 2023, which resulted in nine cases and six deaths.
In response to this urgent threat, the Africa CDC is mobilizing strong support to help Tanzania contain the outbreak. A team of twelve public health experts will be deployed as part of an advance mission in the next 24 hours. The multidisciplinary team includes epidemiologists, risk communication, infection prevention and control (IPC), and laboratory experts to provide on-ground support for surveillance, IPC, diagnostics, and community engagement.
The Director-General of Africa CDC, Dr. Jean Kaseya, has engaged with Tanzania’s President Samia Suluhu Hassan and the Minister of Health to ensure coordinated efforts and secure political commitment for the response.
“Africa CDC stands firmly with Tanzania in this critical moment. To support the government’s efforts, we are committing US$ 2 million to bolster immediate response measures, including deploying public health experts, strengthening diagnostics, and enhancing case management. Building on Tanzania’s commendable response during the 2023 outbreak, we are confident that swift and decisive action, combined with our support and those of other partners, will bring this outbreak under control,” Dr. Kaseya stated.
Africa CDC has recently supported efforts to enhance the diagnostic and sequencing capacity of public health laboratories in Tanzania. PCR Test kits and genomic sequencing reagents have been dispatched, with additional supplies in the pipeline. To ensure rapid identification and confirmation of cases, the institution will also provide technical assistance to strengthen detection and genome sequencing for better characterization of the pathogen. Additionally, support will be provided to improve case management protocols and enhance the capacity to deliver safe and effective treatment.
Africa CDC is committed to working closely with the Government of Tanzania, regional partners, international organizations, and global stakeholders, including the World Health Organization, to stop the spread of the Marburg virus.
Source: allafrica.com
Insecurity prompts Zanzibar to review its lucrative island leasing
The Tanzanian central government is planning to boost its security presence in the Zanzibar archipelago. A commission tasked with auditing the country’s security forces was appointed in July by President Samia Suluhu Hassan. It says it is concerned about the situation in the country’s Indian Ocean islands that are under the control of the semi-autonomous Zanzibar local government.Continue Reading
Inside Tanzania’s Life-Saving Birthcare Model
Tanzania is winning the battle against maternal and newborn deaths, as the latest numbers reveal a significant decline.
“Tanzania is committed to reducing maternal and newborn mortality and ensuring safe deliveries as part of the national development plan. The Safer Births Bundle of Care is one of the key strategies supporting this effort,” said Dr. Benjamin Kamala, the Senior Research Scientist at Haydom Lutheran Hospital and Principal Investigator for the program, leading its implementation across five regions in Tanzania.
A groundbreaking study published in the New England Journal of Medicine shows that the innovative health program in Tanzania – centered on regular, on-the-job training for healthcare workers – reduced maternal deaths by 75% and early newborn deaths by 40%. The three-year study, conducted across 30 high-burden healthcare facilities in Tanzania, tracked approximately 300,000 mother-baby pairs under the Safer Births Bundle of Care (SBBC) programme. The programme focuses on improving care for mothers and babies during the day of birth, the critical time when a woman goes into labor and delivers her baby.
Maternal health is a key focus of the United Nations Sustainable Development Goals (SDGs), specifically Target 3.1, which aims to reduce the global maternal mortality ratio to fewer than 70 deaths per 100,000 live births by 2030.
Tanzania’s program combines continuous, simulation-based training for frontline healthcare workers alongside innovative clinical tools to improve labour monitoring (fetal heart rate monitoring) and newborn resuscitation.It also uses data to drive ongoing improvements, ensuring that healthcare workers have the skills, confidence, and competence to manage birth-related complications for both mothers and newborns.
“We work closely with healthcare workers, equipping them with the necessary tools to improve the quality of care, ensuring they can effectively manage both mothers and babies during and after childbirth,” Dr. Kamala said, which helps them build on over a decade of innovative research and collaboration to improve care during childbirth.
“To give you a sense of the scale of the burden of maternal and newborn mortality in Tanzania when the Safer Births Bundles of Care program was in early development in 2015/16, there were around 556 maternal deaths per 100,000 live births and 25 neonatal deaths per 1,000 live births,” he said.
The published study demonstrates the “transformative impact” of the Safer Births Bundle of Care program conducted across 30 hospitals in five high-burden regions of Tanzania, where there were about 300,000 mother-baby pairs.
Maternal deaths at the start of the program were recorded at 240 per 100,000 live births, with postpartum hemorrhage and hypertensive disorders being the leading causes of death, he said. Over the 24-month study period, this number dropped to approximately 60 per 100,000 live births, representing a 75% reduction. The number of newborn deaths – which are primarily due to breathing difficulties and complications related to prematurity – declined by 40% – from 7 deaths per 1,000 live births to 4 deaths per 1,000 live births.
“These results are remarkable,” Dr. Kamala said.
According to Dr. Kamala, the 75% reduction in maternal deaths was not expected, and a key lesson was the important role of the in-situ team simulations – including for postpartum bleeding – with reflective debriefings that trained facilitators led.
“This seems to be a major part of the success of the program,” he said. “We are delighted by these results and hope that other countries adopt and scale the Safer Births Bundle of Care program… Beyond the numbers, the Safer Births Bundle of Care program has fostered a dramatic culture shift in our healthcare system,” he said. “Healthcare workers are now more confident and better equipped to handle birth-related complications for both mothers and babies.”
Maternal death drop
Dr. Kamala attributed the 60-70% reduction in newborn deaths in Geita and Manyara to several factors.
“Firstly, Manyara was the first site for implementation, giving the region more time to adapt and experience the impact of the program. Most importantly, both regions had a high burden of stillbirths and neonatal deaths, making them ideal targets for focused intervention. As a result, newborn deaths decreased by 60-70%, showcasing a clear positive impact on newborn survival,” he said.
Dr. Kamala said another possible explanation is the differences in the culture of practices, where some health facilities reported inaccurate data due to the fear of blame and shame. However, with the project’s implementation, reporting became more accurate after mplementation. Some regions, such as Tabora, reported an increase in the number of referrals to the study hospitals from other care centers after the program was implemented. These were more likely to be late admissions, which increase the likelihood of poor health outcomes, he said.
After the implementation of the program, there was a 40% decrease in newborn deaths within the first 24 hours after birth, according to the study.
Dr. Kamala said Tanzania’s remarkable progress in reducing maternal mortality by 80% is driven by strategic investments and innovative programs focused on improving maternal and child survival rates.
“Over 2,000 new healthcare facilities have been developed, free health services are being provided to expectant mothers and children under the age of five, and emergency obstetric care – including better transport to hospitals in rural areas are helping to ensure timely, life-saving interventions.
“Most importantly, the Ministry of Health works in collaboration with healthcare workers, hospitals, and development partners to strengthen the skills of frontline healthcare workers, which has been a key factor in driving this progress.
“Political leadership, alongside strategic partnerships and financing, has been crucial in driving progress in maternal and newborn health,” he said.
The program was made possible by the support of the Global Financing Facility for Women, Children, and Adolescents, Norad, UNICEF, and Laerdal Global Health, as well as the Ministry of Health and Haydom Lutheran Hospital. Their partnership and investment enabled the scaling of the Safer Births Bundle of Care to 30 hospitals and supported the research. “The government has now scaled the program to over 150 sites, and there are plans for further expansion to three regions this year and then nationally,” he said.
Dr. Kamala outlined key policy recommendations for other governments can adopt to prioritize maternal health.
“Firstly, it focuses on cost-effective and relatively simple interventions that are essential to preventing maternal and newborn deaths. For example, stronger primary healthcare that is delivered in the community and a well-trained healthcare workforce are also critical. Additionally, working in close collaboration with national, regional, and local health authorities is key.”
He said Tanzania’s approach, where the Safer Births Bundle of Care program was successfully scaled and sustained by aligning the initiative with national guidelines for obstetrical and newborn care. In addition, the creation of mentorship programs and regular supervision has helped to sustain the results.
Looking ahead
Tanzania now plans to expand to three new regions in 2025, followed by a nationwide rollout.
The success of the program has attracted interest from other countries, with Botswana, Ethiopia, Lesotho, and Namibia expressing interest in adapting the program to their healthcare system. In Nigeria, the program has already been launched in two states, Gombe and Borno, marking a significant step in its scaling.
Source: allafrica.com
