Unguja. Zanzibar recorded a 73.9 percent rise in visitors from Europe, with 62,125 European tourists arriving in January 2025, according to statistics released by the government.
The African continent came second with 12.4 percent of the total visitors, contributing 10,390 visitors during the same period.
The increase in tourists has prompted calls from economists and statisticians to improve Zanzibar’s tourist attractions and ensure that visitors spend their money within the local economy, rather than just in hotels.
An economist and statistician at the Bank of Tanzania (BoT), Zanzibar Branch, Shamy Chamicha said that the growth in the number of visitors must be matched by increased investment in tourist attractions to ensure that tourists contribute to the local economy.
“When visitors come to the country, there must be many attractions to ensure they leave money after exploring, which increases economic circulation. If they just stay in hotels, the money they bring will go back to their countries,” Mr Chamicha explained.
This sentiment echoes comments from the minister for Tourism and Antiquities, Mr Mudrick Ramadhan Soraga, who previously noted that many visitors do not return to Zanzibar due to the lack of diverse attractions.
As a result, the government is working to develop new tourism products, including sports tourism, conferences, and Halal tourism, to make Zanzibar a more appealing destination.
A senior economist at the Zanzibar University (SUZA), Estela Ngoma Hassan, urged stakeholders in the tourism sector to focus on promoting Zanzibar in other regions such as China and Africa to attract more visitors.
Similarly, Hassan Amer Vuai, an officer from the Zanzibar Tourism Commission, said the commission is working to promote Zanzibar’s tourism in regions like Africa, China, and India, while also planning various events to attract tourists.
According to the Zanzibar’s chief statistician’s office, the number of visitors in January 2025 decreased by 8.2 percent compared to the 91,611 visitors in December 2024.
Among the visitors to Zanzibar in January, 62,125 (73.9 percent) were from Europe, 10,390 (12.4 percent) were from Africa, 5,546 (6.6 percent) were from the Americas, and 840 (1.0 percent) were from Oceania.
Italy led with 11,725 visitors (13.9 percent of all visitors), followed by Poland with 8,150 visitors (9.7 percent) and France with 7,983 visitors (9.5 percent). Germany followed with 5,401 visitors (6.4 percent).
Of the total visitors, 75,767 (90.1 percent) arrived by air, while 8,302 (9.9 percent) arrived by sea.
The majority of visitors, 40,229 (47.9 percent), were male, and 43,840 (52.1 percent) were female. The majority of visitors, 99.5 percent, came for leisure, 0.4 percent came to visit friends and family, and 0.1 percent visited for business or conferences.
Zanzibar has also introduced travel insurance for tourists, which covers medical expenses for travellers. Since October 1, 2024, all tourists are required to pay 44 US dollars for the insurance, which has been beneficial to many tourists who encounter health issues while in the country.
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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
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