Unguja. The Zanzibar government last Friday April assured international travelers that the Isle is safe and open for business.
Tourism minister Simai Mohamed Said said there had been no reported cases or threats of Marburg virus in Zanzibar, and as such noted that the country was welcoming travelers as usual.
In an official statement, Mr Simai noted that there had been no travel advisory issued against people visiting Zanzibar, while saying all necessary measures are in place to guarantee visitors safety and unrivaled enjoyment of their stay.
The minister noted that there was no single case of the Marburg virus in Zanzibar since it was detected early March 2023, in Kagera region on mainland Tanzania, nearly 1600 kilometres away.
The assurance comes at a time when the tourism sector in Zanzibar is expecting a ‘Green Season’
Since the lifting of Covid-19 restrictions, the archipelago has seen an influx of visitors from the United States of America and the Middle East as well as those from its core European markets. It is anticipated this trend will continue in the coming months and throughout summer.
“While the United Republic of Tanzania and the Revolutionary Government of Zanzibar is monitoring the situation closely, there is absolutely no cause for alarm,” said Tourism Minister Simai M Said.
He added: Given that Covid-19 is still fresh in our minds, we understand that people are cautious when learning of new infections. However, such fears are often unfounded, such is the case now. Tanzania is adhering to the World Health Organisation (WHO) standards and people have no reason to worry.
He called on members of the international business community and those visiting the region and islands to rest assured that it is very much business as usual, and their health is in no way at risk from this virus. In the next few weeks Tanzania should be free from the virus.”
“This is further evidence that the spread of the virus has been halted. As we prepare to welcome our annual influx of visitors from the Northern Hemisphere and the Middle East, they can be safe in the knowledge that the virus is contained and presents no threat to them or the citizens of Zanzibar,” comments Mr. Said.
On his part the Zanzibar Association of Tour Operators (Zato) said the recent travel advisory had issued by the ministry of Health scared away some visitors.
“The statement confused some travelers and others cancelled trips,” said Zato chairperson Hassan Ali Mzee.
He added: The permanent secretary should have consulted us or the Zanzibar government before issuing such a statement which scares away travelers. The advisory is not favourable for us,” Mr Mzee said, adding that the ministers were now allaying fears.
Speaking to The Citizen, the Zanzibar National Chamber of Commerce Industries and Trade chairman Ali Amour said businesses have already started experiencing the effect of the advisory.
“Businesses in the tourism sector have started experiencing cancellations from abroad, other simply because there are airlines that are cancelling flights,” he said.
According to him because the travel advisory by the Ministry of health (Tanzania Mainland) was an internal issue it shouldn’t have been given an international outlook because the affected area was not even a region but a ward.
“It instead scared off people because some travelers can hardly tell the difference,” said Mr Amour.
This comes at a time when Zanzibar’s tourism sector has hit record numbers in the first two months of the year with signs of reaching record numbers.
Zanzibar received 65,430 international visitors in February this year – an increase of 39.2 percent compared to 46,995 visitors recorded in February 2022.
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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
