01
Maternal nutrition
Improve knowledge, attitudes and practices around maternal nutrition and healthy diets.
Healthy mothers.
Stronger futures.
Strengthening integrated maternal anaemia prevention and management in Zanzibar through early screening, nutrition, appropriate treatment and lasting health-system support.
One kit. One classroom. One girl at a time.
133,442Anaemia cases recorded through ANC in 2025 (MoHZ DHIS2, as cited)
353Pregnant women reached through ZMBF Village Health and Nutrition Days
40Shehias reached through initial community activities
20,000Pregnant women targeted annually under the proposed programme
Why this matters
Preventable anaemia should not put mothers at risk.
The project factsheet reports maternal anaemia prevalence estimates of 62–84% and highlights the importance of timely detection and care during pregnancy. Its 2025 ANC reporting figure underscores the scale of the challenge.
Building on community outreach already undertaken, ZMBF proposes a five-year, government-anchored programme beginning in North A/B District on Unguja and Wete on Pemba, with phased expansion across Zanzibar.
2026/27–2030/31Unguja & PembaWomen & newborns
Community-centred health outreach
Our approach
Five connected strategies. One healthier future.
The programme combines preventive nutrition with clinical pathways, stronger services and advocacy for sustainability.
02
Micronutrient supplementation
Scale multiple micronutrient supplementation (MMS) for prevention, alongside antenatal counselling.
03
Appropriate treatment
Develop ferric carboxymaltose (FCM) pathways for eligible women, with clinical assessment, referral and follow-up.
04
Stronger health systems
Improve antenatal care quality, referrals, supply chains, health information and workforce capability.
05
Advocacy & sustainability
Mobilise government, private-sector and development partners to sustain services and financing.
06
Community engagement
Village Health and Nutrition Days, community conversations and support for community health workers.
Integrated delivery model
Screen. Prevent. Treat. Track. Sustain.
A practical pathway linking community outreach to antenatal services and long-term institutional support.
01
Screen
Haemoglobin testing through Village Health and Nutrition Days and antenatal care.
02
Prevent
MMS and maternal nutrition education.
03
Treat
Clinically appropriate FCM, referrals and follow-up.
04
Track
HMIS indicators and continuity of care.
05
Sustain
Policy, supply chains, public financing and institutional ownership.
Who benefits
Better care for women, babies and communities.
Pregnant women and women of reproductive age are the programme's primary beneficiaries, alongside adolescent girls and newborns. Community health workers and antenatal providers will be supported through training, mentorship and practical tools.
Households and communities also benefit from behaviour-change communication and food-security connections, including potential links to ZMBF's SESEP initiative.
90% target
Pregnant women screened for haemoglobin at ANC
Pregnant women screened for haemoglobin at ANC
90+ providers
Community health workers and ANC providers to be supported
Community health workers and ANC providers to be supported
25% target
Reduction in maternal anaemia prevalence by 2031
Reduction in maternal anaemia prevalence by 2031
Monitor outcomes
MMS coverage, eligible treatment, referrals and anaemia trends
MMS coverage, eligible treatment, referrals and anaemia trends
These are planned programme targets and indicators, not reported results.
Five-year roadmap
From targeted pilots to lasting systems.
Proposed implementation sequence for 2026/27–2030/31, subject to partnerships, approvals and funding.
2026/27
Baseline
Consolidate pilot districts, establish screening protocols and refresh CHW skills.
2027/28
Scale
Expand MMS, community engagement and clinical referral pathways.
2028/29
Strengthen
Expand geographic reach, quality systems, commodities and HMIS support.
2029/30
Institutionalise
Consolidate quality assurance, guidelines and transition planning.
2030/31
Sustain
Support public financing, handover and long-term technical assistance.
Indicative programme resources
Five-year budget framework.
The project factsheet outlines a proposed financing trajectory to support piloting, expansion, quality assurance and institutionalisation.
| Year | Estimated cost (USD) | Planned focus |
|---|---|---|
| 2026/27 | $450,000 | Consolidate pilot districts, screening SOPs, MMS distribution, workforce training and regulatory engagement. |
| 2027/28 | $620,000 | Introduce eligible FCM treatment pathways and extend outreach. |
| 2028/29 | $750,000 | Wider geographic expansion, commodity procurement, fortification engagement and HMIS module rollout. |
| 2029/30 | $600,000 | Quality assurance, programme consolidation and government transition planning. |
| 2030/31 | $420,000 | Institutionalisation, public funding and ZMBF technical assistance. |
| Total | $2,840,000 | Illustrative five-year projection; to be refined through ZMBF, MoH and partner review. |
Indicative budget from the attached project factsheet. This is not a statement of funding secured or a public fundraising offer.
Partnerships
Building a sustainable response, together.
The factsheet identifies ZMBF, the Zanzibar Ministry of Health, Benjamin William Mkapa Foundation, WAJAMAMA, ZFDA and private-sector stakeholders in the proposed delivery partnership.
Potential areas for engagement include screening access, nutrition, health-worker training, clinical referral pathways, health information systems and sustainable financing.
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