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Project information

Improving Healthcare in Zanzibar

Health Improvement Project Zanzibar (HIPZ) has adopted a unique, sustainable approach to transform healthcare in a resource-poor setting. Through training, mentoring, renovations, and improved management, hundreds of thousands of people will have access to life saving treatment.

One year

Charity information: HIPZ (Health Improvement Project Zanzibar)

HIPZ (Health Improvement Project Zanzibar) logo
  • Need


    Medical provision in Zanzibar is very basic with inadequate facilities and drug supplies. Before HIPZ, the cottage hospitals in Zanzibar did not have a doctor employed as a regular member of staff, leaving the nurses and medical staff with a huge responsibility despite minimal training and no senior support. This leads to high levels of infant and maternal mortality, malnutrition, and hypertension, all of which are largely preventable with the right training, support, and treatment.


    HIPZ has identified skills gaps in two hospitals in Zanzibar. Through a training and mentoring programme we will provide tailored support to the local staff to enable them to provide high quality, effective treatment to the patients. Our volunteer medical professionals commit to spending six months or more in Zanzibar to ensure the skills they'll share, including early recognition and management of complications, and neonatal testing and resuscitation, are sustainable and embedded in practice.

  • Aims

    Aim 1

    Improved quality of healthcare provision in two cottage hospitals in Zanzibar


    » Provide training and mentorship to healthcare staff in two cottage hospitals in Zanzibar
    » Work with hospital management to improve the systems and running of healthcare in two cottage hospitals in Zanzibar
    » Supervise healthcare provision and design and implement projects to improve services in two cottage hospitals where necessary

    What success will look like

    Improved healthcare outcomes for patients in the two cottage hospitals (measured using hospital records.)

  • Impact


    The project will result in a decrease in the proportion of deaths from curable diseases. We will use the hospital records to monitor and report on this change. We will also see an increase, during patient assessments, in satisfaction amongst patients of the healthcare received. Finally, we will see increased confidence amongst staff to deliver high quality healthcare. This will be evidenced through test scores and staff opinion surveys.


    Lack of suitable volunteers: many of our trustees are doctors and so we have suitable contacts and a wide network within which to advertise opportunities. HIPZ has a strong reputation amongst medical staff which helps us to attract high calibre volunteers.

    Key Government Ministers leave: we work hard to build and maintain relationships with many staff within the ministries to ensure we can deliver the work to the highest standard in a sustainable way.


    We will produce two reports during the project (one after six months and one after twelve months) outlining the project progress, any challenges, and the impact of the project. We will include photos and stories where available. Donors are welcome to visit the project at their own expense.

  • Budget

    Budget - Project Cost: £22,281

    Loading graph....
      Amount Heading Description
      £9,372 Training Training programme for hospital staff
      £5,985 Accommodation Accommodation for four volunteer doctors
      £5,789 Transport Flights and local transport for four volunteer doctors
      £400 Administration Administration support for the volunteer doctors
      £735 Insurance Insurance for four volunteer doctors
  • Background


    The archipelago of Zanzibar has a population of 1.3 million people. The semi-autonomous territory maintains a political union with Tanzania, but has its own parliament and president. Zanzibar is situated in one of the poorest countries in the world and is significantly poorer than mainland Tanzania. Around half of the population live below the poverty line - the average wage is less than $1/day. Zanzibar has just one doctor to every 20,000 people and has a high maternal and neonatal death rate.


    The population of north and south Unguja which is comprised of over 250,000 people will benefit from this project through access to improved healthcare.This figure encompasses a large rural population including those who are living in poverty or increasingly marginalised.

  • Why Us?

    Why Us?

    HIPZ has been working in Zanzibar for ten years. We were established as a UK registered charity in 2006, following a request from the Principal Secretary for Zanzibar’s Ministry of Health to help improve the quality of healthcare, This led to a unique partnership between HIPZ and the Zanzibar government. HIPZ improves the clinical services, whilst the government maintains and improves on their statutory responsibilities. We now work in the only two hospitals outside of the capital.

    Read more about the Charity running this project.


    Potential Volunteer: Senior Paediatric/Neonatal Registrar

    This volunteer will provide training in neonatal medicine/paediatric intensive care and general paediatrics.

    Potential Volunteer: Senior Obstetrics/ Gynaecology Registrar

    This volunteer will provide training in labour, C sections, and gynaecology.

    Potential Volunteer: A&E Senior Registrar With Diploma In Tropical Medicine

    This volunteer will provide training in a variety of skills including acute medicine.

    Potential Volunteer: Surgeon/ GP (Dual Accreditation)

    This volunteer will provide training in surgical support and training as well as general medical projects (e.g. NCDs).