Zanzibar, a semi-autonomous country, made up of two sister Islands (Unguja and Pemba) and forms part of the United Republic of Tanzania..
The Ministry of Health Zanzibar governs all matters related to health within the islands. In early 90’s, the Ministry embarked in the reform process which became fully fledged in 2002. The Zanzibar Health Sector Reform Strategic Plan I (ZHSRSP I) 2002/03– 2006/7 which was followed by ZHSRSP II 2006/7 – 2010/11 were established based on the 1999 Zanzibar Health Policy. The reform sought at decentralizing planning, prioritizing and integrating health services at district level.
In addition, the reform aimed at ensuring the availability of equitable high quality of health care services to all Zanzibaris with special focuses on priority diseases or burden of diseases and according to an Essential Health Care Package.