Sanitation Nutrition HEALTH AND SOCIAL SERVICES

Tanzania Coastal Management Partnership 22 Tabora 140 101 73 236 166 116 Tanga 112 106 100 187 176 166 Source: Health Statistics Abstract, 1997. Table 6.6 shows that rural areas have considerably higher infant mortality rate and under five mortality rates than urban areas . Table 6.6. Urban and rural infant mortality rate and under five mortality rate by coastal region, 1988 Infant Mortality Rate Under Five Mortality Rate Region Rural Urban Rural Urban Mtwara 143 108 241 180 Lindi 143 121 241 204 Coast 115 104 193 172 Dar es Salaam 121 103 203 169 Tanga 109 89 182 144 Source: Population Census, 1988.

6.2 Sanitation

The availability of toilet facilities is an important aspect in health and environmental sanitation. Table 6.7 shows the distribution of toilet facilities in private households. The table shows that pit latrines are most common, access to flush toilets is much higher in urban than in rural areas, and the percentage of households without any toilet facilities is high in rural coastal regions 15-23 percent depending on the region. Particularly in coastal communities, there is a high percentage of households without any toilet facilities. Table 6.7. Type of toilet facility by region percentage of households, 1988 census Rural Urban Region Flush Pit Latrine None Flush Pit Latrines None Dodoma 0.6 81.0 18.2 16.5 78.6 4.2 Arusha 1.2 65.9 32.8 18.4 79.5 2.0 Kilimanjaro 2.7 92.5 4.5 24.4 71.3 4.3 Tanga 0.8 80.8 18.3 16.2 79.2 4.5 Morogoro 1.3 88.6 9.5 12.7 84.8 2.5 Coast 0.9 76.1 23.0 4.8 88.3 6.7 Dar es Salaam 3.8 80.9 15.2 15.9 83.1 1.0 Lindi 0.6 77.2 22.2 4.7 85.0 10.3 Mtwara 1.0 84.2 14.8 7.4 86.1 6.6 Ruvuma 1.3 95.4 3.2 4.0 94.7 1.3 Iringa 0.9 97.1 2.0 4.0 94.9 1.1 Mbeya 1.4 94.3 4.4 6.1 91.8 2.1 Tabora 0.7 91.9 7.4 9.1 89.5 1.5 Rukwa 0.5 73.2 26.3 4.2 92.4 3.4 Kagera 0.5 86.6 12.9 13.0 81.4 5.7 Singida 0.9 78.6 20.5 7.0 87.6 5.5 Kigoma 0.7 94.1 5.2 5.3 91.9 2.8 Shinyanga 1.0 84.3 14.7 16.1 79.4 4.6 Mwanza 0.6 86.9 12.4 11.9 80.7 7.3 Mara 0.8 76.0 23.2 9.0 85.0 6.0 Source: Population Census, 1988.

6.3 Nutrition

The percentage of children underweight is another indicator of poverty and is related to school enrollment and education. The national average of children underweight below 80 percent of normal weight is nine percent. The average in coastal regions varies from 3 percent Dar es Salaam to 22 percent Mtwara. Lindi, Mtwara and Coast are among the regions with the highest percentage of children underweight Table 6.8. Tanzania Coastal Management Partnership 23 Table 6.8. Nutrition status of children by region, 1995 Children Undernutrition Weight as percent of normal Region Number weighed 60 60-80 Total Percent Underweight Lindi 22,779 868 1,932 2,800 12 Arusha 68,418 709 2,845 3,554 5 Dar es Salaam 50,370 435 1,206 1,641 3 Dodoma 52,957 500 1,686 2,186 4 Iringa 45,459 847 8,083 8,930 20 Kagera 60,417 1,002 4,606 5,608 9 Kigoma 42,408 1,392 5,227 6,619 16 Kilimanjaro 42,903 211 968 1,179 3 Mbeya 84,231 1,528 10,062 11,590 14 Mara 45,944 651 1,918 2,569 6 Morogoro 51,329 1,045 3,215 4,260 8 Mtwara 23,127 850 4,138 4,988 22 Mwanza 89,166 1,416 4,648 6,064 7 Coast 22,934 734 2,607 3,341 15 Rukwa 33,454 876 3,611 4,487 13 Ruvuma 26,630 646 2,599 3,245 12 Shinyanga 74,715 559 2,244 2,803 4 Singida 31,254 376 1,276 1,652 5 Tabora 45,648 431 1,734 2,165 5 Tanga 54,006 701 2,060 2,761 5 Total 968,149 15,777 66,665 82,442 9 Source: Health Statistics Abstract, 1997.

6.4 Education