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Zanzibar comprises two main islands of Unguja and Pemba, located in the Indian Ocean off the coast of mainland Tanzania. The population is about 700, 000 with most living in rural villages. Sanitation coverage is about 75% in urban areas and about 12% in rural areas. Only 3.2% of the rural population has access to piped water supply. The infant and under 5 mortality rates are 120 1000 and 202 1000, respectively, and the maternal mortality rate is 300 100, 000. About 40% of children suffer from chronic malnutrition. The health budget per capita is about 1 US$ p.a.
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