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Since 1978, Zanzibar has been hit by 17 outbreaks of cholera, with approximately 14,364 cholera cases and 210 deaths (CFR 1.2 per cent). The largest, most prolonged and most geographically extensive cholera outbreak occurred from September 2015 through July 2016, with a total of 4,330 reported cases and 68 reported deaths (Case Fatality Ratio of 1.6 per cent).In October 2017, the GTFCC and partners launched the Ending Cholera Initiative: A Global Roadmap to 2030, this is an initiative to reduce cholera deaths by 90% and eliminate local cholera transmission from 20 countries. In response to this, the Government of Zanzibar with support from UNICEF and WHO, drafted a 10-year Zanzibar Comprehensive Cholera Elimination Plan (ZACCEP 2018 - 2027). In 2019, UNICEF initiated a project to kick start ZACCEP implementation titled – Towards a Cholera Free Nation expected to end in 2023. The project covers 5 hotspot districts namely Urban, West A, West B, Micheweni and Wete. This project aims at strengthening water quality monitoring in terms of levels of free residual chlorine (FRC) and presence of E. coli at various water collection points in five targeted districts at regular intervals.
The WASH Officer on water quality monitoring will therefore manage the implementation of all the planned interventions and guide on technical aspects of bacteriological and chemical water quality, component of the Toward a Cholera Free Nation Project.
Key activities will include:
• Mapping and enrolling water vendors and institutions into the bulk chlorination program: The bulk chlorination is implemented by private vendors, and MDAs which need to be registered, technically supported and followed up to ensure that chlorination is regularly applied in correct quantities
Develop a plan for scaling up of the water quality monitoring program to cover all 11 districts of Zanzibar.
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