Zanzibar’s Mandatory Tourist Health Insurance

Zanzibar’s mandatory tourist health insurance represents a breakthrough in health financing innovation in Africa, demonstrating how countries can expand fiscal space while strengthening health system resilience. Introduced in October 2024, the scheme requires all foreign visitors to purchase coverage at $44 (or $22 for children), providing protection for up to 92 days. Beyond safeguarding tourists, the model channels sustainable revenue directly into the health system.