A recent investigation by The Citizen has revealed the growing underground network of unsafe abortions in Tanzania, showing how women are increasingly relying on secret channels due to fear, limited reproductive health access, and social stigma.

The report highlights that abortion-related drugs are being sold through hidden networks involving brokers, some pharmacists, unregistered clinics, and even covert healthcare workers, mostly coordinated through phone calls and WhatsApp groups.

Women are reported to spend between Sh40,000 and Sh100,000 to access these services, while complications can cost up to nearly Sh1 million in emergency treatment.

Health experts warn that many women suffer severe health consequences, including excessive bleeding and infections, and some die before reaching hospital care.Stakeholders argue that strict laws alone have not stopped abortions but have instead pushed the practice underground, making it more dangerous.

Legal experts such as Peter Majanjala suggest reviewing sections of the Penal Code to expand legal grounds for abortion in cases of rape, incest, sexual assault, or risks to a woman’s physical or mental health, in line with the Maputo Protocol.

Reproductive rights advocates also stress the importance of public education, noting that many people are unaware of post-abortion care services available in hospitals regardless of circumstances.Health professionals further explain that fear of arrest and stigma prevents women from seeking timely medical help, worsening complications.Obstetric specialists warn that unsupervised use of abortion drugs can be life-threatening, especially in cases like ectopic pregnancy.

Economists also point out that illegal abortion markets thrive due to high demand and lack of regulation, suggesting stronger enforcement against illegal clinics.

Overall, experts recommend a combination of legal reform, public awareness, and healthcare system improvements to reduce unsafe abortions and related deaths in Tanzania.