Be prepared and never expect a clean toilet 100% of the time. Carry some tissue in case you need to use the public toilet.
In Tanzania, toilets generally do not do well when flushing large amounts of items or feminine hygiene products so do not flush them and throw them away in the trash.
In some areas/restaurants, toilet systems are old, have very narrow plumbing and are easily blocked. In these cases, a small basket is usually placed beside the toilet (for your used toilet paper).
Use hotel lobby toilets; these are everywhere and are tend to be clean. Still, they may not always have toilet paper.
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What Are The Sanitary Conditions In Tanzania?