Tanzania

Jambo!

Improving access to high-quality health care and services for women and their families in Tanzania and Zanzibar since 1999.

Selected Achievements

  • Jhpiego strengthened Tanzania’s health security infrastructure by improving laboratory systems, surveillance, and biosafety, integrating services into national plans, and supporting coordinated responses to pandemics and emerging threats.

  • Jhpiego advanced malaria prevention and control by integrating early epidemic detection into national surveillance, strengthening case management, and mentoring providers in both mainland Tanzania and Zanzibar to support malaria elimination.

  • We improved maternal health through high-impact interventions that reduced maternal mortality by 24% in 10 regions, including Zanzibar. Between 2022 and 2024, Jhpiego-supported facilities provided antenatal care to over 1 million women, supported 2.5 million safe deliveries, and increased early antenatal care attendance, syphilis screening, and IPTp3 uptake.

  • We improved newborn and child health between 2022 and 2024 by strengthening adherence to IMCI protocols, which rose from 32% to 62%. In supported regions, admissions for low birth weight, asphyxia, and neonatal sepsis declined, newborn deaths fell and nearly 2 million cases of pneumonia and diarrhea were treated. Case fatality rates dropped by 27% for pneumonia, 50% for diarrhea, and one-third for malaria.

  • Jhpiego expanded access to family planning between 2023 and 2024. Postpartum family planning uptake, long-acting method acceptance, and the number of additional modern contraceptive users all increased significantly, reaching over 1.3 million by the end of 2024.

  • Jhpiego strengthened nutrition services by training more than 2,200 health workers and integrating nutrition assessment into immunization and reproductive health clinics.

  • We expanded childhood immunization across Tanzania and Zanzibar, reaching more than 3.6 million children under five with essential vaccines. By 2024, coverage on the mainland exceeded 90% and surpassed WHO’s 95% benchmark in Zanzibar, reflecting stronger, more equitable immunization systems.

  • We increased access to breast cancer services by promoting awareness and screening in 45 districts. In the first six months of 2025, more than 17,000 women were screened, 58 cases were confirmed, and 95% were diagnosed within 60 days to enable timely treatment.

  • Between August 2022 and January 2025, more than 250,000 circumcisions were performed among males ages 15 and above, with high acceptance of the ShangRing method. According to the 2022–23 Tanzania HIV Impact Survey, male circumcision coverage improved across all regions, with Jhpiego’s technical support contributing meaningfully toward the national goal of 95% coverage.

Our Projects

Improving Early Detection and Treatment for Breast Cancer

In partnership with the Ministry of Health and PORALG, and with support from the Pfizer Foundation, the BEAT Breast Cancer Project is strengthening early detection and treatment across nine regions of Tanzania and Zanzibar.

  • Anchored in WHO’s Global Breast Cancer Initiative, the program raises community awareness, builds provider skills for clinical breast exams, and expands access to one-stop diagnostic hubs. By promoting timely, multimodal treatment, it shifts diagnoses to earlier stages while fostering accountability, local ownership, and sustainability.

Strengthening HPV Vaccination and Adolescent Health

The Gavi SHARP study in Tanzania is generating evidence to improve HPV vaccination and adolescent health.

  • Using a mixed-methods approach, this project explores how integrating HPV vaccination with other adolescent services across schools, communities, and health facilities can sustainably increase coverage and deliver broader health benefits. The study also tests strategies to reach marginalized and hard-to-reach girls, ensuring more equitable protection against cervical cancer.

Improving Health Through Integrated Approaches

Reaching Impact Saturation and Epidemic Control (RISE)

  • Reaching Impact Saturation and Epidemic Control (RISE) is a multi-country project funded by the U.S. Government to save lives and improve health through integrated, evidence-based approaches to address urgent gaps in lifesaving services. RISE works across all levels of the health system to strengthen the HIV/TB epidemic response, to limit the spread of deadly disease outbreaks through Global Health Security programming, and to reduce preventable morbidity and mortality through integrated maternal, newborn, and child health, nutrition, tuberculosis, and malaria services. RISE supports country governments to strengthen essential data systems, supply chain and commodity management, human resources for health, domestic resource mobilization, and other cross-cutting health system functions to accelerate transition to country ownership. Since 2019, RISE has supported programs in more than 25 countries across Africa, Asia, and Latin America. The program runs through December 2027. Learn more here.

Scaling High-Impact Family Planning Solutions

The Challenge Initiative (TCI) partners with local governments in eight regions of Tanzania to sustainably scale up proven family planning interventions.

  • Using a leveraged Challenge Fund model, TCI helps cities expand access to high-impact approaches, institutionalize them within local systems, and strengthen long-term ownership of family planning services.

Improving the Safety and Quality of Caesarean Care

C-SAFE is a five-year research initiative improving maternal and newborn outcomes through safe, appropriate caesarean section in low- and middle-income countries.

  • In Tanzania’s Mbeya Region, the study is strengthening provider capacity across five hospitals through centralized and on-the-job training, facility champions, and ongoing mentorship. A pilot phase trained more than 70 providers and mentors, with continuous learning and supervision ensuring skills reached staff across the entire maternity complex—from antenatal to postnatal and newborn care units.

Strengthening HIV and Tuberculosis Testing

Jhpiego, in collaboration with partners, is implementing Community HIV Testing Services (CHTS) in Morogoro, Iringa, and Njombe, aiming to reach nearly 12,000 individuals with HIV testing and TB screening.

  • The initiative targets the identification of 770 new HIV cases, with a commitment to ensuring all clients receive results and 95% are linked to confirmatory testing and treatment. As of early August 2025, 26% of the HIV case identification target had been achieved, reflecting steady progress. 

Country Director

Alice Christensen

Country Director for Tanzania
“We are proud of the measurable progress we've made in maternal, newborn, and reproductive health. These results reflect our unwavering commitment to delivering high-quality, people-centered services that transform lives across the country.”
— Alice Christensen, Country Director, Jhpiego Tanzania