Tanzania

Report Card
Meets UN diagnosis and treatment targets4 Drug sensitive TB Needs improvement
Multi-drug resistant TB Needs improvement
Children with TB Approaching target
Provides universal health coverage and health equity National public-sector financing5 Approaching target
SDG 1.3
Social protection system6
NA
SDG 3.8.2
Catastrophic health expenditure7
Approaching target
SDG 3.8.1
UHC service coverage score8
Needs improvement
Addresses multi-sectoral drivers of TB SDG 2.1
Prevalence of under-
nourishment9
Needs improvement
SDG 3.3
ART access for HIV+ patients10
Approaching target
Tobacco taxation11 On target
SDG 3.9
Air pollution12
Approaching target
Political will Low13

Disease Burden

20171

Number of cases per 100,000 population: 269
Percentage of global burden: 1.5
Number of people who fell ill: 154,000
Of those who fell ill, % not diagnosed or notified: 55
TB deaths: 49,000

TB Financing

20182

National TB budget: USD 64 million
Funded: 48%

United NationsTargets

(Number of cases, cumulative 2018–2022)3

Diagnosis and treatment: 561,100
MDR: 3,963
Prevention: 737,200
Child TB: 72,600

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Recommendations

  • Develop and publish a clear plan outlining how the govern- ment will deliver its share of the global targets agreed to in the Political Declaration from the United Nations High-Level Meeting on TB and establish a cross-governmental working group to monitor and evaluate progress made against those targets. This means fully funding the National TB budget (currently only 48% funded).
  • Boost domestic resource mobilization by increasing the dis- tribution of public resources to health, pooling financing and allocating tax revenues to health. In Tanzania, these strategies could achieve a 5-fold increase in domestic TB expenditure between now and 2023.
  • Ensure patient- and family-centered services are available to all individuals who receive care for TB, guaranteeing that high quality diagnostics and treatment are available to all wherever they seek care.
  • Reach populations at high risk for TB, especially people living with HIV, guaranteeing access to TB treatment and preventive capability for everyone. Active case-finding and treatment in high-risk populations demands community engagement and adequate resources available to reach these populations.

Endnotes

  • 1 WHO Global TB report (2018).
  • 2 WHO Global TB report (2018).
  • 3 STOP TB partnership (2018).
  • 4 Targets adapted from Global TB Caucus Country profiles (2018). Colors denote proportion of target population that will be reached by existing efforts, if current course maintained, as a fraction of projected targets outlined in 2018 High Level Meeting declaration, per country. Green, >90% towards annual target, Amber 60–90% towards annual, Red <60% off annual targets. For further info: from: https://www.globaltbcaucus.org/en-research.
  • 5 World Health Organization. The Abuja Declaration: Ten Years On. (2018). Green >15%, Amber 10-15%, Red <15%, proportion of health spending as proportion of total health spending.
  • 6 WHO Global TB report (2018). Green >60%, Amber 20–59%, Red <20% proportion of country population covered by social protection system.
  • 7 WHO (2018). Green >13%, Amber 6–13%, Red <6% proportion of population facing catastrophic health expenditures, data cover the period 2002–2015.
  • 8 WHO (2018). Green >70, Amber 46–69, Red <45. UData from WHO UHC Service Coverage Index are from 2015.
  • 9 WHO (2018). Measured as prevalence of under-nutrition in population. Green <5%, Amber 5–20%, Red >20%.
  • 10 WHO (2018). Measured as proportion of population with HIV that have access to ART. Green >80%, Amber 60–79%, Red <60%.
  • 11 WHO (2018). Green: taxes added onto a tobacco purchase >25 % of price of the most sold brand of cigarettes in a country. Amber: taxes added onto a tobacco purchase <25 % of price of the most sold brand of cigarettes in a country. Red: no taxes added or unknown.
  • 12 WHO (2018). Measured as concentrations of fine particulate matter [PM2.5]. Green <10 µg/m3, Amber 10–30 µg/m3 Red >30 µg/m3.
  • 13 Based on visible public statement made in the past year. High: Head of State or Government statement at High-Level Meeting on TB or platform of equal prominence; Moderate: Ministerial statement at High-Level Meeting on TB; Low: No record of public statement at high-level venue.