Project profile — Strengthening Tanzania's Health System


Government of Tanzania - Ministry of Finance
2010-04-01 - 2016-08-30
Global Affairs Canada
WGM Africa

Country / region 

• Tanzania (100.00%)


• Health, General: Health policy and administrative management (12110) (10.00%)
• Basic health care:
Basic health care (12220) (50.00%)
Basic health infrastructure (12230) (20.00%)
Health personnel development (12281) (20.00%)

Policy marker 

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (not targeted)
• Participatory development and good governance (not targeted)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (not targeted)
• Climate Change Adaptation (not targeted)
• Urban issues (not targeted)
• Desertification (not targeted)
• Children's issues (significant objective)
• Youth Issues (significant objective)
• Indigenous Issues (not targeted)
• Disability (not targeted)
• ICT as a tool for development (significant objective)


This project, in partnership with Tanzania’s Ministry of Health and Social Welfare and local government authorities, is supporting the achievement of results of the Government of Tanzania’s third Health Sector Strategic Plan (HSSPIII). HSSPIII emphasizes the delivery of essential health services at the district level; reforming and strengthening regional and national referral hospitals; improving central support systems (including infrastructure, health management information systems, drug supplies, transport, and communications and information technology); dealing more effectively with issues in human resources for health; improving the level, appropriateness and sustainability of health care financing; promoting public private partnership; implementing the national strategy for combating HIV/AIDS; and improving government and development partner relations to improve harmonization and alignment of external and Tanzanian resources in a more effective partnership. The implementation of HSSPIII is improving the management and delivery of primary health care services such as the prevention and treatment of common illnesses to improve child survival and maternal health. Canada is one of several donors supporting the Government of Tanzania’s basket/pooled fund for the health sector to improve service delivery and strengthen the health system overall. Since 2006, Canada has been working in close cooperation with other donors and the Government of Tanzania to focus on effective, transparent, and accountable country systems; increase donor coordination and harmonization; and strengthen mutual accountability. This support also fosters greater policy dialogue among donors, government, and partners, thus helping to strengthen efforts for effective, focussed aid, as well as long-term development results. This project is continuously monitored and evaluated in coordination with other donors. This project is part of Canada's Maternal, Newborn and Child Health commitment.

Expected results 


Results achieved 

Results achieved at the end of the project include: (1) reduced child mortality by over two-thirds to 52 per 1,000 live births, which ranks Tanzania’s child mortality progress among the best in the region; (2) the percentage of births at health facilities increased from 46% in 2004-05 to 61% in 2012; (3) the ratio of nurse-midwives per population of 10,000 rose from 2.6 in 2004-05 to 5.05 in 2013-14; (4) malaria prevalence among children aged 6 months to five years dropped by half from 18.1% in 2008 to 9.5% in 2012; and (5) the number of health facilities increased from 6,214 in 2009 to 6,767 in 2013 which includes 256 hospitals, 701 health centres and 5,810 dispensaries. These results are contributing to improving the health, and reducing death, among mothers and their newborns.

Budget and spending 

Original budget $0
Planned disbursement $0
Country percentages by sector
Type of finance Aid grant excluding debt reorganisation
Collaboration type Bilateral
Type of aid Basket funds/pooled funding
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