At a glance
Since establishing a country office in 2001, CDC works with the Government of Tanzania to strengthen HIV and tuberculosis prevention efforts; enhance laboratory, surveillance, and workforce capacity to respond to disease outbreaks; and prevent and control malaria.
Overview
CDC established an office in Tanzania in 2001 to support HIV prevention. The CDC office expanded through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) in 2003.
CDC works with the Government of Tanzania to:
- Support HIV testing, prevention, and treatment services.
- Strengthen tuberculosis prevention efforts for people living with HIV.
- Enhance laboratory, surveillance, and workforce capacity to respond to disease outbreaks through the Global Health Security.
- Prevent and control malaria as a co-implementer of the U.S. President's Malaria Initiative (PMI).
- Respond to disease outbreaks, such as COVID-19, to protect the health of Tanzanians and mitigate health service disruption.
Global health security
Strategic focus
Tanzania has 54 official borders with eight different countries, including the African Great Lakes region. This geographic scope increases the country's vulnerability to cross-border disease outbreaks and epidemic spread. By adhering to a One CDC model where expertise, programs, and platforms are leveraged to provide the most impactful health outcomes in the country, CDC works closely with the Government of Tanzania and partners. This collaboration ensures that the country is better prepared to prevent, detect, and respond to public health threats to improve the health and well-being of Tanzanians.
CDC’s global health security work in Tanzania focuses on strengthening the country’s public health systems in the following core areas:
Health security systems
CDC supports Tanzania to strengthen International Health Regulations core capacities to:
- Comprehensively prevent to public health threats.
- Rapidly detect to public health threats.
- Effectively respond to public health threats.
- Successfully apply "All Hazards" contingency plans.
Disease surveillance
CDC also supports strengthened disease surveillance activities including:
- Expansion of the electronic community and facility-based surveillance for detection of early warning alerts.
- Training the global public health workforce, including district-level epidemiologists.
- Strengthened border health capabilities.
- Enhanced laboratory testing and molecular detection of pathogens like influenza, Ebola, cholera, and COVID-19.
- Establishment of national and subnational Emergency Operations Centers (EOCs).
Workforce development
CDC established the Field Epidemiology and Laboratory Training Program (FELTP) in 2008. In 2016, Tanzania's FELTP expanded to include three training programs for frontline, intermediate, and advanced residents.
CDC also launched Project ECHO in 2016. The project uses teleconferencing to facilitate case-based learning and knowledge sharing between participants and subject matter experts. ECHO virtual sessions cover various topics, including HIV and TB clinical care and COVID-19 case management. CDC manages the Project ECHO sites with support from implementing partners.
Emergency management systems
CDC collaborated with the World Health Organization (WHO) to help Tanzania establish and activate a fully functional Public Health Emergency Operation Center (PHEOC) in 2015. The PHEOC has coordinated responses to a broad range of public health emergencies. These responses have included COVID-19, cholera, Marburg, anthrax, dengue, aflatoxin, among others.
Key achievements
- CDC helped establish 1 national and 5 regional EOCs to coordinate and respond to national public health emergencies.
- Since 2008, more than 1,000 residents have graduated from the advanced, intermediate, and frontline FELTP.
- More than 11 million people were fully vaccinated for COVID-19 in eleven CDC-supported regions and Zanzibar.
- More than 1,680 community health care workers and 750 health care workers trained on event-based disease surveillance, including COVID-10 alert detection and reporting since 2020.
- More than 463 hospitals, health facilities, and high-volume dispensaries across 31 regions in Tanzania and Zanzibar use Project ECHO for knowledge sharing.
HIV and TB
Strategic focus
As a key implementer of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), CDC works with the Tanzanian government to build a sustainable, high-impact national HIV response to accelerate progress towards ending the HIV epidemic. CDC collaborates with the Ministry of Health in Tanzania and Zanzibar to support HIV testing, prevention, and treatment services and to strengthen health systems. Current programmatic priorities include:
- Scaling up targeted testing strategies, such as index testing and social network testing.
- Limiting treatment interruption among people enrolled in antiretroviral therapy.
- Providing optimal treatment regimens for children and adults to achieve viral suppression.
- Reaching all people living with HIV with TB preventive treatment.
- Eliminating mother-to-child transmission of HIV.
- Strengthening health information systems and laboratory detection capabilities for HIV and TB.
- Using data to inform decision-making.
- Ensuring health worker training, retention, and participation in outbreak response.
Key achievements
- Over 70,000 people with HIV were identified through index testing—the process of offering HIV tests to contacts of people living with HIV.
- Over 870,000 adults and children received ART through CDC support.
- 78 laboratories received international-standards accreditation.
- More than 700 personnel have been trained in laboratory quality management systems.
Malaria
Strategic focus
CDC and partners in Tanzania have engaged in malaria projects since the late 1990s. As a co-implementer of the U.S. President's Malaria Initiative, CDC has assigned a resident advisor to support the implementation of malaria prevention and control interventions:
- Distributing long-lasting insecticide-treated nets and artemisinin-based combination therapy.
- Preventing malaria in pregnancy.
- Improving diagnostics and case management.
- Strengthening laboratory services.
Key achievements
- CDC contributed to malaria control efforts in Tanzania, with malaria incidence decreasing by 65% from 2000 to 2022.
- Decreased child death rates by 62% since program inception.
- Distributed more than 33 million mosquito nets.
- Delivered more than 3 million doses of preventive treatment in pregnancy.
- Distributed nearly 29 million rapid diagnostics tests and more than 52 million fast-acting malaria medicines.
