Where We Work


Two nursing students working during a practicum pilot

Tanzania Facts

  • 22% - 24%
    of married women have an unmet need for family planning.
  • 54,000
    estimated new infections and 36,000 AIDS-related deaths occur in Tanzania annually.
  • 60-80,000
    estimated malaria deaths occur annually in mainland Tanzania.

As one of the poorest countries in Africa, Tanzania faces significant health challenges yet has made marked progress in addressing malaria, family planning, and HIV/AIDS. The private sector is an important source of priority health products and services, and can be systematically leveraged to lessen pressure on the public sector and further improve health outcomes for all Tanzanians.

The government of Tanzania has made significant strides in improving the delivery of essential health services. Among the percentage of children presenting with fever who received antimalarial drugs, artemisinin-based combination therapy use increased from 8 percent in 2004-2005 to 85 percent in 2015-2016. Modern contraceptive use has increased from 27 percent to 32 percent since 2009-2010; and since 2009, Tanzania has reduced new HIV infections among children by 69 percent. However, substantial health and development challenges remain.
Tanzania’s ability to address these health challenges and achieve its development goals is constrained by a variety of factors, including a shortage of human resources for health and poor infrastructure within the public sector. The private sector contributes additional skilled health workers and facilities, thereby increasing access to quality care. SHOPS Plus partners with local private and the public sector partners to increase the capacity of the private sector to provide priority health products and services by:

  • Increasing the technical skills and financial viability of private providers
  • Improving ownership of total market approaches within Tanzanian governmental and nongovernmental institutions by developing and facilitating the implementation of total market approach strategies for HIV and family planning markets
  • Improving the enabling environment for private sector provision of priority health products and services by improving dialogue, policies, and regulation of the private sector

Relevant research:

Program Components




Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.