As one of the poorest countries in Africa, Tanzania faces significant health challenges. The public sector cannot reach all corners of the largely rural country. The private sector contributes additional skilled health workers and facilities, thereby increasing access to quality care.

  • 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.

The government of Tanzania has made significant strides in improving the delivery of essential health services, including services for malaria, family planning, and HIV/AIDS. 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. Using the private sector to deliver key health services could lessen pressures on the public sector and contribute to improved health outcomes.

SHOPS Plus partners with local players in both the private and the public sector to increase the capacity of the private sector to provide priority health products and services by:

  • Increasing the technical skills of private providers
  • Increasing financial and managerial skills of accredited drug dispensing outlets (ADDOs)
  • 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

Program Components

Increasing opportunities for private sector provision of priority products and services

SHOPS Plus is documenting the potential role of the private sector in Tanzania’s HIV commodities supply chain, working with North Star Alliance to address the health and safety of transport workers who are affected by HIV/AIDS, and supporting a DCA guarantee with a bank. 

Public-Private Engagement, Corporate EngagementTotal Market Approach, Provider Access to Finance



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.