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Table 1. 1: Total GOT Recurrent Health Expenditure Per Capita, by Level of Government Mainland Tanzania. ..... 10
Table 1. 2: Total GoT and Donor Allocation to Health per Capita T.Shs ................................................................... 11
Table 1. 3: Population Structure and Geographical Distribution of Health Facilities: 2006 ....................................... 12
Table 1. 4: Human Resource Status by type of Public Health Facility 2006............................................................... 12
Table 1. 5: Human Resource Status by Type of Private Health Facility, 2006 ........................................................... 13
Table 1. 6: Number of Social Welfare Staff by Administrative Level 2006 ............................................................... 13
Table 1. 7: Pre- Service Students Enrolment 2004 – 2006 .......................................................................................... 15
Table 1. 8: Health Professionals Staffing Levels Tanzania Mainland: 2006 ............................................................... 16
Table 1. 9: Supporting Staff Level Tanzania Mainland: 2006......................................Error! Bookmark not defined.
Table 1. 10: Number of Dispensaries by Region and Type of Ownership Mainland Tanzania: 2006......................... 24
Table 1. 11: Number of Health Centres by Region and Type of Ownership Mainland Tanzania; 2006 ..................... 25
Table 1. 12: Number of Hospitals by Region and Type of Ownership: 2006.............................................................. 28
Table 1. 13: Number of Beds in the Health Centres by Type of Ownership and Region Mainland Tanzana: 2006 ... 29
Table 1. 14: Capacity and availability of Beds in Hospitals by Type of Ownership and Region Mainland Tanzania:
2006 ............................................................................................................................................................................. 30
Table 1. 15: Distribution of Microscopy, X-ray Machines, Sterilization Equipments and Dental Units & Chairs by
Region Mainland Tanzania: 2006................................................................................................................................ 31
Table 1. 16: Distribution of Vehicles and Motorcycles by Region and Functional Status Mainland Tanzania: 2006 32

Table 2. 1: Reported Cases of Notifiable Diseases Among Children Under 5 Years of Age Mainland Tanzania : 200638
Table 2. 2: Reported Cases of Notifiable Diseases for Persons Aged 5 years and Above Tanzania Mainland: 2006. 39

Table 3. 1: Type of Investigations Carried Out Mainland Tanzania: 2006 40

Table 3. 2: Number and Types of X-ray Examinations by Region Mainland Tanzania: 2006 41
Table 3. 3: Oral Health Care Mainland Tanzania: 2006 42

*
 Table 3. 4: Number of Households with Access to Safe and Clean Water and Appropriate Latrines by Region in
Mainland Tanzania: 2006 43

Table 4. 1: ANC First Attendance < 20 Weeks and 20+ Weeks by Region Mainland Tanzania: 2006 ...................... 44
Table 4. 2: Number and Proportion of Pregnant Women Delivering in a Health Facility by Region Mainland
Tanzania: 2006. ........................................................................................................................................................... 46
Table 4. 3: Problem Associated with Delivery by Region Mainland Tanzania: 2006................................................. 47
Table 4. 4: Causes of Maternal Deaths by Region Mainland Tanzania: 2006............................................................. 48
Table 4. 5: Maternal Delivery Services by Region Mainland Tanzania: 2006 ............................................................ 49
Table 4. 6: Family Planning Clients by Region Mainland Tanzania: 2006 ................................................................. 50
Table 4. 7: Vaccination Coverage by Region Mainland Tanzania: 2006 ................................................................... 51
Table 4. 8: Vaccination of TT2+ for Pregnant Women and Children Born Protected Against Tetanus and Reported
Neonatal Tetanus Cases Mainland Tanzania: 2002 – 2006 ......................................................................................... 51
Table 4. 9: Percentage of Pregnant Women who Attended ANC and Received TT2+ Immunization by Region
Mainland Tanzania: 2002 - 2006 ................................................................................................................................. 53
Table 4. 10: Nutritional Under Weight Status of Children aged 0 – 1 Years Mainland Tanzania: 2006..................... 58
Table 4. 11: Vitamin A Supplementation by Region Mainland Tanzania: 2006 ......................................................... 59
Table 4. 12: De-worming of Children Mainland Tanzania: 2006................................................................................ 59

Table 5. 1: Distribution of Reported AIDS Cases by Age and Sex Mainland Tanzania: 2005 ................................... 61
Table 5. 2: Prevalence of HIV Infection Among Blood Donors by Sex and Region Mainland Tanzania 2000 – 200569
Table 5. 3: Distribution of People Living with HIV and Enrolled by CTC by Region Mainland Tanzania: by
December 2006............................................................................................................................................................ 70

Table 6. 1: Summary of Tuberculosis Cases Notification Cases by Category Tanzania: 2006.................................. 72

!

Table 6. 2: Distribution by Age and Sex of TB Cases (Smear Positive) Notified Tanzania 2006............................... 74
Table 6. 3: Treatment Outcome of TB Smear Positive Cases Notified in 2005 by Regions Tanzania........................ 77
Table 6. 4: TB/HIV Notification in Tanzania for the Year 2006................................................................................. 79

Table 7. 1: Notification of New Leprosy Cases by Region Mainland Tanzania: 2006 .............................................. 80
Table 7. 2: Prevalence and Detection Rate of Leprosy cases per 10,000 of the Population by Region Tanzania: 200682
Table 7. 3: Treatment Outcome of MB Leprosy Cases Notified by Region Tanzania: 2004 ...................................... 85
Table 7. 4: Treatment Outcome of PB Leprosy Cases Notified Tanzania: 2005......................................................... 86
Table 7. 5: Distribution of Leprosy Cases Reported with Reaction and Admitted due to Reactions by Region
Tanzania: 2006 ............................................................................................................................................................ 88
Table 7. 6: Footwear Materials Distributed by Regions and Type Tanzania: 2006..................................................... 89

Table 8. 1: Number and Proportion of Out-Patient Attendances Due to Malaria Mainland Tanzania: 2003 - 2006 . 90
Table 8. 2: Number and Proportion of In-patients Suffering from Malaria Mainland Tanzania: 2003 - 2006............ 91
Table 8. 3: Mortality in Health Facilities Due to Malaria Mainland Tanzania: 2003 - 2006....................................... 92
Table 8. 4: Malaria Case Fatality Rate by Region in the Year 2006............................................................................ 93
Table 8. 5: Ownership of ITNs in Households Their Use by Vulnerable Groups Mainland Tanzania: 2001 - 2005Error! Bookmark no
Table 8. 6: IPT Coverage in 2005 and 2006 ................................................................................................................ 94

Table 9. 1: Trachoma Program in 50 Districts of Mainland Tanzania........................................................................ 96

Table 9. 2: Trachoma Program Coverage .................................................................................................................... 97
Table 9. 3: Surgeries Performed Against the Annual Targets Mainland Tanzania: 1999- 2006 ................................. 97
Table 9. 4: Achievements in Antibiotic Distribution Mainland Tanzania: 1999 – 2006 ............................................. 98
Table 9. 5: Onchocerciasis CDTI Projects and Population at Risk on Mainland Tanzania....................................... 100
Table 9. 6: CDTI Communities/Villages and Populations at Risk on Mainland Tanzania...................................... 101

Table 10. 1: Distribution of Pharmaceutical Personnel by Region Mainland Tanzania2006 103

Table 10. 2: Distribution of Private Drug Outlets on Mainland Tanzania by Region: 2006 104
Table 10. 3: Drug Spending Per Capital in 2005/06 (TSh and USD) POP = 36.6 million (PER FY 2005) 106
Table 10. 4: Actual Expenditure on Essential Drug Mainland Tanzania 2002-2005 106
Table 10. 5: Resources allocated for drugs in 2005/06 (TSh and USD) 107
Table 10. 6: Spending on Drugs in 2005/06 (TSh and USD) 107

+
 Table 11. 1: Percentage Distribution of Excreta Disposal Facilities in Mainland Tanzania...................................... 109

"##$

Figure 1. 1: Population per Medical Officer and Specialized Medical Doctor Tanzania Mainland 2006 ................... 18
Figure 1. 2: Population (,000) per Assistant Medical Officer Mainland Tanzania: 2006 ............................................ 19
Figure 1. 3: Population per Clinical Officer: Mainland Tanzania 2006...................................................................... 20
Figure 1. 4: Population (in thousands) per Trained Nurse, Nursing Officer and Nurse Midwife Mainland Tanzania
2006 ............................................................................................................................................................................. 21
Figure 1. 5: Population Ratio per Dental Officer and Assistant Dental Officer Mainland Tanzania: 2006................ 23
Figure 1. 6: Distribution of Dispensaries by Ownership Mainland Tanzania: 2006.................................................... 25
!

Figure 1. 7: Distribution of Health Centres by Ownership Mainland Tanzania: 2006 ................................................ 27

Figure 1. 8: Percentage Distribution of Hospitals by Ownership Mainland Tanzania: 2006....................................... 28

Figure 2. 1: Top 10 OPD Diseases for the Population Under 5 Years of Age Mainland Tanzania: 2006 ................... 33
Figure 2. 2: Top 10 OPD Diseases for Person Aged 5 Years and Above Mainland Tanzania: 2006 .......................... 34
Figure 2. 3: Top 10 IPD Diseases for Children Under 5 Years of Age Manland Tanzania 2006............................... 35
Figure 2. 4: Top 10 IPD Diseases for Patients Aged 5 Years and Above: Tanzania Mainland: 2006......................... 35
Figure 2. 5: Causes of Death for Admitted Children Under 5 Years of Age Mainland Tanzania: 2006 ..................... 36
Figure 2. 6: Causes of Death for Admitted Patients Aged 5 Years and Above Mainland Tanzania: 2006................. 37

Figure 4. 1: ANC First Attendance in < 20 Weeks of Pregnancy by Region Mainland Tanzania: 2006: .................. 45
Figure 4. 2: Causes of Maternal Death Tanzania Mainland: 2006 .............................................................................. 48
Figure 4. 3: Percentage of Pregnant Women Vaccinated TT2+ Mainland Tanzania: 2003 – 2006............................. 52
Figure 4. 4: Reported Neonatal Tetanus Cases on Mainland Tanzania: 2002 – 2006 ................................................. 52
Figure 4. 5: Comparison between Health Facilities and Community Reports on Neonatal Deaths by Region
Mainland Tanzania: 2006 ............................................................................................................................................ 53
Figure 4. 6: BCG Immunization Coverage for the Under One Year Children by Region Mainland Tanzania: 2006 . 54
Figure 4. 7: DTP-HB3 Immunization Coverage for the Under One Year Children by Region Mainland Tanzania:
2006 ............................................................................................................................................................................. 55
Figure 4. 8: OPV 3 Immunization Coverage for the under One Year Children by Region Mainland Tanzania: 2006 56
Figure 4. 9: Measles Immunization Coverage for the Under One Year Children by Regions Mainland Tanzania:
2006 ............................................................................................................................................................................. 56
Figure 4. 10: Planned Outreach Services Compared to Conducted Outreach Services Among Regions Mainland
Tanzania: 2006 ............................................................................................................................................................ 57
Figure 4. 11: Distribution of Reported Measles Cases in Regions by Age Groups in Regions Mainland Tanzania:
2006 ............................................................................................................................................................................. 58

Figure 5. 1: Case Rates for Cumulative AIDS Cases by Age and Sex, Mainland Tanzania: 1987 – 2006 ................. 62
Figure 5. 2: Trend of Reported AIDS Cases on Mainland Tanzania from 1983 - 2005 .............................................. 62
Figure 5. 3: Prevalence of HIV Infection Among Women Attending ANC by Region Mainland Tanzania: 2005/06 63
Figure 5. 4: Prevalence of HIV and Syphilis Infections Among Women Attending ANC by Age Group Mainland
Tanzania: 2005/06 ....................................................................................................................................................... 64
Figure 5. 5: Prevalence of HIV and Syphilis Infection Among Women Attending ANC by Marital Status Mainland
Tanzania: 2005/06 ....................................................................................................................................................... 64
Figure 5. 6: Prevalence of HIV and Syphilis Infections Among women Attending ANC by Level of Education
Mainland Tanzania: 2005/06 ....................................................................................................................................... 65
Figure 5. 7: Prevalence of HIV and Syphilis Infections Among Women Attended ANC by Number of Pregnancies,
Mainland Tanzania 2005/06 ........................................................................................................................................ 65
Figure 5. 8: Prevalence of HIV and Syphilis Infections Among Women Attended ANC by Location of Residence
Mainland Tanzania: 2005/06 ....................................................................................................................................... 66
Figure 5. 9: Trends of HIV Prevalence Among Women of All Ages Who Attended ANC Mainland Tanzania: (2001-
2006)............................................................................................................................................................................ 67
Figure 5. 10: Prevalence of HIV Infections Among Blood Donors Mainland Tanzania: 1996- 2005......................... 68
Figure 5. 11: Age and Sex Specific Trends of HIV Infections, Mainland Tanzania: 1996 - 2005 ............................. 69

)
 Figure 5. 12: Number of Reported New STI Syndromes Mainland Tanzania: 2005................................................. 71
Figure 5. 13: Number of New Clients and Clients Tested for HIV at VCT Sites, Mainland Tanzania:: 2000 - 2005. 71

Figure 6. 1: Percentage Share in the Total TB Notifications (All Forms) Tanzania: 2006......................................... 73
Figure 6. 2: TB Notifications (Smear Positive) per 100,000 of the Population by Region Tanzania: 2006 ................ 73
Figure 6. 3: Distribution of Smear Positive TB Cases notified in 2006 by Age and Sex ............................................ 74
Figure 6. 4: Trends of New Smear Positive TB Cases Notification by Age Group Tanzania 1997 - 2006 ................ 74
Figure 6. 5: Trends of TB Case Notification (All Forms) Between 1979 and 2006 .................................................... 75
Figure 6. 6: Percentage Change in the Number of TB Cases Notified in Tanzania: 1988 - 2006 ............................... 75
Figure 6. 7: Trend of Re-treatment of Tuberculosis Cases in Tanzania Notified 2003 - 2006 .................................. 76
Figure 6. 8: Deaths by Region Among Smear Positive TB Cases Notified in 2005 Tanzania .................................... 77
Figure 6. 9: Unfavourable Outcomes of Smear Positive TB Cases Notified in 2005 by Region Tanzania ................. 78
Figure 6. 10: Percentage Distribution of Treatment Outcome of Re-treatment Tuberculosis Cases Notified............. 78

Figure 7. 1: Disability Grade II Among New Leprosy Cases by Region Tanzania: 2006 .......................................... 81
Figure 7. 2: National Trend of Disability Grade II in Tanzania: from 1997 to 2006................................................... 81
Figure 7. 3: Geographical Distribution of Registered Leprosy Prevalence Rate per 10,000 of the Populations
Tanzania: 2006 ............................................................................................................................................................ 83
Figure 7. 4: Trends of New PB and MB Notified Leprosy Cases in Tanzania: 1990 – 2006 ...................................... 84
Figure 7. 5: Trend of Leprosy Cases Completion Rate for Both MB and PB in Tanzania: 1993 – 2005.................... 87

Figure 8. 1: Percentage Distribution of OPD Malaria in Mainland Tanzania: 2005................................................... 91

Figure 8. 2: Deaths Due to Malaria On Mainland Tanzania : 2005............................................................................. 92

Figure 9. 1: The 50 Trachoma Surveyed Districts in Tanzania: 2004 - 06 .................................................................. 96

Figure 9. 2: Eye Surgeries Performed Against Targets Mainland Tanzania1999-2006 .............................................. 98
!

Figure 9. 3: Antibiotic Distribution Mainland Tanzania: 1999 -2006 ........................................................................ 99

Figure 9. 4: CDTI Areas in Tanzania ........................................................................................................................ 100

Figure 11. 1: Cumulative Morbidity and Mortality Due to Cholera Mainland Tanzania 1998 – 2006 ..................... 109
Figure 11. 2: Cumulative Morbidity and Mortality Due to Cholera Mainland Tanzania Over the Period 1998 - 2005110
Figure 11. 3: Percentage of International Conveyances Inspected at Ports of Entry Mainland Tanzania 2006 – 2007111

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T ABLE 1. 1: T OTAL GOT R ECURRENT H EALTH E XPENDITURE P ER C APITA , BY L EVEL OF

G OVERNMENT M AINLAND T ANZANIA
-
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4 ::8 <758 8 9 73434 :73?;= 47 ?47A44 73 4 7344 :4@ 4:6 89= 8@
4 B4 7 A3 5<356 63 8 A 5 7? :4 ?8@4 56 73 4
B? 5=86 6 6 ? 67 75 : >8 >8758 8 9 734 $ 3 4 ;I 74 6 ?;= 47 49:4< 76 574B6 5 74 ;4; 98 :8A4 :4@ 4:6 8 9
7343 4 :736 674B 8 7? :4 4CB> :46 5 <: ;4M; = 6 ; B4;5<: 6 > > :546/ A3 5<3< 875 4 78? 4 49:4<74; 5 73 4
34 ;I 74 6 ?;= 47 ; 47 4 ::8 <74; 783 4 :739 < 5:57546 738= 387 73 4 6 674BM7 694 6 785 6757 7586 7 :8 A4
:4@4:6 89=8@4 B4 7/ 4 =@ 8: 7 =4 <3 86>57 :6/ ;567 5<7 ;465= 74; 3 8 6>57 :6 47<

+ " & ,! -
-.
% ,!( )! *#! $
3
56 5 ;5<78 6646646 7 4 ;6 5 4C >4 ;57 4 8 3 4 :7364 @ 5<
46 ? =
8 @
4 B4 7 ; ;886 < 8B? 5 4; 7 5 <
: ;46 N
899&
?;= 47O5; ? :4 638A6 737 78 7 : 9 ;5 =!% >: 6 88# 98 3 4 :7336 ;8? :4; ?47A44 ,' ;
-, 34 : 67 4 5 73 4 64 546 63
8 A6 L 5 <4 64 < 8 B> 4; 78 ),- 7 56 4675B 74; 737 734 4@ 4:8>B4 7
7 46 > >8 C5B 74: >8 @ 5;4 B84 73 * > 4<4 78 9 9 ;5 =78A ;6 73
43 4 :7364<
785 H5

T ABLE 1. 2: T OTAL G O T AND D ONOR A LLOCATION TO H EALTH PER C APITA T.S HS

& ! '% )
'* + , , - .
/0 01 102 203 304 406 60

+/ )/') )/ ) / + /' / ' '/ ' L

!

8<
4( $4 :73 4<
78 4 98B 8
95:4 4>
87 ),-

/ #$ ! +! , $* " % -
)! * !"0 1
5 : ; H 5 3; 78 7:> 8 >: 758 89 '-/+ / ) 6 8 9 4 )/ 8 9 A3
5<3 / /+ ! * )L#/ A4 4 8 9
4>8 ; < 75@4 =4 ! + & * 4 6#/ < 35:; 4 ;4 84 4 A4 4 /+ */ !* +L# ; < 35:; 4 ;4 + 4 6 A4 4
+/ *-/' ! + )L# ;B5 567 75@4: H5 5 : ; 36 /-)* @
5:: =46,B7 ; 73 4 787 : B? 4 8934 :73
9< 5:57546 56 +/- 6 63
8 A5 ?:4
 T ABLE 1. 3: P OPULATION S TRUCTURE AND G EOGRAPHICAL D ISTRIBUTION OF H EALTH
F ACILITIES : 2006
'
' '')
! " ! ! /3 <'* ( = .0
.' %', ' & ." 8
/92 : ; /3927 #

63 /* / ' /++) --/ '+ - / + ' / -- *++/ )- / ' *'

K: B /- '/ / ) -)/ - / * )/'*' *+/)* / ' ') **'
8;8 B / '/ /++) --/ '+ - / + ' / -- *++/ )- / + - )
5 = /)) /) ) / * )+/* /+) -')/- * '/ + )-/ '* - * ')
2= 4 / - / - */ + /) ' '))/-- / )*/)) + -/- * /'*' )- *)
!

25= 8B / -'/) - / - / ** ' / ) / -+ *'*/)- -/ ) *' ''

25:5B D8 /+* / + /' *+/)- - / + )+-/- *++/ )- +*/ ** + '-
5 ;5 /++' /-+' ' /) ' +/ * '* /)- */ *' '*/ + **+
/ ) /'*) +'/*) ) / -- *-/+ +''/ )) ++/ +-/* ' ' *+
/+ +/ -)/ +* ) / -- *-/+ - / -)/ -' )/-+- * * )
? 4 /' /' / *+ '') ''* * -- + ** ) '))
88 =88 / ) /*) -'/ ) -'/* )-/ / + *- /' ) / - '
7A / + /+ * /*- **/ - + / * *)*/-** ''/+*) * /+ )+ +
A H '/ - / +-/ * / ' + +/ /+ +/-) ))/ * - / - + ' *
A 5 /+) ')/+ * ''/'*) / -* ' / - '+/ * * /) ) * - +
E A / - / - ) / * ) /+* / )* ) / - )/'*+ )-/'+* *'* +
@B / *)/+' **/ * *-/) ' --/-+) + */- ) ' '/**- + /* +
35 = '/ ' / *+ +*/ -' '-/ + / ' /+ +/ ' - +/ +' ) /- * ''
5 = 5; / )/'* + / '+ * /+ ' '/ ++ / *' -'/)' ++/- ' ')) -
?8 / */** /+ - - / * ' */- ) / * *'-/ / - * '-
= / ' /* ) -'/ + )-/- ++/)) - /+ **)/ * / - -

' 165
3 5/4 /5
3725/ /5
31 577 35265
1 7 /45
4115
674 75 75
3 / /5
6445
//2 //5
642 35
6
Source: (NBS) 2002 Population Census Projection

2 )3 !" !# -! " %
3
43 4 :7364<78 5 H 5 56 9 < 5 = 64 586 3B 468 < 4 <5656 A35<
356 4=75@ 4: 994< 76 73
4 ? 5:57 8 9 73 4
64<78 78;4:5@4 I :57 3 4 :7364 @ 5<46 3 4 4 56 64@ 4 4 6387 = 48 9 3B 468 < 4 7 :: :4@4:6 3 4 63 87 = 4 56
B84 64@ 445 : ;567 5<76 56> 57546 5 73 4 ;567 5?758 8 9 3B 468 < 4 4C
567 5 @ 586 4= 586 5 < : ;5 =
? ; : 46 ; 79< 5:57546 :4@
4: 3 4 6387 = 4 56 4C< 4 ?74; ? 73 4 4C
> ;4; > 8>: 758/ $ ,
> ;4B5< / B: 5 / 7 ? 4 <:8 656 ; 8 7346 3 4 98 ::8
A5 =7 ? :46 5 ;5<74 73
4 3B 468 < 4 67 7 6 ? :4@4:6

T ABLE 1. 4: H UMAN R ESOURCE S TATUS BY TYPE OF P UBLIC H EALTH F ACILITY 2006

:, ')# * ') * ') %') ' ' .

# -
> ! ( ' .

494 :6,> 4< 5 :5H

4; $8 6>
57 :6 /+*) */*-- */ ) * L
4= 58 : $8 6> 57 : -/ )) /* */- + ))L
567 5<7 $86> 57 :6 5 <: ;5 = $ + /*+ -/')* +/ * )-L
$4 :73 4 74 6 '' / ) */ -/ + L
56> 4 6 546 '/ ' ' /' /' * / ) ) L
5 5 = 6757 7586 - /- ** / ) -*L

' 15
343 566 7541 315/2 43-
8<
4( $ ! )#
 T ABLE 1. 5: H UMAN R ESOURCE S TATUS BY T YPE OF P RIVATE H EALTH F ACILITY , 2006
# : ( '+ %') ' ' .-
> !)
' ( ' .
? .
#
$8 6>57 :6 ' )/ * '/ + /-+' - +L
$4 :73 4 74 6 + +/* -+ */)* ) L
56>4 6 546 /)* /* - / * /)*+ * L
5 5 = 6757 7586 ') -+) *) ) L

' /5
737 215
426 45
/17 165
3 3+
7-
8<
4( $ ! )#

T ABLE 1. 6: N UMBER OF S OCIAL W ELFARE S TAFF BY A DMINISTRATIVE L EVEL 2006

' ' > ! ( ' . ' .
-
$0 ) '- ' '

4=
58 : 4<47 5 7K
6 +

4=
58 : 4@
4: * ))

567 5<
7 4@
4: *+ ) ' '
!

; :4@
4:6 /+++ /+++

4 74 6 98 > 48 >:4 A573;56 ?

5:57546 - '+ +
;873 4 5 6757 7586
' 157 / 15
4 73

<<8;5 =78>8 >864; 67 995 =:4@4: 5 +/ 734 4C

5675 =34 :739 <
5:57546 4I5 4; +/ * 3
4 :73A8E 4 6 A3
5:4 73
4
<7 : >8946658 : 67 996 @5: ? :4 4 '+/ ! *L# 5 ;5<75 = ;495< 57 89 /- !-)L# 98 ?
8 73>?:5< ; >5@74
3
4 :73 ; 68< 5 : A4:9 4 64 @ 5<46

2 ! 3! !!
;4 73 4 < 4 7 ;4< 4 7 :5H 4; 6 674B/ 4= 586 ; ;567 5< 76 3@ 4 734 B ; 74 785;4 759 ; 95:: 4C5675 =67 99
@< < 546 $8 A4@ 4 / :8
A3B 468 < 4B = 4B4 7 <>< 57 36 < 87 5?74; 786:8 A 4< 57B4 7 >8 <466/ ;4: 5
67 99 >:< 4B4 7 ; 6:8 A>8 B8 758 >8 <466 ;;5758/ 3B 468 < 4> : 5 = / 984<675 = / < 44 ;4@ 4:8>B4 7
;6 < < 46658 > : 5 =<>< 57 4 675:: > 8 8: ;4@ 4:8 >4; 8 73
4 BD 8< 3::4 =4 56 734> 8
8 4< 88 B5<< 8;5758
737 4< 46657 746 64775 =8 9 ?;= 47 <45:5 =8 > 4 68 4: 4B8 : B4 76 A3 5<3:5B576 4< 57B4 7 8 9 4I5 4; 67 99 ; 73 4
95::5 =8 9 4C 5675 =@< 7 > 8676 :685 73 4 >5@74 64< 78 ;4 < 4 7 = 4B4 7 73 4 4 56 8< :4 B4< 3 56B78
>7 566 46 8 9 67 99 4< 57B4 7/ >8 B8 758/ 474 758 ; > 4 658 =4B4 76M73464 9 < 786 ;4&B8 75@74 67 99 =4 7
;4 :

$4 :73 ; 68 < 5 : A4:9 4 64 @5<4 ;4:5@

4 5 68 B4 ;567 5<
76 5 H5 48 > 4 74 ;4 3 ;63 5><8;57586 5 74 B6
8 9 734 :< E8 9 ?65<4I5 4B4 7/ 6 < 3 6 8;6/ < 8BB 5<758 47A8E / 4:4<7 5<
57 / 4<4 758/ A 74 / ; 6< 388:6
98 < 35:; 4 34 4 56 :68:5B574; ? 5:57 8 9 7343 4 :73 ; 68< 5 : A4:9 4 64< 78 78B447 73 4 ?65<>4 68 : 44;6
5 < : ;5 =/ 4C
7 A8E> / 3 4 :735 6 <4/ A8E > :< 4 3H ; ::8 A < 4 ;8 > >87 57546 9864:9 ;4@
4:8>B4 7

34 657 758 :4 @ 46 3B 468 < 4 65=595< 7: ;4 &B8

75@74; 789 < 758 4994<
75@
4: 3
4 4 56 44; 73
4 4984 78
4C
> :84 @5: ? :4 8> >
87 57546 6 <
36 < 8B> :4B4 7 95 < 5 =8> 7586 ;

'
 5 @ 8:@ 4B4 7 8 9 67 E 438:;4 6 6 > 7 4 6 785B>8 @4 3B 468 < 4 657 758 3 4 A4 E3 4 :73 ; 68 <5 : A4:9 4
64 @ 5<46 657 758 56 46 :7 8 9 3B 468 < 4 <5656 9 < 5 =73 4< 87 3 4 47 4 < 3 B4 7 8 :5< < 8> :4; ?
4B> :8B4 7 9 44H 4 5B> :4B4 74; 9 8B ' 75: :4; 78 63 >;4< :5 4 5 73 43 4 :73A8E 98< 4 4@ 4 6 73 4
;564 64 ? ;4 5 <4 64;/ ; :4; 7873 4 / >464 7 3B 468 < 4 <5656 5 73 43 4 :7364< 78 5 =73 56 > 4 58;/
'/*-* 3 4 :7367 99 = ; 74; 9 8 B;5994 4 7 7 5 5 =5 6757 7586 ?7 73 4 4 A4 4 8 > > 4 7 49987 784B> :8 73 4B/
73 4 %8 @
4 B4 7 3 5 4; 8: '/ ') ! )L# 3 4 64<8; 647?< EA 6 73 4 ;4<5658 B ;4 5 73 4 6<5@5: 64 @5< 4 498B
A 6 ;4 7 E 4 ; 46 :74; 5 >5 75 = ?;= 47 <45:5 =8 73 4 ?;= 47 ; ;8 A 65H5 =8 9 73 4 A8E 98< 4 3 5 ;: / 734
64< 78 9 < 4; 73 4 >8 ?:4B 8 9 A4 E> : 5 = ; 984<675 =8 9 3B 468 < 4 4I5 4B4 76 3 4 4 A4 4 :68
>8 ?:4B6 8 9 5 ;4I 74 5 @ 8:@4B4 7 8 9 734 >5@74 64< 78 5 3B 468 < 4> : 5 = 8 734 BD 8< 87 5?78 78
73 4 <5656 56 734 ? 5 ; 5 $8 A4@
4 / 73 4 B =57 ;4 8 9 734 >8 ?:4B56 8 7 A4:: ;4 678 8 ; ; 73 4 4 56 73 4 4984
=4 7 44; 78>7 5 > :< 4 B4< 3 56B78B85783 4 :73>8 946658 :6KB8 @ 4B4 7 A573 5 ; 8765;4 73 4< 87

34 8 <
5 : 4:9 4 8 BB56658 :686 994 6 9 8 B73 4 6 B4 3B 468 < 4 <5656 3 4 4C7 4B4 63 87 = 48 9 734 68< 5:
!

A4:9 4 67 99 56 B 5 : 84 787344 9 < 786 A3 5<3 4( 47 4 < 3 B4 7 8 :5< 8 9 '/ 4< 4 7 :5H758 8 :5< A3 5<3
4I5 4; 8 <5 : 4:9 4 64 @ 5<
46 78? 4 8 ::4; 87 7873 4 :8A4 :4@ 4:6 !>4@ 586: 68 <5 : A4:9 4 64 @ 5<46 A4 4 4 ;4 4;
7< 4 7 : ;H 8 : :4@ 4: 8: # 873 4 9< 7 A3 5<3 ;;4; 7873 4 6387 = 4 56 73 4= 8@
4 B4 7 > 8
:5< 8 9 A3 5<3;5;
8 7 ::8A67 ; ; 64@ 4 :4 @ 4 6 78? 4 4B> :84; 5 = 8 @4 B4 7 9 < 5:57546 848 @4 / 6< 34B4 8 9 64 @5<46 ;8 46 8 7
::8A4B> :8B4 7 8 9 :8A4 :4@ 4: 89 68 <5 : A4:9 4 <; 46 5 < : ;5 =73 4< 4 7595<74 ; ;5> :8B3 8:;4 6 3 464 <; 46
4 7 5 4; 7 73 4 6757 74 89 8 <5 : 8E 46 : B?7 5 B8 67 <646 4 4B> :84; ? 73 4 >5@74 64< 78 3 4
8? D4<75@
46 89 734 4< 4 7 :5H758 8 :5< A5:: 8: ? 46 < <4669 : 59 B8=8 73 4 9< 786 73 4 6<34B4 8 9 64 @5<4 98 68 < 5:
A4:9 4 <; 46 A5:: ? 4 4@ 54A4; 78 < <8 BB8 ; 74 734< 4 7595<746 ; ;5> :8 B = ; 746 78A8E5 73 4 :8 A4 :4@ 4:
?4< 64 B8 67 89 73
4 ;4=44 3 8:;4 6 ;8 8 7 A 7 78A8E 7 6 < 3:4@ 4:6

2 )3 !" ! ,
5B> 87 7 9 < 78 737 36 < 87 5?74; 7873 4 6387 =48 9 3B 468 < 4 56 734< 385< ;4 9 ;5 =8 9 73434 :73
64<78 3 4 ?D;4< : 758 4< 8
BB4 ;6 ::8 <758 8 9 +L 8 9 758 : ?;= 47 783
4 :7364< 78/ A34 4 6 73434 :73
64<78 36 ? 44 9 ;4; 6 98 ::8A6M5 , 57 A 6 L/ 5 ',* 73 4 63 4 ; 8 >> 4; 78 -L ; 5 *,+
734 4 A 6 5 <4 64 >78 L A3 5:4 5 +,) 57 A 6 )L ; 5 ),- 57 ; 8> >4; 78 )L 8 9 758 :
?;= 47 3 4 9: <
7 7586 994< 7 ::8
<7586 783B 468 < 46 5 > 75<: 73 4 4< 57B4 7/ 5 < 4 75@
46/ 474 758 ;
<>< 57 ?5:;5 =

2/ , !4! $3!
% 9 ( .
H 5 36 78 7:8 9 ) 3 4 :737 5 5 =5 6757 7586 4C<
: ;5 = 5@ 4 657546 @4 :: 73
4 6<8
> 489 73
4 4C5675 =
7 5 5 =5 6757 7586 56 78B447 73 4 44;6 89 73434 :7364<78 $8 A4@ 4 / 734 4 4C 567 <
8< 4 6 ? 87 73
4 I :57 89 734
7 5 5 =>8 @5;4; 5 4: 758 78 758 : < <4;57 758 8 < 5: 8
9 4< 35<: ; <758 ! # ; H5
8BB56658 98 5@ 4 657546 ! # 67 ; ;6

47A44 + 78 +/ 73 43 4 :737 5 5 =5 6757 7586 A4 4 ? :4 78>8 ; < 4 '/*-* 67 99 87 8 9 A3 8B8: )L A4 4

4B> :84; 5 73 4 >?:5<64< 78 3 4 64<78 36 ? 44 :8 65 = @ 4 = 489 ' 67 99 > 4 4 ; 57 56 734 4984 4< 466
78>7 5 > :< 4 ==4665@ 4 49987 98 73 45 4> :<4B4 7 ; 785 <4 64 >< 48 9 ?68> 758 8 9 7 5 4; A8E 98< 4 78
B447 73 4 8767 ;5 ==> 6 ; 77 5758 :8 6646 865;4 5 =73 4= 8@4 B4 7 > : 78467 ? :563 3 4 :739 <5:57 5 4 < 3
@5:: = 4 5 734< 8 7 / 73 4 4 A5:: ?4 44; 789 73 4 5 <4 64 73 4 >8 ; < 758 89 3B 468 < 46 78B447 4C > 4<74;
4A;4B ; 3 44 8 :B4 7 98 >4 G 64 @ 5<4 7 4 ; 98 73
4 >67 4 6 >78 + 36 ? 44 ? 47A44 ; /
67 ;4 76 > 4 4 4<4 7 4 6 73 4 7 4 ; 36 63 8 A 5 <4 64 > 75<: : 5 -, A3 4 73 44 8 :B4 7
5 <4 64; 9 8 B 78'/+ ? 4< 4B? 4 - 3 4 B? 4 56 4C >4< 74; 78 564 >78)/*+ ? <
3 34
7? :4 ?4:8 A63 8A6 734 B4 7584; 5 <4 646

*
 T ABLE 1. 7: P RE - S ERVICE S TUDENTS E NROLMENT 2004 – 2006
!* & * ')% 9 (
! ' !

*,+
+,) +)
),- / '
-, '/+
8<
4( $ ! )#

8;4 78 < 3 54@

4 734 67 74; 7 =47 B?4 8 9 67 74=546 44; 78?
4 ;8 >74; 6 <
3 6 78 4@
54A73 4 ; 758 8 9 73
4
7 5 5 = 6 A4:: 6 :4@4:6 89 @ 586 <; 46 7 56 734 4984 5B> 87 7 785 <4 64 5 @
467B4 7 789 <5:57 74 5 <4 64;
>8 ; <758

9 ( . ! ' ' %') ' ( ',* 8% ;

&64 @
5<4 7 5 5 = 6 < 4 7: ;465=4; 5B 7 > = ;5 =8 9 3B 468 < 4 6E 5::6 ; E8 A:4;= 4 785B>8 @4
>4 98B < 4 38= 373 4 <I565758 8 9 4A 6E5::6 ; E8 A:4;= 4/ 73
4 67 99 4C >4<
74; 78 ;4 7 E 4 7345
46> 865? 5:57546 64 586: ; <
354@4 35=
3>8 ; <
75@
57 7348 73 4 3 ;/ 734 67 99 4C>4<76 ?
4774 4< 8=5758/
4B 4 7586 ; A8E 5 =<8;57586 987 74: 73 464 4C> 4<
7 7586 4 8 7 :A 6 B47 ; 73 56 :4 ;6 78:8
66 8 9
B8 :4

3
4 4C 5674 < 46 8 9 ;5994 4 7 34 :73<; 46 A573B :75> :4 I :595<7586 A3 5<
3 4 8 7 4<
8=5H
4; 5 787 ;5758 : 3
4 :73
A8E 4 6< : 66595<758 8 6< 34B4 8 9 64 @
5<46 >
864 <
3::4 =46 8 > = ;5 =4 ;4 @
86
!

875 5 = 8 946658 : 4@4:8 >

B4 7 ! # 56 ;465=4; 78 > ; 74 ; 5B>8 @ 434 :73A8E 4 6E
5::6 ; E8 A:4;= 4
784 6 4 I :57 64 @ 5<
4 >8@5658 $8 A4@ 4/ 56 9 <
5 =B D8< 3::4 =
46 5 <
: ;5 = ? 64 < 489 5 ;5@
5; : 499876
; 4 98< 5 =B4< 3 56B784 < 8 = 4 A8E 4 6 78 ;4 7 E4 7 5 5 =?64; 8 64:9 5;4 75954; 44;6

8734 <3::4 = 4 56 734:< E8 9 758 : 5 5 = : 737 98 <646 8 67 <7 4; >867 = ; 74 7 5 5 =78B447

4B4 =5 = 44;6 98 6> 4<5 :5676 573 5 7356 <
874C 7 499876 63
8:; ?47 E4 784 6 4 <8
B> :4B4 7 5B>8 @4B4 7 5
73
4< 875 86 ;4@ 4:8> B4 7 8 98 73
4 3 4 :73<; 46

8
67 89 734 7 5 5 =56 34:; 8765;4 73 43 4 :739 < 5:57546 ; 7356 <4 746 64 586 >8 ? :4B 8 9 ?64 74456B 7 A8E
> :<46 3 4 $ 36 467 ? :563
4; 45= 37 .8 : 5 5 = 4 74 6 !. 6# 789 < 5:57 74 734 > ; 75 =89 3 4 :73
A8E 98< 4 6E 5::6 ; 67 < 7 4; B85785 =8 9 734 @ 586 7 5 5 =5 6757 7586 ;4 73 45 46> 4<75@
4 <7<3B4 76K
46 74 = 73 4 5 =8
9 73
4 <>< 57 8 9 . 6 56 ? 45 => 6 4; ? 73 4 $ 4@4 73 4:466 . 6 9 < 4 >8 ? :4B8 9
:5B574; <>< 57 5 74 B6 89 6E
5::4; 67 99/ 95 < 5 = / ; 5 ;4I 74 ;4@ 4:8>B4 7 8
9 73
4 5 9 67 < 7 4

5 : ; H 5 / 73
4= 8@ 4 B4 7 56 73 4 B 5 4B> :84 8 93 4 :73A8E 4 6 :73 8= 3738= 36> 4<5 : =44B4 76/
68B4 8 9 73
464 4B> :8446 4 64< 8;4; 789 573?64; 3 4 :739 < 5:57546 3 4 BD 857 8 93 4 :7367 99 ? 87 -* > 4< 4 7
A8E5 73 4= 8@ 4 B4 7 3 4 :739 <5:57546/ 98
::8A4; ? 9 573?64; 9 < 5:57546 A573 63 4 8 9 > 4<4 7 5@74 9 < 5:57546
4B> :8 ? 87 ' > 4< 4 7 ; > 67 7 : 8 A 4; 9 <5:57546 3@ 4 > 4< 4 78 9 787 : A8E 98< 4 5 7343 4 :7364<78 3 56
>774 > >:546 78 :: <; 46 :73 8= 373 4 ;5994 5 73 4 B =57 ;4 5 74 B6 8 9> 4< 4 7= 46 $4 :73>8 946658 : 67 995 =
:4@4:6 8 5 : ; H 5 ; 5 = ) 4 63 8 A 5 ?:46 8 73 4 4 75 4 67 99 44;4; 78>8 @
5;4 I :57
34 :73< 4/ 8 @ 4 = 4 734 4 56 ;495< 54 <8 9 :B8 67 ))L 8 9 >8 946658 67 99

+
 T ABLE 1. 8: H EALTH P ROFESSIONALS S TAFFING L EVELS T ANZANIA M AINLAND : 2006

-
' ! ( ( ) - )

4;5<: 8 < 786

>4< 5 :567 8 <786 **- ' + )
4 7: = 486 ' * * -)
>4< 5 :567 4 7 : = 486
!

' - + ' -+
* 3 B< 5676 *
+ 3 4B5676 ' ' + )
) 66567 7 4;5<: 995< 46 ' + ) +
- 66567 7 4 7 : 995< 46 / '/ )' -
4 7: 3 4 > 5676 -* **- -
:5 5<: 995< 4 - ' '* )
66567 7 :5 5<: 995< 46 +/ )* '' / )-
65 = 995< 46 /)
64 786 '/ - ' -/)' -
' 5 4; 64 + ** ' +)
* 64 5;A5@ 46 '/** '+ )/' )+
+ ? :5<$4 :73 64 % ;4 */ -' '- / - )'
) $ 5;46 /+ - ) -/ )* -*
- 4;5<: ? 8 78 4< 35<
5 / +- +) *+ **
;58 => 3 46 *'+ )+ -
4 7 : 4< 35< 5 6 + ' - -+
> 78 B47 74< 35< 5 6 +' ' '++ -
73 8> 4;5< 4< 35< 5 6 ) '' -
3658 73 4 > 5676 )
' 3 4B5<: ? 4< 35< 5 * ) *
* $4 :73 995< 46
+ 3 B < 4< 35< 5 + '- + )'
) * )- -)

'
65
733 12 325
1 44

,,' ( ) ) ( !
>>875@
4 67 99 :4@
4:6 5 5 : ; H5 5 ) 4 6 63
8A 5 ? :4 ?4:8
A 8 B4 89 73
4 A867 63
87 =46
A4 4 5 4= ; 78<74 5 =8 995<4 6 7 )L 73
4 B4;5<: 4<
8; 66567 76 !- L#/ : ;4 6 !++L#/ >3 B < 66567 76
!+*L# ; ;4 7 : 73 4 > 567 !+'L#

)
 T ABLE 1. 9: S UPPORTING S TAFF L EVEL T ANZANIA M AINLAND : 2006
-
' )) ( ( ) - )
4;5<: 4< 8;6 995<4 ' ) + -*
;4 6 '+ *+ *' ++
' 74 5 = 995< 4 '' * + )
* $4 :73 4<47 546 * + * *
+ 87 774 ; 76 * ) '
) 65 = C 5:5 546 / /'
- ? 8 78 66567 76 * ) ++' *
4;5<: 774 ; 7 4 7 : -) *- +'
3 B < 66567 76 ) *) ' +*
"& 66567 76 +) ) ) '
< <8 7 76 * +- * *'
!

5@46 ) ' -' -

' :: 873 46 */ )) - /)'*

'
/75
461 63 45
3// 3

5 #$ $! !! ! )! * # -
!"" 6 !
0 1
3
56 64<
758 ;46<5?
46 73
4 A8E:8; 9864:4<
74; >8
946658 :6 5 73
434 :736 674B

5 #$ $! ! -
-! $! 7
!
! 1
34>8
>: 758 > 4 84 B4;5<: ;8 <
78 5 4 < 3 4=58 56 638
A 5 95= 4 34 B? 4 8 9> 48>:4 64 @4; ? 84
B4;5<: ;8
<78 A 6 98 ; 78? 4@ 4 35= 35 7344 4= 586 B4: 25= 8 B !' / #/ ! )-/ # ; ? 8
! ' / # 3 4 4=586 4>874; 783@4 :8A467 >
8>: 7586 > 4 B4;5<: ;8 <78 A4 4 63 ! / #/ 46 : B
! */ # ; A 5 !' / # 34 758 : @ 4 = 4 A 6 )*/ > 4 686 > 4 ;8 <78/ A3 5:4 73 4 $
4<8BB4 ; 758 56 98 84 ;8
<78 7864 @4 > 8>: 758 8 9 / 7356 4= ; 73 4 4 56 865 = :4 4= 58 : A35<
3
B447 $ 4I5 4B4 76

-
 Mainland Tanzania 64
Arusha 22
Dar es Salaam 24
Pwani 32
Morogoro 56
Ruvuma 57
Iringa 58
Tanga 58
!

Kilimanjaro 58
Mbeya 64
Singida 65
Region
Mtwara 71
Lindi 88
Manyara 92
Dodoma 95
Kagera 114
Shinyanga 115
Rukwa 121
Tabora 132
Mwanza 144
Mara 167
Kigoma 308

0 50 100 150 200 250 300 350

Population (000)

% : P OPULATION PER M EDICAL O FFICER AND S PECIALIZED M EDICAL D OCTOR

T ANZANIA M AINLAND 2006

5 #$ $! """ ! -
- !0 1
66567 7 4;5<: 995< 46! # 98B 8 73 4 5B> 87 7 <; 4 8 93 4 :73A8E 4 6 A5 =7873 45 : = 4 B? 4/
734 64 @ 4 B84 > 48>:4 73 B4;5<: ;8 <
786 :73 8= 3734 < 4 7 >< 75<4 56 98 6 78? 45 < 3= 48 93 4 :73
<4 7 46/ 73 4 <575<: 6387 = 48 9 B4;5<: ;8 <786 36 :4; 78 657 758 A3 44 6 48 974 5 < 3= 48 9 ;567 5<
7
38 6> 57 :6 ; 68 B4 4@ 4 64 @ 4 6 ;567 5<
7 B4;5<: 8 995<
4 6 5= 4 638 A6 73 4> 8 >: 758 > 4 84 ? 4= 58
2= 4 4= 58 56 4> 874; 783@ 4 3; 73 43 5=3 467 >8>: 758 > 4 66567 7 B4;5<: 8 995<4 ! / # 98 ::8A4; ?
25= 8 B 4= 58 !-*/ # 34 4= 586 A57373 4 6B ::467 >
8 >: 758 > 4 4 46 : B ! '/ #/ A 5
! )/ # ; 63! / # 3 4 758 : @ 4 = 4 A6 ' / >4 686 > 4 84 66567 7 B4;5<: 8 995<
4
 Kagera 120

Kigom a 74

Kilim anjaro 60
Shinyanga 58

Iringa 51

Tabora 47

Morogoro 40

Mw anza 38

Mtw ara 35

Rukw a 35
Mara 34
Regions
Manya 32

National 31

Mbeya 31
Dodom a 31
!

Ruvum a 28

Singida 24
Lindi 23

Tanga 21

Arusha 20
Pw ani 16
Dar es Salaam 13

0 20 40 60 80 100 120

Population (000)

% : P OPULATION (,000) PER A SSISTANT M EDICAL O FFICER M AINLAND T ANZANIA :

2006

5/ #$ & * " "( $! -

- !0 1
:5 5<: 8
995<46 4 8 734 5B> 87 7 <; 4 5 73 4 B4;5<: >8 946658 8 67 89 734 ;56> 4 6 546 ; 3 4 :73< 4 7 46 5
73 4< 87 4B = 4; ? < :5 5<: 8995<
46 5 < 4 B8 67 89 734 ;56>4 6 546 ; 3 4 :73< 4 7 46 4 ?64; 5 : 46
57 56 4 68 ? :4 78<
8< : ;4 737 73 4 BD 857 8
9 734> 48> :4 5 73 4<87 = 47 7345 3 4 :7364 @ 5<46 9 8
B< :5 5<:
8 995<46 987 74: / 73 4 4 56 8647 67 ; ; 5 4= ; 7873 4> 8>: 758 > 4 84 < :5 5<: 8995<4 3 4 A8E :8; 98
73 56 <; 4 @ 546 9 8B 4= 58 784= 58 5= 4 ' 63 8A6 > 8>: 7586 > 4 < :5 5<: 8 995<4 5 73 4< 87
 Mainland Tanzania 7
Pwani 3
Kilimanjaro 4
Morogoro 5
Arusha 5
Tanga 5
Mbeya 5
!

Dar es Salaam 6
Ruvuma 6
Lindi 7
Region

Manyara 7
Dodoma 7
Mtwara 8
Singida 10
Shinyanga 10

Mara 10
Tabora 11

Rukwa 11
Kigoma 16
Iringa 16
Mwanza 20
Kagera 25

0 5 10 15 20 25

Population (000)

% ': P OPULATION PER C LINICAL O FFICER : M AINLAND T ANZANIA 2006

2= 4 4= 58 3; 73 4 3
5=3
467 B? 4 8 9 >
4 686 ! +/ # 64 @
4; ? 84 < :5 5<: 8
995<
4 98::8
A4; ? A H
! / #/ 5 = ; 25= 8B 4= 586 ! )/ # A 5 !'/ #/ 25:5B D8!*/ # ; 88 =
88!+/ # 4=586
3; 73
4 :8
A467 95= 46 3 4 758 : @ 4 =4 A 6 -/ >48
>:4 >
4 <:5 5<: 8
995<
4

52 #$ $! ! "!8 " , -
- !8
"! 9-!0 1
0 :57 65 =< 4 64 @
5<46 < 8: ? 4 >8 @
5;4; ? A4:: 7 5 4; 646 646 4 734 846 A3 8 4@ 4 <:8
64 78
73
4 >754 76 B :: > 8>: 758 64 758 6 5B>: :466 A8E:8; ; 7356 5 7 ::8
A6 98 ?4774 64 @
5<46 5= 4 *
63
8A6 >8>: 758 > 4 65 =8 995<
4 5 73 4 4=586
 Manland Tanzania 3

Ruvuma 1

Kilimanjaro
1
Arusha 2

Pwani 2

Iringa 2

Dar es Salaam 2

Singida 2

Tanga 2

Manyara 2
Lindi 2
Region

Mtwara 3

Mbeya 3
!

Kagera 3

Rukwa 3

Dodoma 3

Morogoro 4

Mwanza 4

Tabora 4

Mara 4

Shinyanga 6

Kigoma 7

0 1 2 3 4 5 6 7

Population (000)

% * : P OPULATION ( IN THOUSANDS ) PER T RAINED N URSE , N URSING O FFICER AND

N URSE M IDWIFE M AINLAND T ANZANIA 2006

25= 8B ; 3 5 = 4= 586 3; 73 4 35=3467 >

8>: 7586 > 4 64 7 -/ ; )/ >4 686 >4 64
46> 4<75@
4: 34 :8
A467 7586 A4 4 98 ; 5 @B ; 25:5B D8 4= 586 7 / >4 686 >
4 84 64 4 <
3
356 5B> :546 737 25= 8
B ; 3 5 = 4= 586 3; =8 66 63
87 =
46 8 9 646 3 4 758 : @ 4 =4 A 6 '/
>4 686 > 4 84 64
 55 #$ & * " "( $! ! -
-!
""" ! -
- !0 1
: 34 :73< 4 56 ? 4< 8B5 =B84 ; B84 5B> 87 7 6 < 4 7: 73 4 B? 4 8 9 >754 76 36 5 <4 64;
987 74: / 468 < 46 647 65;4 98 7356 64 @5<4 4 5 ;4I 74 3 4>8 >: 7586 > 4 ;4 7 : 6 = 48 5 73 4<87
4@ 4 3 5=3 ; <<4>7? :4 ? 67 ; ; 6 73 4 46 :7 73 4 I :57 8 9 64 @ 5<46 56 >88 5 < 4 73
4 4 4 94A
>8 946658 :6 5 73 56 <; 4/ > 5; B4738;8 934 :73< 4 !4C7 < 758# 56 <865;4 4; 78? 4 B84 > >8 >5 74 ;4 ::
4C
7 < 758 63 8:; ? 4 73
4 : 67 8> 758 974 8 734 B4738 ;6 3@4 9 5:4; < < 57 8 9 ;4 7 : 6 = 486 56 638A ? 5= 4
+ A3 5<
3= 5@
46 73
4> 8>: 758 > 4 ;4 7 : 6 = 48 ? 4= 58
!
 Kigoma 924

Kagera 720

Shinyanga 646

Manyara 599

Singida 586

Rukwa 334
Mwanza 331
Mara 301
Dodoma 272

Ruvuma 249
Regions

Mtwara 243

Tabora 221

Lindi 220

Morogoro 173
!

Mbeya 165

Kilimanjaro 116

Tanga 105

Pwani 97

Arusha 72

Iringa 70

Dar es Salaam 65

Manland Tanzania 162

0 100 200 300 400 500 600 700 800 900 1000

Population (000)

% + : P OPULATION R ATIO PER D ENTAL O FFICER AND A SSISTANT D ENTAL O FFICER

M AINLAND T ANZANIA : 2006

25= 8
B 4= 58 3; 73
43 5=
3467 ;4 7 : >8
946658 : >
8>: 758 758! ( */ # 98::8
A4; ? 2=4 ! (- / # ;
35 = ! ()*)/ # 46 : B ! ()+/ # 3; 73 4 :8
A467 98
::8
A4; ? 5 = ! (- / # ; 63
! (- / # 3 4 758 : @4 = 4 A6 ( ) /

'
 1 " % -)! * !"
343 4 :73< 4 ;4:5@ 4 6 674B36 ? 44 B E 4; ? 498B ; 5B>8 @4B4 7 3 4 4 36 ? 44 4C > 658 8 93 4 :73
64 @ 5< 46 5 73 4 : 469< 5:57 75 ==4 74 < <466 783 4 :7364 @ 5<
46 98 73 4 :> 8>: 758 / ? 87 *+
>4< 4 78 9 73
4> 8 >: 758 :5@ 4; A573 5 E B8 9 3 4 :739 < 5:57 / - > 4< 4 7 A573 5 +E B ; ' > 4< 4 7 A573 5 EB
89 9< 5:57 4< 4 7 4 6 73 4 4 36 ? 44 5 <4 64 5 73 4 B? 4 893 4 739 < 5:57546 5 734< 8 7 / 68737 B D 857
89 73 4> 8 >: 758 :5@ 46 A573 5 95@ 4E 5:8 B474 6 9 8B 3 4 :739 < 5:57 $8 A4@ 4 / 73 4 4 4 675:: = 48 => 35<: 5 4I :57546
5 < < 466 783 4 :7364 @ 5<46 ) 734 4 A4 4 78 7:8 9 +/- 3 4 :739 < 5:57546 5 73 4<87 < 8 B>565 =8 9 +
38 6> 57 :6 +)+ 3 4 :73< 4 7 46 ; * * ;56> 4 6 546 6 < 8 B> 4; 78 78 7 :8 9 +/'- 3 4 :739 <5:57546 5 +8 9 A3 5<3
A4 4 3 8
6> 57 :6 * 3 4 :73< 4 7 46 ; */)- A4 4 ;56> 4 6 546 3 56 56 4I5@:4 7 78 5 <4 64 8 9 '* 3 4 :73
9< 5:57546 5 65 = :4 4

1 "$! " !"

!

;56> 4 6 64 @46 > 8 >: 758 8 9 >78 / >4 686/ 3 4 :73< 4 74+ / ; ;567 5< 738 6>57 : + /
>4 686 3 4 4= 58 : 38 6>57 : 64 @
46/ 6 494 : < 4 7 4/ ?
47A44 * 78+ ;567 5<73
86>
57 :6 ; 73 4 98 < 86 :7 7
386>57 :6 64 @4 64@4 : 4= 58 : 3 86>57 :6 3
4 4 4 */ * ;56>4 6 546 5 734<87 ! ? :4 # 46 : B36
734? 5== 467 B? 4 89 ;56>4 6 546 !' #/ 98::8
A4; ? A H !'' #/ 25:5B D8!' *#/ ? 4 !' # ; 5 =
!' -#

T ABLE 1. 10: N UMBER OF D ISPENSARIES BY R EGION AND T YPE OF O WNERSHIP M AINLAND

T ANZANIA : 2006
.' :, ')"@ , '
$'( * # ! % %(

25:5B D8 + )) ) ' *
2= 4 )- ) )
= - ) + *
E A )* ' *
35 = ' + *- *
A 5 ++ * ') '
8 ;8 B ' ) +
' ' '
?4 ' * ' '
@B * '
?
8 ' ' + -
25= 8 B - ' )
A H ' ) ''
5 ;5 *) + - * )
88 =88 )+ + +)
63 ++ * *
46 : B + +' - - '
5 = -* * ' -
7A * )*
5 = 5; - - * - ++
' - -
" 112 43 / 1 / 272

3
4 8 A 4 63
5>56 6 98::8
A6M=8
@4 B4 7 '/'* !) L 8 9 :: ;56>
4 6 546#/ 9 573?64; 5 6757 7586 )+ ! 'L#/
> 657 7 : ' ! L# ; >5@74 ! )L# 5 95= 4 ) ?
4:8A

*
 Private, 16%
Parastatal, 2%

Faith Based, 13%

Government, 69%

% ): D ISTRIBUTION OF D ISPENSARIES BY O WNERSHIP M AINLAND T ANZANIA : 2006

!

1 )! * ! !"
34 4 4 +)+ 3 4 :73<
4 7 46 5 73
4<87 34 4=
58 A57373
43 5=
3467 B?
4 8
9 3
4 :73<
4 7 46 56 ?
8 !+ #/
98
::8A4; ? 25:5B D8!')#/ 88 =88!''#/ 5 = ; ? 4 !' # 5 7 ?:4

T ABLE 1. 11: N UMBER OF H EALTH C ENTRES BY R EGION AND T YPE OF O WNERSHIP

M AINLAND T ANZANIA ; 2006

+
 .' :, ')"@ , '
$'( # ! % %(
*
25:5B D8 )
2= 4 - * ')
= '
E A '
35 = + -
A 5 ) '
8 ;8 B
* )
?4
@B ) )
!

'
?
8 ')
25= 8 B + * +
A H ' -
5 ;5 + '
88 =88 + ' ' -
63 ) + ''
46 : B + ) * '
5 = + -
7A ' '-
5 = 5; ' )
+ * +

' 167 / 3 / 27 343

34 4 4 +)+ 3
4 :73<
4 7 46 5 73
4<8 7 /8
9 A35<
3'- !)-L# 4 8 A 4; ? 73
4=8
@4 B4 7/ + ! L# ? 9 573
?64; 8= 5H7586/ ! L# ? > 67 7 :6 ; * ! L# ? 73
4 >5@74 64<
78! 5= 4 -#

)
 Private, 9%

Parastatal, 2%

Faith Bases, 22%

Governm ent, 67%

% -: D ISTRIBUTION OF H EALTH C ENTRES BY O WNERSHIP M AINLAND T ANZANIA :

!

2006

1/ ) "$ "
34 4 4 '3 8 6>
57 :6 5 73
4< 8 7 /8 9 A3
5<3 !* L# 4 8A 4; ? 73
4=8@4 B4 7 8A 4;/ !* L# ?4:8=78
9 573?64; 8= 5H7586 > 67 7 :6 8 A !*L# ; ') ! )L# 4 8
A 4; ? 73
4 >5@74 64<
78 46 : B36 73
4
: = 467 B?4 ! -# 98::8A4; ? 25:5B D8! #/ ? 4 ! -#/ A H! *# ; 2= 4 ! '# ! ?:4 ; 5= 4
#

-
 T ABLE 1. 12: N UMBER OF H OSPITALS BY R EGION AND T YPE OF O WNERSHIP : 2006
.' :, ')"@ , '
$'( * # ! % %(
25:5B D8 + *
2= 4 '
= + *
E A *
35 = +
A 5 + -
8 ;8 B + -
* )
? 4 - -
@B ' )
!

? 8 * ' -
25= 8 B ' )
A H ) ) *
5 ;5 + '
88 = 88 ) * '
63 ' -
K: B * ' -
5 = + ) ' +
7A * +
5 = 5; ' )
' * -

' 7 7 14 1

Private, 16%
Government, 40%

Parastatal, 4%

Faith Bases, 40%

% : P ERCENTAGE D ISTRIBUTION OF H OSPITALS BY O WNERSHIP M AINLAND T ANZANIA : 2006

 : )! * ; !"
) 734= 8@4 B4 7 3 4 :739 < 5:57546 3; <>< 57 8 9 )/ ' ? 4;6 ! ' 5 3 4 :73< 4 7 46 ; )/- 5 3 86> 57 :6#
?7 73 4 B? 468 9 @5: ? :4 ?4;6 A4 4 /+ + 3 4? 4;6 @5: ?:4 5 34 :739 <5:57546 8A 4; ? > 67 7 : ; 8&
=8 @ 4 B4 7 : 5 6757 7586 A4 4 6 98 ::8A6M4:5= 586 ! -/+* #/ > 67 7 : !) # ; >5@74 5 6757 7586 ! / )# 3 4
4= 58 : A57373 4: = 467 B? 4 8 9? 4;6 A4 4 A H! / *)# ; A573!+)*# ? 4;6 4= 586 A5736B ::467
B? 4 8 9? 4;6 A4 4 5 = 5; !)- #/ E A !- # ; !-**# ) 734 4 A4 4 78 7:8 9 *'/ ?4;6 8
H5 5 : ;< 8B> 4; 78''/ '+ ? 4;6 5 + 9 73 464 + + > 4< 4 7 A4 4 5 = 8@ 4 B4 7 3 4 :739 <5:57546/
98::8 A4; ? 9 573?64; 8= 5H7586 !* - > 4< 4 7#/ >5@74 5 6757 7586 !+ > 4< 4 7# ; > 67 7 : 8= 5H7586
! )> 4< 4 7#

T ABLE 1. 13: N UMBER OF B EDS IN THE H EALTH C ENTRES BY T YPE OF O WNERSHIP AND
R EGION M AINLAND T ANZANA : 2006
4=
58 >489 A 4 63
5> 8
7:
%8
@4 B4 7 67 7 : 5@74
:4

:4

:4

:4

:4

:4
@5: ?

@5: ?

@5: ?

@5: ?

@5: ?

@5: ?
><

><

><

><

><

4 7
57

57

57

57

57

4<
25:5B D8 - -- *-- *- + - )- / - /+
!

2= 4 + **) / ) *- ' /+ * /* )
= ) *'' '- ' * * )*+ )
E A +' ' )) * ** +)
35 = - + + + -- + -+
A 5 '- ) ' -*
8 ;8 B * ' ' ++ * -
)- +-
? 4 )+ * + * ++ *+ ) ' -)
@B *) + ) '++ *+ + +- -
? 8 )+ ) + + + ' + '* )
25= 8 B -- '*' + + ++ ' ') *)*
A H /' / ' + ** + / /+ *
5 ;5 ') ' '' )) * *
88 = 88 '* ' +) *) ' ' +* *+- *
63 - + '' - ' ' ' ) +-
46 : B ' * + * ' - * - '
5 = +- * * ) - ' * + ' -)
7A ' + * '+ ** '+'
5 = 5; ' ) + + ''* '-
) ++ ++ + )+ -+ *

' 751/ 65
7 4 35
/4 25
737 /1 62 277 371 /35
/ /15
4 3 7
L ) ) +-
 T ABLE 1. 14: C APACITY AND AVAILABILITY OF B EDS IN H OSPITALS BY T YPE OF
O WNERSHIP AND R EGION M AINLAND T ANZANIA : 2006

.' :, ')"@ , '

$'( * #" % %(

:4

:4

:4

:4

:4

:4
@5: ?

@5: ?

@5: ?

@5: ?

@5: ?

@5: ?
><

><

><

><

><

4 7
57

57

57

57

57

4<
25:5B D8 ) - / - & & + ) /) + / )) )
2= 4 + /*) /*' ) + & & / - /-- -
!

= / * + +* + ' & & )+ + /)++ /* + +

E A - * + *+ & & & & + + + )
35 = & & - -* / - / -* '
A 5 + /+ * ' & & *
8 ;8 B *-) /'- + '' & & & & / /-
/ *+ *-* ) )+ & & & & / )) / * )
?4 - / -) + ') & & - +- /' / )
@B )'- + ) & & & & /)'+ /+*' *
?
8 +* - ) *-+ *-' & & & & / ) / +
25= 8 B /' +* - - & & & & --) --)
A H ) ) / ' + ** & & & + / /+ *
5 ;5 ) + * - * ' ) '* '* & & / + - )
88 =88 - ) - - '+ '+ -' /- /)-* -
63 ))+ )+ )* - * ' ' /' /* -
46 : B )+ ) / ) + ) / ) /- ) /*
5 = ) - + / +) )+ * * ' + / )* / -+ -
7A +) '+ ' & & & & /' / +)
5 = 5; + ) *)+ ) )' & & ' * / -) /' *
+*) +)* ++* & & & & / ) / )
' /45
6 7 /25
447 /15
12 / 53 / 4 4 4 /5
3 1 /5
4/1 1 5
/31 75
272 7
- L *L L -L L
P8
74( 4;6 5 494 :3
86>
57 :6 4 8
75 <
: ;4;

< )! * ; = $3!
48 9 734 5B> 87 7 73 5 =6 A3 5<3>8 B8 74 I :57 64 @ 5<46 56 73
4 @5: ? 5:57 89 B4;5<: 4I5> B4 7 H 5 36
A5;4 47A8E8 9 4I5> B4 7 6 > > : 738= 3H 8:8 995<46 3 4 47A8E56 A573 5 4;5<: 7846 4> 7B4 7 ! #/
=8@4 B4 7 = 4 < 737 6 > > :546 4664 75 : ; = 6/ 4I5> B4 7 ; B4;5<: 6 > >
:546 3 4 B8 67 A5;4: 64; > 54<
46 8 9
4I5> B4 76 4 63 8A 5 ?:4 + ) 73 4 4 A4 4 /*'' B5<8 6< 8> 576 8 5 : ; H 5 / 87 8 9
A3 5<
3 >4< 4 7 A4 4 9 < 758 : 3 4 "& 576 5 73 4< 87 4 ' )/ A573 * > 4< 4 78 9 73
4 576 ? 45 =
8>4 758 : 2= 4 / =/ 3 5 =/ / ? 4 / @B / 88 =88 ; 63 4 4= 586 A3 4 4 B8 67 89
734 B< 35 46 4 A8E 5 = / A35:4 A H 4= 58 36 73 4: = 467 B? 4 8 9 576 8 7 A8E 5 = 6 4= ;6 674 5:5H758
4I5> B4 76/ 73 4 4 A4 4 / * 576 5 73 4< 8 7 / 87 8 9 A3 5<3 >4< 4 7 A4 4 9 < 758 : 25:5B D8 ; 5 ;5
4=586 3; 3 5= 34675B 74; B? 4 8 9 576 8 78 >4 758 : 3 4 787 : B? 4 8 9 ;4 7 : 576 ; < 35 6 5 73 4
<8 7 A6 * 8 9 A3 5<3' !- +L# A4 4 A8E 5 = 3 4 4= 586 A57373 4: = 467 B? 468 9 ;4 7 : 576 8 7
A8E 5 =4 46 : B ; A 5 4= 586

'
 T ABLE 1. 15: D ISTRIBUTION OF M ICROSCOPY , X- RAY M ACHINES , S TERILIZATION
E QUIPMENTS AND D ENTAL U NITS & C HAIRS BY R EGION M AINLAND T ANZANIA : 2006

'
' ',: A9 : !
' > ,*

'

'

'

'

'

'

'
'

'

'

'
'

'

'

'
.'
#

#
25:5B D8 ) ' /63 1 ''+ 2 1 /1
2= 4 + '* /7 /1 + 16 - /3
= - 7 /1 ++ * 37
E A * ) 3 ' 1 '* 2 + ) /
35 = + 6/ / ' /44 //
A 5 * 4 * /1 * ' 6/ 1
8 ;8 B -+ + 7 - ' / * 1 1 + 12
- //7 - * 1 1 + 12
?4 ) ) 66 7 - /13 * /4
@B * + / 7 7 * 11 /1
?
8 - ' // + /1 * * /1 + /6
!

25= 8 B ' / 3 ) ' 7 4 4

A H * * /32 - + /1/ + 4 + * /7
5 ;5 ' - 26 + /1 **' + 2 * /3
88 =88 * ' /43 - * ) 26 ' * /6
63 ' ' 4 1 '+ 33 ' ) 7
K: B )- '+ / + ) / ) + 1/
5 = ' / /2 ')' ' 144 * /4
7A + + 61 + 6 ' - 23 )
5 = 5; - 67 - 7 * -
' -' 2 ) ' 7 - ) / 1 ' /3

' /777 212 211 1 7 4 14 1/ 2 132 2 1 / 2

• 8
74( 7 <
8<4 5 = 74 5:5H758 I5>
B4 76 5 6 : BA4 4 8
7 @5: ?
:4

34 4 A4 4 78 7 :89 +@ 43
5<:46 8 5 : ; H5 5 )/ 8
9 A3 5<3 ) )L A4 4 8 >4 758 : ; ' *L A4 4
8 7 ? 4 / 3 5 =/ A H ; 2= 4 A4 4 4= 586 A573B8 67 89 73
45 @43 5<:46 9 <7585 = ; 98 5 =/
5 = 5; / = ; 3 5 = A4 4 4= 586 A57373 4 : =467 B? 4 8 9 @435<:46 8 7 8>4 758 : 6 4= ;6
B8 78<< :46 73
43 4 :7364<78 3; ) B8 78<< :46/ 87 8
9 A35<3 'L A4 4 8 > 4 75 = :: B8 78<< :46 5 =/
25= 8 B ; 63 4= 586 A4 4 5 =8
8; A8E 5 =< 8;5758 ! ? :4 ) #

'
 T ABLE 1. 16: D ISTRIBUTION OF V EHICLES AND M OTORCYCLES BY R EGION AND
F UNCTIONAL S TATUS M AINLAND T ANZANIA : 2006
')= 0 '' :
= '' :
.'
# ' ' ' # ' . '# ' . '
. # ' .
25:5B D8 ) + ' ' '
2= 4 ' ' )
= ** + + +
!

E A ) * +
35 = * * '' ' ')
A 5 ' - '- ' +
8 ;8 B + '* ' + ')

? 4 *- + + * '+
@B '* ') '
? 8 - ' '
25= 8 B '+ + *
A H * * ' *
5 ;5 '* - * * +
88 = 88 ** *) )' )+
63 ' ) *+ ) )
K: B '- - ** + '
5 = *+ + ) '- - **
7A ' + - + '
5 = 5; ' * ' ''
- ' '

' 6 4 / 7 + 34 32 4

>
H 5 56 B8=73 4 ;4@ 4:8>
5 =< 8 7 546 A57373 43
5=3467 ;4 8 9 564 64 ! # : 5 4B 5 6 B D 8 < 64
89 B8? 5;57 ; B87 :57 ? 8735 : ; ? 4 6 :6873 4 4 36 ? 44 5 <4 64 5 B? 4 8 9 <646 ;
;4 736 ; 4 78$ , ; ? 4 <:8 656 3 464 7344 ;564 646 >864 B D 8 734 7 787343 4 :736 674B5 5 : ;
H5

% ;
$4 :7367 75675<6 98 ) 5 ;5<74 737 : 5 / <74 46> 5 78 94< 7586/ 4 B85 ; 5 3 84 564 646 4
734 BD8 < 646 8 9 87>754 7 774 ; <
46 98 ?8
7373 4> 8 >: 7586 ;4 + 4 6 89 =
4 ; 73
864 =4; + 4 6 ;
?8@4 ) : 5 < <8 74; **L 8 9 73
4 B87 :57 B8=73 4 ;4 + 4 > 8
>: 758 ; '*L 98 738
64 =4+
4 6 ; ? 8@ 4 6< 8B> 4; 78' *L ; *+L 5 + ! 5= 4 ; #

'
 !

''
%
Percent

0
10
20
30
40
50

Ma
la r
ia
44%

M AINLAND T ANZANIA : 2006

AR
I

14%
Pn
eu
mo
D ia n ia
r rh

8%
ea
D is
ea
In t se

8%
es
t ne
Wo
rm
Ey s

4%
eI
n fe
c ti

Disease
on
Sk
in s 3%
In f
ec
tio
Ey ns
3%

eI
n fe
c ti
on
s
2%

Ur An
i na ae
ry mi
a
2%

T ra
ck
In f
ec
t io
ns
2%

: T OP 10 OPD D ISEASES FOR THE P OPULATION U NDER 5 Y EARS OF A GE

 34
35

30

25

20
Percent

15 14
!

10
7
5
4
5 3 3 3 3
2

0
ARI

Eye Infection
Malaria

Pneumonia

Microsugical

Urinary Track

Skin Infections
Diarhoea Diseasis

III Defined Symtoms

Interstinal Worms

Conditions

Infection

(No diagnosis)
Dis e as e s

% : T OP 10 OPD D ISEASES FOR P ERSON A GED 5 Y EARS AND A BOVE M AINLAND

T ANZANIA : 2006

5= 4 ' 63 8A6 734 < 646 89 ;B56658 783 4 :73<

4 7 46 ; 386>
57 :6 98 <
35:; 4 ;4 + 4 6 8 9 =4 A35:4 5= 4
* 63
8A6 734 < 646 89 ;B56658 98 >754 76 = 4; + 4 6 ; ? 8 @48 5 : ; H5 5 ) 8? 873
>
8>: 7586 : 5 A 6 73 4 :4 ;5 =< 64 8 9 ;B56658/ 98
::8
A4; ? 4 B85 ; 5 3 8 4 ;564 646 $ ,
<<8 74; *L 89 :: ;B566586 B8=73 8 64 =4+ 4 6 ; ? 8@
4

'*
 Tuberculosis, 2%
Intestunal Worms, 2%
Poisoning, 3%

Schistosomiasis, 3%
Malaria Severe
Acute Resperatory Complecated, 42%
Infection, 5%

Aneamia, 6%

Diarrhoeal Diseases,
6%

Pneumonia, 9%
Malaria
Uncomplicated, 15%

% ':
T OP 10 IPD D ISEASES FOR C HILDREN U NDER 5 Y EARS OF A GE M ANLAND
T ANZANIA 2006
!

III Define Symptoms,

no Diagnosis, 2%
Urinary Track
Infection (UTI), 2%

Tuberculosis, 3%

Malaria Severe,
Anaemia, 4%
Complicated, 21%

HIV/AIDS, 4%

Pneumonia, 6%

Diarrhoeal Diseases,
Malaria
6%
Uncomplicated, 19%

F IGURE 2. 4: T OP 10 IPD D ISEASES FOR P ATIENTS A GED 5 Y EARS AND A BOVE : T ANZANIA
M AINLAND : 2006

'+
 ;
5= 46 + ; ) 63 8 A73 4 < 64 8
9 ;4 73
6 98 <35:; 4 94A4 73 + 4 6 ; 73 4>4 686 = 4; + 4 6 ; ? 8
@ 4
A38;54; 7 34 :739 <
5:57546 <8 66 H5 5 : ;5 ) : 5 A 6 73
4 :4 ;5 =< 64 8 9 ;4 735 ? 873=8>6
8< 35:; 4 ;4 + 4 6/ 4 B85 E
4; 64<8; 98 ::8
A4; ? 4B5 ; 5 3 84 ;564 646 A35:4 $ ,
E4; 74 73

Pre-natal Conditions,
!

Severe PEM, 2% 2% HIV/AIDS, 2%

Acute Respiratory
Infection, 3%

Poisoning, 4% Malaria Severe

Complicated, 33%

Diarrhoea Diseases,
5%

Malaria Anaemia, 13%

Pneumonia, 13%
Uncomplicated, 9%

% + : C AUSES OF D EATH FOR A DMITTED C HILDREN U NDER 5 Y EARS OF A GE

M AINLAND T ANZANIA : 2006

')
 Malaria - Severe,
Malaria - Complicated, 18%
Uncomplicated, 10%

HIV/AIDS, 11% Cardiac Failure, 2%

Diarrhoea Diseases,
3%

Tuberculosis, 7%
Poisoning, 4%
Anaemia, 6% Pneumonia, 4%
Sickling Diseases, 5%
!

F IGURE 2. 6: C AUSES OF D EATH FOR A DMITTED P ATIENTS A GED 5 Y EARS AND A BOVE
M AINLAND T ANZANIA : 2006

9 73
4 78>74 < 646 8 9 ;4 73
6>4 686 =4; + 4 6 ; ?8@ 45 )/ : 5 A 6 734 :4 ;5 =< 64 <
<8 75 =98
)L 8 9 :: ;4 73
6 98
::8
A4; ? $ , ! L#/ ? 4 <:8
656 !-L# ; 4B5 !)L#

/ - %! "! "!"
34 8 7595 ?
:4 ;564 646 737 4 ? 45 =B85784; ? 73 434 :7364<
78 5 <
: ;4 3
8:4 / 48 7 : 47 6/ : =4/
<74 : < <
5; : 656/ 64 74 / 4 5 = 5756/ 5B : 5746/ 4::8
A 4@ 4/ ? 546/ ?
8:/ 4@
4/ @ 5
9: 4 H/ > 3
8 5; ; 4: 65 = 4@ 4 ! ?:46 ; #

8? 873 =4 =8> 6 B8 67 8
9 734 <646 4>874; A4 4 668
<5 74; A573>
88 3= 54 4 ! 64 74 / > 38 5; ;
3
8:4 # 5B : ?
5746 A4 4 :68 4> 874; ? B 4=
586 9 < 8< 4 A 6 73
4 : = 4 B? 4 8 9 : =4 <646
4>874; 98734+ 4 6 ; ? 8@4 =4 =8>5 2= 4 'L ; !) +#/ A H! +# ; 4= 586 !' *#

'-
 : R EPORTED C ASES OF N OTIFIABLE D ISEASES A MONG C HILDREN U NDER 5 Y EARS OF A GE M AINLAND
T ANZANIA : 2006

:,
:

8 , .#( ;
!%
'+ .'

'

& '@#(
:

)
:, '!
.
#

=)(
*
%.
'

'

'
:

(
'
25:5B D8 * +
2= 4 + ' - - - + - ' '- ++-
' = ++ -+ ' -
!

* EA - + ' * ' ) *
+ 3 ' + * *+ * '
) A 5 ') ''* ' * *+
- 8 ;8 B - '-') '- - *)* '
*+ - + )+
?4 * ' - ' -) ++-
@B + ' ' ' * *' '+
?
8 ) ) *- - -
25= 8 B ' ' ''* ' * * ** )
' A H ) ) +- *' *
* 5 ;5 +* *' ) ' + )
+ 88 =88 ' +) -
) 63 ' ' - ' -
- / : B ++)+ )+) - ** '** -
5 = ++- + )
7A ) ' *)
5 = 5; - )) ' -
' ' +

' / 6 4 4 13 4/ 2/ ' -+ 6 1 3 7 1 6 21 3

'
 : R EPORTED C ASES OF N OTIFIABLE D ISEASES FOR P ERSONS A GED 5 YEARS AND
A BOVE T ANZANIA M AINLAND : 2006

Typhus
Acute Flaccid Paralysis

Neonatal Tetanus

Avian influenza
Yellow Fever
Animal Bites
Meningitis
(Relapsing
Dysentery

RV fever
Typhoid
Cholera

Measles
Region

Plague

Rabies
Borne

Ebola
25:5B D8 + -+ '+ ) -)
2= 4 ' + ' -- ' +- - +
= ' * '/* + * * - +
E A ' +'' * ' ' ) )) )
35 = ' + ) )
A 5 * '/ + ' ' +
8 ;8 B - '/ * * ) + K))-
/ ' /+-' +))
?4 ' - '/* ) '+ '/))+ - *
@B ' / ' *) +*
?
8 ) + - +-
A H ' / - + + / * *
5 ;5 /-' - --
88 =88 ' / - * +)
!

63 ' - +- * ) ' + +
K: B ' + */' ' -)
5 = /)* - )* *)
7A ' - ' )
5 = 5; /+* )
25= 8 B ' ' ) )+ ++
)'+ ' *
" 3 25
37 1254 4 1166 4 166 / / 56 7 73 4 /

/ # >

/ >% ; !4 !"
4= ;5 =: ? 8 78 64 @ 5<
46/ ?:4 ' 5 ;5<746 737 5 ) 8 5 : ; H5 / ) / ' :?
8 78
5 @4675=7586 A4 4 < 54; 87 3 5 7 95@
4>4<4 78 9 73
45 @4675=7586 A4 4 98 ?:8
8; 6B4 ! #/ ) )L 98
$ 4B8 =:8?5 4675B 758 !$ #/ ) L 98 5 4/ + )L 98 78 8
: ; * -L 98 < 5; 67 < 5::5 ! #

'
 T ABLE 3. 1: T YPE OF I NVESTIGATIONS C ARRIED O UT M AINLAND T ANZANIA : 2006
.' * ') ( . ' !'
'' # B :
, ''!
.
Kilimanjaro +)' ' +) + - * ''+- ' -'' * )
2= 4 '+*' )** ) -+ '-+ ) '** * )
= )*)' * - * +*)+ +-* +' '+ + *+ * *-
E A *) * )*- + ' * - )* ) ) - * *
3
5 = *- - - * - ' '' -') * ** *+
A 5 * +++ ) * ' ) * + ) -) )) -
8 ;8 B -) +* * ' - ++ )+ ' * ' )*
** * '' -' * + - + ++ +
?4 ) ) --+ * *' ) -*) + +- ' + *
@B * ' ) ' +* )+- + -+* )')
!

?
8 ** - *' *-- *- ' * *+ ) '-
25= 8 B + +* +* - ) - ) - '+ - ) '-
A H - ) + +- )')* - ' + * ) - +
5 ;5 - ' ) ')- +' ) - - -* + - '*
88 =88 ' + ) *- **-- - '* *' - *
63 + * ' )) - * * )-' -*)*
K: B * ) +* ') ' +) ))'* - '* ' - +-+ * '' -
5 = - ) -) * * ' '+ '' )
7A ')+)+ '))+) ''*' - ) ) + ++
5 = 5; *- *+ - -+ ) - *) *+- + ) --)
- ') * ) '* - *) +* *** * +

Total 2/ 4272 /47 77 /6167 7 3/ 43 /6 / 4 1 7746 362331

/ ?. ; !4 !"
"& 64 @5<
46 4 >8 @5;4; 5 :: 4= 586 8 9 5 : ; ? :4 ' 63 8A6 73
4 B? 4 ;7 >46 89C
& 64 @5<46
>8 @
5;4; ? 4= 58 B8= :: 73 4C & 4CB5 7586/ < 3
467 C & 56 ;8B5 7 ; < <
8 74; 98 !* >4< 4 78 9
:: C
& 4CB5 758M98 ::8A4; ? 4C 7 4B57546 ! *L# ; ? ;8B5 : C& 6 !) +L# %4 57 : 5 < 7C &
4CB5 7586 A4 4 734 :4 67 <8; <74; 4CB5 7586

*
 T ABLE 3. 2: N UMBER AND T YPES OF X- RAY E XAMINATIONS BY R EGION M AINLAND
T ANZANIA : 2006
.' ? * , B ' %( !'* $ "
! :

25:5B D8 + - *) ) ' '*- * ' '

2= 4 ' * ' ') *)* * ) +-
= * '*+ ) + * * *+
E A ' ' )) + -- +' ' -* )
35 = ))+ *) + ** ' ) ' +
A 5 +- '' * * '
8 ;8 B + ** + +** '*+ ' ) '*) ''
- *' **)' + '+ + + +
?4 ' '* * - -
@B )'* ) -- ') -+ ' )* ) * )
?
8 ' ' *+)* *' * ') + '' *-
25= 8 B ''' - ' * -*) * *+ *- *
A H + + ') + + + '* ') * '-
5 ;5 + - * +*) )*) -* ' - )+-
88 =88 *')' '+ - '+*) +-) +* +- **-
63 - ) *'' * +' * ))- ++-
46 : B +* )+ +-- *' '- *) * ' '
5 = +))' * ' '-* * )- -
7A --' '' )* - ' )'
5 = 5; '-* ) - ) + * * )
!

' )- *'+ '* + ) -

' 3/6/ ///676 /3 /1 / 7/7 6 2 1 4 2 177

// )! * !4 !"
34 B8 67 <8BB8 8 : 3 4 :73< 8;57586 8 5 : ; H5 4 > 4 58 ;87 : ;564 646/ ;4 7 : < 546/ 4 ;4B5<
9: 88 656/ 8 : 48 >: 6B6/ 8 : B 59467 758 8 9$ , ; BC 5::8
9< 5 : 5 D 546 3 4< 8;57586 4 5B> 87 7
? 4< 64 8 9 73
45 35=3>4@:4 < 4/ >? :5<;4B ; ; 73 45 5B>< 7 8 5 ;5@ 5; :6 ; 68 <547 5 74 B6 8 9 >5 /
;56<8B987/ 68 <
5 : ;9 < 758 : :5B57 7586 ; 734 4994<
7 8 734 I :57 89 :594 6 A4:: 6 73
4 95 < 5 : 5B><7

34 >8 @5658 8
9 8: 3 4 7364 @ 5<46 56 <867 5 4; ? 5 ;4I 74 67 995 = ; : < E89 A8E 5 =788:6 7 34 :739 <5:57546
:34 :7364 @5<
46 4 B8 67: >8 @ 5;4; 5 494 : 3 8 6>57 :6/ 4= 58 : 386>
57 :6 ; ;567 5< 73
86>57 :6 6 A4:: 6 8 73 4
3
8 6>57 :6 4 94A3 4 73< 4 7 46 >8 @ 5;4 73
464 64 @5<46 ; 73 464 4 B 5 : 78 8734C 7 <758 64 @ 5<46 5@74 ;4 7 :
<
:5 5<6 :68>8 @
5;4 6B :: > 4< 4 7= 48 9 8: 3 4 :7364 @5< 46 46>4<5 :: 5 ? 4 6

C7 < 758 89 ;4< 4; 74473!)) )L# A 6 73 4 7 4 7B4 7 89<

385<
4 98 B8
67 89 73
4 4=586 8 5 : ; H5
5::5 =6 < <8 74; 98 ! L# 8 9 73
4 7 4 7B4 7 >8 @5;4; ? 87 )L 8 9 734 47 774 ; <
4 <B4 A573
<
8 B> :5<7586

*
 T ABLE 3. 3: O RAL H EALTH C ARE M AINLAND T ANZANIA : 2006
.' * ') :! !
? ' ' " ' ' < '
' '*, ' '*,
'
25:5B D8 /+ /+ ) '/ ' */ -- *) + +
2= 4 +/- * - ' /)' / ' -/ '* -/' +
= )/-) / '- / / & & &
E A '/ ' *+ ) '/'** ' * '''
35 = +/+' + '/)-) /' + +* *
A 5 +/ *) * -/- ' *'/ /)+- - /) *
8 ;8 B +/++) * - '/+ + /* '+ '* )
/' /*+) ' )'
?4 +/++) / / )+ /** ) )
!

@B )/+ ' / ++ */ + ' /-)' +) +)

?
8 )/ ' ' /) ) / '/)+ '/)+
25= 8 B +/-' ' + -/) *
A H -/*- )/ ' /* /)'* ' + '
5 ;5 + ** '* '*
88 =88 ''/ '/ /) --/ )+ /*' * * / +)
63 / )+ -)- */' )/ ' /) - ' ) / ''
K: B * /' * ) +/- * / -) *)+ / '*
5 = /' + ) /+*' /** / + * + /+
7A -/)+ ) * +/ ) / +- * / -
5 = 5; /)' ++ +' /-' ' *
*/ +- / ' +/ +) /) - /
' 6 5
427 115
1 4 6 5
43 2 5
263 115
26 1517 145
6 7

/2 ! "!4 !"
34 758 : 74 8 :5< 8 9 67 746 737 <:4 ; 6 94 A 74 63 8:; ? 4 @5: ? :4 A573
5 ;5 6 89 * B474 6
98 B4 < 33 8 B4 ; 65 = :4 A 74 > 85 7 638:; 64 @ 4 6 94 A 74 78 + > 48 >:4 A573 @ 4 = 4< 86 B> 758 8 9*
:574 6 >4 > 4 68 > 4 ; 3 4 4 4 B >8 ?:4B6 994< 75 =73 4 >8 @ 5658 8 9 6 94 A 74 78< 8BB 57546 6
3 5=3:5=
374; ? 758 : @5 8B4 7 : $4 :73 ; 57 758 8 :5< % 5;4:5 46 ! # ! ? :4 ' *# 63 8A6
;567 5?758 8 93 8643 8:;6 ? 4= 58 A573 < <466 78< :4 ; 6 94 A 74 ; > >8 >5 74 : 7 5 46 5 73 4< 87
?87 +- -L 8 9 73 438643 8 :;6 3@ 4 < <466 78< :4 ; 6 94 A 74 / A3 5:4 -' *L 3; > >8 >5 74 : 7 5 46 2= 4
!--L# / = !-*L# ; 25:5B D8!) L# A4 4 73 4 :4 ;5 = 4= 586 5 4= ; 78 3 8643 8:;6 4< 45@5 =6 94 ;
< :4 A 74 25:5B D8! )L#/ A H ! 'L# ; 88 = 88! L# 4= 586 4 :4 ;5 =5 73 4 >8 @5658 8 9
> >8 >5 74 : 7 5 46

*
 T ABLE 3. 4: N UMBER OF H OUSEHOLDS WITH A CCESS TO S AFE AND C LEAN W ATER AND
A PPROPRIATE L ATRINES BY R EGION IN M AINLAND T ANZANIA : 2006

.' * * ') * - * + -
') , ! < (.
' '! ' '! ,,', ) !

<
25:5B D8 ' / - '+/)*+ /+) ) + / )
2= 4 '* / ** -/' -/ + +) -*/*'' --
= ') / ) /+- )/- - -- /) -*
E A +'/'+ /' ) /+)' /++ )
35 = *'*/)-+ */'+* +/ ) - /'+- )'
A 5 / ' *)/ / ) -'+/ +
8 ;8 B ' /+ ' ' /'' - / -' +/ *
/ )+ '*/)+) -/) * )+ *+/ - '*
?4 * / ' )-/ *- +*/ /' + '/-* -
@B * /-)) * /-)) )-/--' - ' /') ++
?
8 --/* - / + /+ ) * +/)' **
25= 8 B */ * )'/* ' ' /* * /+ ' ++
A H +'-/ '+*/-- +/) + ' ')/ ' '
5 ;5 / +' * /) / )- ) )'/* + **
88 =88 ''+/ +)/' - / ' /-** ++
63 / */' *-/ /*+' +*
!

46 : B & & & & & &

5 = '-)/+- +'/ -* *)/ - */' ) -'
7A & & & & & &
5 = 5; & & & & & &
+-/ - )/* --/ )' -' - / )) ))

' 35
272532 15725
437 5375
/// 61+
2/ 524543 36+
46

*'
 2 # )> ) > )

2
4>8 ; <75@4 ;< 35:; 34 :7364 @
5<46 ! $ # 4 >8 @
5;4; 5 :: 4= 586 89 5 : ; H5 5 ) 3 464
64 @5<46 <86567 8
9 9 B5: > : 5 = / 5BB 5H758/ 5 74= 74; B = 4B4 7 8 9 <
35:; 34 :73
/ 6<
388: 34 :73/ 6 94
B8 7343 8
8 ; ; ;4:5@ 4 ;<8BB 57 3 4 :7364 @ 5<
46 3 464 64 @
5<46 4 5 74= 74; 784 6 4 73 4 A4:: ?45 =8 9
;8:46<4 7/ >4= 7 B8 73
4 6/ 4A?86 ;< 3 5:; 4

2 ! !& (
In 2006 a total of 1,553,342 pregnant women were expected to pay their visit to ANC
services. Of the these about 97.6% attended (Table 4.1).
!

T ABLE 4. 1: ANC F IRST A TTENDANCE < 20 W EEKS AND 20+ W EEKS BY R EGION
M AINLAND T ANZANIA : 2006
.' , ! ! # * '
! C - D !
@ B @ B
Kilimanjaro *-/' /*'+ + /** * / *
2= 4 / ' *'/'*- *- * / '' /'
= - / '+/ + *+ * /- --/ '
E A )*/) * ' /') * *-/+ ) - / -
3
5 = ' / ++/ - * -+/ * ' /
A 5 ' /'' / ' + / + '-/ +'
8 ;8 B -+/ ) + /' - ) */+'+ -)/ *
*-/ ' '/* ) '+ */)- ' /
?4 / *+ * / )* * **/-+ +/ +
@B + / ) /- * */ -* *)/ )
?
8 - /' * / -) '' + / *+ -/'
25= 8 B ))/ -/ ' ') * /-' -)/)-
A H '+/* - */-)+ ) )+/ ' ) / )
5 ;5 ' /-) / + ) / '+ / +
88 =88 --/ + *)/)) + '*/ + /
63 ) / +/+' *- /- * +*/ )'
K: B -/+-' ) / ' )) ' / *- */')
5 = - /-*' ' / *' ++ )/*+) + /)
7A *-/' /* + +' / * /+--
5 = 5; /)- + /*) / +- ) /'
+-/-)* ' /* +* +/) +)/ )

Total /5
3315
12 6 652 3 6 75
1 2 /5
3/45
21

" ! !@ 9!!A"
5 =
5; 4= 58 3; 7343
5=3
467 74 8
9 774 ; <
4 ! L#/ 98
::8
A4; ? 5 ;5 !) L#/ 8
;8B !) L# ; 46 : B
!))L# ! 5= 4 * #

**
 90
82
80
69 68
70 66
62
58
60 55
54 53 52 51 52
48 48
50 47 47 45
42
Percent 40
40 36 35
33
30

20

10

Kilimanjaro

Mbeya

Arusha

Shinyanga

Manyara
Morogoro
Singida

Dodoma

Iringa

Mara

Ruvuma

Kagera

Kigoma
Dar es Salaam
Lindi

Mwanza

Mtwara

Tanga

Rukwa

Tabora

Mainland Tanzania
Pwani
Regions
!

F IGURE 4. 1: ANC F IRST A TTENDANCE IN < 20 W EEKS OF P REGNANCY BY R EGION

M AINLAND T ANZANIA : 2006:

2/ # !, 3! ! 4! , )! * !"
) 734 787 : B? 4 89 774 ;446 A 6 /+ )/*' ; -*L 8
9 73
464 ;4:5@
4 4; 7 3
4 :739 <
5:57 4=
586
A57373
43 5=3 467 >
4< 4 75 3 4 :739 < 5:57 ;4:5@
4 A4 4 46 : B! +L#/ 25:5B D8! L#/ 5 = ! +L# ;
? 4 !)*L# ! ? :4 * #

*+
 T ABLE 4. 2: N UMBER AND P ROPORTION OF P REGNANT W OMEN D ELIVERING IN A H EALTH
F ACILITY BY R EGION M AINLAND T ANZANIA : 2006.
.' ' ' " ' - ( .
! ( . ( .
# :
#
25:5B D8 * / * '+/*+* / /+ ' / - * /''
2= 4 /' - /' + /) + /+ - +/-- * /' +
= --/ ' ' / +/* - & ' / * *
E A - / - ' /* -+- )/+ ) +' * / -) )*
35 = ' / + /+** /' / *' / ' )-/*+ -)
A 5 '-/ +' */ ) ) +/+' ') ' / -
8 ;8 B -)/ * * /)*+ */ / -+ */ - - / )'
' / -/ - + '/ - / ')
!

?4 +/ + '/) + / *+ )/ '' & / -'

@B *)/ ) * /*)' /' + +/*++ / ) * /' ' *
?
8 -/' * / * '/'+* / / '+ *-/'' +
25= 8 B -)/)- '*/)'- * '/ ) +/+ ' )*/ * +*
A H ) / ) - /' * / )- +/ ) +/)' )/-- -+
5 ;5 / + /- / '+ '/')* & +/ -
88 =88 / *)/'* - / & +)/ '
63 +*/ )' +/ / + )/+* & ''/-+ --
K: B */') )/) ) / -+ / ) / *' +
5 = + /) + /'- / +/* + / ' + / ') +
7A * /+-- / + ' +/ -* & ')/+- +
5 = 5; ) /' *-/ + +/ ' /'' +/** ))/ +' -
+)/ ) ''/ - -+- -/- * /-- +*/' ) )

' /5
3/45
21 7 5
1 6 135
//7 /75
143 6 5
36 /5315
1 1 62

22 # %!3" "" ! 9 * ! 4!;

)/ 73
4 BD
8 >8?:4B6 4 <
8 74 4; ? >4= 7 A8 B4 ; 5 =;4:5@4 A4 4 $ !'+ -L#/ ? >
75; : <
4 7
! + -#/ $ ! # ;8 73
4 6> 4<
5954; 4 686 !'+ L# ! ?:4 * ' #

*)
 T ABLE 4. 3: P ROBLEM A SSOCIATED WITH D ELIVERY BY R EGION M AINLAND T ANZANIA :
2006
.' ? ( ! . , , ! "
%
1 !! . ;
8
% %%
Kilimanjaro *' * * *+
2= 4 ) *+ ) *
= )) ''*
E A *) *+ - -
35 = '+ ')
A 5 ) * ' - '
8 ;8 B ') ) )
* ** -* ' +
?4 ' - - *-)
@B '' * - - +)
?
8 + - + * *
25= 8 B ) -
A H ** + ' ++
5 ;5 - -+ )
88 =88 ** - + '
63 '* ) * '++
K: B * '* -+ ' ' *
!

5 = ' - )
7A ' - +- '
5 = 5; - '+ *+
+ - *

Total /5
24 25
1/4 /572 /67 252

25 "!" - ! ! *" 1
34 B 5 < 646 8 9 B 74 : ;4 73 65 ) A4 4 >867 > 7 B$ 4B8 3= 4 A3 5<
3< <8 74; 98 + > 4<4 78 9 73
4
787 : ;4 736 7 A 6 98 ::8A4; ? 4B5 ! L#/ : 5 ! *L# ; 4 > 4 5 : 4> 656 ! +#/ $ , A6
46>865? :4 98 !+ +L# 8 9 734 78
7 : ;4 73 ; 8 73
4 6>
4<5954; 4 686 < 64; ! - L# 8 9 73 4 ;4 73
6! ?
:4 * * ;
5= 4 * # ! ? :4 * * ; 5= 4 * # 46 : B! ' #/ 7A ! *#/ A H! *+# ; 5 ;5 ! ' # 4= 586
3; 73 4: = 467 B? 4 68 9 B 74 : ;4 73 6

*-
 T ABLE 4. 4: C AUSES OF M ATERNAL D EATHS BY R EGION M AINLAND T ANZANIA : 2006
')

% *' :

% $ '

, .
!
*

*'
.

:
*,

, )
" !*
*

% ,

=0
'

#(
,

'
%%

"

"
2KD8 + ) ) * ' -)
2= 4 ) * + + * + +
= ' ' ) ) *
E A + * ' + ' ' ' ) *
3
5 = + * - * ''
A 5 ) + ) * + --
8 ;8 B ' - - )
* + +)
?4 ' - * ) - - * ) +
@B - ) ' * ) * - ' )
!

?
8 - + '
25= 8 B * ) ' + ' - * * -
A H ' '' ' + ' - + *+
5 ;5 ) +
88 =88 - ' - ' + ' ) '
63 ' ) * ' * ' ) * )
K: B ) ) ' ' ' ) * '
5 = + ' * ' ) - -
7A ) - - ) + + ' +' )
5 = 5; ) ) + ' * ' ) *
' * + ) '
' 4/ 37 /6 43 /74 62 6 / 6 /31 / / 77 1/ 32 421 1/6

Re laps ing Fe ve r,
EPH Ge s tos is , 1.3% 2.3%
APH,
Rupture d Ute 4.3%
rus ,
4% Othe rs , 27.8%

Pne um onia, 0.9%

Eclam ps ia, 6.6% Se pticae m ia, 2.6%

HIV /AIDS, 5.5%
M e ningitis , 0.3%
Pulm onary Oe de m a,
0.3% Anae m ia, 11.2%

Obs tructe d Labour,

3.2%
Pue rpe rial s e ps is , M alaria, 9.4%
8.5% PPH, 11.5%

F IGURE 4. 2: C AUSES OF M ATERNAL D EATH T ANZANIA M AINLAND : 2006

21 ! ! 4!; !4 !"

*
 ?:4 * + 5 ;5<746 737 98 73 4 4 ) 78 7: 89 / )*/) * ?? 546 A4 4 ;4:5@
4 4; :5@4 78
7: 8
9 ' -/)-
4A? 8 6 A45= 34; 87 8 9 73464 +*)' ! * L# A45=34; :466 73 + E =
6 :68 / 787:8 9 /' 4A?8 6 ;54;
?
4984 4 < 35 =* 3 868 9 73
45 :594 ; /+* 4A? 8 6 ;54; 974 * 3868 9? 5 73

T ABLE 4. 5: M ATERNAL D ELIVERY S ERVICES BY R EGION M AINLAND T ANZANIA : 2006

.' ( < . !)
'+ C+
3 B. # C2 2D
< . ! !
25:5B D8 '*) '-+-) * * * +- '-+
2= 4 )+* ) '+ * + ' +
= )+ * ' *' '++ ) )
E A '*+ + '* * ))' *' ''
35 = +'* + + ' *) + +)
A 5 ' ) ' - + ** ) - -) +
8 ;8 B + + +'+) ) * '' ' - +
' *- ** -* )
?4 *-+)- *) + -)- +) ' ) '*
@B * ')+ * ' -- --
?
8 '' -- * ' ' ) + ''
25= 8 B )'+* *+*') & ' ) )*
A H -+)) -'+'' -) ** )** )- *
5 ;5 * ) ) ) ' - + +*
88 =88 + + '* '- - + ' '+
!

63 )*' )*' )- '* - -) )-

K: B -+* * - +-- '' ** )+ )
5 = + ) ) * * -*+ *- '' )-
7A ' )) - '* )
5 = 5; --* + + '* -'
' +- +-- + ' ** * +
' //525
4 2 1 65
467 325
41 / 5
4 2 45
337 5
1 / 5
327

2: 3 ;# ,&#(
?:4 * ) 638A6 734 B? 4 ;> 4< 4 7= 48
9 A8
B4 8 9<
3 5:; ?4 5 ==
4 A3 8A4 4 65 =9 B5: >: 5 =B473 8;6
5 ) 3 4 >4< 4 7= 4 5 < : ;46 73864 A38A4 4 < 875 5 = 6 A4:: 6 4A < <
4>786 7 758 : :4@ 4: 734
>8 >8758 : 8 9 A8 B 8 9<3 5:;?4 5 == 4 A3
8A4 4 < 875 5 =A5739 B5: > : 5 =A 6 ')L ; 73 4> 4<4 7= 489
4A < <4>786 A 6 )L 46 : B ; = !)'L#/ 5 ;5 !+ L# ; 5 = 5; !+ L# A4 4 734 4=586 A57373 4
3 5=
3 467 >4<4 7= 46 89 A8B4 < 875 5 =A573 64 8 9 9 B5: > : 5 =B4738;6 3 4 4=586 A5737343 5=
3467 4A
<<
4> 786 746 A4 4 E A !')L#/ 8 ;8 B ! -L#/ 3 5 =! *L# ; 63! 'L#

*
 T ABLE 4. 6: F AMILY P LANNING C LIENTS BY R EGION M AINLAND T ANZANIA : 2006
' .' . ! '+') 8
-; ') @ 8
-; ')
' . . ,' .
8
/3E27 : ; @ # %
25:5B D8 ) /* + '+/)'' + +-/ -
2= 4 *')/ -- ) / ' ) ++/ -) '
= '''/* /+ ) )' /' + )
' E A -/ * ) / - ') *+/' ')
* 35 = **-/ )* *'/ ) ' -/+ * *
+ A 5 +- /*-* -+/ ' ++/
) 8 ;8 B ')'/+- ))/+ ' *) /-** -
- ' /))) * / * +/--+ -
? 4 *)+/*++ ) /''* +) + /--* '
!

@B ' '/*+* */' ' ' /+)

? 8 '* /*'' / - - + /- * +
25= 8 B ') /)) - /- * /' +
A H - */ ' ')/ ' / )-
' 5 ;5 /)+ -/ ' + '+/-* -
* 88 = 88 ' /-+ )+/ + *' ) /) )
+ 63 ' /+ )/ ' ) / -+ '
) K: B )) / * -/ - )' +/ *
- 5 = '*)/-+ / )/
7A /' *-/ )) * ' / ) -
5 = 5; ' /'- / + + *+/**
- /+' '/+ ) '- +-/ -

' 65
44 5
3 7 5
61 5
362 14 /5 /5
44 /4

2<
<<
5 7586 8 9<35:; 4 ? 4:8
A84 4 =5 67 7 ? 4 <:8 656/ ;5>373
4 5 / 747 6/ > 4 7 656 ; 3 4>75756 4@4
5B> 87 7 5 74 @
4 7586 98 73 43 4 :7389<3
5:; 4 734 : 67 95@
4 4 6 4> 876 9 8B :: 9 < 5:57546 5 73 4<87
5 ;5<74 5 <4 64 5 73 4 @< <
5 758 < 8
@4 =46 98 <
3 5:; 4 ? 4:8A84 4 :B867 :: 75= 4 6< 8@4 = 4 4 ?
8 @4
>4< 4 7

+
 T ABLE 4. 7: V ACCINATION C OVERAGE BY R EGION M AINLAND T ANZANIA : 2006
$ "%=1 %9 1 =
.' %'F = %'F = %'F = %'F =
- - - -
' ! ' ! ' ! ' !
63 )*/)-) +)/) ' ) / - + / '- ) ) / - + /')+ - ) / - + / ** -
K6: B )/' + )/) ' -- -/- * +/+*' -' -/- * */ + - -/- * / -)
8 ;8 B - /'++ -*/' ' * -'/ + -'/ ' -'/ + -'/ )- -'/ + - /+
5 = ) / -+ ) /)+ )'/)' +)/ -) )'/)' +)/ )'/)' +)/++
2= 4 / ) / '* /* )/ - * /* )/ - * /* +/ ' '
25=8B )/- )*/') -* / - + / * -* / - + / ' -' / - ) / ) -)
2KB D8 ) / ) *+/) * -' + /) * / -* - + /) * /-- - + /) *'/* -*
5 ;5 '+/ ) ''/ )- * ''/**) /-') ) ''/**) / ) ''/**) / - -
+ / ) *-/)+) * /) + *'/++- * /) + * / '+ + * /) + * /**- +
)*/ ') ) / ' ) /+ + / + - ) /+ +-/ + ) ) /+ + /+ ' -
? 4 -/)*- / -+ ' / -/'*) ) / */ / )/ * +
88 =88 '/ ') -*/))+ - / -'/'+ * - / -'/ '+ * - / - /+- '
7A + /)+' * / * * / * ' / + * / * ' /*+) * / * * / '* -
A H *'/ ++/ )* ''/ ' ' / * ''/ ' /* - ''/ ' ' / )
A 5 * / ' /- - ' / ) /*- -' ' / ) / -+ ' / ) /++ -'
E A ++/ -* + / -* * + / ) * /* - ' + / ) *-/* + / ) + / -
@B + / '' *-/ -) * /'' * /* + ) * /'' *'/ '+ - * /'' *'/**
35 = '-/ / + /+' +/* ' /+' /' - /+' /- + -
5 = 5; + / * * / - * *-/+') *+/ - + *-/+') **/+' * *-/+') **/ '- *
?8 */ -+/-* - / ) ) /*) - - / ) ))/*** * - / ) - / '
= -+/*++ -'/ - - /' ' )-/*+ ) - /' ' )*/ ) - /' ' ))/) +
' /5
4/45 46 /5
2225 7 /5
3 45 613 /5
12/5 7 7 /5
3 45 613 /5
1/25 76 6 /5
3 45 613 /5
116566 7
!

2< ! "
47 6 78 C85; 5 D4<7586 4 = 5@
4 ; 5 =>4= < 78>4@ 4 7 48 7 : 747 6/ A3 5<356 B8=73 4 BD 8 < 646 89
5 9 7 ;4 736 %4 4 :: / 4> 876 9 8B3 4 :739 <5:57546 4@4 : 737 >4< 4 7=48 9 >4= 7 A8 B4 @< < 5 74; A573
Q36 ;4<4 64; 9 8 B )> 4< 4 75 78 ? 87 - > 4<4 7 5 734 4 ) 5B5: : 734>4< 4 7= 489
<3 5:; 4 ?8 >8 74<74; 7 ?
5 73;4<4 64; 9 8 B -L 5 78-+L 5 ) ?:4 * ; 5= 4 * * 63 8A
65=595< 7 ;4<:5 5 =5 73 4 B? 4 8 9 4> 874; 48 7 : 747 6 <646 9 8 B') 5 78 48 7 : <646 5 )

37 73 4 >8 >8758 8 9 >4= 7 A8 B4 774 ;5 = 98 73

4>> 8
64 89 4<
45@
5 = Q5BB 5H758 ;4<4 64;
98 B )> 4< 4 75 4 78- > 4< 4 75 ) ; 48 7 : 747 6 <646 ;4<4 64; 9 8 B') 7 4 7B4 76 5
78 > 4< 4 75 +6 = =4676 ;4 4> 875 =8 9 < 7 : 48 7 : 747 6 <646 ! 5= 4 * *# 8 B> 4; 4= 586 734
;5994 4 < 46 4 4B E? :4 8 5 67 < 4/ 734 4=586 8 9 A H/ E A ; 88 =8863 8A7343 5=
3 467 746 ! ?
8@4
+> 4< 4 7# 98 73 4 >4= 7 A8 B4 4< 45@5 = Q 4= 7 A8 B4 9 8 B / 25=
8B ; 25:5B D8
4= 586 A4 4 :4 67 :5E4: 73 8 73
4 4= 586 78784< 45@ 4 Q@<< 5 758

T ABLE 4. 8: V ACCINATION OF TT2+ FOR P REGNANT W OMEN AND C HILDREN B ORN

P ROTECTED A GAINST T ETANUS AND R EPORTED N EONATAL T ETANUS C ASES M AINLAND
T ANZANIA : 2002 – 2006

Year 1st ANC Vaccinated Under one Children Born Alive NNT Rate
TT2+ 1st Visit Protected Cases per
1000
2002 1,340,939 1,146,939 (86%) 1,246,698 1,103,401 (97%) 733,304 36 0.05
2003 1,334,120 1,155,332 (87%) 1,278,664 1,033,716 (90%) 895,426 32 0.04
2004 1,393,460 1,183,594 (85%) 1,290,502 1,119,520 (95%) 898,706 19 0.02
2005 1,393,377 1,209,494 (81%) 1,393,377 1,164,751 (78%) 1,491,512 7 0.005
2006 1,462,157 1,257,754 (78%) 1,462,157 1,195,117 (75%) 1,616,672 9 0.005

+
 86
84
Percentage

82
80
85
78 83
81
76 78
74
2003 2004 2005 2006

Year
!

F IGURE 4. 3: P ERCENTAGE OF P REGNANT W OMEN V ACCINATED TT2+ M AINLAND

T ANZANIA : 2003 – 2006

40 36
32
30 19
Percentage

20 7
9
10

0
2002 2003 2004 2005 2006

Year

F IGURE 4. 4: R EPORTED N EONATAL T ETANUS C ASES ON M AINLAND T ANZANIA : 2002 –

2006

+
 T ABLE 4. 9: P ERCENTAGE OF P REGNANT W OMEN WHO A TTENDED ANC AND R ECEIVED
TT2+ I MMUNIZATION BY R EGION M AINLAND T ANZANIA : 2002 - 2006
.' 1 2 3 4
63 +) ' )*
A 5 ' ) -' )
46 : B * '* - -'
8;8 B - * ' +
5 = * - - -* -
2= 4 ' '
25= 8B ' +) )
25:5B D8 - - ) )
5 ;5 ' -- )- )
++ -- -- - +
) - '
? 4 * -+ * -'
88 =88 ) ) ) ) -
7A - -+
A H '*
E A ) ) -
@B -
35 = ' * --
5 = 5; - -+ ' *
?8 - -+ -
!

= +
' ( . 4 1 3 / 6

1400

1200

1000

800

600

400

200

0
i
ro

ra
i

ya

a
a

ga
sm
ga

da
a

ha

ro

ra
a
an

nd

ar

z
ng

ar
w
or

m
m

m
ja

ya
o

ge
be

an
an
i
n
us

uk
Pw

Li

ng
D

go
o

tw

M
og
an

Iri
Ta

an
od

uv

Ta

Ka

w
M
Ar

y
R
M

Si

Ki
or

in
lim

M
R
D

Sh
Ki

Regions

Reported HF neonatal deaths Reported Community Neonatal deaths

F IGURE 4. 5: C OMPARISON BETWEEN H EALTH F ACILITIES AND C OMMUNITY R EPORTS ON

N EONATAL D EATHS BY R EGION M AINLAND T ANZANIA : 2006

+'
 2< +
5= 4 * ) 63
8A6 @<<5 758 <8@4 =
489 % 98 4= 586 ; 73
4 758 : @ 4 =
45 ) 3 4 @<
<5 758 <8@
4 =4
98 % A4 4 3 5=3
467 5 A H ; = !4 <3A573 @<<5 758 < 8
@4 =
48 98@ 4 +L# 65C 4=
586 73
4
@<<5 758 < 8
@4 =4 A4 4 ?4:8
A 734 758 : 4@
4 =4 ; =4; 9 8
B- > 4< 4 7 5 25:5B D8 4= 58 78
>4<4 75 63 4=58

120

108
!

100 97
94 94 93 93 94 94
91 91
88 89 89 89 89 89 89

80
78 77
80 74 73
Coverage (%)

60

40

20

0
a
ro

ra

a
i
a

ya

l
a

ga

a
t

da

ga
am
ha

ra

ro

a
nd

na
s

ar

z
ng

w
ar
m

or
m

m
oa

ja

ya
ge

o
be

an

an

n
us

uk
Li

io
ng
la

go
o

tw

b
M

og
an
Iri

Ta
C

an
od

uv

Ta
Ka

at
w
M
sa
Ar

y
R
M

Si
Ki

or

in
lim

N
M

R
D

Sh
es

Ki
ar
D

Regions

F IGURE 4. 6: BCG I MMUNIZATION C OVERAGE FOR THE U NDER O NE Y EAR C HILDREN BY

R EGION M AINLAND T ANZANIA : 2006

2</ #. ) /
34 >8C 5BB 5H758 < 8@4 =4 5 ;5<786 4 &$ ' <8@
4 = 4 ; B4 6:46 5BB 5H758 <8@4 =4 5= 4 * -
4>464 76 734 &$ ' <
8@4 =4 ? 4= 58 5 ) :: 4=586 4C<4>
7 98 < 3 54@
4; <
8@4 =
46 8
9 B84 73 L
4=586 A573:466 73 L < 8@4 = 4 4 25:5B D8!- L#/ A 5 !-+L#/ 46 : B!-+L# ; 25= 8
B !-'L#

+*
 120

100

80
Percentage

60

40

20

0
ro

Ka a
am
o

N ra

l
R ya

a
Ar a

Si a

in a

a
Ta a

M ra
Sa i

ra

Ki a
a
or a

i
lim a

na
an

nd

ng
or
om

nz
ar

ar
Sh m
um
ng

id

w
ng
Ki ush

ja

ya
ge
bo
be

io
la

uk
ng
Pw
og

Li

go
tw

M
an

ya

wa
Iri
Ta

an
od

uv

at
M

R
M

M
D

es
ar
D

Regions

F IGURE 4. 7: DTP-HB3 I MMUNIZATION C OVERAGE FOR THE U NDER O NE Y EAR C HILDREN

BY R EGION M AINLAND T ANZANIA : 2006
!

2<2 #
$5= 3 875 4 8 : >8 :58@<<5 758 ! # 56 84 89 734 B8 67 5B>
87 7 67 74=
546 98 4 ;5<758 89>8 :58
B 4:5756 5
734< 87 7 758 : :4@ 4: '<
8@ 4 = 4 ;4<:5 4; 9 8B L 5 ! +# 78 L 5 ) 5= 4 * 63 8 A6
4=58 : @ 5 7586 5 ' 5BB 5H758 < 8
@4 = 4 4= 586 A573:466 73 L 8 @4 =45 <: ;46 25:5B D8
!- L#/ A 5 !-'L#/ 46 : B!-'L# ; 25= 8B !-*L#

120

104
99
100 97 96 96
94 94 95
93
90 90 89
88 87
86 86 86
82
80 74
73 73 72
Percentage

60

40

20

0
ro

Si a
am

M o
ra

l
or a

a
a

M ra
Ki a

in a

ra
a
a

a
ha

sa t

na
nd
es as

ng
or
om

nz
ar
r

um
w
ng

id

ng
ja

ya

a
ge

bo
be
us

io
la

uk

ng
ar Co

go

Li

og

tw
M
an

ya
wa
Iri

Ta
an
od

uv
Ka

Ta

at
M
Ar

R
lim

N
M
D

R
M

Sh
Ki
D

Regions

++
 F IGURE 4. 8: OPV 3 I MMUNIZATION C OVERAGE FOR THE UNDER O NE Y EAR C HILDREN BY
R EGION M AINLAND T ANZANIA : 2006

2<5 ! "!"
Measles vaccination coverage at national level also declined from 95% in 2005 to
87% in 2006. Figure 4.9 shows regional variations in measles vaccination coverage
and that in regions the coverages were lower than 80%. These regions are
Kilimanjaro (74%), Pwani (73%), Dar es Salaam (73%) and Kigoma (76%).

120
!

98 98 98 97
100 95 93 95 94 93
87 87 88 89 88 89 87 87
85

80 74 76
73 73
Percentage

60

40

20

0
ro

Ka a
am
o

N ra

l
R ya

a
Ar a

in a
Si a

M ra

a
Ta a
Sa i

R a

Ki a
a
or a

i
lim a

na
an

nd

ng
or
om

nz
ar

ar
um

Sh m
r
w
ng

id
ng
Ki ush

ja

ya
ge
bo
be

io
la

uk
ng
Pw
og

Li

go
tw

M
an

ya

wa
Iri
Ta

an
od

uv

at
M
M

M
D

es
ar
D

Regions

F IGURE 4. 9: M EASLES I MMUNIZATION C OVERAGE FOR THE U NDER O NE Y EAR C HILDREN

BY R EGIONS M AINLAND T ANZANIA : 2006

5= 4 * 38 A6 737 4: 75@4: 3
5=3< <
4:: 758 ! 'L# 8
9>: 4; 5BB 5H758 87 4 <
364 @
5<46/ ?
4 ;
?8 4= 586 :4; ? < <4:: 758 74 8
9 L

+)
 8000

7000

6000

5000
No: of Outreachs

4000

3000

2000

1000

0
ro

a
o

ra
Si a

a
a

Sh ma

M ra
a

ra
i

ra

a
a
a

i
lim a

sm
an

nd

ng
or
om

nz
ar

um

ng

id

w
ng
h

ja

ya
a
ge
bo
be
us

uk
ng
Pw
og

Li

go
D

tw

M
an

ya

wa
Iri
Ta

an
od

uv

Ka
Ta
M
Ar

R
M
or

Ki

in

M
D

R
M
Ki

Regions

Planned outreach services Conducted outreach services

!

F IGURE 4. 10: P LANNED O UTREACH S ERVICES C OMPARED TO C ONDUCTED O UTREACH

S ERVICES A MONG R EGIONS M AINLAND T ANZANIA : 2006

5= 4 * 63 8
A6 4>
874; B4 6:46 <646 ? 4=
58 = ; 6 6 : B 4>
874; B84 73 -+L 8
9 :: 4>
874;
B4 6:46 <646 5 ) 34 B867 4994<
74; =4 =8>A 6 G + B8736

2000

1800

1600

1400

1200
No. Cases

1000

800

600

400

200

0
ro

a
a

za
a

a
a

ra
sm

a
a

a
i
ro

a
i

a
an

nd

ar

ar
y

w
om

ar
m
h

ng
um
ng

id

ng
go

ge
bo
ja

an
be
us

uk
D
Pw

tw

ng

go

M
Li

y
Iri
Ta
an

ya
od

an
uv
o

Ta

Ka

w
M
Ar

R
M

Si

Ki
or

in
lim

M
D

M
M

Sh
Ki

Regions

0 - 8Mo 9 - 59Mo 5 - 15 Yrs 15 + Yrs

+-
 F IGURE 4. 11: D ISTRIBUTION OF R EPORTED M EASLES C ASES IN R EGIONS BY A GE G ROUPS
IN R EGIONS M AINLAND T ANZANIA : 2006

2B
88 7 5758 > :<46 <35:; 4 7 56E5 4= ; 78B8? 5;57 ; B87 :57 ; 36 ?44 63 8 A 785B>5 B4 7 :
;4@ 4:8 >B4 7 7 98 B3 4 :739 <5:57546 5 ;5<74 737 65 < 4 73 4 4 36 ? 44 865=595< 7 @ 5 7586 98 < 35:; 4
=
4 & 4 6 A3 8A45= 3 4; ? 4:8A) > 4< 4 7 34 >8 > 8758 8 9<35:; 4 A45= 35 =? 4:8 A) > 4< 4 7;8 > >4;/
A3 5:4 734 >8 >8758 8 9<3 5:; 4 = 4; & 4 6 A3 8A45= 34; ) G > 4< 4 7 5 <4 64; 6 ?67 75 :: 9 8 B *> 4< 4 7
5 78'' > 4< 4 75 * ? :4 * 63 8A6 73 4 >8 > 8758 8 9 734 ;4 84 4 < 35:; 4 A3 8 64 ?8; A45= 3 7
A 6 :466 73 ) L 5 4 < 3 4= 58 ) 78 7 :8 9 / ''/ <35:; 4 A4 4 A45= 34;/ 87 8 9 A38B'-/ ! L#
!

A45= 3 4; ?4:8A) L < 8B> 4; 78!'L# 5 * 5 4 4= 586 87 8 9 7A4 7 84 4= 586 4> 874; :4 67 >8 >87586 8 9
< 3
5:; 4 A45= 375 =? 4:8A) > 4< 4 7 A8 4= 586 7A ; 5 = 5; 63 8A6 7343 5=3467 >8 >
87586 ! > 4< 4 7#
< 8
B> 4; A5738 734 4= 586

T ABLE 4. 10: N UTRITIONAL U NDER W EIGHT S TATUS OF C HILDREN AGED 0 – 1 Y EARS

M AINLAND T ANZANIA : 2006
4=
58 88
9 3 5:; 4 8
>8758 8
9 3
5:; 4 A573 45=
371) L
45=
34;
B?
4 L

25:5B D8 * / ' ''-

2= 4 /* / '
= ) /' + /
E A + /)*) /-- +
35 = / * /
A 5 /* + *
8 ;8 B )*/-) /' - *
*'/ ** )'
?4 '*'/) '/'+
@B * / )) * *
?
8 -'/ /' + '
25= 8 B /' / -
A H / -+ / '
5 ;5 -/- - /+ +
88 =88 / - /
63 -/)- / -
46 : B +*/) * --
5 = '-/ +
7A *'/+ / )
5 = 5; *+/ ' '/) +
+ /+ '/ + -
' /5115
77/ 165
7 7

787 :89 +/ '/ )- ! +L#/ 87 89 73

47 = 474; <
35:; 4 )/ +)/ <35:; 4 =
4; ) 78+ 4 6 A4 4 =
5@4 57 B5
;8>6 25:5B D8 ; 63 4= 586 3; 73 435=3467 <
8@4 = 4 746 ! +L# 3 4 8: 4= 58 A573:466 73 L
<
8@4 = 4 A 6 A 5 4= 58 ! *L# ! ? :4 * #

+
 T ABLE 4. 11: V ITAMIN A S UPPLEMENTATION BY R EGION M AINLAND T ANZANIA : 2006
. ,', * ') ! .( ' '( .
4 ' 93 ( * , .
: 4 9 // /93:
' ,',
.' ') 9 3 : *'
25:5B D8 )/ +/* )/ *+ ) /)' */--) +
2= 4 * -/' * ' */)++ * /* '*/+ ' '--/ +
= '+ / ) ' '/ +) **/ -+ ) / ' ' +/ ' *
E A )+/ *+ ' /'+ *-/ ) / ) ')/
35 = )* /-*- +--/+- / '' *-)/- ' ++ /- ) -
A 5 - / - ++/)-+ )/' / ' /' *
8 ;8 B ' / + '*'/ +' *'/' ) /-'+ ''+/ ' -
'-/ ' */ + /' -+/ / '
?4 *)'/-- * -/* )+/*-) / '-)/ -
@B *)/))- / +/ )/ - / +
?
8 ' / ' '+ / '* + / ') / - '''/ + '
25= 8 B ' -/+) +/ ) '+/ + * / * -)/ '+ -
A H )+ /* + '/+'' /++ * +/) +)-/ + )
5 ;5 --/)-+ + / / ' -/ -' * / ' '
88 =88 ' /*- '+ /' * *'/-'* /+ '' /' * *
63 /'+ ) /+ ) ''/ *' *-/ ' / ) +
K: B * */)' ')*/ -* +'/)*+ - / - ' )/+'
5 = ' /'** )/+ ' /'+ -/) + + / +-
!

7A +/ )- /)+ +/ ' ) / *) +/ *
5 = 5; ')/-') '/ ) */ ) - /* * -/'* '
' )/ + '/) - ''/-* *'/ ' -)/- *

' 45
73/5
1 45345
/7 45
6/ 35 15
3 / 35
7/2546 73

? :4 * 5 ;5<746 737 73 4 78
7 : B?4 89<
3 5:; 4 = 4; 78+ 4 6 8 :; 5 : ; 5 ) A 6 -/- -/ ' 87 89
A38 B73 47 = 474; <
3 5:; 4 98 ;4&A8B5 =A4 4 +/- +/ ; +/ )*/+ ! L# A4 4 ;4&A8B4; 63 4=58
3; 73 435=
3467 <8@4 = 4 L ; 46 : B36 73 4 :8 A467 <8@ 4 =4 ! *L#

T ABLE 4. 12: D E - WORMING OF C HILDREN M AINLAND T ANZANIA : 2006

.' 0 ' . * + ') - '( .
,', ' ,', ' !
89 3 : ; 8/ 9 3: ; ! 9@'* !
25:5B D8 -/ ') -'/) - /*
2= 4 * -/' * '* / + ''+/
= '* /* - /-' )*/+ +
E A )+/ *+ /-+) */ )* )
3 5 = )* /-*- + '/' *-*/'
A 5 ) / '+/ */-) +
8 ;8 B ' /+') ' +/ / ) )
+ / -/ * -+/)+ +
?4 *)'/-- '' / '' ' '/ +*
@B *)/))- -/''* )/ - *
?8 ' / ' ' /*' /* '
25=8 B ' -/+) +*/ + * / * +
A H )+ /* + -/+ + * /- '
5 ;5 */ '' *-/' ) -/ -' )

+
 .' 0 ' . * + ') - '( .
,', ' ,', ' !
89 3 : ; 8/ 9 3: ; ! 9@'* !
88 =88 ' /*') ' /+* - /
63 )/* + '-/ * ')/) -
46 : B * */)' ' '/- - / - *
5 = ' /'** +*/)-+ /)
7A / ) -*/+ ) / *-
5 =5; '-/ ' / + - /* *
' )/ + ) / *'/ +' '
!

' 65
/6/5
/17 35
6 35 35425
3// 7

)
 5 ) 6 "
3
56 64<
758 5 ;5<746 73
4 B =57 ;4 ; 74 ; 8
9 $ , ; 6 4>
874; ? 73
4 758 : 87 8
:
8= BB4

5 4! ! - ; !$ ! "!"
787 :8
9 ' + <646 A4 4 4> 874; 78734 98 B73 4 4= 586 ; 5 =73 4 4 + 3 56 46 :74; 5 78
<B : 75@ 4 78 7 :8 9 +/--' 4> 874; <646 65 < 4 ' A3 4 734 95 67 ' <646 A4 4 5;4 75954; 5 73 4< 87 ? 87
+ )L !*' # 8 9 73 4 <646 4> 874; 5 + A4 4 ? 4:8A + 4 68 9 =4 ; B8 67 89 73 464 4 :5E 4: 783@ 4
<I5 4; 5 94< 758 738= 3B8 734 78< 35:; 7 6B56658 3 4 =4 =8> &* 4 6 4B 5 4; 73 4 B8 67 994<74; 98
?87364C46/ 8 ? 64 @758 737 36 4B 5 4; < 865674 7 98 64@4 : 4 6 65 < 4 73 4?4=5 5 =8 9 73 4 4> 5;4B5<5 73 4
<87 348 ?64 @ 4; <: 674 5 =8 9 <646 5 734 = 4 =8> &* 5 ;5<746 737 73 4 BD 857 8 9 5 94< 7586 8 << ; 5 =
734 = 489 BC 5B B64C : < 75@
57 ! ? :4 + / 5= 46 + ;+ #

T ABLE 5. 1: D ISTRIBUTION OF R EPORTED AIDS C ASES BY A GE AND S EX M AINLAND

T ANZANIA : 2005
. .' , #* B '@ '
- - - -
G* ) ) - *
!

+G ) ' +
G * -) - * '
+G ' + '+ * ) -
G * ) )) + * * -
+G ) ' *)) )*
' G '* *+ ' - ' ' ) +-)
'+ G ' ) - -' + * * + )*
* G ** + ' )- * ) )
*+ G * * **' )- -- )**
+ G +* '** )- * '* ) ' ' *
++ G + ' *' * + -
) G )* ) * ' '
)+Q )) '* - ' +
E8 A ) ' * * +/* )
' +*
' 15
2 / + 254 / + 7 / + /1 3 / +

)
 1400
1300
1200

Cases per 100,000 population

1100
1000 Male
900 Fem ale
800
700
600
500
400
300
200
100
!

0
14

19

24

29

34

39

44

49

54

59

64
4

+
65
–

–
0

10

15

20

25

30

35

40

45

50

55

60
Age-group in years

F IGURE 5. 1: C ASE R ATES FOR C UMULATIVE AIDS C ASES BY A GE AND S EX , M AINLAND

T ANZANIA : 1987 – 2006

20000

18000

16000
Number of Cases

14000

12000

10000

8000

6000

4000

2000

1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005

Year

F IGURE 5. 2: T REND OF R EPORTED AIDS C ASES ON M AINLAND T ANZANIA FROM 1983 -

2005

)
 5 4! ! -) -
! # !, 3! &
)
# !4 ! !(
=, (
787 :8 9 ' / * 74 7 : < :5 5<774 ;446 A4 4 4 8 ::4; 5 734 64 86 @ 45:: <4 67 ; 9 8
B < :5 5<6 :8
<74;
5 + 4= 586 3 4 ; 7 A6 <8 ::4<
74; ? 47A44 8 @4B? 4 + ; 4? ) 3 4 B? 4 89 A8 B4 4 8 ::4;
4=58 :: =4; 9 8B / 5 5 ;5 78'/+ 5 46 : B 78 7:8 9 /+*) A8 B4 74674; $ > 8
6575@4
46 :75 =5 8@ 4 :: $ >4@:4 < 4 L 98 >4= 7 A8 B4 $ 5 94< 758 >4@:4 < 4 = 4; 9 8B ' +L 5
25=8 B 4= 58 78 L 5 5 = 4= 58 ! 5= 4 + '# 3 4 $ >4@:4 < 4 ;5994 6 < <
8;5 =78 465;4 < 4? 45 =* *L
98 : 4 6/ ; L 98 ? 4 6 ! 5= 4 + #

20
18.2
18

15.9
16

14

12
HIV prevalence (%)
!

10.9

10 9.4

8 7.2 7.2
6.8
6.4 6.5
6.1 6.1 6.1
6
5.0
4.7

4 3.5

0
a

i
ro
a

a
a

ra
a

ya
o

m
nd
ra

a
a

ha

ng
m

ng
om

ar

or
ng
ar
ja

aa
bo
ge

be
Li
go

us

og

Ir i
an

Ta
tw

ya
od

Ta

l
Ka

M
sa
Ki

Ar
M

or
li m

in
D

es
Sh
Ki

ar

Region
D

% + ':
P REVALENCE OF HIV I NFECTION A MONG W OMEN A TTENDING ANC BY R EGION
M AINLAND T ANZANIA : 2005/06

)'
!

% + *:
P REVALENCE OF HIV AND S YPHILIS I NFECTIONS A MONG W OMEN A TTENDING
ANC BY A GE G ROUP M AINLAND T ANZANIA : 2005/06

:: 73
4 + 4=
586/ $ >4@:4 < 4 56 3
5=3
467 B8=A8 B4 = 4 + G '* 4 6 ! L#/ 98
::8
A4; ? A8
B4 =
4;
'+ 4 6 ; ? 8
@4 ! #/ A3
5:4 73
4 =4 =8> +& * 4 6 734 :8
A467 >4@:4 <4 !) L#

F IGURE 5. 5: P REVALENCE OF HIV AND S YPHILIS I NFECTION A MONG W OMEN A TTENDING

ANC BY M ARITAL S TATUS M AINLAND T ANZANIA : 2005/06

)*
 $ >4@:4 < 4 B8=65 = :4 A8B4 ! L# 56 3
5=3
4 73 737 8
9 B 54; A8
B4 ! L## $8
A4@
4 73
4 ;5994 4 <
4
56 8
7 67 75675<:: 65=595< 7 ! 5= 4 + +#

F IGURE 5. 6: P REVALENCE OF HIV AND S YPHILIS I NFECTIONS A MONG WOMEN A TTENDING

!

ANC BY L EVEL OF E DUCATION M AINLAND T ANZANIA : 2005/06

$ >4@:4 < 4 5 <4 64; A573:4@

4: 8
9 4; <758 9 8 B+ +L B8=A8 B4 A573 84; <758 78 )L B8=73 864
A573>5B 4; <758 ; 78 'L B8=73 864 A57364<
8; 4; <758 8 3 5=
34 3 4 ;5994 4 <4 5 >4@:4 < 4
?47A44 73
864 A573 84; <758 ; 73 864 A573>5B 4; <758 A 6 67 75675<:: 65=595< 7 !> 1 # ! 5= 4
+ )#

F IGURE 5. 7: P REVALENCE OF HIV AND S YPHILIS I NFECTIONS A MONG W OMEN A TTENDED

ANC BY N UMBER OF P REGNANCIES , M AINLAND T ANZANIA 2005/06

)+
 3435=3467 $ >4@:4 <
4 ! 'L# 56 98 ; 5 A8
B4 3@ 5 =?47A44 ; >4@
586 >4= <
546 A3
5:4 73
4 :8
A467
!+ *L# 56 98 ; B8=738
64 3@5 =B84 73 95@ 4 >4@
586 >4= < 546
!

F IGURE 5. 8: P REVALENCE OF HIV AND S YPHILIS I NFECTIONS A MONG W OMEN A TTENDED

ANC BY L OCATION OF R ESIDENCE M AINLAND T ANZANIA : 2005/06

5/ ;
$* "# !4 ! !
78 7 :89 ' / -- 774 ;446 A4 4 74674; 98 6 > 35:56 ; 5 =73 4 67 ; > 4 58 ;89 A3
8B ) 74674; > 8
6575@4 34
8
@4 :: 6 > 35:56 >4@:4 <4 56 734 4984 ) L = 5 =9 8 B :8 A *'L 5 25:5B D8 4= 58 78 3 5=
389' L5
?8 4= 58 4:4< 74; 68<58 &;4B8 => 35<@ 5 ? :46 668 <5 74; A5736 > 35:56 5 94<
758 A4 4 4>874; ? <:5 5<
6/ ;
4 63 8A 5 5= 46 + */ + + ; + )

5.4. ) # !4 ! ! ! " 3 , 3! - ,!" *

! ! 8 1
4@:4 <
4 4675B 746 A4 4 B ;4 98 4@
4 8;8 96 @ 4 ;5 < : ;4; :: A8 B4 A3 8A4 4 4< 574; 5 7873 4
6 @4 98 734 46> 4<75@
4 4 6 @
4 :: 73
464 4675B 746 6 =
=4674; 737 73 4 4 56 ;4< :5 4 5 $ >4@:4 < 4/ 9 8
B
)L 5 , 78 -L 5 ',* 78 L 5 +,) 3 56 95 ;5 =56 67 75675<:: 65=595< 7

))
 16
14
HIV prevalence (%)

12
9.6
10 8.7 8.2
8
2
36 7
6
4
2
0
2001/02 2003/04 2005/06
Survey Year
!

F IGURE 5. 9: T RENDS OF HIV P REVALENCE A MONG W OMEN OF A LL A GES W HO

A TTENDED ANC M AINLAND T ANZANIA : (2001-2006)

34 73 4> 85 7 4675B 746 A4 4 <:<: 74; 9 8

B73 4 7344 8 ;6 8 96 @ 4 6 65 =8: 734 * 65746 737 3; 7344 ; 7
>
85 76/ 65B5: 7 4 ; A 6 8 ?64 @4; A34 4 734 >4@:4 < 4 ;4< :5 4; 9 8
B -L 5 , / 78 L 5 ',* ;
L5 +,) 3 56 ;8A A ; 7 4 ; 5 >4@:4 < 4 56 67 75675<:: 65=595< 7

55 ! " -) -
! " 3 , "
8B 78 7 :8 9 / '? :88 ; ;886 ; 5 = +/ / '+ 5 ;5@ 5; :6 A4 4 98 ; 78? 4$ > 86575@
4 46 :75 =5 78
8@ 4 :: >4@:4 < 489- L 3 4 4 56 865=595< 7 ;5994 4 <4? 47A44 734 >4@:4 < 489 $ B8= :8 8 ; ;886
98 73 4 4 * !- -L# ; 737 8 9 4 + !- L# ! 3 4 64C6> 4<595<>4@:4 <4 6 5 734 >4@
586 4 A 6 3 5= 3
4
B8=94B :46 7 L ! R / *)# < 8B> 4; 78737 8 9 - 'L ! R -/ -+# B8=B :46 3 4 4 56 8;5994 4 <4
5 64C6> 4< 595<>4@:4 < 4 4675B 746 5 +<8B> 4; 78 4 8 9 * 98 ?
8 73B :4 ; 94B :4 5= 4 + ? 4:8A
;47 5:6 73
4 7 4 ;6 8 @4 74 4 > 4 58;

)-
 50
45 Males
40 Females
35 Total
% Prevalence

30
25
20
15
!

10
5
0
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Years

F IGURE 5. 10: P REVALENCE OF HIV I NFECTIONS A MONG B LOOD D ONORS M AINLAND

T ANZANIA : 1996- 2005

=
4 ; 4C >
4<595<$ 94<
758 4 ;6

34 98
::8A5 =:5 4 = >
36 5:: 67 74 7 4 ;6 5 73
4 =
4 ; 64C6>
4<595<>4@:4 <
489$ 5 94<
758 B8=73
4?:8
8;
;88> 8
>: 758 9873 4 4 6 ) 78 +

18
Males 15 - 24 yrs
16 Males 25 - 34 yrs
Males 35+ yrs
14
Females 15 - 24 yrs
12 Females 25 - 34 yrs
prevalence (percent)

Females 35+ yrs

10

0
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
years

)
 F IGURE 5. 11: A GE AND S EX S PECIFIC T RENDS OF HIV I NFECTIONS , M AINLAND
T ANZANIA : 1996 - 2005

47A44 * ; +/ $ >4@:4 < 4 5 :: = 4 =8> 6 638A4; 5 <4 65 =7 4 ; 4C <4> 7 B8=94B :46 ;

B :46 5 73
4 =4 =8> +& * 4 6 A3 864 >4@:4 < 4 638A4; 6:5=
37 ;4<4 64 ; B :46 +&'* 4 6 A3 864 >4@:4 <
4
4B 5 4; < 867 7 3
56 56 ;5994 4 7 9 8
B4 * A3 4 4 >4@:4 < 4 98 B867 =
4 =8> 6 A 6 ;4<4 65 =

51 ) -
! ! " 3 , "%; !,
3
4 4 36 ?
44 < 3= 4 5 4= ; 7873
4 4= 58 A57373 435=
3467 >4@:4 < 4 A34 + ; 7 56 <
8 B> 4; 78737 8
9
* $ >4@:4 < 45 46 : B 4= 58 8 64 9 8B- L 5 * 78 - *L 5 + BE 5 = 46 6 : B
4=58 783@ 4 73
435=3
467 >4@:4 <
4 74 5 + 8 73
4 4=586 A57373 43 5=
3467 746 4 5 = - *L/ ? 4
+ L/ 2= 4 ' )L/ 63 -L ; @B L

51 # !4 ! ! -) -
! 3 , "%;
!'
34 64C6>
4< 595<>4@:4 < 4 ? 4= 58 4 63 8 A5 ?:46 + + 73
4 4=
586 A5737343 5=
3467 >4@:4 <
48 9$
5 94<758 B8=B :46 A4 4 + +L/ 5 = * *L/ 2= 4 * L/ ? 4 ' 'L ; 63 )L
4 7584; 4= 586 638A 5 <4 64 5 >4@:4 < 4 4C<4> 7 2=
4 4= 58 4@:4 < 4 B8=94B :46 A 6 35=3467 5
46 : B! - L/# 98 ::8
A4; ? ? 4 4=
58 7 ! -L#/ A 5 ! ) L#/ 5 = ! + *L# ; =
! ' -L# 3 4 B =57 ;4 8 9 5 94<758 864 5 46 : B9 8 B - *L 5 * 78 - L 5 + 4B 5 5 =73 4
4= 586 3; 4573 4 67 ?
:4 8 5 <4 65 =>4@:4 < 4 746
!

T ABLE 5. 2: P REVALENCE OF HIV I NFECTION A MONG B LOOD D ONORS BY S EX AND

R EGION M AINLAND T ANZANIA 2000 – 2005
.' / 1 2 3
#* #* #* #* #* #*
- - )
+- + )
63 '* + - * - * +- ) -
A 5 + ' - + -+ -* ++ -
8;8B '- +' - - -) - ) - * ** +*
' * ' * + * + )) *
5 = '- - * * * * ' * *' +'
2= 4 + + ' + ) + * - *
25= 8B ' ') * + ' '* *' )+ '' +' - )
25:5B D8 ) * + ) ) )- * + - + -
5 ;5 ' + ' )- ' - ' ' * + -
& & & & -+ ) '' -
- - - - '' -* - - ) + --
? 4 +* ** ) ++ '+ *- -' '+ *
88 =88 + * ) ' -) - ) -
7A -' + - * )+ ' + * ) -* )+
A H - + -- ' - * ' ' -' '
E A + ) - - - - -'
@B + - ' * ' ' ) * * *+ '
35 = ') - ) )) + + - )* +
5 = 5; -+ * ) * - ' )+ - '-
?8 ) ' -' ) - -)
= - ) ) - -

' 7+ /1+
1 / +
2 /1+
6 7+
/ / +
1 + //+
7 6+ / +
6 6+
1 / +

)
 51 are and Treatment of People Living with
HIV/AIDS
65 =<B : 75@ 4; 7 5 ) 8= BB4 4 8 ::4; 78 7 :89 +/ ' >754 76,<
:54 76 9 8
B 65746 B8=
4 8 ::446/ <
35:; 4 ;4 & + 4 6 8
9 =
4 A4 4 /+)' ! ? :4 + '#

T ABLE 5. 3: D ISTRIBUTION OF P EOPLE L IVING WITH HIV AND E NROLLED BY CTC BY

R EGION M AINLAND T ANZANIA : BY D ECEMBER 2006
! ' ! '
.'
! ! ' =
G '
! !
G
! ' ! !
!

' ! ! ' '

#* ' #* ' = =
/- '/*' +/ )- + ) +/-+' / * / ' '/ + - '/)--
%@ /) /** ++ /- * + + /' ) /* )
'!'* '/- ) /* + )/ ' + )/- ' )*- /' - / +* ) /
* /))* /- ' ' /')- */ +) ')/+ ' +/''+ /)* +/ -- / '- / *
. '/)+ )/*+ / - / *+ / ) / ) / ) */-* * + +/ +-
H. / / - '/' ' '/) * + ' / *' /- ) - / ''
H.'* '* + ) -* - +' ' - *- *- + -
H * F' / */ )/* / '- -/+*) / )+ / - '/ *+) '/)'
! + / ) /) * /- + ) ++' ' '+ -*
: **) + /' - - /+ * * + -') - *
/ - /- /- - - / * + /* * *))
: '/'+' )/ +' /+ ) /+' / ' /-- /') */ * * */++
''.'' / * /))+ /-- ' '/ ) + / ) /-* ** / '
@ - /- /) / + * / /) ' /- *
@ / +' */) -/*-+ +* / ' / )+ / -' '/ ' '/*+
B@ ')) + + - -+ *) ) ' * ) ) *'
(* / / '/ +- '/*)+ +** / /))* * /-
: . / +) /-') /- + / + + ) - /**' * /+ -
.! +-) + /* - /+) '+' + * +- *
' / '+ / + '/ ' * '/' * + -' / '' /'*
. / */ +- )/ +) -*) )/ - /- /+ '++ / )'
' 1752 7 615 6 // 5 364 / 5341 / 35 /17 /75/27 135 6 325134 357 3 4 5
12/

51 / !' ; "3 ! -
! "& "(
5 =734 4 +/ 787 :8 9 ' +/ 4>568;46 A4 4 4> 874; 9 8
B < :5 5<68 9 734 ;5994 4 7 34 :739 <
5:57546
738= 387 734< 87 9 73464 4> 568;46/ *'/) ) !** L# A4 4 4> 874; 6 = 4 57 : ;56<3= 46 ;8 B46 !% #/
) / -* ! L# A4 4 4> 874; 6 = 4 57 : :< 4 ;564 646!% #/ -)/ ' ! ' 'L# A4 4 4> 874; 6 > 4:@ 5<
5 9: BB 78 ;564 646! #/ ; 73 4 4B 585 ='-/ ) ! *L# A4 4 4> 874; 6 8 734 6 ;8 B46 @ 4 ::/ 4= 586
4> 875 =73 4: = 467 B? 468 9 4>568;46 5 < : ;4/ ? 4 !*'/* #/ 46 : B!' /++)#/ !' /') #/ =
! )/ # A H ! */ * #/ 8 ;8 B ! */ -# ; 25:5B D8! / *+# 3 4 94A467 4> 568;46 A4 4 4> 874; 5
5 ;5 !++ #/ 5 =5; ! )' # ; 2= 4 ! / # 4= 586 3 43 5=
3467 B? 4 8 9 6 ;8 B46 56 98 ; B8=73 4
94B :4 = 4 =8> & 4 6/ 98 ::8
A4; ? B :46 5 = 4 =8>' 4 6 ; ? 8@ 4 5= 46 + & ; + ' 6 BB 5H 4
73 4 >774 8 9 =4 ; 64C;567 5?758 8 9 6 ;8 B46

-
 160000
143616
140000
Number of syndromes

120000

100000
76039
80000 69074

60000
37269
40000

20000

0
GDS GUD PID OTHERS
Syndromes

F IGURE 5. 12: N UMBER OF R EPORTED N EW STI S YNDROMES M AINLAND T ANZANIA : 2005

51 2 ; "! , !" ,& (- )

5 =734 4 +/ 78 7 :8
9 -/ ) 4A< :54 76 <
<4664; 64 @5<46 8 5 : ; H5 3 56 B? 4 A6
4>874; ? < 8 64:86 9 8 B 4= 586 B = 4; ? 734 5 567 8 934 :73 ; 8 <5 : 4:9 4 3 56 4C <: ;46 73 8 64
B = 4; ? 73 4 738= 373 4 =H 8 D4<7 5 =734 6 B4 4 +/* - B :46 A4 4 74674; 98 $ ;
!

+-/ ) A4 4 98 ; 78? 4$ > 86575@4 BE5 = >4@:4 < 48 9 ) L $ >4@:4 < 4 B8= 64 6 8 93 4 :739 < 5:57 &
?64; 65746 = 4; 9 8B + 'L 5 78*) 'L 5 5 = 4= 586 8 9 73
4< :54 76 74674; 5 % . 65746/
L A4 4 994<74;

250000

200000
Number of clients

150000

100000

50000

0
2000 2001 2002 2003 2004 2005
Years
New clients clients tested

F IGURE 5. 13: N UMBER OF N EW C LIENTS AND C LIENTS T ESTED FOR HIV AT VCT S ITES ,
M AINLAND T ANZANIA :: 2000 - 2005

-
 1 > >

1 %! "" "! ,
A total of 62,100 tuberculosis cases (all forms) were notified in 2006 compared to 64,200
in 2005. The number of cases in 2006 was less than that of 2005 by 2,100 cases (or
3.3%). This was the second consecutive year when the programme notified fewer cases
than the previous year. Re-treatment cases were 4,635 (or 7.5%) of the total notified
cases in 2006. The notification rate for all forms of tuberculosis was about 164/100,000
population which is 48% of the WHO estimate of 342/100,000 population.
The total number of pulmonary cases among the new cases was 44,844 (or 72.2%) and
12,621 (or 20.3%) were extra-pulmonary cases. Similarly 24,724 (39.8%) of all the new
cases were smear positive, giving a notification rate of 65.4/100,000 population which is
!

44.5% of WHO notification estimates of 147/100,000 population. The percentage of

smear positive cases among new cases notified changed little from 2004. The details for
the new and retreatment cases are summarised in the Table 6.1.
T ABLE 6. 1: S UMMARY OF T UBERCULOSIS C ASES N OTIFICATION C ASES BY C ATEGORY
T ANZANIA : 2006
#
'* ' ) ! 3 4
- - - .

)'* )*/ ) / &' '

@) '* & & & & &
& :B8 6B4 >8
6575@
4 +/ )* ' * */- * ' &
& :B8 6B4 4=75@4 / ' * / ' * &' '
& C7 &>:B8 '/ * * /) ' &' )
' 375/4 7 + 365243 7 +
3 9 + 7
9 *
& 4: >
64 / +* / - &
& 5: 4 '+ &
& 47 78<87 8
: ++ * +- *
&87346 /- *' /** ' & *
' 351 6+ 25413 6+2 96+
7
8
7595<758 746 ! 4A ; 4: >
64, - )' &* )
/ > 8>, #
8
7595<758 746 ! 4A 6BQ,
/ > 8>, # )- )+ &'

As in the previous years, most of the TB cases were notified from about one third of the
regions in the country. Regions with large urban settings such as Dar es Salaam and
Arusha have the highest number of TB cases notified. Figure 1 below shows that 11
regions together notified more than three quarters of all the TB cases in the country in
2006 with Dar es Salaam alone contributing almost one quarter. Most of these regions are
in the eastern part of the country as Figure 6.1. shows.

-
 Others, 24.0 D'Salaam, 24.3

Mtwara, 3.7
Mwanza, 7.2
Manyara, 3.8

Kilimanjaro, 3.9
Iringa, 6.3
Shinyanga, 4.3
Arusha, 4.5 Morogoro, 6.2
Mbeya, 5.8
% ) : P ERCENTAGE S HARE
Tanga, 5.6 T OTAL TB N OTIFICATIONS (A LL F ORMS ) T ANZANIA :
IN THE
2006

% ) : P ERCENTAGE S HARE IN THE T OTAL TB N OTIFICATIONS (A LL F ORMS ) T ANZANIA :

!

2006

% ) ':
TB N OTIFICATIONS (S MEAR P OSITIVE ) PER 100,000 OF THE P OPULATION BY
R EGION T ANZANIA : 2006

-'
 T ABLE 6. 2: D ISTRIBUTION BY A GE AND S EX OF TB C ASES (S MEAR P OSITIVE ) N OTIFIED
T ANZANIA 2006
? 9 /2 /3 9 2 39 12 13 E 22 23 E 32 33E 42 43 D '

:46 * / ) */ ) '/ ' / +* /'* / +/++'

4B :46 ' /-*+ '/' ) / - + + - ''+ / -
87: * - '/ + / + +/ '/ * / ++ /')* */- *
L 8 7: +* '' * '+ - -+ ++
L :46 ' ' ' - *) ' - ))
L 4B :46 ' ') ' + ++ '-
!

5,000
4,500
4,000 female
Number of Cases

3,500 male
3,000
2,500
2,000
1,500
1,000
500
-
0 - 14 15 - 24 25 -34 35 - 44 45 -54 55 - 64 65
AGE GROUP

F IGURE 6. 4: D ISTRIBUTION OF S MEAR P OSITIVE TB C ASES NOTIFIED IN 2006 BY A GE AND

S EX

10,000
9,000
0 - 14
8,000
7,000 15 - 24
6,000 25 - 34
5,000 35 - 44
4,000 45 - 54
3,000 55 - 64
2,000
65+
1,000
-
97

98

99

00

01

02

03

04

05

06
19

19

19

20

20

20

20

20

20

20

F IGURE 6. 5: T RENDS OF N EW S MEAR P OSITIVE TB C ASES N OTIFICATION BY A GE G ROUP

T ANZANIA 1997 - 2006

-*
 70,000
65,000
60,000
55,000
50,000
45,000
40,000
35,000
30,000
25,000
20,000
15,000
10,000
5,000
0
79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

00

01

02

03

04

05

06
19

19

19

19

19

19

19

19

19

19

19

19

19

19

19

19

19

19

19

19

19

20

20

20

20

20

20

20
Smear + Smear - Extra-P Relapse Return Failure Other
% ) ): T RENDS OF TB C ASE N OTIFICATION (A LL F ORMS ) B ETWEEN 1979 AND 2006
!

20.00

15.00
Percentage increase

10.00

5.00

0.00
88
89
90

91
92

93
94
95

96
97
98

99
00
01

02
03

04
05
06
19
19

19
19
19

19
19

19
19
19

19
19
20

20
20
20

20
20

20

-5.00

% ) -( P ERCENTAGE C HANGE IN THE N UMBER OF TB C ASES N OTIFIED IN T ANZANIA :

1988 - 2006

1 %! "" !. ! 3! "!"
A total of 4,635 re-treatment cases were notified in 2006, representing 7.5% of all patients
notified. This represented a decrease by 397 cases compared to 2005 when 5,032 patients
were notified. Most of the re-treatment cases were in the categories of others ( 2,441) and
relapse 1,817. The categories of return to control and failure were 257 and 120 cases
respectively. The total number of patients in the failure category decreased by 15 cases
compared to 2005 and in the categoty of return to control there was decline of only 2 cases.

-+
 3,000
2,500
2,000
1,500
1,000
500
-
2003 2004 2005 2006
Relapse Failure R.Defaulter Others
!

% ) : T REND OF R E - TREATMENT OF T UBERCULOSIS C ASES IN T ANZANIA N OTIFIED 2003 - 2006

1/ %! "" ! 3! 3! - * -!
5
Out of the 25,269 smear positive cases notified in 2005, 19,872 (78.9%) were cured and 891
(3.7%) cases completed treatment, which is 82.6% treatment success rate. The treatment
success ranged from 69.5% in Kilimanjaro region to 93.5% in Mtwara region. Those who for
various reasons did not complete the treatment were 4,506 (17.8%) those who died while in
treatment were 2,394 (9.5%) and 2,112 (8.4%) had unfavourable outcomes (failure, out of
control and transfer out). Ruvuma and Iringa regions had the highest death rate (21.6%) and
(20%) respectively, while Kilimanjaro region had the highest unfavourable outcomes (18.6%)
and Mbeya the lowest unfavourable outcome (1.9%). Nonetheless, the national figure of the
combined unfavourable outcome is within the WHO recommended level of not more than 15%
of the overall treatment outcome. This is good performance despite the relatively large number
of patients notified and the generalised HIV epidemic in the general population and among TB
patients. As for smear negative and extra-pulmonary TB cases notified in 2005, overall 84.4%
completed their treatment while 9.9% died during treatment and 5.7% had unfavourable
outcomes. This compares favourably with results of the smear positive cases notified in 2004.

-)
 T ABLE 6. 3: T REATMENT O UTCOME OF TB S MEAR P OSITIVE C ASES N OTIFIED IN 2005 BY
R EGIONS T ANZANIA
'*, *
# " ') )
! ,'
.' ! ! ' ' ! '
* !
"
3 8
-;

S: B */+'+ '' * - ' ') +/+ * +/+ )

63 +* ** )) -) +) ) -- '
8;8 B - * * ' *+ * * - *
5 = ) * +* *+ ** / - / -' -
2= 4 )) +' ' )
25= 8B '' *+ ) '' ) *) *)*
25:5B D8 )' ) + * ' / '- / '- ) '
5 ;5 + - ' )- ) * - - ')
* ** )* '* ' )** )+* +
-'+ +) ) )' ))
? 4 / '+ ' - - /* /* -
88 =88 * +) + - * '- / -* / -* )-
7A / + ' + ' ' /' ' /' ' '+
A H /+ - ) ' -- / / -
A 5 / ' ' + / -- / -- '
!

E A ' ) )+ * ' * ' - *

@B ''- ' *- *-- - +
35 = / * * *' ) /*) /*) - +
5 = 5; * - * + * ' + +' '
?8 '* + )+ * + * ''
= - + )) +- / / )+
' /756/3 7 5
1 4 72 /5
/// 356 3561 +

25
20
percent

15
10
5
-
Kilimanjaro

Dodoma

Dar Temeke

Kigoma

Mtwara

Pemba
D'Salaam
Dar Kinondoni

Pwani
Lindi

Ilala II

Dar Ilala I
Ruvuma
Iringa
Rukwa

Tabora

Mainland
Tanzania

Mwanza

Singida
Arusha

Morogoro
Mara
Tanga

Kagera

Unguja
Zanzibar
Mbeya

Shinyanga

Manyara

F IGURE 6. 9: D EATHS BY R EGION A MONG S MEAR P OSITIVE TB C ASES N OTIFIED IN 2005 T ANZANIA

--
 40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
D'Salaam
Kilimanjaro

Dar Temeke

Kigoma

Dodoma

Mtwara
Arusha

Tabora

Mwanza
Tanzania
Mainland

Morogoro
Mara

Singida
Kagera
Iringa
Rukwa
Tanga
Ruvuma
Manyara

Shinyanga

Mbeya
Dar Kinondoni

Lindi

Pwani
Dar Ilala I

Dar Ilala II
Zanzibar
!

Failure Out of Control Transferred out Total

% ) ( U NFAVOURABLE O UTCOMES OF S MEAR P OSITIVE TB C ASES N OTIFIED IN 2005 BY R EGION T ANZANIA

12 ! 3! 3! - !. ! 3! "!" -!
7 0 5
Among the 5,032 re-treatment TB cases notified in 2005, 1,900 (37.7%) cases put on treatment
regimen II were cured and 1,979 (39.3%) completed treatment, giving a treatment success of
77.0% . The unfavourable outcomes 638 (12.7%), died 27(0.5%), father 208 (4.1%) out of
control40 (0.8) and 240 (4.8%) were transferred out. Regions reporting the failure cases were:-
Kinondoni (3), Morogoro (3), Temeke (3), Kilimanjaro (3), Pwani (3), Ruvuma (2), and one case
each for Dodoma, Mara, Mbeya and Shinyanga.

80
70
60
50
40
30
20
10
0
Relapses Failures Returns Others

Cured Completed failure Died Out of Transfrerred

treatment Control Out

F IGURE 6. 11: P ERCENTAGE D ISTRIBUTION OF T REATMENT O UTCOME OF R E - TREATMENT T UBERCULOSIS C ASES

N OTIFIED IN T ANZANIA : 2005

-
 15 % 4! 6) 4 !"
H 5 67 74; 5B> :4B4 75 =< 8
:: ? 8 75@ 4 ,$ < 75@57546 5 : / + 3 4 5 <8 :: ? 8 758 A573
>5:8 74; 73 4 5B> :4B4 7 758 8 9 <8 :: ? 8 75@ 4 ,$ <75@57546 5 7344 ;567 5< 76 8 9 4B4E 4/ 5 = ? ;
288 =A4 3 464 65746 A4 4 64:4< 74; 78>8 @ 5;4 4C>4 54 < 4 ;? 467 > < 75<
46 98 6<:5 = & >8 9 ,$ <75@57546
<8 66 734< 87 ) ;5 < 8:: ? 8 758 A5738 734 >7 4 6 & $ / /% & / $ ; :5 78
8 ; 758 < 8:: ? 8 75@ 4 ,$ <75@57546 A4 4 5 7 8 ; < 4; 5 8 734 ;567 5<76 ? 4 8; 73 4> 5:87 ;567 5< 76 73 4
>7 4 6 6 < 36 % ; $ :68;5 4< 7: 6 > >874; 4B4E 4 ;567 5< 7 78>5:87 ,$ < 75@57546 3 4 95 67 3:9 8 9
)/ A 6 64; 78;4@ 4:8>> 8 :5< =5;4:5 46 ; @ 586 78 8 :6 98 6<:5 = & >8 9 73 4 ,$ < 75@57546 3 56 A 6
<8 :: ? 8 75@ 4 >8 <466 5 @ 8:@5 =B > 7 4 6 & / / $ / / $ / $/ % ; 35B? 5:5
758 : $8 6>57 : 6 > >874; ? < 86 :7 76 9 8 B HB? 4 5@ 4 657 34> 8:5< =5;4:5 46 87:5 4 73 4 5 567 K 6
<8 BB57B4 7 5 73 4 95=3 7 =5 67 73 4; : ; $ 4> 5;4B5< 6 5 73 4< 87 34 ; 97 A 6 64 7 7873 4 8 $
;8 73 4 67 E43 8 :;4 6 98 4@ 54A? 4984 4 ;864B4 7

11 6) "! -
In the first three quarters of the year 2006 only the pilot sites were submitting TB/HIV data.
Other centres started to submit TB/HIV data from the fourth quarter (see table 6.4).

T ABLE 6. 4: TB/HIV N OTIFICATION IN T ANZANIA FOR THE Y EAR 2006

! ' ' )!
B?
4 89 :: 4= 5674 4; >754 76 '/ '
B?
4 74674; 98$ /) ' !* L#
!

B?
4 74674; $ > 8 6575@
4 * !+ L#
B?
4 4= 5674 4; 98$ < 4 +) !)- )L#
B?
4 67 74; 6 ! 'L#
B?
4 67 74; * !* -L#

: ># >

: >!$ "; ! 0 "! -

Leprosy notification for 2006 were 3,691 cases (all forms), of which; 3,450 were new cases,
146 were relapse after MDT/DDS and 95 were return after default. The annual detection
rate was 9 per 100,000 population which is less than that of 2005 (11.1/100,000) a reduction
of about 18%. Among the new cases notified, 2,500 (72.5%) were MB leprosy cases and 950
(27.5%) were PB cases. The number of females among newly detected leprosy cases was
1,481 (42.9%) cases and 229 (6.6%) were children age below 15 years. The proportion of
children notified had a wide range of variation between the regions. The table below
summarises the leprosy situation in Mainland Tanzania by region for the year 2006.

-
 T ABLE 7. 1: N OTIFICATION OF N EW L EPROSY C ASES BY R EGION M AINLAND T ANZANIA :
2006
@
'
% ' - ') ! - ') #* - ') : - ')
8
$" ! #* $ ! :
)
'* - ')
$ !
; @

K: B ) -- '' -- + - + '* ') '+) 73

63 & & & &
8;8 B * * - - ') ' * + -
5 = * )- & - * '' * )
2= 4 - + ' * ' * ' * - )
25= 8B )' +) -* * ) * ' '* *
25:5B D8 ) ) )' & ' * +
!

5 ;5 +- -+ ' ) ' + + ) - * '

+ * +) + +) &
) +- & ' *) ' ' -*
? 4 -+ * - + '' * * ' +
88 =88 ' * - + ) ' + *) '
7A *- *' * + '+ - -- +- ) + + * +
A H )+ ' ) ' -* ' ' - ) )
A 5 - ) ) ) ** ' *
E A + *' + ' ') * ' ** - '
@B )) ** ) ) + ++ + ' '
35 = ' '' - + *) '+ * ' ' )
5 = 5; '- ' + ' + + ' * +
?8 *) * ) - ) - *- '- ) )
= ++ + - -+ + -+ ') - ' ) )
' 5
23/ 7 4 15
166 61 1 6 /5
23 21 1 6 // 15
4// 72

: " % ;+ , # $ -* ! -!
Leprosy cases notified with disability grade II for 2006 were 374 cases or 11.2% of all new
leprosy cases notified. The percentage of disability grade II notified in 2006 was higher
compared to 2005 when only 9.6% cases had disability. Of those with grade II disability,
336 (87%) are MB cases, 51 (13%) are PB cases. The number of children age less than 15
years who had disabilities grade II were 5. Ranging from 0% in Manyara to 39% in Mara
region. The population of patients with grad II disability varied widely among regions.
 45
40
35
30
Percentage

25
20
15
10
5
0
Kilimanjaro

Singida
Dar Ilala II

Dar Ilala I
Zanzibar

Dar Kinondoni

Lindi
Iringa
Shinyanga

Unguja

Kigoma

Tanzania
Mainland
Dar es Salaam
Pwani
Pemba

Tabora

Dodoma
Kagera

Dar Temeke

Tanga

Rukwa

Mtwara

Ruvuma

Arusha
Mara

Mbeya
Mwanza

Morogoro

Manyara
F IGURE 7. 1: D ISABILITY G RADE II A MONG N EW L EPROSY C ASES BY R EGION T ANZANIA :
2006
!

5= 4 - ? 4:8A63 8 A6 737 73 4 :4@4: 8

9 ;56 ?5:57 = ;4 ;5; 8 7<
3= 4 65=595< 7: 8 @4 74 & 4 6 > 4 58;98 B
- 78 ) 356 6 ==4676 ;4: 6 5 < <4665 =64 @5<
46 ;46>
574 758 : A5;4 @5: ?5:57 8
9 64 @5<46 3 56
<8:; ? 4 77 5?74; 78 B? 4 8 9 4 686 ?7 B 5 : 675= B / ; :8A< 8BB 57 A 4 466 8 9 6 B> 78B6 734
;564 646 4 < 865;4 4; 78? 4 734 B 5 84

16
14

12
10

8
6
4

2
0
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

% - : N ATIONAL T REND OF D ISABILITY G RADE II IN T ANZANIA : FROM 1997 TO 2006.

:/ !,"!! # !4 ! !
There were 3,448 cases of leprosy registered at the end of 2006, giving a prevalence of 0.9
per 10,000 of the population. The registered prevalence in 2005 is 1.1 per 10,000 of the
population. This is equivalent to a decline of 18.2% in the registered prevalence compared
to the previous year. Of the registered cases, 2,730 (79.2%) were MB cases and 718
(20.8%) were PB cases. d children less than 15 years were 208 (6%) of the registered cases.
Furthermore the data indicates a wide variation in the registered prevalence in the country
 ranging from 0 per 10,000 of the population in Arusha to 3.6 per 10,000 of population in
Mtwara region.

T ABLE 7. 2: P REVALENCE AND D ETECTION R ATE OF L EPROSY CASES PER 10,000 OF THE
P OPULATION BY R EGION T ANZANIA : 2006
.' %', ' @ ' . ! % ( % ( 0
0/ 5 0/ 5 '

S: B / /)-+ '' ') '

63 /*-+/* & &
8;8 B / )/- ) * + - +
5 = /) -/) + + '
2= 4 / / - ' * *
!

25= 8B /+'+/) * '' +

25:5B D8 /+ )/' ' )
5 ;5 + /-)* ' - ' -
/ / +
/+- / ) )
? 4 /'*)/' - ' -+ '
88 =88 / / - * * * )
7A / / * * * *** ')
A H '/ ) / * ) )
A 5 ) /)'- )
E A /' / - + )
@B / '+/ ) ' -
35 = '/ --/- + '' * * +
5 = 5; / / ' ' ' '
?8 / */ + ) ' + )
= /') / - + *- -
! 14561 5117 15
166 +
7 1517 +
7 /+
4B? * -/- ' ' '
=D ) /)* ) ** ) -
.H 5? /5775 2 1 61 - 56 +
3 +

H5 165 75
64 15
23 +
7 15
22 +
7 /+
!

% - ': G EOGRAPHICAL D ISTRIBUTION OF R EGISTERED L EPROSY P REVALENCE R ATE PER

10,000 OF THE P OPULATIONS T ANZANIA : 2006

'
 4,000
3,500
3,000 New PB
2,500 New MB
number

2,000
1,500
1,000
500
0
1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006
!

year

% - *( . ( G )

:2 >!$ "; ! 3! 3!
Out of the 3,731 MB leprosy cases notified in 2004. 3,322 (89%) completed their treatment
successfully. The cases that died while still on treatment were 34; the cases transferred out
to other regions were 43 and 205 (5.0%) cases defaulted while on treatment. The
completion rate in 2004 was at 89% less than in of 2003 which was at 91.5%. Table 7.3
below summarizes treatment results of MB cases notified in 2004.

*
 T ABLE 7. 3: T REATMENT O UTCOME OF MB L EPROSY C ASES N OTIFIED BY R EGION
T ANZANIA : 2004
.' * ! ) " ') ,' ! '*, '
'*, ! " ' ' 2 -
8 ) !;

:: - ) * -) *
25 8;85 ) -+
4B4E4 * + *
:: ) ' * *
* 73 / /7 1 14/ /+
6
63 + ++ )
8;8 B * + *- ))
5 = ' )
2= 4 ') *
25= 8B ' * ') )
25:5B D8 + *
5 ;5 * )
) )
'' '* -
? 4 ' - +
!

88 =88 ''- ' ' '+ '

7A '- +' '-
A H *) ' ' ))
A 5 - * - +-
E A ++ ) +-- +'
@B -
35 = - * + * * )' )
5 = 5; * *- +
?8 ) * )+ ') -'
= '' * ' -+
! 1561 1 2 2 '/)-) 7+
.H 5? * ++
15
1 12 21 3 1561/ 7+

Of the 1,407 PB leprosy cases notified in 2005, treatment was completed for 1,371 cases
(97.4%). The completion rate in year 2005 (97.4) was higher than in 2004 (95.5%). Two
cases died while still on treatment and 6 others were transferred out of their region while
28 (2.0%) cases defaulted treatment. The general trend of treatment completion for both
MB and PB categories in the country show notable improvement since 1993.

+
 T ABLE 7. 4: T REATMENT O UTCOME OF PB L EPROSY C ASES N OTIFIED T ANZANIA : 2005
* ! ) " ')
.' '*, ! " ' ' ,' ! '*, '
8 ) !; 3

* / / 1 2 / 1 -
63 &
8;8 B
5 = * *
2= 4 - )*
25= 8B + +
!

25:5B D8 - -
5 ;5
' '
) )
? 4
88 =88 * + -
7A
A H ' '
A 5 * +
E A - -' )
@B - +
35 = + +
5 = 5;
?8 +* +) )*
= -' *
! /563 4 /5
1/ 76+
1
4B?
=D - - -
74 76 77+
/5
16/ 4 /5
2 6 76+
2

)
 100

90

80

70 MB

60 PB
%

50

40

30

20

10

0
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
year

% - +: T REND OF L EPROSY C ASES C OMPLETION R ATE FOR B OTH MB AND PB IN T ANZANIA : 1993 – 2005

:5 4 !" ! ! # !4! - "% !"

7 73 44 ;8 9 )/ 734 4 A4 4 '/-' 4= 5674 4; > 48> :4 994<74; ? :4>8 6 ; A573;56 ? 5:57546 A3 8 B/ ) ! -L#
!

A4 4 67 5 =5 :4>8 6 <4 < 4 74 6 9 73 4 4= 5674 4; > 48> :4 994<74; ? :4>8 6 A573;56 ? 5:57 /+'+ !)- L# A4 4
664664; 98 5B>5 B4 76 ? 87 /-+) !) 'L# 73 45 < 8;57586 3; 5B>8 @ 4; ?7 +* ! L# <646 73 45 < 8;57586 3;
;474 58 74; 78 7 :8 9 /* :4>8 6 >754 76 A4 4 4> 874; A5734 < 7586 ; 73 56 A 6 6 ?
D4< 7 787 4 7B4 7 789
73464/ ; :7 <646 A4 4 / * !-- )L# ; ; :7 A3 4 4 -) ! )# A3 5:4 ' ! L# A4 4 < 35:; 4 3
864 8
7 4 7B4 7/ - ! L# A4 4 ;B5774; ; 4 78 4 < 7586 ?:4 - * ? 4:8A 6 BB 5646 >754 76 4> 874; A573
4< 7586 ; ;B566586 ? 4= 58 5 )

-
 T ABLE 7. 5: D ISTRIBUTION OF L EPROSY C ASES R EPORTED WITH R EACTION AND A DMITTED
DUE TO R EACTIONS BY R EGION T ANZANIA : 2006
.' 8; 8; % 8; %8 ; '
!* '

K: B +- - + '
63
8;8 B ' ''
5 =
2= 4 ' + ' -
25= 8B * - )
25:5B D8 ) ) '
!

5 ;5 '
)
'* )* +
? 4 -
88 =88
7A )+ -
A H ) + )) *+
A 5 ) '-
E A *+ ' +'
@B * ' '-
35 = -
5 = 5; + +
?8 ) * '
= ++ ) )
.H 5? *' ) +
' /572 / 64 7 /5
2 7 /6/

In 2006, 5,444 (90.7%) pairs of protective sandals were provided to people affected by leprosy.
Table 7.6 below, shows the number of sandals, locally produced shoes and prosthesis provided
to people affected by leprosy by region in 2006.
 T ABLE 7. 6: F OOTWEAR M ATERIALS D ISTRIBUTED BY R EGIONS AND T YPE T ANZANIA :
2006
.' !: ' : , #
''@ %'
*! %'! ! '' , ,
! '

'' '
63 )
8;8 B ')'
5 = *
2= 4 + )
25= 8B -
25:5B D8 *+
5 ;5 *

) ' '
? 4
88 =88 * )* +
7A
A H / + - ) '-
A 5 *
!

E A +
@B ') + +
35 = ' - )*
5 = 5; ) '
?8 - ' ' )
= +*'
.H 5? *
' 35222 3 46 44 27
 < > >

<
)/ : 5 A 6 675:: 73 4 B? 4 84 E 5::4 ;564 64 98 < 35:; 4 = 4; ? 4:8
A 95@4 4 6 ; 65=595< 7
<87 5?78 78B 74 : B87 :57 :6857 A 6 73 4 :4 ;5 =;564 64 5 < 87 5?75 =7873 4 A8E:8; 788 @4 67 47<
34;
34 :73A8E 46 < 88 B5<:: 73 4 ;564 64 56 < 646 :8 66 8
9? 5::586 89 63
5::5 =6> 4 4 34 7 6B56658 56 67 ?:4
>4 4 5 : 7867 ?:4 64 68 : 5 8 @4 L8 9 73
4 4= 586 ? 87 + ;567 5< 76 5 73 4<87 4 >84 78B : 5
4>5;4B5<6 3 464 4 6 < 86757 74 35=3 : ; ; 64B5 & 5; 4 6

Increase of resistance to cheap anti-malarial drugs such as chloroquine and sulfadoxine

pyrimethamine (SP) has led to frequent changes of first line malaria treatment drugs to a more
expensive Artemisinin based combination therapy (ACTs). Artemether-Lumefantrine (ALu) is
!

one of the W.H.O recommended ACTs which has replaced SP as first line malaria treatment
since December 2006.
34 E 4 74< 35<: B : 5 < 87 8 : 67 74= 546 4 ;@ 8
<74; 738= 3 95@ 4 4 758 : : 5 4;5 B 4 B
7 74= 5< : G - ;5 < : ;4( 5B>8 @4; B : 5 <64 B = 4B4 7/ @4<78 <87 8 : 738= 373 4 64 8 9 6/
>4@ 4 758 ; < 87 8:8 9 B : 5 5 >4= < ; 4> 5;4B5<>4> 4; 466/ >4@ 4 758 ; < 87 8 : 8 B85785 =
; 4@: 758/ < 8BB 5<758 98 ? 43@ 58 < 3= 4 ;8 >4 758 : 464 < 3 3 48 @
4 :: 8 ? D
4<75@ 489 734 ? 8
@ 4
4;5 B 4 B 7 74= 5< : 56 78>4@ 4 7 B : 5 4: 74; B87 :57 ; 4; <758 89 B8? 5;57 ; 4 78B : 5 5 ::
4= 586 ? +L ? - ; ?+ L ? 34> : A 6 5B> :4B4 74; 65 == 8
@4 B4 7 B84 6 A4:: 6
<
87 5?7586 9 8 B ;4@4:8>B4 7 > 7 4 6 7 ;567 5<7 :4@4:/ 73
56 5B>:4B4 7 758 A 6 738= 3< 8B>43 4 65@4< 8<5:
34 :73> : 6/

< # ! ! !" % !
T ABLE 8. 1: N UMBER AND P ROPORTION OF O UT -P ATIENT A TTENDANCES D UE TO
M ALARIA M AINLAND T ANZANIA : 2003 - 2006

! #( #( & ! '( .
&
' - ' - ' -

1 /) / +/ *)/' - *' +/+- /* - )/ / * ' ' -/ - / - / )+/) *

2 /) */)) +/* +/ * +/' / +/ '/ '- '- - /)+)/ - /*)*/-' *

3 / *+/ ' +/ /+++ *- */ +/++* +/-+ / ' + +/ - /) ) / / ) * -

4 /'+ /+ +/ +/ ' *+ /)- / + +/ ) / + *' * '/' '/ ) /'' / +* ** '

!

% : P ERCENTAGE D ISTRIBUTION OF OPD M ALARIA IN M AINLAND T ANZANIA : 2005

</ .$ ! ! !" !
T ABLE 8. 2: N UMBER AND P ROPORTION OF I N - PATIENTS S UFFERING FROM M ALARIA
M AINLAND T ANZANIA : 2003 - 2006
! )( #( & ! '( .
& 87: 87: : 5 87:
;B566586 : 5 L ;B566586 <646 L ;B566586 : 5 L

1 - )/))+ ' / ' *' ) '/) -/ ' /' / -' + / '

2 / / * / - '+ - '+ / -' / / ' ' / +/' - )/ ' '*

3 /- */ )' / /*' *- /+- /'-+ ) -/ + *' /- */ )' / - /+)) *+ -

4 / / *- / ++ ' / */**- )+ / +* ' /*')/ + / ' /-)- *)

 T ABLE 8. 3: M ORTALITY IN H EALTH F ACILITIES D UE TO M ALARIA M AINLAND T ANZANIA :
2003 - 2006
&
! )( #( & ! '( .
' ' ! '
- - ! -

' ' * / '' */')* '* '

/'++ -/ )+ ' ) /+- )/*
* )/- /- * / * -/ ) '' - * / ) / ' ') -
!

+ /-* / +' ' / ' / - + ) / -/- +)

) /-)* / - * ''/ / '+ ) ++/* ) /- * '- '

% : D EATHS D UE TO M ALARIA O N M AINLAND T ANZANIA : 2005

34 ? ;4 8 9 B : 5 7 73 4 ; >754 7 ;4> 7B4 76 4B 5 4; 3 5=35 :: = 4 =8> 6 98 734 >67 98 4 6

$8 A4@ 4 5 + 73
4 4 A 6 4; < 758 5 B : 5 ;4 73 6 5 34 :739 <5:57546 64 8 9 :466 4994<75@
4; = 6/ ;4: 6 5
644E 5 =B4;5<: 3 4:>
6 ; 4:5 < 4 8< :5 5<: D;=B4 7 A573
87 : ?8 78 < 895 B 758 8 9 B : 5 5 B8 67 >4 5>
34 :
34 :739 < 5:57546 4 68 B4 89 734<
87 5?75 =9 < 786 ; 734 B5 4 6 8 9 98 <6 985B>8 @4B4 7
 *: M ALARIA C ASE F ATALITY R ATE BY R EGION IN THE Y EAR 2006

.' #8
-;

63 )
46 : B )'
8;8 B -
5 =
2= 4
25= 8B '
25:5B D8 +
5 ;5 -
' -

? 4 *
88 =88 )+
7A
A H -)
A 5 ' -
E A
@B
35 = -*
!

5 = 5; *+
?8 -*
= )'
! /+

<2 "! - "! !" ! ! !"

<:5 = >73 4 64 8 9 5 64< 75<5;4 7 4 74; 476 ! 6# 56 7 5 <4 65 = < <466 ; 64 8 9 6 78 :: H5 6
> 75<: : 73 4 @: 4 ? :4 =8> 6 !>4= 7 B8 73
4 6/ ;4 95@ 4<35:; 4 # 3 47 = 47 A 6 784 6 4 737 ) L 8 9
>4= 7 A8 B4 ; ) L8 9 <3 5:; 4 6:4> 7 ;4 7 4 74; B8 6I578 476 ? 73 44 ; 8 9 73 4 4 - 586
<
3 4:6 A4 4 64; 785 <4 64 < <4665?
5:57 8 9 6 7873 4 >
8 >: 758/ ; 73 464 5 < : ;4 73 4 758 : 8< 34
<34B4 G !7 = 474; 6 ? 65; 5B4; 7 5 <4 65 = < < 4665?
5:57 89 6 78>4= 7 A8 B4 ; 734 5 9 7#/ 68<
5:
B E 475 =
/<8BB4 < 5 : 64< 78 ; 8 734 6< 3 4B46 ;4> :84; 738= 3@ 586 >8 D4<76
4:8A56 7 ? :4 638A5 =< 8@4 = 48 9 64< 75<5;4 4 74; 476 ;4 5@ 4; 9 8 B73 4 H5 758 : 8< 3
4 < 34B4
<
8 BB 57 6 @ 4 65 ;567 5<76

T ABLE 8. 5: O WNERSHIP OF ITN S IN H OUSEHOLDS T HEIR U SE BY V ULNERABLE G ROUPS

M AINLAND T ANZANIA : 2001 - 2005
! ' 3 4
8
>8758 8
93 8643 8:; A573 7 :4 67 84 7 4 74; 47 ** +)
8
>8758 8
93 8643 8:;6 A5737 :4 67 84 5 64<
75<
5;4 7 4 74; 47 -
8
>8758 8
9 ;4 95@ 4< 35:; 4 6:44> 5 = ;4 7 4 74; 47 -+ *
8
>8758 8
9 ;4 95@ 4< 35:; 4 6:44> 5 = ;4 64< 75<5;4 7 4 74; 47 + ' *
8
>8758 8
9 >4= 7 A8 B4 6:44> 5 = ;4 7 4 74; 47 + ''
8
>8758 8
9 >4= 7 B8 734 6 6:44>5 = ;4 - -)
8
>8758 8
9 5 9 76 6:44>5 = ;4 47 ' - *-
8
>8758 8
9 5 9 76 6:44>5 = ;4 ) --

'
 38= 3734 64 8
9 6 ? 73
4 @ 586 7 =
47 =8>
6 5 <4 64; 5 73
4 4 ) 6<
8B> 4; 78 +/ 3
8A4@
4 73
4
647 7 =
476 4 47 78?
4 <354@
4;

<5 "! - !3 ! # !4! 4! ! 3! %; # !,

3!
74 B5774 7 4@ 4 75@4 4 7B4 7 ! # 36 ? 44 ;8 >74; 5 8;4 78 4; < 4 4994<76 89 B : 5 78734 >4= 7
A8 B4 ; 5B>8 @4 734 87<8B4 89 >4= < 4= 7 A8 B4 4< 45@4 7A8;8 646 89 ; 5 =>4= </ 3 4
95 67 ;864 ; 5 =64< 8; 7 5B4674 ; 64< 8; ;8 64 ; 5 =73 4 735 ; 7 5B4674 98 56 @5: ?
:4 ; ;4:5@
4 4;
738= 3 $< :5 5<6 B5 : ;4 8?64 @758 3 47 =
47 56 78 77 5 < 8 @4 = 489) L8 9 >4= 7 A8 B4 65 =73 4
5 74 @ 4 758 ? 73 44 ;8 9 4 ) 8 @4 =46 89 98B73 4 H 5 8< 34 < 34B4 8 BB 57 @
4 +
; ) 4> 876 4 63 8 A 5 73 4 ? :4 )
!

T ABLE 8. 6: IPT C OVERAGE IN 2005 AND 2006

& %/ %
3 - - '
4 ) ) '+

34< 8@
4 =
489 56 <
3=4; 5 73
4 7A86 @
4 4 6 3
8A4@
4 36 4B 5 4; <
867 7: :8
A4 73 73
4 647
7 =47

<1 # !4! 3! - $ !3 "

3 4 ? ;4 8 9 B : 5 56 3 5=3; 5 =4> 5;4B5< 6 6 674B 98 4 : ;474< 758 7 73 4> 4 5>34 :34 :739 < 5:57546 56
<< 5 : 98 >4> 4; 466 ; 75B4: < 87 5 B4 7 8 9 734 4>5;4B5< 64; 8 47 8 6>4<75@4 B : 5 B8? 5;57 ; 7 /
73463 8 :;6 3@4? 44 467 ? :5634; ; : 5 85785 = 3 76 A573 :4 7 ; < 758 5 46 3@ 4?44 ;4@ 4:8 > 4; 98
4< 33 4 :739 <5:57 5 87 8 9 + ;567 5< 76 A3 5<3 4 >84 78B : 5 4> 5;4B5< 6 44E : <B : 75@ 4> :8775 =8 9
B : 5 <646 4 ? :46 7343 4 :739 <5:57 67 99 78B8578 B : 5 7 4 ;6 ; 5 6757 74 > >8 >5 74 46>8646 6 68 8 6
734 :4 7 8 < 758 5 4 56 4 < 34; C >4 54 < 498 B 4 6 A3 44 >6 = 48 9 B: 5 8 << 4; 5 4 :4? ;
2 = A4 ;567 5< 76 638 A 737 >8 >4 ;7 B = 4B4 7/ 5 74 >47 758 ; < 758 7 E 5 = 4B 5 ? 5=< 3::4 = 4
4 4A4; 499876 4 4I5 4; 7867 4 = 73
4 73 4 6 674B ; <>< 57 89 73
4 ;567 5<7 78 46> 8; 75B4: 7873 4 4> 5;4B5<
;8 8 465; : 6> 5 =5 < 8D < 758 A5734994< 75@ 4 <64 B = 4B4 7 A4 4 4B> :84; 78 4; < 4 73 4 ? ;4 8 9
4>5;4B5<5 :4? 5 B5; -

*
 B

B
4 ;564 646 4 B8=73 4 78>74 ;564 646 5 73 4< 87 @
4 66 = =467 737 7 :4 67 L ! ? 87 '+ / #
89 H5 6 4 ? :5 ; A57373 4 B 5 < 646 ? 45 =<7 < 7/ <8 4 : 6< 6 !B 5 : ; 4 787 < 38B# ;
=: < 8B ; ;;5758 : 'L ! ? 87 B5::58# 4 @ 56 :: 5B>5 4; @ 4 4 / ;;5758 : - / = 8
?:5 ; 84 73 7A873 5 ;6 89 73 4?:5 ; 466 56 7 4 7 ?:4 8 >4@ 4 7? :4 : % :8 66 9 8B? :5 ; 466
; :8A@ 5658 5 H 5 56 8 @4 T B5::58 57387 >8 >4 5 74 @ 4 758/ 734 B? 4 89 ? :5 ; 5
H 5 A5:: 5 <4 64 788 @4 3:9 B5::58 ? 73 4 4 ; 73 4 :% :866 A5:: <8B> 8;
7 4B4 ;86: 736 ;;5 =7873 4 ? ;4 8 9> 8 @ 47

B $ >! , ;
! "! "! , "!"
7 < 7/ 8D < 75@
5756 5 <
: ;5 =7 < 3
8B / 49 < 75@
4 4 86 5 <: ;5 =>46?8
>5/ <8 4 : :<4 6/
=
: <8
B/ @ 45756/ 475 : < 8;57586 5 <
: ;5 =;5 ?
475< 475 8
>73/ 8 <: 7 B / 67 ?
56B 6,6I5 7/
C
48>373:B5

7 >464 7 4 4 < 4 64 @ 5<46 4 ?

45 =>8 @ 5;4; 7 :: :4@
4:6 8
934 :73< 4 ;4:5@
4 34<88;5 758 8 9
73464 64 @5<46 7 :: :4@
4: 56 ;4 7346 >4@ 5658 8 9 73
4 758 : 4 4 8 =B > >
87 7873
4 64 @
5<46
56 >8 @5;4; D 85 7: ? 73 4= 8
@4 B4 7/ 5 6757 7586 ; 8 %8 @4 B4 7 : 4@ 4:8
>B4 7 = 56 7586
! % K 6#
!

34 B 5 4 6 A3 4 4 5658 7 74= 5 H 5 98 <646 4 734 98::8

A5 =73 4<87 8 :89 734 BD
8
?
:5 ;5 =;564 646/ 7 5 5 =8 9 4 8= 34 4&< 4 A8E 4 6 7864 @4 4@4 73 4 B8 67 4B8 74 ; > 8
8
<
8 BB 57546/ >8 @
5658 8 9 >>8 >5 74 74<
38 :8= ; 5 9 67 < 7 4 4< 466 98 ? :5 ; 466 >4@ 4 758 ;
565 =A 4 466 8 ? :5 ; 466 6 B D 8>? :5<34 :73566 4 5 734<87

B/ *3
<38B 56 73 4 :4 ;5 =< 64 89 >4@ 4 7? :4 ?:5 ; 466 5 734 ;4@
4:8 >
5 =A8:; 3 4> 48> :4 7 56E8 9
? :5 ; 466 4 73 864 5 : 4 6 A573> 8 8> 4 68 : ; 4 @ 5 8B4 7 : 6 57 758/ 5 ;4I 74 A 74 6 > >: /
> 8 8 < <466 7834 :73< 4 ; :8 A68 < 58&4<88 B5<;4@ 4:8 >B4 7 3 4< 87 8 : ; 4@4 7 : 4:5B5 758 8 9
? :5 ;5 = < 38
B 56 4A= :8
?: 5 575 75@4 4 ;864; ? 73 4 8:; $4 :73 = 5H758 5 / 738= 3
576 468 : 758 $ +

3 4 < 6 75@ 4 8= 56B 56 < 3: B ;5 7 < 3

8B 756/ 8 ?:5=74 5 7 < 4:: : 8= 56B 7 6B5774; ? ;5 4< 7
6>4 ; 8 9 5 94< 74; 8<: B 74 5 : 9 8 B 84 >4 68 78 8 734 8 8> 4 68 : ; 4 @ 5 8B4 7 : 3= 54 4
4 734 BD 8 56E9 < 786 737 9 <5:57 74 7 6B56658 89 5 94<758 3 4 4 4 644E 5 =9: / B 6<68? 4 6/ 56 6 5;
78> : 8 :4 5 734 6>4 ; 89 734 ;564 64 4@:4 < 4 746 8 9 < 75@
4 < 38B ;564 64 4 6 3 5=3 6 )*L 5
68B4 ;567 5< 76 :5 ;5 =7 < 38 B 56 >4@:4 7 5 + ;567 5< 76 A3 446 < 75@
47 < 3 8B 56 4 ;4B5<5 *'
;567 5<
76 !>4@:4 < 4 U L# 8 5 : ; H5

<75@47 <3
8 B A 6 98 ; B8=< 35:; 4 5 :: + 6 @ 4 4; ;567 5<
76 3
4 >4@:4 <489 A6 L ;
?
8 @4 5 B867 ! )# ;567 5<
76 >4@:4 < 4 A 6 :466 73 L 5 8: * ;567 5< 76 8
9M$ 5/ 8
B?8
/ 5 =
5;
? ; 5 = : ; 3; 73 435=3467 74 8 9 B84 73 ) L

+
!

% : T HE 50 T RACHOMA S URVEYED D ISTRICTS IN T ANZANIA : 2004 - 06

3 4 758 : <38
B 87 8 : 8 = B! # ;4 73 4 758 : 4 4 8 = B! # ;4:5@46
73
4 67 74= 98 73 4< 87 8 : ; 7 4 7B4 7 8 9 < 75@ 47 < 3 8B VA3 5<336 5B>8 @4; 73 4 <>< 57 8 9
>? :5<3 4 :736 674B6 5 A573 74 758 : <3 8 B 575 75@ 4! # 5 < 4 / 5 < 8:: ? 8 758
A573 8 $ 36 B = 4; 734 5B> :4B4 7 758 8 9 73 4 67 74=/ 4 ;864; ? 73 4 8:; $4 :73
= 5H758 ! $ # ; < 8 B>564; 8 9 98 4:4B4 76( = 4 78< 8 4<7 ;@ < 4; 67 =46 89 73 4 ;564 64/
75? 58
75<6 787 4 7 < 75@
4 5 94<
758 ; 5 74 > 7 734 << :4 8 9 5 94<
758/ 9 <
4 A 635 =78 4; < 4 ;564 64
7 6B56658 ; 4 @ 5 8B4 7 : < 3= 4 785 <4 64 < <466 78< :4 A74 ; 5B>8 @
4; 6 57 758

34 5B> :4B4 7 758 89 734 67 74= 56 =5;4; ? 95@ 4 4 758 : <38

B 87 8 : 8 =B
7 74= 5< : ! * G # 3 4< 8B>84 7 56 5B> :4B4 74; 738= 373 4 95H4 ;8 74; "5738BC ;
5 @8:@46 66 = ;B5 567 758 ! ; A3 5<356 ;84 5 < 8BB 57546 A3 447 < 38B 56 B84 73
L .5738 B C;8 74; ? 95H 4 <56 B = 4; ? 734 74 758 : <38B 575 75@4 ! # A57373
4
<7 : ;567 5?758 < 8; < 74; ? 734 5 567 8 9 $4 :73 ; 8 <5 : 4:9 4 ! $ #

T ABLE 9. 1: T RACHOMA P ROGRAM IN 50 D ISTRICTS OF M AINLAND T ANZANIA

' .'
63 8; :5/ = 88= 88
A 5 =B88 / 95D5/ 256 A4
' 8 ;8 B 28;8/ > A>A / 28= A/ 8
;8B :
* 5 = 5 = :
+ 2= 4 2 = A4
) 25:5B D8 $ 5/ 8
B?8
- 5 ;5 25:A / 5A :4/ <35 =A4 / 5 ;5 :/ =
A
63 $ =
/ 5B D 58
/ 257478
?4 ? :5

)
 ' .'
88
=88 @
8B4 8
/ 25:8
6 / 88
=88 :
7A 7A :/ ;3
5B?/ 4A : / 6 65
A H 2A5B?/ =
' EA E65/ B?A = :
* @B 8= 4 :/ ; / B7 B? 8
+ 35 = 4 7 / 2563>/ 3 5 = :
) 5 =5; 5 =5; :/ 5 = 5; ? / B?/ 85
- ?8 H4=/ 5E 8= 4/ = =
= 25:5 ;5/ 63 8 78/ $ ;4 5

T ABLE 9. 2: T RACHOMA P ROGRAM C OVERAGE

* * 0%

8
=B 8
>: 758 !+ ;567 5<
76#( /) )/* )

4@:4 <
489 <
38B 786 9: BB 758 G 8
::5<: ! #5 8
= B 567 5<
76 L&)+L

=
4 <
E:8
=! <
38B 786 5<
35 656# 5 8
= B 567 5<
76 L& )L
!

=
4 <
E:8
=! <
38B 786 5<
35 656# 675B 74 )-/ -

T ABLE 9. 3: S URGERIES P ERFORMED A GAINST THE A NNUAL T ARGETS M AINLAND

T ANZANIA : 1999- 2006
. :, )
'* !
& + .
* + -
8 # %'. * ;
'/ )-
'/ / - ')
'/ / * )+
/ /+*+
' / /)
* */ */ ')
+ */ */)) -
) / /-* '*
.' 5 / 561 )+

-
 8000

7000

6000

5000
!

4000

3000

2000

1000

0
1999 2000 2001 2002 2003 2004 2005 2006

Target Actual
% ( % % % . & )

T ABLE 9. 4: A CHIEVEMENTS IN A NTIBIOTIC D ISTRIBUTION M AINLAND T ANZANIA : 1999 –

2006
& ' !8 !(! ; 8;

* ')%',
. - ') .
(. .
- / ' -/- ))
/+- )*/ + -
' /)- ' /')
+ -/- ) */ ' '
' ))'/ - / '
* /* -/+)' /) /
+ */) )/-+) +/+ -/ +
) / )-/*) / )+/ * )L
' / 5/315626 / 5/4 5 31 34
 9,000,000

8,000,000

7,000,000

6,000,000

5,000,000

4,000,000

3,000,000

2,000,000

1,000,000

0
1999 2000 2001 2002 2003 2004 2005 2006
!

Actual Target

% ': A NTIBIOTIC D ISTRIBUTION M AINLAND T ANZANIA : 1999 -2006

B2 * ! ""
<38< 4< 5 656 56 >464 7 5 + 4= 586 5 73 4< 87 ; 57 56 4675B 74; 737 * B5::58 > 48 >:4 4 7 56E8 9
<
87 < 75 =73 4 ;564 64 A3 5:4 B5::58 > 48> :4 4 : 4 ; 994< 74; 99876 78< 87 8 : <38<4< 5 656 5
H 5 67 74; 5 ' A3 4 73 4 5 94<758 5 34 = 4 ; = A4 4 6 A4 4 < 895 B4; B8 67 4 6/
<
87 8 : 499876 67 74; 5 ; A5:: 44; 78? 4 6 67 5 4; 98 +& 4 6 7 )+L 73 4 > 4 75<< 8 @4 = 4
74 5 8;4 78?4 E73 4 << :4 8
9 7 6B56658 <38<4< 5 656 56 <87 8::4; 738= 38 BB 57 & 5 4< 74;
4 7B4 7 8 9 @ 4 B4< 75 ! # 4< EF 8;8 74; @ 4 B4< 75 ! 4< 75H W#A3 5< 356 56 8 994 4; 78
>
8 >: 7586 5 4 ;4B5< 4 6 :: 78>4@ 4 7 734 6 B> 78 B6 ; 7 6B56658 8 9 <38< 4< 5 656 ?
E
5::5 =8 9 B5<8 95: 5
 CDTI areas in Tanzania
!

% *: CDTI A REAS IN T ANZANIA

36 64 @
4; 6 B8 ;4: ;567 5?758 >8
= B98 8 73
4 ;564 646/ 6 <
36 7 < 3
8B 3 4 < 38<4<5 656 87 8 :
8 = B 36 B4 = 4; A57373 4 758 : 4 4 8 = B 7 73 4 758 : :4@ 4: ; 6 >>874; ? % >7 4 6
$2/ 8:; $4 :73/ ; 8 7 74 758 : 73 4 > 4 75<<8@4 =489 ?8@4 )+L 36 ?
44 < 865674 7:
<
354@
4; 5 H 5 65 <4

T ABLE 9. 5: O NCHOCERCIASIS CDTI P ROJECTS AND P OPULATION AT R ISK ON M AINLAND

T ANZANIA
B4 8
9 8
D4<
7 8 7: 8BB 57546 5 8 7: > 8>: 758 5 :75B 74 4 7B4 7 %8:
468,3>
4 &4 ;4B5< 468 ,3>4 &4 ;4B5< ! %# ?
.84 .84
34 =4 + - ** / -' ' / '
@B /' * '-+/ ) ++/ -)
= /' ' '/ * )'/ '
E '* )/') / +
25:86 +* *) / ) '--/**
88 =
88 ' )/+ ' /)+*
; +' /+' '/ )
' 35644 5///526 /54 252
 T ABLE 9. 6: CDTI C OMMUNITIES /V ILLAGES AND P OPULATIONS AT R ISK ON M AINLAND
T ANZANIA

8BB 57546, 5:: =

46 8 >: 758
87: : B?4 8 9 %48 =>3 5<: 8 7: : B? 4 8
9 34 >4 75
B? 4 8 9 4 7B4 7 8 BB 5754 8 @4 =
4 8 >: 758 8 9 4 7B4 7 4 686 <8 @
4 = 4
8
D4<
7 8BB 575 ? D
4<75@
4 6, 5:: =46 !L# 734 ?D
4<75@
4 4 74; !L#
46, 5:: = 46 7 4 74; 468 ,3>4&
5 734 2R 4 ;4B5< R
468 ,3>4 1 10 /I/ 46 4 6 60
&4 ;4B5< 3I/
46 3
/

34 =4 + - + - + -
** / -' '- /+ ' /+ -
@B /' * /' * /' *
= /' /' /' 375,869 299,431 270,939 -
' '/ * )'/ * + / **
E '* '* '*
)/') - /+*' )'/+') -*
25:86 +* +* +*
*) / ) '-*/ ' -/ +' -
88 =
88
' )/+ )+/ - ' /* ' -+
; +' +' +'
118,531 99,566 83,740 71
' 35
644 35
644 35
644 /
5
///526 /5
6235
714 /5
3315
2/4 62
!
 #) >

Medicine plays a very important role in the delivery of health care in Tanzania. Availability of
medicine in health facilities is one of the factors that motivate people to visit them. It is therefore
necessary to maintain uninterrupted supply of these items at the service delivery points at all
times.

! !# ;
The National Medicine Policy (NMP, 1991) and Pharmaceutical Master Plan (1992-2002) are
!

critical in guiding developments in the pharmaceutical-sector. Both documents are now being
reviewed in order to address current developments in the sector such as The shift from push to
pull supply system, promotion of local manufacturing and new malaria treatments e.g. ALu.
Implementation of the NMP and the Pharmaceutical Master Plan is coordinated by the
Pharmaceutical Services Unit (PSU) at MOHSW.

The main function of PSU is to ensure that the NMP is operated according to the requirement of
National Health Policy with its key roles being to ensure Ensuring that MSD performs according
to the MSD Act of 1993, that adequate funds to procure medicines and related medical supplies
are provided to MSD , assisting health facilities with capacity to determine medicines
requirements, establishing effective strategies for improving the rational use of medicines ,
through Tanzania Food and Drug Authority (TFDA) to ensure the quality of medicines, establish
effective drug management and monitoring systems and at health facility level to reduce drug
waste and pilferage and ensure an appropriate allocation of resources to health facilities for drugs
that takes into account equity, patient load, morbidity and medicine needs.
.
The 1991 National Drug Policy had an extensive section on Hospital Therapeutic Committees
(HTC), their composition, role and functions and on the need to support them from the national
level through the National Therapeutic Committee and regular meetings. Some of the key
functions of the HTC are in the selection, quantification and procurement of drugs and
consumables, monitoring of adherence to STG, ensuring rational drug use, and monitoring drug
usage/wastage. PSU aim is to provide training to HTCs at hospital, district and regional level, in
the whole country to make them effective and functional.

/ #* 3 ! #!" !
Staffing and operational capacity in PSU is however limited. Most posts for pharmacists at
regional and district level are vacant. Due to limited resources, the PSU is unable to function
effectively and the shortage of pharmacy related staff in the regions and districts incapacitates
PSU from carrying out its tasks. Tanzania has about 686 pharmacists 352 pharmacy technicians
(PT) and 312 pharmaceutical assistants. There is a serious lack of pharmaceutical staff in at
health facilities and at district and regional levels. Initiatives are being made to increase the
number of pharmaceutical personnel.
 T ABLE 10. 1: D ISTRIBUTION OF P HARMACEUTICAL P ERSONNEL BY R EGION M AINLAND
T ANZANIA 2006
.' % * % * % *

63 - + -
6 : B '- '
8;8 B +
5 = + '
2= 4 + - )
25= 8B ' )
25:5B D8 '
5 ;5 -
+ +
& &
? 4 ' '
88 =88
7A *
A H ' *
A 5 + ' '
E A *
@B *
35 = +
5 = 5; * '
!

?8
= + +

' 326 111 3

2 , !, ; * ;
The Tanzania Food and Drugs Authority (TFDA) is responsible for the regulation of medicines
and conducts inspections of the private and public drugs outlets (hospitals, private pharmacies,
wholesalers, drug shops and Retail ADDO shops in Tanzania.

'
 T ABLE 10. 2: D ISTRIBUTION OF P RIVATE D RUG O UTLETS ON M AINLAND T ANZANIA BY
R EGION : 2006
Region Population Number of Population Retail ARW Part 11
(Million) Pharmacies /Pharmacy ADDO Shops
Dar es Salaam 2.9 248 11,694 - - -
Arusha 1.3 30 43,333 - - -
Mwanza 3 28 107,143 - - -
Kilimanjaro 1.4 21 66,667 - - -
Morogoro 1.8 13 138,462 361 - -
Mbeya 2 14 142,857 - - -
Shinyanga 2.8 9 311,111 - - -
Tanga 1.7 9 188,889 - - -
!

Dodoma 1.7 7 242,887 - - -

Mara 1.4 5 280,000 - - -
Kagera 2.1 4 525,000 - - -
Mtwara 2 3 666,667 27 - -
Kigoma 1.7 2 850,000 - - -
Iringa 1.5 4 375,000 - - -
Ruvuma 1.2 2 600,000 232 2 -
Singida 1 1 1,000,000 - - -
Pwani 0.9 6 150,000 - - -
Rukwa 1.2 1 1,200,000 42 - -
Tabora 1.7 5 340,000 - - -
Lindi 0.8 0 NIL - - -
Manyara 1.1 2 550,000 - - -
Total 417 662 2 -

5 ,!3! - ! !" $$; *!)! * !

The National Essential Medicines List of Tanzania (NEMLIT) and Standard Treatment
Guidelines (STG) last published in 1997 were updated in 2006 in order to reflect changes in
current medical knowledge and practice, and in the care and treatment of disease conditions. The
aim of the NEMLIT and STG is to enable both MSD and health workers to know what
treatments are recommended, at which level and which medicines are considered essential.

5 "!3
$$; ;
3
46 >
>: 89 B4;5<
5 46 5 H 5 >6646 738= 398 ;5994 4 7 6 >
>: <
35 6 344 8
9 73
464 4 ;B5 5674 4; ?
; 73
4 98 7384 56 B =4; ? >5@74 ;567 5?786

5 ""! ," " % ! %;# 4 ! * !" !"

<3 -/ - >5@74 A3 8:46 :4 6 A4 4 4=
5674 4; A573 8B 5 78 - 5 )/ 73
4 B? 4
36 :B8 67 ;8?
:4; 8 67 89 73
4B8 >4 74 9 8B 46 : B 3 4 >8
<4; =69 8
B5 74 758 : ; :8<:
6 >
>:54 6 ; ;567 5?74 73 4B78'+

4=5674 4; > 3 B<546/ ) ; 7 A8 8

568 3
8>6 ; ;5 4<
7: 783
86>
57 :6 ?7 8
7 78>5B 3
4 :73
9<5:57546 ! $ 6#

5/ ! !" !$ 3! * " - " %

*
 3 4 <35 6 8 9 ;567 5?758 5 < : ;4 4664 75 : ; = 6 ;567 5?74; 5 ?:E / 257K6 5 ;4 7 ; >< E6 ; 4 75<:
8 = BB4 ! # 574B6 56 :68 A3 8 :46 :4 / 8A 4; ? 73 4= 8 @4 B4 7 7 56 73 4 B5 6 > >
:54 8 9 4664 75 :
; = 6 7873 4 >? :5<64< 78 ; >5B 6 > > :54 789 573 &?64; ; 8 73 4 8&= 8 @4 B4 7/ 8 < 8BB4 < 5 : =8> 6
>8 @5;5 =3 4 :7364 @ 5<46 5 H5 >8 < 46 4664 75 : ; = 6 5 ?:E9 8 B 758 : ; 5 74 758 :
A3 8 :46 :4 6 3 464 4664 75 : ; = 6 4 6784; < 4 7 :: 7 5 46 : B9 8 BA3 4 4 734 47 E 4 ; 64;
7 56 :68A3 4 4 >< E 5 =8 9 5 ;4 7 ?8 C46 ; 5 ;5@ 5; : $ 8;4 4 >< E4; =6 4 :687 E 4 98 B73 4 6 B4
<4 7 : > 88: 98 6 :4 783 8 6>
57 :6 5 73 4 ;567 5<76 ; 4= 586 @ 5 576 H 8 : 67846 4 75<: >8 = BB4 574B6 4
>8 < 4; 4573 4 ? ;4 73 4 6 >4@ 5658 8 9 73 4 >8 = BB4/ 8 ? 4C 74 : 576 :5E 4 8 A = 4 76 8
;4 6 > 4@ 5658 8 9 734 >8 = BB4 3 464 @ 4 75<: >8 = BB4 574B6 >66 73 8= 373 4 6 B4
A 43 8646 ; 73 4 6 B4 ;567 5?758 47A8E!7 < E6# 56 64; 98 73 4B 6 98 73 4 4664 75 : ; = 6 3 44 4
H8 : 67846 5 4 46 : B/ A H/ ? 4 / 5 =/ ? 8 / 7A / =/ 8 635 ; 8 ;8 B

52 , - ! !" $$;
84 6 4 737 734 9 ;6 98 B4;5<5 46 4 64; >8 >4 : / 734 B4;5<5 46 ?;= 47 56 <
4 7 :5H
4; 7 73
4 $ :4@4:
; 8;567 5<7 4<45@46 B4;5<
5 4 ?;= 47 8 73 4 B84 78? 4 4:4 64; 9 8
B73 4 5 567 8 9 5 < 4! # 7 734
67 7 8
9 73
4 95 < 5 : 4 734 $ 36 78;4:5@
4 6 <63 &9:8A> : ; >8 < 4B4 7 > : 69 8
B

55 - ! !" ,! %; ;
$! - ;
;6 9 8
B 98 >8 < 4B4 7 8 9 B4;5< 5 46 ; 4: 74; B4;5<: 6 > >
:546 4 4< 45@
4; ? $ 58 78
7 694 5 =73 4 9 ;6 78 / 73 4 4 ::8 <74; 78;5994 4 7 64 @ 5<4 ;4:5@4 > 85 76 65 =73 4 ::8<758 E 4 98B :
?64; 8 > 8>: 758 3 4 3 B< 4 75<: 4 @ 5<46 57 ! # 5 73 4 $ 56 46> 865?:4 98 ;4 7 E 5 =73 4
::8 <758 8 9 468 < 46 98 ; = 6 7873 4 5 ;5@5; : 3 4 :739 <5:57546 3 4 B 5 >5 < 5> :46 98 ::8<758 8 9 468 < 46 4
95 67/ 734 7 > 4 8 9 3 4 :73>8 @ 5;4 ! 494 :/ 4= 58 : 3 86> 57 :6/ ;567 5< 7 3
8 6>57 :6/ >5B 3 4 :739 <
5:57546#/ ;
!

64< 8;: / 73 4 <7< 3B4 76 4 73 4 5 6757 758 64 @ 46 84 68 >3 5675<74; ::8 <758 E 4 65 <: ;5 =98 4CB> :4/ 44;6
;,8> 8@4 7 :4@ 4: 89 734>
8>: 758 5 73 4 <7< 3 B4 76 4

51 3 , - "
34 75B5 =8
9 ::8<758 8
9 468 <
46 98 !4664 75 :# ; =6 56 5B>
87 7 98 734 ; =;4:5@4 6 674B 788>4 74
4995<
54 7: +,) $ 4<
45@4; B873 : ::8 <7586 9 8B734 ; B ;4 ::8<7586 78 $ ,

5: "% "!3! " - *! , ,!

>5 < 5>
:4/ 73
4 ;56? 64B4 7 8 9 734 ; =?;= 47 638:; 7 E4>:<4 8 I 74 : ?656 A573 +L 8 9 73
4 B84 ? 45 =
566 4; 4 < 3I 74 $8 A4@4 / 73 56 36 8 7?44 73 4 <64 98 :8=75B4 ; 57 56 :68 8
7> 8665?
:4 98 734 95 67 I 74
65 <4 734 > >8 @: 89 73
4=8 @ 4 B4 7 ?;= 47 56 :A 6 ;4: 4; 6 < 864I4 < 4 4: 75@
4: 3 5=3>8 >8758 8 9 734
?;= 47 98!4664 75 :# ; =6 56 ::8 <74; 5 734 B873 6 5 = >787344 ;8
9 734 5 < 5: 4

5< ! ,%;) "$ "

34 494 :, 4= 58 :, 567 5< 7 38
6> 57 :6 38:; 8 A ; =?;= 476 A573 !< <8 7# ; 3 8:; 73
45 8 A ?E
<<8 7 A573 :: 64 < 3= 46 ! 64 9446/ $ / > 8665? : # 3 4 4;5<: 995< 4 < 3= 4,$ 56 5 >5 < 5>:4
46>865? :4 98 734 8;4 5 =8 9; = 6 34 3 56 8;4 5@46 7 73 4 / B84 56 7 694 4; 9 8 B73 4386>57 :K6
<<8 7 78 < <8 7 ; 73 4; = 6 4 B ;4 @5: ? :4 7873 43 86>57 : 3 4 8;4 56 > :< 4; A573 98 73 4
$F ?;= 47/ B84 56 ;4; < 74; 9 8 B73 4386> 57 :K 6 ::8 <758 ; <4;574; 78 9 8;4 56 > :<
4; A573
8A B84 !9 8 B73 4 $K 6 ? E< < 8 7#/ 73 43 86>57 : > 6 45734 ? <638 < 34I4/ 3 4 B84 56 <4;574;
8 73 4 < <878 9 7343 86>
57 :/ 734 ;4? 574; 9 8B73 43 8 6> 57 : < <8 7 ; <4;574; 78 34 '& 4 3;
98 +,) ?;= 474; 3' ? 5::58 98 ; = 6 ;6 > > :546 !4664 75 : ; = 6# 4C
< : ;5 =@4 75<: >8 = BB46 ;
@< <5 46 ! >8 = BB4#

5B ""! ," $$ !"

, , ?, ! 98 4664 75 : ; =
65 +,) A 6 3 ; 3 ) 5 78
7 :5 <
: ;5 =@<
<5 46
;@
4 75<: >8
= BB46

+
 T ABLE 10. 3: D RUG S PENDING P ER C APITAL IN 2005/06 (TS H AND USD) POP = 36.6
MILLION (PER FY 2005)
.%'. * * ' . ?,+ , . ?,+ %
' , ,
664 75 : =
6 - +- * -
) + )' ' *
4 75<: >8
= B6 ' + ) * --
' 4 + 37+4 / 41+
1 /+
4/

34 78 7 : 6>4 ;5 =8 ; = 6> 4 <> 57 36 5 <4 64; 8 @4 734 : 67 95@

4 4 698 B )* 5 78 -)
5 * !4C <
: ; = 6# ! +# 3 4 95= 4 9 8B! 8$4 :73% 8> # 95 ;5 = 6 56 - 98 ; =
!

4C > 4 ;57 4 > 4 <> 57 98 4664 75 : ; = 6 8: 98 ) ;4@ 4:8>B4 7 9 8B )* 5 * 78 -

!4664 75 : ; = 65 )#/ 4>464 76 5 <4 64 8 9 L ;4@ 4:8>B4 7 9 8B )* 5 * 78 )
! :: ; = 6 ; @< <5 46 5 )# 4>464 76 5 <4 64 8 9 + L @ 4 734 : 67 98 4 6 73 4 6> 4 ;5 =8 4664 75 :
; = 6 36 5 <4 64; A573 :B8 67 + L ! & +# 3 4 =4 7467 5 <4 64 G ;8? :5 =G 3> > 4 4; ?
47A44
,' ; ',* 3 4 5 <4 64 ? 47A44 *,+ ; +,) 3; ;5B5 563 4; 78D67 8 @4 -L ! :: 5 <4 646 5
< 4 7 >5< 46#

T ABLE 10. 4: A CTUAL E XPENDITURE ON E SSENTIAL D RUG M AINLAND T ANZANIA 2002-

2005
1 2 3
)- * )) *+ -) )' )+* )
L 5 <4 64 +/ L ''/ L -/ 'L

1 '
$! ! !3! "8 ) & !, !
,!3! ;"!3(
34 6> 4 ;5 =8 ; = 6 ;6 > >:546 5 73 4 $ 56 ?
4 49575 =9 8 B? 873= 8 @4 B4 7 9 ;5 = ; ;88 6 > >87
73 4 + ?;=47 73
4 %8 @4 B4 7 A 6 >8 @5;5 = > >8 C5B 74: -+L 8 9 734 787 : ?;= 47 ; 73 4 ;886 +L !
+# 3 4 %8@4 B4 7K 6< 8 BB57B4 7 78>8 @5;4 ; = 6 98 73 4> 8>: 758 8 9 H 5 56 > >4 7 3 4 ;886
>8 @ 5;4 = 4 4 : ?;= 47 6 >> 87 78 $ @ 5 73 4 974 73 4 :5 B4 7 36 > >8 @
4; 734 ?;= 47 734
7 694 6 8 I 74 : 8 9 4< 4 7: 8 B873 : ?656 9 ;6 78 $ A3 5<35 7 ::8<746 73464 468 < 46 78
;4 73 4 @ 586 < <
8 76 8 93 4 :735 6757 7586 3 4 468 < 46 ::8
<74; 98 E 576 ; 5 ;4 76 98 >5B 3 4 :73
9< 5:57546 ! $ # 4 7 694 4; 7873 4 < <8 78 9 73 4 3 4 78
7 : B8 7 8 9 9 ;6 ::8 <74; 98 4664 75 : ; = 65
+,) A4 4 3'' - ? 5::58 !X B5::58# ; 98 -, 734 B8 7 < 8
BB5774; ? 73 4
=8 @4 B4 7 98 4664 75 : ; = 6 ; B4;5<: 6 > >:546 56 63'-/'- / + /- A3 5:4 ;4@ 4:8>B4 7 > 7 4 6 3@ 4 647
65;4 63 / / ' / 9873 4 6 B4

: -
-!! !" - "- # *" , ! !"
34 68 < 46 98 !4664 75 :# ; =65 H5 5 <
: ;4 5 74 : 468 <
46 6 < 3 6 73 4% / $ / $ ; 64
<3= 46 3 4 95 < 5 =8 9 734 @
4 75<: >8
= BB46 < 8 B46 9 8
B B 68 < 46 5 <: ;5 =% ; = 4 8
9
5 6757 7586,4C74 : > 7 4 6,;886 6 < 36 % / %:8?: = < 5:57 / / 34 % 746 8 ; 7586/
8= 5H7586

)
 T ABLE 10. 5: R ESOURCES ALLOCATED FOR DRUGS IN 2005/06 (TS H AND USD)
* %',' '
- ')'
'
' ') -) '' * &
::8<758 '' )+ * -+ ) &
$ ::8<758 '' )+ * -+ ) &
::8
<758 '' )+ * -+ / / ) * / +L
$ P * * +* / '/' / )L
$ '- ' /*-) /+*L
64 < 3= 46 - ' ' - /* - /++L
4 75<: >8 = BB46 ' +* + ) / / *-/ L

Sources: Accounts provided by MOF, MOHSW, MSD, NHIF, CHF programme and various

programme managers (vertical programmes). Of the TSh 33.7 billion allocated by MOH&SW

only TSh 29.6 billion were utilised for drugs (~88%)

!

T ABLE 10. 6: S PENDING ON D RUGS IN 2005/06 (TS H AND USD)

%',' ' - ')'
'
' / '/) -/) '' * &
::8<758 ''/) +/ * / -+ ) &
$ ::8<758 ''/) +/ * / -+ ) &
6>4 ;5 = /)+*/ +/ *) +) -* + *+/) L
$ P / */ * / +* '' / L
$ '- / / ' *-) /+-L
64 < 3= 46 / - /' '/ - * - /)+L
4 75<: >= B6 ' /+* /+ / ) + / L

$ !' 427 25
4 /5
42 34+4 +
3 2 / 5-

8< 46( <

<8 76 >8@
5;4; ? / $ / / $ / $ >8
= BB4 ; @ 586 >8
= BB4 B =
46
!@
4 75<: >8
= BB46#

>) > )

@5 8B4 7 : 34 :73494 6 7873

4 >< 75<
48 9< 87 8::5 = ; >4@
4 75 =:: 73
864 9 <
786 5 73
4> 365<: 4 @5 8B4 7
737 < ;@ 4 64: 994<7 3B 3 4 :735 <: ;5 =A 74 / 5 ; 988; 6 A4:: 6 <34B5<: 4C>86 4 664 75 :: 57 56

-
 B5:46784 5 ;564 646 >4@ 4 758 ; 4 < 8B>6646 B4 6 46 4: 74; 78A 74 / 6 57 758/ 3= 54 4/ 8 <<>758 : 3 4 :73/
;> 87 3 4 :73 3 4 B5 8 ? D
4<75@48 94 @ 5 8B4 7 : 3 4 :7356 78< 87 5?74 7873 4 77 5 B4 7 8 9 65=595< 7 4; < 758
5 B8? 5;57 ; B87 :57 ; 4 784 @ 5 8B4 7 : 3 4 :73 4: 74; ;564 646 @5 8B4 7 : 3 4 :73 ; 6 57 758 3@ 4
BD 8 8 :4 78> : 5 > 8
@ 4 7 4; < 758 5 H5 356 56 ? 4< 64 ;564 646 < 64; ? > 884 @ 5 8B4 7 : 3 4 :73
6 <3 6 B : 5 / ;5 3 4 ; ; 64 74 4; < 4 734 >8 ; < 75@ 57 8 93 8643 8:; : ?8 6 A4:: 6 468 < 46 737 < 8:; ? 4
5 @4674; 7895= 37> 8@47 848 @4 / 734 5B>< 789> 884 @ 5 8B4 7 : 3 4 :7356 =4 74 98 > 883 8643 8
:;6 73 73 4
8> 883 8643 8:;6 ? 8 @ 4 ::/ 734:? 8 98< 45 H 5 4C >4 54 < 46 B?4 8 9 A8E >:< 4 >8 ?:4B6 46 :75 =
98 B> 884 @ 5 8B4 7 : 3 4 :7364 @ 5<46 8 BB8 A8E > :< 4 >8 ?:4B6 5 < : ;4 < <
5;4 76 737 3@ 4 9 4I4 7: :4; 78
5 D 546/ >4 B 4 7 ;56 ? 5:57546 8 4@ 4 ;4 73 6 68 B4 A8E > :<46 ;564 646 6 < 36 $ , / 3 4>75756/ ; < 385<
5:B4 76 3@ 4 ? 44 < 87 < 74; ; 4 78 4C >8 6 4 78> 8 56886 6 ? 67 < 46 6 <36 < 34B5<:6/ 9 B46/ ; 676 ;
;58< 75@4 B 74 5 :6 8E 4 6 :686 994 9 8 B4 = 88 B5< 6 ; 4 78> 8 8 A8E 5 =<8;57586

987 74: 73 4 4 56 : < E8 9 65 =:4 <

8 B>43 4 65@4 >? :5<3
4 :73:4=56: 758 ; 73 4 4C 5675 =846 4 6<774 4;
!

;4 ;5994 4 7 73 857546 ; 4 87&; 74; 98 >464 7 75B46 ; 67 ; ;6 98 73 4 >8 74< 758 8 9 73 44 @ 5 8B4 7 6
A4:: 6 < 87 8 :8 9 3B 3 4 :733H ;6 :68 / 73
4 4 56 5 ;4I 74 4 98< 4B4 7 8 9 73 4 4C 5675 =:4= 56: 758/ ; 4 7873 4
:<E8 9 :4=: ?< E =8 ; B8= 67 >4 68 4: 5: 4 78>8 64<74 73864 46> 865?:4 98 @ 58 : 758 8 93 4 :73:4=56: 758
36 :4; 78 9 73 4 ;474 58 758 5 4 @ 5 8B4 7 : 3 4 :73 ; 6 57 758 64 @ 5<
46/ 46 :75 =5 73 4 4 6 6>4 ; 8 9
<8
BB 5<? :4 ;564 64 ; > 88:5@ 5 =67 ; ;6 ; 4 7873 43 5=3>4@:4 < 48 9 56 < 46 ; > 8 :: 7 76

!
@4 73 8= 3 H5 K 6 74 8 :5< BE 46 <<466 78< :4 ; 6 94 A 74 5@4 6 : 5= 378 9 ::
H 5 6/ *) +L > 48
> :4 5 : 4 6 ; -L 5 ? / ;8 8 7 3@ 4 < <466 786 94 ; < :4 A 74
8 67 89 734 A 74 6 > >:546 36 ? 44 <74= 8564; 6 6 94 ; 4 7868 <58 &4<88 B5</ = 48 => 35<: ;
;4B8 => 35<<8;57586 3 4 BD857 8 9 H 5 6 46> 4<5 :: 5 : 4 6/ ; A A 74 9 8 B 68 < 46
A3 5< 3 4 ;4 8 & 4=: 74; 46 :75 =5 4C 7 4B4 4C > 86 4 78A 74 ? 8 4 ;564 646 5 < : ;5 =A8B6
5 9467 7586 3 4 9 4I4 7 87?4 E8 9 A 74 ?8 4 ;564 646 6 < 36 < 38 :4 5 B > 76 8 9 734< 87
5:: 67 746 73 4>85 7 3 464 A 74 ? 8 4 ;564 646 4 B D 8 < 64 8 9 ;56 > 7586 8 9>48 >:4K6 :5@4:5388;6 5
H5 46 : B/ 7 :4 67 L 8 9>48>:4 ; 73 45 ?65 46646 4 ;@ 4 64: 994< 74; :: ; 4
7887?4 E8 9<38 :4 B 5 : A 74 ? 8 4 ;564 64

3 4 758 : 74 8 :5< 8 9 67 746 737 6 94 A 74 63 8:; ?4 @5: ? :4 A5735 ;5 6 8 9 * B474 6

98 B4 < 33 8B4 65 = :4 A 74 > 85 7 638:; 64 @ 4 6 94 A 74 78 + > 48
> :4 A573 @ 4 = 4< 86 B> 758
89 * :57 46 >4 > 4 68 > 4 ; 34 4 4 B >8 ?:4B6 994<75 =73 4 >8 @
5658 8 9 6 94 A 74 78
<8BB 57546/ 6 3 5=3 :5=3 74; ? 758 : @ 5 8B4 7 : $4 :73 ; 57 758 8 :5< % 5;4:5 46 ! >5:
# 356 5 <: ;46 5 ;4I 74 8 > 4 758 ; B 5 74 < 4/ >: 4; 6477:4B4 76/ > 8 :: 758/
<87 B5 758 8 9 A 74 68 < 46 ; 3 5=3:4 E= 4 74 !+ > 4<4 7# < <8;5 =7873 4 $8643 8:; ;= 47
@
4 , 738= 3A3 5<36 57 758 64 @ 5<4 :4@4:6 A4 4 = = 4; 6 <3?7 3= 54 4 :4@ 4: > < 75<46 :5E4
A 63 5 =3 ;6 974 78 5:47 @ 5657 A4 4 >8 8!'' > 4< 4 78 9 73
4> 8>: 758#

974 B84 73 *+ 4 6 65 < 4 5 ;4>4 ;4 <4 B8 67 89 73

43 86438
:;6 5 H 5 675:: 64 7 ;5758 : > 57
:75 4 ;5758 : > 57 : 7 5 46 5 73 4<8 7 ;8 8 7 >8 @5;4 ;4I 74 >4@ 4 758 8 9 ;564 646 4B 75 =
98 B3B 9 4< 46 ; 4 7873 45 > 8 8< 867 < 758/ A8=:8 <758 5 4: 758 78A 74 68 < 46 ; 8 A5 =78
B8 67 8
9 73
464 : 7 5 46 8 7? 45 =6 94 ; < 8B987 ? :4 98 75:5H758 ? 73 4 ;56 ?:4;/ <
3 5:; 4 ; A8B4
 34 >464 7 657 758 56 737 L 89 73438643
8 :; 64 >57 : 7 5 46/ ' L : 7 5 46 ; )L 64 9: 63
78
5:476 A3
5:4 ? 87 'L 8 93
8643
8:;6 3@4 8785:476 7 ::

T ABLE 11. 1: P ERCENTAGE D ISTRIBUTION OF E XCRETA D ISPOSAL F ACILITIES IN

M AINLAND T ANZANIA

:, ')) : '
: 63785:476 * )
;5758 : 57 78
5:47 -) - )
'
87 :: 7 5 4< 8@4 = 4 -) '' -
89 < 5:57 / 954:;/ ?63 * )-
8<
4( $8643
8:; ;=
47 @
4 ,

@ 4 4 B? 4 8 9 H 5 6 ;54 9 8
B>4@ 4 7? :4 A 74 ; 6 57 758& 4: 74; ;564 646 :5E
4<38 :4 /
;5 3 4/7 > 385; 8 > 6575<A8B 5 94< 7586 ) :84 78 7:8 9 */ - <646 ; +* ;4 73 6
8<< 4; ; 4 78< 38:4 M*+*/ +* <646 ; +' ;4 73 68 9 ;4 95@4 ; 4 78;5 3 4 8 B4 ;<35:; 4
4 734 B5 @ 5<
75B6 89 5 ;4I 74 4C<474 ;56>8 6 : 6 674B6 3 4 => 3? 4:8A5 ;5<746 7347 4 ;8 9<
3 8 :4
;564 64 5 73
4< 87
!

Morbidity and Morality due to Cholera, 1998 - 2006

10000
Commulative No. of Cases

9000 Cases
8000 Deaths
7000
and Deaths

6000
5000
4000
3000
2000
1000
0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
Months

% : C UMULATIVE M ORBIDITY AND M ORTALITY D UE TO C HOLERA M AINLAND T ANZANIA 1998 – 2006

 Case
CHOLERA TRENDS BY REGIONS 1998-2005 s
Death
s

8,000

7,000

6,000
NU M BE R O F CAS E S AN D D E ATH S

5,000
!

4,000

3,000

2,000

1,000

0
L in d i

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a

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ra

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M a ra

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ra

a
a

Ir in g a

ma

anga
ma

a n ja ro
la a m

P wan
M bey
A ru s h

S in g id

Tang
R u kw
K ig o m

M tw a

Tabo
K age
Dodo

R u vu
M any

M wa
M o ro
D `s a

S h in y
K ilim

REGIONS

C UMULATIVE M ORBIDITY AND M ORTALITY D UE TO C HOLERA M AINLAND

% :
T ANZANIA O VER THE P ERIOD 1998 - 2005

3 4 B 5 >8 ? :4B8 9 : 7 5 46 5 4: 758 784 @ 5 8B4 7 : 3 4 :735 H 5 56 B84 I46758 8 9 73 4 I :57

89 734 : 7 5 46 < 867 < 74; ; 64; 73 4 73 < 8
@ 4 = 4 57373 4 4C <4>758 8 9 8 B ;5< 4 6 A3 4 4 73 4
<8@ 4 = 4 A 6 6 :8 A 6 +L ! *#/ 734:75 4< 8 @4 = 4 5 73 4< 8 7 A6 ? 47A44 L& L
<<8;5 =78 $ ! *# 73 4: 7 5 4< 8 @4 = 4 A 6 - )L 5 ? ; ''5 : 4 6 573 4= ; 78
I :57 / B8 67 8 9 73
4 : 7 5 46 5 ? ; : 468 9 H5 4 8 9> 8 8 I :57 / 3 4 <4>8 65 =B84
34 :73 56E 6 78 64 6 66466B4 7 67 ; 8 3 86438:; 6 57 758 ; 3= 54 4 > < 75<
46 <8; < 74; 5 73 4
<8 7 ? 73 4 $ ! *# 5 ;5<74; 737 *- L 8 9 73 48 ? 64 @4; : 7 5 46 A4 4 > 4B 4 7 ;+ L
A4 4 74B> 8 ;< 8:; 4 65: < 8:: > 64 ; 5 = 5 64 68 3 4 67 ; 9 73 4 98 ; 87 737 L 8 9
38643 8 :; : 7 5 46 A4 4 8 7 5 64 ; + L 8 9 73438643 8 :;6 3; < 35:; 4 9 4< 46 8 ; 73 43864

/ $ )! * -
!;
7 56 I46758 ? :4 737 B867 8 9 A8E >:<46 3@ 48<<>758 : 3H ;6 737 4C >8 64 A8E 4 6 78 3 5=3 56E8 9
<
87 < 75 = 8 7 8: 8 < <>758 : 3 4 :73>8 ?
:4B6 ?7 :68;564 646 4: 74; 78> 8 84 @ 5 8B4 7 : 3 4 :73
; 6 57 758 < E 689 >874< 75@4 4I5> B4 76 6 A4:: 6 : <
E8 9 A 4 466 ; 4= :5=
4 <4 5 75:5H5 =73 4B
<
8 B> 8 ;4; ? > 8 86 > 4@ 5658 8 98 <
<>758 : : A6 4C< 4 ?74 734 B =57 ;4 8 98<<>758 : 3 4 :73
>8 ?:4B6 5 734< 87 73 4 B84/ 5 ;4I 74 ; 7 ; 5 4995< 54 7 56E 66466B4 7 7 73 4> :<46 89 A8E
3@ 4 ;8A 65H4; 734 B =57 ;4 8 9 73464 >8 ?:4B6 ; :4; 787345 ?45 == 5@
4 6B :: 774 758
 8 ?:4B6 668 <5 74; A5738 <<>758 : 3 4 :733@ 4? 44 77 5?74; 78B 9 < 786/ 6 < 3 6 5 ;4I 74
468 < 46/ >88 >? :5< A 4 466 ; > 75< 5>758/ : < E8 9 67 74= 546 ; 5 74= 74; > : 6 8 A8E >:< 4
A 674 B = 4B4 7/ 5 ;4I 74 > 8:5<
546 =8 @4 5 =A 674 ;56> 8 6 : ; 3H ;86 < 34B5<:6/ 5 ;4I 74 : A6
; 4=: 7586 ; A4 E4 98< 4B4 7 8 9 4C 5675 =: A6 $8 A4@ 4 / 734 4 56 44; 783@ 4 > 8
:5< 5 > :< 4/
A3 5<3 ;@ 8<746 > 4 58;5<4CB5 758 8 9 A8E 4 6 784 ? :4 4 : ;474< 758 8 9 3 4 :73>8 ?:4B6 ; 4 78
8 <
<>758 5B5: : / 73 4 4 56 5 ;4I 74 :4= 56: 758 >8 74< 75 =>? :5<3 4 :73 ; 73 44 @ 5 8B4 7 9 8 B
<34B5<:6 737 3@ 4 45734 ? 44 ? 4; 8 4 67 5< 7: 4=: 74; 5 ;4@ 4:8> 4; <8 7 546 4= 567 758 8 9
5 ; 67 5 : ; < 86 B4 < 3 4B5<:6 56 8 7 47 5 > :< 45 H 5 / ; 73 4 B8 7 8 96 < 3< 3
4B5<:6 737 4
5B> 874; 98 :8 <: 64 ; 73 8 64 B 9 < 7 4; :8 <:: 56 E8 A 3 4 > :5 B4 7 36 >664; <7 78
>8 74<7 734 >? :5<9 8 B< 3 4B5<:6 737 3@ 4? 44 ? 4; 4:64A3 44

2 # )! * !4 !"
87 $4 :73 4 @ 5< 46 4 5B> 87 7 5 73 4< 87 8 :8 9 ;564 646 8 9 5 74 758 : ; :8 <: < 8< 4 6 A4:: 6
5B> :4B4 7 758 8 9 5 74 758 : 3 4 :73 4=: 7586 3 4 4 :687 6E 4; A57373 4 46> 865? 5:57 8 9
<87 8 ::5 =73 4 5B> 87 758 ; 4C > 87 758 8 9 988 ; 67 996/ < 34B5<:6/ ? 58:8 = 5<: ; ;58< 75@ 4 B 74 5 :6
;8 73 4 = 88;6 737 B 994< 7 >? :5<3 4 :73 3 4 5 <4 65 = : 5 74 < 8 4< 74; A8:; >8 @ 5;46 B 5 ; 8 9
8 >>87 57546 98 73 4 > 5; 6>4 ; 8 9 5 94< 7586 ;564 646/ ;58 < :4 ; 78 C 5<734 76/ 73 56 36 :4; 7873 4
4C > 658 8 9> 87 3 4 :7364 @ 5<46 7 > 876 8 94 7 9 8 B 78 5 *
$8 A4@ 4 / B8 67 89 73 4> 87 3 4 :738 995< 46 : <E6 995< 54 7 B? 4 8 9 6E 5::4; > 4 68 4:/ 8 995< 4 < < 8 BB8 ; 758
; A8E 5 =4I5> B4 76 6 46 :7/ 73 4< 8 7 4B 5 6 7 3 5= 3 56E8 9 < I5 5 =5 94< 7586 ;564 646 9 8 B
8765;4 73 4<8 7 8 5 95:7 758 8 96 ? 67 ; ; 8 ; = 4 86 < 8 BB8 ;57546 @ 4 4 B84 73 +
!

B5::58 7 @ 4:4 6 9 8 B ;5994 4 7 < 8 7 546 5@ 46 5 H 5 738= 35 74 758 : < 8@ 4 < 46M63 5>
6/
5 < 976 ; 8; @ 43 5<
:46 A3 5:4 B84 73 / 5 74 758 : < 8@ 4 < 46 4 74 6 73 4 < 87
),-/ 78 7:8 9 / ) - 5 74 758 : < 8@ 4 < 4/ + /- '/)- E = 68 9 3 4B5<:6 5 68 :5; 98B ;
/ + /)' /*)' E = 6 8 9 98 8;67 99 A4 4 5 6> 4< 74; 98 3 4 :73 5= 4 ' 63 8 A6 73 4 > 4< 4 7= 4 89
5 74 758 : < 8@ 4 < 46 5 4 635> 6/ 5 < 976 ; 8; @ 43 5<:46 5 6> 4< 74; 7 > 876 8 94 7

(n = 18,607).

Aircrafts
71%

Buses
7%
Ships
9% Trucks
Others 13%
0.1%

% ': P ERCENTAGE OF I NTERNATIONAL C ONVEYANCES I NSPECTED AT P ORTS OF

E NTRY M AINLAND T ANZANIA 2006 – 2007
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