Country in Focus -Tanzania

Malaria is a major public health problem in Tanzania. While prevalence is lower in Zanzibar, all residents of both the Mainland and Zanzibar are at risk of infection. On the Mainland, more than 40 percent of all outpatient attendances are attributable to malaria, resulting in an estimated 7.3 million clinical malaria cases and 23,000 deaths annually.


The United Republic of Tanzania, which includes both the Mainland and Zanzibar, was selected as one of the first three PMI focus countries in June 2015. With the scale-up of malaria prevention and treatment interventions, dramatic progress in malaria control has been made throughout Tanzania. The most recent national-level data for malaria interventions (2011 MIS) continues to show impressive improvements in nearly all malaria indicators. Ninety-one percent of Mainland households owned at least one insecticide-treated net (ITN), with 72 percent of children under five years of age and 75 percent of pregnant women sleeping under an ITN. This compares with the 63 percent ownership and 64 percent and 57 percent usage reported in the 2010 Demographic and Health Survey (DHS). While the Mainland continues to focus on malaria control, decreasing malaria prevalence prompted Zanzibar to adopt a new strategy, which focuses on achieving pre-elimination by 2018.