Tanzania is rich in natural and extractive resources such as gold, diamonds and tanzanite. Yet, nearly 20 million of its 39 million people live in poverty – without basic health care that could prevent thousands of infectious disease-related deaths each year. Preventable diseases, such as HIV/AIDS and malaria, are also stunting the country’s economic growth.
In 1993, PSI opened a Tanzania office to begin tackling the East African nation’s largest health issue – the growing HIV/AIDS epidemic. Later, it branched out with malaria and water-borne disease prevention campaigns.
To address Tanzania’s reproductive health burden and health system deficiencies, PSI/TZ launched the Tanzania Familia network in 2009, a clinical social franchising initiative that applies social marketing principles and efficiencies to the delivery of health services in the private sector. The Familia network of private providers adheres to PSI/TZ’s client care standards and procedures for delivering high-quality family planning and maternal care services. Providers are incentivized to join the network: they receive extensive training and support, access to equipment and subsidized RH commodities and increased positive visibility from the Familia network branding and promotions. In exchange, providers offer RH services that fulfill the four primary goals of social franchising: access, cost effectiveness, quality and equity, with an emphasis on reaching those Tanzanians most in need.
PSI/Tanzania’s HIV prevention program uses commercial marketing strategies to promote Salama condoms and Care female condoms to high-risk groups, such as truck drivers, commercial sex workers and other migrant populations. The program builds trust in these products though cultural theater groups, mobile video shows and sensitization workshops. In the 1990s, Tanzania posted one of the largest increases in contraceptive use – 2 percentage points per year. And the name Salama – which means “safe” – is now the generic word for condom.
PSI/Tanzania also proactively reaches out to young adults ages 15-24. Less than 50% of this age group can name the five most important elements of transmission; and only 17% of women and 26% of men said they used condoms the first time they had sexual intercourse.
PSI/Tanzania is a major player in the fight against malaria – the No. 1 cause of death of children under 5 years old, and the third highest cause of adult death. Malaria also increases the risk for pregnant women to have low birth weight/premature babies, maternal anemia and stillbirths.
Intense community mobilization promotions have made Ngao insecticide retreatment brand a household name. PSI/Tanzania has also helped the Ministry for Health and Social Welfare Services (MOHSWS) develop comprehensive communication materials to educate the public about new treatments.
PSI/Tanzania empowers women to overcome traditional gender stereotypes and take advantage of available contraceptives, such as:
- Care female condoms.
- SafePlan Injectolette (injectable).
- SafePlan Microlette (oral).
Water, Sanitation and Hygiene
Access to safe water and sanitation can help decrease the high prevalence of water-borne diseases, such as diarrhea and cholera, in both urban and rural Tanzania. In 2002, PSI/Tanzania (in collaboration with the MOHSWS and Ministry for Water) launched a program for WaterGuard, a household water treatment solution. In 2005, WaterGuard became available in tablet form, which is more user-friendly due to longer shelf-life. And PSI/Tanzanian’s local drama performances model proper hygiene.
- The Global Fund To Fight AIDS, Tuberculosis and Malaria
- United States Agency for International Development
- The Federal Republic of Germany through KfW Entwicklungsbank (the German development bank)
- Embassy of the Kingdom of the Netherlands
- Irish Aid
- Ministry for Health and Social Welfare
- Ministry for Water
- Tanzanian Commission for AIDS
- National Malaria Control Program
- Other local agencies
- Simplified Asset Indices to Measure Wealth and Equity in Health Programs: a Reliability and Validity Analysis Using Survey Data from 16 Countries
Many program implementers have difficulty collecting and analyzing data on program beneficiaries' wealth because a large number of survey questions are required to construct the standard wealth index. We created country-specific measures of household wealth with as few as 6 questions that are highly reliable and valid in both urban and rural contexts.
- Improving Rational Use of ACTs Through the Introduction of mRDTs to the Formal Private Sector in Tanzania
Working with the National Malaria Control Program, and with support from UNITAID, PSI Tanzania and its partners are stimulating the creation of a private sector market for quality-assured malaria RDTs and quality case management services.
- Market Trends for Malaria Blood Testing in Sub-Saharan Africa, 2009-2014
In 2012, the World Health Organization (WHO) launched the Test, Treat, Track initiative recommending confirmatory testing prior to antimalarial treatment. National malaria control programs (NMCP) across subSaharan Africa (SSA) subsequently aligned national guidelines with this recommendation. Strategies to scale up testing using malaria rapid diagnostic tests (mRDT) were introduced by NMCPs. We examine malaria testing availability, price and market share using national market survey data collected by the ACTwatch project.
- Sp Availability and (Mis)Use in Sub-Saharan Africa: Antimalarial Market Data From 8 Countries
As evidence of reduced chloroquine efficacy against plasmodium falciparum mounted in the 1990’s, sulfadoxine-pyrimethamine (SP) became first-line malaria treatment in many endemic countries in sub-Saharan Africa (SSA). Between 2002-2005, countries in SSA adopted artemesinin combination therapies (ACT) as first-line treatment. SP is still recommended by the WHO and used across SSA for intermittent preventive treatment of malaria during pregnancy (IPTp). We examine availability and distribution of SP using national antimalarial market survey trend data collected by the ACTwatch project.
- Approaches to Measuring Equity: Methods & Pilots from 12 Franchise Programs
PSI's presentation at the iHEA conference highlighted equity results from social franchising programs and introduced standard methods for the collection and analysis of equity data.
- Ngao Mosquito Net Ad – Tanzania
This is an advertisement for Ngao Mosquito Nets in Tanzania.
- UNITAID Private Sector RDT Project
This one pager outlines how the UNITAID Private Sector RDT Project aims to stimulate the creation of a private sector market for malaria, the project's expected impact and outcomes, and the partners involved.
- Prevalence and Correlates of Physical and Sexual Violence among Female Sex Workers in Tanzania
Data on sexual and physical violence among female sex workers (FSWs) are limited in Tanzania. PSI analyzed the first national HIV Bio-behavioral Survey data to examine prevalence and correlates of physical and sexual violence in this population. Quantifying the problem and understanding its effects on HIV infection and risk are important for policies and programming. Presented at 2014 International AIDS Conference.
- Social Vulnerability Predicts Consistent Condom Use Among Female Sex Workers in Tanzania
Female sex workers (FSWs) in Tanzania have an estimated HIV prevalence 5 times higher than the general population. This presentations discusses findings from HIV/STI Biological and Behavioral Surveys from 2013, focusing on studying condom use among FSWs.
- Prevalence and Correlates of Physical and Sexual Violence Among Female Sex Workers in Tanzania
Data on sexual and physical violence among female sex workers (FSWs) are limited in Tanzania. This presentation provides an analysis of the first national HIV Bio-behavioral Survey data from 2013 to examine prevalence and correlates of physical and sexual violence in this population. Quantifying the problem and understanding its effects on HIV infection and risk are important for policies and programming.