1. Tanzania: Country Profile
The United Republic of Tanzania is an East African country with a population of over 50 million. As
of 2014, Tanzanians have a life expectancy of 64 years and a five percent child mortality rate.
Malaria is the third-leading cause of death in Tanzania behind HIV and lowerrespiratory infections,
accounting forseven percent of deaths.i However,with the help of the Global Fund, the U.S.
President’s Malaria Initiative (PMI)and other stakeholders, Tanzania has made significant progress
in the fight against malaria in the last decade, decreasing malaria incidence and drastically
decreasing the frequency of malaria deaths.ii
From the WHO’s World Malaria Report 2015
MalariainTanzania
The number of malaria cases in Tanzania has steadily declined in recent years, from a peak of
almost 13 million as recently as 2010 down to under 7.5 million in 2014.iii In conjunction, the
portion of households withaccess to an insecticide-treated bed net has increased from 72% to 91%
over the same period.iv There is also a major difference between the malaria situation in mainland
Tanzania and in Zanzibar, a semi-autonomous archipelago off the coast of Tanzania. Zanzibar has
seen a rapid decrease in malaria deaths, from a peak of 390 in 2001 downto just twoin 2013, with
eradication a distinct possibility in the near future.v
From the WHO’s World Malaria Report 2015
0
5
10
15
20
25
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Malaria in Tanzania (2003-2014)
Presumed and confirmed cases (in millions) Reported deaths (in thousands)
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Malaria deaths 379 390 374 308 312 247 137 64 92 80 48 7 8 2 5
0
100
200
300
400
500
Reported Malaria Deaths in Zanzibar (2000-2014)

2. HIV in Tanzania:
The Global Fund to Fight AIDS, Tuberculosis and Malaria and the President’s Emergency Plan for
AIDS Relief (PEPFAR)werebegun nearly in tandem, withPEPFARbecoming operational in 2003
and the Global Fund beginning operation in 2002. In the last 13 years, these initiatives have worked
side by side to end the HIV/AIDS epidemic. Their effortshave helped bring down the HIV
prevalence in Tanzania from 7.4% in 2003 downto 5.3% in 2014.vi
From UNAIDS’ AIDSinfo
TBin Tanzania:
The Global Fund has extended resources to Tanzania to fight tuberculosis both on its ownand as it
intersects with HIV. In 2013, it was estimated that 30,000 of the 81,000 new cases of TB in Tanzania
were in people with HIV.vii In the last 13 years, the prevalence of TB in Tanzania has plateaued
while the incidence has dropped steadily, froma peak of 83,000 infections in 2005 downto 81,000
in 2013.viii
From the WHO’s Global Tuberculosis Reports 2013 & 2014
7.90% 7.80%
7.60%
7.40%
7.20%
7%
6.80%
6.60%
6.40%
6.20% 6.10%
5.90%
5.70%
5.50%
5.30%
5.00%
5.50%
6.00%
6.50%
7.00%
7.50%
8.00%
8.50%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Estimated HIV Prevalencein Tanzania (2000-2014)
74
76
78
80
82
84
86
88
2000 2005 2010 2011 2012 2013
Estimated TB Incidenceand Prevalencein Tanzania, in
thousands (2000-2013)
Incidence Prevalence

3. TheGlobal FundinTanzania
The Global Fund worksside-by-side with PEPFAR,PMI,and other bilateral programs to end the
HIV/AIDS, tuberculosis, and malaria epidemics globally. As an independent, multilateral financing
mechanism, the Global Fund does not implement the programs to whichit provides grants. Instead,
partners from governments, civilsociety organizations, the faith community, private sector
companies and those affectedwith the diseases help Global Fund-financed programs with the
management and technicalexpertise needed to achieve results. That being said, activecollaboration
between the national government, PMIand the Global Fund is the backbone of Tanzania’s national
malaria control program.
The Global Fund has committed nearly $1.7 billion to Tanzania, nearly half a billion of which has
gone to malaria. This money went to the distribution of 23 million insecticide-treated bed nets each
year from 2011 to 2015.ix The Global Fund has also committed nearly $50 million to tuberculosis,
nearly $1 billion to HIV/AIDS, and nearly $75 million to the intersection of both, as well as an
additional $110 million for general health systems strengthening. Global Fund programs currently
have 590,000 Tanzanians on antiretroviral treatment forHIV, and in 2015 alone 36,000 cases of TB
were detected and treated through Global Fund-sponsored smear tests.x
The Global Fund has the followinggrants open in Tanzania:
 SustainingandImprovingMalariaDiagnosisandTreatmentinTanzania(Malaria) – A
nearly $200 million grant to Tanzania’s Ministry of Finance to improve access to artemisinin-
based malaria treatment and mechanisms of diagnosis through a strengthening of malaria
surveillance.xi
 SustainingtheMomentum:TheMarchTowardsUniversal Accessto HIV andAIDS
ServicesinTanzania(HIV/AIDS) – A nearly half-billion dollar grant to Tanzania’s Ministry of
Finance to improve quality of service by improving access to HIV drugs forall in Tanzania, the
training of health workers, and coordination between key public and private stakeholders.xii
 CondomProcurementfortheSocial MarketingSector(HIV/AIDS) – A$50 million grant
beginning in 2005 and facilitatedby Population Services International designed to assist in the
distribution free male and female condoms to sexually active Tanzanians by the Ministry of
Health through a social marketing campaign.xiii
 Scaleup TB andHIV interventionsinTanzania(TB/HIV) – An $8million grant facilitated by
Save the Children to combat co-infectionof HIV and tuberculosis in Tanzania.xiv
 Scaleup TBandHIV interventionsinTanzania(HIV/AIDS) – Anearly quarter-billion dollar
grant to Tanzania’s Ministry of Finance targeting the HIV side of HIV/TB coinfection.xv
 Scaleup TBandHIV interventionsinTanzania(TB) – A $12.5 million grant to Tanzania’s
Ministry of Finance targeting the TB side of HIV/TB coinfection.xvi
 EnhanceHIV PreventionServicesinTanzania(HealthSystemsStrengthening) – A$110
million grant to Tanzania’s Ministry of Finance to help improve health workerproduction,
training, staffing, and retention as wellas information systems, quality of medical supplies, and
stewardship of the healthcare system. This systematic strengthening of the health care system
will help the Tanzanian government achieve its goals in combating HIV/AIDS, malaria, and
tuberculosis.xvii

4. i http://databank.worldbank.org/data/reports.aspx?source=2&country=TZA&series=&period=
ii http://apps.who.int/iris/bitstream/10665/200018/1/9789241565158_eng.pdf?ua=1 (p. 226)
iii http://apps.who.int/iris/bitstream/10665/200018/1/9789241565158_eng.pdf?ua=1 (p. 226)
iv http://www.who.int/malaria/world_malaria_report_2011/9789241564403_eng.pdf (p. 220)
v http://apps.who.int/iris/bitstream/10665/200018/1/9789241565158_eng.pdf?ua=1 (p. 242)
vi http://aidsinfo.unaids.org/
vii http://apps.who.int/iris/bitstream/10665/137094/1/9789241564809_eng.pdf (p. 160)
viii http://apps.who.int/iris/bitstream/10665/91355/1/9789241564656_eng.pdf (p. 159)
ix http://www.theglobalfund.org/en/portfolio/country/?loc=TZA
x http://www.theglobalfund.org/en/portfolio/country/?loc=TZA
xi http://www.theglobalfund.org/ProgramDocuments/TZA/TNZ-M-MOFEA/TNZ-M-MOFEA_GA_0_en/
xii http://www.theglobalfund.org/ProgramDocuments/TZA/TNZ-809-G13-H/TNZ-809-G13-H_GA_0_en/
xiii http://www.theglobalfund.org/ProgramDocuments/TZA/TNZ-405-G06-H/TNZ-405-G06-H_GA_0_en/
xiv http://www.theglobalfund.org/en/portfolio/country/grant/?grant=TZA-C-STC
xv http://www.theglobalfund.org/en/portfolio/country/grant/?grant=TZA-H-MOF
xvi http://www.theglobalfund.org/en/portfolio/country/grant/?grant=TZA-T-MOF
xvii http://www.theglobalfund.org/ProgramDocuments/TZA/TNZ-911-G14-S/TNZ-911-G14-S_GA_0_en/