Through programs funded by the CDC and USAID, MSH works with Tanzania’s public health institutions to strengthen systems and services across the HIV care spectrum, including digitizing patient data for evidence-based decision making and strengthening human resources for health and quality of services. MSH also supports global health security activities, such as optimizing the use of antimicrobials and strengthening infection prevention and control practices. 


  • Helped develop a health client registry—a groundbreaking innovation that gives each patient a unique health sector identifier and enables support of data among information systems and continuity of HIV and other services.


  • Supported the development and implementation of continuous quality improvement and task-sharing programs to help address service gaps, particularly for HIV and AIDS prevention, detection, and treatment.


  • Helped the medicines regulatory authority develop and roll out the accredited drug dispensing outlet (ADDO) program, a public-private partnership, to improve access to quality medicines in underserved areas that have frequent drug shortages. More than 14,000 shops have been accredited nationwide. ADDO dispensers are trained to refer complicated cases to a health facility, and 99% of shoppers presenting a pneumonia scenario received an antimicrobial (54%), a referral (90%), or both (45%), which are recommended practices for managing pediatric pneumonia. In addition, an analysis of 202 medicine samples from ADDOs showed that more than 90% met quality standards.


  • Developed a system to support ADDOs in referring presumptive TB cases from TB diagnostic centers. One study found that of 587 people referred by drug sellers for TB diagnosis, 14% were confirmed as TB patients.


  • Helped the national TB program adopt an electronic quantification tool to provide more timely, accurate, and reliable data on stock supplies and patient enrollment. Stock-outs of first-line medicines decreased from 29% to 11% and of second-line medicines from 17% to 9% from January 2014 to April 2016.

Our Projects

Project Name Health Systems Health Areas Date
The Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program Pharmaceutical Management, Global Health Security Malaria, Women's, Children's, and Adolescents' Health, Tuberculosis, HIV & AIDS 2018 - 2023
Public Sector Systems Strengthening Plus Leadership, Management & Governance 2020 - 2024
Tibu Homa
Malaria Malaria 2011 - 2016
Tuberculosis Indefinite Quantity Contract
Leadership, Management & Governance Tuberculosis 2009 - 2014
Supply Chain Management System
Pharmaceutical Management HIV & AIDS 2006 - 2016
Sustainable Drug Seller Initiatives
Pharmaceutical Management Women's, Children's, and Adolescents' Health April 28, 2011 - September 30, 2014
Launch DSI
Pharmaceutical Management HIV & AIDS, Tuberculosis, Women's, Children's, and Adolescents' Health, Malaria August 05, 2015 - July 31, 2019
Tanzania Technical Support Services Project
HIV & AIDS HIV & AIDS 2016 - 2021
African Strategies for Health
Leadership, Management & Governance, Financing Health Services Malaria, Tuberculosis, Women's, Children's, and Adolescents' Health, HIV & AIDS 2011 - 2016
Angaza Zaidi Project
Leadership, Management & Governance HIV & AIDS 2008 - 2013
Capacity Project: Tanzania
Leadership, Management & Governance 2009 - 2013
Tanzania Institutional Capacity Building Program
Leadership, Management & Governance HIV & AIDS 2010 - 2013
MEASURE Evaluation
Leadership, Management & Governance HIV & AIDS, Malaria 2008 - 2017

Country Team