Though the private sector is an important source of priority health products and services in Tanzania, it has yet to be fully used to lessen pressure on the public sector and further improve health outcomes for all Tanzanians.

The government of Tanzania has made significant strides in improving the delivery of essential health services and commodities. Among the percentage of children presenting with fever who received antimalarial drugs, artemisinin-based combination therapy use increased from 8 percent in 2004-2005 to 85 percent in 2015-2016. Modern contraceptive use has increased from 27 percent to 32 percent since 2009-2010. Tanzania is one of 24 priority countries under USAID’s effort to end preventable maternal and child deaths. Sick child care-seeking levels are high in Tanzania (64%), with caregivers seeking care from both the public and private sectors.

However, substantial health and development challenges remain. Tanzania’s ability to address these health challenges and achieve its development goals is constrained by a variety of factors. While the private sector contributes additional skilled health workers and facilities, Tanzania continues to struggle with a shortage of human resources for health and poor infrastructure within the public sector. SHOPS Plus partners with private and the public sector partners to increase the capacity of the private sector to provide priority health products and services by:

  • Increasing the technical skills and financial viability of private providers
  • Improving ownership of total market approaches within Tanzanian governmental and nongovernmental institutions by developing and facilitating the implementation of total market approach strategies for HIV, MCH and family planning markets
  • Creating an enabling environment for the private sector by improving dialogue, policies, and regulation of the private sector
  • Ensuring private sector representation at national and subnational levels through data and advocacy
  • Supporting linkages between manufacturers, distributors, wholesalers and social enterprise organizations to market opportunities

Highlights from program activities from December 2016 through April 2020:

Icon of family planning products
New social enterprise products introduced
Icon of a hand holding out a dollar symbol, representing a loan
Loans to the health sector
Icon of a mortar and pestle with the medical cross, representing a pharmacy
Accredited drug dispensing outlets trained to enter data into District Health Information Software 2

Program Components

Program Components

Increasing access to health insurance

SHOPS Plus is mapping HIV/AIDS services in the private and public sector to improve access to financial protection for HIV services through private providers. Digital Health, Health Financing
Program Components

Increasing technical skills of private providers

SHOPS Plus has worked closely with key stakeholders to strengthen the practical clinical skills of over 50 nursing and midwifery students studying at private medical training institutions. Provider Quality, Family Planning, HIV
Program Components

Strengthening ADDO business and financial practices

SHOPS Plus is helping to build the capacity of ADDO zonal training schools to deliver comprehensive and holistic training through expanded educational modules covering business and financial management and family planning. Provider Quality, Networks and Franchising



Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.

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