PMI Impact Malaria




PMI Impact Malaria in Tanzania

PMI Impact Malaria (IM) is the flagship global service delivery project of the U.S. President’s Malaria Initiative (PMI). To fight malaria and save lives, IM is supporting mainland Tanzania’s national malaria control program (NMCP) and Zanzibar’s malaria elimination program (ZAMEP) in their efforts to strengthen malaria service delivery.

In 2020, IM began working with mainland Tanzania’s NMCP and ZAMEP to improve the quality of malaria services at the facility and community level, with an emphasis on appropriate diagnosis and treatment as well as improved prevention of malaria in pregnancy.

To advance malaria service delivery throughout Tanzania, IM focuses mainly on bolstering national diagnostic capacity, strengthening health provider competence, and enhancing the country’s ability to collect and use data for decision-making.


Malaria Country Context

Tanzania’s entire population of about 56 million people is at risk of malaria. Stable perennial malaria transmission occurs in most of the country, with some areas experiencing seasonal variation. Transmission varies significantly among and within regions with a “corridor” of low transmission running from northeast to southwest of mainland Tanzania. High transmission areas are consistently found in the north, northwest, and southern regions. In Zanzibar, the number of annual malaria cases identified is low but on the rise. The malaria parasite species Plasmodium falciparum causes most infections.

Malaria continues to be a major public health issue in Tanzania, with an estimated 7.7 million malaria cases each year. Despite considerable progress as a result of insecticide treated nets, indoor residual spraying, and artemisinin combination therapies, the country remains among the top ten countries with the highest malaria cases and deaths.


This is PMI Impact Malaria’s geographic coverage in Tanzania:


PMI Impact Malaria has supported Tanzania in achieving these initial accomplishments:

  • Supported ZAMEP to complete the baseline Malaria Service and Data Quality Improvement (MSDQI) outreach training and supportive supervision round in Zanzibar.
  • Transitioned regional and council health management teams using MSDQI from a paper-based system to the Electronic Data System in Katavi province to facilitate real time analysis.
  • Facilitated NMCP’s regular MSDQI rounds in Katavi, Lindi and Mtwara to improve malaria service delivery and data quality.
  • Conducted a diagnostic capacity assessment, including meetings with diagnostic leads and visits to national laboratories to audit the national malaria slide bank and assess diagnostic training facilities on the mainland and in Zanzibar.


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Photo Credit: Riccardo Gangale, VectorWorks, Tanzania 2016

Sources: PMI’s Tanzania Country Brief, PMI’s Tanzania Malaria Operational Plan FY 2019, 2019 World Malaria Report United Republic of Tanzania Country Profile (Mainland and Zanzibar), PMI Impact Malaria Tanzania, and Tanzania’s NMCP and ZAMEP