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Tanzania: Fight for Malaria

By Ally Akrabi | 27 Jul, 2017

Tanzania is one of the east African country that lies in the tropics of the southern hemisphere. According to 2012 census it was estimated to have more than 49.3 million people and 44.1% were less than 15 years and about 70% are in the rural areas (1).

Tanzania is one of the endemic country for Malaria thus more than 10% of all-cause mortality is due to Malaria especially children under five (2).

The government in collaboration and support with many agencies strive to fight off Malaria. About 95% of the population at risk use mosquito-treated nets in 2012 from 38% usage in 2008 (3).

Spraying of insecticides in the households has been the program of progress in the country to kill the vectors. 14% of households had been sprayed with insecticide up to 2012 and 95% in 2016 (4).

Mass campaign through media, advertisements and artists to sensitize the population on the prevention of Malaria by living healthy lifestyles, clearing of bushes, use of prophylaxis for pregnant women and early medical consultation in case of suspicion. Likewise local environmentalists visit the villagers and households in the towns to inspect and advise on their surroundings.

Pregnant women are given Malaria prophylaxis during their second and third trimesters and filled in their antenatal cards as required by the ministry of health of the country.

Wide availability of rapid malaria test kids (RDTs) for quick Malaria tests and Artemisinin drugs for uncomplicated and complicated Malaria and guidelines for use for the health providers is looked at making Malaria easily identifiable and treated even in limited-resource settings.

Moreover, reporting systems for Malaria as well as other diseases has been set and reports are followed up regularly from the district level through ministerial level to world health agencies and partners.

Despite all the efforts to fight off Malaria, challenges are always persistent due to insufficient funds and budget for Malaria, poverty and ignorance of the population especially in the villages, access to preventive measures and inadequate reporting.



Vincent Ndayiragije Replied at 8:17 AM, 27 Jul 2017

Thank you very much Ally for the discussion. It is very interesting.
Which medications(molecules) do you use for prophylaxis in pregnant women
in different trimesters?
I'm looking forward to your feedback.

Pierre Bush, PhD Moderator Replied at 1:33 PM, 28 Jul 2017

Thank you Ally for this information. According to the President's Malaria Initiative (2015), Tanzania has a solid foundation to build on in order to move toward malaria control and pre-elimination, especially Zanzibar. (https://www.pmi.gov/docs/default-source/default-document-library/malaria-oper...)

Keep up the fight and use the resources that have been provided to you by the PMI, and other donors.
Highest Regards.

Attached resource:

Maimunat Alex-Adeomi Moderator Replied at 1:43 PM, 28 Jul 2017

Thank you Ally for starting this discussion on updates and challenges with malaria control in Tanzania. Also thank you Pierre for providing information on the PMI operational plan for Tanzania.

Ally, with the geographical distribution you have highlighted as well as poverty and other socio-economic factors making it more challenging to tackle malaria, it would be interesting to see what other stakeholders and government agencies are involved in the horizontal approach to tackle this i.e ministries of finance, education, environment etc.


William Jobin Replied at 2:51 PM, 28 Jul 2017

Dear Colleagues in Tanzania and elsewhere:

In 2005 I helped start the US PMI in Angola, and have thus followed its progress with interest for the past decade.  Your recent discussions on the decrease in outside funding is important, but you should also see that investment in malaria suppression is a good idea for all countries with an agricultural economy.

Thus, you should be interested in my analyses of impact of PMI on not only child survival, but on increased agricultural productivity, the net result being that per capita productivity increased, despite rapid population growth. I was particularly concerned that the increased survival rates due to malaria control might overwhelm the increased agricultural productivity.  Such was not the case however, so Rev. Malthus lost out on this one !

Please note that the my publications in journals of the Africa Policy Group at Harvard are a little hard to access.

Jobin W: Increased economic productivity after suppressing malaria transmission in 14 African countries. Africa Policy Journal. 2014. See: http://apj.fas.harvard.edu/increased- economic-productivity-after-suppressing-malaria- transmission-in-14-african-countries

Jobin W: Suppression of malaria transmission and increase in economic productivity in African countries from 2007 to 2011. MalariaWorld Journal. 2014, 5 :4.

This analysis shows a return on investment in malaria control of 3.4 to 1, an amazingly valuable investment.

Thus for East African countries with agricultural economies, malaria control is a really good idea, without outside help.

William Jobin
William Jobin25558 Road N.6Cortez, Colorado 81321 cell fone- 1 970 317 3881email-

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