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Government Partners

Ministry of Health and Social Welfare

Tanzania’s public health system operates at the national (strategy and policy-making), regional (technical advice and capacity building) and district (coordination and supervision of implementation) levels.  The Ministry of Health and Social Welfare (MoHSW) is responsible for overall oversight, formulation and implementation of all malaria-relevant policies. The National Malaria Control Programme (NMCP) is the main arm of the MoHSW responsible for overseeing all malaria control activities. NMCP is responsible for designing strategies, developing guidelines, mobilizing resources, facilitating implementation, and conducting M&E on progress on malaria control interventions.

In line with the decentralization introduced in the 1990s, the government has delegated decision-making power on primary healthcare to the district and regional level. The primary healthcare system is organised as a pyramidal system with different levels, including village health services, dispensary services, health centre services, district hospitals, regional hospitals, and referral/consultant hospitals.

Prime Minister’s Office - Regional Administration and Local Government

Delivery of health services is shared among the MoHSW and PMO-RALG. Consultant hospitals, zonal health training centres and special programmes fall directly under the MoHSW. PMO-RALG manages district and regional health services, including the regional and district councils.

Regional and Council Authorities

The regional and local government authorities are responsible for overseeing and implementing the malaria strategies in the communities and districts, together with implementing partners. Regional Health Management Teams (RHMTs) are responsible for monitoring the implementation of policy guidelines in the districts they supervise. The Council Health Management Team (CHMT) is responsible for council health services, including dispensaries, health centres and hospitals. The CHMT follows guidelines for planning and management of district health issued jointly by MOHSW and PORALG.

The District Medical Officer (DMO) heads the CHMT as in charge of all Council Health Services and is accountable to the Regional Medical Officer (RMO). The RMO heads the RHMT and reports directly to the Ministry of Health and Social Welfare on issues related to medical management and PMO-RALG through the Regional Administration Secretary (RAS) on issues related to health administration and management.  CHMTS are responsible for developing annual Comprehensive Councils Health Plans (CCHPs) in line with MoHSW guidelines.

The day-to-day implementation of the regional and district malaria interventions are coordinated by the Regional and District Malaria and IMCI focal persons, who are members of the RHMTs and CHMTs, respectively. NMCP maintains a technical link to the districts and regions through the RMIFPs and the DMIFPs to align to the implementation process. The regions and districts employ other health professionals who have been trained by NMCP and partners on specific subjects (e.g. malaria diagnosis and treatment, malaria in pregnancy, IRS, LLIN delivery, etc.).

Community-Level Committees

Village councils, primary healthcare committees and ward development committees are responsible for implementation of community based malaria control activities. They coordinate, with the technical assistance of the local health staff, activities of the different actors involved in the delivery of interventions at household level: implementers of development projects, community resource persons, traditional birth attendants, opinion leaders, leaders of FBOs, extension workers, teachers and private providers of drugs and other health commodities.