Primary Health Care in Tanzania through a Health Systems Lens

A History of the Struggle for Universal Health Coverage

September 2023
More details
  • Publisher
  • Published
    14th September 2023
  • ISBN 9781800623316
  • Language English
  • Pages 288 pp.
  • Size 6" x 9"

Robust health care systems are paramount for the health, security, and prosperity of people and countries as a whole. This book provides for the first time a chronicle of the struggle for, and eventual success of, universal health coverage (UHC) in Tanzania. Beginning with an introduction to primary health care in the country, from its historical foundations to the major milestones of implementation, this book then considers stewardship of this important aspect of health systems over time. Written in a way to allow the application of lessons learned to other countries’ contexts, this book covers:

  • Policy and governance issues such as leadership, human resources, and financing of health systems;
  • Practical aspects of health system delivery, including supply chains, community care, new technologies, and the integration of services for particular population groups;
  • The impact and mitigation of global events on health systems, such as resilience and preparedness in the light of disease outbreaks or climate change, and social, commercial, and political influences.
Concluding with a look to the future, forecasting the changes and new solutions needed to adapt to a changing world, this book is a valuable reference for policy makers, global health practitioners, health system managers, researchers, students, and all those with an interest in primary health care and reforms - both in Tanzania and beyond.





1. Introduction to Primary Health Care

2. Leadership and Governance for Primary Health Care in Tanzania

3. Human Resources for Health

4. Primary Health-Care Financing and Resource Mobilization

5. Health Commodities Supply Chain

6. Health Management Information and Evidence in Primary Health Care in Tanzania

7. Health-Service Delivery

8. Community Health Within Primary Health Care

9. Achieving Health-Systems Resilience in Tanzania

10. Beyond Health-System Building Blocks: Context and Determinants of Health

11. Looking to the Future of Primary Health Care in Tanzania


Ntuli Angyelile Kapologwe

Ntuli Angyelile Kapologwe is the Director of Health, Social Welfare and Nutrition Services (DHSWNS) at the President’s Office - Regional Administration and Local Government Authorities (PORALG). Dr Kapologwe has exercised leadership in many institutions, associations, alumni and organization bodies, also he works on several committees at both National and International levels. He has more than 50 articles published in international peer-reviewed journals and is a journal board member of the East African Journal of Applied Health Monitoring and Evaluation.

James Tumaini Kengia

Dr. James Tumaini Kengia works at the President’s Office-Regional Administration and Local Government (Po-RALG) as a Coordinator for Regional Health Management Teams (RHMTs), Research and Publication. Dr. Kengia is also a focal person for Data.FI (Data for Improvement Project) jointly implemented with USAID (Through Palladium) & UNICEF and also participate in the management of a CDC-funded HIV/AIDS project developed to accelerate the implementation of Health Policy and Strategies for HIV/AIDS Treatment Services through the President’s Office - Regional Administration and Local Government (PORALG). 

Van Praag

Dr. Van Praag is currently retired, but still active as a Health Systems and Community Care advisor to various government bodies, research projects and NGOs in Tanzania. Recent consultancies include UNICEF and the Joep Lange Institute of the University of Amsterdam, supporting innovative adolescent care and operational research in various regions. Previously, he held the position of technical specialist of FHI360 and Country Director for FHI for 12 years in Tanzania. He has over 30 years of clinical, epidemiological and public health leadership in countries in Asia and Africa as well as at the Geneva headquarters of WHO, where for 10 years he was the coordinator for HIV Care.

Japhet Killewo

Japhet Killewo is a professor emeritus at the Muhimbili University of Health and Allied Sciences (MUHAS) in Tanzania where he has been teaching epidemiology. Killewo has critically reviewed a considerable number of research proposals and manuscripts for various peer reviewed international journals and has published widely in local as well as international journals, having written chapters in books and edited a section in the International Encyclopaedia of Public Health. He is also the Editor-in-Chief of the derivative volume on Epidemiology and Demography in Public Health and has more than 125 published articles in journals to his credit as of November 2022.

Albino Kalolo

Dr. Albino Kalolo is a Senior Lecturer and Researcher in Public Health at St Francis University College of Health and Allied Sciences in Ifakara, Tanzania. He is currently involved in training medical students and other trainees in Epidemiology, Community Medicine and Research Methodology. Before joining the university, he served for six years in the Tanzanian district health system at the capacity of medical officer in charge of a district hospital and a District Medical Officer. 

health systems; African health systems; the Tanzanian health system; health policy; public health; primary health care; universal health coverage; health research resilience; health systems and the community; health system supply chains; health leadership and governance; sustainable development goals; health system history; Tanzania