Tanzania is a country in eastern Africa within the Great Lakes region, with a population of 56 million people. The country’s life expectancy is 59.9 (male) and 63.8 (female). Tanzania’s health system follows a pyramidal structure, from village dispensaries and community-based activities at the base (under the responsibility of local government authorities), to ward, district, and regional level hospitals and finally referral and national hospitals at the summit. The 1967 Arusha Declaration set Tanzania on a path towards nationalized healthcare, but in the face of rising costs, cost sharing policies were implemented beginning in the 1990s; today the government runs four health insurance schemes alongside multiple private options, but the vast majority of the population remains uninsured, leading to significant inequities in access to care. Tanzania’s 4th Health Sector Strategic Plan (2015-2020) provides for a new health financing strategy aimed at helping the country achieve universal health coverage, by addressing this complex and fractured health insurance market. The UHC Partnership will initiate its engagement in Tanzania in 2019. You can access important country documents by clicking here.