International Development Grant

Strengthening Tanzania’s Primary Healthcare System for Women and Girls

Project Number: CA-3-P009439001

Status: Operational

Country/Region:

Tanzania 100.00%

Maximum Contribution: $75,000,000.00

Start Date: March 21, 2022

End Date: June 30, 2026

Duration: 4.3 years

Project Description

Through the support of the Government of Canada and other international donors the Health Basket Fund aims to support the primary health care elements of Tanzania’s Health Sector Strategic Plan V. This project provides coordinated health system strengthening and service delivery for primary health care across Tanzania. Project activities include: (1) delivering life-saving essential primary health care services such as antenatal and postnatal care emergency obstetric and newborn care and family planning; (2) conducting small-scale rehabilitation of health facilities to support the provision of gender-sensitive sexual and reproductive health and rights and maternal and adolescent health services; (3) training mentoring and supervising healthcare workers; (4) performing immunizations and preventing and treating communicable diseases such as malaria pneumonia diarrhea and COVID-19; and (5) supporting the strengthening health facility governance committees (including to enhance women’s participation). The Health Basket Fund provides 90% of funding directly to 5 591 public sector primary health facilities across mainland Tanzania. The project expects 71 million patient visits to take place annually at village-level health dispensaries and 48 million patient visits to take place at health centres.

Expected Results

The expected outcomes for this project include: (1) improved use of quality gender- and adolescent-responsive primary health care services including for sexual and reproductive health and maternal newborn child and adolescent health particularly by women adolescent girls and children; and (2) strengthened public primary health care system accountability and responsiveness to needs of the poorest and most marginalized particularly women adolescent girls and children.

Progress & Results Achieved

Results achieved as of June 2024 include: (1) increased the percentage of institutional deliveries to 86.2% up from 83% in 2020; (2) increased the percentage of primary health care facilities having essential medicines and equipment to 76% up from 55% in 2020; (3) increased the number of facilities providing adolescent and youth friendly sexual and reproductive health services to 84% up from 63% in 2020; (4) increased the number of facilities providing gender-based violence services to 31.1% up from 20% in 2020; and (5) increased the awareness of people living with human immunodeficiency virus of their status to 94.2% up from 84% in 2020.

Key Information

Executing Agency:
Government of Tanzania - Ministry of Finance

Reporting Organization:
Global Affairs Canada

Program:
WGM Africa

Last Modified:
September 19, 2025

Development Classifications

DAC Sector:

Health policy and administrative management 5%
Health statistics and data 5%
Basic health care 25%
Basic health infrastructure 5%
Health personnel development 10%
Reproductive health care 30%
Family planning 10%
Personnel development for population and reproductive health 10%

Aid Type: Basket funds/pooled funding

Collaboration: Bilateral

Finance Type: Aid grant excluding debt reorganisation

Selection Mechanism:
Institutional Support

Policy Markers
Level 1 Gender equality
Level 1 Children's issues
Level 1 Youth Issues
Level 1 Nutrition
Major Funding (>$1M)
Budget Breakdown
2021-04-01 to 2022-03-31 $75,000,000 CAD
Geographic Information
000
Project Number: CA-3-P009439001