Tanzania National Research Articles

Socio-economic Factors that Determine Employment in Tanzania: Spatial Analysis

This paper investigates the socio-economic determinants of Employment in Tanzanian regions. It used the cross-sectional data of 2014 on several variables as this was found to be the most recent dataset in the Tanzania National Bureau of Statistics. Despite the impressive growth rates of 7 percent observed in Tanzania poverty hasn’t been reduced as expected, and employment has been static. The paper applies spatial techniques including spatial lag (SAR), spatial error (SEM) and spatial Durbin models to discover the spatial patterns of employment. SAR model was selected as all the variables, GDP per capita, the number of schools, and health services measured by a number of dispensaries were significant. Also, the direct and indirect effects were conducted and GDP per capita were significant and conforms to the theory. The study concludes that there was some regional dependency on some variables hence spatial approach is appropriate as it avoids biased, inefficient and inconsistent results.

Living in a Cage: The Intimate Geographies of Conservation in South Africa and Tanzania

National parks are socially produced conservation spaces that shape the lives, understandings, and behaviours of the men and women who live and work within them. This article draws on 18 months of comparative ethnographic research with men and women who are employed and reside inside in protected areas in northern Tanzania and South Africa's Kruger National Park. Protected area management decisions regarding the migration, isolation, concentration, and living arrangements of employees combine with structural forces of relational material inequality and varied understandings of gender relations to produce geographies of intimacy that shape both perceptions and patterns of sexual and emotive behaviours in powerful, and potentially troublesome, ways among conservation actors. Although the specific configuration of this constellation of forces is context dependent and unique to each location, there are also discernable similarities across national context. Given the human resource intensive nature of conservation, these findings have direct relevance for the future success of national parks in both countries and for conservation more generally.

Comparing Conservation Attitudes of Park-Adjacent Communities: The Case of Mole National Park in Ghana and Tarangire National Park in Tanzania

The success of biodiversity conservation in African countries depends to a large extend on the cooperation of local communities. This study compared factors that influence attitudes of local communities toward the conservation of the Tarangire National Park (Tarangire NP) in Tanzania and Mole National Park (Mole NP) in Ghana. The purpose was to find out if the predominantly agricultural-communities around the Mole NP in Ghana will differ in park-attitude than the predominantly pastoral-communities around the Tarangire NP in Tanzania. Household survey was used to assess attitudes and focus group discussions used to elicit further information from respondents to complement the survey data. The study surveyed 365 households in 7 villages: 3 villages adjacent to the Tarangire NP and 4 villages adjacent to the Mole NP. There was significant difference between the park-attitudes of residents in communities near the Mole NP and their counterparts in communities near the Tarangire NP. However, respondents in both countries showed slightly positive and negative attitudes toward the parks as ecological entities and as community development agents, respectively. Factors that had significant effects on attitudes include: “knowledge of park rules,” “employment in park,” “distance between village and park,” “household size,” “access to non-timber forest products,” and “livelihood activity.” The findings suggest that any efforts aimed at increasing local community support for any of the two national parks should critically consider livelihoods diversification, population control, and extensive conservation education in neighboring communities.

Primary school student visitation in Serengeti National Park, Tanzania

Tanzania National Parks are heavily dependent upon international tourism. This study examines the potential for sustainable domestic tourism, specifically considering primary school student visitation in Serengeti National Park (SENAPA). We surveyed five primary schools located in Bunda district. At each school, 70 students were allowed to fill out the questionnaires which were analyzed by descriptive statistics. A majority of the primary school students recognized the presence of SENAPA (95%), but few (24%) had visited the park. Those who had never visited, in spite of its proximity, indicated the lack of money, lack of transport, lack of awareness, and inaccurate interpretation of free education policy as hindering factors. Surveyed students offered suggestions to improve student visitation, indicating that public and private organizations should assist with students’ visitation to protected areas; the government should have a reliable transport to take students into protected areas; education should be provided concerning the importance of visiting protected areas and what is meant by the free education policy. The authors agree that these steps would significantly improve students’ opportunities to access Serengeti National Park.

Climate change and the water–energy–food nexus: insights from policy and practice in Tanzania

ABSTRACTThe threat of climate change is emerging at a time of rapid growth for many economies in sub-Saharan Africa (SSA). Dominant narratives comprising ambitious development plans are common and often based around sectors with strong inter-dependencies that are highly exposed to climate variability. Using document analysis and key informant interviews, this article examines how climate change is addressed in policy, how it is being mainstreamed into water, energy and agriculture sector policies and the extent to which cross-sectoral linkages enable coordinated action. These questions are addressed through a case study of Tanzania, highlighting broader lessons for other developing countries, particularly those in SSA facing similar challenges. The article finds that, while the agriculture and water sectors are increasingly integrating climate change into policies and plans in Tanzania, practical coordination on adaptation remains relatively superficial. Publication of the Tanzania National Adaptation Plan of Action (NAPA) in 2007 marked a step change in the integration of climate change in sectoral policies and plans; however, it may have reinforced a sectoral approach to climate change. Examining the policies for coherence highlights overlaps and complementarities which lend themselves to a coordinated approach. Institutional constraints (particularly structures and resources) restrict opportunities for inter-sectoral action and thus collaboration is confined to ad hoc projects with mixed success to date. The results highlight the need for institutional frameworks that recognize and address these constraints to enable development goals to be pursued in a more sustainable and climate-resilient manner.KEY POLICY INSIGHTSThe NAPA has been successful at encouraging climate change mainstreaming into sectoral policies in Tanzania; however, the cross-sectoral collaboration crucial to implementing adaptation strategies remains limited due to institutional challenges such as power imbalances, budget constraints and an ingrained sectoral approach.Collaboration between nexus sectors in Tanzania is largely through ad hoc projects with limited progress on establishing deeper connections to enable collaboration as a process. Regular cross-sectoral planning meetings and consistent annual budgets could provide a platform to enhance cross-sectoral coordination.Plans to develop hydropower and agriculture are prevalent across sub-Saharan Africa. Insights from Tanzania highlight the importance of institutional and policy frameworks that enable cross-sectoral coordination.

Tanzania needs up‐to‐date poaching data to help manage its wildlife populations

Across the tropical world, there is a dearth of data on poaching activity and its impact on different ecosystems; as a result, poaching receives little attention from conservation stakeholders (Lindsey et al., 2013). In Tanzania, for example, although data on elephants and rhinos have been released by researchers and NGOs, the majority of Tanzanians still know nothing about how poaching is threatening elephant and rhino populations (Wild Aid 2015). There is the slogan that ‘in every 15 min one elephant is killed’; this slogan has been used for some years, and it is time to bring it up-to-date data – what if now one elephant is poached every 5 min, or 1 h, or day or weeks? At the 10th Tanzania Wildlife Research Institute (TAWIRI) Conference in 2015, several presenters pointed out that poaching in Tanzania is increasingly focusing on elephants and rhinos. The Director of the African Wildlife Foundation Arusha posed the question to all participants ‘to what extent has poaching increased in Tanzania?’ At the end of the conference none of the participants had responded to that question. I asked several participants why we have no poaching data from Tanzania, and most replied that the organizations that hold poaching data do not release them, even if asked. I have been looking for current poaching data in Tanzania and have found that most scientists focus on elephant or rhino poaching or poaching in specific areas, especially areas adjacent to protected areas. Other scientists have focused on illegal bushmeat hunting, also generally in areas adjacent to protected areas. Most scientists did not provide data, for example, on how many poachers were arrested and/or sentenced. Data related to poaching in Tanzania was only readily available on the Wildlife Division (WD) website (www.wildlife.go.tz), which includes data on poachers arrested, patrols conducted, ivory and rhino horns seized and wildlife cases prosecuted, including resolved and unresolved cases. Unfortunately, the data published on the WD website are from 2000 to 2010, and recent data on poaching in Tanzania are lacking. Current data on poaching are essential in order to understand what is happening in Tanzania and to help inform what can be done about it. For example, the Tanzanian government has invested a significant amount of resources to combat poaching, including employing law enforcement staff, buying patrol vehicles and allocating money for different anti-poaching activities (Ministry of Natural Resources and Tourism (MNRT) 2014; United Nations Educational, Scientific and Cultural Organization (UNESCO) 2017). Poaching data would play a significant role in evaluating what has been achieved through these investments. Also, to increase motivation for those of us who work on the anti-poaching frontline, data on poaching are also essential. The data would tell us how well we are performing. Non-governmental organizations have been helping the country to combat poaching. For example, since December 2014, The Frankfurt Zoological Society has helped the Selous Game Reserve and the Serengeti National Park anti-poaching operations with resources such as aerial and ground patrols (MNRT, 2014; UNESCO, 2017). Providing current poaching data can help inform these stakeholders as to what has been achieved in combatting poaching. Also, current data, especially related to how many poachers have been arrested, the sentences given to poachers, the area in which the poachers were arrested, and which animals are highly poached would play a significant role in changing public attitudes toward poaching. The Tanzanian government, through its institutions such as the WD, the Tanzania Wildlife Management Authority (TAWA), the Tanzania National Parks Authority (TANAPA), Ngorongoro Conservation Area Authority (NCAA) and TAWIRI should compile and release current data on poaching. To organize and release this data in an efficient and transparent manner might be challenging, and therefore local, regional and international scientists, as well as conservation stakeholders, should give their assistance. Slobodian et al. (2016) analyzed wildlife-related court cases in the Tanzania mainland and the data are now openly available online at www.wildlex.org. Conservation practitioners in Tanzania would be very grateful if somebody can replicate the Slobodian et al. (2016) study and provide a database of poaching data for the whole of Tanzania. I am not discouraging area-specific data, but countrywide data are vital. The majority of Tanzanians are not aware that elephant and rhino populations are in decline (Wild Aid 2015), hence the data on poaching should be widely published both locally and internationally. I thank Thomas Hesselberg for reviewing this article before submission. I also appreciate the support from Elina Rantanen and the Editor Iain Gordon.

Neuro Fuzzy Modelling for Prediction of Consumer Price Index

Economic indicators such as Consumer Price Index (CPI) have frequently used in predicting future economic wealth for financial policy makers of respective country. Most central banks, on guidelines of research studies, have recently adopted an inflation targeting monetary policy regime, which accounts for high requirement for effective prediction model of consumer price index. However, prediction accuracy by numerous studies is still low, which raises a need for improvement. This manuscript presents findings of study that use neuro fuzzy technique to design a machine-learning model that train and test data to predict a univariate time series CPI. The study establishes a matrix of monthly CPI data from secondary data source of Tanzania National Bureau of Statistics from January 2000 to December 2015 as case study and thereafter conducted simulation experiments on MATLAB whereby ninety five percent (95%) of data used to train the model and five percent (5%) for testing. Furthermore, the study use root mean square error (RMSE) and mean absolute percentage error (MAPE) as error metrics for model evaluation. The results show that the neuro fuzzy model have an architecture of 5:74:1 with Gaussian membership functions (2, 2, 2, 2, 2), provides RMSE of 0.44886 and MAPE 0.23384, which is far better compared to existing research studies.

The impact of a mosquito net voucher subsidy programme on incremental ownership: The case of the Tanzania National Voucher Scheme.

The subsidisation of mosquito nets has been widely used to increase ownership in countries where malaria represents a public health problem. However, an important question that has not been addressed empirically is how far net subsidy programmes increase ownership above the level that would have prevailed in the absence of the subsidy (i.e., incremental ownership). This study addresses that gap by investigating the impact of a large-scale mosquito net voucher subsidy--the Tanzania National Voucher Scheme (TNVS)--on short-term demand for unsubsidised commercial nets, estimating a household demand model with nationally representative household survey data. The results suggest that, despite the TNVS using a categorical targeting approach that did not discriminate by wealth, it still led to a large increase in incremental ownership of mosquito nets, with limited evidence of displacement of unsubsidised sales. Although no evidence is found of an additional TNVS voucher decreasing the number of unsubsidised sales in the same period, results indicate that an additional TNVS voucher reduced the probability of purchasing any unsubsidised net in the same period by 14%. The findings also highlight the critical role played by social learning or campaign messaging in increasing mosquito net ownership.

Estimating Tanzania's National Met and Unmet Blood Demand From a Survey of a Representative Sample of Hospitals.

Estimating blood demand to determine collection goals challenges many low-income countries. We sampled Tanzanian hospitals to estimate national blood demand. A representative sample based on probability proportional to size sampling of 42 of 273 (15%) Tanzanian transfusing hospitals was selected. Blood bank registers, patient medical records, and blood component disposition records were reviewed prospectively from June to September 2013 to determine the number of components requested and the number and proportion issued, not issued due to nonavailability, and not issued for other reasons. Data were estimated for an annual national estimate. Of an estimated 278 371 components requested in 2013, 6648 (2.4%) were not issued due to nonavailability, 34 591 (12.4%) were not issued for other reasons, and 244 535 (87.8%) were issued. Of these 278 371 components, 86 753 (31.2%) were requested by adult medical, 74 499 (26.8%) by pediatric medical, and 57 312 (20.6%) by obstetric units. In these 3 units, the proportion of units not issued due to nonavailability was 1.8%. Private (4.1%) and large (6%) hospitals had the largest proportion of units not issued because of nonavailability. Of 244 535 issued components, 91 690 (37.5%) were collected, tested, and issued from blood banks that are not part of the Tanzania National Blood Transfusion Services (TNBTS). Nearly 98% of blood component demand was met. However, a large portion of the blood supply for the hospitals came from non-TNBTS blood banks. TNBTS could increase availability of safe blood through assuring the quality of donor selection and donation testing at non-TNBTS blood banks.

Effectiveness and equity of the Tanzania National Voucher Scheme for mosquito nets over 10\xa0years of implementation

BackgroundThe Tanzania National Voucher Scheme (TNVS) was a public private partnership managed by the Ministry of Health that provided pregnant women and infants with highly subsidized (long-lasting) insecticide-treated nets between 2004 and 2014. It was implemented in the context of the National Insecticide Treated Nets (NATNETS) Programme and was the main keep up strategy for vulnerable populations.Case descriptionThe programme design was adjusted considerably over time to incorporate new evidence, shifting public health policies, and changing donor priorities. Three TNVS models can be distinguished: (1) the fixed discount; (2) the fixed top-up; (3) the hybrid voucher model. The changes improved equity and effectiveness, but also had a profound effect on how the programme was managed and implemented.ResultsThe TNVS reached the majority of beneficiaries with vouchers, and significantly increased household ownership and use of LLINs. While two mass distribution campaigns implemented between 2009 and 2011 achieved universal coverage and equity, the TNVS ensured continuous protection of the vulnerable populations before, during and after the campaigns. The TNVS stimulated and maintained a large national retail network which managed the LLIN supply chain.Discussion and lessons learnedThe effectiveness of the TNVS was a function of several interdependent factors, including the supply chain of vouchers through the public health system; the supply chain of nets in the commercial sector; the demand for nets from voucher recipients; management and risk mitigation measures; and the influence of global and donor objectives.ConclusionThe TNVS was a highly innovative and globally influential programme, which stimulated the thinking around effectively and equitably distributing ITNs, and contributed directly to the evolution of global policy. It was a fundamental component of the NATNETS programme which protected a malaria-vulnerable population for over a decade.

From Corn to Popcorn? Urbanization and Food Consumption in Sub-Saharan Africa: Evidence from Rural-Urban Migrants in Tanzania

There is rising concern that the ongoing wave of urbanization will have profound effects on eating patterns and increase the risk of nutrition-related non-communicable diseases. Yet, our understanding of urbanization as a driver of food consumption remains limited and primarily based upon research designs that fail to disentangle the effect of living in an urban environment from other socioeconomic disparities. Data from the Tanzania National Panel Survey, which tracked out-migrating respondents, allow us to compare individuals’ dietary patterns before and after they relocated from rural to urban areas and assess whether those changes differ from household members who stayed behind or moved to a different rural area. We find that individuals who relocated to urban areas experience a much more pronounced shift away from the consumption of traditional staples, and towards more high-sugar, conveniently consumed and prepared foods. Contrary to what is often claimed in the literature, living in an urban environment is not found to contribute positively to the intake of protein-rich foods, nor to diet diversity. Though we do not find a strong association with weight gain, these changes in eating patterns represent a clear nutritional concern regarding the potential longer-term impacts of urbanization. Our results however also indicate that the growth of unhealthy food consumption with urbanization is largely linked to rising incomes. As such, health concerns over diets can be expected to spread rapidly to less-urbanized areas as well, as soon as income growth takes off there. Our findings clearly call for more in-depth research that may help to improve health and food and nutrition security as well as correctly predict food demand and adapt trade, agricultural and development policies.

The dialogue and advocacy initiatives for reforming the business environment of the tourism and hospitality sector in Tanzania

PurposeThis paper aims to investigate the nature of the public–private dialogue (PPD) initiatives and how PPDs are being used in the tourism and hospitality sector as the tool for reforming the business environment (e.g. set policy priorities, inform policy design, improve legislative proposals and incorporate feedback into regulatory implementation).Design/methodology/approachThe study adapted a descriptive-qualitative method through desk research and in-depth interviews based on the explorative research design. The respondents included tourism and hospitality stakeholders from the public and private sectors in the Arusha, Kilimanjaro and Dar es Salaam tourist destinations in Tanzania.FindingsThe findings revealed numerous PPD initiatives which various actors in the tourism value chain rely on to address their matters. While some initiatives are not regular forums, few have been institutionalized in the Tourism Act of 2008, while others have been prescribed from the global level (UNWTO). The well-known PPD platforms include the Tourism Facilitation Committee, Technical Advisory Committee to the Minister, Tanzania National Business Council (the Tourism Task Force) and Public–Private Partnership in Tourism under the Ministry. However, most of the existing platforms overlap in terms of subject matter, mandates, participants and timing. The key success stories and factors of the PPD initiatives and the associated challenges have been discussed.Practical implicationsThe study provides insight to the conclusion that public policies that are designed through PPD are better conceived and more effectively implemented because they result from mutual understanding between government and the business community. This knowledge is important to the least developed countries (LDCs), like Tanzania, as research has shown that stronger and more constructive dialogue between government and the private sector leads to better business environment, and countries with better business environments grow faster, attract more investment and reduce poverty more than the opposite.Originality/valueAlthough several PPD initiatives are taking place in the tourism sector in most developing countries, little about them has been documented in the tourism literature. Hence, this study, which focuses on Tanzania, aims to fill this knowledge gap.

Decline in the prevalence HIV among pregnant women attending antenatal clinics in Tanzania, 2001-2011

Background: The Tanzania National AIDS Control Programme has established HIV sentinel surveillance among antenatal clinic (ANC) attendees as one of the methods for collecting data on HIV prevalence. This article provides trends on HIV prevalence for 92 sentinel sites that have constantly been part of the surveillance system since 2001 and have participated in at least three consecutive rounds.Method: The surveillance population included all pregnant women aged 15–49 years who were attending a selected sentinel ANC site for the first time for any pregnancy between 2001 and 2011. Serial testing for HIV infection was done anonymously by detecting for the presence of IgG antibodies to HIV on dried blood spot (DBS) specimens. HIV trends were calculated taking into account random effects from sites on the following variables: region, sites and socio-demographic characteristics defined as age, marital status, parity, education level and duration of stay at present residence.Results: Overall, there was a significant decline in HIV prevalence from 9.6% in 2001 to 5.6% in 2011 (p<0.01). Specifically, the HIV prevalence among 15-24 years’ pregnant women significantly declined from 7.8% in 2001/2002 to 4% in 2011 (p<0.01). The decline in HIV prevalence occurred irrespective of residence, marital status, education level or previous pregnancies.Conclusion: There has been a significant decline in HIV infections among young pregnant women attending ANC clinics in Tanzania since 2001. This study also indicates that ANC surveillance among pregnant women over time can provide useful estimates of HIV situation between the population surveys.

Urban Health in Tanzania: Questioning the Urban Advantage

How are health inequalities articulated across urban and rural spaces in Tanzania? This research paper explores the variations, differences, and inequalities, in Tanzania's health outcomes-to question both the idea of an urban advantage in health and the extent of urban-rural inequalities in health. The three research objectives aim to understand: what are the health differences (morbidity and mortality) between Tanzania's urban and rural areas; how are health inequalities articulated within Tanzania's urban and rural areas; and how are health inequalities articulated across age groups for rural-urban Tanzania? By analyzing four national datasets of Tanzania (National Census, Household Budget Survey, Demographic Health Survey, and Health Demographic Surveillance System), this paper reflects on the outcomes of key health indicators across these spaces. The datasets include national surveys conducted from 2009 to 2012. The results presented showcase health outcomes in rural and urban areas vary, and are unequal. The risk of disease, life expectancy, and unhealthy behaviors are not the same for urban and rural areas, and across income groups. Urban areas show a disadvantage in life expectancy, HIV prevalence, maternal mortality, children's morbidity, and women's BMI. Although a greater level of access to health facilities and medicine is reported, we raise a general concern of quality and availability in health services; what data sources are being used to make decisions on urban-rural services, and the wider determinants of urban health outcomes. The results call for a better understanding of the sociopolitical and economic factors contributing to these inequalities. The urban, and rural, populations are diverse; therefore, we need to look at service quality, and use, in light of inequality: what services are being accessed; by whom; for what reasons?

Toward Elimination of Dog-Mediated Human Rabies: Experiences from Implementing a Large-scale Demonstration Project in Southern Tanzania.

A Rabies Elimination Demonstration Project was implemented in Tanzania from 2010 through to 2015, bringing together government ministries from the health and veterinary sectors, the World Health Organization, and national and international research institutions. Detailed data on mass dog vaccination campaigns, bite exposures, use of post-exposure prophylaxis (PEP), and human rabies deaths were collected throughout the project duration and project areas. Despite no previous experience in dog vaccination within the project areas, district veterinary officers were able to implement district-wide vaccination campaigns that, for most part, progressively increased the numbers of dogs vaccinated with each phase of the project. Bite exposures declined, particularly in the southernmost districts with the smallest dog populations, and health workers successfully transitioned from primarily intramuscular administration of PEP to intradermal administration, resulting in major cost savings. However, even with improved PEP provision, vaccine shortages still occurred in some districts. In laboratory diagnosis, there were several logistical challenges in sample handling and submission but compared to the situation before the project started, there was a moderate increase in the number of laboratory samples submitted and tested for rabies in the project areas with a decrease in the proportion of rabies-positive samples over time. The project had a major impact on public health policy and practice with the formation of a One Health Coordination Unit at the Prime Minister’s Office and development of the Tanzania National Rabies Control Strategy, which lays a roadmap for elimination of rabies in Tanzania by 2030 by following the Stepwise Approach towards Rabies Elimination (SARE). Overall, the project generated many important lessons relevant to rabies prevention and control in particular and disease surveillance in general. Lessons include the need for (1) a specific unit in the government for managing disease surveillance; (2) application of innovative data collection and management approaches such as the use of mobile phones; (3) close cooperation and effective communication among all key sectors and stakeholders; and (4) flexible and adaptive programs that can incorporate new information to improve their delivery, and overcome challenges of logistics and procurement.

Water, sanitation and hygiene (WASH) in schools: results from a process evaluation of the National Sanitation Campaign in Tanzania

This study assesses the intermediate outcomes of the Tanzania National Sanitation Campaign (NSC) for schools. A cross-sectional study was designed as part of a process evaluation of the NSC in Tanzania on 70 primary schools and 54 regional and district education officers. Data was collected between August and December 2014 using questionaires, key informant interviews, and desk studies. The results showed that only 50% of schools met the Tanzania guideline of 50 boys per drop hole, while 43% met the guideline of 40 girls per drop hole. In addition, 53% of schools had a reliable water supply, 43% had some functional handwashing stations, but only 29% and 19% had water and soap available at the stations, respectively. Overall, the implementation of the NSC in schools was found to be effective, though poor planning and coordination, inadequate funding, and low technical capacity were identified as barriers to achieve the intended objectives. The study recommends stronger and coordinated stakeholder partnerships with clearly defined roles including cost sharing. Government and other stakeholders should also consider the impact of increasing funding for both software and hardware components to improve the enabling environment, and to develop a standardised monitoring mechanism for sustainable school water, sanitation and hygiene.

The Economic and Epidemiological Impact of Focusing Voluntary Medical Male Circumcision for HIV Prevention on Specific Age Groups and Regions in Tanzania.

BackgroundSince its launch in 2010, the Tanzania National Voluntary Medical Male Circumcision (VMMC) Program has focused efforts on males ages 10–34 in 11 priority regions. Implementers have noted that over 70% of VMMC clients are between the ages of 10 and 19, raising questions about whether additional efforts would be required to recruit men age 20 and above. This analysis uses mathematical modeling to examine the economic and epidemiological consequences of scaling up VMMC among specific age groups and priority regions in Tanzania.Methods and FindingsAnalyses were conducted using the Decision Makers’ Program Planning Tool Version 2.0 (DMPPT 2.0), a compartmental model implemented in Microsoft Excel 2010. The model was populated with population, mortality, and HIV incidence and prevalence projections from external sources, including outputs from Spectrum/AIDS Impact Module (AIM). A separate DMPPT 2.0 model was created for each of the 11 priority regions. Tanzania can achieve the most immediate impact on HIV incidence by circumcising males ages 20–34. This strategy would also require the fewest VMMCs for each HIV infection averted. Circumcising men ages 10–24 will have the greatest impact on HIV incidence over a 15-year period. The most cost-effective approach (lowest cost per HIV infection averted) targets men ages 15–34. The model shows the VMMC program is cost saving in all 11 priority regions. VMMC program cost-effectiveness varies across regions due to differences in projected HIV incidence, with the most cost-effective programs in Njombe and Iringa.ConclusionsThe DMPPT 2.0 results reinforce Tanzania’s current VMMC strategy, providing newfound confidence in investing in circumcising adolescents. Tanzanian policy makers and program implementers will continue to focus scale-up of VMMC on men ages 10–34 years, seeking to maximize program impact and cost-effectiveness while acknowledging trends in demand among the younger and older age groups.

Africa after Apartheid: South Africa, race, and nation in Tanzania

Africa after Apartheid: South Africa, race, and nation in Tanzania

THE COLONIAL COFFEE COMPULSION MARKETING POLICIES IN KILIMANJARO, TANZANIA

This is a historical study that utilises primary evidences from Tanzania National Archives (TNA) to examine the compulsion marketing policies imposed by the Tanzania’s colonial authority among small-scale native coffee producers in the slopes of Mount Kilimanjaro. The policies were provided under Section 36 of the 1932 co-operative legislation. Also, the 1934 Chagga Rule; and the 1937 Native Coffee (Control and Marketing) Ordinance, which became a key and permanent coffee marketing policy in Tanzania that granted the Moshi Native Coffee Board (MNCB) and KNCU monopoly over the native produced coffee.

Planning and Budgeting for Nutrition Programs in Tanzania: Lessons Learned From the National Vitamin A Supplementation Program.

Micronutrient deficiency in Tanzania is a significant public health problem, with vitamin A deficiency (VAD) affecting 34% of children aged 6 to 59 months. Since 2007, development partners have worked closely to advocate for the inclusion of twice-yearly vitamin A supplementation and deworming (VASD) activities with budgets at the subnational level, where funding and implementation occur. As part of the advocacy work, a VASD planning and budgeting tool (PBT) was developed and is used by district officials to justify allocation of funds. Helen Keller International (HKI) and the Tanzania Food and Nutrition Centre (TFNC) conduct reviews of VASD funds and health budgets annually in all districts to monitor the impact of advocacy efforts. This paper presents the findings of the fiscal year (FY) 2010 district budget annual review. The review was intended to answer the following questions regarding district-level funding: (1) how many funds were allocated to nutrition-specific activities in FY 2010? (2) how many funds were allocated specifically to twice-yearly VASD activities in FY 2010? and (3) how have VASD funding allocations changed over time? Budgets from all 133 districts in Tanzania were accessed, reviewed and documented to identify line item funds allocated for VASD and other nutrition activities in FY 2010. Retrospective data from prior annual reviews for VASD were used to track trends in funding. The data were collected using specific data forms and then transcribed into an excel spreadsheet for analysis. The total funds allocated in Tanzania's districts in FY 2010 amounted to US$1.4 million of which 92% were for VASD. Allocations for VASD increased from US$0.387 million to US$1.3 million between FY 2005 and FY 2010. Twelve different nutrition activities were identified in budgets across the 133 districts. Despite the increased trend, the percentage of districts allocating sufficient funds to implement VAS (as defined by cost per child) was just 21%. District-driven VAS funding in Tanzania continues to be allocated by districts consistently, although adequacy of funding is a concern. However, regular administrative data point to fairly high and consistent coverage rates for VAS across the country (over 80% over the last 10 years). Although this analysis may have omitted some nutrition-specific funding not identified in district budget data, it represents a reliable reflection of the nutrition funding landscape in FY 2010. For this year, total district nutrition allocations add up to only 2% of the amount needed to implement nutrition services at scale according to Tanzania's National Nutrition Strategy Implementation Plan. VASD advocacy and planning support at the district level has succeeded in ensuring district allocations for the program. To promote sustainable implementation of other nutrition interventions in Tanzania, more funds must be allocated and guidance must be accompanied by tools that enable planning and budgeting at the district level.