The burden malaria places in both societal and economic terms in Tanzania is high, ranging from school absenteeism to low productivity at workplaces, and affecting outputs from other economic sectors such as agriculture.

In 2000, the Government of Tanzania embarked upon a program of reform for the health sector and the second phase of Health Sector Development Program is on track to fully disburse 6 months in advance of the closing date. The Government has requested additional financing of US$60 million to sustain activities through 2010. Part of this additional funding is focused on malaria given a funding shortfall to fully implement the Ministry’s Roll Back Malaria strategic plan. A “catch-up” campaign for treating bednets with long lasting insecticide as well as expanding access to bednets more broadly will be supported. Funding from the US Government’s Presidential Malaria Initiative is insufficient to achieve national scale of prevention and treatment. In addition, previous financing from some partners has been scaled back and a proposal to the Global Fund was recently rejected. As a result, IDA has been asked to complement existing resources with US$25 million for malaria control interventions.

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In 2000, the government of Tanzania embarked upon a program of reform for the health sector which has been supported by two phases under IDA’s Health Sector Development Program, totaling US$87 million through FY06/07. The government requested additional financing of US$60 million to scale-up activities through 2010, which was approved in July of 2007. As part of this additional funding, there is a focus on malaria, to fully implement the Ministry’s Roll Back Malaria strategic plan. A “catch-up” campaign for treating bednets with long lasting insecticide, as well as expanding access to bednets more broadly, will be supported. Funding from the U.S. President’s Malaria Initiative (PMI) is insufficient to achieve prevention and treatment on a national scale. In addition, previous financing from some partners has been scaled back, and a proposal to the Global Fund was recently rejected. As a result, the Bank was asked to complement existing resources with US$25 million for malaria control interventions. PMI anticipates committing an additional US$110 million over the next three years. Recent Global Fund requests, if approved, would provide an additional US$176 million in earmarked external financing for malaria control.