A high proportion of Tanzania’s total health spending comes from foreign donors and households’ out-of- pocket (OOP) spending, rather than from sustainable sources such as government tax-based revenue or health insurance. Over reliance on OOP can expose households to the risk of incurring catastrophic health expenditures and is a barrier to equitable health care access. While the country has made enormous strides in improving its population’s health, the Government of Tanzania recognized that the current health financing structure is not sustainable. The government considered several crucial changes to how healthcare in Tanzania is financed; as part of this effort, the country developed a health financing strategy and scaling up new programs to accelerate service delivery coverage and improve quality. This document reports the results of the review of Tanzania’s healthcare financing situation to provide a baseline against which innovation and policy change can be gauged.
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