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Tanzania’s government significantly increased primary health care (PHC) spending between 2021/22 and 2022/23, raising per capita expenditure and spending per outpatient visit. Despite this progress, current PHC spending remains well below global standards and the level needed to deliver quality services. The study highlights regional variability in spending and productivity, and emphasizes the need for more detailed expenditure tracking to inform funding gap estimates and ensure equitable, sustainable PHC financing as donor contributions decline.