Problem

Over 250 million people worldwide live with hepatitis B, and around 71 million with hepatitis C. In Africa, HBV prevalence is high, yet birth-dose vaccination coverage is very low. Treatment for HCV is effective, but few patients in Tanzania have access due to high costs and limited testing.

McF Approach

• Ensure newborns receive the hepatitis B vaccine within 24 hours of birth.
• Integrate hepatitis testing into antenatal clinics, HIV programs, and outpatient services.
• Advocate for affordable antiviral treatments through pooled procurement and partnerships.
• Raise community awareness to reduce stigma and increase demand for screening. mothers to attend all visits.

Problem

Tanzania is among the top countries affected by HIV, with 1.7 million people living with HIV.

In 2022, 1.3 million new infections occurred globally, with adolescents and children particularly left behind. Nearly half of HIV-positive children remain untreated.

McF Approach

• Promote rapid testing and same-day initiation of ART.
• Improve retention through multi-month refills, community ART groups, and SMS reminders.
• Expand HIV prevention services: voluntary medical male circumcision (VMMC), oral PrEP, and new long-acting injectables.
• Prioritize children and adolescents with family-based testing and child-friendly formulations.
• Integrate HIV care with TB, SRH, and mental health for one-stop, holistic care.
• Promote facility-based deliveries with community education and birth preparedness plans.

Problem

TB is the second leading cause of death from infectious disease globally, after COVID-19. In Tanzania, TB disproportionately affects people with HIV and those in crowded or poor conditions. Multi-drug resistant TB is an increasing threat.

McF Approach

• Support active case finding and screening in high-risk populations.
• Expand rapid diagnostic tools such as GeneXpert.
• Improve treatment outcomes with shorter regimens, adherence support, and community follow-up.
• Roll out preventive TB treatment for children and HIV-positive individuals exposed to TB.

Problem

Malaria kills more than 600,000 people annually, with 90% of deaths among children under five in Africa. NTDs such as schistosomiasis and lymphatic filariasis remain widespread in Tanzania. Resistance to insecticides and drugs threatens progress.

McF Approach

• Support integrated community case management (iCCM) so CHWs can diagnose and treat malaria.
• Promote and distribute insecticide-treated nets and indoor spraying in high-risk areas.
• Strengthen disease surveillance and data use to detect hotspots quickly.
• Support government mass drug administration campaigns for NTD elimination.