Last Updated: 27/04/2026

Subnational Tailoring for Malaria Control in Tanzania: An Exemplars Study on Implementation, Decision-Making, and Impact

Objectives

This project aims to investigate and document Tanzania’s experience with implementing SNT strategies for malaria control. The ultimate goal is to draw lessons that can guide other countries interested in adopting similar approaches.

Specific objectives:

  1. To analyze the processes that Tanzania undertook to operationalize SNT to inform malaria strategy & resource allocation
  2. To determine barriers and facilitators to SNT implementation in Tanzania
  3. To analyze practices, contextual & core capacities that enabled each step of SNT to be successfully operationalized
  4. Analyze key decisions influenced by the SNT, identifying instances of positive or negative deviation from standard practices, assessing the extent of their implementation, and evaluating their national or sub-national impact.
Principal Investigators / Focal Persons

Ally Olotu
Fatuma Manzi

Rationale and Abstract

The project is grounded in a conceptual framework with three major pillars: Generating Evidence (collecting and assembling relevant data), Synthesizing Evidence (analyzing data to stratify areas and propose interventions), and Acting on Evidence (delivering services based on findings and evaluating their impact). The expected outcome of the study is to generate robust, evidence-based documentation that highlights Tanzania’s strategic use of SNT. This will serve as a valuable reference for global malaria control and elimination programs, guiding how to tailor interventions using localized data and contextual insights.

Study Design

The study will involve three regions selected based on malaria trend analysis from 2013 to 2024. They include: Lindi, Ruvuma, and Singida (positive trends), Arusha, Mara, and Tabora (negative trends), and Katavi, Kilimanjaro, and Shinyanga (no notable change). From each region, a districts will be further identified for in-depth interviews.

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