Tanzania community case management

The Community-Based Health Services (CBHS) and Operational Guideline (2020) calls for sustainable and functional national community services with emphasis on most at risk populations. [1] The Community health activities as extension of health facility services will also focus on curative care in addition to promotive and preventive care. In the current plan, CHW will work on voluntary package and receive a monthly incentive package. [1]

The MoHSW is promoting Community Based Health Care (CBHC) using Village/Community Health Workers through Community Based Health Programme Guidelines. [1]

Use of pre-referral rectal artesunate at peripheral health facilities is permitted by the NMCP if injection is not available, but in practice this does not occur as rectal artesunate is not procured by either the Government of Tanzania (GoT) or its partners. [1]

Community-level resources for malaria include: [1]

    • Community own resource persons (CORPs)
    • Community Change Agents (CCAs)
    • Community leaders
    • School teachers


Major bottlenecks in community systems and response include : [1, 2, 3]

  • Inadequate coordination and duplication of community-based health interventions
  • insufficient data management and evidence-based community planning for decision making.
  • Incomplete plan for national roll-out of iCCM leading to low health care access in rural areas
  • Knowledge of management of health services provision