Is Tanzania an Emerging Economy? a Report for the OECD Project ”Emerging Africa”

Total Page:16

File Type:pdf, Size:1020Kb

Is Tanzania an Emerging Economy? a Report for the OECD Project ”Emerging Africa” Is Tanzania an emerging economy? A report for the OECD project ”Emerging Africa” by Arne Bigsten Anders Danielsson Department of Economics Department of Economics Göteborg University Lund University Box 640 Box 7082 SE 450 80 Göteborg S-220 07 Lund Sweden Sweden May 1999 Contents 0. Introduction 0.1. Background 1 0.2. Growth determinants 3 0.3. Criteria of an emerging economy 5 0.4. Outline of the study 7 Part I: An overview of long-run economic performance and political developments I.1. Introduction 8 I.2. The Pre-Arusha period 1961-1967 8 I.3. The Pre-Crisis period 1968-1978 9 I.4. The Crisis period 1979-1985 11 I.5. The Reform period 1986- 13 I.6. Welfare impacts of the reforms 17 I.7. Aid and aid dependence 18 I.8 Tanzania in the region 21 1.9. Concluding remarks 23 Appendix A: A note on the national accounts of Tanzania 24 Part II: Macroeconomic policies to promote stability II.1. Introduction 27 II.2. Public finance II.2.1. Introduction 27 II.2.2. Aggregate fiscal performance 28 II.2.3. Revenue 30 II.2.4. Expenditure 34 II.2.5. Deficit financing and inflation (to be added) 38 II.2.6. Conclusion 41 II.3. Exchange rates and exchange rate policy II.3.1. Introduction 42 II.3.2. Exchange rate regimes 43 II.3.3. Exchange rate misalignment 45 II.3.4. Exchange rates and macroeconomic policy 48 II.3.5. Conclusions 50 II.4. Debt and debt policies II.4.1. Introduction 51 II.4.2. Structure and development of the external debt 51 II.4.3. Conclusion 55 Part III. Structural policies to promote long-run growth III.1. The structure of production and trade III.1.1. Introduction 57 III.1.2. The structure of production 57 III.1.3. The export sector 59 III.1.4. Imports 61 III.1.5. The non-traded sector 65 III.1.6. Concluding remarks 66 III.2. Financial liberalisation III.2.1. Introduction 67 III.2.2. Institutional and structural reforms 68 III.2.3. Impact on financial markets 70 III.2.4. Savings and investments 77 III.2.5. Concluding remarks 80 III.3. Investments and social infrastructure III.3.1. Introduction 82 III.3.2. Investments and economic growth 83 III.3.3. Investment and productivity 85 III.3.3. Social investments 88 III.3.4. Concluding remarks 92 Part IV. Public sector management and economic performance IV.1. Securing the private/public sector boundary IV.1.1. Parastatals and the soft budget constraint 94 IV.1.2. Progress on privatisation 95 IV.1.3. Investment incentives 97 IV.1.4. The private public sector boundary 99 IV.1.5. Conclusions 100 IV.2. Good governance and policy reform IV.2.1. Public sector management and mismanagement 101 IV.2.3. Public sector reform 102 Iv.2.3. Concluding remarks 106 Part V. Conclusions V.1. Introduction 107 V.2. Is Tanzania an emerging economy? 107 V.3. Policy conclusions for Tanzania 111 V.4. What should donors do? 112 Persons interviewed 115 References 116 ACRONYMS AIDS Acquired Immune-deficiency Syndrome BFIN Banking and Financial Institutions Act BOT Bank of Tanzania BIS Basic Industries Strategy CG Consultative Group CIS Commodity Import Scheme DAC Development Assistance Committee EAC East African Community ERP Economic Recovery Programme ESAF Enhanced Structural Adjustment Facility ESAP Economic and Social Action Programme GDP Gross Domestic Product GOT Government of Tanzania HIPC Highly Indebted Poor Countries OGL Open General License IBRD International Bank for Reconstruction and Development IFIs International Financial Institutions ILO International Labour Organisation IMF International Monetary Fund LART Loans and Advances Advances Realisation Trust MDF Multilateral Debt Fund NBC National Bank of Commerce NCPI National Consumer Price Index NESP National Economic Survival Programme NGOs Non-Governmental Organisation NPV Net Present Value OECD Organisation for Economic Development OPEC Organisation of Petroleum Exporting Countries PSAP Priority Social Action Fund PSRC Parastatals Sector Reform Commission SAP Structural Adjustment Programme TAC Tanzania Audit Co-operation TAKWIMU Tanzania Bureau of Statistics THB Tanzania Housing Bank TIC Tanzania Investment Centre TZS Tanzania Shilling VAT Value Added Tax WDI World Development Indicators 0. Introduction 0.1. Background The last few decades have seen dramatic economic improvements in large parts of the Third World, while African economies in general experienced stagnation or decline until the early 1990s. During the last few years, however, there seems to have been a revival in parts of Africa. Many countries have initiated economic reform programmes, and some have seen significant increases in per capita incomes for the first time since the early 1970s. At the same time as these changes are underway, there has been a decline in aid flows from the developed countries. This partly reflects a decline in external political interest in Africa following the demise of the cold war as well as economic problems in donor countries, but it also may reflect an increasing concern about the effectiveness of aid in its traditional forms. Private resource flows to the third world accelerated dramatically during the 1990s, but so far they have largely bypassed Africa. At this juncture there is a need for a reconsideration of the aid relationships in this new environment, and to investigate what the new situation in Africa implies for future aid to the continent. OECD’s study of “Emerging Africa” sets out to contribute to such an understanding. The OECD describes the rationale for the study as follows: “It is widely recognised that poverty alleviation cannot be achieved without economic take-off in least developed countries. Historical experience shows that, starting from very poor conditions, take-off can occur if the right policies are implemented (Berthelemy, Varoudakis, 1998). However, this is not a uniform process. Undoubtedly, there will be leaders and followers, as suggested by East Asia’s experience of economic take-off, which was initially led by a few economies - Japan, Korea and the Chinese Taipei. In order to maximise the chances of success of the OECD Development Co- operation strategy (DAC, 1996), it is proposed to identify those countries which have the best success likelihood in the short and medium terms, i.e., those countries which are on the right track in the process of economic and political reforms. These strong reformers would deserve special attention because they would be the countries in which development assistance would have the best chances to have a positive impact on economic growth (Burnside, Dollar, 1997). Moreover, giving more support to strong reformers, and being able to achieve positive outcomes in these countries, would create positive incentives for other countries to implement more reforms. It is therefore expected that the initial success of current strong reformers would create a snowball effect at the regional level and eventually stimulate the take-off of a significant number of African countries around 2015. The very fact of a strong resumption of growth in several sub-Saharan African countries that has been observed in recent years suggests that such a betting on the 1 success of the current reformers can be won. However, targeting countries according to merit will not by itself provide sufficient incentives to African governments, unless the bilateral donors co-ordinate their efforts in this respect. Most donors agree that aid should be targeted to countries, which deserve it more. It is also widely accepted that the prerequisites are a sound macro-economic policy record, perseverance in carrying out economic reform, as well as improved governance and political opening. Even though it is inevitable that each bilateral donor decides its own geographical focus for development assistance, some harmonisation of policies vis-a-vis the deserving recipients could usefully be attempted. This project aims at helping donors to identify and monitor the countries in which the DAC strategy could be implemented first. Such an exercise requires looking at macro- economic stability, economic liberalisation and opening to trade and investment, as well as governance, with a view to assess the performances of various African countries considered as more or less “emerging” with respect to these criteria. The expected initial outcome is an analysis of the current achievements and of the policy reform challenges faced by “emerging” African countries. Recent research has demonstrated quite convincingly that the growth shortfall of Africa can, to a large extent, be attributed to economic policy failures and to a week institutional environment that fails to support the operation of market mechanisms (Sachs, Warner, 1997). Implementation of better policies would certainly have contributed to a stronger growth performance. Therefore, the main thrust of the analysis will be on assessing the contribution of economic policies to the observed take off in emerging countries, as well as on the possible obstacles to further economic policy reform which is needed to ensure sustained growth in the medium run.” This study aims to answer these questions for the case of Tanzania. The other countries selected are Côte d’Ivoire, Congo D.R., Ghana, Uganda, and Mali. It is hoped that it will be possible to draw some more general conclusions by comparing the results of these country studies. It is noted by the OECD that “All of the countries selected (with the exception of Congo) had a successful growth performance over the last few years and a reasonably satisfactory record of economic and political reform. However, African countries have a distinctive record of reversal of economic policy reforms. This raised doubts about the sustainability of reform programs and has considerably reduced their credibility. As a consequence, many of economic policy reforms that have been reasonably effective elsewhere (especially trade reform), have failed to provide the expected results in the case of Africa.
Recommended publications
  • USAID Tanzania Activity Briefer May 2020
    TANZANIA ACTIVITY BRIEFER MAY 2020 For over five decades, the United States has partnered with the people of Tanzania to advance shared development objectives. The goal of USAID assistance is to help the country achieve self- reliance by promoting a healthy, prosperous, democratic, well- governed, and secure Tanzania. Through partnerships and investments that save lives, reduce poverty, and strengthen democratic governance, USAID’s programs advance a free, peaceful, and prosperous Tanzania. In Tanzania, USAID engages in activities across four areas: ● Economic growth, including trade, agriculture, food security, and natural resource management ● Democracy, human rights, and governance ● Education ● Global health LARRIEUX/ USAID ALEX ALEX ECONOMIC GROWTH OVERVIEW: USAID supports Tanzania’s economic development and goal to become a self-reliant, middle- income country by 2025. We partner with the government and people of Tanzania, the private sector, and a range of development stakeholders. Agriculture plays a vital role in Tanzania’s economy, employing 65 percent of the workforce and contributing to nearly 30 percent of the economy. USAID strengthens the agriculture policy environment and works directly with actors along the production process to improve livelihoods and trade. At the same time, we strengthen the ability of rural communities to live healthy, productive lives through activities that improve 1 nutrition and provide access to clean water and better sanitation and hygiene. We also enhance the voices of youth and women in decision making by building leadership skills and access to assets, such as loans and land ownership rights. As Tanzania’s natural resources are the foundation for the country’s development, we work to protect globally important wildlife, remarkable ecosystems, and extraordinary natural resources.
    [Show full text]
  • Tanzania Inventory Report-1 for Arusha Tana
    UNITED REPUBLIC OF TANZANIA VICE PRESIDENT’S OFFICE INVENTORY OF THE WASTE OPEN BURNING IN ARUSHA, TANGA AND DAR ES SALAAM CITIES DECEMBER 2018 CONTENTS 1.0 INTRODUCTION ....................................................................................... 1 1.1 Background ........................................................................................................................... 1 1.2 Objectives of the site visit .................................................................................................. 1 2.0 APPROACH AND METHODS ...................................................................... 1 2.1 Appointment of the Team of Experts ............................................................................... 1 2.2 Site visit arrangement ......................................................................................................... 1 3.0 FINDINGS AND OBSERVATIONS ............................................................. 2 3.1 Existing situation.................................................................................................................. 2 3.1.1 Arusha City Council ................................................................................................. 2 3.1.2 Tanga City Counci lCouncil……………………………………..................................................7 3.1.3 Dar es Salaam City Council ................................................................................. 11 4.0 CONCLUSION……………………………………………………………………………………………………………….20 ' ANNEXES ........................................................................................................
    [Show full text]
  • ABSTRACT Colonialism and the Development of the Tanzanian
    ABSTRACT Colonialism and the Development of the Tanzanian Health System Harrison Chase Gottlich Director: Dr. Sara Alexander This thesis examines Colonialism’s lasting effects on the formation of the Tanzanian Healthcare system. Identified key characteristics of the Colonial Health Model include regional specialization, direct taxation, hospital-based care, and physician leadership. The effects of these characteristics are evaluated considering post-independence domestic policies and international health movements, including the 1978 Alma Ata Declaration and the 1993 World Bank Report. A finding of this thesis is that an overreliance on the Colonial Health model has stifled the development of the Tanzanian Healthcare System. Three historically informed recommendations are submitted to support the development of a preventive-focused health model more in line with the 1967 Arusha Declaration and the 1969-1974 Second Tanzanian Development Plan. APPROVED BY DIRECTOR OF HONORS THESIS: d F Dr. Sara Alexander, Anthropology APPROVED BY THE HONORS PROGRAM: F Dr. Elizabeth Corey, Director DATE: f , Director COLONIALISM AND THE DEVELOPMENT OF THE TANZANIAN HEALTH SYSTEM A Thesis Submitted to the Faculty of Baylor University In Partial Fulfillment of the Requirements for the Honors Program By Harrison Chase Gottlich Waco, Texas May 2018 TABLE OF CONTENTS Preface . iii Acknowledgements . v Chapter One: Tanzania and the International Community . 1 Chapter Two: The Tanzanian Health System . 11 Chapter Three:: Entrenched Attitudes: the Colonialist Health Model . 25 Chapter Four: The Arusha Declaration . 36 Chapter Five: Neoliberalism and Recommendations . 42 Bibliography . 49 ii PREFACE In April of 2016, I received a Boren Scholarship to study Swahili for 3 months domestically and for 9 months in Tanzania, where I lived near the city of Arusha and took Swahili language courses while volunteering at a local HIV/AIDS clinic.
    [Show full text]
  • Introduction 3 Before Arrival in Arusha 3
    Introduction 3 Before arrival in Arusha 3 Mail Address 3 Pre-Registration 3 Travel to and from Arusha 4 Insurance 5 Visa, Passports and Entry Formalities 5 Customs Formalities 8 th Welcome to the 47 Annual Health Services 8 Meeting of the Board Air Transport 9 of Governors of the African Development Bank and the Hotel Accommodation in Arusha 9 38th Annual Meeting of the Arrival in Arusha 11 Board of Governors of the Reception at Kilimanjaro International Airport 11 African Development Fund Annual Meetings Information 11 Press 11 28 May - 1 June 2012 Practical Information 12 Arusha Telecommunications 12 Tanzania The AICC Conference Facility 12 Practical Information 13 Car Rental Services in Arusha 15 Commercial Banks in Arusha 16 Places of Interest in Arusha 16 Shopping Centres 18 Places of Worship 19 Security 20 Badges 20 Annexes I 2012 Annual Meetings of the Boards of Governors of the African Development Bank Group 23 II Provisional Spouse Programme 26 III AfDB Board of Governors- Joint Reception and Gala Dinner Programme 27 IV Diplomatic Missions Accredited to Tanzania 28 V Tanzania Diplomatic Missions Abroad 37 VI Hotels in Arusha Description and Accommodation Booking 41 VII Airlines Serving Dar es Salaam (Julius Nyerere International Airport) 46 VIII Hospital and Special Assistance for emergencies in Arusha 47 IX Hospital and Special Assistance for emergencies in Arusha 48 X Emergency Call in Arusha 49 1 2 Introduction The 2012 Annual Meetings of the Boards of Governors of the African Development Bank Group (African Development Bank and the African Development Fund) will take place in Arusha, Tanzania, at the Arusha International Conference Centre (AICC), from 28May to 1 June 2012.
    [Show full text]
  • PROFILE of ARUSHA REGION Arusha Region Is One of Tanzania's 31 Administrative Regions
    PROFILE OF ARUSHA REGION Arusha Region is one of Tanzania's 31 administrative regions. Its capital and largest city is the city of Arusha. The region is bordered by Kajiado County and Narok County in Kenya to the north, the Kilimanjaro Region to the east, the Manyara and Singida regions to the south, and the Mara and Simiyu regions to the west. Major towns include Monduli, Namanga, Longido, and Loliondo to the north, Mto wa Mbu and Karatu to the west, and Usa River to the east. The region is comparable in size to the combined land and water areas of the United States state of Maryland] Arusha Region is a global tourist destination and is the center of the northern Tanzania safari circuit. The national parks and reserves in this region include Ngorongoro Conservation Area, Arusha National Park, the Loliondo Game Controlled Area, and part of Lake Manyara National Park. Remains of 600-year-old stone structures are found at Engaruka, just off the dirt road between Mto wa Mbu and Lake Natron. With a HDI of 0.721, Arusha is one among the most developed regions of Tanzania. History Much of the present area of Arusha Region used to be Maasai land. The Maasai are still the dominant community in the region. their influence is reflected in the present names of towns, regional culture, cuisine, and geographical features. The administrative region of Arusha existed in 1922 while mainland Tanzania was a British mandate under the League of Nations and known as Tanganyika. In 1948, the area was in the Northern Province, which includes the present day regions of Manyara and Kilimanjaro.
    [Show full text]
  • Arusha District Council
    ARUSHA DISTRICT COUNCIL INVESTMENT PROFILE DISCLOSE THE POTENTIAL OF ARUSHA DISTRICT COUNCIL February, 2017 FOREWORD I would like to welcome all esteemed investors to explore the irresistible opportunities provided by the Arusha District Council. Arusha District Council was established in 2007, the Council has a vision of to be a leading transformed Council that provides high quality services for Sustainable Development of the Community by 2025. In order to increase competitiveness in attracting investors to our District Council, effort and initiative to identify, expose and promote investment opportunities available in Arusha District Council is going on. We are indeed determined to utilize potential areas owned by the Council, Communities and those own by private developer. In this Investment Profile, we give you opportunities to realize your entrepreneurial ambitions and explore them. We believe in supporting our investors’ aspirations as the Council. As we want to be one among the leading investment avenues in Tanzania. In Arusha District Council investors are favoured with presence of suitable investment climate that will help you capitalize on untapped opportunities in Arusha and Tanzania as a whole. Whereby investment can be done to the following areas of interests include tourism, processing industries, livestock and agricultural sector, beekeeping, sports and recreation centre, modern market, real estate, socio-economic services. Investment climate is characterised by peace and stability, availability of raw materials, market, abundant natural resources, road and transportation network, electricity services and the strategic geographical location will support establishment and success of investments. It is because of the above mention few facts we are proud to say that Arusha District Council is the best investment destination of your choice.
    [Show full text]
  • Ujamaa Urbanism: Tanga Tanzania
    UJAMAA URBANISM: TANGA TANZANIA The exhibition at the Nordic Pavilion at la Biennale di Venezia has been titled “FORMS OF FREEDOM: African Independence and Nordic Models”. The exhibition will explore and document how modern Nordic architecture was an integral part of Nordic aid to East Africa in the 1960s and 1970s. The resulting architecture is of a scope and quality that has not previously been comprehensively studied or exhibited. One of the projects in the exhibition is Masterplan for Tanga Intro: African Independence and Nordic Models The liberation of Tanzania, Kenya and Zambia in the 1960s coincided with the founding of state development aid in the Nordic countries, where there was widespread belief that the social democratic model could be exported, translated, and used for nation-building, modernization and welfare in Africa. The leaders of the new African states wanted partners without a murky colonial past, and established solid bonds with the Nordic countries, built on a mutual belief in progress. During a few intense years in the 60s and 70s, Nordic architects contributed to the rapid process of modernization in this part of Africa. These young architects found themselves in the field between building freedom and finding freedom: Building freedom denotes nation-building through city planning, infrastructure and industry, and institutions for education, health, and state bureaucracy, whereas finding freedom points at the modernist, experimental free area that emerged from the encounter between Nordic aid and African nation-building. Ujamaa Urbanism: Tanga Tanzania “Planning should embody the ideology of the country”. Tanga Master Plan 1975-95. Main Report, Dar es Salaam, 1975 Established as the Tanzanian variant of socialist ideology, Ujamaa was intended to transform a tribal society into an egalitarian, modern welfare society.
    [Show full text]
  • Horticulture Value Chain in Tanzania (TAHA)
    HORTICULTUREHORTICULTURE VALUEVALUE CHAINCHAIN ININ TANZANIATANZANIA Presented by: Jacqueline Mkindi, Executive Director TAHA September, 2011 PRESENTATIONPRESENTATION OVERVIEWOVERVIEW ABOUT TAHA HORTICULTURE IN TANZANIA CHALLENGES NATIONAL INITIATIVES STRATEGIC AREAS OF FOCUS CONCLUSION ABOUTABOUT TAHATAHA Established in 2004 and became operational in 2005 • TAHA – an apex private sector association representing the Horticulture industry in Tanzania- a voicing platform for issues concerning horticulture in the country TAHA was established with the aim of promoting and developing horticulture and addressing the general and specific needs of its members. VISIONVISION ANDAND MISSIONMISSION VISION “A vibrant, prosperous and sustainable horticultural production in Tanzania” MISSION “To promote the Horticulture sector in Tanzania to become more profitable, sustainable, and participate more effectively in the development of the country” StrategicStrategic ObjectivesObjectives (( SosSos )) TAHA has four main Sos: 1. Lobbying and Advocacy- govt and donors, 2. Technical Support– projects, trainings, seminars, shows, etc 3. Information dissemination– media, researchers, govt, consultants, etc 4. Promotion– in and outside Tanzania HORTICULTUREHORTICULTURE ININ TANZANIATANZANIA Horticultural industry has been one of the most dynamic agriculture sub-sectors of the region’s economy over the last 10 years. It is the fastest growing agriculture subsectors and has registered tremendous growth in the past four years. Growth rate is 8-10% per annum (past 3 years) Earning the country more than USD 354 million per annum. Target is USD 1billion EMPLOYMENTEMPLOYMENT CREATIONCREATION Employs about 450,000 Tanzanians, majority being women (about 65-70%) HORTICULTUREHORTICULTURE ININ TANZANIATANZANIA The industry largely depend on smallholder farmers, with export of fruits and vegetables alone being 70% dependent on farmers with land holding less than 2ha.
    [Show full text]
  • Northern Zone Regions Investment Opportunities
    THE UNITED REPUBLIC OF TANZANIA PRIME MINISTER’S OFFICE REGIONAL ADMINISTRATION AND LOCAL GOVERNMENT Arusha “The centre for Tourism & Cultural heritage” NORTHERN ZONE REGIONS INVESTMENT OPPORTUNITIES Kilimanjaro “Home of the snow capped mountain” Manyara “Home of Tanzanite” Tanga “The land of Sisal” NORTHERN ZONE DISTRICTS MAP | P a g e i ACRONYMY AWF African Wildlife Foundation CBOs Community Based Organizations CCM Chama cha Mapinduzi DC District Council EPZ Export Processing Zone EPZA Export Processing Zone Authority GDP Gross Domestic Product IT Information Technology KTC Korogwe Town Council KUC Kilimanjaro Uchumi Company MKUKUTA Mkakati wa Kukuza Uchumi na Kupunguza Umaskini Tanzania NDC National Development Corporation NGOs Non Government Organizations NSGPR National Strategy for Growth and Poverty Reduction NSSF National Social Security Fund PANGADECO Pangani Development Corporation PPP Public Private Partnership TaCRI Tanzania Coffee Research Institute TAFIRI Tanzania Fisheries Research Institute TANROADS Tanzania National Roads Agency TAWIRI Tanzania Wildlife Research Institute WWf World Wildlife Fund | P a g e ii TABLE OF CONTENTS ACRONYMY ............................................................................................................ii TABLE OF CONTENTS ........................................................................................... iii 1.0 INTRODUCTION ..............................................................................................1 1.1 Food and cash crops............................................................................................1
    [Show full text]
  • Tanzania 2018 Crime & Safety Report
    Tanzania 2018 Crime & Safety Report According to the current U.S. Department of State Travel Advisory at the date of this report’s publication, Tanzania has been assessed as Level 2 – Exercise increased caution. Overall Crime and Safety Situation U.S. Embassy Dar es Salaam does not assume responsibility for the professional ability or integrity of the persons or firms appearing in this report. The ACS Unit cannot recommend a particular individual or location and assumes no responsibility for the quality of service provided. The U.S. Department of State has assessed Dar es Salaam as being a CRITICAL-threat location for crime directed at or affecting official U.S. government interests. Please review OSAC’s Tanzania-specific webpage for original OSAC reporting, consular messages, and contact information, some of which may be available only to private-sector representatives with an OSAC password. Tanzania has unique challenges domestically and regionally. Urban areas with the greatest populations (Dar es Salaam, Arusha, Mwanza, Stone Town) are confronted with national security challenges, specifically crime and terrorism, that require mitigation strategies. Crime Threats Most incidents include non-violent property crime and both violent and non-violent street crime. Street crime is rampant in urban areas, including in Dar es Salaam. Most incidents are crimes of opportunity, targeting people carrying bags, backpacks, computer cases, cameras, purses or items left in plain sight inside a vehicle. Most of these snatch-and-grab crimes are committed by unarmed assailants. Assailants tend to operate in small groups where only one person may overtly take part in a mugging.
    [Show full text]
  • Boresha Afya Project
    PHOTO: MKAMA MWIJARUBI/EGPAF Elizabeth Glaser Pediatric AIDS Foundation BORESHA AFYA PROJECT WHO ARE WE? serve to undercut national gains in the HIV response. These challenges limit the ability of the health sector to identify Between October 2016 and September 2021, with funding new HIV cases, manage the known cases, increase access from the United States Agency for International Development to RH services, and respond to opportunistic infections like (USAID) a consortium of partners has implemented the TB. Boresha Afya (“Improve Health”) project in the north and central zones of Tanzania1. Boresha Afya aims to increase OBJECTIVES AND STRATEGIES access to quality, comprehensive, and integrated health services among women and youth in six regions. This These six regions are struggling to address higher TB consortium is comprised of the Elizabeth Glaser Pediatric prevalence rates and a greater unmet need for family AIDS Foundation (EGPAF),EngenderHealth and the planning than reported national averages. Boresha Afya Government of Tanzania, in collaboration with the Ministry works to mitigate challenges through: of Health, Community Development, Gender, Elderly and • Facilitating an enabling environment for health service Children (MOHCDGEC). Through its strategic partnerships, provision the project offers technical expertise and evidence-informed technical assistance approaches, for integrated HIV, TB, • Improving the availability of quality, integrated health family planning (FP), reproductive health (RH) services and services at the health facility level health systems strengthening (HSS). • Increasing access to health services at the community WHERE DO WE WORK? level The project works with regional and council health Because integrated care can allow clients greater access management teams (R/CHMTs) in 44 councils, to improve to a variety of health services, Boresha Afya’s integration services in 425 health facilities.
    [Show full text]
  • Inequalities and Structural Transformation in Tanzania*
    Development, 2014, 57(3–4), (591–600) © 2015 Society for International Development 1011-6370/15 www.sidint.net/development/ Local/Global Encounters Inequalities and Structural Transformation in Tanzania* EDMUND MATOTAY ABSTRACT This article describes the various domains in which inequality manifests itself in Tanzania. It outlines the key drivers of inequalities as including wide income gaps, unemployment and a collusion between political and businesses elites that creates political capture and patronage, thus fuelling corruption and diverting resources from essential services. The article points out a correlation between access to education and income inequality, and highlights the fact that, despite marginal reduction in poverty, inequality is on the rise. KEYWORDS drivers of inequality; Palma ratio; spatial inequalities; distribution; private sector Introduction ‘Inequality is a violation of human dignity: it is a denial of the possibility for everybody’s human capabilities to develop. It takes many forms, and it has many effects: premature death, ill health, humiliation, subjection, discrimination, exclusion from knowledge or from main- stream social life, poverty, powerlessness, stress, insecurity, anxiety, lack of self-confidence and of pride in oneself, and exclusion from opportunities and life chances. Inequality, then, is not just about the size of wallets. It is a socio-cultural order, which (for most of us) reduces our capabilities to function as human beings, our health, our self-respect, our sense of self, as well as our resources to act and participate in this world.’ (Therborn, 2013) The emergence of the inequalities agenda across the globe is at the centre of the current development debates and concerned citizens and communities around the world are increasingly coming together under this concern.
    [Show full text]