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TB Burden in Tanzania

According to the WHO Global Tuberculosis (TB) Report 2024, Tanzania has improved on the two TB burden indicators (TB incidence rate and TB deaths). The TB incidence rate has been reduced by 40% from 306 in 2015 to 183 in 2023, and the number of deaths due to TB for both HIV-positive and negative has been reduced by 68% from 58,000 in 2015 to 18,400 deaths in 2023. This has put Tanzania among the 3 countries with high TB burdens on track to reach the END TB milestone 2025 of reducing the Incidence rate by 50% in 2025 and among 13 countries in reducing the number of TB deaths by 75%. TB treatment success rates have reached 96% for TB cases notified in 2023 above the national and WHO targets of >90%.

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Figure 1: END TB Milestone Status 2023

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Figure 2: Trends in the TB incidence rate  and estimated deaths caused by TB in Tanzania 2015-2023

Since the 2015 the TB notification has been increased by 6% per year with steady increase by 16% in 2022 and gradual decrease in 2023.

Tuberculosis Notifications by Region

Figure 3 below shows new and relapse TB cases notified by regions in 2023. Higher TB cases notification was reported in the following regions: Dodoma (7,086), Temeke MC (5,055), Tanga (4,335), Mwanza (4,265) and Morogoro (4,1450) while the lower TB cases notification was observed in Pemba Island (306), Kigamboni MC (595), Unguja island (807), Katavi (1,082) and Ilala II TB regions which includes the major hospitals in Dar es salaam (1,195).

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Figure 3: Number of TB notification cases, new and relapse by region (Source:  DHIS2-ETL)

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Figure 4: Contribution in TB Notification per region (Source:  DHIS2-ETL)

Tuberculosis Notification Rate

TB cases notification rate has been increasing since 2015, the percentage change between 2015 and 2023 is 16%. The year 2022 recorded the highest TB notification rate of 165 cases per 100,000 population in the last 10 years. Figure 5 below shows the trends of TB cases notification rate at the national level.

Figure 5:TB case notification rate trend, National.

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Tuberculosis Notification Rate by regions

As shown in figure 5 below, the TB case notification rate among the TB and Leprosy regions. Temeke MC has the highest notification rate of 318.3, followed by Ilala MC (311), Kigamboni MC (279), Kinondoni (259), and Dodoma (245) were the top five regions with high TB notification rates. The low notification rates were observed in Pemba Island (49), Kigoma (57), Unguja Island (70), Rukwa (89), and Kagera (91).

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Figure 6: TB cases notification rate, new and relapse by regions: 2023