TANZANIAboth Mainland Tanzania and Zanzibar do not own any ITNs. Insecticide-treated Nets (ITNs) In...

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2017 Malaria Indicator Survey

TANZANIA

© 2013 Valerie Caldas, JHU/CCP, Courtesy of Photoshare

Malaria prevalence in children age 6-59 months has declined from 18% in 2007-08 to 7% in 2017.

More than 40% of households in both Mainland Tanzania and Zanzibar have at least one ITN for every two people in the household. More than 1 in 5 households in both Mainland Tanzania and Zanzibar do not own any ITNs.

Insecticide-treated Nets (ITNs)

In Tanzania, 20% of children under 5 had fever in the two weeks before the survey. Among children under 5 with recent fever, 75% had treatment or advice sought. This is a decline from 80% in 2015-16. Diagnostic testing of children under 5 with recent fever has increased from 25% in 2011-12 to 43% in 2017.

Management of Fever in Children

Regionally, malaria prevalence ranges from a low of <1% in nine regions to a high of 24% in Kigoma region.

Malaria Prevalence

More than half of Tanzanian children under 5 and pregnant women age 15-49 slept under an ITN the night before the survey. ITN use is higher in urban Mainland compared to rural Mainland. More than 60% of children and pregnant women in Zanzibar slept under an ITN the night before the survey.

ITN Use

Household Ownership of ITNsPercent distribution of households (HH)

Mainland Tanzania

Zanzibar

22 21

3733

45 42

No ITN

At least 1 ITN but not enough for all HH members

At least 1 ITN for every 2 people in the HH

ITN Use among Children and Pregnant WomenPercent of children under 5 and pregnant women age 15-49

who slept under an ITN the night before the surveyTotal Urban

MainlandRuralMainland

Children under 5 Pregnant women

5567

50

67

51 4859 63

Zanzibar

Trends in Malaria Prevalence Percent of children age 6-59 months who tested positive

for malaria by a rapid diagnostic test (RDT)

2007-08 THMIS

2011-12THMIS

2015-16 TDHS-MIS

2017TMIS

18

914

7

Trends in Care Seeking and Diagnostic Testing for Children with Fever

Among children under 5 with fever in the 2 weeks before the survey, percent for whom advice or treatment was sought

and who had blood taken from a finger or heel for testing

2011-12 THMIS

2015-16 TDHS-MIS

2017 TMIS

77 80 75

Diagnostic testing

Care seeking

2536

43

Malaria Prevalence by RegionPercent of children age 6-59 months who tested positive

for malaria by a rapid diagnostic test (RDT)

Kagera15% Mara

11%

Simiyu6%

Mwanza8%

Shinyanga6%

Geita17%

Tabora12%

Kigoma24%

Katavi7%

Rukwa2%

Mbeya4%

Songwe <1%

Singida2%

Manyara<1%

Arusha<1%

Dodoma1%

Kilimanjaro<1%

Tanga3%

Morogoro10%Iringa

2%

Njombe<1%

Ruvuma12%

Lindi12%

Mtwara15%

Pwani5% Dar es Salaam

1%

Kaskazini Pemba

<1%

Kusini Pemba

<1%

Kaskazini Unguja<1%

Kusini Unguja<1%

Mjini Magharibi1%

Tanzania7%

Trends in Intermittent Preventive Treatment during Pregnancy (IPTp)

Percent of women age 15-49 with a live birth in past two years who received at least 1, 2, or 3 doses of SP/Fansidar

2007-08 THMIS

IPTp1+

IPTp2+

IPTp3+

2004-05 TDHS

2010 TDHS

2011-12 THMIS

2015-16 TDHS-MIS

2017 TMIS

22

3 7

31

3

27 33

4 8

3526

56595363 63 69

83

More pregnant women have received at least 1, 2, or 3 doses of SP/Fansidar or intermittent preventive treatment during pregnancy (IPTp) since 2004-05. IPTp3+, the recommended dosage, has increased from 3% in 2004-05 to 26% in 2017.

Malaria in Pregnancy

Overall, 7% of Tanzanian children age 6-59 months tested positive for malaria by a rapid diagnostic test (RDT). Malaria prevalence is lower in Zanzibar (<1%), compared to 8% in Mainland Tanzania (8%).

Malaria PrevalencePercent of children age 6-59 months who tested positive

for malaria by a rapid diagnostic test (RDT)

Total

7

Zanzibar

<1

MainlandTanzania

8