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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 ITNs Percent distribution of households (HH) Mainland Tanzania Zanzibar 22 21 37 33 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 Women Percent of children under 5 and pregnant women age 15-49 who slept under an ITN the night before the survey Total Urban Mainland Rural Mainland Children under 5 Pregnant women 55 67 50 67 51 48 59 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 2011-12 THMIS 2015-16 TDHS-MIS 2017 TMIS 18 9 14 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 25 36 43 Malaria Prevalence by Region Percent of children age 6-59 months who tested positive for malaria by a rapid diagnostic test (RDT) Kagera 15% Mara 11% Simiyu 6% Mwanza 8% Shinyanga 6% Geita 17% Tabora 12% Kigoma 24% Katavi 7% Rukwa 2% Mbeya 4% Songwe <1% Singida 2% Manyara <1% Arusha <1% Dodoma 1% Kilimanjaro <1% Tanga 3% Morogoro 10% Iringa 2% Njombe <1% Ruvuma 12% Lindi 12% Mtwara 15% Pwani 5% Dar es Salaam 1% Kaskazini Pemba <1% Kusini Pemba <1% Kaskazini Unguja <1% Kusini Unguja <1% Mjini Magharibi 1% Tanzania 7% 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 35 26 56 59 53 63 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 Prevalence Percent of children age 6-59 months who tested positive for malaria by a rapid diagnostic test (RDT) Total 7 Zanzibar <1 Mainland Tanzania 8
