Where we work
Health financing, insurance costing and HTA support in Tanzania
Tanzania's Universal Health Insurance Act sets out mandatory health insurance with an Equity Fund for the poorest. Implementing it needs costed benefit packages, sustainable financing and evidence on what to cover. We support government, insurers, partners and researchers from our East African base.
The health economics context
Universal health insurance and an Equity Fund
WHO described the Universal Health Insurance Act, 2023 as a landmark commitment to expand financial protection, with an Equity Fund designed to cover insurance contributions for the poorest and most vulnerable. WHO support includes technical assistance on the insurance benefit package and fiscal space analysis.
Source: WHO Regional Office for Africa, 12 December 2025 (opens in a new tab)
A financing gap to close
A parliamentary committee reported an annual financing gap of Sh489.5 billion for full implementation of universal health insurance — the kind of gap that costing and financing analysis must address.
How we help in Tanzania
- Health financing & insuranceBenefit package costing, contribution and subsidy analysis, and fiscal space assessment.
- CostingUnit costs for the services in the insurance benefit package.
- Economic evaluation & HTACost-effectiveness and budget impact evidence to inform what the package covers.
- Impact evaluationEvaluation of insurance enrolment, service use and financial protection.
Free guides, templates and tools
Guides
Templates
Frequently asked questions
Do you work in Tanzania?
Yes. We serve clients across East Africa from our offices in Kigali and Addis Ababa, working remotely and on site.
Can you cost a benefit package with limited claims data?
Yes. New schemes have little claims history, so we use facility records, household surveys and comparable schemes, state each source and test the uncertain inputs in scenarios.
How do engagements usually start?
With a 20-minute call to understand the decision, the data available and the timeline. We then send a written proposal setting out the scope, timeline and price.
Have a decision that needs local evidence?
Tell us what you need and we will reply within one business day with next steps — or book a 20-minute call.