Afya Shirikishi (“Participatory Health”) is a five-year activity which aims to improve access to Tuberculosis (TB) and family planning (FP) services in nine regions of Tanzania. Tanzania ranks among the 30 highest TB-burdened countries in the world with an estimated TB prevalence at 295 cases per 100,000 population. Despite these challenges, the  National TB and Leprosy Program (NTLP), in collaboration with USAID and international and local IPs, has significantly addressed the TB burden in Tanzania, maintaining a decline in TB incidence rate above 4% per year. 

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