The Seventy-seventh World Health Assembly (WHA77), currently underway in Geneva, Switzerland, stands as a pivotal event in the realm of global health. This annual gathering of global health leaders is instrumental in making critical decisions to advance public health worldwide. Among the numerous participating countries, Tanzania's involvement in WHA77 is noteworthy, reflecting its steadfast dedication to enhancing health outcomes for its population. 

Tanzania is hosting a member state-led side event titled “Strengthening Primary Health Care through Implementation of Integrated and Coordinated Community Health Workers Program in Tanzania.” This initiative aims to enhance primary healthcare delivery by leveraging community health workers and integrating their efforts into the broader health system.
 

Expectations of African Countries at WHA77
African countries, including Tanzania, went to WHA77 with high hopes and clear objectives. The primary expectations revolve around:
• Strengthening Health Systems: Enhancing the resilience and responsiveness of health systems to better handle current and future health challenges.
• Funding and Support: Securing increased funding and international support for health initiatives, especially those targeting communicable diseases, maternal and child health, and non-communicable diseases.
• Global Health Policies: Contributing to the formulation of policies that address the unique health needs of African populations and ensure equitable access to healthcare services.
 

Tanzania at WHA77: Leadership and Commitment
Tanzania's participation in WHA77 is led by the Health Minister, Hon. Ummy Mwalimu. The presence of the Tanzanian delegation underscores the nation's commitment to advancing health for all its citizens. WHA77 serves as a crucial platform for Tanzania to share its success stories, address ongoing challenges, and align with global health policies aimed at achieving Sustainable Development Goal (SDG) 3 by 2030.
 

Tanzania's Success Stories in Reducing Maternal and Child Mortality
Tanzania has made significant strides in reducing maternal and child mortality rates. Key success stories include:
• Integrated and Coordinated Community Health Workers Program: This program has been instrumental in delivering primary healthcare services at the grassroots level, ensuring that even the most remote communities have access to essential health services.
• Maternal and Child Health Interventions: Through initiatives such as improved antenatal care, skilled birth attendance, and expanded immunization programs, Tanzania has seen a substantial decrease in maternal and child mortality rates.
 

Challenges and Ongoing Efforts
Despite these successes, Tanzania faces several challenges:
• Healthcare Infrastructure: There is a need for continuous improvement and expansion of healthcare infrastructure to meet the growing demands of the population.
• Funding: Securing sustainable funding sources remains a challenge, particularly for health programs targeting the underserved and marginalized communities.
• Human Resources for Health: Strengthening the health workforce is critical to ensuring the effective delivery of health services.
 

Universal Health Coverage: A Pivotal Moment for Tanzania
One of the most significant developments in Tanzania's healthcare journey is the introduction of the Universal Health Insurance (UHI) Bill. Tabled before Parliament in September 2022, the UHI Bill was unanimously passed by the Tanzanian National Assembly on November 1, 2023, and enacted by President Her Excellency Dr. Samia Suluhu Hassan on December 6, 2023.
 

The Universal Health Insurance Bill: Key Features and Benefits
The UHI Bill aims to provide health insurance for all Tanzanian citizens, with special provisions for financing healthcare for the poor. The legislation promises substantial health and economic benefits, including:
• Reduction in Out-of-Pocket Medical Expenses: By offering comprehensive health insurance coverage, the UHI Bill aims to significantly reduce the financial burden on individuals and families.
• Continuous Resource Flow for Health Services: Ensuring a steady and reliable flow of resources for health services will enhance the quality and accessibility of healthcare across the country.
• Improved Quality of Life: The UHI Bill is expected to improve the overall quality of life for all Tanzanians, especially women and children in underserved areas.
 

Strengthening Primary Health Care
Tanzania's focus on strengthening primary health care through the implementation of the Integrated and Coordinated Community Health Workers Program is a strategic move towards achieving Universal Health Coverage (UHC). This program is one of the key strategies to ensure that health services are accessible to all Tanzanians, particularly in rural and hard-to-reach areas.
 

Conclusion: A Collective Effort Towards a Healthier World
As WHA77 continues, the outcomes of this assembly will shape the future of global health policies and practices. Tanzania's active participation and its recent healthcare advancements, particularly the enactment of the UHI Bill, highlight its commitment to achieving health for all. The collective efforts of global health leaders, including those from Tanzania, are crucial in building a healthier world.
Tanzania's journey towards SDG 3 targets by 2030 is a testament to its dedication and the support of its partners. The WHA77 serves as a beacon of hope and a platform for celebrating the progress made and the unwavering resolve to overcome the challenges ahead.

Dr. Kheri Goloka
The author is a Minister Counsellor and Health Attache’ of the Tanzania High Commission, New Delhi, India.