Although the country has seen much improvement in its healthcare system in recent years, as one of the poorest countries in the world, it follows that the standard of healthcare in Tanzania remains low. The country faces chronic shortages of medical staff, and facilities are underfunded and lacking adequate medical technology.

Medical facilities are extremely limited outside of major urban areas and any serious medical emergency will likely require air evacuation to a nearby country such as Kenya or South Africa.

That said, English is widely spoken in Tanzania and doctors will generally be able to speak the language. Most doctors in the country will expect an upfront payment in cash. 


Public healthcare in Tanzania

Both private and public facilities are available in the major cities, with the best hospitals found in Dar es Salaam and Arusha. Public healthcare in Tanzania generally falls well below the standards expected by most expats. As such, most expats in Tanzania choose to use private healthcare, while the local population opts mainly for public care. 


Private healthcare in Tanzania

Private healthcare is usually the preferred option for expats living in Tanzania. While these hospitals are in a much better condition than the public hospitals, they are still below the standards of Western countries.

The doctors in private hospitals generally speak English and can treat most ailments. In cases of emergency or for serious procedures, however, expats tend to look to healthcare options outside of the country. Expats should ensure that they have comprehensive international healthcare coverage to cover the exorbitant costs of private healthcare in Tanzania. 


Health insurance in Tanzania

Expats generally use private medical facilities in Tanzania and will require private health insurance. Although private health insurance coverage is not widespread among the local population, it is essential for expats to have comprehensive coverage. Expats should ensure that they choose a plan that covers them for different kinds of treatments in Tanzania and abroad, as well as covering emergency air evacuation. 


Medicines and pharmacies in Tanzania

Pharmacies are readily available in the main urban centres but medicines may be in short supply. Expats should consider bringing all prescription and chronic medication with them. These should be carried in their original labelled containers and accompanied by a prescription or doctor’s note. 


Health concerns in Tanzania

Malaria is endemic throughout most of Tanzania and expats should discuss possible prophylaxis options with their doctor before travelling. Preventative measures include wearing long, light-coloured clothing, regular application of insect repellent and sleeping under a mosquito net.

Water-borne diseases such as cholera and typhoid are some of the most common travel-related ailments in Tanzania and the tap water is generally not safe to drink. It is advisable that expats stick to drinking bottled water wherever possible. 


Pre-travel vaccinations for Tanzania

Expats should ensure that all routine vaccinations are up to date. Before leaving for Tanzania should ensure that they are covered for the following:

  • Diphtheria

  • Tetanus

  • Measles, mumps and rubella

  • Rabies

  • Typhoid

  • Polio

  • Hepatitis A

  • Hepatitis B

The above list is merely a guide and expats should consult a medical practitioner about the health risks in Tanzania before they depart. 


Emergency services in Tanzania

In the case of an emergency, expats can dial 112 or 114, but emergency services are extremely limited and some medical emergencies may require air evacuation.