With the focus to reach and work with the most vulnerable African communities to achieve lasting health change, Amref Health Africa has been active in Tanzania since 1957 and in 1987 the country office was established in Dar es Salaam. Since then, Amref Health Africa-Tanzania has been among the major supporters of the Government of Tanzania’s health care initiatives particularly the Ministry of Health, and President Office Region Authority and Local Government. Amref has supported the development of a number of national health policies, strategies, and guidelines for equitable health service delivery.