Children are the foundation of our future, and their well-being directly impacts the prosperity of communities. By investing in their education, health, and overall development, we create opportunities for them to thrive and contribute meaningfully to society.

Young people hold the potential to drive innovation and change. Empowering them with skills, knowledge, and self-confidence ensures they can overcome challenges, become self-reliant, and shape a brighter future for themselves and their communities.

Women are the backbone of families and communities... often playing a pivotal role in nurturing and education. By supporting women, especially in areas like health. economic empowerment, and leadership, we create ripple effects that enhance the well-being of entire households and accelerate community development.

• THIS 2022-2023 found that there were approximately 60,000 new cases of HIV among adults in Tanzania during the survey year.

• There were marked variations in HIV prevalence by age, sex, and region, with a higher prevalence among women and in certain regions of Mainland Tanzania. HIV prevalence was below 1% in all the regions of Zanzibar.

• The prevalence of VLS among all adults living with HIV was 78%, but there were substantial regional differences. In addition, men were less likely to achieve VLS than women, and generally, younger adults were less likely to have VLS than older adults.

• Tanzania has met the second of the three UNAIDS 95-95-95 targets ahead of 2025, demonstrating access to robust treatment programs among those who are aware of their HIV-positive status.

• Enhanced case finding among populations who are unaware of their HIV-positive status or outside of the care system remains an important program intervention to address gaps in the first 95.

• Continuing a differentiated service delivery approach to HIV services, tailored to accommodate population-specific needs of populations, remains important to maintain gains in treatment coverage and viral load suppression.

• To advance UNAIDS’ 2030 goal of ending the AIDS epidemic, a focus on ongoing surveillance to detect new HIV infections, coupled with the timely provision of treatment and combination prevention services to interrupt further transmission, will be crucial.

Of 18,586 eligible households, 92.8% completed a household interview. Among 39,442 eligible adults (22,031 women and 17,411 men), 33,663 (19,292 women and 14,371 men) were interviewed and tested for HIV. The overall response rate was 79.2%: 81.3% for women and 76.6% for men. HIV prevalence testing was conducted in each household using a serological rapid diagnostic testing algorithm based on Tanzania’s national guidelines, with laboratory confirmation of seropositive samples using a supplemental assay. For confirmed HIV-positive samples, laboratory-based testing was conducted for quantitative evaluation of viral load and qualitative detection of ARVs (dolutegravir, efavirenz, atazanavir, and lopinavir). A laboratory-based incidence testing algorithm (HIV-1 limiting antigen-avidity assay with correction for viral load and detectable ARVs) was used to distinguish recent from long-term infection. Incidence estimates were obtained using the formula recommended by the World Health Organization Incidence Working Group and Consortium for Evaluation and Performance of Incidence Assays. Survey weights were utilized for all estimates.