Introducing family medicine in Tanzania: strengthening primary health care through the 5 Cs—advocacy through a deliberative dialogue symposium-a case study of multinational academic collaboration - Summary - MDSpire

Introducing family medicine in Tanzania: strengthening primary health care through the 5 Cs—advocacy through a deliberative dialogue symposium-a case study of multinational academic collaboration

  • By

  • Donatus Rutajama Mutasingwa

  • Nancy Matillya

  • Enica Richard

  • Matilda Alfred Mkonyi

  • Elichilia R. Shao

  • Michael Burke

  • Henry Ziegler

  • Esther M. Johnston

  • Klaus B. Von Pressentin

  • Mugambi Joy

  • Innocent Besigye

  • Paschal Ruggajo

  • Riaz Ratansi

  • Eric Aghan

  • Katherine Dominique Rouleau

  • Davis Rubagumya

  • Aziza Magram

  • Florence Salvatory Kalabamu

  • July 16, 2026

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Objective:

To advocate for the integration of Family Medicine into Tanzania's national health system in the context of the Universal Health Insurance scheme launching in 2026.

Approach:
  • Symposium Overview: The first Family Medicine Symposium in Morogoro convened 51 stakeholders to discuss Family Medicine using the '5 Cs' framework: first-contact access, continuity, comprehensiveness, coordination, and person-centered care.
Key Findings:
  • The symposium highlighted the importance of integrating Family Medicine into primary health care.
  • Engagement established a transnational platform for collective advocacy.
  • Informal, context-sensitive partnerships can effectively align educational initiatives with health system needs.
Interpretation:

The absence of immediate formal policy commitments is noted as a limitation; however, the engagement facilitated important dialogue and networking among stakeholders.

Limitations:
  • Lack of immediate formal policy commitments.
  • The collaboration was modest in scale and duration, which may limit the generalizability of the findings.
Conclusion:

The paper illustrates how informal collaborations can contribute to advancing primary health care transformation in Tanzania by fostering dialogue and partnerships.

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