Decolonization of health care in Tanzania

Geographical location of residence and socioeconomic status are two primary factors determining one’s access to health care, which often derail the common goal of affording equal accessibility of health-care resources to all individuals. The authors, comprising three physicians from Tanzania and two from the United Kingdom (UK), share a common commitment to understanding and addressing the consequences of colonization on health-care provision. Drawing on extensive experience in both clinical and academic capacities in East Africa, we define decolonization from the perspective of building sustainable and independent clinical and academic services in Tanzania, supported by experienced UK clinicians. In this opinion piece, we describe and discuss workforce and political issues that have shaped the historical and present influences of the UK in Tanzanian health care. In addition, we highlight certain successful initiatives that are already improving outcomes in Africa and offer further examples of practices that might improve clinical and academic outcomes for marginalized populations in the future.