Understanding the Health System in Tanzania
Summary: Gain insight into the health care system in Tanzania. Explore its accessibility and limitations for expatriates, remote workers, retirees, and others who choose to live in Tanzania.
Are you considering an international move to Tanzania? This East African nation is known for its vast wilderness areas, stunning landscapes, and rich cultural heritage. Before you pack your bags, here are ten essential things to know to help you transition into expat life in Tanzania.
1. Swahili is Widely Spoken, but English is Common in Urban Areas
While Swahili is the official language of Tanzania, English is widely spoken, especially in urban areas and among the younger generation. Learning a few basic phrases in Swahili will help you integrate into the local community and is appreciated by locals. Greetings like "Jambo" (hello) and "Asante" (thank you) are a good start. In business settings and schools, English is commonly used, making it easier for expats to communicate.
2. Tanzania's Climate Varies Greatly
Tanzania's climate is diverse and ranges from hot and humid on the coast to cool and temperate in the highlands. The country has two rainy seasons: the long rains from March to May and the short rains from October to December. Prepare for varying temperatures and weather conditions depending on your location. For instance, in Dar es Salaam, expect tropical heat, while in Arusha, nights can be surprisingly chilly.
3. Expat Communities are Strong and Welcoming
Tanzania has a well-established expat community, particularly in cities like Dar es Salaam and Arusha. These communities are a valuable resource for newcomers, offering support, advice, and social activities. Joining expat groups and forums can help you navigate the challenges of to a new country. Many expats find that these communities become a second family, with regular gatherings and events.
4. Understand the Local Culture and Customs
Tanzania is a culturally diverse country with over 120 ethnic groups. Respect for elders and a strong sense of community are integral to Tanzanian culture. Greetings are important and often involve a handshake followed by a brief conversation about health and family. Dress modestly, especially when visiting rural areas or places of worship. Tanzanians are known for their friendliness and hospitality, so be open to invitations and new experiences.
5. Navigating the Visa and residency Process
Obtaining the correct visa and residency permit is crucial for a smooth transition. The most common visa for expats is the Class C resident permit, which requires a work permit. The process can be lengthy and involves multiple documents, including a police clearance certificate and medical reports. It's advisable to start the application process well in advance and seek assistance from your employer or a professional service.
6. and Insurance
Healthcare in Tanzania is a mix of public and private facilities. While public healthcare is affordable, private clinics and hospitals offer better quality care. It's essential to have comprehensive health insurance that covers medical evacuation, as serious conditions may require treatment abroad. Common health issues include malaria, dengue fever, and stomach upsets, so take necessary precautions and keep your vaccinations up to date.
7. Safety and Security
Tanzania is generally safe, but petty crime can occur, especially in tourist areas and large cities. Take common-sense precautions such as avoiding deserted areas, keeping valuables secure, and not walking alone at night. Be cautious with your belongings in crowded places like markets and bus stations. Additionally, road safety can be an issue, so be alert when driving or using public transportation.
8. The Pace of Life is Different
Life in Tanzania moves at a slower pace compared to many Western countries. This is often referred to as "pole pole" (slowly, slowly) in Swahili. Embrace this laid-back approach to life and be patient with bureaucracy and everyday tasks that may take longer than you're used to. Use this opportunity to enjoy the small moments and appreciate the present.
9. Explore Tanzania's Natural Wonders
Tanzania is home to some of Africa's most iconic landscapes and wildlife. From the snow-capped peak of Mount Kilimanjaro to the vast plains of the Serengeti, there's always something new to explore. Safaris, beach holidays on the coast, and cultural experiences are all within reach. Make the most of your time in Tanzania by traveling and discovering the country's natural beauty.
10. Embrace the Local Cuisine
Tanzanian cuisine is a blend of African, Indian, and Arabic influences. Staple dishes include ugali (maize porridge), nyama choma (grilled meat), and pilau (spiced rice). Along the coast, expect an abundance of fresh seafood. Street food is popular and inexpensive; try local favorites like chapati (flatbread), samosas, and mishkaki (marinated meat skewers). Don't be afraid to experiment with new flavors and ingredients.
Moving to Tanzania is an exciting adventure filled with unique experiences and cultural insights. By understanding these key aspects, you'll be well-prepared to embrace your new life as an expat in this captivating country.
Insider Tips from Expats in Tanzania: How to Navigate the Health System
"Healthcare services in Tanzania are provided by both public and private institutions. The public healthcare system is funded by the government and is available to all citizens. The quality of public healthcare varies depending on the region, but generally it is considered to be of lower quality than private healthcare. Foreign residents do have access to the public healthcare system, but they are not eligible for the same benefits as citizens. Expats in Tanzania typically use private healthcare services, as they are more reliable and of higher quality. However, some expats may use the public healthcare system if they are unable to access private services," commented one member living in Tanzania.
"Emergency services in Tanzania are limited and vary in quality. In major cities, there are some private ambulance services that can be called for medical emergencies. However, in rural areas, the availability of emergency services is much more limited. To call for an ambulance, one can contact the local police station or fire station, or contact a private ambulance service if available," commented one member living in Tanzania.
About the Author
Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International
and Mass Market Marketing. She graduated from Ohio Wesleyan University
with a BA in International Business and German.
Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.
Additional Information:
- Tanzania Guide
- Healthcare & Health Insurance in Tanzania
- Members Talk about Healthcare & Health Insurance in Tanzania
- Best Places to Live in Tanzania
- Real Estate in Tanzania
- Guide to Real Estate in Tanzania
- Pros & Cons of Living in Tanzania
- Cost of Living in Tanzania
- Understanding Mental Health in Tanzania
- Do I need Health Insurance When Moving to Tanzania?
- Having a Baby in Tanzania
- Health Insurance in Tanzania
- Pros and Cons of Living in Tanzania 2026


