Tanzania PrEP Programme Evaluation & Long-Acting PrEP Feasibility

Tanzania's PrEP programme evaluation asks a practical question that becomes more important as HIV prevention expands: how can a national programme reach people, support them to continue prevention, and introduce new options without losing the qualities that make services usable? The work treats pre-exposure prophylaxis as an ongoing prevention pathway rather than a one-time prescription. Initiation matters, but so do continuation, privacy, counselling, service organization and the fit between a prevention option and a person's circumstances.

The evaluation brings national programme performance together with the experiences of people using and delivering PrEP. It examines patterns from 2021 to 2024 while also exploring what helps or complicates sustained engagement. A parallel formative assessment considers how long-acting cabotegravir and the dapivirine vaginal ring could be introduced in ways that respond to local preferences, provider readiness and real service conditions.

The result is a broader view of prevention choice. Daily oral PrEP remains an important option, while longer-acting methods may widen choice for people who prefer different dosing or service arrangements. The central purpose is not to position one modality as universally better, but to understand how a responsive prevention system can offer options, learn from programme experience and adapt as the prevention landscape changes.