The USAID Boresha Afya ("Improve Health") – North & Central Zone project works to improve the health status of Tanzanians in six focus regions by increasing the availability of quality integrated health services centralized around HIV service provision. The project will mitigate a number of challenges facing the six focus regions, which have the highest tuberculosis (TB) prevalence in the country, and greater unmet need for family planning than the national average in all but one of the six regions. Combined with gender imbalances, the issues undercut national gains in the HIV response.