Credit: Mia Collis via Medecins du Monde, Dar Es Salaam


Most at risk


Children, poor people, homeless people and people living with HIV are most at risk of getting infected
with TB. Certain groups in society are often poor as well as homeless and/ or living with HIV, and they are therefore more at risk than anyone else. These are the so called key populations or most at risk people:
  • drug users
  • sex workers
  • prison population


All over the world TB infections are higher among these groups, and often undetected. This means without increased screening and testing among these groups, new infections with TB and HIV cannot be prevented.


Harm reduction
Mukikute first started working with drug users in 2012. The goal was to attempt to curb HIV/ TB co-infections among that population, and to prevent new infections and the unnecessary deaths caused by TB. With outreach workers and several drop in centers in the Temeke district of Dar Es Salaam Mukikute now offers screening, testing and treatment for both men and women who were using drugs. The program is based on the harm reduction philosophy, which means to reduce the harm people cause to themselves and others without judgment on their lifestyle.

Sex workers and MSM

Since 2012 Mukikute has upscaled its services and has set up more drop in centers in more districts of the city (Kigamboni, Ilala, Kinondoni) with projects that also focused on sex workers and men who have sex with men. It's a challenge to work with these hard to reach groups, since they face a lot of stigma in society and have learned not to trust anyone. By setting up drop in and training centers, by working from a harm reduction philosophy and by working with peer educators, Mukikute tries to bridge the gap.