Robust health care systems are paramount for the health, security, and prosperity of people and countries as a whole. This book provides for the first time a chronicle of the struggle for, and eventual success of, universal health coverage (UHC) in Tanzania. Beginning with an introduction to primary health care in the country, from its historical foundations to the major milestones of implementation, this book then considers stewardship of this important aspect of health systems over time. Written in a way to allow the application of lessons learned to other countries' contexts, this book covers: - Policy and governance issues such as leadership, human resources, and financing of health systems; - Practical aspects of health system delivery, including supply chains, community care, new technologies, and the integration of services for particular population groups; - The impact and mitigation of global events on health systems, such as resilience and preparedness in the light of disease outbreaks or climate change, and social, commercial, and political influences. Concluding with a look to the future, forecasting the changes and new solutions needed to adapt to a changing world, this book is a valuable reference for policy makers, global health practitioners, health system managers, researchers, students, and all those with an interest in primary health care and reforms - both in Tanzania and beyond.