Ifakara Health Institute’s Scaling up One Health System and Gavi rabies Post-Exposure Prophylaxis projects held a three-day Dissemination and 3rd Evaluability Assessment Workshop from 2–4 February 2026 in Morogoro, Tanzania. 

Stakeholders from health, animal health, and policy sectors reviewed findings from the pilot on integrating rabies Post-Exposure Prophylaxis into the Integrated Vaccine Delivery system and reflected on lessons learned.

The workshop also focused on planning national scale-up, including priority outcomes, evaluation methods, and intervention components. Participants emphasized stronger collaboration between human and animal health sectors, scaling up mass dog vaccination alongside Post-Exposure Prophylaxis, and ensuring sustainable delivery models to support Tanzania’s goal of eliminating rabies by 2030.

Day 1: Dissemination of Pilot Findings

Participants reviewed evidence from the pilot on integrating rabies PEP into the IVD system. There was broad agreement that integration is feasible and that providing PEP free of charge improves access and care-seeking. Discussions highlighted critical gaps in risk assessment, coordination between animal and human health sectors, availability of job aids, and data on PEP utilization and completion. Sustainability, costing, and vaccine wastage emerged as key concerns, underscoring the need for clearer tools, strengthened capacity building, and follow-up on outstanding cost and impact questions.

Day 2: Dissemination, Engagement and Action (DE/EA) Workshop

The focus shifted to co-designing solutions and defining intervention components for the next pilot phase. Participants emphasized strengthening One Health coordination, improving dissemination and use of existing guidelines, formalizing reporting responsibilities, and scaling up mass dog vaccination alongside PEP. Priority intervention components, outcomes, data sources, and research methods were agreed upon, with consensus that the next phase should test fully integrated tools, workflows, and coordination mechanisms.

Day 3: Technical Advisory Committee (TAC) Meeting

During the Technical Advisory Committee meeting, members reviewed the findings and endorsed the feasibility and value of integrating PEP into IVD. Guidance centered on contextualizing risk assessment, testing task-shifting models, strengthening data systems, and ensuring cold chain compliance. The committee stressed that PEP scale-up must be accompanied by mass dog vaccination and dog population management, and called for rigorous testing of tools, costs, and implementation models to inform a national roadmap toward the 2030 rabies elimination target.

Overall, the in-person forum provided a collaborative platform for national and subnational stakeholders to align on implementation pathways, evaluation readiness, and policy-relevant evidence to support sustainable rabies control efforts in Tanzania.