Community-based health care services has a long history in Tanzania, dating back to the year 1967 where Arusha declaration spearheaded by Hon. Mwalimu Julius K. Nyerere, the first President of the United Republic of Tanzania and furthered through the Alma Atta declaration of 1978. Community health care has been deeply rooted in Tanzania’s health system. Over the years, a wide range of community-based health programmes and initiatives have been carried out throughout the country, addressing critical health issues such as maternal, child and neonatal health, HIV and AIDS, Nutrition, Malaria, Tuberculosis and adolescent sexual and reproductive health. Community Based Health Programmes have often lacked sufficient coordination and habe been programme-specific, donor-dependent and hence unsustainable.