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Diabetes, hypertension, stroke, ischaemic heart disease and other non-communicable diseases have low priority in the situation where communicable diseases such as HIV/AIDS, tuberculosis and malaria are exerting a significant toll on the national health care budgets. Tanzania has been experiencing a significant rise in the burden of diabetes. The Tanzania Diabetes Association (TDA), with the support of ‘partners’, has embarked on a project to improve the access to quality care for people with diabetes in the country.Twenty-nine diabetes clinics have been established on the mainland and eight clinics have been set up in Zanzibar and Pemba. In addition to establishing the clinics, training for health care professionals has also been provided, together with a ‘starter kit’ for each of the clinics, in order to effect the services.The TDA is committed to ensuring that quality care for people with diabetes is accessible and sustainable. Copyright © 2006 John Wiley & Sons.