Tanzania vs. Uganda

Tanzania has the largest population in East Africa and the lowest population density; almost a third of the population is urban. Tanzania's youthful population - about two-thirds of the population is under 25 - is growing rapidly because of the high total fertility rate of 4.8 children per woman. Progress in reducing the birth rate has stalled, sustaining the country's nearly 3% annual growth. The maternal mortality rate has improved since 2000, yet it remains very high because of early and frequent pregnancies, inadequate maternal health services, and a lack of skilled birth attendants - problems that are worse among poor and rural women. Tanzania has made strides in reducing under-5 and infant mortality rates, but a recent drop in immunization threatens to undermine gains in child health. Malaria is a leading killer of children under 5, while HIV is the main source of adult mortality

For Tanzania, most migration is internal, rural to urban movement, while some temporary labor migration from towns to plantations takes place seasonally for harvests. Tanzania was Africa's largest refugee-hosting country for decades, hosting hundreds of thousands of refugees from the Great Lakes region, primarily Burundi, over the last fifty years. However, the assisted repatriation and naturalization of tens of thousands of Burundian refugees between 2002 and 2014 dramatically reduced the refugee population. Tanzania is increasingly a transit country for illegal migrants from the Horn of Africa and the Great Lakes region who are heading to southern Africa for security reasons and/or economic opportunities. Some of these migrants choose to settle in Tanzania.

Uganda has one of the youngest and most rapidly growing populations in the world; its total fertility rate is among the world's highest at 5.8 children per woman. Except in urban areas, actual fertility exceeds women's desired fertility by one or two children, which is indicative of the widespread unmet need for contraception, lack of government support for family planning, and a cultural preference for large families. High numbers of births, short birth intervals, and the early age of childbearing contribute to Uganda's high maternal mortality rate. Gender inequities also make fertility reduction difficult; women on average are less-educated, participate less in paid employment, and often have little say in decisions over childbearing and their own reproductive health. However, even if the birth rate were significantly reduced, Uganda's large pool of women entering reproductive age ensures rapid population growth for decades to come.

Unchecked, population increase will further strain the availability of arable land and natural resources and overwhelm the country's limited means for providing food, employment, education, health care, housing, and basic services. The country's north and northeast lag even further behind developmentally than the rest of the country as a result of long-term conflict (the Ugandan Bush War 1981-1986 and more than 20 years of fighting between the Lord's Resistance Army (LRA) and Ugandan Government forces), ongoing inter-communal violence, and periodic natural disasters.

Uganda has been both a source of refugees and migrants and a host country for refugees. In 1972, then President Idi AMIN, in his drive to return Uganda to Ugandans, expelled the South Asian population that composed a large share of the country's business people and bankers. Since the 1970s, thousands of Ugandans have emigrated, mainly to southern Africa or the West, for security reasons, to escape poverty, to search for jobs, and for access to natural resources. The emigration of Ugandan doctors and nurses due to low wages is a particular concern given the country's shortage of skilled health care workers. Africans escaping conflicts in neighboring states have found refuge in Uganda since the 1950s; the country currently struggles to host tens of thousands from the Democratic Republic of the Congo, South Sudan, and other nearby countries.