German cooperation with Tanzania takes place in various forms and at various levels. As well as direct, bilateral cooperation, Germany also contributes to the multilateral programmes administered by such organisations as the European Commission and the World Bank. A third form of cooperation is the assistance Germany provides to regional bodies such as the East African Community and the African Union.

The nature of the partnership and the activities it involves has evolved in recent years. As Tanzania has experienced economic growth and strengthened its ownership of the development agenda, emphasis has moved to strategic planning, with the partnership now focused on coordinated approaches within clearly defined sectors. Germany and Tanzania have agreed to concentrate their efforts on three focal areas: water and sanitation, health and HIV/AIDS and support to local governance. In addition to its support in these specific sectors, Germany is providing general budget support to help implement MKUKUTA.