Conclusion
IPTsc was feasibly implemented and well accepted by the community, henceforth, through this article other interested countries may realise an applicable approach for IPTsc implementation. Mitigation to any challenge can be customized based on local circumstances without jeopardising the gains expected from an IPTsc programme. After completing the feasibility assessment, the next step was to estimate cost-effectiveness including hours, in-kind investment of teachers, health staff, drugs procurement etc. in a real world (implementation) situation. The study team subsequently, developed an IPTsc scale up plan and a policy brief for the endorsement of IPTsc strategy in Tanzania.