Tuberculosis (TB) remains a significant public health concern in Tanzania, with healthcare facilities playing a pivotal role in vaccination efforts. A mixed-methods approach was employed, including surveys, interviews, and observational studies to assess adoption rates and effectiveness. Community engagement interventions led to a significant increase of 20% in vaccine uptake (n=500) compared to baseline, with an estimated 95% confidence interval around this effect size. Engagement strategies were effective in improving TB vaccination rates, highlighting the importance of community involvement for public health initiatives. Further research should explore long-term sustainability and scalability of these engagement methods.