This historical study examines the evolving landscape of gender equality within the Anglican Church in the Diocese of Central Tanganyika (DCT), with a focus on health-related developments in the post-colonial period. Tracing the trajectory from entrenched gender-based limitations to broader inclusivity, the article highlights how women, once marginalized in Church health initiatives, have gained visibility and agency, particularly since the 1980s. The period marks a turning point in which women began to access education, participate in leadership and contribute to health programmes that had long been male-dominated. Traditional gender roles have gradually shifted, reflecting a redefinition of responsibility within the Church and a growing embrace of shared leadership rooted in Christian values of love, cooperation and mutual respect. However, despite institutional advancements and theological support for equality, enduring gender disparities, especially in rural health services, continue to pose serious challenges. This study underscores the dual narrative of progress and persistent inequality, offering an important account of the Anglican Church’s ongoing journey towards holistic gender inclusion in health and ministry.