Health and Health Services Article 14 In Tanzania the right to health is not provided by either Constitution. Under the Union the State will provide for the sick, disabled and incapacitated ‘within the limits of its economic capacity and development’. The duty to preserve the life and health of the vulnerable (including children and the mentally ill) is imposed on parents, guardians or care takers, Despite this, the Government is committed to the attainment of the MDGs, the MKUKUTA and MKUZA goals and the Health Sector Reform Programme and has defined the following as priority areas: malaria, TB, leprosy and HIV/AIDS; human resources, particularly in remote areas; promotion of reproductive child health; rehabilitation of all public health facilities, including hospital equipment; and the rationalization of allocation of drugs and medical supplies. Children under five currently receive free primary health care and medical treatment in Government clinics and dispensaries. Access to quality health care - Proximity to primary health care facilities has improved for instence almost 100 per cent of the urban population and close to three-quarters of the rural population live within five kilometres of a health centre or a dispensary. 31 One of the Government priorities includes to establish, expand and strengthen community based reproductive and child health services. Others are immunisation, Malaria Control Programme, nutritional and child mortality interventions and provision of safe water and sanitation practices. The quality of health services remains a problem due to a number of factors, including human resource problems, and inadequate medical equipments. Health care charges (user fees/cost sharing) and other ‘unofficial’ costs also pose challenges for issues of 31 Poverty and Human Development Report 2005. 32