(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) District Health Services; Referral Hospital Services; Central Support; Human Resources for Health; Health Care Financing; Public Private Partnerships; Maternal, New-born and Child Health; Disease Prevention and Control; Emergency Preparedness and Response; Social Welfare and Social Protection; and Monitoring & Evaluation and Research. (e) Primary Health Care Service Development Programme (PHCSDP) 139. In 2007 the MOHSW developed the Primary Health Care Service Development Programme (PHCSDP 2007-2017). The objective of this programme is to accelerate the provision of primary health care services for all by 2012, while the remaining five years of the programme will focus on evaluation of achievements. The main areas will be strengthening the health systems, rehabilitation, human resource development, the referral system, increase health sector financing and improve the provision of medicines, equipment and supplies. This programme will be implemented by the Ministry of Health and Social Welfare in collaboration with other sectors by the existing Government administrative set-up including PMO-RALG, RSs, LGAs and Village Committees. The first element is increasing the workforce in health by increasing the throughput in the existing training institutions by 100%, upgrading 4 schools for enrolled nurses, production of health tutors and upgrading the skills of existing staff by provision IT skills and acquiring new medical technology. 140. The State Party ensured that as a protective measure, all pregnant women in Tanzania receive at least two doses of IPT with SP during the second and third trimesters of pregnancy. Women in the 2010 TDHS were asked if they took any ant malarial medications during the pregnancy leading to their last live birth, and if so, what drugs were taken. Women were also asked whether the drugs they received were part of an antenatal care visit. It should be noted that obtaining information about drugs can be difficult because some respondents may not know or remember the name or the type of drug that they received. The percentage of women who had a live birth in the two years preceding the survey who took any antimalarial drug and the percentage who took IPT during pregnancy. 150. Overall, 66 percent of pregnant women took an antimalarial drug during pregnancy (66 percent in Mainland and 85 percent in Zanzibar). The data suggest that IPT use of SP is integrated into routine antenatal care; 60 percent of pregnant women in Mainland Tanzania and 84 percent in Zanzibar reported having taken at least one dose of SP (IPT-1) during an ANC visit. However, only 27 percent of pregnant women in Mainland and 47 percent in Zanzibar received the recommended two or more doses of SP (IPT-2). These figures show an increase in these rates since the 2004-05 TDHS, when 22 percent of pregnant women in Mainland and 14 percent in Zanzibar received two or more doses of SP. 141. There are significant differences among women who received complete IPT (IPT-2), as determined by background characteristics. Women in urban areas are more likely than their rural counterparts to receive IPT-2 (31 percent and 25 percent, respectively). The same pattern is observed in the 2004-05 TDHS (29 and 20 percent, respectively). 152. In Shinyanga Region it is 20 percent or lower. Women in Zanzibar are much more likely than those in Mainland to receive IPT-2. The rates range from 34 percent in Pemba North to 68 percent in Unguja South. Coverage of IPT-2 increases with the woman’s education and wealth. Women in wealthier households and better educated women are more likely than other women to receive IPT-2. (v) Integrated Management of Childhood Illness (IMCI). 142. IMCI develops the capacity of child caregivers in first-level health facilities and communities to improve quality of care and address the major causes of under-five mortality and morbidity. IMCI commenced in 1997 in two pilot districts (Morogoro Rural and Rufiji) with support from the Canadian- 39