This analytical report examines the performance of Tanzania on the implementation of “Strengthening Primary Health Care for Results – PHCforR (P152736)”. This report is part of implementation of Investment Case funded by grants from donors including the World Bank Trust and loan from the bank of $200 million. The analysis aims to provide an in-depth exploration of the performance on key indicators as stipulated in the Health Sector Strategic Plan IV (HSSP-2015-2020) and their implication to Government’s intention to reach all households with quality health care services. The analysis further provides policy and budget recommendations for the Government and Development Partners on urgent and necessary investments to achieve a significant reduction of maternal and neonatal morality.