Pact Tanzania has implemented a comprehensive approach to improve quality of the service provision for OVC. Standards and related guidelines have been drafted and have been used by volunteers in five regions (Mbeya, Mtwara, Kagera, Tabora, and Mara) under the Jali Watoto programme. Pact Tanzania’s Jali Watoto programme is working with the USAID Health Care Improvement Project to implement learning groups in two districts: Nzega and Kyela.