Positive developments are identified, notably a strong policy and planning environment linked to overall strategy for growth and poverty reduction, leading to vigorous commitment to achievement of the Millennium Development Goals. Abolition of school fees, and a measure of compulsion, resulted in significant gains in school enrolment, including almost equal rates of enrolment for boys and girls since 2000. Poverty is mainly rural and the system struggles to supply education to very poor people. The needs of Tanzania's sizeable number of children living with disability have been identified and policy is in place, but there is little provision as yet. In responding to HIV/AIDS, more action is essential. Increased enrolment rates have been blamed for a serious negative effect on quality. Modernized curriculum and pedagogy have been prescribed, but realization of these improvements will require a seismic shift in teacher training, support and the provision of education resources.