The Ministry of Health and Social Welfare (MOHSW) in Tanzania with support from the Clinton Health Access Initiative (CHAI) launched a P4P programme in one region of Tanzania, Pwani, with funding from the Norwegian Ministry of Foreign Affairs in January 2011. P4P was conceived as a tool to accelerate the attainment of Millennium Development Goals (MDGs) 4 and 5. The P4P initiative is implemented in all seven districts within the Pwani region. All facilities, including hospitals, health centres and dispensaries within these districts are eligible to participate in the scheme, irrespective of ownership, on the condition that they provide reproductive and child health (RCH) services.