Overall, the department achieved only 46% of its targets. Performance related to MDG indicators and in particular related to maternal mortality rates need urgent intervention as we approach the MDG deadline. This may result in failure to achieve the MDG target for maternal health in 2015. Central to health care delivery is to address disparities in the quality and coverage of health services. Improvements should be directed to accelerated roll-out of ARV delivery accompanied by strengthening of voluntary counselling and testing and PMTCT. The department performed well in meeting targets pertaining to infant, child and youth health. Most targets related to this objective were achieved, as supported by the marked decline in infant and child mortality (IMR 30 per 1000 and under-5 mortality rate at 42 per 1000).