The most significant changes contributed by Tujikomboe Group in the lives of vulnerable children and families in Kilosa and Muheza Districts manifested at both local and national levels; where the government through its birth registration agency-RITA adopted the National Birth Registration Strategy for under five year’s children. This achievement is the results of Tujikomboe Group national advocacies conducted through workshop, meeting and media that requires changing of birth registration system and procedures toward holistic and free birth registration to all children in Tanzania. The fact that RITA accepted the proposed amendments of birth registration system and procedures is a real significant change that will pose positive effects not only to children residing in Muheza and Kilosa Districts; but also children all over Mainland Tanzania. The under Five National Birth Registration Strategy (<5NBRS) outlines the key operational interventions and activities that are deemed necessary for the realization of the <5NBRS. The <5NBR system implemented by piloting three options for one year in nine regions. The best practices will be adopted and rolled-out countrywide as an established national birth registration system. Under option one, the current system of using the health system infrastructure will be maintained but the registration process will be linked to the child immunization program at health facilities. Under option two, the Streets and Village Executive officers will undertake the registration process while under option three a hybrid of option one and option two will be tried out. In all the three options, form B1 will be replaced with issuance of a free hand-written birth certificate. The entire birth registration system will be decentralized to the Local Government Authorities (LGA) in keeping with the LGA reforms which entails among others, services decentralization. Printed Birth Certificates will be issued at the LGAs or RITA. Not only that; under this <5NBRS; “Automatic Data Capturing System” will replace manual data recording. Optical Marker Recognition (OMR) or Optical Character Recognition (OCR) technology will be used for scanning the hand-filled registration forms from all the registration points at the LGAs.