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Management of pre-primary education is a critical issue as it involves golden age of intellectual curiosity and development. However primary school heads in Tanzania face challenges in managing pre - primary education units subsumed in primary schools. Therefore, this book calls the attention of education stakeholders in Tanzania on the difficulties being faced by primary school head teachers as they managed two education levels of primary education and pre-primary education. The book reflects the findings of a study conducted in Chamwino District in Dodoma Region, Tanzania. This book creates awareness of challenges facing primary school heads in managing pre-primary education. Such awareness has to help education stakeholders, especially the government officials, to develop appropriate and effective strategies and policies to address the challenges facing primary school heads. As the result the book provides the basis of improving pre-primary education management and practices.