This study summarizes the results of research efforts concerning health care issues in Uganda. A number of factors affecting access to health services are examined in Part I of the report, using data from the Integrated Household, and Social Dimensions of Adjustment Monitoring Surveys for the country, in the period 1992-93 to 1995-96. The impact of access, quality of services, and income on the use of health services are analyzed, particularly on vulnerable groups, such as the poor, women, and children. The report emphasizes one of the government's goals, that of creating a health care system for easier and equal access to good quality health care. Part II documents the process of decentralization in the health sector, being accomplished through a number of policy changes, with the role of ministries being reduced to policy guidance and technical support, while management and delivery of services will be the responsibility of districts. Part III examines the ongoing progress made against Malaria, and, reviews its control status, highlighting some factors to further strengthen malaria control efforts.