Recently, the Ministry of Healthformulated its strategic directions for the period1998-2000, whose key objectives for the health sector are:improved health status, as reflected by morbidity, andmortality reductions; greater access to public healthservices, especially the poor; and, increased quality, andcost-effectiveness of health services. This raises a numberof policy questions, such as: which priorities will likelyreduce poverty? What are the emerging roles of government,donors, and nongovernmental organizations in the financingof health services? What is the level of resources,currently available to the health sector? How can publicspending be oriented to meet the strategic objectives of theMinistry of Health? This report attempts to conduct ananalysis of empirical trends in, and patterns of healthservices utilization, health outcomes, public healthexpenditures, and provision of health services, and, discussthe empirical findings of the analysis. The broad objectivesof the report are to: document changes in health outcomes,and health services utilization, private/public healthspending, and provision of public, and private healthservices during the last seven years; and, identify thecauses, and factors influencing these changes. Policyresponses to the analysis are not provided in this report.Rather, the information is provided in the expectation thatinterested parties will find it useful for future policy deliberations.