In Egypt, the most populous country in North Africa, a strong infrastructure of primary health care services is essential to the well being of the population. URC began working in Egypt with the USAID-funded Primary Health Care Operations Research Project (PRICOR) in 1981, undertaking research to guide the country in strengthening its primary health care services. Egypt has also been an implementation site for the USAID’s far-reaching Quality Assurance Project (QAP), which provided technical assistance and conducted operations research on health care quality improvement. URC went on to support other projects for USAID in Egypt including, Egypt Quality Assurance Consultancy, Egypt Cost Recovery for Health Project, Partnerships for Health Reform Project and Partners for Health Reformplus. URC work in Egypt also extended to developing and installing a management information system in seven hospitals and the central office of the Ministry of Health and Population.