Have fundamental reading skills increased as a result of the USAID/Uganda School Health and Reading Program interventions? Early Grade Reading Assessment (EGRA) data collected for 4 Cluster 2 languages (local languages Lebacoli, Lugbarati, Lumasaba, and Runyoro-Rutoro) and English at baseline, beginning of P1 compared to data collected at the end of P1 show increases in foundational pre-reading and emergent reading skills, significantly higher than increases found in control schools. That being said, the overall reading gains and scores are still lower than the ideal. Program learners performed better than control learners in virtually all reading skills assessed, most significantly in emergent literacy and pre-reading skills.