ABSTRACT The study was about Assessment of Health workers and Medical health Service Delivery in Tororo Main Hospital. The study had three objectives: To identify the contributions or roles of health workers in service delivery at Tororo Main Hospital Tororo district, To identify challenges faced by health workers while performing while performing their of service delivery, Identify strategies that can be used in challenges faced by health workers in Tororo Main Hospital. The study was prompted by the increasing number of the public out cries on service delivery in spite the health worker's efforts in place. The study was carried out by use of both a quantitative and qualitative research approaches, in addition to documentary review. The study population was 168 while the sample size was 113 selected using Krejcie and Morgan's (1970) table for determining sample size. The regression analysis revealed that Health workers performance as an independent variable affects service delivery in form of health workers being poorly paid, poor housing facilities, lack of medical facilities to use at health centers, hospitals , absenteeism coming late in relation to the number of patients served, and abscondment of staff affecting the timely submission of reports to supervisors etc. Hence health worker's cases exist in health facilities and affect service delivery of health workers and health facilities in general. The recommendations made among others were that poor payments and this should be controlled by putting motivational measures like working allowances, hard to reach area allowances to avoid health workers being forced to do things hurriedly and incomplete, failing to handle all work due to category of workers to avoid the flow of work being affected. That the salary scheme of health workers should be revised and a proper remuneration system put in place by the ministry of health, so that the health workers concentrate on their work other than running to private business and engagements in search for extra money. That the existing regulations on late coming and absenteeism should be strengthened and implemented timely to improve on poor performance caused by absenteeism, and rotation of work within the system be developed to cub on gaps created when one is absent or absconded.