The health sector in Bangladesh has shown significant progress especially in child, maternal health and family planning. However the country is still far behind in providing required health care services to its citizen that are of adequate quality at an affordable price, and thus achieving the goal of Universal Health Coverage (UHC). It urgently needs to develop and implement a comprehensive agenda for UHC with an appropriate monitoring and evaluation (M&E) framework to track the progress towards UHC. The UHC M&E framework should be based on the country’s disease burden profile, health system capacity and level of economic development. The current health sector program’s results framework could be the basis for the UHC M&E framework, however indicators that effectively measure the coverage of all essential interventions for non-communicable diseases, injuries and different dimensions of health financing need to be included. It is also imperative that UHC M&E framework is embedded in the country’s overall strategic plan for the health sector. The country needs to strengthen its routine health information system as well as its civil vital registration system. It also must strengthen the Ministry of Health’s stewardship capacity so that information from the private sector can be made available routinely for more effective tracking of progress towards UHC.