This paper is one of the eight case studies in the health sector conducted under the project, "Population and Urbanization: Managing the Urbanization Process Under a Decentralized Governance Framework." The project is jointly undertaken by the Philippine Institute for Development Studies (PIDS), the National Economic and Development Authority (NEDA) and the Development Academy of the Philippines (DAP). Among the components of the project are case studies of selected cities highlighting their innovations in health, housing, and environmental management.
The primary objective of the case studies is to identify the strategies of model cities that can be replicated by other cities and local government units, particularly in the financing and delivery of basic services under devolution and increasing urbanization.
This case study focuses on Surigao City which was recommended by NEDA Region XIII (CARAGA) as a model city for health. The city won the HAMIS (Health Management and Information Systems) Gold Award in 1992 and the Diamond Award in 1993 for its program, the Primary Health Care Federated Women's Club (PHC).
The paper is organized as follows. The first section gives a backgrounder on the city, its land area and population, health facilities, financing, and performance. This is followed by a discussion of the PHC-City Government partnership and a presentation of PHC health initiatives. The next part identifies the key elements for the success of the PHC program and strategies. The succeeding section provides some suggestions on methods of replication. Finally, the paper ends with some concluding remarks.