ABSTRACT
This chapter discusses the influence of the evolving development administration emphases—centralization and decentralization—to health care service delivery in the Philippines. It focuses on the experiences of 38 local-level development projects and programs that resulted after the shift to a more decentralized health care delivery system. It examines these project and programs to determine the significance of community participation to their success. According to several evaluations the high degree of beneficiary and proponent involvement in all phases of the Bagong Silangan Primary Health Care project could be the main cause of the projects sustainability. The Hanunuo Mangyan Health Development project was conceived by the De La Salle University research team, an academic non-governmental organization. The proponent of the Sudtonggan human development project was the Institute of Cultural Affairs, a non-governmental agency. The Panay Unified Services for Health project was initiated by the Department of Health in cooperation with the United States Agency for International Development.
