Abstract
AbstractThis chapter looks at the status of health, health service delivery, and service utilization in Metro Manila (the National Capital Region) using the human security approach. It discusses the existing devolved health structure in the country and in Metro Manila and then assesses its’ health status and the utilization of health services, including access and equity issues. It looks at various policy options for health services in Metro Manila and in the Philippines in the context of the current devolved framework, the initial proposal of the Duterte administration for a federal form of government, and other alternative arrangements, like the creation of a special metropolitan or regional arrangement. Lessons from other countries are also discussed. Finally, the chapter concludes with an overall assessment of the health status and utilization of health services in Metro Manila, emphasizing positive areas as well as problem areas that need to be addressed.KeywordsAccessDevolutionHealthHuman securityHealth service delivery
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