The State of Local Health in Samar, Philippines: An Explanatory Sequential Mixed-Method Study of Healthcare Access, Service Delivery, and Health Governance

2025 Health & Social Welfare CN Applied Research

Author(s):

Rosales et al
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Published Feb 23, 2026

Abstract

This study examined the state of local health in Samar Province under the Universal Health Care (UHC) framework using an explanatory sequential mixed-methods design. Quantitative data from 420 healthcare users assessed access, utilization, and health literacy, while qualitative interviews and focus group discussions explored governance structures and service delivery challenges. Findings revealed uneven healthcare access, gaps in continuity of care, workforce shortages, and governance-related constraints. Leadership priorities, financing mechanisms, and barangay engagement influenced service outcomes. The study emphasizes that effective …

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Keywords

Local health systems healthcare access health governance mixed methods Universal Health Care decentralization Samar service delivery

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Cite This Research

Rosales, et al (2025). The State of Local Health in Samar, Philippines: An Explanatory Sequential Mixed-Method Study of Healthcare Access, Service Delivery, and Health Governance. College of Nursing, Samar State University. Retrieved from https://gov-aideas.ssu.edu.ph/research/the-state-of-local-health-in-samar-philippines-an-explanatory-sequential-mixed-method-study-of-healthcare-access-service-delivery-and-health-governance

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