Abstract
This study investigated the performance of selected Local Government Unit (LGU) Health Offices in Region 1 from 2017 to 2021. It examined key dimensions of health system performance, particularly resource allocation, population, health personnel, programs and services and certain health indicators. The study utilized descriptive research design, with data drawn on secondary data from municipal and city health offices, as well as government reports and databases. To identify the LGU Health Offices from the provinces of region 1, purposive sampling was employed. Frequencies, percentages and trend analysis was used to assess health system performance in terms of National Tax Allotment (NTA), human resources for health, available programs and services and health outcome indicators. The results show substantial disparities in financial and human resources across municipalities that may affect service delivery. In contrast, highly populated areas receive higher National Tax Allotment allocations, contributing to greater service provision. San Fernando has more medical staff than the other towns, indicating differences in healthcare capacity, workforce distribution and health service availability across the region. Performance indicators from 2017 to 2021 show reductions in maternal morbidity, infant mortality and tuberculosis cases. Nevertheless, challenges with maternal mortality and the burden of non-communicable diseases (NCDs) persist. To address these issues, the study recommends revising resource allocation to be responsive to local needs and health burdens, providing stronger incentives for healthcare workers in underserved areas and strengthening health systems through improved access to critical services.
Keywords: Disparity, Morbidity, Mortality, Non-communicable Diseases, Resources, Services