20/07/2026
The Vicente Sotto Lecture Series returns with a lecture from Dr. Zona Hildegarde S. Amper. Her talk, entitled “Primary Health Care in Cebu: History, Current Status, and Challenges,” is based on research co-authored with Marjury E. Dino, Jocelyn C. Cadampog, Delilah R. Labajo, Edith A. Labana, and Devra Rae O. Gelbolingo, and is funded by the Ramon Aboitiz Foundation, Inc.
The talk will be held online via Zoom on July 25, 2026, from 9:00 AM to 11:00 AM.
To participate in the lecture, please fill out the registration form found in the link below. Alternatively, you may scan the provided QR code. The Zoom meeting details will be sent to your email. Registration is free and open to the public.
Register here: https://forms.gle/nnCWbzwTPabFJuzPA
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ABSTRACT OF THE LECTURE:
This study examines the history and current status of primary health care (PHC) in Cebu using a mixed-methods approach combining archival research, oral histories, surveys, focus group discussions, key informant interviews, and field observation in Argao, Badian, Tabogon, Tabuelan, and Bantayan. Findings reveal that PHC developed from the limited, church- and charity-oriented health services of the Spanish colonial period into a more organized public health system under American rule. After independence, government programs expanded through Rural Health Units, maternal and child health services, immunization, and barangay- based care. Subsequent decentralization has transferred greater responsibility to local governments, while recent universal healthcare reforms have sought to improve integration and accessibility. Despite this historical progress, inequalities arising from uneven institutional development remain evident, particularly between central communities and geographically isolated and disadvantaged areas. Residents follow layered pathways of care involving home remedies, barangay health workers, health centers, RHUs, hospitals, private clinics, pharmacies, and traditional healing. Major barriers include distance, cost, personnel shortages, irregular schedules, weak infrastructure, and inadequate medicines and equipment. The study recommends stronger financing, improved frontline facilities, expanded staffing, transport and outreach support, reliable supplies, better local coordination, health education, and culturally sensitive engagement with traditional healing to achieve equitable and community-responsive PHC across Cebu.