Securing a Continuum of Care: The Challenges of a Fragmented Health Sector offers a timely analysis of how the devolution of health servicedelivery to local government units (LGUs) has reduced the effectiveness of thehealth care system in providing a continuum of care for poor Filipinos. Thebook describes the progress in improving health outcomes during the lasttwenty-five years, and how national-to-local fragmentation and socialdeterminants have affected the health of Filipinos. The book discusses threestructural weaknesses that have prevented earlier reforms from effectivelyaddressing these challenges and thus improving health outcomes. Lastly, thebook examines how these structural weaknesses have prevented improvements inhealth outcomes in the case of eight specific health problems. With the benefit of long-term hindsight,Securing a Continuum of Care hopes to contribute to the development of newpolicies and strategies that will address the structural weaknesses of adevolved health sector and, ultimately, improve the health of Filipinos.

1. Medical care ? Philippines. 2. Public Health ? Philippines.