This paper is one of eight case studies in the health sector conducted under the project “Population and Urbanization: Managing the Urbanization Process Under a Decentralized Governance Frameworkâ€� jointly undertaken by the ²ÝÝ®ÊÓÆµ, the National Economic and Development Authority and Development Academy of the Philippines. This paper discusses the case of Butuan City, which gained the CROWN award in 1996 and 1997.











