“Health is not just the government’s job—it’s everybody’s concern.” – Hon. Nilo Demerey, Jr., Dinagat Islands Governor

The province of Dinagat Islands graduated from the Roberto R. Romulo (RRR) Fellowship for Public Health Leadership and Governance last March 2025, joining three other provinces—Aklan, Davao de Oro, and Kalinga—in celebrating the end of a year-long journey to improve local health systems. With the support of the Zuellig Family Foundation (ZFF), in partnership with the University of the Philippines (UP) College of Public Health and the UP National College of Public Administration and Governance, the RRR Fellowship equipped local leaders with the tools to transform their health governance and make Universal Health Care (UHC) a reality in their communities.

 
Governor Nilo Demerey, Jr. led the province’s efforts with bold ideas and concrete actions. “Our province, though small, has faced significant challenges,” he said. “But with the right leadership, collaboration, and innovative strategies, we have made great progress in ensuring better health care for our people.”

Dinagat tackled major health concerns, including malnutrition, maternal deaths, low immunization coverage, and lack of access to hospital services. In 2024, stunting stood at 11.6% and wasting at 2.5%. There were also three maternal deaths recorded in the first quarter of 2025. In response, Governor Demerey’s team introduced several programs—most notably, a zero-billing policy on health services.

Under the fellowship program, the province launched the Remedy Aksyon Center to handle emergencies across all 100 barangays. They also expanded the Provincial Health Board and rolled out the Senior Citizen Health and Wellness Caravan, door-to-door healthcare services, and weekend medical missions. The province also distributed Remedy Cards—smart IDs with QR codes—to track every resident’s health history and services received. “We realized that those who need health care most are the ones who can’t reach hospitals,” Governor Demerey shared. 

Dinagat also invested in nutrition-sensitive policies, making backyard gardening a requirement for government aid. The province is also enrolled in ZFF’s Nutrition Leadership and Equity Acceleration Program (NutriLEAP) to further improve its nutrition governance and address malnutrition more effectively. 

Thanks to the RRR Fellowship, Governor Demerey said Dinagat’s health governance matured significantly. “This program helped us implement evidence-based policies that are practical and impactful,” he said. “We’ve moved from being a 4th class to a 2nd class province.”

“The public health tradition is not just about policies and programs,” Governor Demerey said in closing. “It is about commitment, collaboration, and compassion.”

Davao de Oro joined Aklan, Dinagat Islands, and Kalinga in celebrating a key achievement last March 2025—the successful completion of the Roberto R. Romulo (RRR) Fellowship for Public Health Leadership and Governance, a program led by the Zuellig Family Foundation (ZFF) in partnership with the University of the Philippines (UP) College of Public Health and the UP National College of Public Administration and Governance.

For Davao de Oro Governor Dorothy Gonzaga, the year-long fellowship was a transformational journey. “Coming from the judiciary and only entering politics in 2022, I never imagined how complex the health system really is,” she said. “This program helped me understand the power of leadership in turning health challenges into opportunities.”

Davao de Oro faced five key health concerns:

1. Child immunization coverage remains critically low. Only 63% of children were fully immunized in 2024—far below the national target of 95%. This gap leaves many children vulnerable to preventable diseases.
2. Teenage pregnancy continues to rise. In 2024, the rate reached 51 per 1,000 adolescents, which is significantly higher than both national and global benchmarks. 
3. The province’s hospitals are overwhelmed. The four provincial hospitals have a 315% occupancy rate, far above the ideal 80–85%, putting strain on both patients and health workers.
4. The province struggles with limited funding to properly manage its hospital system. To address this, the provincial government has proposed the renationalization of one hospital to improve funding and governance. 
5. Enrollment in the PhilHealth Konsulta program is still low. Only 8.4% of residents have had their first patient encounter, showing the need for stronger public awareness and engagement.

Despite the gaps, the province has made important strides. It tapped Barangay Volunteer Sanitation Inspectors to improve sanitation monitoring and prevent disease outbreaks at the community level. An information system was also developed that profiles and helps track Barangay Health Workers. 

The KoboCollect digital tool is being used to collect and manage data on water, sanitation, and hygiene. A provincial communication plan was also rolled out to improve field registration for primary health services.

In terms of services, the province exceeded national targets in prenatal care coverage, skilled birth attendance, and family planning. “These wins give us confidence that we’re on the right path,” she said.

The RRR Fellowship emphasized Bridging Leadership—the idea that real change happens when leaders bring people together. “I learned I can’t do it alone,” Governor Gonzaga reflected. “We need our mayors, health workers, and citizens to co-create solutions.”

Governor Gonzaga credits the Fellowship for sharpening her sense of purpose as a public servant. “I now see health not just as a service, but as a platform for empowerment and equity.”

The Zuellig Family Foundation (ZFF) celebrates the graduation of the first batch of fellows from Roberto R. Romulo Fellowship for Public Health Leadership and Governance. Leaders from Aklan, Davao de Oro, Dinagat Islands, and Kalinga share their breakthroughs, challenges, and lessons in transforming local healthcare. Hear their inspiring stories, policy recommendations, and commitment to making Universal Health Care (UHC) a reality. This program, in partnership with the University of the Philippines (UP) College of Public Health and the UP National College of Public Administration and Governance, continues to shape leaders who work toward better healthcare for all.

READ MORE:

Sustaining the Legacy: First Batch of Roberto R. Romulo Public Health Leadership and Governance Fellows Graduate