This paper is one of eight case studies in the health sector conducted under the project “Population and Urbanization: Managing the Urbanization Process Under the decentralized Governance Framework” jointly undertaken by the Philippine Institute for Development Studies, National Economic and Development Authority and Development Academy of the Philippines. This paper is a case study on Cotabato City recommended by NEDA-Region XII as a model city for health. The city has come up with the Special Project on Health and Sanitation that won a silver Award in the 1997 Health and Management Information System Contest.