This paper is one of eight case studies in the health sector conducted under the project 鈥淧opulation and Urbanization: Managing the Urbanization Process Under the decentralized Governance Framework鈥� 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.