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 Framework” jointly undertaken by the Philippine Institute for Development Studies, the National Economic and Development Authority and Development Academy of the Philippines. This paper is a case study on Naga City recommended by NEDA-Region V as a model city for health. The city’s Emergence Rescue Naga (ERN) has won as one of the country’s Top 20 local government programs in the 1994 Galing Pook Awards and has been cited as Bicol’s and Philippines’ best institutional outfit in disaster preparation and alleviation.