Despite its status as a developing country, the Philippines was found to have flaws in its existing public healthcare systems. The country is also said to be dealing with issues such as 1) a lack of precise formal referral arrangements or guidelines between referring and receiving facilities, 2) a lack of advance arrangements for urgent/emergencies, 3) a lack of specialist services and 4) low referral acceptance due to total capacity constraints. Addressing health system inefficiencies and inequities due to disorganized governance, fragmented health financing, and devolved and diverse service delivery remains a significant challenge for the Philippine health system. This study is limited to the extent of health practice of Public Health Workers in terms of Assessment of the patient Records Management, Human Resources Management, and Resource Material Management that were gathered through a questionnaire checklist and were analyzed quantitatively. In addition, challenges encountered and best practices employed by Public Health Workers were gathered through interviews and were analyzed thematically. There were a total of 80 respondents composed of Doctors, Nurse, Midwives, and Community Residents of the two (2) Third Class Municipalities in Samar.