Roots of Care: Siargao’s Evolving Health and Childcare Landscape in 2025


Beneath Siargao’s rolling waves and iconic palm silhouettes lies a quieter rhythm—steady and deeply human. It’s the hum of clinics that open before the sun, the gentle tap of mothers’ footsteps carrying toddlers across unpaved roads, and the rustle of midwives flipping through handwritten health logs under fluorescent light.

This is the story behind the postcards: a side of Siargao unseen by the average tourist, yet essential to the island’s lifeblood. For every child playing barefoot near the surf, there’s a health worker who checked their fever last week. For every woman smiling at the market, a midwife who once helped her give birth. For every schoolteacher leading morning flag ceremonies, a barangay nutrition scholar who once measured her students’ growth by hand.

Let’s walk into the tender, tenacious world of healthcare and childcare in Siargao—where care rises with the tide and resilience lives in every village.

Community Health: The Island’s Grassroots Guardians

Siargao’s healthcare ecosystem in 2025 remains deeply reliant on its barangay health stations (BHS) and rural health units (RHU). With no new full-scale hospitals built since the establishment of Siargao District Hospital in Dapa, this single public hospital continues to serve the entire island for inpatient and emergency cases. Proposals for expansions are on the table but have not yet materialized.

The primary healthcare delivery model is community-centered: barangay health stations staffed by a nurse, midwife, and one or two barangay health workers (BHWs). These small teams provide immunizations, prenatal and postnatal care, family planning services, disease surveillance, and treatment of common illnesses. Many services remain subsidized or free under the Department of Health (DOH)’s universal health coverage policies.

Post-Odette Impact: While Doctors Without Borders (MSF) is no longer actively deployed in Siargao, the organization’s initial emergency response transitioned into sustainable support through local partner networks such as Save the Children and the Philippine Red Cross (PRC). These organizations continue to implement capacity-building initiatives, providing training and logistical support for community health resilience.

Birthing and Maternity Care: Cradles of Strength

Siargao’s geography—dotted with islands, hills, and remote sitios—makes access to centralized maternity care challenging. Yet the island has adapted through public midwife-led birthing facilities, many of which operate under RHUs in municipalities like General Luna, Pilar, San Isidro, and Del Carmen.

While private maternity clinics exist, they remain very limited in number and scope. The majority of deliveries in Siargao still occur under the care of DOH-accredited public midwives or at Siargao District Hospital. These midwives offer prenatal checkups, safe birthing assistance, newborn screening, and postpartum care. In geographically isolated barangays, midwives often conduct house-to-house visits, ensuring that women without easy access to transport still receive consistent care.

Child Nutrition and Development: Nurturing from the Roots

Children on Siargao face familiar rural health challenges—malnutrition, diarrhea, and vector-borne illnesses like dengue. In response, local governments, schools, and barangay-based programs are scaling up community nutrition efforts.

The School-Based Feeding Program, backed by the DepEd and LGUs, continues to serve undernourished students with calorie-rich, nutrient-dense meals.

Barangay Nutrition Scholars (BNS) run regular weight-for-age assessments, provide vitamin A and iron supplementation, and educate parents on low-cost nutritious meals using local produce.

The Gulayan sa Paaralan initiative integrates food gardening into the public school curriculum, teaching children not only how to grow vegetables, but why nutrition matters.

These grassroots efforts continue to act as a first line of defense against stunting and developmental delays.

Access and Barriers: Between Distance and Determination

Health access across Siargao still mirrors the island’s terrain: beautiful, but often fragmented. Some barangays become inaccessible during heavy rains, and emergency transport for pregnant women or critical pediatric cases remains a pressing challenge, especially at night.

Though telehealth efforts expanded during the pandemic and have since continued through LGU and private partnerships, network connectivity issues in interior barangays prevent widespread and consistent adoption. RHUs in more connected areas like Dapa and General Luna now offer intermittent teleconsultations, but service is far from island-wide.

Access to specialist care—particularly for children with developmental needs, chronic illnesses, or acute infections—still requires traveling by land and sea to Surigao City or Butuan Medical Center.

Mental health care, meanwhile, remains critically underserved. Despite some efforts through telehealth and NGO-led psychoeducation sessions, mental health services are still largely managed by general practitioners, with minimal access to licensed psychiatrists or psychologists.

Youth in Healthcare: Island Hope in Training

In classrooms across Siargao, the next generation of caregivers is slowly rising. In 2025, students enrolled in Senior High School’s TVL (Technical-Vocational-Livelihood) and HE (Home Economics) strands may opt for healthcare-related electives, which teach basic caregiving, hygiene, and first aid.

While these are still optional tracks, DOH-LGU efforts are actively encouraging Youth Health Advocate programs—peer-led initiatives that involve students in health education campaigns, youth wellness fairs, and barangay outreach. These programs not only build knowledge, but also cultivate empathy and civic responsibility among young islanders.

A Culture of Kinship: Where Healing Is a Shared Task

Healthcare in Siargao is more than just public policy—it’s an expression of community. It's in the neighbor who brings boiled ginger water for a child’s cough, the tricycle driver who rushes a pregnant woman to Dapa, and the father who volunteers at the barangay vaccination day.

Here, bayanihan is not just folklore—it’s a functional part of public health. The informal care networks woven through family, faith, and friendship often fill the gaps that formal systems cannot.

Waves of Tomorrow: Why This Story Matters

Siargao’s healthcare story is one of quiet progress. It’s not perfect, and it’s not finished. But it’s powered by people who refuse to let their remoteness define their limits. It’s built on persistence—of mothers, midwives, barangay health workers, and youth volunteers—who choose compassion every single day.

As the island draws global tourists and national attention, the call for sustained investment in maternal care, pediatric health, mental health, and infrastructure is more urgent than ever. A healthy island is not just one with pristine beaches—it’s one where every child is vaccinated, every birth is safe, and no illness is ignored because of a dirt road.

The heartbeat of Siargao is not just in the waves—it’s in the lives being quietly sustained every day by its caregivers, teachers, and youth. To truly understand the island, go beyond the coastlines. Step into a barangay health station. Listen to the stories told in whispers and hand gestures. Feel the pulse of a people building health from the ground up.

Follow us for more stories from the soul of Siargao—where healing is communal, and hope is woven into every wave.



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