Connecting Generations Through Care

A child and an older adult share a light moment inside the Barugo Municipal Hospital Wellness Hub, where pediatric and geriatric patients are welcomed in the same community space. The intergenerational setup reflects the facility’s aim of making care more personal, comfortable, and connected to family life.

For most Filipino families, good healthcare does not begin with a specialist. It begins at the nearest door they can walk through before a small problem becomes a serious one, a role many communities are still waiting for their local health center to fully play.

In Barugo, Leyte, that door now looks like the newly renovated Barugo Municipal Hospital Wellness Hub.

For some families, getting medical care comes with costs beyond the treatment itself: time, travel, and money. This is a rhythm of life that Zenaida Colibao, 72, knows well.

Her son has kidney disease and needs regular monitoring. Before he got sick, he helped support the family through farming and work in Manila. When his health made it impossible to continue, he came home to Barugo.

His return brought him closer to the family who could care for him. Medical care was not always as close.

Zenaida still thinks about the trip to Tacloban for her son’s checkups: how far it is, how much it costs, and how a household already carrying the weight of illness manages a day built around it.

While she watches over her son, she also manages her own hypertension with daily medication.

At home in Barugo, Zenaida comforts her son. For families living with chronic illness, caregiving extends far beyond medicines and checkups. It means managing everyday needs, household responsibilities and the practical cost of reaching medical care.

“Napakalaking tulong ng hospital ng Barugo para sa aking anak,” Colibao said, referring to the Barugo Municipal Hospital Wellness Hub. Her son can now receive regular monitoring and checkups at the facility. “Malaking tulong ito para hindi na kami pumunta doon sa Tacloban,” she said.

What changed for Zenaida’s family is one version of what a community health center is supposed to do: catch what it can close to home, and refer what it cannot, before distance becomes another illness of its own.

Patients and health workers gather inside the newly turned-over Barugo Municipal Hospital Wellness Hub. The facility adds 10 beds to the hospital’s existing capacity and provides a more comfortable, home-like environment for children, older adults, and their families.

The Barugo Municipal Hospital Wellness Hub adds 10 beds to the municipal hospital’s capacity and provides dedicated pediatric and geriatric areas, including a shared activity space for children and the elderly.

“This initiative is an expansion of fostering communities of whatever age. There’s going to be an interaction among the elderly and the children, habang naghihintay sila ng kanilang turn sa pagpa-checkup. We made sure na equipped ito ng mga gamit at para sa mga bata,” said Connie Angeles, SM Foundation Executive Director for Health and Medical Programs.

A health worker attends to a patient during a consultation at Barugo Municipal Hospital. With expanded facilities and services available locally, residents can receive routine monitoring and medical attention without making unnecessary trips to larger cities.

“This is also the first time na magkakaroon ng mga beds for the smaller babies kasi ’yung nasa ward namin ay mga hospital beds talaga. The new beds are very important for the safety of the children, especially ’yung mga less than two years old,” Barugo Mayor Dr. Aron C. Balais said.

Its pediatric and geriatric areas were designed to feel warmer and more home-like, making hospital visits less intimidating for young patients, older adults, and the relatives who come with them.

For someone caring for a loved one, having the strength to be there matters, too.

A child and an older adult are accompanied by a hospital staff member inside the Barugo Municipal Hospital Wellness Hub. By bringing pediatric and geriatric services into a shared setting, the facility is designed not only to provide medical care but also to encourage interaction between younger and older generations.

“Mahalaga talaga ang mabantayan pa rin ang sariling kalusugan dahil ’pag wala kang lakas, ’yung inaalagaan mo, hindi mo alagaan nang maigi,” she said.

The shared activity area, developed through a collaboration between SM Foundation and the Barugo local government, was designed to make waiting feel less clinical, giving children and older patients a chance to interact instead of just sit.

The improvements also extend beyond the physical spaces. Digital tools will support telemedicine, electronic medical records, and PhilHealth services, giving health workers additional ways to manage patient information and connect residents with medical consultations when needed.

Residents wait and speak with hospital personnel at the nurses’ station of the Barugo Municipal Hospital Wellness Hub in Barugo, Leyte. Developed through a partnership between the local government and SM Foundation, the facility expands access to pediatric and geriatric services for families who would otherwise have to travel farther for care.

From January to early July 2026, the Barugo Municipal Hospital handled around 4,000 outpatient consultations and as many as 20 inpatients a day, serving a municipality of about 35,000 people, Balais said. Patients seek treatment for conditions ranging from urinary tract infections, gastroenteritis and pneumonia to hypertension, diabetes and stroke.

With more space and services available locally, residents may have fewer reasons to make the trip to larger cities for care they can now get at home.

For families who have long had to travel far for care, the wellness hub closes that distance in more than one way. It means Zenaida’s son no longer has to make the trip to Tacloban. It means her grandchildren and Barugo’s elders can be looked after under the same roof. And it means that when Zenaida’s own body asks for rest, care is no longer something she has to travel for. It is already home.

What Barugo has is not just a renovated facility, but what residents should be able to expect from the health center nearest them: care that is close enough to reach, early enough to matter, and complete enough that fewer families have to choose between treatment and the cost of getting to it.