This study aimed to assess the implementation of the Maternal and Child Health (MCH) services delivered by rural health units (RHUs) in Tarlac City. This study determined the available health services in the health centers; described how target clients are informed of the services; described the system of how these services are supported and the flow of their delivery. The assessment by the 178 health workers focused on the adequacy of the budget and supplies; adequacy of the number of RHU personnel; and their competence in delivering the services. The 487 mothers assessed the extent of information and dissemination; adequacy of health services or programs; availability and adequacy of health providers when they are needed. The problems experienced by both the RHU personnel in delivering the health services as well as those encountered by the target clients in availing them were also identified. An action plan involving educational institutions in health promotion was developed.