The document discusses the challenges of implementing electronic health records (EHRs) in primary care in the Philippines. Some key challenges include: (1) decentralization of the health system which creates fragmentation; (2) difficulty transferring paper-based records to electronic formats; and (3) lack of necessary infrastructure like hardware, software, and connectivity, as well as lack of trained IT staff. Additional challenges include privacy/security concerns due to lack of uniform policies, and lack of collaboration among stakeholders. Overcoming these challenges will be important for successful EHR adoption in the Philippines.