Development of health could not be conducted by the government itself but needs active participation from various sectors. District/municipality governments should mobilize potential resources in the areas so the actively involved in the development of health. Hence the district/municipality governments urge to facilitate development of District Health Committee (DHC) as a media composed of all parties that actively involved in the development of health. This is in accordance to the Ministry of Health Letter Number 004/Menkes/SK/I/2003 on policy and strategies on decentralization in health. The study aimed to determine policy about DHC, to facilitate for development DHC and to determine dynamics in the developmentof DHC in Kutai Kartanegara District, East Kalimantan Province and Bojonegoro District, East Java Province. Data were collected by depth interview from staffs at District Health Offices, Health Proffesion Organizations, Non Government Organizations, academics, and the social organizations. Results showed in Kutai Kartanegara District there was institution named District Health Assembly. The institution was formed by the requirement from Asian Development Bank, the funding agency to Decentralized Health Service (DHS) Project in Kutai Kartanegara District. The institution has not yet functioned properly and its existence was not socialized widely. In Bojonegoro District, the DHC was thought as an ideal condition in the development of health which existence is needed by some institutions. As the District Health Office was not sure for it hence the development of DHC was assumed not in need.