Mangroves, seagrasses, and salt marshes or collectively known as blue carbon ecosystems are gaining salience because of their essential roles in reducing the risks and impacts of climate change through carbon sequestration and other beneficial services. Despite this, they are globally declining because of their vulnerability to natural and anthropogenic disturbances. Similar trends are also observed in Busuanga Island, Palawan province in the Philippines, where blue carbon ecosystems along with other coastal environments are perceived to be threatened by a number of factors. To better understand the state changes of blue carbon ecosystems, we collected the drivers and pressures and their impact on the whole coastal ecosystem as well as existing management responses by interviewing 26 stakeholders representing community organizations, non-government organizations, and municipal level government units from two municipalities (Busuanga and Coron) in the island. We used the Drivers-Pressures-State-Impact-Response (DPSIR) framework to analyze the information gathered from the interviews. The results of this study show that lack of institutional capacities (indirect driver) is the leading factor that hinders the progress or efficacy of the management. Most pronounced pressures caused by direct drivers to blue carbon ecosystems include overexploitation and coastal developments. The responses collected in the interviews can be grouped into policies and implementation, capacity building development, welfare and livelihood development, ecosystems management, and tourism measures. The information gathered in this study can be used to improve or change existing responses into more precise and contextualized measures in addressing specific impacts observed in the local areas.