Currently, given the high risk of exposure of the country's population to various adverse factors in the context of everyday life, it is important to promote efforts aimed at improvement of the people's health, its physical aspect in the first place. Establishing the state of the population's physical health management system is a significant part of this process. This study aimed to look into the current organizational and methodological aspects of the development of the physical health management system designed for adults and children in the regions of the country. For this purpose, we surveyed heads of regional government bodies using a 40-item questionnaire that had both multiple choice and grid-in questions. The questionnaires were sent to all regions of the country; 59 of them got filled by the respective officials and returned. The filled questionnaires were subsequently systematized and processed. Having analyzed the responses received, we classified the promoting and limiting factors that affect the development of the adults and children physical health management system. This exercise was designed to yield data needed to support the development of the national (regional, municipal) system underpinning physical culture and sports popularization, the GTO movement (Ready for Labor and Defense), and training of elite athletes. We have also prepared the "Classification of examples of the best management solutions," the "Consolidated list of proposals to improve the regional physical health management system for adults and children," and the "Collection of assistance requests issued by the regions to the federal authorities." Thus, analyzing the responses from the participating regions allowed learning their experience in managing the physical health of both adults and children.