community pediatrics august 2013 maria celeste gomez, md marco romulo r. manzano, md
TRANSCRIPT
Community PediatricsAugust 2013
Maria Celeste Gomez, MDMarco Romulo R. Manzano, MD
CALENDAR OF ACTIVITIESCOMMUNITY PEDIATRICS-AUGUST 2013
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
1-Introduction to Community- Area/ Site Awareness- Pabasa sa Nutrisyon (Ms Connie Valenzuela)-FEEDING PROGRAM
2-Sensitivity Training seminar-Friday Conference
3
4 5-FEEDING-ORIENTATION OF CLERKS-FOCUS GROUP DISCUSSION with CHVs re plans/ livelihood/ and other projects - list kids who are not yet dewormed- compute other expenses and funds needed
6-Inventory of Medications- Re stocking pharmacy - re stocking of papers/ prescription pad, opd materialsFIRST ACTIVITY
7-OPD CLINICS
8-FEEDING-Deworming Day Attendance for deworming- Star Sangkap(sopas: carrots) (Clerks)
9HOLIDAY
10
2nd WEEK
11 12Typhoon day (kids not being able to attend feeding)Inventory of Materials/ supplies at Community CenterCOOP: calls/emails on how to form a coop; invite lecturer
13VERTICAL FORUM (Intern’s)FEEDING- Star SangkapLecture to parents (Clerks) - FIRST ACTIVITY
14-OPD CLINICS
15-FEEDING-Flu Vaccination Day-Star Sangkap (Clerks)
16Intern’s (LEC 4) ReportInventory StickerCoop ResearchAnd Kuto Stability Studies ResearchFRIDAY CONFERENCE (M&M)
17
3rd – 4th WEEK18 19
-FEEDING-Star Sangkap(Residents)
20TYPHOON MARINGNO COMMUNITYFIRST ACTIVITY
21HOLIDAY
22-FEEDING-Star Sangkap report (Residents)-Rotary Meeting for KUTO project fundingEXAM
23FGD on COOP
FRIDAY CONFERENCE
24
25 26HOLIDAY
27FEEDING (rescheduled)
FIRST ACTIVITY
28-OPD- Home visit on important cases
29-FEEDING activity- Lectiure on Oral Hygeine-Evaluation of Feeding enrollees (for next month’s graduation)
30- Month
end Report
FRIDAY CONFERENCE
31
COMMITTEE REPORTS
OPDCHV
Feeding ProgramLivelihood Program
Finance
OUTPATIENT
• 3 Wednesdays (August 7, 14, and 28)– Holiday- August 21
• Total No of Patients Seen: 97
Total Number of Patients (Jan-Aug)
Jan Feb March April May June July August0
20
40
60
80
100
120
140125
118
8290 90
55
8997
No. of Patient
Monthly Census (2012)Infectious NonInfectious Total
January 121 11 132
February 137 14 154
March 77 13 90
April 52 20 72
May 131 13 144
June 130 22 117
July 121 22 143
August 135 11 146
September 127 15 142
October 135 9 144
November 129 13 142
December 95 11 106
Monthly Census (2011 vs 2012)
January
Febru
ary
Marc
hApril
May
June
July
August
September
October
November
December
0
50
100
150
200
250
20112012
Old and New Patients
98%
2%
No. Of Patients
OldNew
Old and New Patients (Jan-Aug)
Jan Feb Mar April May Jun July August0
20
40
60
80
100
120
70 67
8896
87
51
77
95
17 17
2 310
412
2
OldNew
Infectious vs Non-Infectious
90%
10%
Classification
InfectiousNon-infectious
Infectious vs Non-Infectious (Jan-Aug)
Jan Feb Mar Apr May Jun July August0
10
20
30
40
50
60
70
80
90
10090 88
92 89 87
55
86 87
8 105
11
0 0 310
InfectiousNon infectious
Infectious vs Non-Infectious (2012)
January
Febru
ary
Marc
hApril
May
June
July
August
September
October
November
December
020406080
100120140160
InfectiousNonInfectious
Top Diseases
47%
16%
9%
6%
21%
Diseases
URTIPneumoniaSkin InfectionAGEOthers
Top 5 Cases (2012)
CASES NUMBER OF PATIENTS
1. Upper Respiratory Tract Infection 7202. Pneumonia 2423. Acute Gastroenteritis 594. Furunculosis 555. Bronchial Asthma in Acute Exacerbation 33
Distribution of Patients
27%
27%
46%
Residence
RiversidePhase 1Phase 2
Distribution of Patients (July)
Phase 138%
Phase 242%
Riverside20%
Phase 1Phase 2Riverside
Inventory of Medications
Medications
• Usual medications used/ Fast-Moving Meds– Mucolytics (carbocisteine /
mucosolvan)– Medications for skin and
soft tissue infections– Amoxicillin– Salbutamol nebule– Phenylephrine– Paracetamol– Multivitamins
• Medications needed to be purchased– Cloxacillin– Mupirocin ointment– PND otic drops– Cefalexin– Paracetamol
• Slow-Moving Medications– Clarithromycin– Cefixime– Phelylephrine– Phenylephrine+Chlorphe
namine Maleate+ Bromhexine
• Expiring Medications– Amoxicillin 125/5ml
Reportable Case
• JC, 1 year and 10 months/male, Riverside• 2 weeks loose watery stools with no vomiting and
fever with associated weakness, given ORS. Resolution of diarrhea after 1 week. 1 week PTC had productive cough and colds with recurrence of vomiting
• Born full term to a 26 y/o G5P5 (5005) BW 3.3 kg at home by a midwife, no complications
• No previous admissions, but prev had URTI and Furunculosis
• Weight 5.5 kg (Z<-3), Height 65.7 cm (Z<-3)• HR 110, RR 40, Temp 36• Weak looking, sunken eyes, with intercostal
retractions, rhonchi, rales, hyperactive bowel sounds
• A > PCAP C, AGE, Malnutrition (Severely underweight, severely stunted), Developmental Delay
• Advised admission but opted to stay home• Inserted with NGT for trial feeding• Started on oral antibiotics and zinc• Advised follow-up
Flu Vaccination
• Objectives– To promote disease prevention especially to the children at risk
(enrollees of feeding program)– To enhance the skills of doctors and medical students in
immunization techniques• Mechanics– Total of 11 children were vaccinated, and only 8 vaccines were
used.– The flu vaccines donated by the Rotary Club of Pasig were
utilized.– The ASMPH Clerks assisted by Pediatric Residents and
Consultants administered the vaccines
RecipientsName Age/Sex
1. Felias, Josted 1/M
2. Colcol, Carshalie 3/F
3. Niedo, Princess 1y5m/F
4. Dula, Alexy 1/F
5. Timbol, John 3/M
6. Alcera, Andrea 3/F
7. Santelices, Dharlyn 11mos/F
8. Tupaz, Angelica 4/F
9. Ingote, John 1/M
10. Jasceno, Lora 8/F
11. Dela Cruz, Alia 1y5m/F
• Recommendation– A yearly vaccination for feeding program enrollees– Involvement of medical clerks were helpful to
both the student and the patient
Deworming
• Objectives– To reduce the prevalence of parasitic infections
especially for those that are at high-risk (underweight, low-SES, crowded living conditions)
• Mechanics– To provide 1 dose of Mebendazole for children
enrolled in our Feeding Program who have not yet been dewormed this year
RecipientsName Age/Sex
1. Drio, Stephanie Mae 2/F
2. Dela Cruz, April 4/F
3. Mendoza, Jhane Josephine 5/F
4. Pamplona, Antonio 3/M
5. San Jose, Kheana 3/F
6. Espiritu, Sigfred Anthony 2/M
7. Felias, Joshten 2/M
8. Dula, Alexy 2/F
9. Galora, Kian 2/M
10. Colcol, Carisha Lai 3/F
11. Niedo, Princess 1y7m/F
• Recommendation– Have a MASS
DEWORMING project for SEPTEMBER
– Still with approximately >50pcs of Mebendazole tablets
– Expiration is October 2013
COMMUNITY HEALTH VOLUNTEERS
• Recruitment– Objective: to increase OPD census and for wider
area coverage– Plans of recruiting Nagpayong CHVs– 1 area only (Montevilla Homeowners)– Representatives already met with Dr. Acantilado
• Attendance of CHVs– Mostly 100% Attendance for July and August
• Active CHVs– Fely Padilla– Vergie Pacuan– Carla Benbinito
• Active Mother Mentors– Rea Llarinas– Lolly Tasareno– Luz Cambe– Carina Espiritu– Gertudes Bartolata
• “OPEN SESSION”– Objective
• To empower the people of the community by involving the CHVs and Mother Mentors in the planning session of which activities to continue and focus on for the month assigned (August)
• To hear out comments, evaluation, and suggestions from the CHVs and Mother Mentors on the past activities and for the suggested activities by the past group
– Target Population• CHVs and Mother Mentors
• “OPEN SESSION”– Mechanics
• To have a small “merienda” with the CHVs and Mother Mentors while informally talking about the activities done in the past month and the plans for the current month.
• The residents will be facilitators in asking the opinions of the Ilugin volunteers which activities they like and which activities they find hard or not too helpful for them.
• Any suggestions for all committees are welcome:– OPD, Livelihood, and Feeding
• “OPEN SESSION”– Results and Evaluation• Would like to continue Exercise and Health Awareness
for CHVs and Mother Mentors– Continue weekly exercise / Zumba sessions– Voltaire or Rachelle Vicencio as Dance Instructors
• Happy Community with Happy CHVs– Have a wellness day where we will invite an IM resident to
help our CHVs and Mother Mentors on their sickness and other ailments.
• Would rather learn new skills for livelihood• Focus more on livelihood
– KUTO PROJECT» willing to manufacture and sell CVCs» Will not be willing to do another round of treatment of
schoolchildren due to health risk exposure and the method being very tedious
– CANDLE MAKING» They enjoy and feel very confident in making and selling
candles. » Candle making for August might not get in more returns
because its demand is seasonal.
• “OPEN SESSION”– Results and Evaluation
• Focus more on livelihood– DISHWASHING LIQUID
» This was another project also suggested by CHVs and was known to them several months or years back.
» The idea of making and selling Dishwashing liquid from their home (either wholesale or retail “tingi-tingi”)made the CHVs excited because it is a product all are using everyday.
» Need to get more information from TESDA on how to make this product and CHVs and Mother Mentors are willing and eager to learn it.
• “OPEN SESSION”– Results and Evaluation• Focus more on livelihood
– UKAY-UKAY» This idea was brought up due to lack of funds to start a
livelihood project.» Pedia Residents and Clerks have come up with a joint plan
to get donations (old clothes, bags and shoes) from TMC and ASMPH Family and these will be sold in verious areas to raise funds for the community.
» Venues? Ilugin? Pasig Barangay hall?
• Stipend/ CompensationJuly August
Fely 800 800
Vergie 800 800
Carla 800 800
Lolly 331 320
Rhea 347 320
Luz 325 320
Bartu 347 320
Carina 250 320
• Challenges Encountered– Desired Projects were put on hold• Dishwashing liquid: too short term focus on COOP
and KUTO PROJECT• UKAY-UKAY no need because Rotary will fund a good
and stable livelihood program like KUTO PROJECT or WATER HYACINTH HARVESTER
– CHVs are not yet too keen on other people becoming mother mentors from Nagpayong (TRUST issue)
FEEDING
Enrollees
CURRENT ENROLLEES (Jan-July) <2013 8Jan-July 2013 23August 5
GRADUATED (Jan-July) 7
DROPOUT (Jan-July) 20
ONGOING FEEDING ENROLLEES 36
Current EnrolleesNAME AGE DATE
OF ENTRY
WEIGT AT ENTRY
INTERPRET
WEIGHT IN AUG
INTERPRET
HEIGHT AT ENTRY
INTERPRET
HEIGHT IN AUG
INTERPRET
Alcera, Andrea 3
July 18, 2013
13.9 <0 13.0 <0 93.5 -2 93.8 <0
Drio, Stephanie 2
July 4, 2013
10.9 <0 10.9 <0 83.2 <0 82.7 <0
Espiritu, Sigfred 2
July 4, 2013
12.1 <0 12.4 <0 86 <0 87.4 <0
Drio, Bianca 1
July 4, 2013
7.4 -3 7.5 -2 79 <0 75.8 -3
Dula, Alexy 1
July 18, 2013
7.8 -2 7.5 -2 74 <0 69.8 <0
NAME AGE DATE OF ENTRY
WEIGT AT ENTRY
INTERPRET
WEIGHT IN AUG
INTERPRET
HEIGHT AT ENTRY
INTERPRET
HEIGHT IN AUG
INTERPRET
Tupaz, Arturo 2
July 4, 2013
9 -2 9.1 -2 78 -2 78.2 -2Bolado, Richard 2
July 4, 2013
8.8 -2 8.9 -2 79 -2 79 -2Tabada, Arvin Jay 2
July 18, 2013
11.2 <0 11.3 <0 82.9 -2 82.9 -2Timbol, Jan Andrei 3
July 4, 2013
12.9 <0 10.5 -2 79 -2 92.6 <0Felias, Josted 1
July 25, 2013
9.1 <0 9.3 <0 75.4 <0 74.3 <0Sayson, Steffany 1
July 18, 2013
8.3 <0 7.5 <0 77 <0 77.3 <0Ingote, Jhon Carlo 1
July 25, 2013
7.8 -2 7.6 -2 72.3 -3 73 -3Colcol, Clarishalai 2
July 25, 2013
11.4 <0 11.4 <0 88.2 <0 88.2 <0
Niedo, Princess Jhesca 3
July 25, 2013
9.8 -3 9.8 -3 78.1 -3 78.1 -3
Tupaz, Angelica 4
July 4, 2013
11.9 -2 12 -2 85 <0 85.3 <0
NAME AGE DATE OF ENTRY
WEIGT AT ENTRY
INTERPRET
WEIGHT IN AUG
INTERPRET
HEIGHT AT ENTRY
INTERPRET
HEIGHT IN AUG
INTERPRET
Pamplona, Antonio 3
September
2012
10.9 -1 11 <0 80.1 -2 87.8 -2
San Jose, Kheana 2
June 2012
9.8 -2 10.5 <0 82 <0 80 -2
Laron, James 1
June 27, 2013
9 -2 9.4 <0 81.3 <0 82.4 <0
Dela Cruz, April 4
June 6, 2013
15.5 <0 14.5 <0 101 <0 101 <0
Galora, Jhian 1
June 27, 2013
9.6 <0 10 <0 78.5 <0 78.9 <0
Tantiangco, Prince 1
June 27, 2013
9.9 <0 10.5 <0 79.1 <0 80 <0
NAME AGE DATE OF ENTRY
WEIGT AT ENTRY
INTERPRET
WEIGHT IN AUG
INTERPRET
HEIGHT AT ENTRY
INTERPRET
HEIGHT IN AUG
INTERPRET
Llarinas, Frellex 2
June 2012
7 -3 9.5 -2 66 -3 75.9 -3
Ramos, Jovanni 4
June 2011
10.6 -4 12.5 -3 91.5 -2 101 -3
Mendoza, Josephine 5
June 2012
13.5 -2 15.2 -1 94.5 -2 100.2 -2
Tigue, Clarence 1
May 2013
11.3 -2 9.5 -2 79 -3 71.2 -3
NAME AGE DATE OF ENTRY
WEIGT AT ENTRY
INTERPRET
WEIGHT IN AUG
INTERPRET
HEIGHT AT ENTRY
INTERPRET
HEIGHT IN AUG
INTERPRET
Galora, Jiro 4June 27,
201314.3 <0 13.5 <0 95.5 -2 96.2 -2
Francisco, Chrystelle 4
June 6, 2013
14.7 <0 15 <0 96.2 -2 98 -2Perras, Jaimie Lee 6
June 2012
13 -2 17 -2 96 -2 105 -2Perras, James 3
June 2012
11 -2 11.5 -3 89 -2 95.9 -2Santos, Rose Mary 3
June 6, 2013
10 -2 10.5 -2 86.1 -2 86.7 -2Irondo, Geneva 6
December 2012
15.8 -1 15.5 -2 102 -2 106.4 -2Caceres, Jay-M 1
Aug 29, 2013
5.2 -3 15.2 -3Caceres, Jasmine 2
Aug 29, 2013
10.5 -2 90.1 -2Delllera, Mariane 2
Aug 29, 2013
14 -2 100.5 -2Balaguat, Anna Marie 2
Aug 29, 2013
13.5 -2 103.2 -2Santelices, Dharlyn 11mos
Aug 29, 2013
6.9 -2 67.9 -2
WEIGHT
<044%
-13%
-247%
-36%
Zscore
<0-1-2-3
HEIGHT
<037%
-246%
-317%
Zscore
<0-2-3
Star Sangkap
• Feature an ingredient• Highlight its nutrient content and health
benefits• Use of chosen Star Sangkap for feeding
• Criteria for choosing a STAR SANGKAP1. Nutrient rich2. Locally available3. Affordable
Cookbook
Feeding: Aug 1Calories
2 kg rice 6400
¼ kg ground pork 342
1 squash 64
1 string beans 32
niyog 720
2 knorr cubes 30
oil 450
sugar 120
1 ¾ kg galunggong 2392
2 ½ avocado with milk (Pediasure)
225
Ginisa, Galunggong, Avocado with milk
600 Calories/Serving
Feeding: Aug 5Calories
2 kg rice 6400
1 ½ kg ground pork 2050
2 kangkong 32
2 radish 16
2 sitaw 32
3 okra 16
3 gabi 450
sugar 120
2 ½ banana 1200
Sinigang, BananaStar Sangkap: Gabi
567 Calories/Serving
Feeding: Aug 8Calories
1 ½ kg sopas 2000
1 kg corn 1538
½ kg carrot 178
½ kg ground pork 683
2 knorr cubes 30
1 can alaska milk 340
Pandesal (1/kid) 990
milk 7200
2 ½ banana 1200
Sopas, BananaStar Sangkap: Carrot472 Calories/Serving
Feeding: Aug 12Calories
2 kg chicken 2733
1 kg rice 6400
1 kg sayote 356
1 malunggay 16
1 knorr cube 15
2 kg mango 1333
Tinola, ManggoStar Sangkap:
Malunggay602Calories/Serving
Feeding: Aug 15Calories
1 ½ kg rice 4800
1 kg fish 1367
2 egg 172
2 whole squash 356
5 carrots 178
1 whole chicken 1640
2 knorr cubes 30
oil 450
butter 450
All purpose cream 100
Squasharaap, Lumpia
Star Sangkap: Squash
558 Calories/Serving
Feeding: Aug 19Calories
1 ½ kg rice 4800
1 kg ground pork 1367
5-10 talbos 16
3 potato 200
Oyster sauce 90
1 whole chicken 1640
450 30
2 ½ kg banana 1200
Giniling, Banana646 Calories/Serving
Feeding: Aug 22Calories
2 kg chicken 2734
2 kg rice 6400
2 sayote 80
malunggay 16
2 knorr cubes 30
1 cabbage 356
carrots 32
2 ½ kg banaba 1200
Tinola, Banana609 Calories/Serving
Star Sangkap: Cabbage
Feeding: Aug 27Calories
10 eggs 860
2 kg rice 6400
miswa 100
ketchup 60
oil 450
malunggay 16
potato 50
carrot 356
kamote 3750
sago 100
Torta, Misua, Sago Kamote
645 Calories/Serving
Weighing of Patients
AttendanceDate Number of Attendees
8/1 20
8/5 21
8/8 21
8/13 21
8/15 23
8/19 16
8/22 14
8/27 19
8/29 28
Problems
• Absences • Most mothers/kids don’t participate in the
activities
LIVELIHOOD
• KUTO PROJECT (CVC) Stability Testing• Objectives– To determine shelf life of the current concoction
when subjected under different temperatures– To determine what preservative is necessary to
prolong shelf life without affecting efficacy of the concoction.
• Mechanics– Coordination with Rotary of Pasig (Mr. Ducky
Paredes, Dr. Tangonan– Coordination with Dr. Valera (Ateneo Dept of
Chemistry, PIPAC (Philippine Institute of Pure and Applied Chemistry), and ADMU ITSO (Innovation and Technology Support Office)
– Contact: 426 6001 loc 5670, email: [email protected]
Kuto Project (CVC)
Meeting with Rotary Dr. Ruth Matos and Dr. Kaye Morales
Meeting with Rotary Meeting with Rotary
Ateneo De Manila Department of Chemistry Visit PIPAC
Cooperative
ASMPH LEC 4
Ilugin Cooperative• Objectives
a) Provide goods and services to its members to enable them to attain increased income, savings, investments, productivity, and purchasing power, and promote among themselves equitable distribution of net surplus through maximum utilization of economies of scale, cost-sharing and risk-sharing;
(b) Provide optimum social and economic benefits to its members;
(c) Teach them efficient ways of doing things in a cooperative manner;
(e) Allow the lower income and less privileged groups to increase their ownership in the wealth of the nation; and
(f) Cooperate with the government, other cooperatives and people-oriented organizations to further the attainment of any of the foregoing objectives.
• Target Population– Ilugin Community especially CHVs, Mother
Mentors and Ilugin Residents– With assistance from Consultants and Residents
from Department of Pediatrics
• Mechanics– 1. Organization• At LEAST 15 members• Determine common problems that need to be solved
– Credit assistance
– 2. Reserve COOP name (with fee)– 3. Economic Survey • Structure and purposes of the cooperative
– 4. By-Laws• Rules and regulations
• Mechanics– 5. Articles of Cooperation
• (a) the name of the cooperative, which must include the word "cooperative";
(b) the purpose or purposes and scope of business for which the cooperative is to be registered;
(c) the term of existence of cooperative;
(d) the area of operation and the postal address of its principal office;
(e) the names, nationality and the postal addresses of the registrants;
(f) the common bond of membership;
(g) The list of names of the directors who shall manage the cooperative; and
(h) The amount of its share capital, the names and residences of its contributors, and a statement of whether the cooperative is primary, secondary or tertiary. The articles of cooperation shall be signed by each of the organizers and acknowledged by them if natural persons, and by the chairpersons or secretaries, if juridical persons, before a notary public. .
• Mechanics– 6.Bond of accountable officers (from insurance or
bonding company)– 7.Execute Treasurer’s Affidavit (sworn statement)• At least 25% or the share has been subscribed and at
least 25% has been paid (not less than Php 15,000)
– 8. PMES (Pre-Membership Education Seminar)– 9. Registration of Cooperative at CDA
The Future of Ilugin Cooperative
Phase 1: Baseline Knowledge (Ilugin
Residents)
Phase 1: Baseline Knowledge
(CHVs & MM)
Phase 2: Consolidation of
Data
Organization Phase
Phase 3: GENERAL ASSEMBLY
ELECTION OF LEADERS
Phase 4:ECONOMIC SURVEYBY-LAWS/ ARTICLES
RESERVE NAME
Phase 5: BOND of Accountable OfficersTreasurer’s Affidavit
Committment
Rules/ Laws/ Money
Phase 6: Pre-Membership
Training Seminar (PMES)
Phase 7: Registration SUCCESS !!
Training
Growth
Phase 1: Baseline Knowledge
• Ilugin Community– 100% have the need for credit assistance– 68% use for daily resources of living (food, shelter,
clothing, education)
• Focus Group Discussion • Objectives:– Baseline knowledge about credit services, needs
of the people, and an idea on their commitment on the project
• Target group:– CHVs and Mother Mentors
Cooperative
• Results – Known to the group:
• City Hall coop• CARD (savings)• Bumbai• Impukan/Savings
– Credit Assistance Coop– 50-100 php per week– Ayaw ng “taga labas”, or Membership by Guarantor– CHV to screen members
• Recommendations– Conduct an initial General Assembly for those who
are interested (Ilugin Homeowners)• Decide on how much to contribute per week• Decide on the interest• Promote Cooperative
– Get a core group to start the Paper work and meetings
FINANCE
• Total Budget for August 2013= Php 10,000.00– Endorsed from July 2013= Php 0
• Total Expenses= Php 9230.75• Remaining Balance= Php 769.25
Statement of ExpensesExpenses Period Covered Amount
Feeding 8/1 Php 584.00Cabinet 8/2 1400.00Feeding 8/5 597.00Cleaning Materials 8/5 124.50Feeding 8/8 600.00Feeding 8/12 600.00X-ray (Patient Caceres)+ Fare 8/13 500.00Gas 8/15 700.00Feeding 8/15 600.00Feeding 8/19 600.00Feeding 8/22 500.00Feeding 8/27 600.00Sticker Paper 8/27 86.25
Expenses Date AmountFeeding 8/29 580.00Alcohol 8/29 59.00Nutritionist Payment 8/29 500.00Feeding 9/2 600.00
Equipment Inventory at IHC
• Recommendation– Print stickers and label
the furniture and equipment
– Endorse every month photos of the IHC and the equipment
Other Activities
• Lecture on Dental Care done by Dentists
• Pabasa sa Nutrisyon done by DOH representative Ms Connie
Distribution of Doxycycline (Prophylaxis for Leptospirosis)
• Survey of Pregnant Women in Ilugin
THANKYOU