dupax del sur community output

Our Lady of the Pillar College-Cauayan San Fermin, Cauayan City, Isabela

COLLEGE OF NURSING AND MIDWIFERY

Output on

Community Health Nursing PracticeDupax Del Sur, Nueva Vizcaya

May 17-21, 2010

Submitted by:

GROUP 10 Pilar, Jovielyn P.

Penuliar, Maria Katrina B. Pascual, Kathrina G.

Panganiban, John Ace R. Ramones,Maribeth S.

Po, Ma. EsmeraldaVea, Wilvin Joe

Pascua, Davinne Rey

Submitted to:Tita L. Rillorta, RN, MSN

Community Instructor

TABLE OF CONTENTS

I. INTRODUCTION

II. LOCALITY HEALTH CONDITION & THE HEALTH PROGRAMS

III. PARTNERSHIP/ NETWORKING

IV. COMMUNITY PARTICIPATION

V. SYNTHESIS ON THE STATUS OF HCDS OF THE LOCALITY

VI. RECOMMENDATION o FOR THE RHU/BHSo COMMUNITY OUTREACHo SCHOOL

VII. INDIVIDUAL COMMUNITY HEALTH NURSING PRACTICE REFLECTION

VIII. ACTION PLAN

IX. ACCOMPLISHMENT REPORTS

X. APPENDIXo FOCUS GROUP DISCUSSIONo MINUTES OF DAILY ACTIVITIESo FINANCIAL REPORTo TASKING

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PREFACE

Our development work is likened to building a house. You take into consideration the different

parts. Our need to be directed towards skill transfer; education/trainings; appropriate technology;

volunteers who can work in the communities; access to funds and services; confronting ecological

issues; developing a comprehensive indigenous people’s sustainable developmental framework; sectoral

support system for students, health workers, farmers; draw up an alternative program for social and

economic development; need for disaster preparedness plan; need for resource mobilization;

strengthening network and linkages at all levels; planning and programming; women and indigenous

people’s welfare; attention to advocacy and campaign work; need for solid organizing in both

consolidation and expansion areas; continue supporting local mass struggles.

A society where its citizen would enjoy a general improvement in the quality of life, having been

freed from poverty and oppression; where foreign control and influence over its state of affairs have

been eliminated; where the greater majority of the people take an active part in running and significant

decision making apparatuses of the State; where each individual may enjoy the fruit of one’s economic

endeavors; where social conflict has been justly resolved and where the Filipino people can develop and

take pride in their cultural identities.

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WELCOME TO

DUPAX DEL SUR, NUEVA VIZCAYA

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Its structure towards DEVELOPMENT!!!

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Dupax del Sur is politically subdivided into 19 barangays: Abaca, Banila, Gabut, Ganao, Lukidnun, Mangayang, Palabotan, Biruk, Bagumbayan, Balsain, Canabay, Domang, Dopaj, Kimbutan, Kinabuan, Sanguit, Santa Maria, and Talbek.

It is where the Barangays of Dupax del Sur located…spot it!!!

I. INTRODUCTION

History of Dupax del Sur, Nueva Vizcaya

Dupax Del Sur (Dopaj) already has its legend even before the Spanish colonization, as it is one of

God’s magnificent creations which became popular due to the bountiful natural resources, historical

landmarks, abundant golden grains, conducive climate, scenic spots, humble inhabitants who are hard-

working, value oriented with simple lifestyles, yet friendly, hospitable and cooperative.

The name of the town of Dupax, Nueva Vizcaya, was emanated from the Isinay word “Dopaj” which

means to lie down n complete rest and relaxation. According to folklore, the site of what eventually

became the Poblacion of Dupax used to be the camping site of primitive hunters from surrounding tribal

settlers who usually congregate in the area after hard ways of hunting in the nearby mountains. The first

known settlers were the Mala-ats (Ilongots). They are said to be the ancestors of the Isinays who now

inhabit the locality. Actually, before 1725, the Mala-ats and the Isinays already lived in the vicinity of

Dupax. Then in June1726, Spanish missionaries of the Augustinian order arrived in the locality. However,

it was until April 22, 1731 that Dupax was formally founded by Fr. Nicholas Norbante and Agustin de San

Juan. The 1st Captain of the town- which was then known as Dopaj was an Ilongot by the name of

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Mandalito. Eventually, three prominent men representing three Districts tribals were appointed namely:

Dayag, who headed the Mala-ats; Tsun-pising, who headed the Igorots; Bertolo, who headed Ilongots

years passed, more and more influx of the Ilocanoes, Ifugaos, Igorots and other ethnic groups have

taken place before and after the turn of the century, because of some conflicts on where to place the

seat of the municipality. President Ferdinand E. Marcos signed PD 586 implementing RA 6372 otherwise

known as "An Act Creating the Municipality of Dupax del Sur from the Municipality of Dupax in the

province of Nueva Vizcaya", sponsored by Congressman Benjamin B. Perez in the Philippine House of

Representatives and Senator Leonardo B. Perez in the Philippine Senate. President Ferdinand Marcos

amended some sections and signed it into law with the promulgation of Presidential Decree 586 on

November 26, 1974 which paved the way for the division of Dupax into two municipalities: Dupax del

Norte and Dupax del Sur.

Dupax del Sur is a third class municipality having 19,000 population with 19 barangays- 8 low

land and 8 mountain high, with indigenous people are the Igorots & Bugcalots. Its history reflects on

how health had evolved up to the present. This was started when some indigenous people went to the

place to hunt animals for food. After hunting animals, they were tired, so they decided to lie down

(called “Dopaj” in Spanish word). As time passed that was called Dupax was then divided in Sur and

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Norte. Igorots had migrated to the locality and they brought high value crops which were resulted to

high production of these products. And up to the present, agriculture is the primary cost of living.

See the wonders God has created not only for the Dupaxans, but for everybody to experience,

how Dupax del Sur and its residents live and share their hospitality, concern, and love to everyone.

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II. LOCALITY HEALTH CONDITION AND THE HEALTH PROGRAMS

HEALTH CARE DELIVERY SYSTEM IN DUPAX DEL SUR

Devolution period during 1990’s up to the present had brought us our independence to us Filipinos especially on our health. It was marked by the installation of Fidel V. Ramos into presidency and the implementation of 1991 Local Government Code. This code transforms the administration of social development in the Philippines. This was the transfer of major functions and responsibilities to Local Government executives by vesting them with vast powers in planning, implementing, monitoring and evaluating programs concerning the basic social services.

At Dupax del Sur, at the barangay level, continue to maintain health and daycare centers, general hygiene and sanitation, and the facilities for water supply are now in its direct supervision. With the municipality – RHU to the Barangay Councils, they assessed the people’s needs , look after the problems that need to focused on, take plans on it, implements an action/ program for it and evaluates if the action is effective or not and if the problem had already solved, they work with each other to achieve an optimum level of functioning & promote quality of life.

At the municipal level, the Mayor together with the RHU personnel oversees the implementation of Primary Health Care, maternal and child care, control of diseases, social welfare services and solid waste disposal, encompassing maintenance of school facilities.

And at the provincial level, the Governor oversees the implementation of social welfare services, low cost housing projects and health services including tertiary care. Their objective at the Provincial level is on how to facilitate trainings on every community people regarding on improving their health and preventing diseases & illnesses, and the vision which is centered on how the people will be empowered & the health professionals must be committed and armed with efficient knowledge andn the community.

The Health Reform Agenda of former President Fidel V. Ramos was still used by the RHU of Dupax del Sur to focus on the people’s unmet needs in the improvement and sustenance of health.

Health is a multi factorial phenomenon in which it covers socio-economic, political, and environmental factors, these contributes on how health was being delivered to the community people. Health care delivery system on Dupax had been very different from other municipalities because they are doing the ideal one in delivering health care services to the people. In terms of what the health programs had been given by the Department of Health to the local/ municipal levels, Dupax have been innovating these health programs for the people to participate to improve their health.

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Dupax del Sur had been applying the right and the best referral system in which an ill person will directed to the Barangay Health Workers transferred to midwife to the Public Health Nurse up to the tertiary level of healthcare, and if the ill person would feel better, she will be transferred from tertiary to secondary up to the primary until she/he achieves her/his health.

The Early Childhood Care and Development Council (ECCD) program is founded by PAGCOR in which the community will seek hospitalization; the payment will be covered by the ECCD. In the laboratory, a subsidized indigent will pay an amount of 50 pesos /medicine and with maximum of 250-350 pesos.

With the commitment and perseverance of the MHO, the HCDS of Dupax del Sur is now a very responsive to the need of the communities. During the early years, it wasn’t yet develop but during the supervision of Dra. Virginia Laccay within 33 years in health service, it was improved a lot. She still continues her commitment to care for the people. With their partnership with different services of other department and agencies GOs or NGOs, health had tremendously improved; networking to the municipal level down to the local/barangay level. The MHO had to reach far flung barangays to deliver healthcare services to them, even without a ride, service must go on. They had emphasized to the people that they should help themselves to work with other and with initiatives to care for their health to achieve the aim “Health for all”.

The Municipality of Dupax del Sur had physically, economically, and politically developed and active and healthy locality because of its hardworking and God-fearing people, peaceful, good local governance, improves agricultural technology, improve quality of life and wellness.

“It pays to take turns doing the hard tasks & sharing leadership with people, interdependent with one another.”

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The community people are the one who have the responsibility for their

HEALTH!!

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Rural Health Unit’s Mission and Vision:

To achieve Health for All!!!

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CURRENT STATUS OF DUPAX DEL SUR, NUEVA VIZCAYA

LGU’s Mission and Vision towards a better quality of life!!!

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INNOVATIVE HEALTH PROGRAMS

Health is a right of every human being. Healthy people are a pre-requisite to national development. The DOH uses the life span approach to design programs and assist in the delivery of health services to specific age groups. It views health care of individuals within the context of the family. All members of the family are empowered to maintain their health status. They must be free from disease or infirmity with no disabilities.

The Family Health Office is tasked to operationalize health programs geared towards the health of the family. It is concerned with the health of the mother and the unborn, the newborn, infant, child, the adolescent and youth, the adult men and women and older persons to improve health and well-being of all people. So, not only those authorities in the national level have programs regarding health but also those authorities in the local government.

Like those barangays in Dupax del Sur, Nueva Vizcaya they have their own programs or what we called innovative health programs implemented to improve the quality of life of the community people.

Garantisadong Pambata- Giving services to the children like giving Vitamins to them. This is done twice a year.

As a result, it improved the health and nutritional status, and quality of life of the community people especially in the mountain barangays, acquired strong partnership in promotion and mobilization of the barangay councils and community and it underscores the importance of institutionalizing the Health and Nutrition Program with the barangay leaders as their partners in grassroots level.

Bantay B-Inay- This program focuses in the health seeking behaviors of mothers. And aims to motivate the mothers.

Five for Life Program- This program comprises the following:o Water for lifeo Fortificial food in examination homeo Sustained PABASA and nutritiono IGP in every PABASA groupo Nutrition Research Center

Yearly Outreach Program- In this program, they are giving clothes to the needy as a donation wherein at first, they will pick up names of at least 3 persons who will be given the opportunity to choose the clothes that they want.

Community-based Healthy Lifestyle- In this program, they are conducting monitoring of school canteen and early morning exercise.

Vermi Composting Program- This is a 50, 000 pesos worth of project managed by the BNSes and BHWs.

PABASA- They do PABASA 2-3 hours a day. The mothers are their target group who are indigent. In this program, they teach the mothers to cook simple and economical recipes.

Feeding Program- This program is done for children who are malnourished. They cook for them for almost three months and give some supply of foods in order for them to improve their health status.

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These are some of the health related programs that are being implemented here in all Barangay of Dupax which aims to reduce the mortality and morbidity here in Dupax and to the whole country as a whole to have a better quality of life.

The innovative health programs have been the very highlight of better care in the locality in delivering healthcare services to the people. These programs would not be successful without the partnership and networking between those who are at the top and with the community people. These need more effort to deliver it to the community people successfully. These health programs are approved by the DOH and being implemented by the local level to promote health and to prevent diseases or illnesses.

These Innovative Health Programs- Garantisadong Pambata, Bantay B-inay, Five For Life Program, Yearly Outreach Program, Community Based Healthy Lifestyle, Vermi composting Program, PABASA, and Feeding Program- are being executed through a proper process in which all the Health Workers are active in facilitating and initiating the said programs and they are the primary and responsible person giving it to the community people. And through the help of the Barangay officials and active people of the Barangay, they can deliver the programs successfully to every individual.

Health, as viewed by the people of Dupax del Sur, it is very important to them because without this they can’t improve their lives. Partnership and participation of the people are also very significant because it considers on how active a Leader is, with determination, and develop trust with the people, and participation of each other to achieve a better Health.

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Implementation of Innovative Health Programs towards the goal:

“HEALTH FOR ALL”

III. PARTNERSHIP

Partnership is the relationship between the health leaders and the community people in implementing the program to achieve wellness of the community. Here in Dupax this is one of the factors that can contribute a better health of the people and the community as a whole.

We had interviewed some of the health leaders regarding the partnership they have in delivering health care services. To begin with the activity, we established rapport to gain trust and develop a harmonious relationship with them during the interview. As they had stated, partnership is very helpful in attaining their programs effectively. It educates the community people to be responsible and knowledgeable in every program that is to be implemented. On the benefit of the health leaders, it made their work easier and faster through the active participation of the community people and the barangay leaders.

The BHW’s are the one who visits in their respective area of responsibility within their barangay. In their visit they will render basic health services , and updates health data. Data collected will be submitted to the midwives for collation and presentation to the barangay councils. Together with the barangay councils, municipal doctor, midwife and BHW’s analyzed the collate data, and have an initial suggestions for the solution of the problems identified . through this, it gave an idea to the barangay officials what are the problems that their community have and they helped together in prioriyizing the problems that were identified. After this, they make plan on how to solve the problems in their planning, they include budgeting to be sure that the problems will be solved, in the budget plan they included financial and persons responsible.

Monitoring is one of the barangay officials’ tasks have been seen as one of the greatest factor in the success of their plan. Here not only the health personnel had the responsibility but it’s a partnership intervention.

A good leader must have an effective communication in order to gain trust and to rule the community people. In implementing a project you must involve the community people to be able for them to appreciate that certain project.

One of the factors why the Health Care Delivery System of Dupax del Sur is very successful is Partnership, in which the Health care providers collaborates and works with other department or agencies among the Provincial, Municipal, and Barangay level. This is very important for the municipality or locality because it can help to its overall development and improvement especially on the Health of its people.

Example of Partnership in the Municipality was that, when a Barangay conducts a conference or meeting, all the Barangay officials were there to participate on the things that need to focus on. The different committees of the officials, BN’s, and BHW’s demonstrate partnership by planning such actions to solve the prioritized problem on their Barangay.

Dupax del Sur is simply the one keeping together its people through partnership and participation to achieve “Health for All.”

Partnership is very important to the people because it can help them to work faster on the implementation of Health programs. People had learned to care for their projects because of their organization with the leaders. Being a leader, you must be a good follower, role model, be patient and

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must be responsible of your work as an organizer to develop trust to have an effective relationship with the people and to achieve your goal in the community.

Illustration of Partnership shown by the community people was that, when they built a Barangay Hall at Barangay Domang, they are participating with each other to stand it up without a pay. One example of the Health program implemented at the municipality was the Feeding program. This aims to give the children nutritious foods to improve their health and to prevent diseases and illnesses. This can be achieve through the partnership of the Barangay officials, BHW’s and with the community people especially to the parents of children to give them the nutritious foods to achieve a proper health. This can also help to improve the knowledge about health for everyone.

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We have visited NVPH wherein it is a Secondary Level Hospital runned by the Government in partnership with other agencies or department to deliver the best health care services for their patients and to every individual.

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Partnership with other agencies for the planning and implementation of Health Programs to improve the Health of

everyone.

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We roam around the NVPH facilitated by their staff to see its beauty, and wonder inside and out…and viewing its overall facilities and equipments used to improve

the health of the patients.

The staff of Social service Department imparted to us her knowledge on what are the things needed in order to improve the health and life everyone. One of these is partnership to other

agencies on Department, this is very important in a one community for its development.

IV. COMMUNITY PARTICIPATION

Community Participation is defined as the involvement of people in the community involvement in terms of being one in the assessment and planning process. It is an act of the community people wherein they participate in the different programs and activities in their community.

The community people of Dupax Del Sur are the best example this kind of attitude. They demonstrate dedicated and genuine participation and cooperation in the different programs implemented by the different leaders in their municipality. According to our interviewees, in terms of implementing programs in the community, especially regarding health and nutrition, the people in the community never fails to utilize it. Although some, according to them, are disobliging still majority of them are accommodating hospitable.

Participation of the community people in the said municipality doesn’t just end by just merely attending whenever there are different programs that are being held. At the different barangays of the said municipality, like for example Barangay Domang, the community people are mobilized and empowered in helping one another in building the different infrastructures in the said barangay. Aside from that, unity is also very transparent whenever they have programs such as environmental sanitation and Feeding Program because the leaders doesn’t just stop by implementing this programs but they also encourage the community people to work with them, not just for the sake of cutting expenses but to facilitate community involvement as partners in health development. By this means it can contribute people’s development and to some extent empowering the people because they believe they can do it.

Great leadership, community participation, unity and empowerment, certainly these are the perfect ingredients that Dupax del Sur utilized in order to perfect the recipe of success and development. These attitudes became their greatest tool in attaining their goal. It is not just the work of health personnel but different agencies task and concern. They have proven that no man can work alone, that in order to achieve success they have to work together to make a very good foundation. And this foundation that they built cannot be easily shattered by any storm that may come their way. Without a doubt, Dupax Del Sur is the dwelling of the unified people.

Community Participation is very important to improve the life of each and everyone in the community. No matter how active a leader is, if without community participation, no improvement will happen. It is one of the secrets of Dupax del Sur why they a bountiful wealth which is the “Health” for everyone.

One example of community participation at Dupax del Sur was that, when we have our community outreach at Barangay Banila in which we have rendered Health Education, the community people had cooked for our lunch. The vegetables they had cooked came from the community people from their respective houses.

They had also participated to us on the Health education we have rendered by listening and sharing to us their lifestyle and on how they use their environment to improve their quality of their lives.We have imparted our knowledge about “Environmental Sanitation” and “What are the effects of Cigarette Smoking?” to them. These would help them to have an idea on how to improve their ways of living whether they re-pattern, to maintain, or to improve it.

This shows that the Leaders together with the Community People have the discipline and faith in God, works together and very hardworking, so they had achieved a better health.

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In Dupax del Sur, there are ways in order for the community people to participate such as, when they will implement a Feeding Program, the BHW’s were calling mothers at their respective houses to cook for their children for proper nutrition and Health; in Infrastructures, the community people especially the men were working together in order to build a Barangay Hall in their community. one way also they are doing was that, the leaders were doing Information dissemination to inform the people.

Leaders at Dupax del Sur had managed the people properly and they are not bias and treat each other equally. These attitudes have been maintaining their participation and harmonious relationship in their Barangay. They do and focused on the task assigned to them, and the problems or concerns seen in the barangay, they plan certain actions for it and they directly implement these actions in order to solve it. This shows how the people care for their health and for the quality of their lives.

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The community people of Banila, Dupax del Sur wherein they have their unity and working together for their own good and interest. They cooked for us showing their hospitality when we

have imparted health education in their barangay.

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We have imparted our knowledge regarding on environmental Sanitation and the Effects of smoking to the community people.

V. SYNTHESIS ON THE STATUS OF HEALTH CARE DELIVERY SYSTEM OF THE LOCALITY

Dupaxdel SUR had a great health care delivery system in which the leaders of the

Municipality they are being supportive and active, this can be shown by their effort in

reorganizing their role in promoting people’s health through comprehensive approach that would

include their participation in planning and monitoring. Aside from these motivating and guiding

people had been recognized as very important factors in the delivery of services for the people to

recognize that they believe that health as a multifactorial phenomenon in which they focused a

comprehensive approach such as improving the socio-economic condition by introducing income

generating projects.

Rural Health Unit in partnership with other agencies such as, United Nations, Phil Health

EC, and community people are the major players in Dupax Health Care Delivery System. With

the innovative health programs, they work together by defining each agencies task to avoid

duplication of works.

The status of Health Care Delivery System of Dupax del Sur was already on the top and

to its development. The municipality is an inspiration, role model and being a very good example

to other municipalities because of its big changes towards improvement of everyone’s lives in

terms of socio-economic, political, and environmental factors. These factors are interrelated with

health problems, in which these cannot be solved in terms of more Health Professionals or many

hospitals but is seen as one component of overall development of community. It means that, if

the people are healthy, the more productive the community, high quality of health and life, less

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illness and diseases. If this is so, there is less number of individual or no one will get or seek

Health care to Health centers and to the hospital.

Working together and having a harmonious relationship were their foundations to form a

big change. But how the people work together? It’s through communication, in which they are

open with each other on how they assess, make plans, implements actions and evaluates each

work they made to make it effective and to achieve their goal. Not only the leader has the

responsibility to do everything but also the community people, because they are the one

accountable for their health and life. The leader motivates and empowers the people that they

have the capacity to change and they are able to bring about change. It is also important that

leaders must encourage the people to understand the sociological and structured basis of their

conditions.

These is how Dupaxdel Sur, its Leaders and its Community people had with their Health

Care Delivery System!

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We have assisted the Midwife during their immunization day at Barangay Domang,

Dupaxdel Sur. This is to ensure to reduce the

morbidity and mortality of diseases and illnesses

among children and to promote health.

Mrs. Petronila Laccay, the midwife and Barangay

Health workers of Brgy. Palabotan participated in

the demonstration on how to cook Lagundi syrup. We had given them a copy in

order for them to understand and to follow

the instruction and demonstration.

The making and demonstration on how to cook Lagundi Syrup

to the Barangay Health workers of Brgy.Palabotan.

VI. RECOMMENDATIONS

TO THE RHU/ BHSAs we have observed to the delivery of health services in the Barangay level, there is a better distribution of services to the people. There is a proper assessment of problems and concerns of the people, diagnosing and prioritizing their needs, planning what are their actions to the said problem, implementing actions to these concerns, and to evaluate if their actions really help to solve the problem or not. There is also a participation and partnership among the Barangay Officials & the community people and with the Rural Health Unit and with other agencies.

Our suggestion is that, they must maintain what they are doing now and to keep on giving and rendering the best care to the community people to promote health and to improve the quality of life.

As a student nurse, we must be observant and to be a partner with the Barangay Officials and work with them and to the people to give the needed service to them.As future RN’s, we must learn and train more in the community to be more competent as future CHN.

COMMUNITY OUTREACH

As we have observed in our community outreach in Banila, Dupax Del Sur, Nueva Vizcaya, the people are very accommodating and approachable. They are participating with each other for their common good and interests in their community.

When we have conducted our Health Education regarding on Environmental Sanitation and The effects of Cigarette Smoking they are listening to us in order to understand the topic and or to learn from us for their good and better health.

We learned from them too, because they shared to us what are their experiences and what they do in their community, that we as youth of today don’t know.We recommend to them that they must maintain and improve their lifestyle to promote their health and to prevent diseases caused by the environmental destruction done by the people and recognize their role as citizen in educating the people regarding the effects of cigarette smoking.

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SCHOOLAs Student Nurses, we must trained and learned more about our chosen profession to become a competent Nurse someday. So we must continue a Summer Affiliation and Duties to develop our commitment in rendering services to the people sincerely and honestly.

As we have our Community Health Nursing practice in Dupaxdel Sur, Nueva Vizcaya, we have learned a lot of things in order to learn and train more in nursing profession and to become more competent in our CHN practice not only in the hospital but also in the community setting. Dupax is a developed locality in which there is an improvement in their health and their quality of life. It is one of the places wherein students have their practice to render healthcare services because it is one of the localities that was performing and applying the ideal one in rendering health services to the people. So OLPC-C has chosen this place in order for the nursing students to persevere on their work as a student nurse and as a future RNs.

Dupaxdel Sur should be then recommended to be the regular area for the students to affiliate for their practice because unlike other places Dupax had the best and proper Health Care Delivery System.

NUEVA VIZCAYA PROVINCIAL HOSPITAL

When we had visited Nueva Vizcaya Provincial Hospital, a secondary level hospital, we were very fascinated of its structure and facilities because these were very organized in terms of dimension and location. Their staffs were very approachable, accommodating and open to communicate with us.

One of the staff nurses, specialized in Hemodialysis section, discussed and imparted his knowledge to us about on how Dialysis works and on how it is very important to patients with kidney problems.

Nueva Vizcaya Provincial Hospital has already in its development. It is an inspiration and a very good example to other hospitals in which it shows the very ideal one in providing a better health to improve the quality of life and to prevent diseases and illnesses.As student nurses and future RN’s, we must trained, learned and familiarized ourselves with the hospital setting and to have our commitment and perseverance in giving our service to our patients. Indeed, Nueva Vizcaya Provincial Hospital (NVPH) is a very good model of hospital in which it molds every student nurses in their chosen career. These must be the one of the hospitals for the student nurses to affiliate with. We, the Level III Nursing Students of Our Lady of the Pillar College- Cauayan/ College of Nursing and Midwifery joining together our hands with our Community and Clinical Instructors to choose NVPH for us to educate and to become skilled in Nursing Profession.

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This is for the medical missions

held by the health professionals at any place that needs a better

care.

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We had visited the NVPH for our awareness on how the hospital had been giving the

better HCS to the people.

This was on hemodialysis unit wherein the nurse, which is trained and specialized in hemodialysis, discussed and imparted his

knowledge about what is a dialysis and how the process to be taken in this therapeutic

regimen.

A place to relax for patients confined

Therapeutic Stone

Jogging can relax your muscles

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Its innovations of facilities to deliver

the best care to their patients.

MY COMMUNITY HEALTH NURSING PRACTICE REFLECTION

(Dupaxdel Sur, Nueva Vizcaya)May 17-21, 2010

Objectives:

1. To better understand the different factors affecting the health status and health care delivery system of the community.

2. To develop communication skills especially in integrating with the community people.3. To be able to understand more the role of a Community Health nurse and on how to

apply it.

Community integration was already a part of us students not only because it is a part of our curriculum but also in reality, in our chosen profession. We were exposed to this kind of activity for us understand more what are the different factors affecting the health situation of the community, how the health care is being delivered, to develop our communication skills as we apply what we have learned in therapeutic communication as we interact with the community people and for us to be familiar with the different roles of a community health worker or a nurse and for us to put into action the things that we have learned.

The things that we have learned in the four corners of our classroom is not enough, for us to improve and broaden not only our knowledge but also our skills, so we need to be exposed in the field.

Dupax Del Sur is one of the remote municipality of the Province of Nueva Vizcaya and some of its barangays are located o the mountain wherein most of the community people here are can not afford to avail medical care considering also the location of their barangay, because it is very far to travel.

During our 5-day stay here in Dupax Del Sur I have discovered that it is far different from the other communities that we have previously conducted a community visit. It is very progressive compared to them. And I was also amazed how their barangay officials actively participate in implementing the different programs they have and also the health workers who acted as their link to the community people for them to implement their programs and also the community people who are also active in participating with their community leaders. And this implies that they have a strong commitment to each other and it really plays a very important role for them to succeed in everything they do.

Living with this kind of community is not that easy especially in the mountain barangays. But through our willingness to learn and adapt with their living and lifestyle helps a lot for us not to experience any difficulties living with the community people. At first, I have to adjust a lot of walking, wading through the muddy paths, in going houses of the community people, but I had no difficulty in adjusting because the community people are very hospitable,

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approachable and they really warmly welcomes us. I don’t mind the small sacrifices, as long as I am able to help people, as long as I can serve them, I am already fulfilled. But we should also limit what we can render to them for them not to become dependent on us. We should impart to them what we knew on how to prevent and also how to treat the diseases.

When dealing with the health care of the community people, we also have to deal with their economy, their source of livelihood, their education, their housing, family, and many more. And from then on, I realized that we are not really that sick, considering their leaders as they do their job honestly, also they have transparency between them and the community people and I salute them because of it. Unlike others that are in authority not only on our country but with the other countries as well, war instead of housing, roads and bridges, privatization, deliberation instead of health services. At the health center, the services are lessened because the budget for health is lessened.

I also realized that I learned more from them than they from me as we go on during our collaboration. As a community health worker, the aspiration of the community people becomes your aspirations.

Prepared by:MARIA KATRINA B. PENULIAR

BSN-3/ Group 10

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Objectives:

1. To better understand the different factors affecting the health status and health care delivery system of the community.

2. To develop communication skills especially in integrating with the community people.3. To be able to understand more the role of a Community Health nurse and on how to

apply it.4. To appreciate the innovative health programs of the community.5. To recognize the Health Care Delivery System of the community.

“For people can set their direction more clearly if the darkness of confusion & ignorance is lit with common wisdom. They can move towards their dream if the fire of faith is in their hearts. They can face the dimness of the future if they carry the torch of freedom.” This describes on what the people of Dupax Del Sur did why they are healthy & it reflects the development of their locality.

Having our CHN practice at Dupax Del Sur, Nueva Vizcaya was a great & amazing experience to me because it helps me a lot in my chosen profession. This implies on the so called “application of knowledge is wisdom.” This commits us on how we student nurses put into skills on what we have learned on the school. This improves our abilities & strengths to face all the challenges in giving care to our patient. I have learned to be more dedicated & to have commitment & perseverance in all our responsibilities, duties & task not only the hospital setting but also in the community.

In the healthcare delivery system in Dupax, we have realized how much it is very helpful & very important to us what health is because it helped us to view the ideal one in giving better health care services to the people. It is very different with other municipalities in which Dupax had been giving the best health to the people to achieve health for all. It made us realized how partnership, community participation, innovative health programs are very significant because it serves as the ingredient in giving better services to the people. As Student Nurses, we had given us a chance on how to improve our knowledge & skills in the community because it made us inspired on the health care system of the municipality. In future, we must have commitment in our service. Also, it improves our attitudes, behavior & personality in life to be more productive.

As future RN’s & CHN’s, in God’s will, we must be supported & strengthened the organizing efforts of the people. This community immersion is a reminder that each one of us must help others & give them hope so that they would help themselves. That is the communication spirit of community.

The challenge is to start &/or continue caring enough, confronting realities into concrete action. The emergence of a humane health care system as every person assumes individual & collective responsibility in combating illness, maintaining & promoting health is what is envisioned & not more nurses or more doctors, or other health professionals or diseases

37

palaces in a health care delivery system. The challenge is to be patient & persevere because “no matter how long the night, the day is sure to come.”

Prepared by:JOVIELYN P. PILAR

38



Objectives:

1.To develop and enhance more my existing skills.2.To better understand the health care delivery system.3.To appreciate more our profession as a Community Health Nurse.

“Don’t be afraid if they seem difficult at the beginning, that’s only he initial impression, the important thing is not to retreat; you have to master yourself.”

In every semester, community immersion is always a part of our curriculum. And each of this exposure, we deal with variant people, places, traditions and cultures. Its seemingly difficult that we must fit ourselves to this factors in order to dispense our service effectively, sensitively and organize.

As the said phrase above, we student nurses must defeat every hindrance that we may go through as we execute the journey of giving service to the needy. Its only at the start that is difficult but the succeeding days would be fruitful for I had learned on how to handle the problems I had encountered. Through this immersion I was able to adopt the things that are significant to be a proficient student nurse.

Things happen the way we used to, but there are times that we regret and blaming others is not an option. Where we are right now is because we brought ourselves here to do our duty and that is service. We get happy, get sad, get tired, but most importantly we learn. So true! One of the purposes of community exposure is to impart learning in each student nurses to mold us in preparation in our chosen profession as a promising community health nurse someday.

“Don’t put your mistakes in your head coz they can weigh you down, instead make them your platform to view your horizon.”

Mistakes can’t be vanished to all humans, but it’s up on us on what is our perception on it. I had my mistakes during this immersion but I perceived it as learning. It’s kinda funny that these mistakes can be reciprocated into learning and eventually, leads our path to the key of success in our specialty- CHN

Prepared by:JOHN ACE R. PANGANIBAN

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Nursing is caring, rendering health services to the people especially those who are in need. As part of this profession, nursing students are obliged to have an exposure in order to enhance their knowledge, skills and attitude in the application of nursing practice. As a nursing student, our exposure is one of the happiest moments in our lives. We are being exposed in situations that involves preserving lives in which other profession can not.

Community immersion is such interesting and fun experience. In this kind of exposure, the first thing you should know or apply is to show creative behavior so that in return, your patient will show willingness and cooperation. Interaction is also the most important to achieve our target goal.

Last May 17-21, 2010, we had our duty at Dupaxdel Sur, Nueva Vizcaya, with the supervision of our Community Instructor, Ma’am Tita Rillorta. Before we finally started our duty, our CHN Clinical Instrucor oriented us about our corresponding duties and responsibilities to be done for our five-day duty. On the first day, we conducted courtesy call at the municipal office of Dupax Del Sur and at their rural Health Unit Office. We also participate in the meeting of the barangay officials of Barangay Balzain. On the second day we went to Barangay Palabotan to conduct health teaching regarding on how to make Lagundi syrup and at Barangay Domang, we conducted immunization to some of the children of the said barangay..on the third day we went to Banila to conduct health teaching regarding environmental sanitation and the effects of smoking to our health.

As we go on our duty, I learned a lot of things that may serve as a help on my profession someday. I learned that the first thing that we must give an emphasis is to establish good communication to our clients in order to establish harmonious relationship as well as cooperation along the coarse of activity. I also learned that we must be responsible enough in rendering our health services because we are accounted for it.

Above all, I realized that the true essence of nursing is caring, rendering good services that people should deserve because caring is a matter of commitment, will and respecting in a way that the nurse must treat individuals as unique and has own different needs.

Prepared by:KATHRINA G. PASCUAL

40



Community service to a student nurses like me is a big sacrifice, since we are expecting exhausting activities, unpleasant place, uncivilized place and persons, but for student nurses that are responsible, we need to appreciate everything on the area to feel comfortable in the place, enjoy the sceneries, to integrate to the community people well and to be more effective in rendering health services.

There are many attitudes that a student nurse like me to possess to perform well in the community. Patience, perseverance, cooperation and teamwork, this is important to develop or improve because it will really help a lot to have a good relationship to the community people as well as at the entire health team.

And there is some factors that also needed to give attention to make sure that it will not affect the performance like communication skill and self-confidence because it is really hard to integrate and conduct health teaching without self-confident and communication skill to talk with their dialect and to understand.

This community duty taught me a lot, it developed my personality to be more matured and a responsible nurse someday. And in this duty I saw and appreciate the innovative health programs and how the partnership of Rural Health Unit to the different organizational unit and especially to the municipality, and this program really helps the community people and it improves their health condition because it really benefited them.

There are a lot of things that RHU Dupax del Sur that makes them to be proud and appreciated of by the student nurses like us. And they really set a good example of amazing innovative health programs and partnership.

Prepared by:WILVIN JOE VEA

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Community health care is to rendering a care and to be a Educator to the community people .we also have to deal with their economy, source of livelihood. as student is seems to be difficult in adjusting our self to the community people in the type of their living. from that I learn that being a part of them in while I can say that it is wonderful to full feel the hearth warming and happiness to be value.

“Learned from us and also we learn from you”Teaching a community people it is hard to be a educator because community people expecting so much from us. as a student we do our best to succeeded in our responsibility as a health care provider. but most off all we learn and to be mold as health care provider to be preparation as a future nurse someday.

A nurse profession it is a big responsibility to take care of one life because our client life is on our hand. we should be careful and responsible as a health care provider .

Prepared by:MA. ESMERALDA PO

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“Coming together is the beginning, being together is progress, working together is success.”, a phrase that quotes the importance of unity and participation in order to attain success.

Participation and partnership is a very essential key towards success, and Dupaxdel Sur is a very great example of this. The community exposure that I had in the said municipality didn’t just meet my expectation but it even exceeded it. I didn’t expect that this community is much unified one. My experience here thought me the importance of participation and unity. That having these attitudes will really make you go a very long way. Knowing the history of Dupax, I can really say that they have really gone a long way. Because of the participation of the different agencies and also of the community, they managed to overcome all the hindrances that are on their way, and up to now they still manage to make that relationship stronger making it indestructible.

This experience also inculcated a very important lesson, it is great leadership. That in order for you to gain the participation of the people, you yourself should be a great leader. You should know how to manage your people and how to balance and equal treatment to gain the trust of the people then participation will follow.

The things that I have experienced and learned here in dupax helped me for my future profession. We know that one of the roles of a nurse is a manager. It gave me ideas and somehow pieces of advice on how to properly manage the people. On how to be a leader to them.That I should learn to motivate and empower them to participate on the different programs that I may implement in the near future because in the first place, it s for their own betterment and well-being. Indeed, it is our attitude at the beginning of a difficult undertaking which more than anything else will determine its successful outcomes.

Prepared by:MARIBETH S. RAMONES

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Giving service to other people is such a hard thing to do. As we all know we all have different roles in our lives to be accomplished. As they say, help yourself first before others. Honestly, I do believe in this saying and I do apply it in my life. I used to practice this in my daily living but as I’m being exposed to different places to a community immertion, I realized that it’s better to serve your fellow people than to be served.

Last May 17, 2010, we had our community immersion at Dupax Del Sur, Nueva Vizcaya. It was my first time to step in this beautiful town of Nueva Vizcaya that’s why I really enjoyed every minute of our stay there. With our few days of being there, I experienced and learned a lot not just from the Brgy. Officials but most from the community people.

With our stay there, I was amazed and really impressed with the achievements of every Barangay with regards to health. All the Brgy. Officials, so with the community people are actively participating in every program that was being implemented. Every meeting that has been set, I observed that everyone is really participating and this made me admire the city of Dupax Del Norte. This is just a simple sign that the officials are really doing their responsibilities/job that’s why the community people are following them. As wise man said “A good leader is also a good follower.” This just reflects in a peaceful form of Dupax. No wonder, the accomplishments of every Barangay are the evidence why they successfully met their goals.

This was just few among many things I’ve learned from this town Dupax.

Prepared by:DAVINNE REY P. PASCUA

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Our Lady of the Pillar College-CauayanSan Fermin, Cauayan City, Isabela

College of Nursing and Midwifery

ACTION PLAN(May 17-21, 2010)

DATE OBJECTIVES ACTIVITIES EXPECTED OUTCOME MATERIALS NEEDED PERSONS RESPONSIBLE

At the end of the rotation, the Student Nurse’s will be able:

May 17, 2010 To formulate plan for the entire rotation.

Formulating of Action Plan

The SN’s: Formulated order

of activities to be done in the area according to identified activities.

Envisioned realistic expected outcomes within the planned time.

Determined the materials needed and the persons responsible for each activity.

Notebooks and pens.

Level III SN’s

May 17, 2010 To assign leader & secretary of the group to facilitate the

Assigning of Team Leaders & Secretaries of the day.

The leader & secretary that are assign for the day has the duty to facilitate the group.

Notebooks and pens

Logbook

Level III SN’s

45

activity for our 5 days stay in Dupax del Sur.

May 17, 2010 To assign each member of the group with their respective task and responsibilities.

Tasking The SN’s have the responsibility to do their task assigned to them.

Notebooks and pens.

level III SN’s

May 17, 2010 To coordinate with the Municipal Mayor, Brgy. Officials & the Municipal Health Officers as a respect & acknowledging the authority.

Courtesy Call The Municipal Mayor, Brgy. Officials & the Municipal Health Officers acknowledged us, students & the activities done in the area.

Camera for documentation.

Level III SN’s and the Community Instructor

May 17, 2010 To understand health in its socio- economic, political context & dimension/ local health condition of

Orientation of Health Care Delivery System of Dupax del Sur.

The SN’s described the community health assets & problems of the locality in its socio-economic & political status.

Notebooks & pens



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the community.

To orient the group with the overall community status & to know the activities to be done in the area.

May 17, 2010 To familiarize ourselves with the community status & with their facilities.

Ocular Survey The SN’s are able to familiarized themselves with the community facilities in order to adapt with the environment.


Umbrella


May 17-21, 2010

To render basic health services to the people

DBHS BP taking Health

education

The SN’s delivered/ gave the better health services to the people to help them with their health condition.

BP apparatus CHN Bag Camera for

documentation

Notebooks and pens

Books


May 17-21, 2010

To gain a deeper understanding on HCDS regarding on partnership/networking, community

Conduct interview/ focus group on the:1. Partnership/

networking2. Community

participation3. Innovative health

programs of the

The SN’s: Determined

how these partnership/ networking, community participation & innovative

Tape recorder

Camera for documentation

Notebooks and pens.


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participation & innovative health programs of the RHU.

To appreciate the importance of partnership & networking in HCD.

To determine the extent of community participation in HCD.

To appreciate the innovative health programs of the locality.

RHU. health programs of the RHU help & improve HCDS.

Described partnership/ networking efforts of RHU/ BHS in the HCD.

Described how much the people have participated in the delivery of health care services.

May 17-21, 2010

To appreciate the importance of partnership & networking in HCD.

Partnership & networking

The SN’s: Involved

themselves in partnership/ networking efforts with the BHW & others.

Described partnership/ networking efforts of RHU/


documentation

Notebooks and pens


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BHS in the HCD.

May 19, 2010 To appreciate the innovative health programs of the locality.

To participate in rendering health care services to the people.

Participation to the implementation of health programs in the RHU/ BHS.

The SN’s: Delivered the

better health care services to the people.

Assessed how responsive are those health programs to the health condition of the locality.


documentation

Notebooks and pens

Books


May 20, 2010 To contribute to the delivery of health services in the RHU, BHS & outreach community.

Outreach services to selected Brgy. of the municipality.

The SN’s are able to render basic health services to the people.


documentation

Notebooks and pens

Umbrella Books


May 20, 2010 To determine the extent of community participation in HCD.

Community Participation

The SN’s: Contribute to

enhance community participation.

To describe how much the people have participated in the delivery of


documentation

Notebooks and pens

Umbrella Books


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health care services.

May 21, 2010 To document & record all activities done & relevant information gathered & made during our rotation regarding CHN practice.

Making of Documentation including Accomplishment reports, Minutes of the meeting & Photo Documentation.

The SN’s documented all relevant information & necessary data & ensured completeness & reliability of all files including the Introduction, Locality Health condition & the Health programs, Partnership/ networking, Community participation, Synthesis on the status of HCDS of the locality, & Recommendation (for the RHU/BHS, Community Outreach, & school).

Camera for documentation

Notebooks and pens

Books Laptop &

Printer

Level III SN’s

Our Lady of the Pillar College-CauayanSan Fermin, Cauayan City, Isabela

50

College of Nursing and Midwifery

ACCOMPLISHMENT REPORT(May 17-21, 2010)

DATE ACTIVITIES ACTUAL OUTPUT FACILITATING FACTORS HINDERING FACTORS

RECOMMENDATIONS

May 17, 2010

Courtesy Call The student nurse’s together with their Community Instructor conducted courtesy call to the Municipal Staff of the Municipality of Dupax del Sur, N. V.

The Municipal Staff of Dupax were very kind, accommodating & very approachable.

May 17, 2010

Interview:With the officer of Social Service Department

The SN’s & their CI conducted a short interview regarding on the innovative programs of the municipality & on their partnership to the Department of Health of the Municipality.

The Social Service officer is very kind & straight in answering the questions of the SNs & their CI.

May 17,2010

Per-orientation and ocular Survey at the Rural Health Unit.

The SN’s & the CI conducted a short orientation & ocular survey at RHU for the SN’s to be familiar at the area.

The staff of the RHU is very accommodating & approachable.

May 17, 2010

Observation of Conference

The Barangay Health Workers was

The barangay officials of the

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Meeting of Barangay Officials & Barangay Health Workers at Barangay Balzain.

presented a Community Based Data for the Brgy. Officials to be able to know what is the prioritize problems to be solve. They also presented different concerns & problems regarding on health. The last part was the exchanging of suggestions& ideas will helped the Barangay officials & Barangay health workers to improve the different Health programs of the Barangay Balzain.

Barangay Balzain is accommodating & kind. They are very open to the ideas of each every one. And they are all dedicated to their works to improved the programs.

May 17, 2010

Orientation proper at RHU of Dupax del Sur with Dra. Virginia Laccay.

Dra. Virginia Laccay oriented the SN’s regarding the different health programs that they are implementing & the benefits of the community people from that programs. She discussed where the fund of the RHU comes from & how they used the funds properly to improved

Dra. Virginia Laccay was very knowledgeable & efficient in sharing & orienting us were we really learned & impressed to the programs they are implementing.

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the programs for the people. Lastly, Dra. Virginia share to us what are the different National & Regional Awards of their RHU & the prices they gain from that awards & how is the partnership of the RHU to the Municipality & the different organizational unit of Dupax del Sur, N.V.

May 17, 2010

Post conference

All student nurses share their observations and learnings on the activity of the day

The Student Nurse’s listened conscientiously to each & everyone.

May 18, 2010

Pre-conference The team leader informed and discussed to the SN’s about the different activities that should be performed for the day, such as: Interview with the BHW’s and the barangay captain, Immunization at Brgy. Domang and seminar regarding on how to cook Lagundi

The student nurses listened attentively to the team leader.

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Syrup.May 18, 2010

Interview with the barangay health workers and the Barangay Captain.

The group had executed their assigned task which is to interview the BHW’s and the Brgy. Captain of Brgy. Domang regarding partnership and program in achieving a better health.

The BHW’s with the Barangay Captain were very hospitable and participative.

Both the BHW’s and Brgy. Captain have to finish their work first.

SN’s must hasten their work while interacting with the leaders.

May 18, 2010

Immunization The assigned group had immunized some of the children with the supervision of the CI.

The midwife allow SN’s to help in immunizing the children

Children to be immunized are only few

Mothers must be well inform regarding the schedule of vaccination.

May 18, 2010

Health teaching in cooking Lagundi syrup

The SN’s went to Brgy. Palabotan to discuss and demonstrate to the BHW’s on how to prepare a Lagundi Syrup.

The BHW’s are very cooperative and eager to learn regarding the seminar

May 19, 2010

Pre- conference

The team leader informed & discussed to the Student Nurses about the different activities that should be perform for the day such as: taking survey in every

The SN’s listened attentively to the team leader of the day.

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household & delivery of basic health services.

May 19, 2010

Health Education

Our group had imparted & discussed to the community people of Banila, Dupax del Sur the importance of Environmental Sanitation & the effects of smoking to promote health & to prevent diseases.

The community people had understands Environmental Sanitation, its benefits to our health & on cigarette smoking, its effects on our health & the diseases you can get to it.

The community people had participated to us on the Health education we had imparted to them.

May 19, 2010

DBHS BP

taking

The SN’s rendered basic health services to the community people like BP taking.

The SN’s were very fascinated & eager to serve the community people.

May 19, 2010

Post- conference

The team leader gathers her group mates to reiterate the activities they have done for the day.

The student nurses listened conscientiously to the team leader.

May 20, 2010

DBHS BP

taking

We helped the staff in delivering health care services to the

The group was active and participated each

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Wound dressing

community people. other in DBHS

May 20, 2010

NVPH visit We went to Nueva Vizcaya provincial Hospital for an agency visit to be aware on how they deliver health care services to the people.

The staffs especially the Chief Nurse were very accommodating and approachable.

May 20, 2010

Courtesy call with the different staff of Department of Health at the Capitol of Bayombong, Nueva Vizcaya

The group together with our clinical instructor and Dra. Laccay had coordinated with the staffs of DOH regarding on the delivery of Health care services to the people.

The different staffs were very approachable and accommodating.

May 20, 2010

Group discussion

Individual reflection

The group had imparted what they have learned during our four-day stay at the Municipality of Dupax del Sur.

We had learned and trained more in our Community Health Nursing Practice.

May 20, 2010

Post-conference

We had reviewed the different activities that we have accomplished.

The willingness of the student nurses in participating with the said activity and they listen attentively to the facilitator.

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May 21, 2010

Making of output- history and HCDS of Dupax, innovative health programs, partnership, community participation, synthesis and recommendations, essay on professionalism, accomplishment report, minutes of the meeting and photo documentation.

We had finished our output at the right time and at the right place.

All the members of the group helped and worked each other to accomplish each task assigned and the overall output.

May 21, 2010

Making of collage in medical and dental aspect.

We had finished the collage at the right time, and at the right place.

The group had helped and worked together to finish the collage.

May 21, 2010

Visiting the Barangay Nursery

We had visited the Barangay Nursery to see the organic fertilizer used by the people for their farm

The group had joined together to visit the barangay Nursery

May 21, 2010

After care at the Barangay Hall

We had cleaned the Barangay Hall or staff house to maintain its

The group had worked each other to clean the

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cleanliness and orderliness.

Barangay Hall.

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X. APPENDIX

A. FOCUS GROUP DISCUSSION

INNOVATIVE HEALTH PROGRAMS

QUESTIONS

1) What are the existing innovative health programs in your community?

2) How they are being implemented?

3) What are the importance of these innovative programs?

4) What is the importance of partnership between the health workers and the community people in implementing these programs?

What is the reason why you maintained a strong relationship?

5) Who are the target group/s of these innovative health programs?

ANSWERS

1) Marami kaming health programs na related sa health. Ang aming mga kasalukuyang programa ngayon na kaugnay sa “KALUSUGAN” ay ang mga sumusunod :

Garantisadong Pambata- pagbibigay ng serbisyo sa mga bata gaya ng pagbibigay ng bitamina sa kanila. Ito ay aming ginagawa dalawang beses sa isang taon.

Bilang resulta, napaganda naman nito ang kalusugan ng mga bata at ang kalidad ng kanilang pamumuhay lalo na yung mga nakatira sa mga barangay sa mga bundok.

Bantay B-Inay- Ang programang ito ay ukol sa pagmonitoe sa mga kalusugan ng mga nanay at layunin ng programang ito na iudyok ang mga nanay.

Five for Life Program- Ang programang ito ay naglalaman ng mga sumusunod:o Water for lifeo Fortificial food in examination homeo Sustained PABASA and nutritiono IGP in every PABASA groupo Nutrition Research Center

Yearly Outreach Program- Ang programang ito ay nakatutok sa mga tao ng aming komunidad na kapos-palad na kung saan nagbibigay kami ng mga damit bilang donasyon sa kanila. Sa una ay bubunot kami ng mga pangalan na kung saan ay yung unang tatlong taong mabubunot ang pangalan ay bibigyan ng pagkakataong mamili ng damit na kanila ng pag-aari sa loob lamang ng ilang minuto.

Community-based Healthy Lifestyle-Sa programang ito, nagsasagawa sila ng pagmomonitor sa estado ng mga tindahan kantin sa kanilang iskwelahan at ehersisyo sa umaga.

Vermi Composting Program- Ang programang ito ay nagkakahalaga ng P50,000 proyekto na kung saan ang mga BNSes at BHWs ang namamahala. At yung aming kikitain sa

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programang ito ay idadagdag naming sa pondo naming para lalo pang makapagbigay ng maayos at mapaganda pa naming lalo ang serbisyo naming sa mga tao n gaming komunidad.

PABASA- Ang programang ito ay isinasagawa 2-3 araw at ang mga nanay na mga kapos-palad ang target na grupo ng programang ito. Tinuturuan nila ditto ang mga nanay ng mga simpleng resipi at talaga naming abot-kayang halaga para sakanila. Sa programang ito, hindi lang ang mga nana yang natuto kundi pati nadin ang kanilang mga ank. Sabi nga ng ibang mga nanay n tinuturuan naming ang laki dawn g naitutulong sa kanila ng programa naming ito kasi kahit nasa bahay lang sila, natututo pa din sila.

Feeding Program- Ang programang ito ay para sa mga bata na kung saan ay di-nakakatnggap ng sapat na nutrisyon na kailangan ng kanilang katawan. Ito ay isinasagawa naming sa loob ng tatlong buwan at nagbibigay pa kami ng suplay na pagkain sa kanila upang lalo pang mapaganda ang estado ng kanilang kalusugan.

2) Ipinapatupad namin ang bawat programa namin na kung saan dumadaan ang mga ito sa tamang proseso. Ang ipinapatupad naming mga nammahala ng barngay na kung saan ay ang mg health workers din ang nagrequest, sila din an gaming nagiging tulay para maipabot sa mg tao sa aming komunidad ang aming mga programa. At sa tulong naman ng aming mga nasasakupan na kung saan ay talaga naming aktibo sa lahat n gaming mga programa, naisasagawa naman naming ang mga ito ng matagumpay.

3) Ang mga programang ito ukol sa pngkalusugan ay talaga naming malaki ang naitulong at naitutulong sa amin lalo na sa tao sa aming komunidad kasi napagaganda nito at napapabuti ang kalagayang ng kalusugan ng mga tao. Dahil alam naman natin na napakaimportante ng kalusugan para sa mga tao. Dahil kung di uunlad ang iyong pamumuhay. At ang magandang kalusugan ang nagiging sandata ng mga tao tungo sa pag-unlad.

4) Mahalaga ang partnership para sa ating lahat lalo na sa pagpapatupad ng mga batas t programa. Dahil kung walang kooperasyon ang mga tao, hindi tayo magtatagumpay sa mga mithiin natin kung walang pagkakaisa ang mga tao. Kasi kahit gaano pa kaaktibo ang isang lider sa pagpapatupad ng mga batas kung walang partisipasyon ang mga tao, wala din lang itong silbi at ganun din ang mga health workers kailangan din nilang maging aktibo sa pagpapatupad ng mga batas kasi sila ang unang nilalapitan ng mga tao at sila din ang mga nagpupunta sa mga bahay-bahay ng mga tao. Kailangan din ng determinasyon ng mga lider para masabing matagumpay ang lahat ng mga ipinapatupad na programa.

Napapanatili namin ang matibay na relasyon sa aming mga nasasakupan sa pagkuha ng kanilang tiwala sa pamamagitan ng paggawa ng simpleng bagay na kasama sila gaya ng pagdalaw-dalaw sa kanilang bahay-bahay, pakikipagkwentuhan sa kanila.

PARTNERSHIP/ NETWORKING

1. What is the importance of partnership in implementing a project?

Nakakatulong and partisipasyon ng bawat tao para mas mapabilis at mapadali ang pagtapos n gaming mga programa. Bilang isang health leader, nababawasan an gaming ga tarabaho at nakakatulong kami para maging responsible ang mga tao. natutunan nilang alagaan at pahalagahan ang mga nagawa nang proyekto kasi kaagapay naming sila sa pagtupad sa mga programa.

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2. What are your programs that had been implemented and how the partnership works?

Ung pagpapatayo naming ng brgy.hall, katulong naming dyan ang mga mamamayan. Masasabi kong malaking tulong ang naibagay nito dahil bumaba ang budget naming kasi ung labor nila ay libre. Isa rin sa mga programa naming ay ang feeding, natutulungan naming ang mga mothers na mas maging responsableng ina sa kanilang mga anak mas maaalagaan pa nila ang mga ito. Nakapagbibigay din ito ng konting kaalaman sa bawat isa.

3. Being a health leader, what must be the right attitude in order to have effective relationship with the people?Kailangang ipakita mo sa tao na isa kang leader para sa ganun, sundin nila ang mga dapat nilang gawin. Magandang paraan ay ang pakakikipagkwentuhan sa mga tao para makuha mo anf kanilang loob. Dapat Makita din ng tao na may mga nagawa kang proyekto at masabi naman nilang ginagawa mo ang iyong tungkulin. Sikapin mong pagpasyensyahan ang bawat tao dahil baling araw, magbubunga ang iyong paghiirap. Ang da best na ugali ay ung maging role model ka sa lahat ng aspeto.

4. In all your programs,what is your priority and why?

siguro ung feeding, kasi kailangan ito ng bawat bata. Isa rin ito sa mga dahilan kung bakit matamlay ang isa tao at hindi makapag-concentrate sa pag-aaral. Kung hindi kasi sapat ang sustansyang natatanggap ng katawan kulang din ang lakas ng isang tao.gusto din naming mawala ang lahat ng malnourish para matawag na malusog an gaming brgy.

5. How do you handle when there are misunderstandings in your team?Hindi nga maiiwasan ang tampuhan o di pagkakaunawaan ng aking mga kasamahan, kaya sa mga pagkakataong ganito, nagpapatawag ng meeting at doon naming nailalabas ang lahat ng sama ng loob, concerns,at rekomendasyon para sa ikabubuti ng relasyon ng bawat isa. Tinitignan din namin ang bawat kampo ung sino ang tama at mali. Sa paraang io, malalaman naming kung ano ang nararapat na solusyon.

6. How is the rection of the people if they are involve in a program?

Maganda naman ang pakikiyunggo nila sa amin at nakikita naman naming tumutulng sila para mapaganda ang aming mga programa. Pero ung iba, hindi mo sila maasahang tumulong, meron din naming napipilitan lang dahil nahihiya sila sa iba nilang kasamahan.

COMMUNITY PARTICIPATION

1. In what way does the community people participate in order to develop the health services and the different services in the barangay?--“Una, sa health at nutrition. Kapag may mga programa kami dito tulad ng Feeding Program, nagtatawag ang mga BHW ng mga nanay para tumulong sa pagluluto ng mga ipapakain sa mga bata. Isa rin ay yung doon sa infrastructures, nagtulong tulungan ang barangay at ang ga constituents sa pagtayo ng building na yun, so pawis talaga ng mga tao yun:”

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2. What should be the skills and attitude of a great leader in order to maintain a harmonious relationship of one another?--“Dapat kaya mong imanage yungmga tao mo. Dapat imaintain mo yung ng bawat isa sainyo para maging harmonious ang relationship. Don’t’ be bias and you should treat each one of them equally."

3. How do you manage to maintain the participation of the community on the different programs?--“Kapag may mga programa dito,halimbawa sa health, nagbabahay bahay ang mga BHW para sabihin sa mga tao na may gagawing programa sa barangay halimbawa yung PATAK. So well disseminated ang information para lahat ng constituents eh informed. Everytime na may program dito ganun na talaga ang ginagawa naming routine.”

4. Are there also times wherein there are misunderstanding in the community that leads to other people not participating in the different activities?--“Wala nama, kasi lahat ng committee dito sa barangay, kailangan, tinututukan talaga. Bawat isa dapat inaalam mo kung may problema ba at dapat sinusulusyunan agad. Huwag kang tumutok lang sa isang programa para maiwasan ang inggitan at sama ng loob. Ganun ang ginagawa ko dito.”

5. How do you render services to the people? Do you have programs? What are these programs?“regarding health, meron kami yung PABASA, FEEDING PROGRAM,PATAK,BAKUNA SA MGA BATA,.

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B. MINUTES OF DAILY ACTIVITIES

Our Lady of the Pillar College-CauayanSan Fermin, Cauayan City, IsabelaCollege of Nursing and Midwifery

May 17, 2010 (Monday)

8:00 - Flag Ceremony Singing of the National Anthem Singing of Vizcaya Hymn Dupax Hymn Prayer for the week Message from Maam Tita L. Rillorta – C.I. Message from Celso Pagatpatan Jr. – C.I. Message from Mayor Wilson Giron

8:30 - Courtesy call with Hon. Wilson Giron Introduced the diff. Health Programs of Dupax Introduced the diff. Barangays that have been improved

9:00 - Interview about Innovation & Partnership of diff. Organization Unit of the Municipality Sharing of Tips on how to become a good nurse The speaker shared her experiences being a health worker

9:30 - Pre-Orientation at RHU Dupax Occular Survey Orientation with regards to diff. areas of the RHU

10:00 - Observed for Conference Meeting of the Brgy. Officials and BHW of Brgy. Balzain Presentation of Community Based Data Sharing of Ideas on how to improve the Brgy.

12:00 LUNCHBREAK1:30 - Orientation with Dra. Virginia Laccay with regards to their diff. Health Programs

Implemented Presentation of diff. Barangays they have gone through to conduct services Presentation on how the Community people cooperate with them

5:00 Preparation for Dinner7:00 Dinner8:00 General Meeting of the whole group

Sharing of the things we’ve learned Sharing of what we had observed

Prepared by: Approved by:Davinne Rey P. Pascua Wilvin Joe R. Vea Secretary of the Day Leader of the Day

Noted by: Tita Rillorta, RN, MSN Community InstructorMay 18, 2010 (Tuesday)

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Our meeting started with a pre-conference facilitated by the team leader. She told us regarding the things to be done for the day.

After that, we went to Barangay Domang for the immunization of children. The Barangay Captain and the Barangay Health Workers talked and communicated with us on what is the status of their barangay. We have interviewed them on how they handle and delivered better health care services to the people and why participation is very important to them.

We have assisted also the Barangay Midwife in immunizing the children. We had administered BCG, DPT, OPV, Hepa-B, and Measles in its proper route and dosage.

After that, we went back to the staff house to ready ourselves on our health education at Barangay Palabotan.

At 1:30 in the afternoon, we went to Barangay Palabotan. We had prepared all the materials needed for the demonstration. We had given the Midwife and Barangay Health Workers a copy for them to follow it.

The assigned members had discussed to them on how to cook Lagundi Syrup, the other half of the group had demonstrated it.

The meeting ended with a post-conference facilitated by the team leader and the secretary of the day. They reiterated us what are the things happened and what we have accomplished the whole day.

Prepared by: Approved by:John Ace R. Panganiban Kathrina G. Pascual Secretary of the Day Leader of the Day

Noted by:Tita Rillorta, RN, MSN Community Instructor

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May 19, 2010 (Wednesday)

Our meeting started with a pre- conference facilitated by the team leader of the day. She discussed the things to be done for the day and emphasized the task of each member in conducting Health Education at Brangay Banila, Dupax del Sur.

Our activity for the day is to conduct health education regarding Environmental Sanitation and the effects of smoking at Brgy. Palabotan. At exactly 7:30 am, the group together with our clinical instructor left the staff house and travelled all the way to Brgy. Palabotan together with the Midwife. After almost an hour trip, we’ve already reached our destination

ENVIRONMENTAL SANITATION

Environmental sanitation involves controlling the aspects of wastemanagement that may lead to the transmission of disease. Included in the term waste management are water, solid waste, and industrial waste. Environmental sanitation also covers the topic of pollution.The environmental conditions in a given area may be affected by waste disposal. Methods of waste disposal often vary based on living conditions and the accepted standard of living in a geographical area. While some countries provide wastewater treatment and trash collection, other countries may not have these systems in place to control environmental hygiene. When waste is not removed and treated properly, pollution may lead to the spread of disease

We are encouraged to dispose our waste in properly in order to maintain the sanity of the environment. Aside from that we should also practice the proper preparation of food, this is by washing our hands before and after eating, before handling foods to cook and we should also practice to wash the foods to cook thoroughly in order to avoid acquiring diseases such as diarrhea.

Maintaining the cleanliness of our environment doesn’t just help our surrounding to be green, but it also greatly affects our health. We are preventing diseases and at the same time, we are making our mother nature clean to live in.

SMOKING

Tobacco or cigarette smoking is today by far the most popular form of smoking and is practiced by over one billion people in the majority of all human societies. There are a lot of bad effects of tobacco smoking to people, aside from cancer(lung), it can also cause hairloss, emphysema, discoloration of nails, cataract, Buerger’s disease, ulcer, hearing loss, breast cancer, nose cancer, uterine cancer for female and impotence for men.

Knowing these bad effects, we should encourage chain smokers to quit smoking. Because maybe for them, it causes good effects bit it will cause 3 times bad effect in return.At around 12 noon, our health education ended with a message of appreciation from our clinical instructor for the participants.

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Our meeting ended with a post- conference facilitated by the team leader and the secretary of the day. They had told and reiterated what are the things happened during the day.

Prepared by: Approved by: Maribeth S. Ramones Jovielyn P. Pilar

Secretary of the Day Leader of the Day


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May 20, 2010 (Thursday)

8:00- We helped the staff in delivering health care services like taking vital signs and wound dressing9:00- We went to Nueva Vizcaya Provincial Hospital (NVPH) for an agency visit

- We were introduced to the Chief Nurse of hospital, Mrs. Armie Garcia, RN, MSN and other staff.

- We were oriented to the different facilities of the hospital.- Sir Bryan shared to us his knowledge about hemodialysis.

Hemodialysis is a method for removing waste products such as Creatinine and Urea as well as free water from the blood when the kidneys do not function well.

Peritoneal Dialysis is an another type of dialysis wherein it is a way to remove waste products in the blood when the kidneys can no longer do the job. During the peritoneal dialysis, blood vessels in the abdominal lining (peritoneum) fill in to the kidneys with the help of a fluid (dialysate) washed in and out of the peritoneal space.

There are two types of processes happens inside the dialyser, the filtration and diffusion.

Some signs and symptoms when the kidneys are not functioning well are: bi-pedal edema, peri-orbital edema, and ascites.

- Together with Ma’am Mina and Dra. Laccay, we conducted ocular survey at the different facilities of the hospital which are conducive for learning for those affiliates.

11:00- Courtesy call with the different staff of the DOH at the Capitol of Bayombong, Nueva Vizcaya.12:30- LUNCH BREAK5:00- We went back to the staff house7:00- Preparation for dinner8:30- 10:30- Our group conducted a group discussion.

Individual reflection Review of the different activities that we have accomplished Presentation of RLE performance

o General objective: To gain a deeper understanding on the health care delivery sytem in the local government units.

o Specific objectives: Understand the health in its socio-economic and political context and dimension.: Appreciate the innovative health programs.: appreciate the importance of partnership and networking in health care delivery.: determine the extent of community participation in the health care delivery.Contribute to the delivery of health services in the RHU, BHS, outreach community.

o 1st objective: Focuses on the different things that we have learned during our previous lecture on Primary Health Care.

Health is a social phenomenon.There are several factors affecting health and some of these are socio-economic and political factors. These two (2) plays a very important role in health care delivery especially the political factor. They can also influence the health condition.

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Income generating project which really helped a lot for their funding to sustain their giving services especially in the health condition of the community people.

Organic Fertilizer- which they sell and they used the money as their fund for their projects.

They also need political power to implement their projects.

o Health is a right of every human being. Healthy people is a pre-requisite to national development. The DOH uses the life span approach to design programs and assist in the delivery of health services to specific age groups. It views health care of individuals within the context of the family. All members of the family are empowered to maintain their health status. They must be free from disease or infirmity with no disabilities.

The Family Health Office is tasked to operationalize health programs geared towards the health of the family. It is concerned with the health of the mother and the unborn, the newborn, infant, child, the adolescent and youth, the adult men and women and older persons to improve health and well-being of all people. So, not only those authorities in the national level have programs regarding health but also those authorities in the local government.

Like those barangays in Dupax del Sur, Nueva Vizcaya they have their own programs or what we called innovative health programs implemented to improve the quality of life of the community people.

Garantisadong Pambata- Giving services to the children like giving Vitamins to them. This is done twice a year.

As a result, it improved the health and nutritional status, and quality of life of the community people especially in the mountain barangays, acquired strong partnership in promotion and mobilization of the barangay councils and community and it underscores the importance of institutionalizing the Health and Nutrition Program with the barangay leaders as their partners in grassroots level.

Bantay B-Inay- This program focuses in the health seeking behaviors of mothers. And aims to motivate the mothers.

Five for Life Program- This program comprises the following:o Water for lifeo Fortificial food in examination homeo Sustained PABASA and nutritiono IGP in every PABASA groupo Nutrition Research Center

Yearly Outreach Program- In this program, they are giving clothes to the needy as a donation wherein at first, they will pick up names of at least 3 persons who will be given the opportunity to choose the clothes that they want.

Community-based Healthy Lifestyle- In this program, they are conducting monitoring of school canteen and early morning exercise.

Vermi Composting Program- This is a 50, 000 pesos worth of project managed by the BNSes and BHWs.

PABASA- They do PABASA 2-3 hours a day. The mothers are their target group who are indigent. In this program, they teach the mothers to cook simple and economical recipes.

Feeding Program- This program is done for children who are malnourished. They cook for them

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for almost three months and give some supply of foods in order for them to improve their health status.

This are only some of the health related programs that are being implemented here in some barangays in the Philippines which aims to reduce the case of mortality and morbidity here in our country and for us to have a better quality of life.

o As a student nurses, we can contribute in the delivery by health care delivery like health education and doing basic health care services: immunization.

Prepared by: Approved by:Maria Katrina B. Penuliar Ma. Esmeralda Po Secretary of the Day Leader of the Day


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May 21, 2010 (Friday)

The meeting started with a pre-conference facilitated by all members of the group to divide the task on the things to be done for the day.

The group had worked together to finish our output in Community Health Nursing practice- composed of the history, health care delivery system, innovative health programs, partnership, and community participation of the Municipality of Dupax del Sur, Nueva Vizcaya.

We had also finish the collage in Medical and Dental aspect to emphasize that tooth brushing is very important in our health and life.

After we had finished it, we had cleaned the barangay hall or stff house for its cleanliness and orderliness.

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C. FINANCIAL REPORT

Items Quantity PriceBeans 3 packs 45.00Cabbage 2 kg 30.00Tomato 1 kg 30Meat 2 kg 360Tinapa 3 packs 20Chinese Petchay 3 pcs 30Eggs 16 pcs 80Carrots 1 kg 20Eggplant 1 kg 20Squash 1 kg 20Pancit Caton 5 pcs 40Hotdog 2 packs 100Longganisa 2 packs 150Chicken 1 kg 130Onion ½ kg 15Garlic ½ kg 15Soy sauce 1 pack 10Vinegar 1 pack 10Gasul 1 350Cooking oil 1 bottle 30Mineral Water 2 refill container 60Galunggong 1 kg 90Nestea 5 pcs 50Ice 5 pcs 20Total 1,725.00

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D. TASKING

1. Household Chores

Group 1: Jovielyn P. Pilar Group 2: John Ace R. Panganiban Group 3: Wilvin Joe R. VeaMaria Katrina B. Penuliar Maribeth S. Ramones Davinne Rey P. PascuaKathrina G. Pascual Ma. Esmeralda G. Po

Day Cook Dish Washer Cleaners Fetchers1 Breakfast Lunch Dinner

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231

312

3

2 Breakfast Lunch Dinner

231

312

123

3

3Breakfast Lunch Dinner

312

123

231

3

4 Breakfast Lunch Dinner

123

231

312

3

5Breakfast Lunch

23

31

12

3

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2. Leaders and Secretary of the Day

Day 1 Day 2 Day 3 Day 4Leader Wilvin Joe Vea Kathrina G. Pascual Maribeth S. Ramones Ma. Esmeralda PoSecretary Davinne Rey Pascua Jogn Ace R. Panganiban Jovielyn P. Pilar Maria KatrinaB. Penuliar

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dupax del sur community output

Documents

municipality of dupax

barangays of dupax

town of dupax

division of dupax

vicinity of dupax

poblacion of dupax

introduction7 history

sur dopaj