Community Organizing Participatory

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    COMMUNITY ORGANIZINGPARTICIPATORY

    ACTION RESEARCHCOMMUNITY HEALTH

    MANAGEMENT

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    Introduction to

    Community HealthNursing

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    Community health nursing practice takes place in non acute caresettings. It is a synthesis of nursing and public health theoriesapplied to the health promotion and preservation of specificcommunities. This first lesson provides an overview of thisnursing specialty. It will begin with basic information on thefunctions of the Public health (PH) system and the role of PH

    nursing. It will also differentiate between community-basednursing practice and community-oriented nursing, and analyzethe historical influences on community health (CH) nursing. Inconjunction with this, the lesson will discuss the differencesamong primary care, PH, PHC, and community-oriented practice.It will then investigate the governments responsibilities in PHand consider its ethical foundations and practice theories.Finally, it discusses cultural factors in health and illness.

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    GENERAL OBJECTIVES

    Work with the community inassessing its health problems.

    Plan, implement and evaluatecommunity health programstogether with the Community toaddress the problems identified.

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    SPECIFIC OBJECTIVES:

    Establish a good relationship together withthe community.

    Identify key community officials by listingdown their names and their designations.

    Conduct / facilitate community organizationalmeetings.

    Prepare a community spot map

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    SPECIFIC OBJECTIVES:

    Relate the history of the barangay Construct/ consolidate community

    profile Gather community demographic

    data Present vital statistics and

    epidemiology data

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    Identify community health problems Analyze problems and determine

    resources needed Identify priority community health

    problems Prepare community health action

    plan

    SPECIFIC OBJECTIVES:

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    Workout details of the plan together withthe community action group

    Perform health education and training/information communication campaign

    Initiate community mobilization Evaluation them projects/ program

    implemented in the community healthaction plan

    SPECIFIC OBJECTIVES:

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    Scopeand

    Limitation

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    Our community immersion was conducted at brgy 28 zone 3, dis.2 . Weaimed to identify and put some inter action for the community development of the barangay which benefits the residents of the barangay. Furthermore thetargets respondents of this study are those family who live in congested areasspecially those families who live near the creek along the community within thetarget population of 40 families as a respondents.

    Our group was exposed last august 17, 2011. the respondentdemographic profile such as name, age, religion, educational attainment and

    monthly income are the initial information gathered support the study.

    The survey was based on the initiative and cooperation of therepresentative of each of the family as we determine the one main of thecommunity. The problem that will be identified will be interpreted and prioritized

    based on the need and threat to the health of every individual and to thecommunity and in order to make a community health plan and implement it.

    This study will benefit the residence of brgy 28 zone 3, dis 2 to have aresponsible parenthood specially in guiding their family and their offspring. Italso serves as an eye opener for all the residence of the said community for them to become aware to the problem that already existing in the community.

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    BARANGAY OFFICIALS

    BRGY. 28ZONE 3 DIS.2

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    MAP LOCATION

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    Populationand

    Frequency

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    Percentage distribution showing the age and sexof families surveyed, Brgy 28 zone 3 district 2, as

    of august 17, 2011MALE

    AGE GROUPFEMALE

    FREQUENCY PERCENTAGE FREQUENCY PERCENTAGE

    5 4.5 46 50 7 6.7

    8 7.2 51 55 7 6.7

    2 1.8 56 60 2 1.91 0.9 61 65 2 1.9

    1 0.9 66 70 3 2.9

    3 2.7 71 - 75 4 3.8

    110 99.4 TOTAL 103 99.1

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    AGE AND SEX DISTRIBUTION

    0

    2

    4

    6

    8

    10

    12

    14

    MALE

    FEMALE

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    Percentage Distribution Showing The Sex Of FamiliesSurveyed, Barangay 28 Zone 3 District 2, As Of August

    17, 2011

    CATEGORY NO. OF RESIDENTS PERCENTAGE

    MALE 110 51. 6

    FEMALE 103 48.4

    TOTAL 213 100%

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    Percentage Distribution Showing The Sex DistributionOf Families Surveyed, Barangay 28 Zone 3 District 2, As

    Of August 17, 2011 INTERPRETATION AND IMPLICATION:Majority of the population that had been interviewed at Brgy.28 Zone 3 Dist. 2 are

    males with a total no. of 110 or 51.6%. While the females with a total no. of 103 or48.3 % . According to the data gathered the above information are surveyed to 40respondents at the said Barangay Location.

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    Percentage Distribution Showing The SexDistribution Of Families Surveyed, Barangay 28

    Zone 3 District 2, As Of August 17, 2011

    51.6%48.4%

    Sales

    MALE

    FEMALE

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    Percentage Distribution Showing The Types Of HousingOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

    42.5%

    42.5%

    10% 5%

    Sales

    STRONG

    LIGHT

    MIXED

    MAKESHIFT

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    INTERPRETATION AND IMPLICATIONThe graph shows an equal percentage between strong and mixed type of housesinterviewed at Brgy. 28 Zone 3 Dist. 2 . Light structure has 10% or a quantity of 4houses, and the least percentage with only 5% is the makeshift type.

    Percentage Distribution Showing The Types Of HousingOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

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    CATEGORY FREQUENCY PERCENTAGE

    STRONG 17 42.5MIXED 17 42.5

    LIGHT 4 10

    MAKESHIFT 2 5

    TOTAL 40 100%

    Percentage Distribution Showing The Types Of HousingOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

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    35%

    55%

    10%

    Sales

    Good

    Fair

    Poor

    Percentage Distribution Showing The General SanitaryCondition Of Families Surveyed, Brgy 28 Zone 3 District

    2, As Of August 17 2011

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    INTERPRETATION AND IMPLICATIONThe graph shows that the fair got the highest percentage with 55% or 22 out of 40

    respondents surveyed. The least is the Poor Sanitation with only 4%

    It signifies that despite of the hazard outside their community. Theyre still able tomanage to clean their place inside.

    Percentage Distribution Showing The General SanitaryCondition Of Families Surveyed, Brgy 28 Zone 3 District

    2, As Of August 17 2011

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    CATEGORY FREQUENCY PRECENTAGE

    Good 14 35

    Fair 22 55

    Poor 4 10

    TOTAL 40 100

    Percentage Distribution Showing The General SanitaryCondition Of Families Surveyed, Brgy 28 Zone 3 District

    2, As Of August 17 2011

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    7%

    80%

    5%8%

    Sales

    Sewage

    Septic Tank

    Water Sealed

    Public CR

    Percentage Distribution Showing The Excreta DisposalOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

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    Percentage Distribution Showing The ExcretaDisposal Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011

    CATEGORY FREQUENCY PERCENTAGESewage 3 7.5

    Septic Tank 32 80

    Water Sealed 2 5

    Public CR 3 7.5

    TOTAL 40 100

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    Percentage Distribution Showing The WaterSource Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011

    77.5%

    22.5%

    Sales

    Private

    Public

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    INTERPRETATION AND IMPLICATIONAccording to the graph shows out of 40 respondents at Brgy.28 Zone 3 Dist. 2 .77.5%

    of them are using Private Water supply who are to be paid monthly; meaning thewater is piped by MWSS.

    Percentage Distribution Showing The WaterSource Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011

    b h h

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    CATEGORY FREQUENCY PERCENTAGE

    Private 31 77.5%

    Public 9 22.5%

    TOTAL 40 100%

    Percentage Distribution Showing The WaterSource Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011

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    P t g Di t ib ti Sh i g Th T Of

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    CATEGORY FREQUENCY PERCENTAGE

    PIPE 35 87.5HOSE 1 2.5

    PAIL 4 10

    TOTAL 40 100

    Percentage Distribution Showing The Type Of Water Source Of Families Surveyed, Brgy 28Zone 3 District 2, As Of August 17 2011

    P Di ib i Sh i Th S Of

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    95%

    5%

    Sales

    Covered

    Uncovered

    Percentage Distribution Showing The Storage Of Drinking Water Of Families Surveyed, Brgy 28Zone 3 District 2, As Of August 17 2011

    P Di ib i Sh i Th S Of

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    Percentage Distribution Showing The Storage Of Drinking Water Of Families Surveyed, Brgy 28

    Zone 3 District 2, As Of August 17 2011 Interpretation and implicationThe graph shows that out of 40 respondents 95% of those who had been interviewed

    at Brgy.28 Zone 3 Dist. 2 has Covered Water. While 5% are Uncovered, it isimportant to become aware of having a safe water supply to avoid disease and tomaintained good health.

    As you can see 5% of the 40 respondents have an uncovered water it means that theyneed more further health education to become aware of what can it caused totheir health.

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    P t Di t ib ti Sh i Th G b

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    Percentage Distribution Showing The GarbageDisposal Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011

    DPSCOLLECTION

    BURNING DUMPING BURYING RECYCLING

    40

    0 0 0 0

    P t g Di t ib ti Sh i g Th G b g

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    Percentage Distribution Showing The GarbageDisposal Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011 INTERPRETATION AND IMPLICATION100% of the surveyed families said that their garbage is collected by DPS. But

    despite of what they have told us, we found out that sometimes they still throwtheir garbage in the creek beside their houses.

    P t g Di t ib ti Sh i g Th G b g

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    Percentage Distribution Showing The GarbageDisposal Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011

    CATERGORY FREQUENCY PERCENTAGE

    DPS Collection 40 100

    Burning 0 0

    Dumping 0 0

    Burying 0 0

    Recycling 0 0

    TOTAL 40 100%

    Percentage Distrib tion Sho ing The So rce Of

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    Percentage Distribution Showing The Source Of Health Care Of Families Surveyed, Brgy 28 Zone

    3 District 2, As Of August 17 2011

    85%

    10%5%

    Health center

    Government Hospital

    Private Hospital

    Percentage Distribution Showing The Source Of

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    Percentage Distribution Showing The Source Of Health Care Of Families Surveyed, Brgy 28 Zone

    3 District 2, As Of August 17 2011 Interpretation and implementation

    Percentage Distribution Showing The Source Of

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    Percentage Distribution Showing The Source Of Health Care Of Families Surveyed, Brgy 28 Zone

    3 District 2, As Of August 17 2011

    CATEGORY FREQUENCY PERCENTAGE

    Health Center 34 85

    Government Hospital 4 10

    Private Hospital 2 5

    TOTAL 40 100%

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    Percentage Distribution Showing The Dental

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    Percentage Distribution Showing The DentalSource Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011 Interpretation and implication:

    P t Di t ib ti Sh i Th D t l S Of

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    Percentage Distribution Showing The Dental Source Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

    CATEGORY FREQUENCY PERCENTAGE

    Health Center 36 90Government

    Hospital4 10

    Private Hospital 0 0Total 40 100%

    P t g Di t ib ti Sh i g Th C i bl

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    Percentage Distribution Showing The CommunicableDisease Of Families Surveyed, Brgy 28 Zone 3 District 2,

    As Of August 17 2011

    7%0%

    93%

    Sales

    TB

    Leprosy

    Not under treatment

    Percentage Distrib tion Sho ing The Comm nicable

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    Percentage Distribution Showing The CommunicableDisease Of Families Surveyed, Brgy 28 Zone 3 District 2,

    As Of August 17 2011 Interpretation and implication

    Percentage Distribution Showing The Communicable

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    Percentage Distribution Showing The CommunicableDisease Of Families Surveyed, Brgy 28 Zone 3 District 2,

    As Of August 17 2011

    CATEGORY FREQUENCY PERCENTAGETB 3 7.5

    Leprosy 0 0

    Not underTreatment

    37 92.5

    TOTAL 40 100%

    Percentage Distribution Showing The Backyard

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    Percentage Distribution Showing The BackyardGardening Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011

    0% 0%

    20%

    80%

    Sales

    Vegetable

    Fruit

    Ornamental

    Others

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    Percentage Distribution Showing The Backyard

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    Percentage Distribution Showing The BackyardGardening Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011

    CATAGORY FREQUENCY PERCENTAGE

    Vegetable 0 0Fruits 0 0

    Ornamental 8 20

    Others 32 80

    TOTAL 40 100%

    Percentage Distribution Showing The Food

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    Percentage Distribution Showing The FoodStorage Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011

    100%

    0%

    Sales

    Covered

    Uncovered

    Percentage Distribution Showing The Food

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    Percentage Distribution Showing The FoodStorage Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011 Interpretation And Implication

    Percentage Distribution Showing The Food Storage Of

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    Percentage Distribution Showing The Food Storage Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

    CATEGORY FREQUENCY PERCENTAGE

    COVERED 40 100

    UNCOVERED 0 0

    TOTAL 40 100%

    Percentage Distribution Showing The Infant Feeding Of

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    Percentage Distribution Showing The Infant Feeding Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

    62%

    38%

    Sales

    Breast Feeding

    Artificial

    Percentage Distribution Showing The Infant Feeding Of

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    Percentage Distribution Showing The Infant Feeding Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

    Interpretation and Implication

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    Percentage Distribution Showing The Family Planning

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    Percentage Distribution Showing The Family PlanningOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

    40%

    60%

    Sales

    Acceptor

    Non Acceptor

    Percentage Distribution Showing The Source Of

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    Percentage Distribution Showing The Source Of Information Of Families Surveyed, Brgy 28 Zone 3

    District 2, As Of August 17 2011

    HealthCenter

    Hospital Neighbor Mass Media Other

    27

    2 0 2

    9

    Series 1

    Percentage Distribution Showing The Immunization Of

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    Percentage Distribution Showing The Immunization Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of

    August 17 2011

    82%

    18%

    Sales

    Complete

    Incomplete

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    Community health problems1. Health Status Problems- such as an increased

    Morbidity, Mortality or Fertility.2. Health Resources Problems- such as lack or

    absence of manpower, money or materials,institutions necessary to solve the existing healthproblems; and

    3. Health Related Problems- such as the presence of

    social, economic, environmental, or potentialfactors that aggravate illness, which may causepotential health situation in the community.

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    HEALTH RELATED PROBLEMSPOOR ENVIRONMENTAL SANITATION

    LACK OF AWARENESSLACK OF KNOWLEDGE

    -About proper disposalof garbage

    Focuses on other socio economicproblem

    Lack of concern

    Dumping of garbage

    Throwing of garbage onthe creek

    Increase morbility rate

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    HEALTH RESOURCE PROGRAMLack of financial support

    Unemployment

    Unavailability of Work

    Over population Lack of Education

    Lack of Financialsupport

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    HEALTH STATUS PROBLEMRisk for increase no. of TB cases

    Lack of awarenessabout health education

    Poor compliance tohealth center/hospital

    Unhealthylifestyle

    Lack of Financialresources (money)

    Focuses on othersocio economicproblem

    Increase morbilityrate

    Increase no. of TB cases

    Community Nursing Care Plan

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    y g

    CommunityHealth

    ProblemsFactor Implication Objectives

    Health

    ProgramTarget

    PoorSanitation

    Lack Of Knowledge

    Lack Of Concern

    UnhealthyLifestyle

    Floods

    Increase BreedingSites Of Insects AndRodents

    Increase MorbidityRate

    Increase Mortality

    Rate

    After 4 Weeks Of Nsg InterventionsMost Of TheFamilies Will BeAble To Know TheImportance Of Cleanliness, TheyWill Be Able ToBecome AwareAbout Proper

    EnvironmentalSanitation AndHealth Will BeTheir Main Concern

    Tapat Ko,Linis Ko

    Food AndWater BorneDiseasesPrevtion AndControlProgram

    DenguePreventionProgram

    Community nursing care plan

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    y g pEligible

    populationTime

    AlottedFrequency Activities Logistic Locus of reponsibilities Evaluation

    40 families

    Aug. 17

    Aug. 17

    Aug. 17

    Aug. 17

    Aug. 17

    Aug. 17

    Aug. 23

    Once

    Once

    Once

    Once

    Once

    Twice

    twice

    Orientation Courtesy all tocaloocanhealthdepartment

    Courtesy callto barangay 28 Courtesy callto Ana healthcenter Actual homeinterview Tabulation of data

    Man power

    Money

    Materials:Surveyforms,Module,Pencils,Computer,Camera

    4 th yr, BSNstudentMMC groupII Brgy.Chairman Brgy.Officials Mrs LualhatiH. Angel RN,MAN

    After 4weeks of nursinginterventionmost of thefamiliesknows theimportanceof cleanliness

    Community Nursing Care Plan

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    y gEligible

    PopulationTime

    Alloted Frequency Activities LogisticsLocus of

    Responsibilities Evaluation

    40 Families

    Aug 17

    Aug 17

    Aug 17

    Aug 17

    Aug 17

    Aug 17

    Aug 23

    Once

    Once

    Once

    Once

    Once

    Twice

    Twice

    Orientation Courtesy callto caloocanhealthdepartment Courtesy callto barangay28 Courtesy callto Ana healthcenter Actual home

    interview Survey Communityassembly w/the family Filmshowing

    Manpower

    Money

    Materials:Surveyforms,Module,Pencils,Computer,Camera

    4 th yr, BSNstudentMMC groupII

    Brgy.Chairman Brgy.Officials MrsLualhati H.

    Angel RN,MAN

    After 4weeks of nursinginterventio

    n most of the familiesknows theimportanceof cleanliness

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