COMMUNITY SERVICE LEAVE

PLAN
Brgy. Balinsasayao, Abuyog, Leyte
(MARCH – MAY 2019)

Charlie V. Managbanag
CHW 37TH BATCH
Functional Objectives/ Planned Activities Resources Needed Time Frame Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

CO/ CD > Pre- Entry <

1. Get involved in the  Attend the service leave orientation - CHW Dept. - Paper - Attendance
orientation and actively with the supervision of our Chair - Ballpen
participate in the Department Chair, Prof. Leah - CHW
preparation of work Salvatierra. students
plan of activities
 Prepare &make a service leave plan of - CHW Dept. - Writing - Service Leave Plan
activities Chair materials - Diff. data used as a
- Preparation for the service leave - CHW - CHW Service guide
- Have a guide/format of different students Leave
data needed Assessment
Guide
- Service leave
plan guide

> Entry <

2. Establish & maintain  Conduct courtesy visits to identified - Municipal - Endorsement - List of Municipal
SIR and a good working leaders: Mayor letter and key leaders
relationship with the - Hon. Lemuel Gin K. Traya - MHO & - Service leave - Organizational
community Municipal Mayor other RHU plan Structure of RHU
- Dr. Ma. Amelia C. Gacis M.D. staff
MHO - Brgy.
- Mrs. Fe C. Chavez Officials
RHM
- Hon. Zoilo L. Ocon Jr.
Brgy. Captain - Brgy. - Writing - Documentation of
Officials materials Entrance Assembly
 Hold an entrance community assembly - BHW - Visual aids - Minutes of the
to create community awareness - Community - Camera (for Meeting (with
people documenta- attendance
tion attached)
Purposes)
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

CO/ CD  Establish rapport and linkages with - Brgy. - Paper - Organizational

agencies & organizations in the brgy. Officials - Ballpen Structure in the
- BHW brgy.
- Community
people

 Familiarize oneself with the - Brgy.

community dynamics & realities officials
- Community
people

 Conduct informal talks with - Community - Brgy. history

community people in areas where people
they usually converged

 Conduct informal conference with key - Brgy. - Paper - List of existing

officials, BHW and zone leaders Officials - Ballpen agencies present
- BHW (its primary
- Zone leaders function and
leaders)
> Assessment <
3. Conduct thorough  Conduct community health survey
assessment to establish a. Ocular survey taking note of
community diagnosis geographical boundaries, - Brgy. - Bondpaper
with the community important landmarks, Officials - Ballpen
environment hazards, etc. - BHW - Pencil
b. Conduct house to house survey - Zone leaders - Survey - Duly accomplished
using appropriate forms - Community forms survey forms
c. Identify community resources, people - Cartolina (primary data)
manpower, materials, etc. - Pentelpen
d. Construct spotmap - Spotmap
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material May June July Aug.
3 4 1 2 3 4 1 2 3 4 1 2

CO/ CD e. Collect and collate data to come - Community Profile

up with a community profile (with analysis &
f. Analyze and interpret community interpretation of
data data)

 Conduct Brgy. Assembly or Brgy.

Council Meeting to: - Brgy. - Invitation - Minutes of BC
a. Present community profile Officials letter meeting or
b. Identify priority needs & problems - BHW - Pattern paper documentation of
with key leaders/ community - Zone - Pentel pen Brgy. Assembly
people leaders - Community
c. Identify activities, programs/ - Community Profile
projects & resources responsive to people - Visual aids
identified needs and problems (for the
(with people) presentation)

- Visual aids
 Validate community diagnosis with key - Documentation of
- Writing Community
officials/ community
materials Diagnosis
- Finalize community diagnosis
- Community
Diagnosis
> Planning <
- Writing
4. Organize & mobilize  Facilitate organization of brgy. - Brgy. - Structure of Brgy.
Council materials Network
community for network as well as the planning,
- BHW - Pattern paper
development working & evaluation committees - List of various
- Community - Blackboard committees
a. Information dissemination
people - Chalk
b. Set schedule and venue
c. Prepare materials needed
d. Actual conduct of meetings
- Presentation of goals &
objectives
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

CO/ CD - Election of zonal leaders or - List of elected zone

officers (if there’s no zone leaders/ zonal
leaders elected yet) officers

 Involve community organizations and - Notebook

the different committees in - Brgy. - Pen - List of members of
community development activities Officials different
a. Conduct informal conference with - BHW committees
key officials and zone leaders - Zone leaders
- Get information on new - Community
priorities, and new development people
programs implemented in the
brgy.

 Identification & prioritization/ ranking - Brgy. - Visual Aids - Rank of prioritize

of problems in the community based Officials - Pattern problems
on: - BHW Paper
a. Those felt by the people (felt - Zone leaders - Pentel pen
needs) - Community
b. Those seen by the health worker people
(unfelt needs)

5. Plan, implement &  Formulate CHDP based on identified

evaluate programs & needs & problems in community - CHDP
projects for health & diagnosis
community
development  Analysis, interpretation & correlation
of data
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

CO/ CD  Organize and conduct meetings with - Pattern Paper - Visual aids needed
the planning committee for the - Writing - Invitation letter
preparation in presenting the CHDP - Brgy. materials
a. Preparation of visual aids & other Council
materials for the assembly - BHW
b. Information dissemination of the - Zone
said assembly leaders/
elected
 Present CHDP in an assembly officers - Visual aids - Finalize CHDP
a. Actively facilitate & present the - Community - CHDP - Minutes of the
CHDP people meeting/
b. Documentation of the assembly Documentation

> Implementation <

6. Strengthen  Organize community for the
community participatory APIE
participation/
involvement in the  Assist and mobilize brgy. leaders & - Brgy. - Monthly
implementation of RHU personnel in the implementation Council Accomplishment
programs for of CHDP - BHW Report
community  Conduct meetings (with comm. people - Zone
development from every zone) leaders/
- Organize responsible people & elected
interested work groups to officers
undertake agreed activities to - Community
be implement people
-
 Participate in resource generation
activities to finance brgy.
developmental activities (if any)
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

CO/ CD  Coordinate and work with leaders & - Cleaning

health team in EVS activities like: materials
a. Conducting PINTAKASI - Writing
b. EVS campaign utilizing varied IEC - Brgy. materials
strategies Council
c. Demonstration of relevant EVS - RHM
procedures - RSI
- BHW
 Assist brgy. leaders in securing - Zone - Monthly
assistance to support developmental leaders/ accomplishment
activities from other agencies, GOs, & elected - Writing report of the
NGOs at the municipal level officers materials implementation of
- Community CHDP
 Monitor implementation of activities/ people
strategies in the CHDP - Monitoring scheme

 Mobilize brgy. & zone/purok officials

in monitoring the implementation of
programs, projects, & activities

> Evaluation <

7. Evaluate programs &  Facilitate evaluation of CHDP with - Brgy. - Evaluation tool
projects for health & evaluation committee Officials
community - RHU staff
development  Conduct brgy. assembly to present - Zone - Writing - Evaluation report
evaluation result of CHDP leaders/ materials - Minutes of the
implementation elected - Visual aids meeting/
officers needed Documentation
- Community
people
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

Provision 8.A. Provide a range of  Conduct assessment of individuals/ - Brgy.

MCH & other health families to identify needs & problems Officials - Writing
of Health services relevant to - RHM/ RHU materials
Care client needs  Identify signs & symptoms indicating staff - BP apparatus
the presence of illness - BHW - Thermo-
- Zone Meter
 Assist and conduct casefinding for: leaders/ - PHN bag/ - Target Client List
a. Nutritional surveillance elected first aid kit (TCL)
b. AntePartum officers (with clinical
c. PostPartum - Community equipments)
d. EPI clients people
e. Infectious and Non-infectious
cases

 Provide nursing care to a specific high - Brgy. - Writing - Family Health Care
risk family Officials materials Study
- RHM/ RHU - BP apparatus
 Implement MCH & other health & staff - Thermo- - Dispensary Record
health related activities such as AP, PP - BHW Meter - Nutrition
& under five clinics: EPI, OPT, - Zone PHN bag/ first Surveillance Report
supplemental feedings, etc. leaders aid kit (with (OPT)
- Community clinical
people equipments

 Handle normal deliveries in birthing - RHM - Maternity Records

units or in hospitals - MHO

 Promotes proper EVS in the - RSI

community - RHM/
other RHU
staff
- Key leaders
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

 Provide health care & nursing - RHM/ other - Writing - Dispensary Record
measures & follow-up care for simple RHU staff materials
& common illnesses in the home - MHO - Record book
- BHW - BP
 Conduct or render: - Community apparatus
a. Operation BP people - Thermo-
b. First aid & emergency care as Meter
needed PHN bag/ first
aid kit (with
 Refer cases beyond level of clinical
competency - RHM equipments )
- PHN
 Follow up referred cases - MHO
- Give appropriate teaching

Manage- 8.B. Manage a BHS &  Orient self to activities, policies,

other health facilities routines in the BHS -BHW - Writing
rial Role & resources - RHM materials
 Prepares plan of activities & set - MHO - Record book - Service Leave
schedules - Brgy. Captain - BP Master Plan &
/ Brgy. Council apparatus Weekly Plans
 Negotiate venue for clinic & other - Zone leaders - Thermo-
health activities with brgy. leaders/ Meter
officials - PHN bag/
first aid kit
 Assist or Arrange set-up of clinic: (with clinical
a. Ensure availability - BHW equipments) - Description/
b. Good working condition - RHM - IEC Illustration of
c. Arrange the flow of patients and -Brgy. Officials materials Workspace &
placement of: - Posters workflow in the
BHS
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

- Reception area
- Prenatal
- Immunization area, etc.
d. Place posters, IEC materials &
bulletin board
e. Provides BP, weighing scale,
dressing tray, etc.
f. Arrange records
- Key records well arrange &
organize (easy to find)

 Maintain a clean & functional clinic -BHW - Writing

set- up - RHM materials
- MHO - IEC materials
 Manage & mobilize community -Brgy. - Posters
resources for various health activities Captain / - Clinical
Brgy. Council equipments
 Attend RHU staff meeting -Zone leaders
- Community
 Facilitate the delivery of basic health people
services in the BHS

8.C. Plan, implement  Assist/ Participate in health IEC - Health - Writing - Documentation
and evaluate Health activities of the health team team materials
Education Program in - RHM/ RHU - IEC materials
coordination with the  Conduct health education needs staff - Posters
health team & key assessment - MHO - Clinical
leaders - Brgy. equipments
 Identify target groups/ participants Officials - List of participants

 Formulate health education plan - Writing - Health Education

materials Plan
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

 Prepare audio- visual aids & other IEC - MHO/ RHU - IEC - Audio- visual aids
materials staff materials needed
- Health - Writing
 Conduct health education class in workers/ materials - Documentation of
coordination with the RHU & other health team - Health health education
community HW’s in the area - Brgy. education class to include:
Officials plan a. Narrative
report/ account
of sessions held
b. Programs/
Topics
Attendance (duly
signed)

9. Keeps appropriate  Updates weekly plan of activities  Writing - Weekly Plan

Record- records & required materials
ing/ reports and ensure a  Maintain a dispensary record - RHM/ RHU  Data - Dispensary Record
Report well organized staff needed
recording & reporting  Prepare & submit monthly report of - MHO  Record - Monthly
ing system accomplishment of health & health - Brgy. book Accomplishment
related activities Officials Report duly signed
by RHM (or RHU
representative) &
Brgy. Chairman (or
Brgy. Council
representatives)
 Keep an organized & updated health - BHW
records in the BHS - RHM/ RHU
staff
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material Mar April May June
3 4 1 2 3 4 1 2 3 4 1 2

 Present Service leave accomplishment - CHW Dept. - Service leave

report during the Service leave sharing Chair, Prof. accomplishm
session Angie P. ent report
Camposano

 Prepare and submit final SL - CHW Dept. - Service leave

requirements to: Chair requirements
- CHW Dept., UPM- SHS – all - UPM-SHS
monitoring requirements
- Barangay- Community Profile
- Rural Health Unit- Profile & final
accomplishment report
 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material January February March
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 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material January February March
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Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material January February March
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 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material January February March
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 Resources Needed Time Frame
Functional Objectives/ Planned Activities Expected Outcome
Area Competencies Manpower Material January February March
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 University of the Philippines Manila
School of Health Sciences

Service Leave Plan

Submitted by:

Karl Jacon M. Ferolino

CHW 37th Batch

Submitted to:

Prof. Angie P. Camposano

CHW Dept. Chair
Total Fare from Tacloban to Biri N. Samar is P400.00
Tacloban>Catbalogan – P130.00
Catbalogan>Calbayog – P100.00
Calbayog>Allen –P100.00
Allen>lavezares –P20.00
Lavezares>Biri – P50.00
 University of the Philippines Manila
School of Health Sciences

Service Leave Master Plan

Submitted by:

Charlie V. Managbanag
CHW 37th Batch

Submitted to:

Prof. Leah__Salvatierra
Fare from Palo to Brgy. Balinsasayao, Abuyog is P80.00
CHW Dept. Chair
From Brgy. Balinsasayao Abuyog to Palo, Leyte is P80.00
Total fare: P160.00