BARANGAY HEALTH WORKER (BHW) REGISTRATION FORM
NAME OF PHO/MHO/CHO: ______________________________
                                                                                                                                                                                      NAME OF RURAL HEALTH MIDWIFE: _______________________
                                                                                                      TRAININGS/SEMINARS IN THE LAST THREE YEARS (2017 TO PRESENT)
  DATE OF         TRAINING          TOPIC         DATE OF         TRAINING          TOPIC        DATE OF    TRAINING TOPIC     DATE OF     TRAINING TOPIC       DATE OF                                          Another health-              DATE OF      TESDA              HONORARIUM RECEIVED
                                                                                                                                                                                                                     related                                                  (MONTHLY, QUARTERLY,
 TRAINING             2                          TRAINING             3                         TRAINING        4             TRAINING         5               TRAINING                                                                      TRAINING     BHS NC II
                                                                                                                                                                                                                training/seminar                                                   ANNUALY)
                                                                                                                                                                                                                    a ended                               COURSE
                                                                                                                                                                                                                                                                            Province     Municipality   Barangay
      (25)              (26)           (27)          (28)             (29)            (30)           (31)             (32)             (33)          (34)               (35)   (36)             (37)                     (38)                  (39)            (40)               (41)      (42)        (43)
                                                                                                                                                                                                                                                                             1,000         3,330
                                                                                                                                                                                                                                                                             1,000         3,330
                                                                                                                                                                                                                                                                             1,000                      2,500
                                                                                                                                                                                                                                                                             1,000                      2,500
Example of Topics for each category of training/seminar:                                                                                                                         Examples of other health-related trainings/seminars:                   Codes for TESDA NC II
                                                                                                                                                                                 1. Basic Nutrition/Malnutrition, Nutrition in Emergencies
1). Topics on MNCHN- Breastfeeding/Lactation. Child Growth Standard/Child Growth Development, Early Childhood Care and Development (ECCD),                                                                                                              Course
                                                                                                                                                                                 And disasters.
Family Planning/Responsible Parenthood. First 2000 Days, Infant and Young Child Feeding Practice (IYCF), Maternal care.                                                                                                                                 Og-           On-Going
                                                                                                                                                                                 2.Blood Pressure (BP) Apparatus Measurement
2). Topics CD- Dengue Emerging and Re-emerging Infections Diseases, Filariasis, Flu, Hepatitis, HIV/AIDS, Leprosy, Malaria, Measles, Pneumonia, Polio, Rabies, Sexually                                                                                 Co-           Completed
                                                                                                                                                                                 3.Disaster Risk Assessment/Disaster Risk Preparedness
                                                                                                                                                                                                                                                        Ce-           Certified
Transmitted Disease (STD), Tuberculosis (TB)                                                                                                                                     4.Environment Sanitation, Solid/Ecologic Waste
                                                                                                                                                                                                                                                        D-            Dropped
3). Topics on NCD, Cancer- Cardiovascular, Diseases/Heart Attack/stroke/Chronic Respiratory Diseases/Chronic Obstructer Pulmonary Disease (COPD) Asthma, Diabetes, Mental        Management
                                                                                                                                                                                 5.Food Preparation/Food Safety                                         N-            None
Health.
                                                                                                                                                                                 6.Healthy Lifestyle
4). Topics on BLS- Burns/Choking/Neck-Head-Spinal Injuries/Poisoning, Cardio Pulmonary Resuscitation (CPR), Emergency Response/Rescue, Fire Safety.
                                                                                                                                                                                 7.Traditional/Alternative/Herbal Medicine
                                                                                                                                                                                 8.UHC,PHC, F1 Plus Health, SDN
                                                                                                                                                                                 9.Women's Health
                                                                                                                                                                                 10.Water Sanitation and Hygiene (WASH)
                                                                                                                                                                                 11. Zero Open Defecation (ZOD)