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BARANGAY HEALTH Worker BHW

The document is a registry form for Barangay Health Workers (BHWs) in Region 8, Eastern Samar, Philippines. It collects information such as the BHW's name, DOH ID number, accreditation status, year of registration and accreditation, place of registration, number of households covered, and signatures of approving local health officials. This form aims to document and track BHWs working in the area.

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Zeff Duzon
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814 views1 page

BARANGAY HEALTH Worker BHW

The document is a registry form for Barangay Health Workers (BHWs) in Region 8, Eastern Samar, Philippines. It collects information such as the BHW's name, DOH ID number, accreditation status, year of registration and accreditation, place of registration, number of households covered, and signatures of approving local health officials. This form aims to document and track BHWs working in the area.

Uploaded by

Zeff Duzon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BARANGAY HEALTH WORKER (BHW) REGISTRY FORM

Region: 8
Province: Eastern Samar Name of PHO/MHO/CHO
City/Municipality: Borongan
Barangay: G Name of Rural Health Midwife:

DOH ID NO. Registered Year of Accredited Accreditation Year of Place of No. FULL NAME
BHW? Registration Place of BHW?(Y/N) No. Accreditation Accreditation Households
(Y/N Registration Covered by Last Name First Name
The BHW
1 2 3 4 5 6 7 8 9 10 11

Prepared by (LGU BHW Coordinator): EUNICE C. BORJA, RHM


Signature Over Printed Name

Approved by (MHO/CHO): DRA. DAISY G. SACMAR, MD


Signature Over Printed name

Noted by (DHO BHW REGIONAL Coordinator): ARLYN R. PERLADO, MPM


Signature Over Printed name

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