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SAN PEDRO COLLEGE

Davao City

MEDICAL LABORATORY SCIENCE DEPARTMENT


MLS 200 COMMUNITY AND PUBLIC HEALTH
2nd Semester, SY 2014 - 2015

COURSE TITLE:

MLS 200 Community and Public Health

II

COURSE DESCRIPTION:

Community and Public Health is a course that deals with the study of the
foundations of community health that includes human ecology, demography and
epidemiology. It emphasizes the promotion of community, public and environmental
health. It involves the practice of preventing disease and promoting good health within
groups of people from small communities by undertaking community health surveillance,
proposing, developing and implementing a program or project.

III

CREDITS:

5 units ( 2 hours lecture and 9 hours laboratory per week)

CONTACT HOURS: 36 hours lecture and 162 hours laboratory/field work per semester

DATE

ACTIVITIES
AM: Orientation to the course

Week 1

o Student profile
o Group students for Health News Reporting (5 groups)
(midterm grading period)
Group I = Maternal, Infant, and Child Health
Group II = Adolescents, Young Adults, and Adults Health
Group III = Seniors Health
Group IV = Community Mental Health
Group V = Alcohol, Tobacco, and Other Drugs: A
Community Concern

o Orientation about Community Profiling & Diagnosis &


project proposal and implementation (final grading
period)
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o Orientation about:
o Laboratory activities:
Radio Drama (2 groups/class)
Nutrition Activity (meal plan, class lunch)
Poster and/or video contest on Disease
Prevention on Ascariasis (interclass
contest)
o Criteria to be announced
o Discussion on CPH class T-shirt
o Orientation about the class budget (CPH fee)
o Expenses during lab activities
o Major CPH activities
o Requirement of a journal notebook (hard or soft type) to
write thoughts, learning experiences, reactions or
reflections of the course major and minor activities; this is
in preparation for the making of the CPH portfolio
(Finals).

PM:

Week 2

Students meeting (prepare drama script and schedule


practices for the radio drama, etc.)
CPH instructors meeting

AM:
Lecture 1 - Introduction to Public Health, History,
Organizations
o Class team-building activities

PM:
Lecture 2 - Epidemiology Designs/ Health/ Terms
o Film viewing: And the Band Played On
o Reaction paper required (@250 words, 8x11)
o Submit next meeting
(record work in your journal notebook)
o Practices, class meeting
AM:
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Week 3

Quiz 1 (lectures 1 & 2)


Lecture 3 Vital Statistics

o Class Lab Activities

PM:

Lecture 4 Nutrition
Assignment for next meeting

o Computer work: www.mclph.umn.edu/watersedge/


Outbreak at Watersedge
o Print screen evidence of completion and write
a reaction paper. (@250 words, 8x11)
o Prove guide questions to students.
o Submit next meeting
(record work in your journal notebook)

o Practices, class meeting

Week 4

AM:

Quiz 2 (lectures 3 & 4)


Presentation of meal plan
Class lunch

Lecture 5 - Communicable Diseases


Lecture 6 - Non-Communicable Diseases

Quiz 4 (lectures 5 & 6)


Finalize CPH class t-shirt

PM:

Week 5

AM:

Presentation of the Radio Drama

Problem tree analysis (Processing of the story)

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Week 6

PRELIM EXAM
Happy Holidays!

Week 7

AM:

(MIDTERM PERIOD)

Lecture 7 Occupational and Environmental Health

Lecture 8 Community Organizing/Health Promotion

PM:
o Film viewing: Mulanay
o Reaction paper about the movie.
o Submit next meeting
(record work in your journal notebook)

Week 8

Distribution of class T-shirt

January 2015
Deadline: Submission of Poster and/or video project on
Ascariasis

Group preparation for health education and promotion


activity = HEALTH NEWS REPORTING

Teachers preparation for community visit

Week 9

AM and PM Activity
Health News Reporting (Live or pre-video taped)
TOPICS:
Group I = Maternal, Infant, and Child Health
Group II = Adolescents, Young Adults, and Adults
Group III = Seniors
Group IV = Community Mental Health
Group V = Alcohol, Tobacco, and Other Drugs: A
Community Concern
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Reminder: Parents Consent Form distribution

Week 10

AM/PM Activity
Interview Training SEMINAR

Week 11

AM/PM Activity
Community or Public elementary school visit
Scanning, survey

Week 12

MIDTERM EXAM

Week 13

AM/PM Activity

This year, 2014: Health education on Ascariasis/STH


infections
Medical Mission

Or

Teachers prerogative (depending on community diagnosis,


project planning and implementation)

Week 14

February 14, 2013


EMPLOYEES DAY

BMLS 2 students work on the following:


Collation of Data
Statistical Analysis
Prioritization of health problems identified
Project proposal with budget plan
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Writing the community report

Week 15

AM/PM Activity

Project Implementation
OR
Continue to work on the following:
Collation of Data
Statistical Analysis
Prioritization of health problems identified
Project proposal with budget plan
Writing the community report

Week 16

AM/PM Activity
Presentation of reports to the community/school
(VALIDATION) or
Submission of Written Profile and Diagnosis to the
Community

AM/PM Activity

Week 17

Student is given this time to prepare individual


portfolio.
Time to complete manuscript on community profile
and project report.

Submission of:
1. Portfolio (save on DVD - video, ppt or pdf format)
2. Community Survey/Findings and Class Health
Project Reports (soft/ring bound written output &
CD)

Week 18

FINAL EXAM schedule

CPH GRADING SYSTEM:


PRELIM GRADE:

Class standing (50%) + Prelim Exam (50%)


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Class standing (lec & lab):

Quizzes 70%
Assignments 20%
Activity participation/criteria 10%

MIDTERM GRADE:
prelim grade

2/3 tentative midterm grade (TMG) + 1/3

Tentative Midterm Grade (TMG):

Midterm exam (50%) + Class Standing (50%)


Class Standing (Lec & Lab): Quizzes 70%
o Quizzes 70%
o Assignments 20%
o Activity participation 10%

Final Grade: 2/3 tentative final grade (TFG) + 1/3 Midterm


grade

Tentative Final Grade (TFG):

Lecture Grade (50%) + Lab/Practicum Grade


(50%)

Lecture Grade:
Class Standing (50%) + Portfolio (lec exam 50%)

Class Standing:
Health topic report performance (50%) + Quizzes
(50%)

Lab/Field Grade:

Peer evaluation (30%) + Community Profile ,


Diagnosis & Health Project (70%)

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RADIO DRAMA EVENT PROBLEM TREE ANALYSIS


December 2014

Directions:

Your group is tasked to present a live radio drama presentation of the


story entitled, Gregorio, Forgive Us All using Davaos Native Tongue
(Cebuano/Bisaya). You are to make a script and submit this script to the
instructor. Organize yourselves according to what you can contribute to the
required tasks at hand and submit the list of students with their
corresponding roles or involvement to the instructor. Your class performance
serves as a laboratory quiz grade. The time allotment for each presentation
is a maximum of 30 minutes including preparation. Every minute of excess
would mean a 1%-deduction from your over-all rating.
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CRITERIA FOR JUDGING:

Creativity (Original, innovative, inventive?)


Clarity of Message
Technical Quality (sound effects, music, voice etc.)
Overall quality of the script (translation)
Impact

20%
20%
20%
20%
20%

Gregorio, Forgive Us All


(Based from Our Health, Our Lives)
Book Project Committee, NEHCC, NCCP

It was weltering hot that afternoon not unusual in the Philippines, but
not a time for hurrying either. Thats why I knew something was wrong when
a man came hurrying up the stairs of the convent.

The man was Gregorio and he told me his wife, Lina, who was
pregnant, was sick with cholera. He and a friend had carried her for four
hours from their mountain home using a hammock as stretcher. When they
arrived at the town of Togoc, they found the doctor had gone.

Togoc is one of the several parishes situated in the mountains of the


island of Negros with the population of some 20,000 people. The pastor
there now, Fr. Eugenio, tell me that they have no doctor, though they still
have a dilapidated clinic. When I was there, about a year ago, a doctor
sometimes visited us.

Gregorio wanted to borrow our vehicle to take his wife to the hospital
in the lowlands a 2-hour-ride over a rocky road. I explained to him that Fr.
Hilario had taken the jeepney, but I would go with him to the clinic anyhow to
see what could be done. We found Lina lying at the clinic crying out in pain.

Obviously, she desperately needed help, so we hurried out to search


for the young doctor assigned to Togoc for six months rural training. But he
was always in an outlying and so we waited for what seemed like ages before
he came back. He immediately wrote out a prescription for Gregorio, who ran
barefoot along the road to a little shop stocked with a pitifully small supply of
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medicines. He was back in a few minutes, only to say the shop didnt have
the medicine. The doctor wrote another prescription. Gregorio sped away
again, only to return once more breathless and empty handed.

We need dextrose, said the doctor, but there is none here in town.
All of us fanned out through the neighborhood asking people if they had any.
Finally, a woman produced a half-filled bottle left over from what her
husband used before he died. I brought it to the doctor.

He looked up exasperated and said, The clinic has no dextrose needle.


Well have to take her down to Kabankalan.

Doc, you know shell die on the way, I said. Isnt there anything you
can do?

He then tied to give the dextrose with a large needle, but the vein in
her arms and legs had collapsed. He tried the veins on the neck. That was
no good either.

We all stood there helpless as Lina screamed in pain. Gregorio was


mute with confusion: their little child was wandering around the bed. Finally,
the doctor gave her some Coca Cola the only medicine available. Once
more the doctor insisted Lina would have to journey down to Kabankalan.
Since the priest wouldnt be back, there was nothing else to do but start the
haggling for a rented jeepney. It would be expensive and Gregorio had
nothing, but we were in no position to haggle with a life at stake.

Gregorio laid Lina on the same hammock that he had used to carry her
down the mountain, and strung it up inside the jeepney. All the time she
cried out in pain. We had no sedatives, to calm her with. The doctor sat
beside Gregorio.

Before they left I whispered to Lina to be brave. There would be help.


Hang on, I said.

The jeepney moved slowly, bouncing along that terrible road until it
slowly disappeared from sight. I whispered a hopeless prayer as if God who
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forgives would also, at a stroke, undo the accumulated effects of our unjust
system.

When Fr. Hilario got back to the convent the following afternoon, I
poured out the story to him, as we were taking, Gregorio appeared at the
door. He looked as if he had walked the whole way back which was over 30
kilometers.

His face told the story Lina had died halfway down the journey. She
had begged to stop the jeepney; the pain being too much. They stopped, and
as they did, she died and so also taking the life of the child inside.

And now followed a strange development, the doctor and driver


insisted that maybe she was still alive! They would not heed Gregorios pleas
to return to Togoc. So the jeepney continued on and deposited Gregorio and
his dead wife at a doctors house clinic in a large barrio!

The doctor was not there, and the housewife naturally got mad at
Gregorio for bringing a dead patient. But the jeepney driver would not carry
Gregorio and Lina any further. Against the law, he said, and of course, it
would be bad luck too.

The young doctor must have had very little understanding of just how
destitute Gregorio was how desperately poor most of our people are
because what he did next still amazes me. He went on to Kabankalan with
the jeepney driver and asked an expensive Western-style funeral home to
take care of the corpse. For Gregorio, who had to pay for the expenses
anything was better than to leave his wife in an unfriendly house.

Now Gregorio stood there numb and exhausted. What else could he
do? The funeral home would not return the body till he paid the bills for
embalming and for bringing the body back to Togoc. It was Php 8000. This
was more than any amount Gregorio had ever held in his whole life. Just
think that Php 250 worth of medicine would have saved the life of both Lina
and her baby! It was the end as far as I was concerned. But not for Gregorio,
he would borrow the money from us and sell his land to pay us!

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I suggested we send down our vehicle for the body, but there was a
question about that being illegal. And then, would Perfecto, our faithful
driver, overcome the same superstitious fear of carrying a dead body in his
vehicle?

Apart from that, said Fr. Hilario, Our beat-up vehicle might never
make it down and up again.

Gregorio watched us argue. He was beyond feeling.

Finally, we decided to consult Perfecto. When Fr. Hilario left, Gregorio


pleaded, Father, dont leave Lina in Kabankalan and he wept.

Perfecto was brief and to the point the vehicle will make it down,
and well get it welded there. Then Ill drive it back Im not afraid to carry a
dead body.

Then we planned on how to deal with the funeral home there would
be some brutal bargaining to do.

I have not told this story well; the details have been smothered over by
so many similar incidents. Did Gregorio carry Lina for eight hours, not four?
Did we get the body back for Php 1500 or what? The cases blur in similarity
and your mind stops making distinctions.

Sometimes, Im tempted to think that if we had enough money to


supply the poor with medicines, or not have to argue over the hiring of a
jeepney, or not have to worry about the wreck that our vehicle is, the
problems would end.

That might help relieve our worry and tension, but it would not solve
the problems, for they are recurrent and deep rooted.

When we brought Lina back to Togoc, Gregorio asked for the lid to be
taken off the coffin so that he could be photographed with his child and wife
for the last time. Im afraid the picture is not clear enough to be printed.

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But when I look at it I sometimes wonder Gregorio, where are you


now? Have you returned to your mountain plot? Who looks after your little
child? Do you blame yourself for poverty, for Linas death? Will you ever
escape from the shadow of failure that is not your fault, but is rooted in
exploitative and oppressive systems?

Will we ever wake up?

--------------------------------------------------------------------------------------------------------------------

PEER EVALUATION FOR GROUP ACTIVITIES

EVALUATOR: _________________________________
______________________________________

YR/SEC_________GROUP NO._______EVENT:

Please evaluate your group mates. Evaluate by rating 1 to 5 based on the criteria indicated in the
column headings, 5 as the highest and 1 as the lowest.

PEER EVALUATION

Criteria (Rate 1 to 5)
NAMES (group members)

Attendance in
Meetings

Contribution to
the Projects
Concept

Participation in
the making of
the project

Total Scores
(15)

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HEALTH NEWS REPORTING

TOPICS:

Group I = Maternal, Infant, and Child Health


Group II = Adolescents, Young Adults, and Adults
Group III = Seniors
Group IV = Community Mental Health
Group V = Alcohol, Tobacco, and Other Drugs: A Community Concern

CRITERIA:

Content of proceedings
(accurate, comprehensive, timeliness)

25
%

Creativity of presentation
Mastery of Report (individual)
Evidence of Teamwork
Ability to answer questions
Peer Evaluation

15%
25%
10%
20%
5%

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Requirement: Hard & soft copies to be submitted at least


a day before
the scheduled report
Time: 20-min presentation, 10-min question and answer

PORTFOLIO GUIDELINES

NOTE:
1. The Portfolio is the final lecture exam.
2. The Portfolio is made individually.
3. The individual portfolio is saved in DVD with your full name
as your filename and is to be submitted by group (health
news grouping).
4. Label the DVD properly with your section, group number
and full name.
5. Submission is on the CPH final exam date.

5% deduction for every 1 day delay of submission

GUIDELINES:

1. Identify at least ten (10) CPH highlights.


2. Each event is equivalent to ten points, to get the ten
points consider the following:
Present proof or documentation of the activity
Describe the nature of the activity
State the impact and learning of the activity
Show creativity
Give recommendations

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COMMUNITY SCANNING & SURVEY


Suggestions for organizing teams:
Class Leader (oversees everything)
Class Treasurer/disbursing officer (responsible for liquidating fund, gather proofs (O.R.)
of purchases and acknowledgment receipts of service fees, submit financial/liquidation
report to the instructor)
5 Teams:
1. Community survey team (scanners, inspectors, field researchers/interviewers)
Assign team leader
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Observe the community in general (be keen in observing the environment)


Are actively involved in the interview of respondents
Assign a writer to describe or interpret findings

2. Barangay Hall team


Assign a team leader
Assign a pair to interview the barangay officials to accomplish Chapter 1 of the
report; see worksheet.
Assign a writer to describe Chapter 1 of the report
Assign an artist to draw the layout of the purok/barangay (only if possible or you
can already get a copy of the existing map of the barangay)
When done, help in the interview of respondents
3. Barangay Health Center team
Assign a team leader
Assign a pair to interview the health personnel to accomplish Chapter 2 of the
report; see worksheet
Assign a writer to describe the health status of the population
When done, help in the interview of respondents
4. Action Plan Team
Help in the interview of respondents
Assign a team leader
Heads the class meeting in which each team can present their findings
Discuss identified health problems/issues/concerns
Prioritize problems (1st, 2nd, 3rd, so on) and examine your resources
Name your project, write goal and objectives (S.M.A.R.T.), schedule your
activities, determine how to evaluate and monitor outcomes
Project should be health-related.
Worksheet:
Health
problem to
be
addressed

Name
of
Projec
t

Goa
l

Objective
s

Action/activitie
s to be taken

Wh
o
will
do
it?

Timescale Evaluatio
n&
monitorin
g
measures

Assign a writer to accomplish Chapter 4 of the report

5. Documentation Team
Are actively involved in the collation of data, analysis of data
Take photos and document the happenings of the survey
Head writer and all assigned team writers
Consolidation of written reports and printing of final report
Assure the timely submission of the written report.
Worksheet for the Barangay Hall Team
MLS 200 Community and Public Health

Visit the Barangay Hall.


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Introduce yourselves and the purpose of your visit. Be courteous.

Print this worksheet. Bring extra paper and flash drive for copying/saving
information.

Ask for the following information.

1. Description of the barangays geographic


location (ex. distance, total land area, land or
soil type, residential or agricultural zone)

Follow-up: When was the barangay


established?

2. Total population, age distribution and


gender distribution (according to the latest
survey done*)

3. Ethnicity (race) and religion (*)

4. Language and literacy (*)

5. Transportation Systems

6. Recreational facilities (ex. parks or


playground)
7. Places of worship (chapels, churches)
8. Media (TV/Radio stations, newspapers)
9. Public and private schools, colleges,
universities, nursery, kinder, vocational

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10. Barangay health, hospital/clinic personnel


Health facilities (dental clinic, laboratory,
pharmacy, hospital, etc.)

11. Barangay officials and number of


personnel
Public safety office
Public offices and establishments
12. Business & Industry
Agricultural sector
Individual businesses and local industries
(restaurants, stores, etc.)
Attorneys, accountants
13. Civic, social, religious & voluntary
agencies
Worksheet for the Barangay Health Center Team
MLS 200 Community and Public Health

Visit the Barangay Health Center.

Introduce yourselves and the purpose of your visit. Be courteous.

Print this worksheet.

Ask for the following information.

A. Top ten illnesses/morbidity cases

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

B. Top ten causes of death

1.
2.
3.
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4.
5.
6.
7.
8.
9.
10.
C. Measures of health
Birth/fertility rate, maternal mortality rates,
specific mortality rates, etc.
If none, get the variables (total number
and total population) and do the
computation.

D. Status of the vaccination program


E. List all the names of the BHC
personnel (physician, midwife, nurse,
nutrition scholar, BHW, volunteer)
Follow up: What is the address of the
health center?

F. What are the medical services offered?


Follow up: How do you think we, as CPH
students, can help the barangay in terms
of health promotion?

G. On the average, how many patients


visit the Health Center daily? What day is
the busiest? On what days of the week
can we see the physician?

Please review the following for the format and content of the Community Profile and
Health Project
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Deadline of submission: CPH Final Exam date.

(This is the cover page.)

San Pedro College


Davao City

Community Profile of Barangay/Sitio/Purok ____


(Title of Health Project)

In partial fulfillment of the requirements in


MLS 200 Community and Public Health
Department of Medical Laboratory Science

Page 21 of 27

Class of BMLS 2___


Preceptor Julie J. Tiu, RMT, MPH
Second Semester, SY 2012-2013

Format:
1. Short coupon bond, 8x11
2. 1-inch margin, all sides
3. Arial, font 11
4. Single space in paragraph
5. Soft/ring bound, 2 copies (barangay and department)

(The following are the contents of the community profile and health project report.)

Acknowledgments
Preface
Table of Contents
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Chapter 1: Characteristics of the Community


a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.

Geography (with map, only if possible)


Numbers/population
Age distribution and gender distribution
Ethnicity and religion
Language and literacy
Transportation Systems
Recreational facilities (ex. parks or playground)
Places of worship (chapels, churches)
Media (TV/Radio stations, newspapers)
Education (public and private schools, colleges, universities)
Health and Welfare
i. Barangay health, hospital/clinic personnel
ii. Health facilities (dental clinic, laboratory, pharmacy, hospital, etc.)
l. Government sector
i. Barangay officials and number of personnel
ii. Public safety
iii. Public offices and establishments
m. Business & Industry
i. Agricultural sector
ii. Individual businesses and local industries (restaurants, stores, etc.)
iii. Attorneys, accountants
n. Civic, social, religious & voluntary agencies

Chapter 2: Health Status of the Population


a.
b.
c.
d.

Top ten illnesses


Top ten causes of death
Measures of health (Birth/fertility rate, mortality rates, etc.)
Status of vaccination coverage

Chapter 3: Community Survey Results


i.
ii.

Introduction
Tables/graphs/figures with analysis and interpretation

Chapter 4: Setting of Priorities and Health Project


1. The Identified priority health problems
(Rank or prioritize health issues based on: magnitude of the problem,
seriousness of the problem, feasibility of a successful intervention)
2. Name of the (proposed) health project
3. Writing of goals and objectives
4. Cost of project
5. Activities
6. Evaluation and monitoring of outcomes

Appendices:
1. A copy of the IEC material produced, if applicable.
2, Pictures with description
3. A copy of letter/s submitted, if applicable
4. BMLS 2 class list and team/roles/positions
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5. Class picture with CPH preceptor (please indicate names below the picture)

CRITERIA FOR GRADING THE FINAL LABORATORY EXAM

PEER EVALUATION

30

CONTENT OF WRITTEN
FINAL REPORT
(Format, completeness)

20

ACCURACY
(Findings, analysis,
interpretation)

25

SUCCESS/IMPACT OF
PROJECT
(goal/objectives, activities,
measurable outcomes)

25

PEER EVALUATION
10 = Attendance in meetings

10 = always present & punctual


8 = present but comes late at times
6 = present but always comes late
4 = absent at times
2 = present only once
0 = never present

10 = Performance according to tasks


Designation

10 = all tasks done excellently


8 = almost all tasks done really well
6 = tasks done well
4 = tasks not done well
2 = tasks poorly done
0 = not done at all

10 = Overall involvement to the success of


the report and project implementation

10 = outstanding
8 = very strong/very active
6 = strong/active
4 = less active
2 = poor involvement
0 = never involved at all

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Deadline of submission: CPH Final Exam date

San Pedro College


MLS 200 COMMUNITY AND PUBLIC HEALTH
Peer Evaluation Report

Name of Evaluator: ________________ BMLS 2__

Date submitted:__________

Please evaluate honestly your classmates performance and contribution to the


accomplishment of your community profile and health project. Submit this together with
your portfolio and community profile.

No
.

Name of Classmate

Attendance

Performance
of task
designation

Overall
involvement

Total
Score

to the
success of
projects
(10)

(10)

(10)

(30)

1
2
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