FM-RPDC-1009

Revision No. 00
RESEARCH, Effectivity Date: Nov.5, 2018
VIRGEN MILAGROSA PLANNING AND
UNIVERSITY FOUNDATION DEVELOPMENT
CENTER

COMMUNITY EXTENSION/ OUTREACH SERVICE DETAILS

I. PROJECT BACKGROUND

Title
Lemongrass: Peligro laban sa lamok, Ligtas!
Overall Goal
To prevent mosquito production that causes Dengue Fever
Objectives
1. To create natural mosquito repellent extracted from lemon grass.
2. To teach people in lemongrass production
3. To train then on how to prepare the natural repellant
3. To reduce the occurrence of all vector-borne disease caused by mosquitoes in Mabalbalino.
Desired Outcome
To lower the incidence rate of vector-borne diseases (Dengue Fever).
Target Beneficiaries
Teachers in Mabalbalino Elementary School
Date and Time of Implementation
May 24, 2019
Place of Implementation
Mabalbalino Elementary School
Cooperating Agencies
VMUF Colleges and Departments
Approximate Budget for the Activity
Php 260

II. PROJECT MANAGEMENT TEAM

A. Implementer
College of Medical Laboratory Science
B. Project Management Team
Team Leader
Justin Andrei H. Tabigne
Team Members
1. Ellarda, Honeylyn T. 6. Ramos, Sarah Grace J.
2. Gonzales, Sheila A. 7. Soriano, Maria Kristina B.
3. Gonzales, Virginia C. 8. Valdez, James Diamond M.
4. Hiteroza, Jona Mae C.
5. Mendoza, Isabella V.

Project Adviser: Ms. Aliguas Mae P. Dumlao, RN, LPT, MAN, CNN
 FM-RPDC-1009
Revision No. 00
RESEARCH, Effectivity Date: Nov.5, 2018
VIRGEN MILAGROSA PLANNING AND
UNIVERSITY FOUNDATION DEVELOPMENT
CENTER

III. LINE ITEM BUDGET

ITEM PARTICULARS COST

1. Operating Cost
a. Supplies Olive oil 200
b. Communication Communication Letter
c. Documentation
e. Others

2. Travel Costs
a. Fare Jeepney Fare
b. Food Expense

3. Others
Gloves 50
Flyers 10

TOTAL BUDGET 260

IV. BUDGET SOURCING

Source of Funding In Cash In Kind Total

All members Php28.89/member 260
 FM-RPDC-1009
Revision No. 00
RESEARCH, Effectivity Date: Nov.5, 2018
VIRGEN MILAGROSA PLANNING AND
UNIVERSITY FOUNDATION DEVELOPMENT
CENTER

VI. REQUIRED DOCUMENTARY ATTACHMENTS

1) A comprehensive assessment result or action research output as basis for conducting

the activity
2) An approved and signed copy of MOU or MOA
3) A written consent from a target group/ beneficiaries
4) Location map showing the site/s or area/s where the community extension service is
going to be conducted
5) Document/s relative to an approved funding from other donor/s or source/s, if
applicable
6) Written manifestation of cooperation from cooperating agency, if applicable
7) Instructional materials, i.e. Design, module or brochure; powerpoint presentations

Prepared by:

JUSTIN ANDREI H. TABIGNE MAY 17, 2019

Project Team Leader Date

Noted by:

FE M. CANCINO, RMT, MST MAY 17, 2019

Research and Extension Coordinator Date

FE M. CANCINO, RMT, MST MAY 17, 2019

Dean/ Department Head Date

Received by:

ALIGUAS MAE P. DUMLAO, RN, LPT, MAN, CNN ___________________________

University Extension Coordinator Date

ROSALYN G. ROSAL, RPh, MPH, MS Phar ___________________________

Director Date
Research, Planning and Development Center