Barangays with Organized and Trained Barangay Health Emergency Response Team

(BHERT) Checklist

Region : ___________________________________

Province : ___________________________________

Municipality : ___________________________________
No. of BHERT Sponsor of
No. of Trained Date
Barangay Name members? Title of Training Training (KC,
Conducted
Male Female Male Female LGU, NGA, etc)

Prepared by: Noted by:

_________________________________ ________________________________

M/Community Empowerment Facilitator MHO Officer

Date Accomplished : ____________________