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Community Assessment and Diagnosis
Brgy. Tinurik, Tanauan City, Batangas
Z OE LLANTO
BSN 2025
INTRODUCTION
CommunityHealthNursing2(CHN2)focusesoncommunityhealth
nursingforthefamilyandgroupsatbothurbanandruralcommunitieswith
the use of the concepts andprinciplesofhealthandcommunitynursing.It
combinesthepracticesofnursingandpublichealthtopromoteandpreserve
the health of the community. It extensively depends on the methodical
approachtoplanningandprovidinghealthservicesandnursingcarewiththe
aim of enhancing the well-being of the entire community.
Community Assessment focuses on the health assessment of a
state, tribe, or local areathatinvolvesidentifyingtheprimaryhealthneeds
andissuesthroughasystematicanddetaileddatagatheringandanalysis.It
requirestheconsistentcollection,analysis,anddisseminationofinformation
concerning health conditions, risks, and resources within a community,
serving as a fundamental element in the community health nursing process.
Community Diagnosis involves both quantitative and qualitative
descriptions of the health of residents and the factors impacting their
well-being.Thiscomprehensiveevaluationassessesthecommunity'shealth
status in relation to its social, physical, and biological surroundings. The
nurse engages in a process of gathering data about the community to
identify factors influencing population health outcomes, enabling the
formulationofcommunityhealthnursingdiagnosesandthedevelopmentand
implementation of interventions and strategies.
CommunityHealthNursing(CHN)isaspecializedfieldthatfocuses
on the health of entire communities. Community Assessment involves
systematically collecting and analyzing data about a community to
understanditsstrengths,weaknesses,andhealthneeds.Thedatacollected
duringtheassessmentphasecontributestotheformulationofaCommunity
Diagnosis, which identifies specific health issues within the community.
Community Diagnosis serves as the foundation for planning targeted
interventions and health promotion activities by CHN nurses. This cyclical
process ensures that nursing efforts are informed by a comprehensive
understanding of the community's health statusandtailoredtoaddressits
specific needs.
OBJECTIVES
General Objectives:
This case study of Barangay Tinurik seeks to provide a thorough
analysisanddiagnosisofthehealthconditionsinBarangayTinurik,Tanauan
City, utilizing a comprehensive community assessment approach.
Specific Objectives:
ThespecificobjectivesofthisCommunityAssessmentandDiagnosis
are as follows:
• Recognize the various Multifactorial phenomena influencing the community.
• Gather information on the health status of the community.
• Prioritize and assess the current health crises in the community.
• Identify the mortality and morbidity in the barangay.
• Develop a care plan for each identified problem in the community.
HISTORY OF THE BARANGAY
BarangayTinurikisoneoftheforty-eight(48)barangaysintheCityof
Tanauan, Batangas. Barangay Tinurik used to be calledSanAndres,the
housesinSanAndresarefewandfarbetween,roadaccessonlyallowed
karitonstopassby.SanAndreswasledbyKapitanEleuterioCastilloand
heownedasugarmillinbetweenNatatasandSanAndres,notfarfromthis
place a spring is located where the residents of San Andres get their
drinking water. San Andres experienced a longdroughtthatledtofamine
andcausedthedeathoftheirlivestock,theywereforcedtofetchwaterfrom
San Juan river which took a whole day and was inconvenient for the
residents of San Andres. The people in the Barangay addressed the
situationandtheydecidedtoofferafeastdaycelebrationforsaintNuestra
SeñoraDelasFlores,thisfeastdayiscelebratedonthe31stofMayevery
year. As timewentbySanAndreswasknowntobeBarangayTinurik,the
road access became more modern, it allowed vehicles to pass by, the
houses have multiplied, and several convenience stores now occupy
Barangay Tinurik.
BARANGAY TOPOGRAPHY
BarangayTinurikislocatedatthesouthernpartofTanauanCity,itis
2.4kmawayfromtheCityHall,and44.9kmawayfromtheBatangasCapitol,
andis69.2kmawayfromManila.Thefollowingbarangay(s)haveashared
borderwithTinurik:Mabini,Balele,,BanjoWest,BanjoEast,Bagumbayan,
Hidalgo,Natatas.ThetotallandareaofBarangayTinurikis228.6hectares,
themajorityoftheareaisallocatedtopoultryfarmlandandresidentialarea.
BarangayTinurikhasapopulationof7,364peopleasofMarch2023,with
1,913 Households and 2,148 Families. On the island of Luzon, Tinurik is
located at around 14.0653 and 121.1248. At these coordinates, the
elevation is thought to be 161.8 meters, or 530.8 feet, above mean sea level.
BARANGAY ORGANIZATIONAL CHART
During the time this case study was being made, the barangay
captainofBarangayTinurikwasRubenS.Castillo,hehassevenkagawads
to help with his work. The elected councilors have different areas of
responsibilityanddivisionofwork.Theycontributetoorganizingprogramsin
the barangay. The seven councilors of Barangay Tinurik are as follows:
AgapitoLlanto,MalvinIlacas,Hon.MarkCastillo,CrispinaLeynes,Nicolas
Malabanan, Jayson Sarmiento, Pedro Dimalanta. The secretary of the
barangay is Ramon Llanto, while Arnel De Ocampo is the barangay
treasurer,forthe“SangguniangKabataan”chairmantheelectedpersonnelis
LeoLorenMolinyawe.ThebarangayadministratorisJoyfePiamonte,while
theBPSOchiefisNapoleonMercado,HonorabiaLopezbeingthebarangay
VAWCofficer,andJewelPondariobeingtheBHWhead.Presently,thenew
BarangayCaptainisEricksonMoncayoandthefollowingarehiscouncilors:
JaysonSarmiento,TeodoroMalabanan,VicentaPerez,NicolasMalabanan,
Dennis Balahadia, Renz Cadaucan, and Honorabia Lopez
BARANGAY HEALTH CENTER ORGANIZATIONAL CHART
ThebarangayhealthcouncilorisHon.MalvinH.Ilacas,hecoordinates
with the barangay captain Hon. Ruben Castillo about the different health
programs the barangay implements. The barangay midwife is Justina
Cataan along with the barangay nutrition health scholar, Analiza Valencia,
whoisresponsibleforprovidinghealthcareregardingpropernutrition.The
barangayhealthworkerswhohelpinrenderingprimaryhealthcareservices
in the community are as follows: Resemarie Milatez, Melissa Jewel
Pondario, Vilma Marano, Eugenia Alumbro, Thelma Rosales, Josephine
Perez,EngtaciaRoxas,andNeliaGumabao.Eachindividualisaccountable
for fostering health promotion and enhancing righteous living within the
community.
BARANGAY SPOT MAP
BarangayTinurikis228.6hectares,themajorityoftheareaisallocatedto
poultryfarmlandandresidentialarea,withacoupleofcommercialbuildings
and businesses.
BarangayTinurikhasapopulationof7,364peopleasofMarch2023,
with1,913Householdsand2,148Families.BarangayTinurikisdividedinto
7 zones and majority of the households are located near the barangay road
MULTIFACTORIAL PHENOMENA
A. POLITICAL FACTORS
BasedonmyinterviewwiththeheadoftheSeniorCitizenGroupin
mybarangayandbasedonmyownobservationsHon.RubenCastillo,our
barangay captain is described as being a competent and responsible
communityleader.Heensuresthesafetyandwellbeingofthepeopleinour
community. He collaborates with differentgroupstopromotethewellbeing
and health of the community. Some of the projects include cementing of
pathways, Road widenings, Rehabilitation of the Multi Purpose Hall,
ConstructionofLinedCanal,andInstallationofSolarStreetLights.Interms
ofthesafetyofthebarangay,thebarangaytanodswiththeguidanceofour
barangay captain ensures 24/7 security for the community, they conduct
patrolsduringdaytimeandnighttimeandhaveseveraltanodsstationedat
everyzoneofourbarangay.Tosumitup,thebarangaycaptain,councilors,
and barangay tanodsinourbarangayhavethesamegoalofensuringthe
safety, wellbeing and health of the community.
B. SOCIO-CULTURAL FACTORS
According to the data provided by the barangay secretary, Brgy.
Tinurik is composed of the following religions: Catholic, Iglesia ni Cristo,
DatingDaan,Baptist,Islam,andChristian.Brgy.Tinurikcelebratesitsfeast
dayevery31stofMay,thepeopleofthebarangaypreparedifferentdishesto
celebrate the feast day of Nuestra Señora De las Flores. During this
celebration the barangay prepares activities for the community which
includesthefollowing:perya,m usiko,basketballleague,andavarietyshow
at thenightofthefeastday.Theresidentsofthebarangayalsobelievein
traditional healers, and there are a fewm anggagamotin the barangay.
C. ECONOMIC FACTORS
Ourbarangayisonly4kmawayfromthetownproper,thereareplenty
ofworkopportunitiesinandaroundourbarangay.Thereareseveralfarmsin
our barangay ranging from game farms and poultry farms that provide
employmentforpeopleinourbarangay.Thereareseveralbusinessesinour
barangay some of them include AlfaMart, Dali, Laundromat, FiveStar,
severalConstructionSupplyStores,andmanymore.Thesebusinessesall
provide income and employment to the local people, the barangay’s
Elementary and High School also provide employment to the people of
Tinurik.Aspermyinterviewwithourbarangaycaptain,majorityofthepeople
in our barangay are under the middle-income class and their source of
income are the following: farming, work, business, and others.
ThemaintypesoftransportationthatthepeopleinBarangayTinurik
use are the following: tricycles, jeepneys, motorcycles, and private vehicles.
D. ENVIRONMENTAL FACTORS
1. Physical/Geographical/Topographical Characteristics of the
Community
Barangay.Tinurikmainlyconsistsofflatlandsandsomemountainous
areas,theareaismainlyusedforagriculture,commercialbusinesses,and
residential housing. It is classified as an urban barangay withatotalland
area of Barangay Tinurik is 228.6 hectares, the majority of the area is
allocated to poultry farmland and residential area. BarangayTinurikhasa
population of7,364peopleasofMarch2023,with1,913Householdsand
2,148 Families.
There are several ongoing projects like installation of solar street
lights,cementingofroads,andrehabilitationofthemultipurposehall.Allof
these projects contribute to thebettermentofthebarangay,althoughthere
mightbeslightinconvenienceduetotheabsenceofstreetlightsatnightand
can be a factor that may contribute to accidentsandsafetyconcerns,the
barangay is currently at the end stage of the said projects.
The barangay has 2 seasons: wet and dry season. During the dry
season the cases of cough, colds, and skin allergies are highduringthis
season.Usually,duringthewetseasoncasesofflu,cough,andcoldsarethe
highest.
2. Water and Electricity Supply
According to the interview with the barangay captain, all of the
populationofthebarangayhasaccesstosafeandpotablewater.Thewater
supply comes from the deep well water located in our barangay which is
managedbythepatubigngnayon.Therearetimeswherethewaterfromthe
wellbecomescontaminatedespeciallywhentheTaalVolcanoerupted.The
communitywasadvisednottodrinkorusethewaterforcooking,duringthis
time the people relied on purified water for drinking and cooking. The
barangayalsoexperiencescut-offsinwatersupplyespeciallywhenthereisa
blackoutinthebarangay,sometimesthistakesafewhoursuptoadaytobe
resolved. Moreover, the community members have access to electricity
which is managed by BATELEC.
3. Waste Disposal
With regards to garbage disposal, the garbage collectionhappens
once a week. The schedule of garbage collection is every Monday.
According to my interview with one of the barangay officials,someofthe
residentsdonotpracticesegregatinganddisposingoftheirgarbageonthe
setdayofgarbagecollection,thisresultsinpilesofgarbageexposedtothe
public which can host vermin and vectors of disease. In regards with the
garbage collection,thegarbagecollectorswilloccasionallynotpick-upthe
pilesofgarbageonthesetdayandsometimestakethemanadditionalday
to complete their collection.
4. Large population of stray dogs
Thepresenceofstraydogsisacommunityproblemduetopotential
threatstopublicsafety,includingtheriskofbitesandattacks.Straydogscan
also spread diseases, posing public health concerns, and their nuisance
behavior, such as noise and scavenging, can disrupt the qualityoflifefor
residents.Addressingthisissuerequirescollaborativeeffortstocontrolthe
stray dog population, implement vaccination programs, and promote
responsible pet ownership for a safer and healthier community.
E. PHILIPPINE HEALTH CARE DELIVERY SYSTEM
Thehealthcaredeliverysystemreferstotheinterconnectednetworkof
health facilities and professionals responsible for delivering healthcare
services to the population. In the Philippines, the healthcare system is
complex,comprisingvariousorganizationsthatcollaboratetoofferarange
of health services. The public sector, operating at regional, provincial,
municipal,andbarangaylevels,playsapredominantrole,withsupportfrom
private healthcare service providers.
TheBarangayHealthCenter(BHC)situatedinthecommunityserves
asaLevel1,PrimaryLevelHealthCareFacility.Locatedneartheborderof
BarangayTinurikandBarangayBagumbayan,itoperatesonweekdaysfrom
8:00AMto5:00PM.TheBHCisdedicatedtodeliveringvariouscommunity
health programs and services aimed at promoting health and preventing
diseases among the residents. Barangay Tinurik primarily focuses on
implementing programsrelatedtomaternalhealth,theExpandedProgram
onImmunization,andtheFamilyPlanningProgram.Intermsofmaternaland
child healthcare, the BHC conducts health education sessions, prenatal
checkups, and provides iron and folic acid supplements to expecting
mothers. Emphasis is placed on advising mothers about proper nutrition
practicesandrecognizingdangersignsduringpregnancy.Theimmunization
programinvolvesthepresenceofabarangayhealthnursewhoadministers
vaccines to reduce mortality and morbidity among children aged 0-11
months. Additionally, barangay health workers assist the nurse in
accommodatingmothersandchildrenduringtheimmunizationprogram.The
BHCalsooffersafamilyplanningprogram,providingvariouscontraception
methodssuchascontraceptivepillsandcondoms.Regardingemergencies,
barangay ambulances are accessible and will transport individuals to the
closestprivatehospital,namelyHMCoracheaGeneralHospital.According
to information from barangay health workers, financially stable individuals
have the option to choose their preferred hospital, while those facing
financial challenges can seek freemedicationsdirectlyfromtheBarangay
Health Center (BHC) or the city health center.
MORBIDITY AND MORTALITY RATES
Top 10 Causes of Morbidity (2022)
Morbidityreferstohavingadiseaseorasymptomofdisease,orto
theamountofdiseasewithinapopulation.Italsoreferstomedicalproblems
caused by a treatment.
DISEASE RANK
Hypertension 1
Tuberculosis 2
Diabetes 3
Asthma 4
Heart Disease 5
Cancer 6
Stroke 7
Alzheimer’s 8
Influenza 9
Suicide 10
Source:Barangay Records
Hypertensionistheleadingcauseofmorbidityinthebarangay.Itwas
followed by Tuberculosis, then Diabetes, Asthma, Heart Disease,Cancer,
Stroke, Alzheimer’s, Influenza, and suicide as the last rank.
Thetopmorbidityishypertension.Hypertension,commonlyknownas
high blood pressure, is a medical condition characterized by consistently
elevatedbloodpressurelevels.Bloodpressureistheforceofbloodagainst
thewallsofarteriesastheheartpumpsitthroughoutthebody.Normalblood
pressureisessentialfortheproperfunctioningofthecardiovascularsystem.
However, when blood pressure remains consistently high, it can lead to
varioushealthcomplications.Hypertensionisoftenreferredtoasthe"silent
killer" because it may not cause noticeable symptoms initially, but it can
progressively damage the arteries, heart, and other organs over time.
Factorssuchasgenetics,age,diet,lifestyle,andcertainmedicalconditions
contribute to the development of hypertension.AccordingtotheBHWthat
wasinterviewed,residentswithhypertensionareusuallyreferredtotheCity
Health Center to avail free check-ups as well as free antihypertensive
medications.
MORBIDITY AND MORTALITY RATES
Top 10 Causes of Mortality (2022)
Mortalityalsoknownasdeathratereferstothestateofbeingmortal
or the number of deaths in a certain group of people inacertainperiod.
Mortalitymaybereportedforpeoplewhohaveacertaindisease,liveinone
area of the country, or who are of a certain gender, age, or ethnic group.
DISEASE DISEASE RANK
Hypertension 1
Diabetes 2
Kidney Failure 3
Pneumonia 4
Heart Failure 5
Stroke 6
Leukemia 7
Aneurysm 8
Breast Cancer 9
Colon Cancer 10
Source:Barangay Record
The top cause of death of the residents of Barangay Tinurik is
Hypertension.Hypertension,commonlyknownashighbloodpressure,isa
medical condition characterized by consistently elevated blood pressure
levels.Bloodpressureistheforceofbloodagainstthewallsofarteriesas
the heart pumps it throughout the body. It is measured in millimeters of
mercury (mmHg) and is expressed as two values: systolic pressure over
diastolic pressure. The systolic pressure represents the force exerted on
artery walls when the heart contracts, while diastolic pressureistheforce
when the heart is at rest between beats. Various factorscontributetothe
developmentofhypertension,includinggenetics,age,diet,lifestylechoices,
and certain underlying medical conditions. Management typically involves
lifestylemodificationssuchasahealthydiet,regularexercise,and,insome
cases, medication prescribed by a healthcare professional. Regular
monitoring and control of blood pressure are essential for preventing
complications and maintaining overall cardiovascular health.
PRIORITY SETTING
Problem 1: Improper Garbage Disposal and Management
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the Problem 3/3*1 1 his is a health threat and
T
could cause disease to the
residents of the barangay
Modifiability of the Problem 2/2*2 2 his is easily modifiable if
T
the barangay will impose
better ordinance and
enforcement
Preventative potential 3/3*1 1 his is easily preventable if
T
the residents will practice
propergarbagedisposaland
understand the outcomes of
this to their health
Social Concern 2/2*1 1 It need immediate action to
prevent the spread of
disease and other illness
TOTAL SCORE 5
Problem 2: Interruption in the Water Supply
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the Problem 3/3*1 1 hiscouldbeahealththreat
T
and might cause lack of
access to potable water to
the residents of the
community
Modifiability of the Problem 2/2*2 2 his is easily modifiable if
T
the barangay can install
emergency power supplyfor
the water pump and if the
residentscanstockpilewater
in containers.
Preventative potential 2/3*1 .67 his
T is moderately
preventable because the
residents and the barangay
officials could do something
to prevent the problem from
happening
Social Concern 2/2*1 1 It needs immediate action
because it can affect the
health of the residents
TOTAL SCORE 4.67
Problem 3: Large Population of Stray Dogs
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the Problem 2/3*1 .67 hiscouldbeahealththreat
T
andmightasafetyandhealth
issues with the residents of
the community
Modifiability of the Problem 2/2*2 2 his is easily modifiable
T
because the barangay can
mandate ordinances to
control and vaccinate stray
dogs
Preventative potential 3/3*1 1 his is highly preventable
T
becausetheresidentsofthe
barangay can help reduce
theamountofstraysbybeing
responsible dog owners
Social Concern 2/2*1 1 It needs immediate action
because it can affect the
health and safety of the
residents
TOTAL SCORE 4.67
COMMUNITY CARE PLAN
EALTH
H ASSESSMENT OBJECTIVES PLANNING IMPLEMENTATI EVALUATION RECOMMENDATION
PROBLEM ON
Improper nsegregated
U bjective:
O ollaborate
C ive invitations
G ollowing
F the ontinuously
C monitor
Garbage garbagewastewas Assist the with to barangay seminar and proper waste
Disposal and seen community barangay officials for the health education management every
Management on the day of households in officials to upcoming session, the garbage collection day
garbage acquiring the address the seminar and participants and strictly enforce the
collection and piles knowledge of identified engage in a successfully propergarbagecollection
of garbage still effective waste issue. discussion acquired day in the community
present after the management regarding the knowledge on
day of collection practices. Organize the program's appropriate lace slogans within the
P
following objectives. waste disposal communitytopromotethe
According to the pecific
S resources: methods and importance of proper
r esident Objectives: • Draft Disseminate gained an segregation
interviewed, some Following a invitations for invitations to the understanding of
of the garbage are 30-minute distributionto intended the health rovide separate trash
P
not collected on healtheducation the intended participants to consequencesof containers for different
time session, the participants. ensure timely inadequate kinds of waste
residents of the • Arrange a awareness sanitation. They
barangaywillbe suitable among residents. demonstrated ake an ordinance that
M
capable of: venue within their learning garbagewastewillnotbe
•Understanding the barangay. Organize a through accurate collected if not properly
the correct • Deliver clean-updrivefor waste segregated
methods for health the residents segregation
disposing of education demonstrations,
their waste. focusing on participation in
• Recognizing the the clean-up
the health consequence drive, and
implications of s of recitation of the
inadequate inadequate stepsinvolvedin
sanitation. sanitation on composting.
their
well-being.
EALTH
H ASSESSMENT OBJECTIVES PLANNING IMPLEMENTATI EVALUATION RECOMMENDATION
PROBLEM ON
Interruption in Interrupted water oal:
G ollaborate
C ive invitations
G ollowing
F the FOR BARANGAY
the Water supplyduringpower Assist the with to barangay seminar and FFICIALS:
O
Supply outages a nd weak community barangay officials for the health education Continuously monitor
water pressure at households in officials to upcoming session, the power outage
certain timesofthe acquiring the address the seminar and participants announcements toinform
day knowledge to identified engage in a successfully the residents promptly
effectively deal issue. discussion acquired abouttheupcomingwater
According to the with the regarding the knowledge on interruption
resident problem. Organize the program's appropriate
interviewed, the following objectives. methods and lace slogans within the
P
water supply gets Specific Goals: resources: gained an communitytopromotethe
cut-off everytime Following a • Draft Disseminate understanding of importanceofconserving
they experience a 30-minute invitations for invitations to the adequate water
power outage and healtheducation distributionto intended preparation for
canlastforhoursup session, the the intended participants to interruptions and
to a day and there residents of the participants. ensure timely proper ways of OR THE RESIDENTS:
F
aretimesoftheday barangaywillbe • Arrange a awareness storing water in Use a proper receptacle
where the water capable of: suitable among residents. containers. in storing water.
pressure is weak. venue within
•Demonstrating the barangay. hey
T
ways on howto • Deliver demonstrated
safely store health their learning
water. education through
• Recognizing focusing on demonstrations
the importance ays on how
w nd recitation of
a
of conserving to properly the steps
water and store water involved in
preparing for and the conserving,
unexpected importance preparing, and
interruptions in ofconserving proper storage
the water and of water.
supply. preparing for
unexpected
cut-offsinthe
water supply.
EALTH
H ASSESSMENT O
BJECTIVE P
LANNIN I MPLEMENT E
VALUATIO ECOMMENDATIO
R
PROBLEM S G ATION N N
arge
L ccordingtothe
A oal:
G ollaborat
C ive
G ollowing the
F OR
F T HE
Population resident Assist the e with invitations to s eminar and BARANGAY
o f Stray interviewed, c ommunity b arangay b arangay health OFFICIALS:
Dogs there are a lot households o fficials to o fficials f or e ducation
s trayd ogsinthe in ways to address the upcoming s ession, the onduct
C mass
b arangay that p revent the s eminar and p articipants vaccination o f d ogs
s ometimes d og-related identified e ngage in a s uccessfully in the barangay
result in accidents issue. d iscussion acquired
accidents and regarding the knowledgeo n atch s tray d ogs in
C
d og bites pecific
S rganize
O p rogram's the p ossible the Barangay
Goals: the o bjectives. health and
ollowing a
F f ollowing afety
s trictly mandate the
S
3 0-minute resources: Disseminate hazards “ anti-rabies act o f
health • Draft invitations to b rought b y 2 007”
e ducation invitations the intended unvaccinated
s ession, the f or p articipants to s tray dogs OR
F T HE
residents o f d istribution e nsure timely RESIDENTS:
the b arangay to the awareness T hey
will b e intended among d emonstrated ncourage
E
c apable of: p articipant residents. their learning responsible d og
s . through o wnership b y
• Understandi •Arrangea Organize a recitation o f c leaning-up after
ng the s uitable mass the health their d ogs,
importance venue vaccination hazards o f restraining them in
o f a b eing a within the d rivef ord ogs unvaccinated their houses, and
responsible b arangay. and cats p ets and regularly vaccinating
d og owner • Deliver understandin their dogs
• health g o n how to
Recognizing e ducation b ecome a
the p ossible f ocusing responsible
health o n the p et owner.
implications p ossible
and hazards health and
o f the large s afety
p resence o f hazards o f
s tray d ogs in b eing an
the irresponsib
c ommunity. . le d og
o wner and
the
importance
o f having
d ogs
regularly
vaccinated
APPENDIX
Barangay Profile
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