Checklist Health Eng

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Public Health Checklist

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Question
Bad smell of stagnant water from drainage ditch
Liquid waste management:
Throw to the yard
Using non-permanent drainage ditch
Using permanent drainage ditch
Flow it to the stream/river
Garbage is scattered with flies/mosquito/cockroach*
Garbage management:
Throw to yard
Bury
Burn
Managed for fertilizer
Many rat/flies/mosquito/cockroach in the house*
The distance from the water source/well to garbage/septic tank/livestock is less
than 10m
Where do you go to defecate :
River
Bush
Private latrine
Neighbor latrine
Other

Checklist

The latrine is dirty with insufficient light and air circulation

The house condition is insufficient light and air circulation

Soil floor and muddy


Diseases family record:
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Diseases suffered in the neighbor:
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Actions taken to prevent dengue:
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Actions taken on diarrhea patient:

The hygiene education experiences:


Topics and mentor :
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Information about diseases needed:
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*: scored out unnecessary things

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