s. How would you rate people's Involveme nt in commun ity de1telopmen"t7 Why? 6. What do you think. should your administration lay emphasis on to Improve people's participation on community health a11d development? d. Observation checklist The observation checklist is a list of data that are manifestations or indicators of a health need or problem. The list could i. nclude the physical or environmental hazards where the community is situated; it could also be indicators of health resources such as health facilities and presence of health personnel and services. EXAMPLE OF AN OBSERVATl t:>N CHECKLIST SEGMENT: Barangay Water Source A. Type of water source: D Deep well/artesian well D Dugwell D Piped water from MWSS ' B. Location of water source. Estimate distance from: D Communa l toilets. D Garbage dump site D Polluted bodies of~;;-0 Other facilities that can b_e_s_o_u_r_c_e_s of water contamination, specify _____ _ C. Protection of water source 1. Deep well/artesian well Depth, __ _ Human activities ;;:;,un'd the water source 0 laundry 0 bathing 0 defecating or urinating D others, specify __ ~ Presence of protection from con~ation with waste water 0 drainage for excess water D cemented al the base of the pump or concrete slab to prevent waste water to seep unto the ground/soil that may contaminate watertable), D others, specify ____________ _ _ 167 