sample community diagnosis
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TABLE OF CONTENTS
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INTRODUCTION
Community health Nursing (CHN) special field of nursing that combines
the skills of nursing, public health and some phases of social assistance and
functions as part of the total public health program for the promotion of
health, the improvement of the conditions in the social and physical
environment, rehabilitation of illness and disability ( WHO Epert Committee
of Nursing )! "t#s the integration of nursing process in the community as its
primary client!
Community is a group of people sharing common geographical location
and or common values and interest! "t functions $ithin a particular socio%
cultural contet $hich means that no t$o communities are alike! &he
physical environment varies and so $ith the people#s $ay of life, as in
behaving and coping $ith their internal and eternal problems, concerns and
responsibilities and such other affecting their interest, their associative links
and relation $ith their surroundings and generally, their eistence as a
people!
'lorence Nightingale believed that in manipulating the physical
environment, the body could repair itself! Nurses or even clients alone cannurture the surroundings to create an environment conducive to body#s
reparative processes! uch that, the community people themselves, even in
the absence of nurses can resolve eisting and arising community health
problems through genuine cooperation to $ork together in controlling these
environmental factors affecting and threatening their health!
irginia Henderson also added that $e, nurses, must *assist our
clientele, sick or $ell, in the performance of activities contributing to health
or its recovery that he+she $ould perform unaided if that person had the
necessary strength, $ill or kno$ledge to gain independence as soon as
possible! Conversely, $e nurses are here to guide the community and fill
the kno$ledge deficit that prevails to achieve independence! -fter all, health
education is our primary role according to Nursing .a$ of /00/ and health
promotion is our focus in the community!
'aye -bdellah, conceptuali1ed nursing as an art of science that mold
the attitude, intellectual competencies and technical skills of the individual
nurse to serve as guiding force and energy of the people in the community
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life that $ould redound to lengthening the lives of our people! o, among
our primary concerns is to prolong life by maintaining healthy environment
and appropriate lifestyle and care! Health is a gift, but $e have to $ork in
keeping it al$ays in a desired good condition!
&he 3Nheals pro4ect of the 5OH has been assigning nurses to the 3ural
Health 6nit (3H6) for a period of one year $ith the sole purpose of achieving
6niversal Health Care to$ards community health enhancement! &o $hich
nurses needed to be creative, resourceful and eplore innovative $ays to
achieve and maintain high level of community health amidst this economic
difficulties and very limited resources! &he 5OH re2uires a Community
5iagnosis for the completion of the training! &he focus of this study is the
7arangay ioron of 8igmoto, Catanduanes!
Community diagnosis or the study and identification of community
problems by studying particularly the causes and effect commonly kno$n as
assessment or situational analysis is designed to collect the re2uired data
about the community in order to kno$ the different factors that directly or
indirectly influence the health condition of the populace, to analy1e and
formulate eplanation for the occurrence of health nursing diagnosis as then
delivered thereof to be the bases for developing and implementingcommunity health nursing intervention and strategies!
&his study utili1ed the nursing process, earnest thinking and prudent
communication to client in the community, and the established culturally
competent care for the community recogni1ing economic and ethnic
characteristics of its members and the demonstrated therapeutic
communication skills!
Rationale
&here is a need to conduct such investigation since for the past 9
years, even $ith the intense effort of the 3H6, health indicators in 7arangay
ioron hasn#t changed significantly! What could be the possible reasons for
these and hopefully $e can find $orkable solutions!
Significance of the study
&his study $ill be significant to the follo$ing:
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identify, prioriti1e and find possible solution to both health problems
and health risks for the ultimate goal of achieving a high level of
community health!
&he result of this study $ill also be significant to the .86, 3H6 and
other community development organi1ations! &hese are agencies
concerned in elevating the level of community health and they have
the capability to change the lives of the people especially if the
suggested solutions to identified problems need a huge sum of money!
&hey $ill have the idea $here to focus! Hopefully $ith this, they $ill
perceive $hich pro4ect must be prioriti1ed so that funds $ill be spent
effectively and efficiently! &o other nearby 7aranggays< their leaders $ill have the idea on ho$ to
deal or solve similar eisting and arising problems!
Statement O!ecti"es
#ene$al O!ecti"es
7y the end of the community assessment on 7arangay ioron the
community $ill posses ade2uate kno$ledge and consciousness to their
present health condition and other health problems, $hereupon
providing them necessary actions and solutions to prioriti1ed problems
and subse2uently generate a good condition not only on health but
also on the economic and social factors as $ell, to$ard the better and
healthy community!
S%ecific O!ecti"es
Collects facts and information by the community survey, that is
essential for indentifying the community needs and problems and $ill
also help on monitoring the improvement of the health situation!
5etermine the problems and needs of the community and identify
$hat should be the priorities and ho$ it is affecting the $hole
community!
5issemination of the current health condition of the community and
spreading of kno$ledge and information regarding the improvement of
health condition, health distribution and its proper utili1ation
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ðodology and tool used
&he study used the descriptive, non%eperimental both 2ualitative and
2uantitative methods of research!
8athering of primary data $ere done through survey using a closed%
ended 2uestionnaire! &his made the data gathering smooth, not time
consuming since the client $ill not be having difficulties in ans$ering the
2uestion and facilitates easy tabulation and interpretation of the data
gathered!
econdary data $here gathered from the 3ural Health 6nit, especially
the health indicators such as mortality and morbidity rate, etc!
loven formula $as not used to estimate the sample population si1e,
but rather according to the 3Nheals manual to $hich it states that at least
=0> of the total population! -ccording to the data gathered from C7?
(Community 7ased ?onitoring ystem), in the year /0=/ ioron has a total
number of =@A households and the researcher used /0 households as its
respondents to represent the entire community! &o remove biases and so
that every household $ill have the chance to be selected, a probability
sampling (lottery) $as used to identify the respondents!;rior to conducting the survey, courtesy call $as done to barangay
officials for the researcher#s safety and eplained to them the purpose of the
community diagnoses in order to remove confusion! "n the intervie$ the
respondents $ere like$ise eplained or informed $hy the survey is to be
conducted and told that their confidentiality and anonymity be secured!
Sco%e and Limitation of the study
&his study is only limited to the 7aranggay ioron and may or may not
apply to the other 7aranggays! &he margin of error in this study is unkno$n
since the estimates of population si1e is not patterned on scientific research
or thesis so inconsistencies may or may not appear and can be attributed to
sample si1e of respondents per se!
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I ' CO&&UNIT( )ROFILE
A* Desc$i%tion
.ooking back through the years, 8igmoto, situated on the eastern part of
Catanduanes, is /B kilometers to 7aras on the south, and A9 kilometers to
iga on the north, and could be reached by all passing the circumferential
road! &he place $as formerly, a forestall area $here hunters of $ild animals
used to roam and encamp! &hese hunters made some clearings $hich
became the nucleus of the early settlement in 8igmoto! &hen it became a
sitio of 7ato! - fe$ years before the close of the panish era, scores of
immigration of people from 7aras, 7ato and irac settled in this place! &hus
making 8igmoto the biggest barrio of the municipality of 7aras!
8igmoto has no records of its pre%historic period because it $as only
from =BB9 to the early part of the -merican era that the civili1ation of the
place begun! 8igmoto $as later separated from 7aras and made an
independent municipality and inaugurated as such on ?ay =9, =9=, to
$hich land territory $as included the barrios or barangays of 5ororian and
7iong, $hich $ere formerly, the barrios of 7aras on the north, and for
icente, ioron and icmil $hich $ere formerly, the barrios of iga on the
south! -lso added is barangay an ;edro in the hinterland! &he poblacion$as divided into three municipal districts: barangay district =, / and
ioron is a sleepy, $inds$ept and desolate barangay deserted by its
$ell%off residents $ho settled else$here for better fortune! ioron is lying
bet$een the coastline and steep mountain ridges al$ays eposed to the fury
of the ;acific Ocean and the ha1ards of landslide at time stormy $eather
occurs! &his barangay is around si kilometers or more from the poblacion of
8igmoto and can be reached by passing the rough dirty road, and by the sea
in motori1ed boat! &he lo$ly inhabitants live by means of simple farming
and fishing!
8igmoto continues to soar as the third millennium approaches! 7ut $hen
several destructive super%typhoons hit the locality in =9, then in =B!
-nd on the succeeding years the road became hardly passable -t such
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only in this latter part of the year that greater improvements of the road
being undertaken!
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II+ )O)ULATION
A* Total )o%ulation of the Ba$anggay
@B9 is the total population of ioron to $hich it has =@A households
as of Duly, /0=/
B* Total nume$ of household su$"eyed
/0 households
C* Se, Ratio-
No! of ?ales
'ormula: 3 %%%%%%%%%%%%%%%%%%%%%%% F =00>
No! of 'emales
3 9@ + 9= F =00>
3 =!=/ F =00>
Sex Ratio = 112
"nterpretation:
&he se ratio is ==/! &his suggests that in every =00 females there are
==/ males! &he population of males in this baranggay is higher than the
females!
D* Age and Se, Dist$iution
&able /!=
Age Bracket Female MaleFrequency % Frequency %
6nder = A /!B> / /!0>=%9 @ G!9> == =0!/>
G%=0 B!0> G 9!G>
==%= 9 !G> A!@>=G%/0 A!@> @ G!9>/=%/9 =!9> 9 !G>/G%A0 A /!B> A!@>A=%A9 A /!B> A /!B>AG%0 / =!9> / =!9>=%9 / =!9> A /!B>G%90 / =!9> A /!B>9=%99 / =!9> A /!B>9G%G0 = =!/> = =!/>G=%G = =!/> = =!/>
-bove G9 A /!B> / =!9>&otal 9= @!> 9@ 9A!/>
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3
79
54 4 3 3 2 2 2 2 1 1 3
0
2
4
6
8
10
12
Less
tha 1
y/o
6-10
y/o
15-20
y/o
26-30
y/o
36-40
y/o
46-50
y/o
56-60
y/o
65
y/o&
above
Male
Male
Female
than the female! -s they gro$ older, the number of males is almost
e2uivalent to the number of females! .ater in their lives, especially in the
age bracket of more than G9 y+o, female population is already higher than
males! &his can be attributed to the nature of $ork and more on the lifestyle
to $hich more population of males are indulged in unhealthy habits of
smoking and drinking alcohol compared to females!
Graphical Preentation o! Age an" Sex #itri$ution
Chart /!=
III+ ECONO&IC INDICES
A #epen"ency ratio
No! of pop! 0%= y+o I G9 y+o above
'ormula: 53 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% =00>
No! of population of =9 J G y+o
53 9/ + 9G F =00>
53 0!A F =00>
#epen"ency Ratio& '(%
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5ependency ratio reflects the proportion bet$een the dependent
population (those $ith ages 0%= y+o and G9 y+o and above) and labor
population $hich includes ages from =9%G y+o! - dependency ratio of 9> is
high, meaning the labor population of the 7aranggay ioron must $ork
harder to earn more for the upbringing of the children, daily finances of the
family and also for the health related ependitures of the aged population!
B* Occu%ational Status
&able A!=
're2uency >8overnment Employee = /!9>
'isherman 9 =/!9>'armer =0>
7oth fishing and farming =0 /9>.aborer / 9>7usiness = /!9>
House$ife @ =@!9>&O&-. 0 =00>
&able A!= sho$s the occupation of parents! &his study revealed that
most of the households rely in both farming and fishing to earn for a living
$hich comprises /9> of the total occupational status! 'ishing alone
comprises =/!9>, farming alone comprises =0>, laborer is 9>, those
employed in the government and $ith business establishment each comprise
/!9> and the remaining =@!9> is comprised by plain house$ives!
#$a%hical $e%$esentation of the Occu%ational Status
8raph A!=
3%
17%
13%
7%
3%
23%
Govermet !m"loyee
F#sherma
Farmer
F#sh#$ & Farm#$
Laborer
s#ess
'ose(#)e
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) A*erage Monthly +ncome
&able A!/
A*erage Monthly +ncome Frequency %.ess than 900 0 0
=,00= J 9,000 =/ G0>9,00= J =0,000 G A0>=0,00= J =9,000 = 9>=9,00= -bove = 9>
&O&-. /0 =00>"nterpretation and analysis:
&he data above (&able A!/) sho$s the average monthly income of the
family! &o $hich G0> of the households has an average income that ranges
from =00=%9000 pesos per month! A0> of the sample population earns
monthly income that ranges from 9,00=%=0,000 pesos! While there are also
households $ith average monthly income that ranges from =0,00=%=9,000
pesos and =9,00=%/0,000 each comprise 9> of the respondents! Having
these data, $e can safely assume that most of the families are not capable
of sending their children even to secondary education and more so to
college! &his is no surprise, ioron is more or less 9%Gkm a$ay from the to$n
and you need 90pesos for each person to go back and forth! &hat#s is $hy
many of them $ould rather spend their money for purchasing medicinesthan go to 3H6 and $ill 4ust receive G tablets of paracetamol or -&7#s! &his
small amount of monthly income may only suffice their most primary needs
like food and shelter!
Graphical repreentation o! the A*erage Monthly +ncome
8raph A!/
0%
10%
20%
30%
40%
50%
60%
* 500+h"
1,001-5,000+h"
5,001-10,000+h"
10,001-15,000+h"
15,001-20,000+h"
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000%
500%
1000%
1500%
2000%
2500%
3000%
3500%
4000%
4500%
5000%
Father Mother oth Fam#ly
Members
.elat#ves
+rov#/ers
&able A!A
;rovider
're2uency
>
'ather =/ G!/
?other 0 07oth 'ather and ?other @ /G!
'amily ?embers 9 =!/3elatives / @!@&O&-. /G =00>
"nterpretation and analysis:
&he table above gives us the idea that still, it#s the father $ho provides
most of their daily needs $hich comprises G!/>! 'amily members represent
the big sisters or big brothers of the family comprising =!/>! &here are fe$
households $ho belong to an etended type of family, so it#s not surprising
to see that @!@> is provided by otherrelatives!
Graphical preentation o! percentage o! Family mem$er that
pro*i"e !inancially8raph A!A
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+,- S.)+.-)/0/RA0 +#+)3S
A 0iteracy Rate
No! of pop! B y+o above $hom can read and
$rite
'ormula: .3 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
=00>
&otal No! of pop! B years and above
.3 G=+G F =00>
.3 0!BB F =00>
0iteracy rate i = 44%
"nterpretation and analysis:
.iteracy rate reflects the capability of the population $ho can both
read and $rite! 3eading is not only confined in articulating the $ords but
more especially it about comprehending $hat you have read! - literacy rate
of BB> is not bad for a far%flung community like ioron!
B 3"ucational Attainment
3"ucational attainment o! parent!
&able !=
Educational -ttainment ' >College 8raduate = /!9
College 6ndergraduate = /!9
High chool 8raduate == /@!9High chool 6ndergraduate //!9Elementary 8raduate =/ A0
Elementary 6ndergraduate G =9&O&-. 0 =00>
&able != sho$s the educational attainment of parents! &his study
revealed that most parents are at least elementary graduate $hich
comprises A0>, high school graduate /@!9>, high schoolundergraduate //!9>, elementary undergraduate =9> and, college
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ioron! ?ost of them $ould like their children be sent to school, but it
is difficult for the family since their monthly income is 4ust enough for
food! 7ut there are some very dedicated students $ho are $alking 4ust
to go to high school! &hey don#t care about the burning heat of the sun
or even by the distance that they are going to travel for as long as they
can continue studying!
Graphical preentation o! 3"ucational Attainment
Chart !=
15%
30%
2250%
2750%
250% 250%
!lemetary er$ra
!lemetary Gra
'#$h hool er$ra
'#$h hool Gra
olle$e er$ra
olle$e Gra
) Religion
&able !/
Religiou A!!iliation
Frequency
%
3oman Catholic /0 =00"glesia ni Cristo 0 0
7orn -gain 0 0;rotestant 0 0
&O&-. /0 =00>
+nterpretation an" analyi&
-s $e can see, all of the respondents are 3oman Catholic! ;eople inioron are very religious, there is also a small church that is situated near
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# 5ouing
1 .6nerhip
&able !A
&ype of O$nership f >
O$ned =B 03ented 0 0hared / =0Others 0 0&O&-. /0 =00>
2 ype o! Built
&able !
f >
Wood 97amboo @ A9Concrete = 9
Others ( emi%Concrete) / =0&O&-. /0 =00>
( ype
&able !9
f >trong /0.ight =G B0
?ake hift 0 0&O&-. /0 =00>
7 0ighting Facilitie
&able !G
f >Electric = @0>
Kerosene G A0>Others 0 O&O&-. /0 =00>
8 9itchen: )ooking Facilitie
&able !@
f >Electric tove 0 0>8as tove / B!A>
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+nterpretation an" analyi&
&able !A sho$s the o$nership! &he data revealed that 0> of the
households o$n their houses, =0> is shared, and rented is 0>!
&able ! sho$s type of built! &he materials used in building the
house! &he data above sho$s that 9> of the houses are made up
of $ood, houses made from bamboo is A9>, semi%concrete 9>, and
concrete is 9> also!
&able !9 sho$s type of the house! &his study revealed that B0> of
the houses can be considered to light and /0> of the houses can be
considered strong!
&able !G sho$s the lighting facilities! &his revealed that @0> of the
household respondents uses electricity and the remaining A0> uses
kerosene!
&able !@ sho$s the kitchen! &he data sho$ that most of the
respondents uses fire$ood for cooking $hich comprises @!/>,
charcoal =/!9>, gas stove B!A>, $hile none of the respondents use
electric stove!
With the follo$ing data at hand, most of the respondents don#t spend
much for the construction, maintenance and daily operational epenses of
their house, such that most of the households are o$ned, B0> of $hich are
made from light materials ($ood and bamboo) and most of the respondents
uses fire$ood to cook for their food! -ll of these predominantly eistinghousing conditions suggest that the respondents are not likely to invest their
money to strengthen their houses and not likely to have the luury of using
gas stove for cooking but rather use the money for their primary need, $hich
is food! &hey $ould rather be tired of aing fire$ood than to use gas stoves!
ioron is bounded by the ;acific Ocean in East and on its $estern part
is mountainous! &he area is at risks for storm surges, earth2uakes, possible
tsunami and landslides! -dded to the fact that B0> of the houses are builtfrom light materials, $e can conclude that $hen any of the above calamities
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G! 9in" o! Family
&able !B
' >Nuclear 'amily =B 0
Etended 'amily / =0ingle ;arent 'amily 0 0
7lended 'amily O 0&O&-. /0 =00>
&able !B sho$s the kind of family! &his data revealed that most of the
family is of nuclear type $hich comprises 0> and the remaining =0>
is an etended type of family!
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,- 3,+R.M3A0 +#+)3S
A Source o! 6ater upply
&able 9!=
ource f >
;iped in 0 0Communal = A!B3iver+ .ake = A!B5eep $ell A !A
-rtesian Well = A!=Others 0 0&O&-. A/ =00>
Graphical preentation o! ource o! 6ater upplyChart 9!=
0
2
4
6
8
10
12
14
Freey
+#"e #
rtes#a (ell
ee" (ell
lae/r#ver
ommal
+nterpretation an" analyi&
&able 9!= and graph 9!= give us the idea $ith regards to the sources of
$ater supply for drinking, for cooking, for bathing and other personal use of
$ater! -s $e can see most of the respondents get their $ater supply from
lake+river and communal sources $hich comprises A!B> each of them!
ome resorted to deep $ell, comprising !A> $hile others to artesian $ell
$hich is about A!=> of the total respondents! Categorically speaking,
sources of $ater supply are predominantly type = and type /, very high risk
for contamination since no $ater treatment plant eists to protect the
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&able 9!/
&ype f >Open pit privy 0 0Close pit privy A =9
'lush &ype 0 0Water%sealed latrine @ A9
;ail ystem = 9None 9
&O&-. /0 =00>
Graphical preentation o! toilet type
Chart 9!/
0% 10% 20% 30% 40% 50%
+ereta$e
oe
"a#l system
(ater seale latr#e
)lsh ty"e
lose "#t "r#vy
o"e "#t "r#vy
+nterpretation an" analyi&
&able 9!/ sho$s the kind of toilet being used! &he data collected
revealed that there is a high number families $ithout toilet, comprising
9> of the total respondents! &he remaining 99> or those $ith toilet
are further subdivided or specified into $ater J sealed latrine $hich is
A9>, close pit privy =9>, pail system 9>, and flush type and open pit
privy 0>! Number of households $ithout toilet here is significant
enough to start an outbreak of diarrheal cases, $orsen by the fact that
there is no treatment plant available to maintain the source of drinking
supply!
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) ;ate #ipoal
1 )ontainer
&able 9!A
&ype of Container f >
Covered 0 0Open = @!=
Others (acks) =G!@None = !/
&O&-. / =00>
/! Metho" o! #ipoal
&able 9!
f >
Collected 0 07urial in ;it 0 0Composting = /!@
7urning =@ 9!Open 5umping = 9=!
Waste egregation 0 0&O&-. A@ =00>
# #ometic Animal
&able 9!9
-nimals f >5og =A AA!ACat =0 /9!G;ig =0!A
Chicken =/ A0!B&O&-. A =00>
+nterpretation an" analyi&
&able 9!A sho$s the $aste disposal using container! &his study
revealed that open container @!=>, using sack =G!@>, $ithout
container !/> and covered container 0>!
&able 9! sho$s the method of $aste disposal! &his study revealed
that open dumping 9=!>, burning 9!>, composting /!@>, $ater
segregation and collected and burial in pit 0>!
&able 9!9 sho$s the kind of animals found in the house! &his study
revealed that dog
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&he finding as above stipulated lead the interpretation that the barangay
or community has no proper $aste disposal, thus implying that their daily
taken food are open and easily contaminated by vectors or disease% carriers
as flies, cockroaches that use to settle on food and due to contact $ith
garbage and domestic animals as cat and dog usually fre2uenting places
open to $aste disposal!
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,+- .EALT. )ROFILE/INDICES
1 Foo" Storage Practice
&able G!=
&ype of torage f >
7ag 7asket =B 03efrigerator = 9
Cupboard $ith creen = 9&O&-. /0 =00>
2 +n!ant Fee"ing Practice
&able G!/
f >7reastfeeding =9 @97ottle 'eeding 0 0?ied 'eeding 9 /9
&O&-. /0 =00>
(+mmuniComplete @9
"ncomplete A /9&O&-. =/ =00>
&able G!= sho$s ho$ food are kept and stored! &his study revealed
that bag basket 0>, refrigerator 9>, and cupboard $ith screen 9>!
&able G!/ sho$s the infant feeding practices! &his study revealed that
breastfeeding @9>, mied feeding /9>!
&able G!A sho$s immuni1ation to their under =0 years old children! &his
study revealed that complete immuni1ation @9>, incomplete
immuni1ation /9>!
&he finding pertaining to health profile has been interpreted that
the food storage or ho$ food are being kept and stored in the
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are not fully imparted kno$ledge on the very significance and
advantages of breastfeeding! &hat not all mothers submit their children
for immuni1ation due to fear of the slight fever, $hich is the first effect
of vaccine in the body! &hat the parents, both father and mother are
$orking and could not able to attend the monthly immuni1ation in the
barangay, by $hich resulted on the failure to kno$ or understand the
importance of complete immuni1ation to their children!
7 5ealth Reource : Facilitie
&able G!
Health 3esources + 'acilities f >
5istrict Hospital /0>Health Center =0 90>
7arangay Health tation G G0>&O&-. /0 =00>
Pie graph o! health Reource :Facilitie
Chart G!=
'ealth
eter
50%
'30%
6#str#t
'os"#tal
20%
"nterpretation and -nalysis:
-ccording to the data above (table G!), 90> of the total respondents
prefer to have their check up in the 3H6#s, $hile A0> prefers to $ait until
the health care provider visit the baranggay health stations and the
remaining /0> prefers to visit the 5istrict hospital! 'actors that affect their
choice of health facility are the availability of the physician and the
availability of free medicines! &hat#s $hy, much of the population seek the
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&able G!9
f >7arangay Health tation /0 /9
chool /0 /9?arket 0 0
;ark (;la1a) /0 /9Others (Church) /0 /9
&O&-. B0 =00>
"nterpretation and -nalysis:
-ccording to the data above (table G!), 90> of the total respondents
prefer to have their check up in the 3H6#s, $hile A0> prefers to $ait until
the health care provider visit the baranggay health stations and the
remaining /0> prefers to visit the 5istrict hospital! 'actors that affect their
choice of health facility are the availability of the physician and the
availability of free medicines! &hat#s $hy, much of the population seek the
services of the 3H6!
5ealth Seeking Beha*ior
Firt peron conulte" in time o! illne
&able G!G f >
5octor =0 90Nurse 0 0
?id$ives 0 0Hilot / =0
-lbularyo B 0&O&-. /0 =00>
2 Birth Atten"ance
&able G!@
f >5octor 9 /9Nurse 0 0
?id$ives 0 0Hilot =9 @9
-lbularyo 0 0&O&-. /0 =00>
&able G!G sho$s the first person consulted in times of illness! &he datarevealed that 90> of the respondents seek the services of physician
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&able G!@ sho$s the person attending birth delivery to pregnant
mother! &his study revealed that hilot @9>, doctor /9>, nurse 0>,
mid$ives and hilot 0>!
&he finding hinted the interpretation that the people in the barangay
still seek and consult the albularyo due to lack of financial means, they
being al$ays at $ork and the condition of the road and the distance of
the barangay to available health center or hospital 2uite far that needs
considerable amount of time and money for medication or uncertainty
available health care provider in the center! &hat being poor, attendant
to pregnant mothers and birth delivery are still hilot!
A! Frequency o! )onultation
&able G!B
;rofessional Health
Worker
ervice type 're2uency
;ublic ;rivate 're2uent eldom "f Needed
f > f > f > f > f >5octor /0 AA!A 0 0 0 0 == B!G =!/
Nurse /0 AA!A 0 0 0 0 = @!@ = 0!?id$ives /0 AA!A 0 0 0 0 = @!@ = 0!
&O&-. G0 =00
>
0 0 0 0 =A =00
>
@ =00
>
&able G!B sho$s the fre2uency of consultation and service preferences!
&his study revealed that the public type doctor, nurse and mid$ives
=00> and private doctor, nurse, and mid$ives 0>! ;ublic doctor,
nurse, mid$ives fre2uent consultation 0>,
public doctor seldom consultation B!G>, public nurse and mid$ives
seldom consultation @!@>! ;ublic doctor if needed for consultation
=!/>, public nurse and mid$ives if needed consultation 0!>!
&he finding interpreted the fre2uency of consultation $ith the doctor is
very rare and as seldom as the check up on health problem! &healbularyo is most preferred on such cases, and only $hen consultation
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1 A6arene in Family Planning
&able G!
f >Les 9
No == 99&O&-. /0 =00>
/ Fa*or !or Family Planning
&able G!=0
f >Les == 99No 9
&O&-. /0 =00>
Metho" o! Family Planning:)ontracepti*e
&able G!==
?ethods 6sed f >"65 0 0
asectomy 0 0;ills B 0
&ubal .igation 0 0Condom 0 0
Calendar ?ethod / =0Withdra$al 9 /9
Others (None) 9 /9&O&-. /0 =00>
Graphical preentation o! Metho" o! !amily planning
Chart G!/
15%
20%
25%
30%
35%
40%
asetomy
+#lls
:bal L#$at#o
oom
alear Metho
;#thra(al
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4 M.RB+#+? #AA .F BRG? S+.R. G+GM..@ )AA#/A3S@
2>-212
.P 1 03A#+G )A/S3S .F M.RB+#+?
)A/S3S
-3"+-63"Hypertension
8astritiskin disease
&uberculosis;nuemonia+Cap
ertigo
5iarrheaOtitis ?edia
3heumatoid -rthritis+Osteoarthritis
' M.RA0+? #AA .F BRG? S+.R. G+GM..@ )AA#/A3S@
2>-212
.P 1 03A#+G )A/S3S .F M.RA0+?
)A/S3S 21/MB3R RA3
C- / 90Hypothermia = /9
8eriatric 5ebility = /9&O&-. =00>
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,+ ).)0/S+.
7ased on my personal observation and data gathered during survey! "
$as identified the basic primary needs of the community like portable $ater
supply, proper nutrition of the family, education, hygiene and sanitation,
toilet, proper $aste disposal $hich in its absence, bring about health
problems and disease% carrying insects and $ater supply might be
contaminated by human ecreta, respiratory disease and close%contact
transmitted disease as in the case of the poor $ith small house but $ith big
number of members are easily transmitted to each family members! .o$
income of the family that is related to their lo$ level of education be
addressed to the concerned authority!
, PR.B03M +#3+F+3#
=! 6nsafe $ater supply
/! "mproper $aste disposal
A! Numerous family $ithout toilet! .o$ level of education and insufficient income to sustain family needs!
9! 7irth attending practice by merely resorting to hilot
G! Hygiene of the family and environmental sanitation
,+ R3).MM3#A+.
=! Construction of public toilet nearest to those families $ithout toilet, each
compartment to be shared by / to A families to facilitate management of its
cleanliness and maintenance!
/! Construction of $ater pump and or deep $ell to be regularly eamined by the
sanitation inspector to ascertain cleanliness and its safe use!
A! 7arangay officials need to coordinate other government agency+N8O for
livelihood programs and pro4ects that $ould generate income of its
constituents in the barangay!
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9! &o stress on the right manner of coughing and fre2uent hand $ashing to
prevent spread or contact $ith transferable diseases!
G! 'amilies $ith lo$ income should be accordingly persuaded on the importance
and advantages of the family planning scheme!
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ample Muestionnaire 6sed
3egistered Nurses for Health Enhancement and .ocal ervice
8igmoto, Catanduanes
CO??6N"&L 5"-8NO" (Home isit)
'amily Number:
urvey 7y:
'amily Head:
5ate:
-ddress:
"!'-?".L HO6EHO.5 5-&-
-! Number of 'amily ?embers:
7! ?embership and Characteristics:
No
!
N-?E
('rom
;arent
toChildre
n and
Other
?embe
r)
-g
e
Civil
tat
us
e
'ami
ly
3ole
Educatio
nal
-ttainment
.3
Occupati
on
3eligi
onL N
3emarks:
""! ECONO?"C, EN"3O?EN&-. "N5"C-&O3
-! ECONO?"C "&6-&"ON
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7oth 'ather and?other
Others pls! specify
/! What kind of family do you belong
Nuclear 'amily Etended 'amily
ingle ;arent 'amily 7lended 'amily
A! ?onthly "ncome
.ess than ;900 ;=,00= J ;9,000 ;900= J ;=0,000 ;=0,00= J ;=9,000 ;=9,00= J -bove Others, pls! specify
! Housing condition
a! O$nership
O$ned 3ented hared Others, pls! pecify
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b! &ype of 7uilt
Wood 7amboo
Concrete Others, pls! specify
c! &ype
trong .ight ?ake hift.ighting 'acilities
Electric Kerosene Others, pls! pecify
d! Kitchen+ Cooking facilities
Electric tove 8as tove 'ire$ood Charcoal Other, pls! pecify
7! EN"3O?EN&-. "N5"C-&O3
=! ource of $ater supply
;iped in Communal
3iver+ .ake
5eep $ell -rtesian Well
Others, pls! specify/! &oilet
Open pit privy Closed pit privy
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'lush &ype Water%sealed latrine ;ail system
7alot system None
A! Waste 5isposal
A!= 3efuse and 8arbage
a! Container:
Covered
Open Others, pls! pecify
b! ?ethod of 5isposal
Collected 7urial in pit Composting 7urning
Open dumping Waste egregation Others, pls! pecify
! 5omestic -nimals
5og Cat ;ig
Chicken ;ig Others, pls! pecify
C! HE-.&H ;3O'".E
=! 'ood torage
7ag 7askets 3efrigerator
Cupboard $ith screen Others, pls! pecify
/! "nfant 'eeding ;ractices
a! 7reastfeeding
b! 7ottle 'eeding
Evaporated Condensed
;o$dered
c! ?ied 'eeding (7reastfeeding and bottle feeding)
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