I. INTRODUCTION

Community Health and Nursing Services has long been in the forefront in

educating the Filipino on basic health care and in providing access to health

services for vulnerable groups and communities. The beneficiaries of the

program include children, the elderly, pregnant and breastfeeding mothers and

persons with disabilities.

The main purpose of Community Health and Nursing Services is the

improvement and sustainability of the health situation of the most vulnerable

individuals and communities eventually making them self-sufficient in health

care through cooperation with LGUs and community members themselves.

A community is a social unit wherein we find transactions as a common

life among the people who compose the unit. It is a group of people sharing

common geographic boundaries and common values and interest.

Community is considered as the primary client because it has direct

influence on health of the people. Most service provision occurs in the

community. It is also in the community where the need for health care and

protection occur.

PURPOSE

The RN HEALS Trainee considered Barangay. Salawad Cabucgayan, Biliran

as their primary client in community diagnosis.

The purpose of the researchers is to alleviate the community’s health

problems. This can be done by determining the current health status of the

community in order for the people to achieve optimum health. With the use of

survey tools, the researchers were able to collect both qualitative and

quantitative data of the Barangay which serve as the guide of the researchers in

conducting a situational analysis of the locality and its people.

The researchers were very optimistic that through this study they will be

able to assist the community in determining and developing measures that will

enable the local residents to overcome the various impediments to their

achievement of good health and general well-being in the community.

STATEMENT OF OBJECTIVES

GENERAL OBJECTIVE

After conducting a community diagnosis at Brgy. Salawad, we will be able

to identify and inform the community people about the existing health problems

in their community and proposed health programs so that the local residents will

become responsible for their own health well-being and attain an optimum

health which every individual rightfully deserves as well as the nature and

causes of the diagnosed problem.

SPECIFIC OBJECTIVE

To be able to determine pre-existing and existing health problems of

the community.

To be able to help the people use their potential resources to alleviate

their health status.

To be able to give recommendations regarding the identified

problems of the community.

To be able to identify management and interventions that will

solve the problems on health.

METHODOLOGY AND TOOL USED

During the entire exposure to Brgy. Salawad, a survey tool was used to

select the actual respondents. The researchers used saturation method, wherein

several groups was deployed to conduct house to house survey. the researchers

used a modified survey form for a one –on- one interview in the said community.

The current health problem of the community and families was identified with

the use of evaluation tool.

SIGNIFICANCE OF THE STUDY

The findings of the study will be of great significance to the residents of

Barangay Salawad Cabucgayan, Biliran. This is because data to be gathered in

this study will help establish baseline data of the health status of the same

barangay. The information derived from the community diagnosis includes the

interpretations, analyses, and presentations of the corresponding health

implications of all the relevant data gathered and information about the

interacting elements existing in their community which can either directly or

indirectly affect their health. Thus, this study will elevate the residents’

awareness to their current health conditions and ultimately further enhance their

knowledge about health, for them to adopt necessary adjustments in solving and

coping up with their health problems for their attainment of a generally desirable

health and well-being as a people.

II. TARGET COMMUNITY PROFILE

Brgy . Salawad

Brgy. Salawad is one of the thirteen barangays of the municipality of

Cabucgayan, Biliran Province. Having a total land area of 120 hectares with a

population of 709 inhabitants, it is a little far away distance from the sea

shore.The barangay site is located at the upper plane top side, atop of the hill

and more than 200 feet above sea level. To reach the place, we have to go up;

hence it was called “Salawad” in the vernacular dialect.

Barangay Salawad is 9.5 kilometers away from the municipality of

Cabucgayan and going to this place, we have to pass the national highway on

elevated higher route. We could see many coconut trees and banana plantation

which are the principal products of the place. This barangay was created by the

folks in June 24, 1948 and celebrating its patron saint, Saint John the Baptist

every June 24.

It was legalized as registered charter barangay in 1960 by the first

officials.

ORGANIZATIONAL STRUCTURE

GEOGRAPHICAL LOCATION AND DISTRIBUTION

Total Land Area:`189.222 square meters

Distance From :

o Municipality of Cabucgayan : 9.5 km.o Sea Shore : 200 ft. above sea level

Terrain Characteristics:

Plateau Road Network :

Rough road Bridge :

Wood

III.DATA PRESENTATION

1. DEMOGRAPHIC PROFILE

Table 1.1 Total populations

Criteria Actual PercentageMale 348 49%Female 361 51%Total Population 709 100%

The figure above shows the total population of Barangay Salawad. 51% are female while 49% are males.

49%51%

Total Population

MaleFemale

Table 1.2 POPULATION BY AGE GROUP

AGE GROUP MALE FEMALE BOTH SEXES

< 1 YR OLD 14 16 301- 4 YEARS OLD 54 52 1065-9 YEARS OLD 54 54 10810-14 YEARS OLD 42 46 8815-19 YEARS OLD 37 38 7520-24 YEARS OLD 29 32 6125-29 YEARS OLD 26 24 5030-34 YEARS OLD 15 26 4135-39 YEARS OLD 17 17 3440-44 YEARS OLD 16 12 2845-49 YEARS OLD 11 12 2350-54 YEARS OLD 10 9 1955-59 YEARS OLD 8 8 1660-64 YEARS OLD 7 5 1265-69 YEARS OLD 3 5 870 YEARS OLD AND ABOVE

5 5 10

4%

16%

16%

12%

11%

8%

7%

4%

5%

5%

3%3%

2% 2%1% 1%

< 1 YR OLD1- 4 YEARS OLD5-9 YEARS OLD10-14 YEARS OLD15-19 YEARS OLD20-24 YEARS OLD25-29 YEARS OLD30-34 YEARS OLD35-39 YEARS OLD40-44 YEARS OLD45-49 YEARS OLD50-54 YEARS OLD55-59 YEARS OLD60-64 YEARS OLD65-69 YEARS OLD70 YEARS OLD AND ABOVE

The figure above shows that 16% of the total population of Barangay Salawad belongs to 5-9 years old age group and 1-4 years old age group.

2. SOCIO ECONOMIC PROFILE

TABLE 2.1 TYPE OF FAMILY STRUCTURE

EXTENDED 5NUCLEAR 88MATRIARCHAL 5PATRIARCHAL 3

5%

87%

5%3%

EXTENDEDNUCLEARMATRIARCHALPATRIARCHAL

The figure above shows that 87% of the residents in Barangay Salawad have nuclear type of family structure.5% is are extended and matriarchal while 3% are extended type of family structure.

TABLE 2.2 RELIGION

RELIGION ACTUAL NO. PERCENTAGE

ROMAN CATHOLIC 97 96%OTHERS (SDA,BORN AGAIN CHRISTIAN

4 4%

96%

4%

RELIGION

ROMAN CATHOLICOTHERS (SDA,BORN AGAIN CHRISTIAN

Most of the residents of Barangay Salawad are Christians. The Religion in this barangay is dominated by Roman Catholic there are 96% and on the other hand other religion has 4% which is composed of Seventh Day Adventist and Born Again Christian.

This clearly establishes the fact that a great majority of Filipinos are Roman Catholics. Their siblings will most likely be also remaining Christians. The Philippines was colonized by Spaniards and this is the reason why majority of the people in our country are Roman Catholics.

TABLE 2.3 OCCUPATIONAL STATUS / SOURCE OF INCOME

OCCUPATION ACTUAL NO. PERCENTAGENO OCCUPATION 26 25.74%DRIVER 5 4.95%LABORER (CARPENTER,HELPER)

20 19.80%

OFW (SEAMAN,DH) 5 4.95%GOVERNMENT EMPLOYEE 15 14.85%FARMER 30 29.70%

25.74%

4.95%

19.80%

4.95%

14.85%

29.70%

OCCUPATIONAL STATUSNO OCCUPATION DRIVER LABOREROFW GOVERNMENT EMPLOYEE FARMER

The figure above shows that the main livelihood and source of income is farming and some others are working as laborer, OFW’s, Gov’t. Employee, drivers. It also shows that 25.74% of the populations are unemployed.

TABLE 2.4 MONTHLY FAMILY INCOMES

INCOME ACTUAL NO. PERCENTAGEPHP BELOW 5,000 30 29.70%PHP 5,000-10,000 25 24.75%PHP 10,000-20,000 15 14.85%PHP 20,000 ABOVE 5 4.95%NO FIX INCOME 26 25.74%

PHP BELOW 5,000PHP 5,000-10,000

PHP 10,000-20,000 PHP 20,000

ABOVE NO FIX INCOME

0

5

10

15

20

25

3029.7%

24.75%

14.85%

4.95%

25.74%

Most of the families that were surveyed have only the income ranging from five thousand

below, which is 29.7 percent. There are only few families that have an income of twenty thousand

which is 4.95 percent while 25.74 percent have no fix incomes.

3.ENVIRONMENTAL PROFILE

TABLE 3.1 SOURCE OF WATER SUPPLY

LEVEL 1 1LEVEL 2 17LEVEL 3 83

*LEVEL 1 – from the source*LEVEL 2 – communal*LEVEL 3 – owned

1%

17%

82%

LEVEL 1LEVEL 2LEVEL 3

The figure above shows that 82 percent of the total number of household has level 3 source of water supply. 17 percent are level 2 and 1 percent are those water from the source.

TABLE 3.2 CONTAINERS USED

BOTTLES 20JARS,WATER JAG 30PAILS,DRUMS 15PLASTIC PITCHER,PLASTIC CONTAINER 36

The table shows that most of the families used plastic pitcher and plastic container for water storage.

TABLE 3.3 ELECTRICAL SUPPLY

KEROSENE 10ELECTRIC POWER 91

The table shows that almost all of the household have electric power while the others use kerosene to light their house during the night.

TABLE 3.4 GARBAGE DISPOSAL

BURNED 10COMPOST PIT 6OPEN DUMPING 85

Figure 3.4 above shows that 84% of the residents of Barangay Salawad disposes their garbage by open dumping while 10% of the residents prefer to burn their garbage and the rest 6% make a compost pit

TABLE 3.5 TOILET FACILITIES

HOUSEHOLD WITH TOILET 90HOUSEHOLD WITHOUT TOILET 11

10%

6%

84%

BURNEDCOMPOST PITOPEN DUMPING

HOUSEHOLD WITH TOILET

HOUSEHOLD WITHOUT TOILET

0

10

20

30

40

50

60

70

80

90

89.11%

10.89%

The figure above shows that the number of household with toilet has 89.11% and number of household without toilet has 10.89%.

COMMUNITY FACILITIES AND RESOURCES

TRANSPORT FACILITIES

MOTORCYCLE 10VAN 2OTHERS (BUS, JEEP) 2

The community of Brgy. Salawad mostly utilizes motorcycle as a means of transportation, while vans, buses and jeepneys are rarely utilized.

HEALTH AND SOCIAL FACILITIES

BHS 1ELEMENTARY SCHOOL 1ROMAN CATHOLIC CHAPEL 1BASKETBALL COURT 1SARI-SARI STORE 9

The community are aware of these different health and social facilities available in their community.

4. HEALTH INDICATORS

4.1 IMMUNIZATION STATUS

ELIGIBLE POPULATION : 19

INDICATORS NUMBER OF CHILDREN GIVENBCG 4OPV1 8OPV2 9OPV3 9DPT1 8DPT2 9DPT3 9HEPA1 7HEPA2 9HEPA3 11MEASLES 10

Out of 19 eligible populations, there are only 10 children who were fully immunized.

EPI AND BREASTFEEDING REPORT

FULLY IMMUNIZED CHILDREN 9-11 MOS

INFANTS SEEN AT 4TH MONTH

9.4

9.6

9.8

10

10.2

10.4

10.6

10.8

11

10

11 11

10

The figure above shows that there are 10 children aged 9-11 months who were fully immunized, and there are 10 infants who are exclusively breastfeed up to 4th month. There are 11 infants given 3rd dose of HEPA B, and 11 infants seen at 4th month.

HEALTH NUTRITIONAL PROFILE AS OF YEAR 2010

TOTAL NO. OF ENROLLED SCHOOL CHILDREN

NORMAL BELOW NORMALABOVE

NORMAL

72

B G TOTAL

B G TOTAL

B G TOTAL

24 31 55 7 9 16 1 0 1

The table above shows that out of 72 total population of school children, 55 has normal weights, 16 are underweight and 1 is overweight.

HEALTH NUTRITIONAL PROFILE AS OF YEAR 2011

TOTAL NO. OF PRESCHOOL CHILDREN

NORMAL BELOW NORMALABOVE

NORMAL

117

B G TOTAL

B G TOTAL

B G TOTAL

21 26 47 5 1 6 0 0 0

The table above shows that out of 117 total population of preschool children, 47 has normal weight, 6 are underweight, 0 overweight.

It shows that the number of underweight children has reduced by the year 2011, which means that there is an improvement on the health nutritional status among the children in Barangay Salawad.

VITAMIN A SUPPLEMENTATION IN THE YEAR 2011

AGE NUMBER GIVEN %6-11 MONTHS 6 60%12-59 MONTHS 60 78%12-71 MONTHS 75 78%

Table above shows that there were 6 (60%) children aged 6-11 months, 60 (78%) aged 12-59 months, and 75 (78%) aged 12-71 months who were given Vitamin A supplementation.

TABLE 4.2 FAMILY PLANNING CURRENT USERS AS OF 2010

METHOD NUMBER OF USERSCONDOM 0INJECTABLE 2IUD 2LAM 2PILLS 1

The data shows that injectable, IUD and LAM method of family planning has the same number of users and there were only 1 user of pills.

29%

29%

29%

14%

CONDOMINJECTABLEIUDLAMPILLS

The figure above shows that there are same number of current users of IUD, LAM, and injectable while there is no current user of condom.

TABLE 4.3 MATERNAL CARE

A. DELIVERIES ATTENDED BY:

DOCTOR 0NURSE 0MIDWIFE 7

The table shows that all deliveries as of the year 2010 were attended by midwife.

B. BY TYPE OF PREGNANCY:

NORMAL PREGNANCY 3RISK PREGNANCY 4

The table shows that there were 3 normal pregnancies and 4 numbers of risk pregnancies as of year 2010.

C. PLACE AND TYPE OF DELIVERIES

NORMAL DELIVERYHOME 1HOSPITAL 0RHU 5BHS 1

The table shows that there is 1 home delivery, 5 in the RHU, and 1 in the BHS.

14%

71%

14%

HOME HOSPITAL RHU BHS

The figure above shows that 72% have normal deliveries at RHU while

14% of deliveries are at BHS and home.

DENTAL CHECK-UP

ONCE A YEAR 11

TWICE A YEAR 10WHEN THERE IS DECAY 50NEVER 30

11%

10%

50%

30%

ONCE A YEARTWICE A YEARWHEN THERE IS DECAYNEVER

The figure above shows that most families in Barangay Salawad have dental check-up when there is decay. 30% said that they never have dental check-up, 10% twice a year and 11% once a year.

LEADING CAUSE OF MORBIDITY AS OF JAN-JUL 2011 (DAILY SERVICE RECORD)

NUMBER RATE1.AURTI 17 2397.742.PUNCTURED WOUND 5 705.223.PNEUMONIA 4 564.174.INFECTIOUS DIARRHEA 3 423.135.HPN 2 282.096.LACERATED WOUND 1 141.047.DM 1 141.048.BRONCHIAL ASTHMA 1 141.049.ANEMIA 1 141.0410.IMPETIGO 1 141.04

The table above shows that the number one cause of morbidity in Barangay Salawad is AURTI with the rate of 2397.74

LEADING CAUSE OF MORTALITY AS OF YEAR 2010

1.PNEUMONIA 12.STAB WOUND 1

The tables above shows that pneumonia and stab wound are the reported causes of mortality in Barangay Salawad as of year 2011.

RANKING OF HEALTH PROBLEMS IN BARANGAY SALAWAD

PRIORITY PROBLEMS NATURE OF PROBLEM1 URTI HEALTH DEFICIT2 UNEMPLOYMENT HEALTH THREAT

3LOW FULLY IMMUNIZED

CHILDREN STATUSHEALTH DEFICIT

411% OF

MALNOURISHED CHILDREN

HEALTH DEFICIT

5

POOR ENVIRONMENTAL SANITATION

A. HOUSEHOLD WITH NO TOILET

B. UNSAFE WATER SUPPLYC. POOR GARBAGE

DISPOSAL

HEALTH THREAT

COMMUNITY DIAGNOSIS

IN

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