Community Diagnosis to San Dionisio

San Juan de Dios Educational Foundation Inc. (College)2772-2774 Roxas Bouleverd Pasay City

A Community Diagnosis of Lim B Compound Manggahan, San Dionisio Paranaque City

In Partial Fulfillment of the course requirement in

Bachelor of Science in Nursing

Submitted by:

Group II- BSN II

Members:

Cabanatan, Julian Christian T.

Due, John Kevin R.

Bautista, Clarissa Dianne T.

Campos, Jonica Z.

Evangelista, Jaeianne Corinne C.

Lomod, Mary Ann Stephany C.

Magsino, Nikka Sandra E.

Mexia, Celyne

Silverio, Ma. Chrissa Joy I.

Tan, Jestin Louise T.

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TABLE OF CONTENTS:

TITLE PAGE 1 ACKNOWLEDGEMENT 4 INTRODUCTION 5RATIONALE 7OBJECTIVES 7METHODOLOGY 8SCOPE AND LIMITATIONS OF STUDY 8

CHAPTER 1: SETTING OF COMMUNITY 10 Boundaries Total population Total land area Physical Features Climate Medium of communication Resources available in community Macro, Micro, Spot map Political leadership

CHAPTER 2: DEMOGRAPHIC INDICES 18 Age, Sex distribution Sex Ratio Civil Status

CHAPTER 3: ECONOMIC INDICES 27 Dependency Ratio Occupation Occupational Status Average income of family per month Priorities of Family

CHAPTER 4: SOCIO- CULTURAL INDICES 38 Literacy Ratio Educational Attainment Religion Place of Origin Length of Residency Type of Housing House Ownership Ventilation Status Type of Lightning Type of Family Type of Family as to Decision Making

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CHAPTER 5: ENVIRONMENTAL INDICES 56 Water Supply Waste Segregation Toilet Facility Toilet Ownership Pet Ownership Garbage Disposal

CHAPTER 6: HEALTH INDEX 70 Food Storage Family Planning

a. Acceptor b. Non- Acceptorc. Defaulter

Infant Feeding Immunization Status Health Seeking Behaviors Source of Health Information Health Care Facility Knowledge on Health Concepts Leading Cause of Mortality Leading Cause of Morbidity

SUMMARY AND CONCLUSION 105PRIORITIZATION OF PROBLEMS 108ACTION PLANS 111RECOMMENDATION 117APPENDICES 118

-Gantt Chart-Letters-Documentation

- Definition of terms

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ACKNOWLEDGEMENT

We, the Group II-BSN2 of SJDEFI Batch 2013 had 2 weeks of community exposure at

Lim Compund, Barangay San Dionisio Parañaque City. We conducted our community

diagnosis and we would like to extend our deepest and warmest gratitude to those people who helped

us in conducting this study:

First, to the Barangay Captain Hon. Pablo Olivarez and to all barangay officials who allowed

us to conduct our research and gave us a warm welcome in their community, also to the President of

the homeowners association and all the barangay health workers who constantly guided us in our

ocular survey and data gathering.

Secondly, to Mrs. Sharon de Jesus RN, MAN and Mrs. Leillosa Tomelden RN, MAN (CHN

Lecturers) who have given us knowledge regarding the principles of Community Health Nursing and

to our respective clinical instructor Mrs. Nedly M. Lozano, RN who is a supportive and enthusiastic

instructor who shared her knowledge and skills for us to finish this matter efficiently.

Third, to our parents and guardians, who guided us throughout our lives and in our journey in

the nursing profession, for their unending patience in our busy schedule especially during the days that

we are finishing the community diagnosis.

Next is to the community Lim Compound, Barangay San Dionisio for giving their cooperation

and effort in the process of the entire research.

And most importantly to our Lord, for giving us his grace and blessing so that we will be able to

conduct this research and be of help minimize or eradicate the problems of the community that could

possibly affect their health.

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INTRODUCTION

A community is a collection of people who share some attributes of their lives

and interact with each other in some ways. They may live in the same locale, attend a

particular church, or even share a particular interest (Mosby’s Medical Dictionary 8 th

edition)

Community diagnosis generally refers to the identification and quantification of

health problems in a community as a whole in terms of mortality and morbidity rates and

ratios, and identification of this correlates for the purpose of defining those at risk or

those in need of health care. It helps in finding the common problems or diseases,

which are troublesome to the people and are easily preventable in the community of Lim

Compound.

Community Health Nursing is a field of nursing that is a blend of primary health

care and nursing practice with public health nursing. The community health nurse

conducts a continuing and comprehensive practice that is preventive, curative, and

rehabilitative. Community Health Nursing focuses on promoting and preserving the

health of population groups. Communities, like individuals and families, are living

entities. As such, the nurse will need to carry out an assessment of this community as

the client.

In a Community diagnosis, we student nurses will collect data about the

community for us to be able to identify the different factors that may directly or indirectly

influence the health of the population of Lim Compound B Barangay San Dionisio,

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Parañaque City. This community diagnosis will be an effective tool in assessing the

community’s health needs.

Lim B compound is considered to be a depressed area in San Dionisio according

to its health center. It was a good place to conduct our community diagnosis because

there could be more existing and preexisting problems that we can assess and identify.

In which through those problems we can make give recommendations and make action

plans.

RATIONALE

Through this study, we will be able to know the condition of the community’s health

status. By the use of the survey forms, we will know the health concerns of the

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community, and for us to come up with particular plans and actions such as to provide

necessary information to prevent the occurrence of health problems, to plan for possible

solution to aid the existing problems and maintain a good quality of life.

This study would help us to identify and prioritize the observed problems in the

community and be able make a plan on minimizing the identified problems.

GENERAL OBJECTIVE

After two weeks of community exposure the students must be able to identify the

direct influence of the community on the health of individual, families and sub-

population, and the condition of the people in the community.

SPECIFIC OBJECTIVES

1. Gain the trust of the community for their cooperation.

2. Gather data about the community by using a survey tool we will be able to

identify the demographic, economic, socio-cultural and environmental indices.

3. Analyze and interpret the data gathered.

4. Determine the preexisting and existing health problems of the community.

5. Give recommendations regarding the identified problems of the community.

METHODOLOGY

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During the two week community exposure, a survey tool was used to

select the actual respondents. They were selected from certain areas particularly

those family who are currently residing in Lim B compound, Manggahan,

Paranaque city. The researchers used De facto method in counting the

population.

After choosing the participants, the researchers used a modified survey

tool given by the institution/clinical instructors for a one-on-one interview in the

said community. The current health problem of the community and families who

were selected as participants was identified with the use of the evaluation tool.

SCOPE AND LIMITATION

This study was conducted in Lim Compound, Barangay San Dionisio Parañaque

City. It was divided into Lim A, Lim B, and Lim C. The researchers were only given 3

days for community assessment which comprised of the ocular survey of the

community, and the actual interview.

A total of 109 houses and 135 families comprised in Lim B Compound, despite

that, only 100 families had been interviewed because the remaining 10 families refused

due to unavailability of the respondents and 25 families were not surveyed because

some of them were not present during the time of the interview.

The data that was collected from the survey-questionnaire includes the

information regarding each family member, their educational attainment, occupation,

income, religion and length of residency. The researchers also inquired about the

family’s way of living which includes their housing condition, water supply, garbage

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disposal, and if they are practicing waste segregation. It also covered the topics about

their mode of transportation, communication, food storage, their prioritization of needs,

immunization of infants, family planning, the individual’s health seeking behaviors and

their sources of health information.

CHAPTER I

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SETTING OF THE COMMUNITY

DESCRIPTION

Location

Barangay San Dionisio is located in the 1st district of Parañaque City. It is situated in the

Southern portion of Metro Manila and 11 kilometers from the heart of Manila. It is adjacent to the place

of the famous Bamboo Organ.

Boundaries

In the north, Barangay San Dionisio is bounded by Barangay La Huerta while the coastal

areas of Manila bay are located on the west of the said area. The City of Las Piñas is located in the

south and the Barangay San Isidro is located on the east part of Barangay San Dionisio.

Total Population

According to the 2009 census of Barangay San Dionisio it has an estimated population of 66,

141 numbers of individuals. There are 13, 228 households and has an average family of 5 persons.

Total Land Area

The entire Barangay of San Dionisio has total land area of 309.69 hectares which was subdivided into

13 Puroks.

Physical Features

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San Dionisio is one of the Barangay of Parañaque City, Metro Manila.

The 309.69 hectares land area of Barangay San Dionisio was subdivided into 13 Puroks. It is

composed of residential structures, subdivisions, institution and manufacturing buildings, and all sorts

of business, commercial establishments, roads, streets, and bridge. The infrastructures located in San

Dionisio are all made up of concrete and electrical materials which give the motorist and pedestrians a

convenient access to services rendered in the community. The area is located near the dump side of

Parañaque City.

Depressed areas can also be found in Barangay San Dionisio namely, Back of Lorenzana,

Back of Kilton, Ilog Palanyag/ Himplayang Palanyag, Muslim area, Tramo II, Kay Buboy Bridge,

Palasan, Sitio Sto. Niño Phase 1 to 3/ Bo Maganda/ Kuliglig/ Villa Olivarez, Bernabe creekside, Tramo

I, Poul;try/ Lupang Pangarap and Lim Compound/ Mangahan.

Climate

There are two seasons in the country, the wet season and the dry season, based

upon the amount of rainfall. This is dependent as well on your location in the country as

some areas experience rain all throughout the year. In Barangay San Dionisio, they

experiences tropical climate, the wet season extends from May to September when

most typhoons hits in Metro Manila and the dry seasons which lasts for the rest of the

year.

Mode of Communication

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Communication is an act of transmitting message to exchange of information or

opinions; we have different methods by means of communicating such as: cell phone,

internet, landline and snail mail. Most common device used in the community in terms of

communication is the cellular phones and some is using the internet. Internet is a device

which serves as an electronic communicating network that can connect people

worldwide, but some of the families in the community are using landline and snail mail in

terms of communicating.

Mode of Transportation

With the wide roads of Barangay San Dionisio, people find it convenient to

commute. It offers good transport system; they have tricycle, bus, jeepneys, and Pedi

cubs. And it is accessible to commuters.

Resources Available in the Community

There are health resources offered to provide necessary health services needed

by the community. Barangay San Dionisio Health Center renders basic health care

services like prenatal check- ups, dental check- ups and immunization which are

attended by the physician, Nurse, Midwife, Med- tech, Laboratory aide, Nursing

attendant, BNS, Utility worker, Dentist, Dental Aide, and BHWV. There are 5 day care

centers in San Dionisio located in San Antonio de Padua, Tramo Wakas, Bernabe

phase 3, Bernabe phase 2 and Sto. Niño Phase 3 which built thru Barangay Funds. The San

Dionisio Barangay Council in its yearning and hard work to educate the pre- schoolers have been

establish a several numbers of school thru Barangay Funds. There are 3 Public Elementary Schools

located at the corner of Tramo Street and a secondary school along Dr. Santos Avenue. This part of

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hard works being exerted by the Barangay prepares the youth to become responsible and productive

members of the society. There are lots of resources available in Barangay San Dionisio including

cemetery, talipapa, san dionisio chapel, dumpsite, commercial establishment such as food chain,

bake shop and grocery store.

Source: Manual of the Health Center.

Location of Lim B Compound

It is exactly located in San Dionisio, Quirino Avenue, Parañaque City.

Boundaries of Lim B Compound

In the north, it is bounded by Kabihasnan while the Quirino Avenue is located on the west of

the said compound. Wakas is located in the south and the Tramo Street is located on the east part of

the Lim B Compound.

Physical Features of Lim B Compound

The Lim B Compound is composed of contiguous houses made of concrete, semi-concrete

and wood. Most of the houses are two storey houses. There are also stores, eatery and computer

shop located in the compound which benefits the residents. The compound also has the half court

which serves the recreational needs of the residents. Most of the residents do not own their

houses and are just renting their units. There is also auto-mechanic shop located in the

compound.

Resources Available in the Lim B Compound

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There are some resources available in the Lim B Compound which provides the necessary

services needed by the residents. They have computer shop which is located at the left side near the

arc which is the main gate of the Lim Compound. There are stores and eatery inside the compound

which help the residents to meet a wide range of needs. On the front side of the Lim B

compound, auto-mechanic shop was located which inspect, maintain, and repair

automobiles. The compound also has a half court and vehicles.

HISTORY OF LIM COMPOUND

Earlier on 1985, Lim Compound is owned by family Yambao. On 1985, it was

sold to Mr. Isabello Lim and from then on called Lim Compound. It is located in San

Dionisio, Quirino Avenue, Parañaque City. It was then a 2 hectare lot but half was sold

to the government. The legacy of Mr. Isabello Lim was preserved through having the

compound Lim I and Lim II, remained to Lim and government owned, respectively.

When Mr. Isabello passed away, the property was inheritted by his two sons, Mario and

Bedasto Lim.

The Lim Compound has approximately 250 structural homeowners. Most of the

residents are Bicolanos and Waray. There are lots of skilled workers living inside it.

Upon entering the arc which denotes the entrance of the compound, it is unambiguously

equipped with the needs of its residents. Facilities and establishments are provided to

suffice the needs of its people from recreational, educational to health needs for their

convenience. They have an outpost, computer shops, three day care center, a

secondary school and a Health Center near the basketball court.

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The compound is presently led by its president and hometaker, Ms. Estelita

Castrence with Jacinto Conchay as the secretary, Elsie Jiron as the treasurer and

Fernandez Ladesma as the public relations officer. They are elected to serve as officials

to maintain order and harmony in their vicinity.

MICRO MAP OF LIM B COMPOUND

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KABIHASNAN

WAKAS

QUIRINO AVENUE

TRAMO STREET

MACRO MAP OF BARANGAY SAN DIONISIO

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II.DEMOGRAPHIC INDICES

SEX RATIO

Population is the total number of persons inhabiting an area. Sex is either male

or female division of species. Age is the period of human life, measured by years from

birth, usually marked by a certain stage or degree of mental or physical development

and involving legal responsibility and capacity.

The estimated population of San Dionisio Paranaque as of year 2009 is

66, 141 based on the city Planning and Development Office. The researchers surveyed

a total population of 100 families making up 498 individuals in the area of Lim B

Compound Manggahan San Dionisio.

SEX RATIO

Sex ratio = Number of males_ X 100

Number of Females

SR= 250 X 100

248

Number of Males = 250

Number of Females = 248

SEX RATIO: 101:100

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Interpretation

The above computation shows the sex ratio of female and male of the total

surveyed population at Lim B compound Manggahan San Dionisio, Parañaque City.

Based on the computation, the community is primarily composed of 50.2% (n=250)

male individuals and on the other hand, the females comprised 49.8% (n=248) of the

total surveyed population. Thus, it can be interpreted as 101 males for every 100

females in the community.

Analysis

The result reveals that the population it composed of almost equal number of

males and females. The possibility to produce more offspring is high due the almost

equalization of the sex ratio that may result of increasing number of population of the

community if not given attention. The government has implemented programs to reduce

the population of the community such as natural and artificial family planning method.

The imbalance between the sex ratio is not greatly felt since the difference is too small.

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FREQUENCY DISTRIBUTION OF RESPONDENTS OF LIM B COMPOUND ACCORDING TO AGE AND SEX

Interpretation

The table above shows that age group of 10-14 got the highest frequency with a

total percentage of 12.05% (n=60). Wherein the males comprise 12.8 % (n=32) and the

females with 11.29% (n=28).In contrast, the age group 65 and above receives the

lowest frequency of 1.4% which is comprised of 0.4% (n=1) males and 2.42% (n=6)

females.

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FIGURE 1

FREQUENCY AND PERCENTAGE DISTRIBUTION OF THE RESPONDENTD OF LIM B COMPOUND ACCORDING TO AGE AND SEX

AGE AND SEX DISTRIBUTION

AGE FEMALE MALE TOTAL

f % f % f %

0-6 mos 3 1.21 2 0.8 5 1

7-11 mos 2 0.81 3 1.2 5 1

1-4yr 17 6.85 21 8.4 38 7.63

5-9yr 30 12.09 26 10.4 56 11.24

10-14yr 28 11.29 32 12.8 60 12.05

15-19yr 26 10.48 24 9.6 50 10.04

20-24yr 22 8.87 19 7.6 41 8.23

25-29yr 30 12.1 29 11.6 59 11.85

30-34yr 24 9.68 18 7.2 42 8.43

35-39yr 16 6.45 21 8.4 37 7.43

40-44yr 11 4.44 21 8.4 32 6.43

45-49yr 11 4.44 10 4 21 4.22

50-54yr 10 4.03 9 3.6 19 3.82

55-59yr 7 2.82 6 2.4 13 2.61

60-64yr 5 2.02 8 3.2 13 2.62

65&above 6 2.42 1 0.4 7 1.4

Total 248 100 250 100 498 100

248 250 498

PERCENT 49.8 50.2 100

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TABLE 1

Analysis

In the pyramid presented above, the left side shows the population of males

while the females are on the right side. The age brackets are listed down the center of

the pyramid, and are divided mainly into five year increments. More surviving males are

being born than the number of surviving females. The pyramid represents the

expansion of population from the youngest category and then decreases the expansion

starting from the age group of 40 and above. Based on the data gathered there are

many concerns regarding the status of the community members, this include their

lifestyle, diet, stress and the environment where they live which can accelerate or

decelerate the life expectancy of each member.

The figure shows that majority of the members of the community belongs to the

age group 10-14 which is composed of 12.05% (n=60) of the total surveyed population.

This age group belongs to the group of economically dependent. Therefore, the said

population in span of few years can help the development of their economic status. The

program that should be implemented by the Health Center to guide the development of

the said population is the program of Department of Health which is the Adolescent and

Youth Health and Development Program.

The figure 1 also shows the number of individuals which belongs to the age

group 0-4 years old which consist of 9.63%(n=48) of the total surveyed population.

Various health programs are implemented for this age especially Integrated

Management of Childhood Illnesses (IMCI), Food Fortification under the Nutrition

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Program, Oral Health Program. The food fortification would help improve the nutritional

status of the children in the area. The oral health program would help reduce the

prevalence rate of some dental problems and other periodontal diseases. Infectious

diseases control is also main priority aside from all of these programs.

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Frequency and Percentage Distribution of the Respondents of Lim B Compound According to Civil Status

FIGURE 2

Interpretation

The graph above shows the civil status of the respondents from age 15 and above. The

highest percentage with a total of 57.48% (n=192) belongs under the status single. Married is

second to the ranking of the civil status which is 38.62% (n=129) and lowest percentage is the

widowed which got 3.9% (n=13)..

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N=192

N=129

N=13

N=192

FREQUENCY AND PERCENTAGE DISTRIBUTION OF THE RESPONDENTS OF LIM B COMPOUNDA ACCORDING TO CIVIL STATUS

TABLE 2

Age Single Married Widowed Total

0-6mos 5 5

7-11mos 5 5

1-4 yr 38 39

5-9 yr 56 56

10-14yr 60 60

15-19yr 49 1 50

20-24yr 38 3 41

25-29yr 47 12 59

30-34yr 17 25 42

35-39yr 13 21 3 37

40-44yr 11 20 1 32

45-49yr 5 16 21

50-54yr 5 11 3 19

55-59yr 3 8 2 13

60-64yr 3 8 2 13

65 above 1 4 2 7

Total: 192 129 13 334

Total % 57.48 38.62 3.9 100

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AnalysisCivil status is referred to as the classification of a member of community, which can be

categorized as single, married, widowed, or separated. The data gathered then interpreted

reflect the overall civil status of the respondents of Lim B Compound.

Majority of the population is single which includes those individuals living together without the

bond of marriage. These people belong to the reproductive age. They have to prepare

themselves for the possible responsibilities of parenthood if ever they plan to live together and

form a family.

Majority of the population is single with a 57.48% (n=192) which includes those

individuals living together without the bond of marriage or what we call the common law and

also those people who are currently studying up to now. These people belong to the

reproductive age group who are independent and economically productive. This implies to the

high possibility of prioritizing their health status. On the other hand they have the capacity to

prepare themselves for the possible of parenthood if ever they plan to live together and form a

family.

The second highest percentage of population according to civil status is 38.62% (n=129)

which falls under married life. The percentage is composed of couples living together and

couples who are separated but not legally. Specifically there are 1.2% (n=4) who are separated.

The main person who is being affected with these circumstances is the children. On the other

hand, there are 37.43% (n=1250) of the respondents who are living together up to now. These

couples are legally living together. In this case the family is secure with the legality in terms of

financial support especially regarding health matters. Aside from prioritizing their family’s needs,

the couples could practice family planning to aid their concern in financial and health status of

each member of their family. There are programs implemented by the government like Natural

and Artificial Family Planning that can help the couples to decide if what family planning method

they could comfortably utilize.

The least percentage belongs to widowed which mainly belongs to adult age. If the

widow or widower falls to an old age group who has already matured children, the financial

support for the family won’t significantly affected since the children will be the one who will

provide for the family’s needs. But when the individual falls under younger age, the financial

assistance will be the main problem of the family.

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III.ECONOMIC INDICES

Dependency Ratio

Dependency ratio =(No.of population from 0-14yrs) + (No.of Population 65 yrs. and above)x100No. Of Population 15-64 yrs Old

Number of Population ages 0-14 years old: 164Number of Population ages 15-64 years old: 327Number of Population ages 65 and above: 7

Dependency ratio = (164) + (7) X 100 327 = 171__ X 100 327 = 0.52 X 100

Dependency Ratio = 52There are 52 dependent individuals for every 100 productive persons.

Interpretation

The dependency ratio of the population living in the Lim B compound San

Dionisio Paranaque City is 52:100.Therefore, there are 52 dependents for every 100

independent individual.

Analysis

The data shows that there are more independent individuals than dependent.

This implies that the community is individuals productive and is able to provide their own

needs. This implies that the independent individuals may able to provide or sustain the

needs of the dependent ones.

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Frequency and Percentage Distribution of Individuals 15-64 Years Old According

to Employment Status

FIGURE 3

Employment Status Frequency Percentage

Employed 159 48.62%

Unemployed 141 43.12%

Self-employed 27 8.26%

TOTAL 327 100%

TABLE 3

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Interpretation

The figure above shows the employment status of the people in the

community, 48.62% (n=159) of the total respondents are employed, 43.12% (n=141) the

total respondents of the unemployed and the 8.26% (n=27) are the total respondents of

self-employed.

Analysis

The data shows that majority of the individuals under the productive age

group are employed. It implicates that the community is productive and can contribute to

the economic status of the country; also it shows that the individuals who were able to

finish their education are employed depending on their qualifications and competencies.

The unemployed individuals are closely ranging to the employment

rate, out of the total number of 327 individuals aged 15-64, 43.12% (n=141) is

unemployed, thus it will contribute to other problems such as economic, health

problems. This shows that low educational attainment limits the range of available jobs

the resident is competent of employing themselves into.

Self-employment is suitable for individuals who can choose and they

can bend their working hours depending on their availability, majority of the self-

employed individuals in the community has their own store as a source of income.

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to Type of Occupation

FIGURE 4

Type Of Occupation Frequency Percentage

Blue Collar Job 149 80.11%

White Collar Job 37 19.89%

TOTAL 186 100%

TABLE 4

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Interpretation

The figure above shows the occupation of the people living in the

community, 80.11% (n=149) has blue collar jobs and 19.89% (n= 37) has white collar

jobs.

Analysis

Majority of the employed people in the community have blue collar jobs.

And also the self-employed are belong to this type of occupation. Meaning most of them

are engaged in jobs that require manual labor or exposed to dangerous and strenuous

working environment. Belonging to blue collared jobs is an advantage for people who

were not able to finish their studies. The disadvantage of being blue collared jobs is

that, this type of job is temporary.

While the employed people belongs to white collared jobs is the people

who has a college degree. They are professionals like: Office worker, nurse, teacher,

accountant, etc. They earn a lot of money compared to those who have blue collared

jobs.

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to Occupational Status

FIGURE 5

Occupational Status Frequency Percentage

Permanent 96 51.61%

Contractual 47 25.27%

Temporary 43 23.12%

TOTAL 186 100%

TABLE 5

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N=96

Interpretation

The figure above shows the employment status of the people in the

community, 51.61% (n=69) of the total respondents are permanent employees, 25.27%

(n=47) are the total respondents of contractual employees and 23.12% (n=43) are the

total respondents of temporary employees.

Analysis

Majority of employed people have permanent jobs. This job is having stable

salary. The source of income for family expenses is safe, and has benefits such as

insurance, pension and salary bonus.

The employed people have seasonal job which makes a limit for them in providing their

needs because their salary depends on how often they are called to work. And this job

has no permanent or stable salary. Therefore their income is not secured to buy all the

daily expenses of the family.

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Frequency and Percentage Distribution of the Income of the Family

RATE FREQUENCY PERCENTAGEBelow 5,000 11 11%

5,001-10,000 32 32%

10,001-15,000 17 17%

15,001-20,000 13 13%

20,001-25,000 4 4%

25,001-30,000 4 4%

Above 30,000 19 19%

TOTAL 100 100%

TABLE 6

INTERPRETATION

Based on the data above, the highest income of the family in Lim B Compound,

San Dionisio is 5,001-10,000 with 32% (n=32). The least income with 4% (n=4) was

20,001-25,000 and 25,001-30,000

ANALYSIS

Income of the family refers to the total family income from a source received by

all family members. It is also the consumption and savings of a family within a specified

time frame.

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According to NEDA, a family gaining an income that is less than 10,000 per

month belongs to the poverty line. That a family with an income less than 10,000 a

month will experience a hard time to provide their everyday needs.

Based on the data, the highest was 5,001-10,000 with a percentage of 32. For a

family, that range is not enough to provide all the basic needs such as food, water,

shelter, clothing, education and health. 19% (n=19) have above 30,000 which mostly

has own store. 17% (n=17) have 10,001-15,000, 13% (n=13) have 15,001-20,000, 11%

(n=11) have below 5,000 and the lowest with 4% were 20,001-25,000 and 25,001-

30,000.

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PRIORITIZATION OF NEEDS AS PER BUDGET ALLOCATION

RANK PERCENTAGE

Food and Water 1 81%

Shelter 2 28%

Clothing 3 27%

Education 3 27%

Health 3 27%

Electricity 4 23%

Savings 4 23%

Recreation 5 60%

Others (debts, business, prepaid load)

6 24%

TABLE 7

Interpretation

Table 5 shows that food and water is the first priority of the people in the

community with 81% (n=81). Shelter ranked second with 28% (n=28). Clothing,

education, and health ranked 3rd, all with 27% (n=27). Electricity and savings are

both the 4th priority of the respondents. Recreation came in 5 th and others such as

debt, business came in 6th.

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Analysis

The primary priority of the respondents is food and water which is the basic

necessity of human kind. According to Maslow’s hierarchy of needs, physiological

needs are the basic. The second is shelter which again, in Maslow’s hierarchy of

needs is the next, defined as the safety needs. A person needs a place to stay and

to call a home everyday to ensure security and privacy. Clothing is also a need

because it provides warmth, comfort and protection to our body. Education is

essential to an individual for it translates to the whole world what the person is

capable of doing and what he has attained. Health is needed for us to be able to

live our lives fully. Health as to being the 3rd priority of the community speaks that

they are knowledgeable of the vital needs of an individual. Electricity provides us

with comfort and makes our tasks easier to fulfill. Most people in the community

manages to save money for emergency use or for a goal which they tend to reach,

it may be renovations of the house, education or a keepsake in case of

emergencies. Recreation refers to the activity of leisure. The people make

recreation as their second to the last priority because they focus on the basic

needs of an individual, providing their children and themselves the necessary tools

to live everyday their time for recreation consists of talking to neighbors, playing

with their kids and watching TV. Other priorities of the respondents came last such

as debts, business, prepaid load.

Page 37

IV.SOCIO-CULTURAL INDICES

Frequency and Percentage Distribution of Individuals 8 Years Old and Above

Number of people 8yrs old and above who can read and write x 100

Number of people aged 8 and above

= 418 x 100

418

= 100

According to Literacy Rate

INTERPRETATION

All the members of Lim B Compound who are 8 years old and above with a total

population of 418 are able to read and write. The data shows that there is no illiterate

individual in their community.

ANALYSIS:

Literacy Rate is the percentage of the population 8 years and older who can

read and write. The data shows that all respondents are literate. Thus, the student

nurse may not have a hard time in doing the health teaching to the community because

the people may easily comprehend and adopt all the knowledge that the student nurse

taught.

Page 38

Frequency and Percentage Distribution of Individuals According to Educational

Attainment

CATEGORY f %ELEMENTARY Graduate 46 11.00%

Undergraduate 71 16.99%HIGH SCHOOL Graduate 119 28.47%

Undergraduate 62 14.83%COLLEGE Graduate 64 15.31%

Undergraduate 44 10.53%VOCATIONAL Graduate 11 2.63%NO FORMAL EDUCATION

1 0.24%

TOTAL 418 100%

TABLE 8

INTERPRETATION

The highest educational attainment in Lim B Compound is High school graduate

with 28.23% (n=118) while the lowest is with no formal education with 0.24% (n=1).

ANALYSIS

Educational attainment is a term commonly used by statisticians to refer to the

highest degree of education an individual has completed. The data shows that majority

of the people are high school graduates with 28.47% (n=119). 16.99% (n=71) are

elementary undergraduates. Out of 71, 67 are presently studying. 15.31% (n=64) are

college graduates, 14.83% (n=62) are high school undergraduates. Out of 62, 29 are

presently studying. 11.00% (n=46) are elementary graduate, 10.53% (n=44) are college

undergraduates. Out of 44, 7 are presently studying. 2.63% 9(n=11) are vocational

Page 39

course graduate and the lowest is 0.24% (n=1) who has no formal education. Those

who did not graduate mostly spend their free time without contributing to the community.

This explains that the highest percentages of working individuals are blue collar jobs

and can’t sustain all the needs of their family. Out of 418 individuals who can read and

write, 9 of them are ages 8-21 years old.

Page 40

Frequency and Percentage Distribution According to Individuals Religion

FIGURE 6

RELIGION FREQUENCY PERCENTAGE

Catholic 455 91%

Non-Catholic 43 9%

TOTAL 498 100%

TABLE 9Interpretation:

Figure 6 shows the religious affiliation of people surveyed in Lim B Compound

and most of them are Roman Catholic with an average of 91.37% (n=455) followed by

Page 41

Protestant with 3.21% (n=16), Iglesia ni Cristo 2.81% (n=14), Islam 1% (n=5), Mormons

1% (n=5), Jehovah’s witness 0.40% (n=2), and Seventh Day Adventist 0.20% (n=1)

Analysis:The Philippines is the only Christian nation in Asia. More than 85 percent of the

people are Roman Catholic.

Religion is one of the factors that affect the health of the individual, families, and

communities that may resolve to conflict like in beliefs related to healing, some clients

may have religious beliefs that attribute illness to a spiritual disruption. Healing for such

clients may appear to be unrelated to current treatment practices.

There are wide variations in religious practices, and many of these are culturally

determined. Because religion guides a person’s overall life philosophy, it influences how

people feel about health and illness. Health beliefs are not universal, an example of that

is some people view illness as a cause of bacteria, virus, or trauma. In other cultures,

however, illness may be viewed primarily as a punishment from God or an evil spirit, or

as the work of a person who wishes harm to the person.

On the other hand, the controversy between the perceptions of the different

religions about the Reproductive Health Bill House Bill No. 5043 has been scattered and

may resolve into conflict. As we all know the RH bill promotes about artificial planning

method such as condoms, IUD, pills and others. While the church rejects the artificial

family planning method they only recognized natural family planning method but the

health center promotes the use of artificial family planning method. This discrepancy

can be a contributing factor in the conflicts in a community.

Page 42

Frequency and Percentage Distribution According to the Place of Origin of

the Head of the Family

FIGURE 7

PLACE OF ORIGIN

FREQUENCY PERCENTAGE

Luzon 57 57%

Visayas 35 35%

Mindanao 8 8%

TOTAL 100 100%

TABLE 10

Page 43

Interpretation:

Figure 7 above shows the place where parents came from and most of

them, originated in Luzon with an average of 57% (n=100), followed by Visayas 35%

(n=62) and lastly Mindanao 8% (n=15)

Analysis:

Most of the people in Lim compound originated from Luzon particularly provinces

such as Bicol and others are from Metro Manila. There are 23% whose parents are

deceased and others are Single. The different places of origin such as Luzon, Visayas

and Mindanao have many established culture and health beliefs that are different; those

beliefs may result into a conflict.

Luzon is the largest island in the Philippines and people living in urbanized area

believe that an illness is caused by bacteria and viruses. In Visayas people perceive

that illness was caused by an evil spirit which they call “kulam” Most of the people in this

area seek health care in Arlbularyo and manghihilot. Mindanao is the second largest

island it has a large community of diverse people for them, the mountain is sacred.

Death and illness or bad faith is believed to be the god’s way of showing anger offering

of live animals like pigs and chicken are common during tribal ceremonies for a good

harvest, health and protection, and thanksgiving.

Page 44

Frequency and Percentage Distribution of Families Length of Residency

FIGURE 8

LENGTH OF RESIDENCY


Transient 96 96%

Permanent 4 4%

TOTAL 100 100%

TABLE 11

Page 45

Interpretation:

Figure 8 above shows that most of the residents of Lim Compound are

permanent residents with an average of 96 %( n=96) and the transient which stays from

6 months below is 4% (n=4)

Analysis:

It shows that most of the families who live in Lim Compound are permanent

residents of the community, living there for 6 months above. While transient residents

stayed there form 1-5 months only. Permanent residents can easily access the

community resources because they are familiar in that certain place and they

established rapport with others members of the community unlike being a transient

resident, who still adjusting to his/her new environment. Being a permanent resident

also helps the health personnel to make accountable records for the community since

the population stay there for years.

Page 46

Frequency and Percentage Distribution of pe of Housing According to the Family Surveyed

FIGURE 9

Type of House Frequency Percentage

MIXED 70 70%

CONCRETE 18 18%

WOOD 12 12%

TOTAL 100 100%

TABLE 12

Page 47

Interpretation:

Out of 100 families surveyed in Lim B Compound, 70 of the houses are made out

of mixed materials, 18 are made out of concrete materials and 12 are wooden materials.

Analysis:

Majority of the houses in Lim B Compound San Dionisio are made up of mixed

type materials. This type of house costs less than usual since not all the materials used

are purely concrete and replaced with some wooden materials it. Some of houses are

made up of pure concrete with this type of housing are considered as the strong type of

they are design to enhanced security and a higher level of resistance to strong winds

and storms it also provides protection from fire but it conserves heat. It shows small

number of houses are made up of wooden materials this type of house are cheaper and

easier to renovate, and yet there is danger that wooden homes are imposes in the

community is vulnerable to natural disasters such as fire and manifestation of termite.

Wooden homes are can absorb the heat but it can be easily torn or ripped away during

storms. It shows that most of the people in the community prioritize their safety in terms

of the house they choose.

Page 48

Frequency and Percentage Distribution of the Families House Ownership

FIGURE 10

HOUSE OWNERSHIP


Owned 44 44%

Rent 41 41%

Rent-Free 15 15%

TOTAL 100 100%

TABLE 13

Page 49

Interpretation:

Figure 10 above shows the type of house ownership of the people in Lim

Compound has and out of 100 respondents, there are 44% (n=44) of them who owns

their house, and 41% (n=41) are renting.

Analysis

Most of the families in Lim B Compound that was surveyed own their house. It is

more beneficial to have your own house compared to renting because you do not need

to worry about monthly rental payment and you can save money. One of the

disadvantages of renting a house is that you will lack of privacy and the noise over your

neighbors was uncontrolled especially if you’re renting a bed space. The advantage of

renting was there is generally less work in maintaining a home or apartment, compared

if you own a house the work needs must be done by you.

Page 50

Frequency and Percentage Distribution of Families’ Shelter According to Ventilation Status

FIGURE 11

Ventilation Status Frequency Percentage

Inadequate 61 61%

Adequate 39 39%

TOTAL 100 100%

TABLE 14

Page 51

Interpretation

The graph shows the ventilation status of the families in the community. 61% of the

families surveyed have inadequate ventilation in their houses while 39% of families surveyed

are adequate.

Analysis

The data shows that most of the houses have inadequate ventilation, windows having

dimensions lower than 10% of the total floor area. The houses were built at close intervals

which minimize the passage of air. Health problems especially respiratory diseases may arise in

this kind of ventilation status due to lack of fresh air.

Page 52

Frequency and Percentage Distribution According to the Type of the Lighting

FIGURE 12

LIGHTING STATUS Frequency Percentage

ADEQUATE LIGHT 70 70%

INADEQUATE LIGHT 30 30%

TOTAL 100 100%

TABLE 15

Page 53

Interpretation:

Out of the 100 families surveyed, 70 of the families their house has an adequate

light, and 30 of them has inadequate natural light.

Analysis:

Having sufficient and appropriate lighting in a work area or at one's workstation is

important for a number of reasons. Proper lighting not only helps one see better while doing

their work, but it can also help prevent health issues, improve productivity and creates an

overall better working environment. Most of the families surveyed are using artificial light

during daytime but for some it is inadequate. Other family does not use artificial light

because the sun provides adequate light for the family to utilize. For others, natural and

artificial light are inadequate lighting source which could lead into unpreventable accidents

and it is a good breeding site of cockroaches and other insects. Inadequate lighting can

cause eye strain, fatigue, physical stress and headaches.

Page 54

http://www.ehow.com/health/

Frequency and Percentage Distribution according to the type of family

FIGURE 13

Type Of Family Frequency Percentage

Nuclear 69 69%

Extended 31 31%

TOTAL 100 100%

TABLE 16

Page 55

Interpretation

The graph shows the type family structures existing within the community. 69% of the

total families surveyed falls under the nuclear type of family, While 31% are of the extended

type.

Analysis

The graph shows that majority of the family surveyed is on a nuclear type of family. It

connotes that most families in the said community sustain itself financially and provides basic

need such as food, shelter, clothes, etc. Unlike in the extended type of family, there are greater

expenses and basic needs are increased depending on the added family members like aunt,

uncle, and cousins, but if majority of the members are working to produce money, their needs

will be sustained adequately. The advantage of having this kind of family is their workload can

be performed easily because it is divided equally with the other members. The disadvantage of

having this kind of family was lack of privacy due to inappropriate size of the house and

overcrowding may cause high rate of disease transmission.

Page 56

Frequency and Percentage Distribution Type of Family as to Decision Making

FIGURE 14

Type of Family as to Decision Making Frequency Percentage

Patriarchal 59 59%

Matriarchal 43 43%

Egalitarian 8 8%

TOTAL 100 100%

TABLE 17

Page 57

Interpretation

Figure 14 shows the type of family structure based dominance in decision making

within the community. 59% of the households are patriarchal in nature, 43% are matriarchal,

and 8% egalitarian.

Analysis

The data shows that in most of the families the father that is usually the breadwinner

is the more dominant figure in decision making in terms of financial expenses, however the

mother is responsible in budgeting. On the other hand 43% of the families were in the mother is

the main source of income becomes the decision maker of the family. It usually occurs when the

mother is a single parent/ divorced. A small number of the families show that neither of the

parents is more dominant than the other, consulting with one another and eventually deciding

on expenditure of household expenses.

Page 58

V.ENVIRONMENTAL INDICES

Frequency and Percentage Distribution of Water Supply Utilized by the Families

FIGURE 15

Water Supply Utilized by the Families Frequency Percentage

Water works 100 100%

TOTAL 100 100%

TABLE 18

Page 59

Interpretation

The graph shows that all family surveyed get their water supply at water works system.

Analysis

The data shows that all of the families surveyed in the community are getting their water

from a water works system particularly NAWASA. They use it for drinking, bathing, and cleaning

the dishes. It is easily acquired and it could supply a large number in the community.

As all the families were getting their water supply from NAWASA, the spread of water illnesses

caused by contaminated water is decreased. While water coming from deep wells and water

containers might contain microorganisms and bacteria that cause water borne diseases, some

procedures are done to prevent this kind of incident like boiling the water before drinking and

avoiding drinking water that has been stored for a long time.

Page 60

Frequency and Percentage Distribution of the Types of Garbage Disposal Practiced by the Families

FIGURE 16

GARBAGE DISPOSAL

Frequency Percentage

COLLECTED 59 59%

OPEN DUMPING 41 41%

TOTAL 100 100%

TABLE 19

Page 61

Interpretation:

Out of the 100 families surveyed, 59 of the families have their garbage collected,

and 41 of them are practicing open-dumping.

Analysis:

Majority of the surveyed families their garbage was collected everyday but if fails

to be collected would result to large number of garbage lying on the street of the

community which could lead breeding site of cockroaches and mosquitoes. Others are

practicing open-dumping they throw their garbage at one area and also collected by the

garbage collector at the next morning.

Page 62

Frequency and Percentage Distribution Showing the Families’ Practicing of Waste Segregation

FIGURE 17

PRACTICING WASTE SEGREGATION Frequency Percentage

YES 51 51%

NO 49 49%

TOTAL 100 100%

TABLE 20

Page 63

Interpretation

Out of the 100 families surveyed, 51 of them are practicing of waste segregation,

while the other 49 does not practice of waste segregation.

Analysis

Waste segregation is the process of dividing garbage and waste products in an

effort to reduce, reuse and recycle materials. Biodegradable items such as yard

clippings or grass, food and other things that can be naturally broken down are

separated in the waste segregation process. Often, these biodegradable items can be

used for composting purposes and recycled back into the environment. Non-

biodegradable waste will NOT break down for many years. Examples are plastics, metal

and glass. Some dangerous chemicals and toxins are also non-biodegradable, as are

plastic grocery bags, Styrofoam (polystyrene), and other similar materials but will

eventually break down over time.

Page 64

Frequency and Percentage Distribution of the Type of Toilet Facility Used

FIGURE 18

Type of Toilet Facility Frequency Percentage

Pour Flash 96 96%

Flash 4 4%

TOTAL 100 100%

TABLE 21

Page 65

Interpretation

Figure 20 shows that 96% of the total families surveyed have a poor flush type of toilet,

4% have flush.

Analysis

The figure shows that majority of the total families surveyed have a pour flush type of

toilet. It may due to lack of financial resources and low salience. Having this kind of

toilet facility is not much of a disadvantage; the only problem is if it is not frequently and

thoroughly clean because it might transmit communicable diseases. It also requires an

extra effort in pouring the water to flush. Meanwhile pit latrines are the most unsanitary

type of toilet facility as these serves as ideal breeding ground of disease vectors and

provides a high risk of cross infection

Page 66

Frequency and Percentage Distribution of the Toilet Ownership

FIGURE 19

Toilet Ownership Frequency Percentage

Owned 71 71%

Shared 29 29%

TOTAL 100 100%

TABLE 22

Page 67

Interpretation

The graph shows that 71% of the families surveyed in the community have their own

toilet while 29% of families are sharing their toilet.

Analysis

The data shows that majority of families surveyed in the community have their own

toilet facility. It is ideal that a family has a toilet facility of their own to prevent transmission of

communicable diseases. Two -four families share toilet facility. A toilet being used by multiple

families has a high risk of transmitting diseases through cross contamination and the most

common procedure/way to prevent contamination is cleaning the toilet before and after using by

pouring water.

Page 68

Frequency and Percentage Distribution of the Pet ownership

FIGURE 20

FREQUENCY AND PERCENTAGE DISTRIBUTIONS ACCORDING TO OF VACCINATED AND NOT VACCINATED DOGS

FIGURE 21

Page 69

FREQUENCY AND PERCENTAGE DISTRIBUTIONS OF KEPT AND UNKEPT DOGS

FIGURE 22

INTERPRETATION

The figure 22 shows that 55% (n=47) of the families who has pet cats; 33%

(n=28) has dogs; 9% (n=8) has other pets like fish and rabbits and only 2% of the

families have birds on their houses. Those who owned dogs 39% (n=11) are vaccinated

and 61% (n=7) are not vaccinated. 75% (n=21) of dog are kept while 25% (n=7) are un

kept.

Page 70

ANALYSIS

There's a reason dogs have long been called a man's best friend. Their loyalty,

intelligence, devotion and affection are incredibly rewarding. From taking a long walk

together on a beautiful spring morning, being greeted by a happily wagging tail at the

end of a long day to relaxing at home in each other's company, owning a dog can raise

spirits and engender a sense of wellbeing like almost nothing else. But dogs can be

health threat to everyone because some dogs on their community are not yet

vaccinated and also un kept. The bite unvaccinated dog cause rabies that could result

for a very serious health problem.

For that information the DOH provided the National Rabies Control. March is a

rabies awareness month and September 28 is World rabies day! Rabies is a 100% fatal

viral disease affecting the nervous system of humans and animals. It remains a serious

public health problem in the country which causes death of between 200-500 Filipinos

annually the Philippines ranked no. 6 among the countries have a highest incidence of

rabies in the whole world.

The rabies prevention and control program received its needed boost when Ex-

president Gloria Macapagal Arroyo sign into law the Republic Act No. 9482(An Act

Providing for the control and elimination of Human and Animal Rabies, Prescribing

penalties for violations)

Although rabies is not among the leading causes of diseases and death in the

country it has become a health problem of significance for two reasons: it is the one

most acutely fatal infection which can cause death to many Filipinos, and It remains to

be a serious public health problem in the country which causes the death of between

200-500 Filipinos annually the Philippines ranked no.6 among the countries have a

highest incidence of rabies in the whole world.

Page 71

VI.HEALTH INDICES

Frequency and Distribution of Food Storage of the Families Used

FIGURE 23

FOOD STORAGE Frequency Percentage

REFRIGERATOR 46 46%

TABLE W/ COVER 46 46%

CABINET 6 6%

BASKET 2 2%

TOTAL 100 100%

TABLE 22

Page 72

Interpretation:

Out of the 100 families surveyed, 46 of the families has their own refrigerator as

primary food storage facility, 46 use their own table with cover, 6 of them use cabinets

and 2 of the families use basket as their food storage.

Analysis:

Food storage is both a traditional domestic skill and is important industrially. It is

important to protect the food from contamination. Store the food in a place that is safe,

hygienic, and at the same time should be clean. Most of the families are using

refrigerator for food storage this helps in prolonging the life of the food as well as

decreasing the incident of contamination. Some of them store their food in the table with

cover, cabinet, and basket. But there’s a high risk of contamination through some

vectors like cockroaches and rat which could lead to food contamination or food

poisoning.

Page 73

Frequency and Percentage Distribution Showing the Number of Couples under Reproductive Age Group who are Acceptor of Family Planning

FIGURE 24

Family Planning Frequency Percentage

Non- Acceptor 50 50%

Acceptor 41 41%

Defaulter 9 9%

TOTAL 100 100%

TABLE 23

Page 74

INTERPRETATION

The figure shows that 50% (n=50) of the families are non-acceptors of family planning.

41% (n=41) are acceptors and 9% (n=9) are defaulters

ANALYSIS

According to the data gathered, 50% (n=50) are non-acceptors of family planning. This

means that there is greater chance of the population to increase within the succeeding

years hence, the community may have a hard time in availing the basic needs.

Family planning helps to promote responsible parenthood through proper birth planning

and is allowing the couple to have the number of children they can adequately raise. An

increase in population will result to difficulty in availing health and educational

necessities, an increase in the rate of unemployment and inability of the children to

receive the immediate attention they need during their developmental stage of life.

The community, having the majority number of non-acceptors of family planning needs

to gain access to the information provided by the health center and be aware of the

importance and benefits of family planning.

Page 75

Frequency and Percentage Distribution of

Reproductive Age Group who are Acceptors of Family Planning

FIGURE 24.A

Interpretation

According to Figure 26.A, out of 100 families surveyed 8% (n=8) are using natural

family method and 29% (n=29) are using artificial family planning method.

Analysis

According to the data 29% (n=29) are using artificial family planning such as

injectables, condoms and pills. This method of family planning is economical and

affordable. Some health centers provide injectables, condoms and pills at a very

affordable cost. It can be bought even without a doctor’s prescription. For some, the

effect lasts for several months.

Page 76

Frequency and Percentage Distribution of Infants Age 0-6 Months Old According to Manner of Feeding

FIGURE 25

Manner of Feeding Frequency Percentage

Breastfeeding 40 40%

Mixed Feeding 40 40%

Bottle Feeding 20 20%

TOTAL 100 100%

TABLE 24

Page 77

INTERPRETATION

Out of the 5 infants aged 0-6 months, 40 %( n=2) are being breastfed, also 40% (n=2)

are being mixed fed and 20% (n=1) is bottle fed.

ANALYSIS

Most of the infants in Lim B compound are either breastfed or bottle fed. This shows

that most of the residents of the community are aware of the benefits of both

breastfeeding and bottle feeding.

Breastfeeding helps in the child’s immunity and provides mother-child close relationship.

It also lessens the incidence of obesity, diabetes and the development of allergic

diseases to the infant. Milk formulas are fortified with many nutrients which are absent

or low in breast milk. There are laws which are implemented by our government

regarding breastfeeding, such are as follows, E.O. 51 which is known as “National Code

of Marketing of Breastmilk Substitutes, Breastmilk Supplements and Other Related

Products" and R.A 7600 which is known as Rooming-in and Breastfeeding.

Page 78

Frequency and Percentage Distribution Immunization Administered to Infants 0-11 Months

BCG DPT1 DPT2 DPT3 HBV1 HBV2 HBV

3

OPV1 OPV2 OPV3 AMV REMARKS

2

months* * incomplete

5

months* * * * * * * * * incomplete

6

months

(3)

*

*

*

*

* * *

*

*

*

*

*

*

*

*

* * * *

Incomplete

Incomplete

Age

appropriate

7

months* * * * * * * * * * Age

appropriate

8

months

(3)

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

Age appropriate

Incomplete

Age appropriate

11

months* * * * * * * * * * * Fully

immunized

TABLE 25

Page 79

INTERPRETATION

In the data presented 100% (n=1) of infants aged 9 months above have been fully

immunized. 40% (n=4) of the 10 infants has age appropriate vaccinations and 50%

(n=5) has incomplete immunizations.

ANALYSIS

The data shows that a great deal of parents is not yet fully aware of the importance and

benefits of having to comply with the schedule of immunizations for infants.

Immunization is important for an infant’s immune system. It helps to control and

eradicate infectious diseases, it provides added protection for the infant not to acquire

preventable infectious diseases which is a big help for the parents and for the infant

himself.

Page 80

Frequency and Percentage Distribution of the Families’ Sources of Information

FIGURE 26

Sources of Information Frequency Percentage

Health Personnel 53 53%

Media 47 47%

TOTAL 100 1005

TABLE 26

Page 81

Interpretation

Out of the 100 families surveyed, 53% (n=53) stated that their source of health

information are the health personnel and 47% (n=47) of the families’ source of health

information is the media.

Analysis

The health personnel, being the source of health information minimizes the

incidence of misinformation because they are more knowledgeable and credible when it

comes to health information. They entrust their health primarily to the doctors of the

community who provides medical services to the community free of charge. The media

is also a source of health information to some of the families because it is accessible

and is nowadays considered as an effective means of information dissemination though

it is not as accurate and credible as compared to the health personnel.

Page 82

FREQUENCY AND PERCENTAGE DISTRIBUTIONS OF HEALTH CARE FACILITIES

FIGURE 27

FIGURE 28

Page 83

INTERPRETATION:

The Figure 28 shows that 34% (n= 34) of the family utilized the services of

health center; second, 33% (n=33) is prefer to the private clinic and 31% (n=31)

families are prefer to go to the hospital; and 2% (n=2) of family consult to the

albularyo’s.

The Figure 29 shows that the family who seek health services in the

hospital. 55% (n=17) prefer to the government hospital and 45% (n=14) on the

private clinic.

ANALYSIS:

The data shows that majority of families in the community are prefer to go

to the health center. Health center is a government program that help the people avail

free services that is much attainable, affordable and accessible; The most common

problems in the health center is Lack of Manpower and due to the number of people

availing the services some people weir rendered by going to the health center and last

Lack of health resources that why some of the families are prefer to go to the Private

clinic. And if the case is so very threatening they prefer to go the hospital especially at

the Government than at the Private Hospital. Because in the Government hospital they

can afford the billings rather than at the private but in terms of Quality private hospital

are prefer than government hospital.

Page 84

FIGURE 19

Interpretation

1.Common illnesses such as TB and Measles can be prevented.

Out of 100% people who were surveyed 86% (n=86) answered yes. This means

that majority of the people in Lim B compound are aware of the ways on what are

Page 85

the preventable illnesses. Although 11% (n=11) does not know about this

information and 3% (n=3) are uncertain. The correct answer is yes because

according the book public health nursing in the Philippines, Tuberculosis can be

prevented by BCG vaccination of newborn, infants and grade school entrants

and Measles can be prevented by live attenuated and inactivated measles virus

vaccines are available for children with no history of measles, at 9 months of age

or soon thereafter.

2.Foods rich in protein such as meat, fish, and eggs are needed for proper

physical and mental growth.

Of the people in the community 92% (n=92) agrees that protein rich foods are

needed for proper mental and physical growth. The correct answer is yes because

the DOH implemented a program which is known as R.A 8976- food fortification act

November 7, 2000 as stated in the book public health nursing in the Philippines.

Fortification refers to the addition of amino acids(building blocks of proteins) in

desirable levels do that food contains more than what originally exists. According to

the 5th edition of the book basic nutrition for Filipinos by Virginia Serrao -Claudio et.

al. the 3 general functions of proteins are: it builds and repairs cells and tissues,

supply energy, and regulate body processes.

3.Headache, dizziness, and edema of face, hands, and legs are normal

signs of pregnancy

Mostly of the people surveyed were already mothers or is currently pregnant.

68% (n=68) answered yes. Their basis was their experience. The correct answer

Page 86

is no because . According to maternal and child health nursing 4th edition by

Adele Pilliteri, headache and edema are discomforts which are experienced

during the middle and late pregnancy, that does not mean that the pregnant

mother should ignore these symptoms, they may lead to serious complications.

4.Umbilicus can be cleaned only until it is totally dry

On question number 4, 75% of the respondents answered yes. The umbilicus of an

infant should be cleaned with 70% isopropyl alcohol for the drying to speed up. The

correct answer is yes because according to

http://www.mayoclinic.com/health/umbilical-cord/PR00046 , “Until the stump dries

out and falls off, keep it clean and dry”.

5.Breastfed infants are healthier than bottle fed children

The answer of 94% (n=94) of the respondents answered yes. They know about the

benefits of breastfeeding and that it is healthier for an infant to consume than bottle

feeding. The correct answer is yes because for the infant, the advantages of

breastfeeding are that it contributes to the child’s immune system. It is high in

lactose and the protein in breastmilk is easily digested and the sugar provides

ready glucose for rapid brain growth (maternal and child health nursing 4 th edition

Adele Piliteri)

6.Diseases such measles, polio, diphtheria, and pertusis can be

prevented by vaccines

According to the data, 94% (n=94) of the respondents know that diseases such as

measles, polio, diphtheria, and pertusis can be prevented by vaccines. They are

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informed of the different diseases which can be vaccinated. These are the vaccines

for the respective diseases: AMV for measles, OPV for polio, DPT for diphtheria

and pertusis.

7.Thick and warm clothing should be removed when children has fever

in order to lower body temperature

Question no. 7 pertains to the practice whenever a child in the family has fever.

77% of the people surveyed do remove thick and warm clothing while someone

has fever. While 22% does the cultural practice of our ancestors of putting thick

and warm clothing to children with fever. The correct answer is yes because

According to study, “An individual with fever should be kept comfortable and not

overdressed. Overdressing can cause the temperature to rise further.”-

http://www.medicinenet.com/aches_pain_fever/page3.htm

8.Oresol is given to children having diarrhea

The data shows that 90% of the respondents are knowledgeable of the benefits of

oresol to children. Diarrhea is an excessive loss of water from the body tissue. It

also disturbs the balance of the essential electrolyte: sodium,potassium and

chloride. Oresol (oral rehydration solution) It is a mixture of glucose and salts in

water. Glucose is found in the solution that enables the intestine to absorb the

water and salts more efficiently thus preventing or treating diarrhea.

9.Family planning can help in improving the health of the mother.

80% of the respondents believe that family planning is able to improve the

mother’s health, 9% does not agree and 11% are uncertain. The correct answer is

yes if used properly and with caution. Family planning is a program promoted by

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http://www.medicinenet.com/aches_pain_fever/page3.htm

the department of health because they believe that through it we will be able “to

attain the country's national health development: a health intervention program and

an important tool for the improvement of the health and welfare of mothers,

children and other members of the family. It also provides information and services

for the couples of reproductive age to plan their family according to their beliefs and

circumstances through legally and medically acceptable family planning methods.”-

http://www.doh.gov.ph/programs/family_planning/profile.html

10.Herbal medicines are safe and does not have side effects even if

given in larger doses

In the community, 54% agreed that herbal medicines are safe and does not have

side effects even if given in larger doses. 30% disagrees and 16% are uncertain.

The correct answer is yes in certain circumstances. According to http://www.acu-

care4health.com/oriental-medicine/safeherbs.htm, Most herbal medicines are safe.

There are certain situations, however, in which specific herbs may not be safe, for

example when a woman is pregnant or breast feeding, or when someone has high

blood pressure. The most important thing to remember is that if you want to use

herbal medicines it is always safest to be under the care of a qualified

herbalist.

11.Coughing out of blood is a sign of diarrhea

Coughing out of blood as known by many is a sign of respiratory diseases.

Surprisingly, 5% of the respondents think otherwise, 84% knows that it is a

sign of TB and 11% are uncertain about this item. Small cuts and lacerations

can be cleaned with soap and lukewarm water.

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http://www.acu-care4health.com/oriental-medicine/safeherbs.htm

http://www.acu-care4health.com/oriental-medicine/safeherbs.htm

http://www.doh.gov.ph/programs/family_planning/profile.html

12. Small cuts and lacerations can be cleaned with soap and lukewarm

water.

Of the 100% families in the community who were surveyed, 91% does wash

small cuts and lacerations with soap and water. 9% does not do the practice.

The correct answer is yes. According to fundamentals of nursing volume II eight

edition by kozier and erb p.924 wound irrigation is the washing or flushing out of

an area. Sterile technique is required for wound irrigation because there is a

break in the skin integrity.

ANALYSIS

The respondents in Lim B compound still needs to be educated about some of the

health concepts which they are accustomed to believe like, in question no. 3 for

them experiencing headache, dizziness and edema of the face, hands and legs are

normal little do they know that these symptoms may be caused by a serious

complication during pregnancy. Information dissemination should be promoted by

the health workers in order to eradicate this belief of the people.

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LEADING CAUSE OF MORTALITY AT LIM B COMPOUND MANGGAHAN BRGY. SAN

DIONISIO PARANAQUE CITY

TOP 10 LEADING CAUSES OF MORTALITY IN THE PHILIPPINES

1. STROKE 1. HEART DISEASE

2. DIABETES 2. CVA

3. HYPERTENSION 3. CANCER

4. ASTHMA 4. ACCIDENTS

5. HEART ATTACK 5. PNEUMONIA

6. TB 6. TB

7. UTI 7. SIGNS AND SYMPTOMS OF

ABNORMAL CLINICAL LAB. FINDINGS

8. PRENATAL COMPLICATIONS 8. CHRONIC LOW RESPIRATORY

SYSTEM

9. ABORTION 9. DIABETES

10. PRENATAL CONDITIONS

TABLE 20

The table shows that highest cause of death in the community is stroke, having 25%

(n=4) people died out of 498 people. Stroke is a “brain attack” that happens when a part

of the brain experiences a problem with a blood flow. These disruptions in blood flow

cuts off the supply of oxygen to the cells at the part of the brain. And the cells begin to

die, if the brain is damaged it can cause loss of speech, vision or movement in arm or

leg. Stroke is where serious cells in the brain become damaged and it cannot be

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repaired or regenerated. But other areas of the brain may take over the work of the

damage portion.

In the Philippines the leading cause of mortality is heart diseases, next is CVA,

cancer, accidents but TB, Diabetes and prenatal complications are the most common

problem of mortality also at Lim B compound.

Because of our Different Lifestyles Like; Improper Diet, Lack of exercise, stress,

and also aging can affect our health status. But some it could be hereditary like

Alzheimer’s disease, hypertension, and also Asthma. Some are communicable and are

complications to our body

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TOP LEADING CAUSE OF MORBIDITY OF PAST 6 MONTHS AT LIM B

COMPOUND MANGGAHAN BRGY. SAN DIONISIO PARANAQUE CITY

TOP LEADING CAUSE OF MORBIDITY AT THE PHILIPPINES

1. PNEUMONIA 1.ACUTE UPPER RESPIRATORY TRACT

INFECTION

2. ASTHMA 2. DIARRHEA

3. DIARRHEA 3. BRONCHITIS

4. UTI 4. HYPERTENSION

5. DIABETES 5. INFLUENZA

6. HYPERTENSION 6. TB

7. FLU 7. HEART DISEASE

8. SORE EYES 8. ACUTE FEBRILE ILLNESS

9. MALARIA

10. DENGUE

TABLE 21

COMPARATIVE ANALYSIS

During our community diagnosis at Lim B compound we encounter the 8 different

causes of morbidity on their community such as pneumonia, asthma, diarrhea, UTI,

diabetes, hypertension, flu, sore eyes as comparing to the Philippines : the leading

causes of morbidity are AURT, diarrhea, Bronchitis, hypertension, Influenza, Tb, Heart

Disease, Acute febrile illness, Malaria, Dengue.

Page 93

Pneumonia is a leading cause of morbidity at the Lim B compound while Acute

Upper Respiratory Tract Infection on Philippines.

Pneumonia is an inflammation or infection of the lungs most commonly caused

by a bacteria or virus. Pneumonia can also be caused by inhaling of vomit or certain

chemicals. Children with bacterial pneumonia may die from hypoxia or sepsis.

Second is Asthma it could be hereditary next are diarrhea, sore eyes, heart

problem. Diarrhea is closely related to the morbidity in the Phil.

If a family practices some hygienic measures the Family are away from any

diseases: by means of, taking bath daily always washes our hand, Using Slippers.

And it also depends on how we treat the diseases and always remember

maintaining a good healthy lifestyle.

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Frequency and Percentage distribution of Persons being consulted during Crisis

The political and leadership pattern is a survey tool that provides awareness to

everyone by the different programs been implemented to their community by the government.

Organizational Membership of family / family members

FIGURE 28

Organizational membership of family / family members

Church Organization 6

Home Owners of Lim Compound

3

Credit Cooperative 1

Divine Organization 1

Fraternity 1

Multi-purpose Cooperative

1

TOTAL 13%

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TABLE 27

Interpretation

Out of 100 families surveyed, 13% (n=13) are involved in

organization activities, 6 of them are members of Church Organization, 3 are

Home owners of Lim compound, 1 is Multipurpose cooperative, Divine

government, credit cooperative, and Fraternity, while 87% (n=87) does not

belong to any organizational activities.

Analysis

The 87% out of 100 families surveyed are not involved in any

organizational activities because some of them focused on family responsibilities

instead of joining in any community events/ activities, some are busy in working

to provide their daily needs, that’s the reason why most of them do not join in

any organizational activities.

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Person consulted in cases of disaster of crisis within the

community

FIGURE 29

Person consulted in cases of disaster of crisis within the community

Barangay 57

Relatives 9

Homeowners 7

Mayor 5

TOTAL 78%

TABLE 28

Page 97

Interpretation

Out of families surveyed, most of them consulted are 78% (n=78) in case

of disaster within the community. 57 out of 10 families consults in the barangay, 9 in

relatives, 5 in Home owners, 5 in mayor. While the 22% (n=22) does not consult in case

of disaster or crisis.

Analysis

In case of crisis and disaster, 78% out of 100 families surveyed consulted

in their respective government officers, relatives, health center, through news

casting, media and the 22% do not encountered disaster and crisis.

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Health care facilities available in the community

FIGURE 30

Health care facilities available in the community

Health Center 74

Hospital 10

Clinic 10

TOTAL 94%

TABLE 29

Page 99

Interpretation

Out of 100 families surveyed, 94% (n=94) are aware that there’s a

health care facilities available in the community, 74 of them know the health center, 10

of them knows the hospital and 10 of them knows the clinic, while 6 of them does not

know that there’s a health care facilities available in the community.

Analysis

94% out of 100 families knows that there is a health center facility

through health personnel. But there’s a certain place in the community where health

personnel.

Page 100

Health programs implemented in the community

FIGURE 31

Health programs implemented in the community

Tigdas Vaccine 74Feeding Program 2Free- check up 1Livelihood 1Operation Tuli 1

TOTAL 79%

TABLE 30

Page 101

Interpretation

Out of 100 family surveyed, 79% (n=79) are aware that there’s a health

programs implemented in the community. 74 of them know the Tigdas vaccine, 2 are

feeding program, 1are free check-up, operation tuli, and livelihood. While 21% (n=21)

do not know that there is a health programs implemented in the community.

Analysis

79% out of 100 families surveyed are aware that there is a health

programs implemented in their community through their relatives, neighbors, health

personnel and posters, while the remaining percent do not know because they ignore

and neglect the health news, poster and etc.

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Budget allocated for health

FIGURE 32

Budget allocated for health

50- 1,000 Pesos 21

1,001-10,00Pesos 27

10,001-20,000Pesos 2

TOTAL 50%

TABLE 31

Page 103

Interpretation

Out of 100 family surveyed, 50% (n=50) have a budget allocated for health, 27

allocated their budget for health is ranging in (1001-10000pesos), 21 are (50-

1000pesos) and 2 are (10000-20000pesos). While 50% (n=50) does not allocated

budget for health.

Analysis

The half of family surveyed have a budget allocated for health, it implicates that

the health for them is important. While the other half is don’t have budget allocated for health

because they prioritize their needs for food and water, shelter etc..

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SUMMARY AND CONCLUSION

A community is a collection of people who share some attribute of their lives and

interact with each other in some way. They may live in the same location, attend a

particular church, or even share a particular interest. Community diagnosis refers to the

identification and quantification of health problems in a community as a whole in terms

of mortality and morbidity rates and ratios, and identification of this correlates for the

purpose of defining those at risk or those in need of health care. Community Health

Nursing is a field of nursing that is a blend of primary health care and nursing practice

with public health nursing. Lim B compound is considered to be a depressed area in

San Dionisio according to its health center. It was a good place to conduct our

community diagnosis because there could be more existing and preexisting problems

that we can assess and identify. In which through those problems we can make give

recommendations and make action plans.

We the student nurses collect data about the community. This will be an

effective tool in assessing community health needs. Community diagnosis helps to find

the common problems or diseases, which are troublesome to the people and are easily

preventable in the community of Lim Compound.

, After three of community assessment, the student nurses had able to know the

condition of each family’s health status in Lim B Compound and must be able to identify

the direct influence of the community on the health of individual, families and sub-

population, and the condition of the people in the community.

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Lim B Compound is exactly located in San Dionisio, Quirino Avenue, Parañaque City. A

total of 109 houses and a total of 135 families comprised the Lim B Compound

community. Only 100 families had been interviewed since the remaining 10 families

refused due to unavailability of respondents because of lack of interest, and they

thought it is a waste of time. And 25 families are not surveyed because absence of their

presence during the time of interview. Majority of the population are from the group of

10-14yrs old wherein the males has bigger quantity from the females with ratio of 101

males for every 100 females in the community. According to the civil status, single is the

highest with ages 15 and above. There are 52 dependent individuals for every 100

productive persons. In terms of family structure, the majority of the families has a

nuclear type which they sustain all their basic needs from their family members like food

and water, shelter, clothing, health, education, savings, electricity and recreation. Most

of the families are patriarchal in decision-making. According to the data, most of the

people in Lim B Compound originated from the island of Luzon and majority are

Catholics. From the island of Luzon, Visayas and Mindanao, many of them believes in

superstitions about their health and culture that may lead a conflict to them. Most of the

employed people have blue collar jobs whom they engaged in jobs that require manual

labor. Majority in the blue collar jobs are those who have graduated in high school. Most

of them are permanent on their works due to the time they spent on their works. Majority

of the incomes which a family receives per month is less than the average wage a

family should have to provide the needs of each family member. Regarding to the status

of the ownership of their houses, majority of them owned it. Most of their houses are

made up of mixed materials such as wood and concrete. However, their ventilation

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status is inadequate due to the lack of space of each house. While their lighting status is

adequate and each family is being served by a waterworks system. They excrete their

wastes on a pour flush type. On the other hand, their food is been stored mostly in the

refrigerator or on the table with cover. Their trash is being collected by the trash

collector. However, they still practice open dumping method to throw their trash. In

terms of their pet ownership, most of the family has a pet cat that is not vaccinated.

While those people who take care of the dogs was been vaccinated and kept. The

service that is mostly utilized by the people living in Lim B Compound is the healthcare

center. While the others go to private clinic. Regarding to the health planning of the

family, most of them are “non-acceptor” that may have a greater chance to increase the

population within the succeeding years. But those who are are using natural family

method and 29% (n=29) are using artificial family planning method. Most infants are

being breastfeed by their mothers but some children are being mixed fed. Most of their

child is being immunized by the age of 9 th month. The parents are not fully aware to the

immunization of their child. They stated that the source of information concerning health

is from the health personnel. On the other hand, the respondents still need to be

educated about some health concepts.

From the data collected in the community, three health problems had been

identified and should be prioritized for the benefit of the people living in Lim B

Compound. The three problems to be specific are the following: Waste segregation, fire

hazard and unemployment. through these problems we can give recommendations and

make action plan for possible solution to aid the existing problems and maintain a good

quality of life.

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PRIORITIZATION OF THE PROBLEMS

1. 50% are Non- Acceptor of Family Planning

Criteria Computation Score Justification

Nature of the problem- Health related

1/3x1 0.3

The problem is health related since this may cause to raise the number of population that may eventually lead to over population, overcrowding that may aggravate the illness- inducing situation of the community.

Magnitude of the problem- 50%-74% affected 3/4x3 2.25 The magnitude of the problem is 50-

74% according to the surveyed family.

Modifiability of the problem- high 3/3x4 4

The modifiability of the problem is high. The community could learn and can be taught with the various ways on to how use family planning method.

Preventive Potential- moderate

2/3x1 0.6

It is moderately preventable since the effect of not using the family method couldn’t be controlled right away.

Social Concern-

Recognized as a problem but not needing urgent attention

1/2x1 0.5 It is recognized as a problem but not needing urgent attention by the community because they are prioritizing other present problems.

TOTAL SCORE 7.65

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Waste Segregation


Nature of the problem

- Health related

1/3x1

0.33

The waste segregation is health related problems because it is source of transmission of the disease.

Magnitude of the problem

- 50%-74% affected

2/4x3

1.5

The magnitude of the problem is 49% affected because of their knowledge on the benefits/ important of waste segregation.

Modifiability of the problem

- Moderate

2/3x4

2.67

The problem is moderately modifiable because there’s a high possibility of people to learn on what are the benefits of waste segregations.

Preventive Potential- moderate

2/3x1

0.67

The problem id moderately preventive potential because the barangay health officials are able to implement a program regarding waste segregation.

Social Concern- Recognize as a problem but not needing immediate action.

1/2x1

0.5

The social concern of the problem is recognize as a problem but not needing immediate action because they do not give much importance to waste segregation because they are more concerned with other problems like foods and water.

TOTAL SCORE 5.67

2. Unemployment

Page 109


Nature of the problem

- Health resource

2/3x1

1.7

The problem is a health resource because it can affect the physical, economic status of the community.

Magnitude of the problem

- 25-49% affected

2/4x3

1.5

The magnitude of the problem is 43% affected according to the survey.

Modifiability of the problem

- low

1/4x4

1.3

The problem is low modifiable because the community does not have adequate resources to solve the problem.

Preventive Potential

- moderate

2/3x4

0.4

The problem is moderately preventive potential because they’re so many ways to have a job and source of income.

Social Concern- Recognized as a problem but not needing immediate action.

1/2x1

0.5

The social concern of the problem is recognized as a problem but not needing immediate action to solve the problem.

TOTAL SCORE 5.4

ACTION PLAN

Program Action Plan:

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Awareness of family planning for the community of San Dionisio, Paranaque City.

PROBLEM:

50% are non-acceptor of family planning as health-related factor because the people cannot accommodate the services

rendered in the community.

SPECIFIC OBJECTIVES:

The community will

- Identify the importance of family planning in maintaining family size and equal spacing of children and its physical,

emotional and economical benefits to the mother, child, and the entire family

- Be informed of the physiology of conception which includes the anatomy and physiology of the male and female

reproductive systems

- Be informed of the available family planning methods at the health center, the advantages and disadvantages of each,

and their specific uses

TARGET:

The community of San Dionisio, Tramo

STRATEGIES:

Conduct a community assembly to discuss the importance of family planning in maintaining family size and equal

spacing of children and its physical, emotional and economical benefits to the mother, child, and the entire family.

Give a list of the available family planning methods available at the health center.

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ACTIVITIES:

Community Assembly

Health Teaching

FOCUS OF RESPONSIBILITY:

Barangay Health workers and officers

Area leaders

Student Nurses from San Juan de Dios Educational Foundation Inc.,

Residents of San Dionisio, Paranaque City.

TIME FRAME:

1 day ocular visit, 2 weeks home visits, 1 day community assembly

RESULTS:

The people who attended the assembly had learned the importance of family planning in maintaining family

size and equal spacing of children and its physical, emotional and economical benefits to the mother, child, and the entire

family. They also have been informed with the different family planning methods available at the health center in their

community.


Awareness from waste segregation for the community of San Dionisio, Paranaque City.

PROBLEM:

Page 112

The waste segregation is health related problems because it is source of transmission of the

disease


The community will

- Identify the disease conditions associated with improper waste segregation

- Recognize the importance of proper waste segregation for health maintenance, health restoration or disease prevention

-identify the principles of proper waste segregation.

TARGET:

The barangay health workers and officers


STRATEGIES:

-Conduct group health session discussing the diseas conditions associated with improper waste segregation

-Teach community ways in proper waste segregation

ACTIVITIES

Health teachings

Demonstration of the procedures

LOCUS OF RESPONSIBILITY:

Area leaders

Student Nurses from San Juan de Dios Educational

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Foundation Inc.,



Awareness from unemployment for the community of San Dionisio, Paranaque City.

PROBLEM:

The unemployment is a health resource because it can affect the physical economic

status of the community


-identify factors contributing to unemployment in the community.

-discuss about unemployment.

-provide the community some alternative on how to produce money.

TARGET:

The barangay health workers and officers


STRATEGIES:

- conduct a group discussion about unemployment.

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-teach the community some alternative on how to produce money

ACTIVITIES

-Group discussion

LOCUS OF RESPONSIBILITY:

Area leaders

Student Nurses from San Juan de Dios Educational

Foundation Inc.,


Page 115

SUGGESTIONS AND RECOMMENDATIONS

Based on the problems identified in Lim B compound Manggahan San Dionisio Paranaque City the students nurses recommend the following among the family, community and health officials the maintenance and promotion of health and well being of the population of the community:

Family and community The family must focus on the maintenance of a clean environment to

prevent the possible spread of microorganism which can lead in diseases. Each

family must learn how to do the proper hygienic measure, because it is prone to

infection and can cause a disease. The community must practice proper waste

disposal because it can cause transmission of the diseases. Since the majority of

houses in the community was made of mixed, they should be more be taught on

how to prevent burning or fire in order to prevent and reduce the risk of

accidents. In coordination with the barangay health Center, families must be

cooperating and help each other in sustaining their needs in terms of health and

support system.

Barangay Health Officials

The Barangay Health Officials must observe and check the progress

and quality of the condition and health status of the community in terms of

promotion of health and illness prevention programs, and implementing programs

which can teach every families in proper hygiene, promoting sanitation and

having an adequate space of living. They must readily prepare themselves to any

foreseeable problems and unusual demands of like economic implications.

Health Care Providers and Student Nurse

The Health Care Providers and Student Nurse assure the community

that they are reliable source of information regarding their health. They should be

Page 116

always ready and open for discussions and questions commonly asked by the

people in order for them to have an increased awareness and knowledge

especially in health concerns.

APPENDIX A

GANTT CHART

April MAY

29 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

OCULAR SURVEY

DATA GATHERTING

DATA COLLATION (TALLYING)

INTERPRETATION AND ANALYSIS

SUBMISSION OF DATA FOR EDITING

INITIAL PRINTING

EDITING AND MAKING OF PPT.

SUBMISSION OF FINAL COPY

MAC DEFENSE

EDITING

Page 117

DEFENSE

LEGENDS:

- DONE - PARTIALLY DONE

- NOT DONE

- ON THE PROCESS

Page 118

APPENDIX B

LETTERS

May 2, 2011

Honorable Pablo OlivarezBarangay Captain in San Dionisio, Parañaque

Dear Hon. Pablo Olivarez

Greetings in the name of St. John of God!

We are the Group 2, second year nursing students of San Juan de Dios Educational Foundation Inc. As a part of our requirement for our RLE (Related Learning Experience), we would like to inform you that we will conduct a comprehensive community diagnosis in Lim Compound from May 2, 2011- May 12, 2011. In line with this we will conduct a community survey in the said area from May 2, 2011- May 7, 2011. Our aim is to aid the community in prioritizing the problems which affects the different health conditions of every family in the community. We hope that we will have the support and cooperation of the community throughout this process.

Thank you and God Bless you

Respectfully yours,

Julian Christian CabanatanGroup leader

Noted by:

Mrs. Nedly LozanoClinical Instructor

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May 2, 2011

Ms. Estelita M. CastrenceHomeowners Association PresidentOf Lim Compound

Dear Ms. Castrence,

Greetings in the name of St. John of God!

We are the Group 2, second year nursing students of San Juan de Dios Educational Foundation Inc. As a part of our requirement for our RLE (Related Learning Experience), we will conduct a comprehensive community diagnosis in Lim Compound from May 2, 2011- May 12, 2011. In line with this we will conduct a community survey in the said area from May 2, 2011- May 7, 2011. We hope that we will have the support and cooperation of the community throughout this process.

Thank you and God Bless you

Respectfully yours,

Julian Christian CabanatanGroup leader

Noted by:

Mrs. Nedly LozanoClinical Instructor

Page 120

APPENDIX C

DOCUMENTATION

All throughout the journey forour Community Diagnosis we’ve experienced a lot in the

community. We saw the different faces of life and we realized that working in the community

based profession is really hard and needs an intense patience and compassion.

The Community of Lim Compound during our ocular survey

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Drainage System

Water System

Garbage & Open-dumping

Page 122

The Barangay Outpost and the Boundaries of Lim Compound and the Landmark Near Lim Compound

Animals in the area (Cat, Dog, Rabbit, Chicken)

Page 123

Surroundings of Lim Compound

The Community People

Page 124

Page 125

During the Survey

Page 126

Houses Found in the community (sample)

Discussion With Mrs. Lozano

Page 127

Tallying Data Gathered through Survey Forms and Doing Papers Works for the Community Diagnosis

Page 128

The Work Force of the Group II (BSN II )

APPENDIX D

Page 129

DEFINITION OF TERMS

BARANGAY

-also known by its former Spanish adopted name, the barrio, is the smallest

administrative division in the Philippines and is the native Filipino term for a village,

district or ward. Barangays are further subdivided into smaller areas called Puroks.

FAMILY

- A group of persons usually living together and composed of the head and other persons to the head by blood, marriage or adoption. It includes both the nuclear and extended family. Moreover, they are sharing same resources, social responsibilities and privileges.

HOUSEHOLD

- A social unit consisting of a person living alone or a group of persons who sleep in the same house. A household many consist of several families.

AGE AND SEX

Dependency Ratio

- Compares the number of economically dependent (0 – 14 years old) with the economically productive group (15 – 64 years old) in the population.

Sex Ratio

- Compares the number of males to the number of females in the population.

CIVIL STATUS

Married

- includes couple living together as husband and wife joined by legal rights

Single

-One of the types of civil status. These are people who are 15 years old and above, who are not married or never been married.

Widow

- A woman whose husband has died, especially when she has not remarried.

Widower

Page 130

http://en.wikipedia.org/wiki/Purok

http://en.wikipedia.org/wiki/Ward_(country_subdivision)

http://en.wikipedia.org/wiki/District

http://en.wikipedia.org/wiki/Village

http://en.wikipedia.org/wiki/Philippines

http://en.wikipedia.org/wiki/Administrative_division

http://en.wikipedia.org/wiki/Barrio

- A man whose wife has died, especially when he has not remarried.

Common law

- Person living with another person without the benefit of a legal marriage: a couple living together for five years or more without a marriage license but is solemnized is considered to be married.

Separated / Divorce

- Person legally separated from his/her spouse or who is living apart from his/her spouse because of marital discord or similar reasons; a person whose bond of marriage has been dissolved and can therefore remarry.

EMPLOYMENT

Blue Collar Worker

- Member of the working class who performs manual labor, and earns an hourly wages.

Casual

- An employee who works on a temporary or seasonal basis.

Permanent

- A person who is working in a particular job on a regular basis or their own.

Contractual

- A person whose employment is bound by a formal agreement between employer and employee, stating the terms of employment status that will last for given period of time usually for not more than 6 months to 2 years.

Self – employed

- An individual who operates a business as a sole proprietor or on their own.

Unemployed

- A person who does not have a particular job or source of income.

White – Collar Worker

- A salaried professional or a person whose job is clerical in nature and earns a monthly or annual wages.

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FAMILY STRUCTURE

Nuclear Family

- Members of the family such as the mother, father and children are living in one house.

Extended Family

- Members of the family are composed of the mother, father, their children, including relatives.

Patriarchal

- The father is the one who is making decision for the family

Matriarchal

- The mother is the one who is making decision for the family

HOUSE OWNERSHIP

Owned

- pertaining to, or belonging to oneself or itself (usually used after a possessive to emphasize the idea of ownership

Rent

- a payment made periodically by a tenant to a landlord in return for the use of land, a building, an apartment, an office, or other property.

Rent Free

- Individuals living in a house but does not own the house that they are living in and also do not pay a monthly pay rent.

LENGTH OF RESIDENCY

Permanent

- To remain for more than 6 months of stay in their said address

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Transient

- Temporary stay which is less than 6 months of stay in their said address

TYPES OF HOUSING

Concrete

- Considered to be a strong type of housing that is made up of cement and other materials.

Light

- A housing structure made of used galvanized iron and light materials constructed temporarily.

Mixed

- A housing structure made of both wood and concrete materials.

VENTILATION

Adequate

- Openings seen in the house are equivalent to 10% of the total floor area.

Inadequate

- Openings seen in the house are equivalent to less that 10% of the total floor area.

WATER SOURCE

Point Source

- Considered to be of Level I water supply. A protected well or a developed spring that has an outlet but has no distribution system. Such a service is usually managed by community – based organizations that are also tasked with operating and maintaining it.

Communal faucet or Stand post

- Considered to be of Level II water supply. A system made up a source, a reservoir, a piped distribution network and communal faucets.

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Waterworks System

- Considered to be of Level III water supply. An individual household connection that provides water to the families living in the community.

BOILING

- a type of phase transition, is the rapid vaporization of a liquid, which typically occurs when a liquid is heated to its boiling point, the temperature at which the vapor pressure of the liquid is equal to the pressure exerted on the liquid by the surrounding environmental pressure.

OPEN DRAINAGE

- Wastewater flows through a system pipes to an open pit or canal.

RESOURCE RECOVERY

- Sorting/ collection/ marketing of recyclable materials by organized individuals for domestic / commercial establishment.

RECYCLING

- Reproduction of waste to new materials and products.

COMMUNITY DIAGNOSIS

- This is a process of collecting, organizing, synthesizing, analyzing and interpreting health data in order to come up with a community problem.

LITERACY RATE

- Determines the percentage of 8 years old and above who can read and write.

OPEN PIT PRIVY

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- Consist of a pit covered by a platform with a hole. The hole is usually not covered. The platform may, in its simplest form, consist only of 2 pieces of wood or bamboo.

CLOSED PIT PRIVY

- A pit privy in which the hole over the platform or toilet floor is provided with a cover.

GARBAGE

- Left over vegetable, animal and fish materials from kitchen/ food establishments, these have the tendency to decay and give off foul odors and sometimes serve as food for flies, rats etc.

MORBIDITY

- Relative incidence of a particular disease

MORTALITY

-condition of being mortal, or susceptible to death

MORBIDITY RATE

- The proportion of patients with a particular disease during a given year per given unit of population.

MORTALITY RATE

- The ratio of deaths in an area to the population of that area; expressed per 1000 per year.

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Community Diagnosis to San Dionisio

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