INTRODUCTION Barangay Mabulo is one of the many barangays in Naic, Cavite where second year Nursing Students of Cavite State University are assigned to conduct their Community Organizing Participatory Action Research (COPAR). The community is situated three kilometers away from the town of Naic. Different barangays surround it. At the north side of it is Barangay Labac while Barangay Bancaan is at its south. At its east is Barangay Malainen-Bago and Manila de Bay at its west. Measuring the total land area of fifty-two hectares, the area is divided for residential (21 hec), agricultural (30 hec), institutional (0.5 hec) and commercial (0.5 hec) purposes. From where Mabulo is situated, the barangay can be classified as a coastal community. There are 685 households in the community that is composed of 3426 people (Naic RHU, 2010). Likewise, as what have been obtained from the survey, there are 253 out of 266 families in the community whose members are employed while the rest are just depending on the aid of other people. It may be inferred that 1
Transcript
INTRODUCTION
Barangay Mabulo is one of the many barangays in Naic, Cavite where second year
Nursing Students of Cavite State University are assigned to conduct their Community
Organizing Participatory Action Research (COPAR). The community is situated three kilometers
away from the town of Naic. Different barangays surround it. At the north side of it is Barangay
Labac while Barangay Bancaan is at its south. At its east is Barangay Malainen-Bago and Manila
de Bay at its west.
Measuring the total land area of fifty-two hectares, the area is divided for residential (21
hec), agricultural (30 hec), institutional (0.5 hec) and commercial (0.5 hec) purposes. From
where Mabulo is situated, the barangay can be classified as a coastal community.
There are 685 households in the community that is composed of 3426 people (Naic RHU,
2010). Likewise, as what have been obtained from the survey, there are 253 out of 266 families
in the community whose members are employed while the rest are just depending on the aid of
other people. It may be inferred that 98.8 percent of the households from the sample population
are economically productive and are capable of somehow supporting their family.
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MUNICIPALITY PROFILE
The municipality of Naic in the province of Cavite lies 47 kms. from the City of Manila.
It is bounded on the north by Manila Bay, to the south by the adjacent towns of Indang and
Maragondon, to the east by the City of Trece Martires, Cavite’s seat of Provincial Government,
and to the west by the town of Tanza. The origin of the Municipality of Naic can be traced to a
string of villages whose population cleared meadows for rice and corn production near the shores
of the present Balsahan, Bancaan and Labac barangays. As the coastal and riverine settlement
flourished in the early Spanish era, the Dominican friars formally made the growing
community a barrio of Maragondon, one of the oldest towns in the Province of Cavite,
along with the present towns of Ternate and Magallanes. Towards 1800, further colonial
interests focused on the prospects of the agricultural lowland as a productive estate.
Naic became one of the Friar Land Estates catering to the world market. To this day, Naic
serves a point of commercial convergence among the lowland and upland towns of
Cavite and nearby municipalities of Las Piñas, Parañaque, parts of Manila. Batangas and
Laguna. It has maintained its roles as a rice granary of Cavite, producing rice almost enough for
the needs of many towns of the province, and supplies to fish in the markets of Cavite City,
Imus, Las Piñas, Parañaque, Pasay, and even Divisoria, Manila.
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Demography
Naic's total population result is distributed in thirty (30) barangays of this municipality.
Ten (10) of the barangays comprises the urban areas while twenty (20) barangays comprises the
rural area. Based on the province population of 2.86 million for the year 2007, Naic is 3.28
percent of its population.
Health
Naic health care services are being undertaken in different health care facilities in the
municipality and by different health personnel. There is only one Health Center for the entire
population of the municipality. The service offered by the health station include maternal and
child care, family planning, immunization, pre-natal, dental and nutrition service. The RHU runs
an anti-TB program. There are currently eighteen (18) Brgy. Health Stations in Naic making
them the main form of public health service.
NAIC MEDICARE HOSPITAL a government owned hospital which was established
in 1973 lies some 2 kilometers from the town center. It is located at Soriano Highway, Brgy.
Ibayo Silangan. At present, it has 4 rooms with a total of 15 beds. It has 3 doctors, 3 nurses, 3
midwives, 1 medtech, and 7 support staff (i.e clerk, bookkeeper, food server, driver, laundryman,
cook and janitor). The services offered by the hospital includes minor operation, medical
attandance to out-patients and maternal and child care. Regular fund is provided by the
MEDICARE Commission for salaries of the hospital personnel.
FIRST FILIPINO SAINT HOSPITAL - established in 1998 and located at Governor's
Drive/Sabang. It has 26 rooms with a total of 24 beds. It has 30 doctors, 15 nurses, 4 midwives,
and 18 support staff.
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NAIC DOCTORS HOSPITAL - located at Governor's Drive/Daang Makina was
established in 2000. It has 18 rooms with 32 beds and has 15 doctors, 15 nurses, 5 midwives and
19 support staff
VILLA APOLONIA MATERNITY AND PEDIATRIC CLINIC - established since
1996. It has 2 rooms with 7 beds, 6 doctors, 6 nurses and 5 support staff
HOLY SPIRIT MEDICAL AND MATERNITY CLINIC - established since 1998,
located at Brgy. Capt. C. Nazareno. It has 3 rooms and 3 beds, 4 doctors and 4 support staffs.
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COMMUNITY PROFILE
Brief History
Barangay Mabulo is situated nearby the sea of the Municipality of Naic, Province of Cavite
and is fifty two hectares (52 hcs) wide. Its distance from the public market of Naic is about three
(3) kilometers.
The barangay is named after and became well-known because of familiar sights “Puno ng
prutas ng Mabulo” which are planted and are lined up near the provincial public road and even at
the courtyards too. From the start, Barangay Mabulo is a part of Barangay Bancaan. Despite this
situation, they have a well- known leader of the barangay who’s name is G. Tiburcio Binsol
(“Tiniente del Baryo”).
In the year 1954, with the leadership of Hon. Macario B. Pena as the mayor of Naic, the
Barangay Mabulo was separated from Barangay Bancaan. At that time, Mr. Efren Ricase was
appointed as the “Tinente del Baryo” of the barangay.
From the time that they had the “Batas Pambarangay”, the first person in charge of the
barangay was Mr. Patricio Cawit.
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Vision
A peaceful barangay with the purpose of faithfully serving and uniting its people, for a
clean and green environment, to achieve a prosperous living with the help of our Mighty God.
Mission
Deliver to everyone a methodical and faithful service, with livelihood and health-related
programs, execute the ordinance which conforms to the cleanliness of the environment,
strengthen “Income Generation” among the people and a continuous collaboration for the
development of the barangay.
Objective
To raise the living of the people by the use of Livelihood programs and to have a clean
and peaceful community.
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Hon. Cesar V. Loyola Jr.Barangay Captain
Hon. Ritchie E. MilayBarangay Councilor
Hon. Geronimo H. BelberBarangay Councilor
Hon. Julian P. VillaBarangay Councilor
Hon. Shiena H. HinahonSK Chairlady
Hon. Erty P. SantiagoBarangay Councilor
Hon. Ronilo R. De Guzman Barangay Councilor
Mr. Nestor A. Alvar Barangay Secretary
Ms. Jesusita B. UrsuaBarangay Treasurer
Hon. Erlinda H. GironBarangay Councilor
BARANGAY OFFICIALSBrgy. Mabulo, Naic, Cavite
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Jorğa BustamantePresident
April MasapolAuditor
Nila PunongbayanSecretary
Lolita PeliñaVice President
Arnold AlamanPRO
Lorna AlamanPRO
Evelyn VillanuevaPRO
Fidela VillanuevaTreasurer
Racquel Bato-BatoMuse
Mabulo Health Organization
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Estrelita Andaya
Regie Loyola
Aurora CariñoSalome Buenaflor
Avelina Himaya
Riza Andaya
Barangay Health Workers
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SUBSYSTEMS OF THE COMMUNITY
Housing
The term village as accorded from Maine (2008) refers to a community commonly found
in rural areas. The people in here are tied either by blood or by the industry that provides the
living of the people. The houses in here are commonly owned by the residents (Tietze, 2008).
They are very familiar with one another unless some of the residents are just only new to the
area. As to what have been stated, the community may have been classified as a village since it
possesses the aforementioned qualities. It is likewise coined as a coastal village due o its
geographical setting and the main mode of living by the community people.
A typical house in a rural area in the Philippines is commonly made out of wood (Zaide,
2005). The houses in the community, despite its being in a rural area, are chiefly made out of
concrete. A large number of the inhabitants have the mixed type of house while there are those
who live in the light and makeshift classification of houses. Those who live in the latter
mentioned types of houses are those who are earning below the set minimum wage.
Education
The community is provided with sufficient educational institutions to cater the needs of
the youth who are searching for a bright light of knowledge. For those in the elementary level,
the barangay has its own elementary school. Another elementary school is also present in the
barangays nearby. The municipality also has several secondary education institutions. There are
a total of nine high schools, six of which are private while the remaining are public. There is also
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an institution for tertiary education in the area. The college, CvSU-Naic Campus, focuses on
nautical science and technology since the area is considered to be coastal.
Considering the educational attainment of the people, it is shown that most of the people
there are graduates from high school but did not continue to pursue a degree in college.
Nevertheless, there are still some degree holders within the area. Most of them have finished
BSHRM and BSEd while the others are still on their way of finishing their course under various
programs.
Fire and Safety
The committee for peace and order in Barangay Mabulo is headed by Coun. Geronimo
Belber as aided by Coun. Edgardo Hinahon, the chief of the barangay police. In the barangay,
there is no actual facility for fire and safety except for a fire extinguisher available in the hall.
They just depend on the fire station of the municipality situated in Brgy. Ibayo Silangan which is
nigh to the municipal hall and the police station. The fire station of Naic is headed by Mr. Jose
Cataulin. He takes command under the municipal mayor, Hon. Eduina Mendoza. In the station,
there are only two fire trucks. In there, however, only one is functional.
The measures being taken by the officials apropos fire and safety are more on prevention.
They hold seminars and trainings to avert such event. They likewise provide some campaign
materials regarding it so the people will be aware of its causes and preventive measures.
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Politics and Government
The barangay, being a part of the legislative power governing the Philippines, is likewise
headed by a council known as the Sangguniang Barangay wherein the barangay captain or
punongbarangay is considered as the chief executive. The barangay captain in the area is Hon.
Cesar Loyola, Jr. He is the one who takes charge of the barangay as aided by his constituents
termed in Filipino as kagawad. Since they are elected by the people to govern in the community,
they are considered as the formal leaders there. There are some people in the community,
however, whose views and ideas are being followed and considered even if they do not hold any
position in the council. They are the informal leaders of the barangay. Such includes the
president and vice president of the Mabulo Health Organization, Mesdames Jorğa Bustamante
and Lolita Peliña respectively.
The barangay hall, where the seat of government is found, is situated fifteen metres from
the highway and five metres away from the next residential house. It is built to serve as the
meeting place of the public officials and as an agency where the public concerns in the barangay
will be discussed especially the discords and disagreements that may occur among the people.
As the governing body in the community, the council implements rules and regulations to
promote peace and order. They also provided penalties and disciplinary sanctions for those who
will fail to conform accordingly. They sponsor some civic projects such as Waste Management
Program to maintain the cleanliness within the area and to somehow earn income as well.
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Health
The barangay is equipped with a health centre situated right behind the barangay hall. It
is headed by the barangay midwife, Ms. Ofelia Milay and is staffed by the barangay health
workers under Ms. Avelina Himaya. The centre is open every Thursday from 8 am to 12 nn to
cater the people’s needs.
The barangay health centre is where the people seek for primary health care. It provides
basic health services such as immunization, feeding, vital signs, and health counseling.
Communication
The barangay, in spite of its being a rural community, is still able to adhere on the trends
being introduced by the current advancements in technology. Maliksi (2007) cited in one of his
speeches that the province of Cavite would always be a partner of the nation in upgrading its
people’s knowledge on the newest information that is being pervaded worldwide. This is what is
apparently happening in the community. The major mode of communication is the use of cellular
phones while there are still some who use landline phones. Though there are people who still
stick on the snail mail method, there are a few who use email in sending their messages to distant
places.
Socio-Economic
The community is mainly into fishery due to its geographical setting. Even so, there are
also some other industries present in the locality such as in metal and food service. There is also
a wide range of farmland there thus, indicating that the community is also a rice producer.
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Artesian wells are the major source of water in the community. Some have their own at
home while the rest depend on the public sources. This is despite the advisory averred by the
National Water Resources Board (2003) which states that every family must provide themselves
with their own private source of water supply to ensure that they are receiving the best quality of
water. The people perhaps do not have the capability to have and maintain their own source of
water; thus the present condition in the community.
There is also a water refilling station there. This business establishment supplies
guaranteed clean water for its customers.
The Rural Assistance Centre (2009) reported that reliable transportation is critical to
helping rural communities and community members to remain healthy and productive. They
added that this is what binds communities together and supports economic growth. The
availability of transportation, however, is often limited in rural settings. Just like the present
condition in the barangay, a few have their own means of transportation while the rest depend on
the public utility vehicles. The major public vehicle being used in the community is tricycle. A
lot also use jeepney and there are also some who depend on buses. Very a few use FX as their
means of transportation.
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SWOT ANALYSIS
STRENGTH WEAKNESS OPPORTUNITY THREATS
A. Most of the houses in the Barangay are made of concrete which is of good quality.
B. The barangay has an elementary school and other educational institutions that can provide the needs of the youth.
C. There are fire extinguishers available in the barangay hall. Likewise, the barangay holds seminars and trainings about fire and safety.
A. Some of the houses that are classified as mixed type are made of light materials from pieces of wood, coconut leaves and bamboo trunks. And houses are congested.
B. There are limited facilities in the school which can affect the learning process of the student. And worn out chairs and tables are still use in the school.
C. There is no actual facility for fire and safety in the community. They rely in the municipal fire station under the municipal mayor.
A. Schools that provide educational access for the community can create and shape future leaders, entrepreneurs and other professionals needed to make the society in the continuum.
B. Knowledge and other trainings obtained by different personnel regarding emergency preparedness.
C. They provide basic health services such as immunization, feeding, vital signs, and health counseling.
A. Construction of houses under the mixed type cannot withstand naturally occurring phenomena like heavy rain and strong wind. Since the community is classified as a coastal village, floods can occur during the rainy seasons.
B. Due to that facilities in the school the students are prone to accident
C. The community has a high risk for fire since their houses are made from light materials. Similarly, the community is congested and has favorable space in between houses.
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D. The barangay hall is situated 15 meters from the highway and five meters away from the next residential house. The council implements rules and regulations to promote peace and order.
E. The barangay health center is located right behind the barangay hall. It provides basic health services such as immunization, feeding programs, vital signs, and health counseling.
F. The major mode of communication is through cellular phones. However, there are still a number of households who use landline phones. In addition, there are people who still utilize the snail mail method and innovations like email in sending their messages to
D. The nearest hospital is located about 500 km away from the barangay. The barangay health workers can only provide minimal care to the community people. The rural health midwife goes to the barangay only once every week.
D. The sea offers opportunities for more source of livelihood for the barangay as well a possible tourist destination. Also, trading goods from ships and other marine vehicles can possibly be done.
D. Due to overcrowding, communicable diseases can occur and can be transferred easily through direct contact.
E. Other calamities and sea-related incidents can always occur that might take properties and lives of the people.
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distant places.
G. The community is mainly into fishery due to its geographical setting. There are also some other industries present in the locality such as in metal and food service. There is also a wide range of farmland there thus, indicating that the community is also a rice producer.
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POLITICAL, ECONOMIC, SOCIAL, AND TECHNOLOGICAL (PEST) ANALYSIS
POLITICAL FACTORS
ECONOMIC FACTORS
SOCIOCULTURAL FACTORS
TECHNOLOGICAL FACTORS
1. The community follows rules and regulations of the government, wherein the
2. The barangay captain delegated tasks to the barangay police and assigned them to the different sections of the barangay to monitor and maintain peace and order in the community.
3. The barangay health center follows laws implemented by the Department of Health (DOH) such as EPI.
1. The main sources of income of the residents are fishing and farming.
2. Most residents work near their homes and others work in industrial zones.
3. The houses in the community are chiefly made out of concrete, but there are some with mixed type of house.
1. Most of the residents in the community are Catholics, thus having the same religious background.
2. There are churches, schools, basketball courts and billiard hall where people can gather and interact with each other.
3. Common leisure activities in the community are chatting with neighbors and children playing outside.
4. The residents are very familiar with one another unless some of the residents are just only new to the area.
1. Most of the family members have their own cellular phones that serve as their primary means of communication.
2. The barangay use computers for data recording, processing and retrieval.
3. They use internet for communication and educational purposes.
4. Their means of transportation are tricycles and jeepneys.
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SWIFT WORKSITE ASSESSMENT AND TRANSLATION (SWAT)
1. Health-related Programs and Services
One of the health-related programs offered by the barangay health center is the Expanded
Program on Immunization. The target population for EPI is children below the age of 7, wherein
children are required to receive immunization against seven diseases. This program takes place
every Wednesday and is performed by the barangay health midwife.
Prenatal check-up is also available for pregnant women. The program aims to reach all
pregnant women and promote healthy pregnancy and safe delivery. The barangay health midwife
is responsible for the overall check-up.
There is a feeding program directed mainly to malnourished children in the barangay.
The barangay health workers were delegated by the midwife to monitor the weight and at the
same time provide feeding to the children.
The community implemented environment sanitation, specifically dengue prevention.
They have performed fumigation in areas where breeding sites are suspected to be present.
2. Health-related Policies
The community has a policy of waste segregation and collection. Every Thursday and
Saturday, garbage is collected from the residents. Moreover, the barangay has a Material
Recovery Facility (MRF) located in front of the barangay hall. These MRFs receive, separate and
prepare materials for recycling.
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On the other hand, these MRFs are not completely utilized by the residents since most
residents are not aware of it and the MRF is located far from their vicinity. Some of them carry
out open dumping while others have their garbage collected.
3. Health Benefits
The residents of Barangay Mabulo receive free medications from the barangay provided
by their barangay captain. The barangay can provide some of the OTC (Over-The-Counter)
drugs which are mostly needed by the residents like pain relievers and anti-pyretics.
The rural health midwife receives health insurance benefits from Philhealth that will give
her and her family health assistance.
4. Environmental Support
The community has one barangay health center located inside the barangay hall and is
open daily, but the barangay health midwife is available only every Thursday. The health center
offers different services such as check-ups, immunization, and health teachings.
There are also fitness facilities in the barangay like basketball courts, gym and swimming
pools. These facilities are available to residents, however, facilities like gym and pools require
fees.
The community is rich in their supply of seafood considering it is located at the seaside.
They also have supply of fruits, vegetables and root crops from their farm.
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5. Community Linkages
The barangay health center obtains supplies of medications and vaccines form Trece
Martires, Cavite. The barangay health midwife reports to the main RHU along with all the
BHMs in Naic. Donations are occasionally accepted from people and other institutions that are
willing to provide for the health center. Clients are referred to Medicare, San Lorenzo Ruiz
Hospital and General Emilio Aguinaldo Hospital.
6. Workplace Governance
The head of the health care team in the barangay health center is comprised of the
barangay health midwife and six barangay health workers. The team is headed by the barangay
captain who checks, approves and supports health programs and activities.
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LEADERSHIP STYLE
The community has a centralized type of organizational structure. In this kind of
structure, decisions are made by the top level management and it has a centralized chain of
command. Furthermore, it can be extremely efficient with respect to business decisions. Since
this kind of structure has a relatively small span of control, employees can be easily managed.
In the community, the nurse displays a democratic style of leadership. This style is
needed in a dynamic and rapidly changing environment where very little can be taken as
unchangeable. In these fast moving organizations, every option for improvement has to be
considered to keep the group from falling out of date. This style also means facilitating the
conversation, encouraging people to share their ideas, and synthesizing all the available
information into the best possible decision. The community health nurse also has ability to
communicate decisions to the barangay officials in order to bring unity in planning actions for
the development and improvement of the current status of the vicinity.
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MANAGEMENT PROCESS
Planning
Planning is defined as looking ahead and taking out future courses of
action to be followed. It is a preparatory step and is a systematic activity
which determines when, how and who is going to perform a specific job.
Planning is a detailed program regarding future courses of action.
During this phase, our group decided to choose barangay Mabulo, Naic,
Cavite as our area of exposure during our Community Nursing. A letter was
secured to the mayor and the public health nurse for permission to conduct
the said activity.
The group formulated plan of activities of identifying the actual
problems of the community, its strengths, weaknesses, opportunities and
threats. We also included the evaluation of the programs and projects of the
students and core group two years ago, provision of health teachings to the
community people regarding hygiene and nutrition through pamphlets, and
an interview with the public health nurse, midwife and the core group.
Organizing
Organizing is the function of management which follows planning. It is
a function in which the synchronization and combination of human, physical
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and financial resources takes place. All the three resources are important to
get results.
After the planning phase, our group decided to form three committees
namely finance, food and documentation. The group members were divided
into each of the committees. The interview part was included in the
documentation committee.
Staffing
The managerial function of staffing involves manning the organization
structure through proper and effective selection, appraisal and development
of the personnel to fill the roles assigned to the employers/workforce.
The three committees were assigned a very specific task based their
area of specialization. The members of the food committee are the ones who
are assigned in the selection of foods that will be provided for the community
people. The finance committee was assigned in the budget and
dissemination of the group money while the members of the documentation
committee were assigned in the compilation of the necessary documents.
The group sees to it that the activities will be done in accordance to what
has been planned.
Implementing
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During this phase, the group followed a step-by-step procedure for the
implementation of the activities. On the first day, we had our approval from
the mayor and public health nurse. We also conducted ocular survey,
interview with the core group and assessment of the programs and projects
implemented last two years ago. Since the midwife and public health nurse
were not around that time, the interview was done the next day. We also had
our health teaching about hygiene and nutrition through pamphlets and we
also provided food especially on the identified malnourished children in the
community.
Budgeting
For the budget of the group, each of the members contributed 90
pesos for the over-all expenses of the different activities in Community
Nursing. The finance committee was assigned to the said task and they
distributed it to the other committees. The group sees to it that the budget
was being maximized and used properly.
Evaluation
During the evaluation phase, the group was able to decide that the
community itself was not able to sustain the programs and projects for the
past two years which indicates that it lacks continuous monitoring. Also
based on the evaluation process, the group was able to identify remedies for
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the deficiencies of the community like suggesting a more stable health
promoting programs or projects for the community that will be followed in a
specific time, Better dissemination of information for the community people
and trainings and lectures for the nurses for the development of efficient
Place of Birth : San Lorenzo Ruiz Hospital, Naic, Cavite
Citizenship : Filipino
Civil Status : Married
Height : 5’4”
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Educational Background
College : Perpetual Help College of Rizal
Bachelor of Science in Nursing
1991 to 1995
Secondary Education : Cavite Provincial Science
1987 to 1991
Primary Education : Naic Elementary School
1981 to 1987
Work Experience
Naic Medicare Hospital
Naic, Cavite
Staff Nurse – 1995 to 1996
Responsibilities:
Assessment, planning, implementing and evaluating patient plan of care
Health educator and coordinator
Render service or nursing care anywhere and to anyone who needs their help
Rural Health Unit
Naic, Cavite
Community Health Nurse – 2009 to Present
Responsibilities:
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Deliver care and comfort to patients.
Respond to health needs and risks of the individuals.
Evaluate health status of patients and diagnose illness conditions.
Take history of patients' illnesses and conduct physical examination.
Collect laboratory and other diagnostic data and evaluate.
Discuss with the physician or consulting specialist about patients' illness.
Plan treatment procedures with patients and their families in accordance with the
consulting physician's instructions.
Educate communities about health risks and preventive measures.
Educate patients and their families on diseases, its preventive and controlling
measures.
Educate communities, patients and their families on infection control, emergency
safety methods and nutrition.
Teach self-care abilities to patients to the extent possible.
Document all visits and health care outcome.
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SWOT ANALYSISStrengths
Attributes of the institution that likely will be helpful to and have a
positive effect on the achievement of the desired end state.
Weaknesses
Attributes of the institution that likely will have a negative effect on
achievement of the desired end state.
Focused on maternal and child health
Feeding program
Good communication
Daily reports to RHU regarding the barangay
status
Presence of Materials Recovery Facility
(MRF)
Herbal plants
Free check-ups every Thursday 8:00am to
12:00pm
Free prenatal check-ups
Measles program
Good inter-referral system
Only one midwife, 6 BHWs present only at
Thursday
Lack of medications to cough, colds and
fever
Very poor environmental sanitation
Community people lacks initiative and
cooperation
Limited number of residents that use herbal
medicines
People do not comply in waste segregation
and do open dumping
If the main health office runs out supplies,
they are affected & won’t have supplies for
their community.
Most children are unhygienic
Opportunities Threats
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Conditions external to the institution that likely will have a positive
effect on achievement of the desired end state.
Conditions external to the institution that likely will have a negative
effect on achievement of the desired end state.
Addition of more health programs
Formulating a detailed plan of activities
Better dissemination of information
regarding schedules of check-ups
Trainings and lectures available for a nurse
like her will lead to efficient nursing service
in the community.
Nearing retirement of midwife
Increasing uncooperativeness of people
Threat of running out of supplies in the
health center
Malnutrition will increase if not treated on
time
Unhygienic children may increase incidence
of infection and diseases
PLAN OF ACITIVIES OF THE CHN
MONTH ACTIVITY
January
February
March
April
May
June
July
August
September
October
November
December
Deworming of School Children
Oral Health Month
Burn Injury Prevention Month
Cancer in Children Awareness Month
Family Planning Month
No Smoking Month
Deworming of School Children
Lung Cancer Awareness Month
Liver Cancer Awareness Month
National Children’s Month
Malaria Awareness Month
Firecracker Injury Awareness Month
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PROBLEM IDENTIFICATION
HIGH INCIDENCE AND PREVALENCE OF MALNUTRITION AMONG CHILDREN
Problem Tree
High Incidence and Prevalence of Malnutrition among Children
Lack of knowledge/Misconception Low Socio-Economic Status Parasitism
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Improper food selection and preparation
Low education of proper nutrition
Poor knowledge
Pre - occupation in earning a living
Poor child care
Improperly budgeted income
Low social concern of the problem
Poor utilization of food resources
Negative attitude
Poor personal hygiene
Unsanitary environment
Poor eating habit
BMI of Children in the Community
NAME AGE BMI1. Abao, Christialyn 6 13.612. Almanzor, Christine 7 13.123. Angel, Rex 5 12.464. Arsinal, Lorenzo 9 14.785. Arsinal, Raprap 8 14.316. Basia, Shandie Rosa 5 11.817. Booc, Angelica 11 15.868. Booc, Mariella 4 13.829. Booc, Necy Boy 6 15.7010. Booc, Samuel 5 14.8511. Caniete, Rexcel 7 13.3112. Crema, Jimuel 6 14.5813. Dayaday, Joshua 8 14.2114. De Castro, Joyce 6 13.6115. Dinio, Kaycee 12 14.9616. Dinio, Keijilin 7 10.4017. Dinio, Kennedy 9 13.2318. Dinio, Kristian 5 13.5419. Hernandez, Lorenz 9 14.1120.Hernandez, Melanie 8 13.4421. Heron, Mary Joy 6 14.9622. Himaya, Ara 7 12.9723. Himaya, Benedict 6 14.5124. Himaya, Piolo 9 14.0625. Lala, Sheela Grace 4 11.8126.Madriaga, Neri Mae 9 13.8627. Madriaga, Noe 10 13.8228. Masapol, Jackilyn 4 16.1929. Nuñez, Michael 9 14.8630. Pantalim, Wilma 9 15.6131. Ramirez, Daniel 7 12.2432. Ramirez, Jeffrey 6 13.9833. Ramirez, JB 4 14.4234. Tampol, Shaila 5 14.5135.Verdida, John Michael 9 13.19
Legend:
NAME – Underweight children
33
The problem of malnutrition in the community is still visible especially to children. A
problem list was generated with respect to the said problem. High incidence and prevalence rate
of malnutrition of children in the community is due to different factors. Such include lack of
knowledge or misconception of the community people because of their low educational
background, low socio-economic status, and high rate of parasitic infections.
The student nurses conducted a home visit to families in the community to determine the
current health status of children based on the measurement of their height and weight to discern
their body mass index. The student nurses also include in the visit the age of the children to
identify their respective age groups. The age groups of children can be assessed in the home visit
and can further be classified as preschooler and school age. The group also consulted the
barangay health worker for the recent activity for nutrition in the community. 20 children were
recorded to be malnourish thus, having it as a major problem in the area. However, programs
were also utilized to fight against the said problem. Such programs include “Operation Timbang”
and health teaching to mothers with respect to proper nutrition, food storage, and food
preparation.
34
Lack of knowledge Negative Attitude
Unhealthful habits Lack of discipline
Low salience of the problem
POOR PERSONAL HYGIENE
Problem Tree
Poor Personal Hygiene among Children
Poor personal hygiene is also one of the major problems in the community. One factor
contributing in the spread of the problem is lack of knowledge of the community people. This
can lead them do unhealthy habits that may contribute the said problem. Another contributory
factor of the problem is the negative attitudes of the people living in the community. There is
also a low salience of the problem or the community people are not aware that this problem
exists and may be due to their lack of discipline.
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PLAN OF INTERVENTION
High Incidence and Prevalence of Malnutrition among Children
Presence of malnourished children pictures the economic and nutritional states of the
community. Large number of malnourished children indicates that the community lacks
programs and support on the nutritional status of every family in the community.
CUES PROBLEM GOAL INTERVENTIONSubjective:“Nakakaawa ang mga bata, lalo na yung magkakapatid…”
Objective: There are total of twenty malnourished children who participated in the feeding program and are being monitored by the barangay health workers. Many of the children’s height and weight are not appropriate with their age
High Incidence and Prevalence of Malnutrition among Children
Increased awareness and knowledge about proper nutrition through Proper food selection and preparation and proper utilization of food resources
1. Assess the nutritional status of children especially those who are considered malnourished.
2. Provided health teaching and leaflets about nutrition and food pyramid.
3. Provided nutritious foods to malnourished children.
4. Provided barangay with reading materials about nutrition.
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Poor Personal Hygiene among Children
In a community setting, preventing the spread of communicable diseases is one of the
priorities of the community health nurse. One of the most effective ways to prevent the spread of
disease is having good hygiene through methods like frequent hand washing, bathing and tooth
brushing. Considering children are most vulnerable to diseases, family members must be taught
about proper hygiene in order to influence these children.
CUES PROBLEM GOAL INTERVENTIONSubjective:“Tinatamad ako magsuot ng tsinelas eh…”“Kailangan pa ba maghugas ng kamay?...”
Objective: Most of the children are not wearing their slippers
Most of the children are not aware of the importance of proper personal hygiene to their health
Poor Personal Hygiene among Children
Increased awareness and knowledge about proper hygiene
1. Assessed the community about its current condition.
2. Assessed the people’s current knowledge about proper hygiene.
3. Provided health teaching and distributed pamphlets to the families about proper hygiene.
4. Contacted the core group to participate in health teaching.
5. Provided the barangay health center with reading materials for future use.
37
38
EVALUATION
Economic aspect. According to the NSO (2009), a Filipino family from the
CALABARZON has an average daily expenditure of Php575.35. Most of the families in the
community, however, spend at the range Php200 and above with 36.92%. Such condition may be
due to the income they earn.
Economic Indicator
Blue-collar job is most commonly professed by every people residing in the area with
46.92%. The figure likewise shows that white-collar job is less acquired by the people having
29.23%. Such information can be attributed to the educational attainment of the people. Since
most of the people are not degree holders, their qualification halts them to obtain such kind of
job hence; they just fix themselves on doing manual tasks to support their living. That may also
be the reason why some are self-employed, 20.77%, and do not have any job. However,
unemployment has the smallest percentage in the figure below having 3.08%.
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Daily Expenditures
Below 5050 - 100101 - 200201 & above
Workers in the family have their job either within or outside the place where they are
residing. In the setting of the barangay, most of the people earn for their living within the town
with a percentage of 63.93% as seen in the figure below. The town is able to provide job for its
people hence; most of them do not go to other places to seek for it in order to support their
family.
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Type of Occupation
Blue CollarWhite CollarSelf EmployedUnemployed
Place of Occupation
Within NaicOutside Naic
Solid Waste Management
Garbage Disposal. R.A. 9003 Ch. 3, Art. 2, Sec. 21 mandates that all wastes to be
disposed must be provided with the necessary container that will keep these until such are
collected by the designated personnel. The container may be covered and bulky enough to keep
all the garbage and prevent it from being scattered around. In the community, most families
cover their garbage container and place them near their house (53.08%). Some also dumps their
waste materials in uncovered garbage tins (42.31%) while few have no garbage container at all
(4.62%).
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Refuse and Garbage Container of Every Family
CoveredOpenNone
Different methods of disposal are being done by the residents in the community. Most of
them have their wastes be collected (64.34%) while there are some who do open burning
(15.38%) despite its being in contrary to R. A. 9003. Likewise, there are also people in the site
that do open dumping (6.29%). This, however, corresponds to a fine which costs PhP300 to
PhP1, 000 or one (1) to 15-day community service, or both (RA 9003). A few do burial in pit
(9.09%) and hog feeding (4.90%). They usually bury biodegradable materials so these will serve
as fertilizer in the future.
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Methods of Waste Disposal
Hog Feeding Open BurningOpen Dumping Garbage Collec-
tionBurial in Pit
CONCLUSION
During the immersion in barangay Mabulo, Naic, Cavite, we evaluated
the community if they have maintained the projects and programs we did
last 2008. Based on our evaluation, some of activities we performed before
were not sustain due to lack of continuous monitoring not only of the core
group but also the barangay officials as well. Inability to maintain such
programs may imply poor bond of the community people with each other or
people therein did not perceive the programs to be essential in the
development of their own welfare.
Furthermore, there are still actual problems determined in the
community like unhygienic children, lack of medicine, and poor
environmental sanitation that were also identified as a community problem
in the past. Residents in the community recognize those problems however,
due to lack of financial constraints; they did not do actions with respect to
putting actions in order to resolve such problems.
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RECOMMENDATIONS
Brgy.Mabulo, Naic, Cavite has actual weaknesses that can be subjected to change using
the following recommended actions prepared by the school nurses.
Community. Health teaching every week would be very helpful for them, together with
the Barangay Health Midwife and the Barangay Health Workers in the community. Health
teachings in families can include environmental sanitation, waste segregation, and proper
hygiene of which are actual problems being experienced by the residents. This can be done
through a courtesy call of BHM and BHWs to the community. Aside from rendering health
teaching, putting up posters around the vicinity would be a great aid in the dissemination of
health information. Medical missions can also be rendered to the barangay to also improve its
current health status. In line with this, free medicines may be given through the help of the
different medical institutions and other partners.
Community Health Nurse. Trainings and seminars about different health related issues
in the community like maternal and child health, the use of herbal medicines, and communicable
diseases will further enhance their knowledge and skills since the CHN only have 2 years of
experience regarding her service in the community. Through this, a more advanced and better
way of rendering quality health care in the community will be implemented thus, the
improvement of nursing service in barangay Mabulo.
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45
LEARNING FEEDBACK (Community Nursing)
During our community at Brgy. Mabulo, Naic, Cavite, I have observed many things and I
have assessed their living condition in that area. With that, I have identified a number of
problems in their community.
Our group also evaluated the activities and programs of the COPAR group last two years
ago and we found out that almost all of it were gone except the herbal plants that they encourage
the community to plant in a garden that they made but it was then changed to household garden
due to flood in the said area. During our visit at the area, I observed that it has a poor
environmental sanitation, poor waste disposal although there is a garbage collector in the area,
poor personal hygiene among children and still many of them were malnourished. In our
implementation phase, we provide health teaching to the people about personal hygiene and
nutrition through leaflets and we also provide the children biscuits and juice.
In our community nursing, I learned that being a public health nurse is a very hard
responsibility because it covers everything. It is a generalist in terms of scope of practice because
it encompasses everything not only the sick people but also the well unlike in the hospital setting
which usually deals with sick people. It is also focus in health promotion and prevention rather
than curative and rehabilitative nursing. It also deals with a large number of people. Another
important person in the community nursing is the rural health midwife. According to the midwife
46
of our community, malnutrition is one of the most common problems in their area that’s why
they are conducting feeding program among children with malnutrition.
After the exposure, I learned so many things especially with the value of the nurses’ and
midwives in the community. They are multi tasked persons which I do believe is a skill that must
be learned. They are a health care provider and at the same time a leader involving critical
thinking skills and decision making abilities. Indeed, it is a wonderful experience that sometime
in my life; I was able to learn about this kind of work that is somewhat a form of public service
and profession as well. It may also be an inspiration for me in the future to follow their steps.
Aileen Grace M. GutierrezBSN 4 - 2Group 5
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LEARNING FEEDBACK (Community Nursing)
Two years ago, our group had our community organizing in Barangay Mabulo as part of
our related learning experience in our second year. We have assessed the community, identified
its problems, planned and implemented interventions and evaluated the programs. In our Nursing
and Leadership, we returned to Barangay Mabulo and reassessed and evaluated the status of the
barangay. We have discovered that some problems remained and most people still lack
cooperation. There is lack of leadership because the core group has been inactive. The officials,
midwife and barangay health workers informed us about the organizational structure, we have
learned the flow of communication and the programs that exists in the barangay. I also learned
how leadership and management are applied in the community setting, like delegation of
different areas of responsibility to the different barangay officials for the peace and order of the
barangay, implementation of health programs and management of health and illness of the
community people. The community follows a tall organization, in which the head is the mayor,
and then by the vice mayor, down to the barangay captain and his councillors. We have followed
the tall organizational structure in our core group where there is a president, a vice president, a
secretary, auditor, and so on.
Angelica LegaspiBSN 4 - 2
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Group 5
LEARNING FEEDBACK (Community Nursing)
In our Nursing Leadership and Management in the community, I have learned that in the
barangay setting the rural health nurse also has the power to delegate responsibilities to the BHW
(barangay health workers) to promote ease and proper delivery of care to the community.
Through this, delivery of care is organized and systematic, thus enabling the health center to
reach out to people in the community. They have implemented programs like the feeding
program, where they also monitored the weight of the malnourished children. I also observed
proper delegation of task and areas of responsibility for each barangay officials to have ease in
providing services to citizens of barangay Mabulo.
The officials were quite cooperative to their job. They are also responsible and help us to
do our work in a convenient way. They were guiding us to locate the houses of the malnourished
child we have weighed the last time. However, while we are assessing the community, and have
identified its nuisance, planned and implemented interventions and evaluated the programs. We
have discovered that some dilemmas remained and most people still lack cooperation. Well then,
we are not closing our minds that the correct nourishment of the children in the community is
easy to achieve. There are many factors that are needed to be considered. These include their
financial problem, and environmental problem.
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Kenneth Roy B. OcampoBSN 4-2Group 5
LEARNING FEEDBACK (Community Nursing)
Back when I was 2nd year college, I remember our days when we first arrived at Mabulo,
Naic, Cavite. But then again, it’s not my first time because I live at Naic and I already went there
many times. However, it's my first time to have my school duty at that place and precisely with
good intention to the public's health. And of course, every first time is quite memorable. Being in
the community gave us lots of experience. It marked our first moment to be their community
health nurses. We assessed the community through ocular survey, and even interviewed the
people who are living there. And upon gathering important data and completing the assessment,
we planned and implemented activities that were needed by the community people at that time.
Well, two years ago, we are just second year. But look at us now. We've grown up and
molded into a better us. We have developed by our Alma matter to be a well-formed future
nurses. We brought ourselves again in the same place with the goal of assessing what we did the
last time we went there.
We have discovered that the organization we organized is already inactive. We also
looked for our donated steeled braces-trashcans and found out that they are all gone. Upon
checking the herbal garden we plotted, it exists but only few of the plants were alive. Although it
turned out that way, it feels so good to know that few of our remembrances still exist in the
barangay. We also weigh children to assess if there are malnourished just like the past 2 years.
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We have found out that there are still a lot. Truly, the way we see the places there, the squatter
area of the barangay, the community people especially the children we have observed, they are
all affecting us. We feel pity for their situation, thus, making us more dedicated to our work.
Though we hadn’t much time and didn’t have a perfect plan, we tried to do the health teaching
through the aid of leaflet. Together with this, we gave the little children some biscuits. Albeit this
is not the best effort that we can do, we make sure that it comes from the bottom of our heart.
The dedication for changes to a better community; the willingness to offer a hand; the advocacy
for promoting and achieving a good health; these just sunk into me. These things are our
purposes when doing the community health nursing. It is quite amazing that we are engaged in
this type of occupation. Truly, nursing shows altruistic kind of love for all.
Jemellie R. Imbis
BSN 4 - 2Group5
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LEARNING FEEDBACK (Community Nursing)
In our community health nursing, I have learned that being a public health nurse
shoulders a great responsibility because it involves the entire population in the community. The
ratio of 1 community health nurse to 20 thousand people is not easy. The task of CHN is
generalist in terms of scope and practice. It covers everything not only the sick people but also
those who are well. This marks the difference of the community health nurse and the staff nurses
in the hospital whereas they are usually dealing with sick people and they are trying to
rehabilitate them. Thus, it focuses in health promotion and prevention rather than curative and
rehabilitative nursing. It deals with a large number of people than those in the hospital.
Other significant personnel in the community nursing are the rural health midwifes. They
are responsible to the maternal and child health problems. Upon inquiring the rural health
midwife in Barangay Mabulo, we have found out that it is still the malnourishment of the
children is their priority. And we planned and implemented activities to provide proper
knowledge about the problem existing in their community.
After the exposure, I learned so many stuffs specifically the importance of the nurses’
and midwives in the community. They are multi tasked persons which I do believe is a skill that
must be learned and mastered. They are a well defines as a health care provider and at the same
52
time a leader involving critical thinking skills and decision making abilities. Certainly, it is a
superb experience that I was able to learn about this kind of field in nursing profession.
Carlo Jed A. MamarilBSN 4 - 2Group 5
LEARNING FEEDBACK (Community Nursing)
I have learned more about the community health nursing and leadership and management of the
community. Even though I already experienced to duty in the community when I was second year, I
realized that there are lot of responsibilities are shouldered by a community health nurse.
Community health service provider carries out health services contributing to the promotion of
health, prevention of illness, early treatment of illness and rehabilitation. They assess health needs and
hazards of the community. They also act as a facilitator that helps to plan a comprehensive health
program with the people. They provide health counselling including emotional support to individuals,
family, group and community. Health education is an accepted activity at all levels of public works. They
improve the health of the people by employing various methods of scientific procedures to stimulate,
arouse and guide people to healthful ways of living.
They plan with the people, organize, conduct, direct health education activities according to the
needs of the community. They must also be knowledgeable about everything relevant to the CHN’s
practice or has the necessary skills needed by the nurses. The community health service provider must be
a critical thinker and open to invites ideas, suggestions, and criticisms. They accept need for joint
planning and decision relative to health care in a particular situation.
Therefore, being a community health nurse includes dedication and passion just to bear their tasks
for a thousand people. It may be hard for them but for the sake of thousand people, they are doing their
job well.
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Catherine LibreBSN 4-2Group 5
LEARNING FEEDBACK (Community Nursing)
During our community at Barangay Mabulo at Naic, Cavite, I have observed so many
things in the area. I have assessed their community’s living condition. With the aid of the
Barangay officials, midwife and nurse at the barangay, we were able to identify different
problems.
Our group had also evaluated the activities and programs of the COPAR group last two
years ago. We have found out that almost all of it were unable to maintain except for the herbal
plants that they encourage the community to plant in a garden. However, the plot’s location was
changed because it was changed to a household garden for the reason of flooding during rainy
days.
I also observed that the community has a poor environmental sanitation, poor waste
disposal, poor personal hygiene among children and most of them are undernourished. The
problems are highly noticeable to the homes near the ocean.
During our implementation phase, we have provided health teaching to the people about
personal hygiene and nutrition through distributing leaflets among the community people. We
also provide the children biscuits and juice as part of promoting the children’s health status.
Julius Rodener DincoBSN 4-2
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Group 5
LEARNING FEEDBACK (Community Nursing)
By seeing how the children there grow up into their environment made me realize that I
am very lucky to be in where I am right now. We feel compassion for their situation and it makes
us more dedicated to our profession. We have provided health teaching to the people about
personal hygiene and nutrition through distributing leaflets among the community people.
Together with this, we gave the little children some biscuits. We have discovered that the
association we organized is currently inactive. We also looked for our donated trashcan. We try
to look around and we have found out that the trashcans were all gone.
. Truthfully, the way we look at the places there, the squatter part of the barangay, the
community people especially the children, and all of what we have noticed, they are all affecting
us. They were pinching a part of our hearts as if it is really a calling for our profession. Who
would know that maybe someday, I will be able to be a community health nurse.
It is astounding that we are engaged in this type of occupation. It is a wonderful
experience that at some point in my life, I was able to learn and appreciate more about public
service and profession.
Richie Anne ErsandoBSN 4-2Group 5
55
LEARNING FEEDBACK (Community Nursing)
Our three-day duty in Brgy. Mabulo Naic, Cavite was tiring days for us. We did a lot of things.
We tried to have a survey for us to evaluate the community where we had an implementation last two
years. Before we started interviewing people in the community, we had preconference and discussed
about the things we were going to do for the 3- day duty. The group leader tried to delegate tasks so that it
will be easy for us to do things right and fast.
In our first day, we had our ocular survey. We tried to find those children who were in our list of
malnourish and evaluate them but unfortunately there was no available weighing scale in the community
that was why the evaluation for the BMI of malnourished children was postponed. In our second day, we
resumed the evaluation for malnutrition and the other members of our group interviewed people to
identify the problems in the community. In our third day, we had our implementation in which we give
the malnourished children foods and give the mothers our prepared leaflets about good nutrition and
proper hygiene.
Community health service provider carries out health services contributing to the promotion of
health, prevention of illness, early treatment of illness and rehabilitation. They assess health needs and
hazards of the community. . They also act as a facilitator that helps to plan a comprehensive health
program with the people. They provide health counselling including emotional support to individuals,
family, group and community.
56
It is not so easy to be a community nurse. Decision making and critical thinking is an important
tool to have a good outcome for your community, but being a community nurse is an enjoyable work for
me.
Miriam Heide Nacion BSN 4-2Group 5
LEARNING FEEDBACK (Community Nursing)
It was a great day though a tiring day for me. I remember the things we did when we
were in secondary level. Last two years, we had our community service in Mabulo Naic, Cavite
where we had our feeding program and planting program. In our 3- day duty we were to evaluate
the programs we did. We evaluated the malnourished children that were included in our feeding
in the last two years. We got their BMI so that we would know if there are improvements in their
nutrition. And we also tried to evaluate the planting program we had by doing an ocular survey
and interviewing people in their community.
To make our activities done fast, our group leader tried to delegate tasks. Each of us has
our own responsibilities and activities to do. Our duty in community helped me a lot in terms of
leadership and management. In here, we all experience to be a leader.
It was fun to lead the group even though the activities are not so easy, I enjoyed it. I have
learned a lot of things in our community nursing.
Carlson Feranil BSN 4-2Group 5
57
LEARNING FEEDBACK (Community Nursing)
In our community nursing, I have learned that becoming an effective public health nurse
is a very hard responsibility to achieve. When it comes to scope, it encompasses everything
inside the community. That is why the PHN is called a generalist. It involves everyone not only
the sick people but also the well. It is focus on the promotion and preventative state rather that
the curative.
The real importance of the being a PHN revealed when we encounter the problems
regarding the community’s health. And we, as new beginners in this area, tried to work in order
for us to attain our goal. As guided by our clinical instructor, for us to be able to make our
activities done fast, our group leader tried to delegate tasks. Each of us has our own
responsibilities and activities to do. Our duty in community helped me a lot in terms of
leadership and management. In here, we all experience to be a leader. We evaluated the
malnourished children that were included in our feeding in the last two years ago. We also get
their BMI so that we would know if there are improvements in their nutrition and unluckily we
have found out that there isn’t. We also tried to evaluate the planting program we had by doing
an ocular survey and interviewing people in their community. I had a great fun together with my
58
group mates even though the activities are not so easy, I enjoyed it. I have learned a lot of things
in our community nursing.
Janniel Ann CoronaBSN 4-2Group 5
LEARNING INSIGHT(IV BSN 2 GROUP 5)
We, the group 5 BSN 4-2 had our community nursing in Brgy. Mabulo Naic, Cavite. Barangay
Mabulo is one of the many barangays in Naic, Cavite where second year Nursing Students of Cavite State
University are assigned to conduct their Community Organizing Participatory Action Research (COPAR).
We chose this barangay, for us to evaluate the outcome we had in the last two years. Two years ago we
conducted programs in Brgy. Mabulo. We had the feeding program for the malnourished children and
planting program. Our objective for our community nursing is to evaluate the community if there is a
good outcome after we had conducted programs last two years ago.
Before we started the evaluation, we had our preconference and delegated tasks,. Each of us has
our own activities to be done. The other members of the group are the one who are responsible for the
foods and finances, the other members are the one who will interview people and the nurse in the
community, others are going to evaluate those malnourished children and the rest are the for ocular
survey. The members who are responsible for the evaluation of malnourished children started to weigh
them and get their BMI. The others started to do the ocular survey to identify the problems in the
community. While the rest are planning for the next step to do which is the implementation. In our
implementation, we prepared leaflets about nutrition and proper hygiene and give those leaflets to the
mothers in the community, for the malnourished children, we prepared foods for their snacks.
59
The first 2 days of our duty in the community is not that effective because of a poor planning in
our group. But of course we tried to do our best to make the things right. Because of our unity we had a
good outcome. Our group leader delegated tasks in an effective way. We can say that our group met our
goals and objectives after we had our community nursing.
