Sample Community diagnosis

8/13/2019 Sample Community diagnosis

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TABLE OF CONTENTS


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INTRODUCTION

Community health Nursing (CHN) special field of nursing that combines

the skills of nursing, public health and some phases of social assistance and

functions as part of the total public health program for the promotion of

health, the improvement of the conditions in the social and physical

environment, rehabilitation of illness and disability ( WHO Epert Committee

of Nursing )! "t#s the integration of nursing process in the community as its

primary client!

Community is a group of people sharing common geographical location

and or common values and interest! "t functions $ithin a particular socio%

cultural contet $hich means that no t$o communities are alike! &he

physical environment varies and so $ith the people#s $ay of life, as in

behaving and coping $ith their internal and eternal problems, concerns and

responsibilities and such other affecting their interest, their associative links

and relation $ith their surroundings and generally, their eistence as a

people!

'lorence Nightingale believed that in manipulating the physical

environment, the body could repair itself! Nurses or even clients alone cannurture the surroundings to create an environment conducive to body#s

reparative processes! uch that, the community people themselves, even in

the absence of nurses can resolve eisting and arising community health

problems through genuine cooperation to $ork together in controlling these

environmental factors affecting and threatening their health!

irginia Henderson also added that $e, nurses, must *assist our

clientele, sick or $ell, in the performance of activities contributing to health

or its recovery that he+she $ould perform unaided if that person had the

necessary strength, $ill or kno$ledge to gain independence as soon as

possible! Conversely, $e nurses are here to guide the community and fill

the kno$ledge deficit that prevails to achieve independence! -fter all, health

education is our primary role according to Nursing .a$ of /00/ and health

promotion is our focus in the community!

'aye -bdellah, conceptuali1ed nursing as an art of science that mold

the attitude, intellectual competencies and technical skills of the individual

nurse to serve as guiding force and energy of the people in the community


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life that $ould redound to lengthening the lives of our people! o, among

our primary concerns is to prolong life by maintaining healthy environment

and appropriate lifestyle and care! Health is a gift, but $e have to $ork in

keeping it al$ays in a desired good condition!

&he 3Nheals pro4ect of the 5OH has been assigning nurses to the 3ural

Health 6nit (3H6) for a period of one year $ith the sole purpose of achieving

6niversal Health Care to$ards community health enhancement! &o $hich

nurses needed to be creative, resourceful and eplore innovative $ays to

achieve and maintain high level of community health amidst this economic

difficulties and very limited resources! &he 5OH re2uires a Community

5iagnosis for the completion of the training! &he focus of this study is the

7arangay ioron of 8igmoto, Catanduanes!

Community diagnosis or the study and identification of community

problems by studying particularly the causes and effect commonly kno$n as

assessment or situational analysis is designed to collect the re2uired data

about the community in order to kno$ the different factors that directly or

indirectly influence the health condition of the populace, to analy1e and

formulate eplanation for the occurrence of health nursing diagnosis as then

delivered thereof to be the bases for developing and implementingcommunity health nursing intervention and strategies!

&his study utili1ed the nursing process, earnest thinking and prudent

communication to client in the community, and the established culturally

competent care for the community recogni1ing economic and ethnic

characteristics of its members and the demonstrated therapeutic

communication skills!

Rationale

&here is a need to conduct such investigation since for the past 9

years, even $ith the intense effort of the 3H6, health indicators in 7arangay

ioron hasn#t changed significantly! What could be the possible reasons for

these and hopefully $e can find $orkable solutions!

Significance of the study

&his study $ill be significant to the follo$ing:


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identify, prioriti1e and find possible solution to both health problems

and health risks for the ultimate goal of achieving a high level of

community health!

&he result of this study $ill also be significant to the .86, 3H6 and

other community development organi1ations! &hese are agencies

concerned in elevating the level of community health and they have

the capability to change the lives of the people especially if the

suggested solutions to identified problems need a huge sum of money!

&hey $ill have the idea $here to focus! Hopefully $ith this, they $ill

perceive $hich pro4ect must be prioriti1ed so that funds $ill be spent

effectively and efficiently! &o other nearby 7aranggays< their leaders $ill have the idea on ho$ to

deal or solve similar eisting and arising problems!

Statement O!ecti"es

#ene$al O!ecti"es

7y the end of the community assessment on 7arangay ioron the

community $ill posses ade2uate kno$ledge and consciousness to their

present health condition and other health problems, $hereupon

providing them necessary actions and solutions to prioriti1ed problems

and subse2uently generate a good condition not only on health but

also on the economic and social factors as $ell, to$ard the better and

healthy community!

S%ecific O!ecti"es

Collects facts and information by the community survey, that is

essential for indentifying the community needs and problems and $ill

also help on monitoring the improvement of the health situation!

5etermine the problems and needs of the community and identify

$hat should be the priorities and ho$ it is affecting the $hole

community!

5issemination of the current health condition of the community and

spreading of kno$ledge and information regarding the improvement of

health condition, health distribution and its proper utili1ation


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&ethodology and tool used

&he study used the descriptive, non%eperimental both 2ualitative and

2uantitative methods of research!

8athering of primary data $ere done through survey using a closed%

ended 2uestionnaire! &his made the data gathering smooth, not time

consuming since the client $ill not be having difficulties in ans$ering the

2uestion and facilitates easy tabulation and interpretation of the data

gathered!

econdary data $here gathered from the 3ural Health 6nit, especially

the health indicators such as mortality and morbidity rate, etc!

loven formula $as not used to estimate the sample population si1e,

but rather according to the 3Nheals manual to $hich it states that at least

=0> of the total population! -ccording to the data gathered from C7?

(Community 7ased ?onitoring ystem), in the year /0=/ ioron has a total

number of =@A households and the researcher used /0 households as its

respondents to represent the entire community! &o remove biases and so

that every household $ill have the chance to be selected, a probability

sampling (lottery) $as used to identify the respondents!;rior to conducting the survey, courtesy call $as done to barangay

officials for the researcher#s safety and eplained to them the purpose of the

community diagnoses in order to remove confusion! "n the intervie$ the

respondents $ere like$ise eplained or informed $hy the survey is to be

conducted and told that their confidentiality and anonymity be secured!

Sco%e and Limitation of the study

&his study is only limited to the 7aranggay ioron and may or may not

apply to the other 7aranggays! &he margin of error in this study is unkno$n

since the estimates of population si1e is not patterned on scientific research

or thesis so inconsistencies may or may not appear and can be attributed to

sample si1e of respondents per se!


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I ' CO&&UNIT( )ROFILE

A* Desc$i%tion

.ooking back through the years, 8igmoto, situated on the eastern part of

Catanduanes, is /B kilometers to 7aras on the south, and A9 kilometers to

iga on the north, and could be reached by all passing the circumferential

road! &he place $as formerly, a forestall area $here hunters of $ild animals

used to roam and encamp! &hese hunters made some clearings $hich

became the nucleus of the early settlement in 8igmoto! &hen it became a

sitio of 7ato! - fe$ years before the close of the panish era, scores of

immigration of people from 7aras, 7ato and irac settled in this place! &hus

making 8igmoto the biggest barrio of the municipality of 7aras!

8igmoto has no records of its pre%historic period because it $as only

from =BB9 to the early part of the -merican era that the civili1ation of the

place begun! 8igmoto $as later separated from 7aras and made an

independent municipality and inaugurated as such on ?ay =9, =9=, to

$hich land territory $as included the barrios or barangays of 5ororian and

7iong, $hich $ere formerly, the barrios of 7aras on the north, and for

icente, ioron and icmil $hich $ere formerly, the barrios of iga on the

south! -lso added is barangay an ;edro in the hinterland! &he poblacion$as divided into three municipal districts: barangay district =, / and

ioron is a sleepy, $inds$ept and desolate barangay deserted by its

$ell%off residents $ho settled else$here for better fortune! ioron is lying

bet$een the coastline and steep mountain ridges al$ays eposed to the fury

of the ;acific Ocean and the ha1ards of landslide at time stormy $eather

occurs! &his barangay is around si kilometers or more from the poblacion of

8igmoto and can be reached by passing the rough dirty road, and by the sea

in motori1ed boat! &he lo$ly inhabitants live by means of simple farming

and fishing!

8igmoto continues to soar as the third millennium approaches! 7ut $hen

several destructive super%typhoons hit the locality in =9, then in =B!

-nd on the succeeding years the road became hardly passable -t such


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only in this latter part of the year that greater improvements of the road

being undertaken!


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II+ )O)ULATION

A* Total )o%ulation of the Ba$anggay

@B9 is the total population of ioron to $hich it has =@A households

as of Duly, /0=/

B* Total nume$ of household su$"eyed

/0 households

C* Se, Ratio-

No! of ?ales

'ormula: 3 %%%%%%%%%%%%%%%%%%%%%%% F =00>

No! of 'emales

3 9@ + 9= F =00>

3 =!=/ F =00>

Sex Ratio = 112

"nterpretation:

&he se ratio is ==/! &his suggests that in every =00 females there are

==/ males! &he population of males in this baranggay is higher than the

females!

D* Age and Se, Dist$iution

&able /!=

Age Bracket Female MaleFrequency % Frequency %

6nder = A /!B> / /!0>=%9 @ G!9> == =0!/>

G%=0 B!0> G 9!G>

==%= 9 !G> A!@>=G%/0 A!@> @ G!9>/=%/9 =!9> 9 !G>/G%A0 A /!B> A!@>A=%A9 A /!B> A /!B>AG%0 / =!9> / =!9>=%9 / =!9> A /!B>G%90 / =!9> A /!B>9=%99 / =!9> A /!B>9G%G0 = =!/> = =!/>G=%G = =!/> = =!/>

-bove G9 A /!B> / =!9>&otal 9= @!> 9@ 9A!/>


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3

79

54 4 3 3 2 2 2 2 1 1 3

0

2

4

6

8

10

12

Less

tha 1

y/o

6-10

y/o

15-20

y/o

26-30

y/o

36-40

y/o

46-50

y/o

56-60

y/o

65

y/o&

above

Male

Male

Female

than the female! -s they gro$ older, the number of males is almost

e2uivalent to the number of females! .ater in their lives, especially in the

age bracket of more than G9 y+o, female population is already higher than

males! &his can be attributed to the nature of $ork and more on the lifestyle

to $hich more population of males are indulged in unhealthy habits of

smoking and drinking alcohol compared to females!

Graphical Preentation o! Age an" Sex #itri$ution

Chart /!=

III+ ECONO&IC INDICES

A #epen"ency ratio

No! of pop! 0%= y+o I G9 y+o above

'ormula: 53 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% =00>

No! of population of =9 J G y+o

53 9/ + 9G F =00>

53 0!A F =00>

#epen"ency Ratio& '(%


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5ependency ratio reflects the proportion bet$een the dependent

population (those $ith ages 0%= y+o and G9 y+o and above) and labor

population $hich includes ages from =9%G y+o! - dependency ratio of 9> is

high, meaning the labor population of the 7aranggay ioron must $ork

harder to earn more for the upbringing of the children, daily finances of the

family and also for the health related ependitures of the aged population!

B* Occu%ational Status

&able A!=

're2uency >8overnment Employee = /!9>

'isherman 9 =/!9>'armer =0>

7oth fishing and farming =0 /9>.aborer / 9>7usiness = /!9>

House$ife @ =@!9>&O&-. 0 =00>

&able A!= sho$s the occupation of parents! &his study revealed that

most of the households rely in both farming and fishing to earn for a living

$hich comprises /9> of the total occupational status! 'ishing alone

comprises =/!9>, farming alone comprises =0>, laborer is 9>, those

employed in the government and $ith business establishment each comprise

/!9> and the remaining =@!9> is comprised by plain house$ives!

#$a%hical $e%$esentation of the Occu%ational Status

8raph A!=

3%

17%

13%

7%

3%

23%

Govermet !m"loyee

F#sherma

Farmer

F#sh#$ & Farm#$

Laborer

s#ess

'ose(#)e


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) A*erage Monthly +ncome

&able A!/

A*erage Monthly +ncome Frequency %.ess than 900 0 0

=,00= J 9,000 =/ G0>9,00= J =0,000 G A0>=0,00= J =9,000 = 9>=9,00= -bove = 9>

&O&-. /0 =00>"nterpretation and analysis:

&he data above (&able A!/) sho$s the average monthly income of the

family! &o $hich G0> of the households has an average income that ranges

from =00=%9000 pesos per month! A0> of the sample population earns

monthly income that ranges from 9,00=%=0,000 pesos! While there are also

households $ith average monthly income that ranges from =0,00=%=9,000

pesos and =9,00=%/0,000 each comprise 9> of the respondents! Having

these data, $e can safely assume that most of the families are not capable

of sending their children even to secondary education and more so to

college! &his is no surprise, ioron is more or less 9%Gkm a$ay from the to$n

and you need 90pesos for each person to go back and forth! &hat#s is $hy

many of them $ould rather spend their money for purchasing medicinesthan go to 3H6 and $ill 4ust receive G tablets of paracetamol or -&7#s! &his

small amount of monthly income may only suffice their most primary needs

like food and shelter!

Graphical repreentation o! the A*erage Monthly +ncome

8raph A!/

0%

10%

20%

30%

40%

50%

60%

* 500+h"

1,001-5,000+h"

5,001-10,000+h"

10,001-15,000+h"

15,001-20,000+h"


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000%

500%

1000%

1500%

2000%

2500%

3000%

3500%

4000%

4500%

5000%

Father Mother oth Fam#ly

Members

.elat#ves

+rov#/ers

&able A!A

;rovider

're2uency

>

'ather =/ G!/

?other 0 07oth 'ather and ?other @ /G!

'amily ?embers 9 =!/3elatives / @!@&O&-. /G =00>

"nterpretation and analysis:

&he table above gives us the idea that still, it#s the father $ho provides

most of their daily needs $hich comprises G!/>! 'amily members represent

the big sisters or big brothers of the family comprising =!/>! &here are fe$

households $ho belong to an etended type of family, so it#s not surprising

to see that @!@> is provided by otherrelatives!

Graphical preentation o! percentage o! Family mem$er that

pro*i"e !inancially8raph A!A


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+,- S.)+.-)/0/RA0 +#+)3S

A 0iteracy Rate

No! of pop! B y+o above $hom can read and

$rite

'ormula: .3 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

=00>

&otal No! of pop! B years and above

.3 G=+G F =00>

.3 0!BB F =00>

0iteracy rate i = 44%

"nterpretation and analysis:

.iteracy rate reflects the capability of the population $ho can both

read and $rite! 3eading is not only confined in articulating the $ords but

more especially it about comprehending $hat you have read! - literacy rate

of BB> is not bad for a far%flung community like ioron!

B 3"ucational Attainment

3"ucational attainment o! parent!

&able !=

Educational -ttainment ' >College 8raduate = /!9

College 6ndergraduate = /!9

High chool 8raduate == /@!9High chool 6ndergraduate //!9Elementary 8raduate =/ A0

Elementary 6ndergraduate G =9&O&-. 0 =00>

&able != sho$s the educational attainment of parents! &his study

revealed that most parents are at least elementary graduate $hich

comprises A0>, high school graduate /@!9>, high schoolundergraduate //!9>, elementary undergraduate =9> and, college


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ioron! ?ost of them $ould like their children be sent to school, but it

is difficult for the family since their monthly income is 4ust enough for

food! 7ut there are some very dedicated students $ho are $alking 4ust

to go to high school! &hey don#t care about the burning heat of the sun

or even by the distance that they are going to travel for as long as they

can continue studying!

Graphical preentation o! 3"ucational Attainment

Chart !=

15%

30%

2250%

2750%

250% 250%

!lemetary er$ra

!lemetary Gra

'#$h hool er$ra

'#$h hool Gra

olle$e er$ra

olle$e Gra

) Religion

&able !/

Religiou A!!iliation

Frequency

%

3oman Catholic /0 =00"glesia ni Cristo 0 0

7orn -gain 0 0;rotestant 0 0

&O&-. /0 =00>

+nterpretation an" analyi&

-s $e can see, all of the respondents are 3oman Catholic! ;eople inioron are very religious, there is also a small church that is situated near


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# 5ouing

1 .6nerhip

&able !A

&ype of O$nership f >

O$ned =B 03ented 0 0hared / =0Others 0 0&O&-. /0 =00>

2 ype o! Built

&able !

f >

Wood 97amboo @ A9Concrete = 9

Others ( emi%Concrete) / =0&O&-. /0 =00>

( ype

&able !9

f >trong /0.ight =G B0

?ake hift 0 0&O&-. /0 =00>

7 0ighting Facilitie

&able !G

f >Electric = @0>

Kerosene G A0>Others 0 O&O&-. /0 =00>

8 9itchen: )ooking Facilitie

&able !@

f >Electric tove 0 0>8as tove / B!A>


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&able !A sho$s the o$nership! &he data revealed that 0> of the

households o$n their houses, =0> is shared, and rented is 0>!

&able ! sho$s type of built! &he materials used in building the

house! &he data above sho$s that 9> of the houses are made up

of $ood, houses made from bamboo is A9>, semi%concrete 9>, and

concrete is 9> also!

&able !9 sho$s type of the house! &his study revealed that B0> of

the houses can be considered to light and /0> of the houses can be

considered strong!

&able !G sho$s the lighting facilities! &his revealed that @0> of the

household respondents uses electricity and the remaining A0> uses

kerosene!

&able !@ sho$s the kitchen! &he data sho$ that most of the

respondents uses fire$ood for cooking $hich comprises @!/>,

charcoal =/!9>, gas stove B!A>, $hile none of the respondents use

electric stove!

With the follo$ing data at hand, most of the respondents don#t spend

much for the construction, maintenance and daily operational epenses of

their house, such that most of the households are o$ned, B0> of $hich are

made from light materials ($ood and bamboo) and most of the respondents

uses fire$ood to cook for their food! -ll of these predominantly eistinghousing conditions suggest that the respondents are not likely to invest their

money to strengthen their houses and not likely to have the luury of using

gas stove for cooking but rather use the money for their primary need, $hich

is food! &hey $ould rather be tired of aing fire$ood than to use gas stoves!

ioron is bounded by the ;acific Ocean in East and on its $estern part

is mountainous! &he area is at risks for storm surges, earth2uakes, possible

tsunami and landslides! -dded to the fact that B0> of the houses are builtfrom light materials, $e can conclude that $hen any of the above calamities


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G! 9in" o! Family

&able !B

' >Nuclear 'amily =B 0

Etended 'amily / =0ingle ;arent 'amily 0 0

7lended 'amily O 0&O&-. /0 =00>

&able !B sho$s the kind of family! &his data revealed that most of the

family is of nuclear type $hich comprises 0> and the remaining =0>

is an etended type of family!


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,- 3,+R.M3A0 +#+)3S

A Source o! 6ater upply

&able 9!=

ource f >

;iped in 0 0Communal = A!B3iver+ .ake = A!B5eep $ell A !A

-rtesian Well = A!=Others 0 0&O&-. A/ =00>

Graphical preentation o! ource o! 6ater upplyChart 9!=

0

2

4

6

8

10

12

14

Freey

+#"e #

rtes#a (ell

ee" (ell

lae/r#ver

ommal


&able 9!= and graph 9!= give us the idea $ith regards to the sources of

$ater supply for drinking, for cooking, for bathing and other personal use of

$ater! -s $e can see most of the respondents get their $ater supply from

lake+river and communal sources $hich comprises A!B> each of them!

ome resorted to deep $ell, comprising !A> $hile others to artesian $ell

$hich is about A!=> of the total respondents! Categorically speaking,

sources of $ater supply are predominantly type = and type /, very high risk

for contamination since no $ater treatment plant eists to protect the


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&able 9!/

&ype f >Open pit privy 0 0Close pit privy A =9

'lush &ype 0 0Water%sealed latrine @ A9

;ail ystem = 9None 9

&O&-. /0 =00>

Graphical preentation o! toilet type

Chart 9!/

0% 10% 20% 30% 40% 50%

+ereta$e

oe

"a#l system

(ater seale latr#e

)lsh ty"e

lose "#t "r#vy

o"e "#t "r#vy


&able 9!/ sho$s the kind of toilet being used! &he data collected

revealed that there is a high number families $ithout toilet, comprising

9> of the total respondents! &he remaining 99> or those $ith toilet

are further subdivided or specified into $ater J sealed latrine $hich is

A9>, close pit privy =9>, pail system 9>, and flush type and open pit

privy 0>! Number of households $ithout toilet here is significant

enough to start an outbreak of diarrheal cases, $orsen by the fact that

there is no treatment plant available to maintain the source of drinking

supply!


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) ;ate #ipoal

1 )ontainer

&able 9!A

&ype of Container f >

Covered 0 0Open = @!=

Others (acks) =G!@None = !/

&O&-. / =00>

/! Metho" o! #ipoal

&able 9!

f >

Collected 0 07urial in ;it 0 0Composting = /!@

7urning =@ 9!Open 5umping = 9=!

Waste egregation 0 0&O&-. A@ =00>

# #ometic Animal

&able 9!9

-nimals f >5og =A AA!ACat =0 /9!G;ig =0!A

Chicken =/ A0!B&O&-. A =00>


&able 9!A sho$s the $aste disposal using container! &his study

revealed that open container @!=>, using sack =G!@>, $ithout

container !/> and covered container 0>!

&able 9! sho$s the method of $aste disposal! &his study revealed

that open dumping 9=!>, burning 9!>, composting /!@>, $ater

segregation and collected and burial in pit 0>!

&able 9!9 sho$s the kind of animals found in the house! &his study

revealed that dog


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&he finding as above stipulated lead the interpretation that the barangay

or community has no proper $aste disposal, thus implying that their daily

taken food are open and easily contaminated by vectors or disease% carriers

as flies, cockroaches that use to settle on food and due to contact $ith

garbage and domestic animals as cat and dog usually fre2uenting places

open to $aste disposal!


22/37

,+- .EALT. )ROFILE/INDICES

1 Foo" Storage Practice

&able G!=

&ype of torage f >

7ag 7asket =B 03efrigerator = 9

Cupboard $ith creen = 9&O&-. /0 =00>

2 +n!ant Fee"ing Practice

&able G!/

f >7reastfeeding =9 @97ottle 'eeding 0 0?ied 'eeding 9 /9

&O&-. /0 =00>

(+mmuniComplete @9

"ncomplete A /9&O&-. =/ =00>

&able G!= sho$s ho$ food are kept and stored! &his study revealed

that bag basket 0>, refrigerator 9>, and cupboard $ith screen 9>!

&able G!/ sho$s the infant feeding practices! &his study revealed that

breastfeeding @9>, mied feeding /9>!

&able G!A sho$s immuni1ation to their under =0 years old children! &his

study revealed that complete immuni1ation @9>, incomplete

immuni1ation /9>!

&he finding pertaining to health profile has been interpreted that

the food storage or ho$ food are being kept and stored in the


23/37

are not fully imparted kno$ledge on the very significance and

advantages of breastfeeding! &hat not all mothers submit their children

for immuni1ation due to fear of the slight fever, $hich is the first effect

of vaccine in the body! &hat the parents, both father and mother are

$orking and could not able to attend the monthly immuni1ation in the

barangay, by $hich resulted on the failure to kno$ or understand the

importance of complete immuni1ation to their children!

7 5ealth Reource : Facilitie

&able G!

Health 3esources + 'acilities f >

5istrict Hospital /0>Health Center =0 90>

7arangay Health tation G G0>&O&-. /0 =00>

Pie graph o! health Reource :Facilitie

Chart G!=

'ealth

eter

50%

'30%

6#str#t

'os"#tal

20%

"nterpretation and -nalysis:

-ccording to the data above (table G!), 90> of the total respondents

prefer to have their check up in the 3H6#s, $hile A0> prefers to $ait until

the health care provider visit the baranggay health stations and the

remaining /0> prefers to visit the 5istrict hospital! 'actors that affect their

choice of health facility are the availability of the physician and the

availability of free medicines! &hat#s $hy, much of the population seek the


24/37

&able G!9

f >7arangay Health tation /0 /9

chool /0 /9?arket 0 0

;ark (;la1a) /0 /9Others (Church) /0 /9

&O&-. B0 =00>

"nterpretation and -nalysis:

-ccording to the data above (table G!), 90> of the total respondents

prefer to have their check up in the 3H6#s, $hile A0> prefers to $ait until

the health care provider visit the baranggay health stations and the

remaining /0> prefers to visit the 5istrict hospital! 'actors that affect their

choice of health facility are the availability of the physician and the

availability of free medicines! &hat#s $hy, much of the population seek the

services of the 3H6!

5ealth Seeking Beha*ior

Firt peron conulte" in time o! illne

&able G!G f >

5octor =0 90Nurse 0 0

?id$ives 0 0Hilot / =0

-lbularyo B 0&O&-. /0 =00>

2 Birth Atten"ance

&able G!@

f >5octor 9 /9Nurse 0 0

?id$ives 0 0Hilot =9 @9

-lbularyo 0 0&O&-. /0 =00>

&able G!G sho$s the first person consulted in times of illness! &he datarevealed that 90> of the respondents seek the services of physician


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&able G!@ sho$s the person attending birth delivery to pregnant

mother! &his study revealed that hilot @9>, doctor /9>, nurse 0>,

mid$ives and hilot 0>!

&he finding hinted the interpretation that the people in the barangay

still seek and consult the albularyo due to lack of financial means, they

being al$ays at $ork and the condition of the road and the distance of

the barangay to available health center or hospital 2uite far that needs

considerable amount of time and money for medication or uncertainty

available health care provider in the center! &hat being poor, attendant

to pregnant mothers and birth delivery are still hilot!

A! Frequency o! )onultation

&able G!B

;rofessional Health

Worker

ervice type 're2uency

;ublic ;rivate 're2uent eldom "f Needed

f > f > f > f > f >5octor /0 AA!A 0 0 0 0 == B!G =!/

Nurse /0 AA!A 0 0 0 0 = @!@ = 0!?id$ives /0 AA!A 0 0 0 0 = @!@ = 0!

&O&-. G0 =00

>

0 0 0 0 =A =00

>

@ =00

>

&able G!B sho$s the fre2uency of consultation and service preferences!

&his study revealed that the public type doctor, nurse and mid$ives

=00> and private doctor, nurse, and mid$ives 0>! ;ublic doctor,

nurse, mid$ives fre2uent consultation 0>,

public doctor seldom consultation B!G>, public nurse and mid$ives

seldom consultation @!@>! ;ublic doctor if needed for consultation

=!/>, public nurse and mid$ives if needed consultation 0!>!

&he finding interpreted the fre2uency of consultation $ith the doctor is

very rare and as seldom as the check up on health problem! &healbularyo is most preferred on such cases, and only $hen consultation


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1 A6arene in Family Planning

&able G!

f >Les 9

No == 99&O&-. /0 =00>

/ Fa*or !or Family Planning

&able G!=0

f >Les == 99No 9

&O&-. /0 =00>

Metho" o! Family Planning:)ontracepti*e

&able G!==

?ethods 6sed f >"65 0 0

asectomy 0 0;ills B 0

&ubal .igation 0 0Condom 0 0

Calendar ?ethod / =0Withdra$al 9 /9

Others (None) 9 /9&O&-. /0 =00>

Graphical preentation o! Metho" o! !amily planning

Chart G!/

15%

20%

25%

30%

35%

40%

asetomy

+#lls

:bal L#$at#o

oom

alear Metho

;#thra(al


27/37


28/37

4 M.RB+#+? #AA .F BRG? S+.R. G+GM..@ )AA#/A3S@

2>-212

.P 1 03A#+G )A/S3S .F M.RB+#+?

)A/S3S

-3"+-63"Hypertension

8astritiskin disease

&uberculosis;nuemonia+Cap

ertigo

5iarrheaOtitis ?edia

3heumatoid -rthritis+Osteoarthritis

' M.RA0+? #AA .F BRG? S+.R. G+GM..@ )AA#/A3S@

2>-212

.P 1 03A#+G )A/S3S .F M.RA0+?

)A/S3S 21/MB3R RA3

C- / 90Hypothermia = /9

8eriatric 5ebility = /9&O&-. =00>


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,+ ).)0/S+.

7ased on my personal observation and data gathered during survey! "

$as identified the basic primary needs of the community like portable $ater

supply, proper nutrition of the family, education, hygiene and sanitation,

toilet, proper $aste disposal $hich in its absence, bring about health

problems and disease% carrying insects and $ater supply might be

contaminated by human ecreta, respiratory disease and close%contact

transmitted disease as in the case of the poor $ith small house but $ith big

number of members are easily transmitted to each family members! .o$

income of the family that is related to their lo$ level of education be

addressed to the concerned authority!

, PR.B03M +#3+F+3#

=! 6nsafe $ater supply

/! "mproper $aste disposal

A! Numerous family $ithout toilet! .o$ level of education and insufficient income to sustain family needs!

9! 7irth attending practice by merely resorting to hilot

G! Hygiene of the family and environmental sanitation

,+ R3).MM3#A+.

=! Construction of public toilet nearest to those families $ithout toilet, each

compartment to be shared by / to A families to facilitate management of its

cleanliness and maintenance!

/! Construction of $ater pump and or deep $ell to be regularly eamined by the

sanitation inspector to ascertain cleanliness and its safe use!

A! 7arangay officials need to coordinate other government agency+N8O for

livelihood programs and pro4ects that $ould generate income of its

constituents in the barangay!


30/37

9! &o stress on the right manner of coughing and fre2uent hand $ashing to

prevent spread or contact $ith transferable diseases!

G! 'amilies $ith lo$ income should be accordingly persuaded on the importance

and advantages of the family planning scheme!


31/37

ample Muestionnaire 6sed

3egistered Nurses for Health Enhancement and .ocal ervice

8igmoto, Catanduanes

CO??6N"&L 5"-8NO" (Home isit)

'amily Number:

urvey 7y:

'amily Head:

5ate:

-ddress:

"!'-?".L HO6EHO.5 5-&-

-! Number of 'amily ?embers:

7! ?embership and Characteristics:

No

!

N-?E

('rom

;arent

toChildre

n and

Other

?embe

r)

-g

e

Civil

tat

us

e

'ami

ly

3ole

Educatio

nal

-ttainment

.3

Occupati

on

3eligi

onL N

3emarks:

""! ECONO?"C, EN"3O?EN&-. "N5"C-&O3

-! ECONO?"C "&6-&"ON


32/37

7oth 'ather and?other

Others pls! specify

/! What kind of family do you belong

Nuclear 'amily Etended 'amily

ingle ;arent 'amily 7lended 'amily

A! ?onthly "ncome

.ess than ;900 ;=,00= J ;9,000 ;900= J ;=0,000 ;=0,00= J ;=9,000 ;=9,00= J -bove Others, pls! specify

! Housing condition

a! O$nership

O$ned 3ented hared Others, pls! pecify


33/37

b! &ype of 7uilt

Wood 7amboo

Concrete Others, pls! specify

c! &ype

trong .ight ?ake hift.ighting 'acilities

Electric Kerosene Others, pls! pecify

d! Kitchen+ Cooking facilities

Electric tove 8as tove 'ire$ood Charcoal Other, pls! pecify

7! EN"3O?EN&-. "N5"C-&O3

=! ource of $ater supply

;iped in Communal

3iver+ .ake

5eep $ell -rtesian Well

Others, pls! specify/! &oilet

Open pit privy Closed pit privy


34/37

'lush &ype Water%sealed latrine ;ail system

7alot system None

A! Waste 5isposal

A!= 3efuse and 8arbage

a! Container:

Covered

Open Others, pls! pecify

b! ?ethod of 5isposal

Collected 7urial in pit Composting 7urning

Open dumping Waste egregation Others, pls! pecify

! 5omestic -nimals

5og Cat ;ig

Chicken ;ig Others, pls! pecify

C! HE-.&H ;3O'".E

=! 'ood torage

7ag 7askets 3efrigerator

Cupboard $ith screen Others, pls! pecify

/! "nfant 'eeding ;ractices

a! 7reastfeeding

b! 7ottle 'eeding

Evaporated Condensed

;o$dered

c! ?ied 'eeding (7reastfeeding and bottle feeding)


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Sample Community diagnosis

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