Community Diagnosis
Content
INTRODUCTION
Community is a group of people sharing common geographical and or common values and interest. It functions within a particular socio-cultural context which means that no two communities are alike. The physical environment varies and so with the people’s way of life, as in behaving and copying with their internal and external problems, concerns and responsibilities and such other affecting their interest, their associative links and relation with their surroundings and generally, their existence as a people. These problems, concerns and responsibilities are the integral parts of their lives which challenges continue to emerge as parts of the growth, change and development. There is always a calling then to dream or to think new ideas and to discover new ways and solutions to merit existence needs, whereby there is also a need to be consistent with the call of time to be able to meet any surging circumstances and to be able to move forward and make what the community desired to be. Florence Nightingale (Mid- 1800) this believed that in the nurturing environment the body could repair itself. Clients in their enabling environment manipulated to include appropriate noise, nutrition, hygiene, light, comfort and socialization. Such that it is always an urgent need for the people themselves to be united and be more cohesive in their cooperation to work together to overcome barriers and problems on the intermingling poverty, conflict and health care by making full use of the available resources.
The RNHeals project in relation to DOH program has been assigning nurses to the Rural Health Unit (RHU) for a period of six months contemplating with the hope that they would work together with the people of the community towards the common goal of improving the life and health of the poor people through appropriate and proper health care. That which they need to be creative, resourceful and or explore innovative ways to respond the pressing needs in
maintaining proper health, and to be able to rise above the prevailing economic difficulties amidst the limited resources. The community might be restricted economics, education, ethics, social network, culture, politics and other determining factors, but not within the limit as to invigorate their hope, to inspire and motivate their inspiration craving for realization, to enthuse more people to be of service or to encourage public participation in the common efforts of serving, contributing either in terms of goal, support services or in intellectual contribution, to optimize productive endeavors ; to advance and intensify education and training as a solution to their plight of being poor, and as a key to their economic and social development. Faye Abdellah (1960) conceptualized 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, and with their ability to help people sick or well in coping up with their health problems and needs. The ultimate goal of the expected efficient and effective delivery of service is the total improvement of health and quality of life that would redound to lengthening the lives of our people. So, among our primary concerns is to prolong life by maintaining healthy environment and appropriate lifestyle and care. Health is a gift, but we have to work in keeping it always in a desired good condition. Community diagnosis or the study and identification of community problems by studying particularly the causes and effect commonly known as assessment or situational analysis is designed to collect the required data about the community in order to know the different factors that directly or indirectly influence the health condition of the populace, to analyze and formulate explanation for the occurrence of health nursing diagnosis as then delivered thereof to be the bases for developing and implementing community health nursing intervention and strategies. This study utilized the nursing process, earnest thinking and prudent communication to client in the community, and the established culturally competent, care for the community
recognizing economic and ethnic characteristics of its member s and the demonstrated therapeutic communication skills with the client of the interdisciplinary members. 1.1 Rationale Setting up of questionnaire of closed-ended question to be asked to respondents. The importance of the study is the actual meeting and interview with the respondents with the primondial aim of finding out the real condition of the community and the causes of the peoples hesitation to cooperate and reveal straight forward the fact behind such failure. This is so far the challenge of the unit. Gathering data is imperative for use to determine the actual needs of community and also to determine how to utilize and adjust correspondingly the limited resources of the community to such needs. The involvement of the people in the community is very important because it will be more worthwhile and effective in this undertaking. Acquiring data from people involve would be accurate and factual.
1.2 Purpose To analyze the data collected or gathered to be used in developing accurately the intervention in responds to the determined and indentified problems of the community. 1.3 Statement Objectives 1.3.1 General Objectives By the end of the community assessment on Barangay Sioron the community will posses adequate knowledge and consciousness to their present health condition and other health problems, whereupon providing them necessary actions and solutions to prioritized problems and subsequently generate a good condition not only on health but also on the economic and social factors as well, toward the better and healthy community.
1.3.2 Specific Objectives Collects facts and information by the community survey, that is essential for indentifying the community needs and problems and will also help on monitoring the improvement of the health situation. Determine the problems and needs of the community and identify what should be the priorities and how it is affecting the whole community. Dissemination of the current health condition of the community and spreading of knowledge and information regarding the improvement of health condition, health distribution and its proper utilization Formulate helpful suggestions and recommendation solutions, programs and activities that are needed that will enable the community to solve the priority problems. 1.4 Methodology and tool used The research methodology employed in this study is qualitative data collection. It specifies the source of data, the survey instruments tools, and home visit and actual observation in the living condition of the respondents. The survey instruments using questionnaire is appropriate in this study for it actually assess by face-to-face with respondents as by reading the closed-ended question seeking cooperation of the respondents and could be followed up by additional questions asked to totally secure the actual factual data as compared to what are seen in them. Prior conducting proper survey, courtesy call was done to barangay officials and explained to them the purpose of the community diagnoses in order to play safe in the undertaking. In the interview the respondents were likewise explained or informed why the survey is to be conducted. The obtained and collected data in this study involved primary data collected by using questionnaire and interview to respondents, and the secondary data collected from the Municipal Health office records for the period covering the 2011.
1.5 Limitation of the study The community assessment conducted in barangay Sioron. Only 20 families household were surveyed to represent the entire community. There is a total population of 711. Out of 163 families and 136 households a minimum of 10% sample was drawn from the population. Then a number was picked up and replace the number drawn in the box by the researcher making every household the chance to be chosen, after randomizing the sampling of 20 families households, until obtaining the number preferred as respondents of the questionnaire. The survey question in the community diagnosis were derived and formulated by the researcher from the modules given by the DOH. In addition to data collected, the researcher had interviewed the MHO personnel on records for significant secondary data significantly related to this study. These data covered the year round 2011 records of barangay Sioron that categorized leading cause of morbidity and mortality, leading cause of maternal and infant death. These data show the total population health problem. The total data collected was analyzed and interpreted based on their frequency and ranking per tables.
II TARGET COMMUNITY PROFILE
Looking back through the years, Gigmoto, situated on the eastern part of Catanduanes, is 28 kilometers to Baras on the south, and 35 kilometers to Viga on the north, and could be reached by all passing the circumferential road. The place was formerly, a forestall area where hunters of wild animals used to roam and encamp. These hunters made some clearings which became the nucleus of the early settlement in Gigmoto. Then it became a sitio of Bato. A few years before the close of the Spanish era, scores of immigration of people from Baras, Bato and Virac settled in this place. Thus making Gigmoto the biggest barrio of the municipality of Baras. Gigmoto has no records of its pre-historic period because it was only from 1885 to the early part of the American era that the civilization of the place begun. Gigmoto was later separated from Baras and made an independent municipality and inaugurated as such on May 15, 1951, to which land territory was included the barrios or barangays of Dororian and Biong, which were formerly, the barrios of Baras on the north, and for Vicente, Sioron and Sicmil which were formerly, the barrios of Viga on the south. Also added is barangay San Pedro in the hinterland. The poblacion was divided into three municipal districts: barangay district 1, 2 and 3. Sioron is a sleepy, windswept and desolate barangay deserted by its well-off residents who settled elsewhere for better fortune. Sioron is lying between the coastline and steep mountain ridges always exposed to the fury of the Pacific Ocean and the hazards of landslide at time stormy weather occurs. This barangay is around six kilometers or more from the poblacion of Gigmoto and can be reached by passing the rough dirty road, and by the sea in motorized boat. The lowly inhabitants live by means of simple farming and fishing. Gigmoto continues to soar as the third millennium approaches. But when several destructive super-typhoons hit the locality in 1995, then in 1998. And on the succeeding years,
the road became hardly passable. At such critical period of time, the health care service, particularly to the poor and the needy could be done by providing them free medical assistance. It is only in this later part of the year that greater improvements of the road being undertaken.
III ANALYSIS OF DATA
Total Number of Population of the Community– 711 (As of July 2011) Total Number of Household – 136 Total number of Household surveyed – 20 Sex Ratio: No. of Males Formula: SR = ----------------------- X 100% No. of Females SR = 54 / 46 X 100% SR = 1.17 X 100% SEX RATIO = 117%
DEPENDENCY RATIO
No. of pop. 0-14 y/o + 65 y/o above Formula: DR = -------------------------------------------------------- x 100% No. of population of 15 – 64 y/o
DR = 51/54 X 100%
DR = 0.94 X 100%
DEPENDENCY RATIO = 94%
LITERACY RATE
No. of pop. 8 y/o above whom can read and write Formula: LR = ------------------------------------------------------------------- x 100% Total No. of pop. 8 years and above
LR = 61/69 X 100%
LR = 0.88 X 100%
LITERACY RATE = 88%
I.
SOCIO-ECONOMIC DATA
Table 1 Educational attainment of parents. F 1 1 11 9 12 6 40 % 2.5 2.5 27.5 22.5 30 15 100%
College Graduate College Undergraduate High School Graduate High School Undergraduate Elementary Graduate Elementary Undergraduate TOTAL
Table 1 shows the educational attainment of parents. This study revealed that elementary graduate 30%, high school graduate 27.5%, high school undergraduate 22.5%, elementary undergraduate 15% and, college graduate and college undergraduate 2.5%. The finding as stipulated linked the interpretation that the parents concerned do not have proper education to nurture and guide their children; that they are not conscious on the health and intellectual development of the children for better future.
Table1.2 Occupation of Parents F 23 2 1 1 13 40 % 57.5 5 2.5 2.5 32.5 100%
Farmer Fisherman Laborer Business Housewife TOTAL
Table 1.2 shows the occupation of parents. This study revealed that farmer 57.5%, housewife 32.5%, fisherman 5%, laborer and business 2.5%. The finding led to interpretation that the means of living or occupation of the parents concerned is farming and fishing as their avocation, and that the housewife just stay in the house. More appropriate to say, that the parents herein referred to are within the poverty line, without proper or enough education and income, so that husband and wife together with their children work as farmers, they having no alternative means to move further to prosper in life.
Table 1.3 Religion F 20 0 0 0 20 % 100 0 0 0 100%
Roman Catholic Iglesia ni Cristo Born Again Protestant TOTAL
Table 1.4 Age of Parents F 0 2 9 2 7 20 % 0 10 45 10 35 100%
Less than 15 y/0 15 – 25 y/o 26 – 35 y/o 36 – 45 y/o 45 and above y/o TOTAL
Table 1.5 Members of the Family F 4 11 4 1 0 20 % 20 55 20 5 0 100%
1 – 2 child 3 – 4 child 5 – 6 child 7 – 8 child 9 and above TOTAL
Table 1.4 shows the age of parents. This study revealed that 26-35 y/o 45%, 45 and above y/o 35%, 36 – 45y/o 10%, and 15 – 25y/o 10%. Table 1.5 shows the members of the family. This study revealed that 3-4 child 55%, 1-2 child 20%, 5-6 child 20%, and 7-8 child 5%.
The finding hinted the interpretation that the highest percentage of couple at the age 26 to 35 years old and the higher number of family members is at 3 to 4 children. At which state of like, it is always probable that the birth of additional members of the family will occur to make the family much bigger. Without adequate income to support the growing numbers of the family, such family sooner become poorer.
Economic Situation
Table 2 Providing the family Financially F 12 0 7 5 2 26 % 46.2 0 26.9 19.2 7.7 100%
Father Mother Both Father and Mother Family Members Relatives TOTAL
Table 2.1 Kind of Family
Nuclear Family Extended Family Single Parent Family Blended Family TOTAL
F 18 2 0 O 20
% 90 10 0 0 100%
Table 2.2 Monthly Income of the Family F 0 13 6 0 1 20 % 0 65 30 0 5 100%
Less than 500 1,001 – 5,000 5,001 – 10,000 10,001 – 15,000 15,001 Above TOTAL
Table 2 shows the person who support financially to the family. This study revealed that father 46.2%, both father and mother 26.9%, family member 19.2%, and relative 7.7%.
Table 2.1 shows kind of family. This study revealed that nuclear family 90%, extended family 10%, and blended and single parent 0%.
Table 2.2 shows the monthly income of family. This study revealed that 1,001 – 5,000 65%, 5,001 – 10,000 30%, 15,000 – above 5%, and less than 500 and 10,001 – 15,000 0%.
The finding hinted the interpretation that the father is sole financier, but the income being inadequate, prompted both father and mother work for a better support to the family, and as got still their income could not warrant the need for a living as desired, the members of the family also ventured to work but by which the members concerned were deprived of the opportunity to pursue higher education.
Housing Condition
Table 3 Ownership f 18 0 2 0 20 % 90 0 10 0 100%
Owned Rented Shared Others TOTAL
Table 3.1 Type of Built f 10 9 0 1 20 % 50 45 0 5 100%
Wood Bamboo Concrete Others ( Semi-Concrete) TOTAL
Table 3.2 Type f 4 16 0 20 % 20 80 0 100%
Strong Light Make Shift TOTAL
Table 3.3 Lighting Facilities f 14 6 0 20 % 70 30 O 100%
Electric Kerosene Others TOTAL
Table 3.4 Kitchen/ Cooking Facilities f 0 2 19 3 0 24 % 0 8.3 79.2 12.5 0 100%
Electric Stove Gas Stove Firewood Charcoal Others TOTAL
Table 3 shows the ownership. This study revealed that owned 90%, shared 10%, and rented 0%.
Table 3.1 shows type of built. The materials used in building the house. This study revealed that wood 50%, bamboo 45%, semi-concrete 5%, and concrete 0%.
Table 3.2 shows type of the house. This study revealed that light 80%, strong 20%, and make shift 0%.
Table 3.3 shows the lighting facilities. This revealed that electric 70%, kerosene 30%.
Table 3.4 shows the kitchen. This study revealed that firewood 79.2%, charcoal 12.5%, gas stove 8.3%, and electric stove 0%.
The finding hinted the interpretation that most family who could only afford to have a dwelling or house of light materials as wood and nipa shingles and bamboo are the poor and indigent ones after experiencing the lack of food with appropriate nutrients or for proper nutrition and health growth.
II.
ENVIRONMENTAL INDICATORS
Table 4 Source of water supply f 0 14 14 3 1 0 32 % 0 43.8 43.8 9.3 3.1 0 100%
Piped in Communal River/ Lake Deep well Artesian Well Others TOTAL
Table 4.1 Toilet f 0 3 0 7 1 9 20 % 0 15 0 35 5 45 100%
Open pit privy Close pit privy Flush Type Water-sealed latrine Pail System None TOTAL
Table 4 shows the kind of water supply available to the family. This study revealed that communal 43.8%, river/lake 43.8, deep well 9.3%, artesian well 3.1%, and piped in 0%.
Table 4.1 shows the kind of toilet being used. This study revealed the families without toilet 45%, water – sealed latrine 35%, close pit privy 15%, pail system 5%, and flush type and open pit privy 0%.
These finding linked the interpretation that the barangay or community has no safe water supply and toilet facilities, that most of the families do not have toilet of their own. Hence, the drinking water of the community is at risk of being susceptible to contamination or by focal – oral transmission of diseases, and the people in the entire community is prone to contagious diseases to dirty water and human excreta – related diseases.
Waste Disposal
Refuse and Garbage Table 5 Container f 0 19 4 1 24 % 0 79.1 16.7 4.2 100%
Covered Open Others (Sacks) None TOTAL
Table 5.1 Method of Disposal f 0 0 1 17 19 0 37 % 0 0 2.7 45.9 51.4 0 100%
Collected Burial in Pit Composting Burning Open Dumping Waste Segregation TOTAL
Table 5.2 Domestic Animals f 13 10 4 12 39 % 33.3 25.6 10.3 30.8 100%
Dog Cat Pig Chicken TOTAL
Table 5 shows the waste disposal using container. This study revealed that open container 79.1%, using sack 16.7%, without container 4.2% and covered container 0%.
Table 5.1 shows the method of waste disposal. This study revealed that open dumping 51.4%, burning 45.9%, composting 2.7%, water segregation and collected and burial in pit 0%.
Table 5.2 shows the kind of animals found in the house. This study revealed that dog 33.3%, chicken 30.8%, cat 25.6% and pig 10.3%.
The finding as above stipulated lead the interpretation that the barangay or community has no proper waste disposal, thus implying that their daily taken food are open and easily contaminated by vectors or disease- carriers as plies, cockroaches that use to settle on food and due to contact with garbage and domestic animals as cat and dog usually frequenting places open to waste disposal.
III.
HEALTH PROFILE
Table 6 Food Storage f 18 1 1 20 % 90 5 5 100%
Bag Basket Refrigerator Cupboard with Screen TOTAL
Table 6.1 Infant Feeding Practices f 15 0 5 20 % 75 0 25 100%
Breastfeeding Bottle Feeding Mixed Feeding TOTAL
Table 6.2 Immunization f 9 3 12 % 75 25 100%
Complete Incomplete TOTAL
Table 6 shows how food are kept and stored. This study revealed that bag basket 90%, refrigerator 5%, and cupboard with screen 5%.
Table 6.1 shows the infant feeding practices. This study revealed that breastfeeding 75%, mixed feeding 25%.
Table 6.2 shows immunization to their under 10 years old children. This study revealed that complete immunization 75%, incomplete immunization 25%.
The finding pertaining to health profile has been interpreted that the food storage or how food are being kept and stored in the barangay are not safe from contamination, and also their food preparation is likewise not safe from contact of disease carriers. That the lactating mothers and those who are not practicing breastfeeding are not fully imparted knowledge on the very significance and advantages of breastfeeding. That not all mothers submit their children for immunization due to fear of the slight fever, which is the first effect of vaccine in the body. That the parents, both father and mother are working and could not able to attend the monthly immunization in the barangay, by which resulted on the failure to know or understand the importance of complete immunization to their children.
Table 6.4 Health Resources / Facilities f 0 0 20 20 % 0 0 100 100%
District Hospital Health Center Barangay Health Station TOTAL
Table 6.3 Community Facilities
Barangay Health Station School Market Park (Plaza) Others (Church) TOTAL
f 20 20 0 20 20 80
% 25 25 0 25 25 100%
It is interpreted that the barangay only has a health station available; that the schedule of check-up in the barangay is depending on the availability of Municipal Health Officer, at
which is the only chance and opportunity for the community to have personal contact with the health provider.
Health Seeking Behavior
Table 7 First person consulted in times of illness f 10 0 0 2 8 20 % 50 0 0 10 40 100%
Doctor Nurse Midwives Hilot Albularyo TOTAL
Table 7.1 Birth Attendance
Doctor Nurse Midwives Hilot Albularyo TOTAL
f 5 0 0 15 0 20
% 25 0 0 75 0 100%
Table 7 shows the first person consulted in times of illness. This study revealed that doctor 50%, albularyo 40%, hilot 10%, nurse and midwives 0%.
Table 7.1 shows the person attending birth delivery to pregnant mother. This study revealed that hilot 75%, doctor 25%, nurse 0%, midwives and hilot 0%.
The finding hinted the interpretation that the people in the barangay still seek and consult the albularyo due to lack of financial means, they being always at work and the condition of the road and the distance of the barangay to available health center or hospital quite far that needs considerable amount of time and money for medication or uncertainty available health care provider in the center. That being poor, attendant to pregnant mothers and birth delivery are still hilot.
Table 7.2 Frequency of Consultation Professional Health Worker Service type Public Private f % f % 20 33.3 0 0 20 33.3 0 0 20 60 33.3 100% 0 0 0 0 Frequency Seldom f % 11 84.6 1 7.7 1 13 7.7 100%
Doctor Nurse Midwives TOTAL
Frequent f % 0 0 0 0 0 0 0 0
If Needed f % 9 19.2 19 40.4 19 47 40.4 100%
Table 7.2 shows the frequency of consultation and service preferences. This study revealed that the public type doctor, nurse and midwives 100% and private doctor, nurse, and midwives 0%. Public doctor, nurse, midwives frequent consultation 0%, public doctor seldom consultation 84.6%, public nurse and midwives seldom consultation 7.7%. Public doctor if needed for consultation 19.2%, public nurse and midwives if needed consultation 40.4%.
The finding interpreted the frequency of consultation with the doctor is very rare and as seldom as the check up on health problem. The albularyo is most preferred on such cases, and only when consultation is badly needed that they go to for the doctor services.
Family Planning
Table 8 Awareness in Family Planning f 9 11 20 % 45 55 100%
Yes No TOTAL
Table 8.1 Favor for Family Planning f 11 9 20 % 55 45 100%
Yes No TOTAL
Table 8.2 Method of Family Planning/Contraceptives f 0 0 8 0 0 2 5 5 20 % 0 0 40 0 0 10 25 25 100%
IUD Vasectomy Pills Tubal Ligation Condom Calendar Method Withdrawal Others (None) TOTAL
Table 8 shows the awareness of family in family planning. This study revealed that yes 45% and no 55%.
Table 8.1 shows the family who are in favor of family planning. This study revealed that yes 55% and no 45%.
Table 8.2 shows the family preferred contraceptives. This study revealed that pills 40%, withdrawal 25%, not using contraceptives 25%, (IUD, vasectomy, condom, tubal ligation) 0%.
The finding linked the interpretation that the greater number of family are not aware in family planning but higher in number the family who are in favor in family planning. Family planning when using contraceptives. What is preferred most is the natural family planning and what is available in Rural Health Center.
MORBIDITY AND MORTALITY DATA (Brgy. Sioron Gigmoto, Catanduanes) LEADING CAUSES OF MORBIDITY 2011 CAUSES ARI/AURI Hypertension Gastritis Skin disease Tuberculosis Pnuemonia/Cap Vertigo Diarrhea Otitis Media Rheumatoid Arthritis/Osteoarthritis TOTAL NUMBER 149 25 18 16 16 14 11 9 7 6 271 RATE 54.9 9.2 6.7 5.9 5.9 5.2 4.1 3.3 2.6 2.2 100%
LEADING CAUSES OF MORTALITY 2010 CAUSES CVA Hypothermia Geriatric Debility TOTAL NUMBER 2 1 1 4 RATE 50 25 25 100%
LEADING CAUSES OF INFANT MORTALITY 2011 CAUSES NUMBER RATE
NO CASE reported
LEADING CAUSES OF FETAL DEATHS 2011 CAUSES NO CASE reported NUMBER RATE
LEADING CAUSES OF MATERNAL MORTALITY 2011 CAUSES NO CASE reported NUMBER RATE
VI CONCLUSION
Based on my personal observation and data gathered during survey. I was identified the basic primary needs of the community like portable water supply, proper nutrition of the family, education, hygiene and sanitation, toilet, proper waste disposal which in its absence, bring about health problems and disease- carrying insects and water supply might be contaminated by human excreta, respiratory disease and close-contact transmitted disease as
in the case of the poor with small house but with big number of members are easily transmitted to each family members. Low income of the family that is related to their low level of education be addressed to the concerned authority.
V PROBLEM INDENTIFIED 1. Unsafe water supply 2. Improper waste disposal 3. Numerous family without toilet 4. Low level of education and insufficient income to sustain family needs. 5. Birth attending practice by merely resorting to hilot 6. Hygiene of the family and environmental sanitation
VI RECOMMENDATION 1. Construction of public toilet nearest to those families without toilet, each compartment to be shared by 2 to 3 families to facilitate management of its cleanliness and maintenance.
2. Construction of water pump and or deep well to be regularly examined by the sanitation inspector to ascertain cleanliness and its safe use. 3. Barangay officials need to coordinate other government agency/NGO for livelihood programs and projects that would generate income of its constituents in the barangay.
4. To educate the people on segregating the waste materials by which they could earn additional income and minimize garbage deposit or collection. 5. To stress on the right manner of coughing and frequent hand washing to prevent spread or contact with transferable diseases. 6. Families with low income should be accordingly persuaded on the importance and advantages of the family planning scheme.
Registered Nurses for Health Enhancement and Local Service Gigmoto, Catanduanes COMMUNITY DIAGNOSIS (Home Visit) Family Number: _______ Survey By: _______________________________________ Family Head: ___________________________________________________________ Date: ___________________________________________ Address: _______________________________________________________________ I.FAMILY HOUSEHOLD DATA A. Number of Family Members:______ B. Membership and Characteristics: NAME (From Civil Family Educational LR No. Parent to Age Status Sex Role Attainment Occupation Religion Children Y N and Other Member)
Remarks:
II. ECONOMICS, ENVIROMENTAL INDICATORS A. ECONOMIC SITUATION 1. Who provides for the family, financially? Father Mother 2. What kind of family do you belong Nuclear Family Extended Family
Both Father and Mother Others pls. specify Single Parent Family Blended Family
3. Monthly Income Less than P500 P1,001 – P5,000 P5001 – P10,000 P10,001 – P15,000 P15,001 – Above Others, pls. specify 4. Housing condition a. Ownership Owned Rented Shared Others, pls. Specify
b. Tye opf Built Wood Bamboo Concrete Others, pls. specify
c. Type Strong Light Make Shift Lighting Facilities Electric Kerosene Others, pls. Specify
d. Kitchen/ Cooking facilities Electric Stove Gas Stove Firewood Charcoal Other, pls. Specify
B. ENVIROMENTAL INDICATORS 1. Source of water supply Piped in Communal River/ Lake
2. Toilet Open pit privy Closed pit privy Flush Type Water-sealed latrine
Deep well Artesian Well Others, pls. specify
Pail system Balot system None
3. Waste Disposal
3.1 Refuse and Garbage a. Container: Covered Open Others, pls. Specify ______________________ b. Method of Disposal Collected Burial in pit Composting Burning 4. Domestic Animals Dog Cat Pig Chicken C. HEALTH PROFILE 1. Food Storage Bag Baskets Refrigerator 2. Infant Feeding Practices a. Breastfeeding b. Bottle Feeding Evaporated Condensed c. Mixed Feeding (Breastfeeding and bottle feeding) d. Others, pls. Specify 3. Immunization Status of Children Complete Incomplete, Reason 4. Health Resources/Facilities District Hospital Health Center Barangay Health station Others, pls. Specify 5. Community Facilities Barangay Health Center School
Open dumping Waste Segregation Others, pls. Specify
Pig Others, pls. Specify
Cupboard with screen Others, pls. Specify
Powdered
Market Park Others, pls. Specify
6. Health Seeking behaviors a. First person consulted in times of illness Doctor Nurse Hilot b. Birth Attendance Hilot Albularyo Nurse Midwife Doctor Other, Pls. Specify
Albularyo Midwife Others, pls. Specify
c. Frequency of Consultation SERVICE TYPE Professional Health Worker Doctors Nurses Midwives Others, pls. specify___________ Public Private Frequent FREQUENCY Seldom If Needed
7. Family Planning a. Are you aware of family planning? Yes No b. Are you in favor of family planning? Yes No c. What contraceptive or method of family planning do you use/prefer? IUD Vasectomy
Pills Tubal ligation Condom
Calendar method Withdrawal
Community is a group of people sharing common geographical and or common values and interest. It functions within a particular socio-cultural context which means that no two communities are alike. The physical environment varies and so with the people’s way of life, as in behaving and copying with their internal and external problems, concerns and responsibilities and such other affecting their interest, their associative links and relation with their surroundings and generally, their existence as a people. These problems, concerns and responsibilities are the integral parts of their lives which challenges continue to emerge as parts of the growth, change and development. There is always a calling then to dream or to think new ideas and to discover new ways and solutions to merit existence needs, whereby there is also a need to be consistent with the call of time to be able to meet any surging circumstances and to be able to move forward and make what the community desired to be. Florence Nightingale (Mid- 1800) this believed that in the nurturing environment the body could repair itself. Clients in their enabling environment manipulated to include appropriate noise, nutrition, hygiene, light, comfort and socialization. Such that it is always an urgent need for the people themselves to be united and be more cohesive in their cooperation to work together to overcome barriers and problems on the intermingling poverty, conflict and health care by making full use of the available resources.
The RNHeals project in relation to DOH program has been assigning nurses to the Rural Health Unit (RHU) for a period of six months contemplating with the hope that they would work together with the people of the community towards the common goal of improving the life and health of the poor people through appropriate and proper health care. That which they need to be creative, resourceful and or explore innovative ways to respond the pressing needs in
maintaining proper health, and to be able to rise above the prevailing economic difficulties amidst the limited resources. The community might be restricted economics, education, ethics, social network, culture, politics and other determining factors, but not within the limit as to invigorate their hope, to inspire and motivate their inspiration craving for realization, to enthuse more people to be of service or to encourage public participation in the common efforts of serving, contributing either in terms of goal, support services or in intellectual contribution, to optimize productive endeavors ; to advance and intensify education and training as a solution to their plight of being poor, and as a key to their economic and social development. Faye Abdellah (1960) conceptualized 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, and with their ability to help people sick or well in coping up with their health problems and needs. The ultimate goal of the expected efficient and effective delivery of service is the total improvement of health and quality of life that would redound to lengthening the lives of our people. So, among our primary concerns is to prolong life by maintaining healthy environment and appropriate lifestyle and care. Health is a gift, but we have to work in keeping it always in a desired good condition. Community diagnosis or the study and identification of community problems by studying particularly the causes and effect commonly known as assessment or situational analysis is designed to collect the required data about the community in order to know the different factors that directly or indirectly influence the health condition of the populace, to analyze and formulate explanation for the occurrence of health nursing diagnosis as then delivered thereof to be the bases for developing and implementing community health nursing intervention and strategies. This study utilized the nursing process, earnest thinking and prudent communication to client in the community, and the established culturally competent, care for the community
recognizing economic and ethnic characteristics of its member s and the demonstrated therapeutic communication skills with the client of the interdisciplinary members. 1.1 Rationale Setting up of questionnaire of closed-ended question to be asked to respondents. The importance of the study is the actual meeting and interview with the respondents with the primondial aim of finding out the real condition of the community and the causes of the peoples hesitation to cooperate and reveal straight forward the fact behind such failure. This is so far the challenge of the unit. Gathering data is imperative for use to determine the actual needs of community and also to determine how to utilize and adjust correspondingly the limited resources of the community to such needs. The involvement of the people in the community is very important because it will be more worthwhile and effective in this undertaking. Acquiring data from people involve would be accurate and factual.
1.2 Purpose To analyze the data collected or gathered to be used in developing accurately the intervention in responds to the determined and indentified problems of the community. 1.3 Statement Objectives 1.3.1 General Objectives By the end of the community assessment on Barangay Sioron the community will posses adequate knowledge and consciousness to their present health condition and other health problems, whereupon providing them necessary actions and solutions to prioritized problems and subsequently generate a good condition not only on health but also on the economic and social factors as well, toward the better and healthy community.
1.3.2 Specific Objectives Collects facts and information by the community survey, that is essential for indentifying the community needs and problems and will also help on monitoring the improvement of the health situation. Determine the problems and needs of the community and identify what should be the priorities and how it is affecting the whole community. Dissemination of the current health condition of the community and spreading of knowledge and information regarding the improvement of health condition, health distribution and its proper utilization Formulate helpful suggestions and recommendation solutions, programs and activities that are needed that will enable the community to solve the priority problems. 1.4 Methodology and tool used The research methodology employed in this study is qualitative data collection. It specifies the source of data, the survey instruments tools, and home visit and actual observation in the living condition of the respondents. The survey instruments using questionnaire is appropriate in this study for it actually assess by face-to-face with respondents as by reading the closed-ended question seeking cooperation of the respondents and could be followed up by additional questions asked to totally secure the actual factual data as compared to what are seen in them. Prior conducting proper survey, courtesy call was done to barangay officials and explained to them the purpose of the community diagnoses in order to play safe in the undertaking. In the interview the respondents were likewise explained or informed why the survey is to be conducted. The obtained and collected data in this study involved primary data collected by using questionnaire and interview to respondents, and the secondary data collected from the Municipal Health office records for the period covering the 2011.
1.5 Limitation of the study The community assessment conducted in barangay Sioron. Only 20 families household were surveyed to represent the entire community. There is a total population of 711. Out of 163 families and 136 households a minimum of 10% sample was drawn from the population. Then a number was picked up and replace the number drawn in the box by the researcher making every household the chance to be chosen, after randomizing the sampling of 20 families households, until obtaining the number preferred as respondents of the questionnaire. The survey question in the community diagnosis were derived and formulated by the researcher from the modules given by the DOH. In addition to data collected, the researcher had interviewed the MHO personnel on records for significant secondary data significantly related to this study. These data covered the year round 2011 records of barangay Sioron that categorized leading cause of morbidity and mortality, leading cause of maternal and infant death. These data show the total population health problem. The total data collected was analyzed and interpreted based on their frequency and ranking per tables.
II TARGET COMMUNITY PROFILE
Looking back through the years, Gigmoto, situated on the eastern part of Catanduanes, is 28 kilometers to Baras on the south, and 35 kilometers to Viga on the north, and could be reached by all passing the circumferential road. The place was formerly, a forestall area where hunters of wild animals used to roam and encamp. These hunters made some clearings which became the nucleus of the early settlement in Gigmoto. Then it became a sitio of Bato. A few years before the close of the Spanish era, scores of immigration of people from Baras, Bato and Virac settled in this place. Thus making Gigmoto the biggest barrio of the municipality of Baras. Gigmoto has no records of its pre-historic period because it was only from 1885 to the early part of the American era that the civilization of the place begun. Gigmoto was later separated from Baras and made an independent municipality and inaugurated as such on May 15, 1951, to which land territory was included the barrios or barangays of Dororian and Biong, which were formerly, the barrios of Baras on the north, and for Vicente, Sioron and Sicmil which were formerly, the barrios of Viga on the south. Also added is barangay San Pedro in the hinterland. The poblacion was divided into three municipal districts: barangay district 1, 2 and 3. Sioron is a sleepy, windswept and desolate barangay deserted by its well-off residents who settled elsewhere for better fortune. Sioron is lying between the coastline and steep mountain ridges always exposed to the fury of the Pacific Ocean and the hazards of landslide at time stormy weather occurs. This barangay is around six kilometers or more from the poblacion of Gigmoto and can be reached by passing the rough dirty road, and by the sea in motorized boat. The lowly inhabitants live by means of simple farming and fishing. Gigmoto continues to soar as the third millennium approaches. But when several destructive super-typhoons hit the locality in 1995, then in 1998. And on the succeeding years,
the road became hardly passable. At such critical period of time, the health care service, particularly to the poor and the needy could be done by providing them free medical assistance. It is only in this later part of the year that greater improvements of the road being undertaken.
III ANALYSIS OF DATA
Total Number of Population of the Community– 711 (As of July 2011) Total Number of Household – 136 Total number of Household surveyed – 20 Sex Ratio: No. of Males Formula: SR = ----------------------- X 100% No. of Females SR = 54 / 46 X 100% SR = 1.17 X 100% SEX RATIO = 117%
DEPENDENCY RATIO
No. of pop. 0-14 y/o + 65 y/o above Formula: DR = -------------------------------------------------------- x 100% No. of population of 15 – 64 y/o
DR = 51/54 X 100%
DR = 0.94 X 100%
DEPENDENCY RATIO = 94%
LITERACY RATE
No. of pop. 8 y/o above whom can read and write Formula: LR = ------------------------------------------------------------------- x 100% Total No. of pop. 8 years and above
LR = 61/69 X 100%
LR = 0.88 X 100%
LITERACY RATE = 88%
I.
SOCIO-ECONOMIC DATA
Table 1 Educational attainment of parents. F 1 1 11 9 12 6 40 % 2.5 2.5 27.5 22.5 30 15 100%
College Graduate College Undergraduate High School Graduate High School Undergraduate Elementary Graduate Elementary Undergraduate TOTAL
Table 1 shows the educational attainment of parents. This study revealed that elementary graduate 30%, high school graduate 27.5%, high school undergraduate 22.5%, elementary undergraduate 15% and, college graduate and college undergraduate 2.5%. The finding as stipulated linked the interpretation that the parents concerned do not have proper education to nurture and guide their children; that they are not conscious on the health and intellectual development of the children for better future.
Table1.2 Occupation of Parents F 23 2 1 1 13 40 % 57.5 5 2.5 2.5 32.5 100%
Farmer Fisherman Laborer Business Housewife TOTAL
Table 1.2 shows the occupation of parents. This study revealed that farmer 57.5%, housewife 32.5%, fisherman 5%, laborer and business 2.5%. The finding led to interpretation that the means of living or occupation of the parents concerned is farming and fishing as their avocation, and that the housewife just stay in the house. More appropriate to say, that the parents herein referred to are within the poverty line, without proper or enough education and income, so that husband and wife together with their children work as farmers, they having no alternative means to move further to prosper in life.
Table 1.3 Religion F 20 0 0 0 20 % 100 0 0 0 100%
Roman Catholic Iglesia ni Cristo Born Again Protestant TOTAL
Table 1.4 Age of Parents F 0 2 9 2 7 20 % 0 10 45 10 35 100%
Less than 15 y/0 15 – 25 y/o 26 – 35 y/o 36 – 45 y/o 45 and above y/o TOTAL
Table 1.5 Members of the Family F 4 11 4 1 0 20 % 20 55 20 5 0 100%
1 – 2 child 3 – 4 child 5 – 6 child 7 – 8 child 9 and above TOTAL
Table 1.4 shows the age of parents. This study revealed that 26-35 y/o 45%, 45 and above y/o 35%, 36 – 45y/o 10%, and 15 – 25y/o 10%. Table 1.5 shows the members of the family. This study revealed that 3-4 child 55%, 1-2 child 20%, 5-6 child 20%, and 7-8 child 5%.
The finding hinted the interpretation that the highest percentage of couple at the age 26 to 35 years old and the higher number of family members is at 3 to 4 children. At which state of like, it is always probable that the birth of additional members of the family will occur to make the family much bigger. Without adequate income to support the growing numbers of the family, such family sooner become poorer.
Economic Situation
Table 2 Providing the family Financially F 12 0 7 5 2 26 % 46.2 0 26.9 19.2 7.7 100%
Father Mother Both Father and Mother Family Members Relatives TOTAL
Table 2.1 Kind of Family
Nuclear Family Extended Family Single Parent Family Blended Family TOTAL
F 18 2 0 O 20
% 90 10 0 0 100%
Table 2.2 Monthly Income of the Family F 0 13 6 0 1 20 % 0 65 30 0 5 100%
Less than 500 1,001 – 5,000 5,001 – 10,000 10,001 – 15,000 15,001 Above TOTAL
Table 2 shows the person who support financially to the family. This study revealed that father 46.2%, both father and mother 26.9%, family member 19.2%, and relative 7.7%.
Table 2.1 shows kind of family. This study revealed that nuclear family 90%, extended family 10%, and blended and single parent 0%.
Table 2.2 shows the monthly income of family. This study revealed that 1,001 – 5,000 65%, 5,001 – 10,000 30%, 15,000 – above 5%, and less than 500 and 10,001 – 15,000 0%.
The finding hinted the interpretation that the father is sole financier, but the income being inadequate, prompted both father and mother work for a better support to the family, and as got still their income could not warrant the need for a living as desired, the members of the family also ventured to work but by which the members concerned were deprived of the opportunity to pursue higher education.
Housing Condition
Table 3 Ownership f 18 0 2 0 20 % 90 0 10 0 100%
Owned Rented Shared Others TOTAL
Table 3.1 Type of Built f 10 9 0 1 20 % 50 45 0 5 100%
Wood Bamboo Concrete Others ( Semi-Concrete) TOTAL
Table 3.2 Type f 4 16 0 20 % 20 80 0 100%
Strong Light Make Shift TOTAL
Table 3.3 Lighting Facilities f 14 6 0 20 % 70 30 O 100%
Electric Kerosene Others TOTAL
Table 3.4 Kitchen/ Cooking Facilities f 0 2 19 3 0 24 % 0 8.3 79.2 12.5 0 100%
Electric Stove Gas Stove Firewood Charcoal Others TOTAL
Table 3 shows the ownership. This study revealed that owned 90%, shared 10%, and rented 0%.
Table 3.1 shows type of built. The materials used in building the house. This study revealed that wood 50%, bamboo 45%, semi-concrete 5%, and concrete 0%.
Table 3.2 shows type of the house. This study revealed that light 80%, strong 20%, and make shift 0%.
Table 3.3 shows the lighting facilities. This revealed that electric 70%, kerosene 30%.
Table 3.4 shows the kitchen. This study revealed that firewood 79.2%, charcoal 12.5%, gas stove 8.3%, and electric stove 0%.
The finding hinted the interpretation that most family who could only afford to have a dwelling or house of light materials as wood and nipa shingles and bamboo are the poor and indigent ones after experiencing the lack of food with appropriate nutrients or for proper nutrition and health growth.
II.
ENVIRONMENTAL INDICATORS
Table 4 Source of water supply f 0 14 14 3 1 0 32 % 0 43.8 43.8 9.3 3.1 0 100%
Piped in Communal River/ Lake Deep well Artesian Well Others TOTAL
Table 4.1 Toilet f 0 3 0 7 1 9 20 % 0 15 0 35 5 45 100%
Open pit privy Close pit privy Flush Type Water-sealed latrine Pail System None TOTAL
Table 4 shows the kind of water supply available to the family. This study revealed that communal 43.8%, river/lake 43.8, deep well 9.3%, artesian well 3.1%, and piped in 0%.
Table 4.1 shows the kind of toilet being used. This study revealed the families without toilet 45%, water – sealed latrine 35%, close pit privy 15%, pail system 5%, and flush type and open pit privy 0%.
These finding linked the interpretation that the barangay or community has no safe water supply and toilet facilities, that most of the families do not have toilet of their own. Hence, the drinking water of the community is at risk of being susceptible to contamination or by focal – oral transmission of diseases, and the people in the entire community is prone to contagious diseases to dirty water and human excreta – related diseases.
Waste Disposal
Refuse and Garbage Table 5 Container f 0 19 4 1 24 % 0 79.1 16.7 4.2 100%
Covered Open Others (Sacks) None TOTAL
Table 5.1 Method of Disposal f 0 0 1 17 19 0 37 % 0 0 2.7 45.9 51.4 0 100%
Collected Burial in Pit Composting Burning Open Dumping Waste Segregation TOTAL
Table 5.2 Domestic Animals f 13 10 4 12 39 % 33.3 25.6 10.3 30.8 100%
Dog Cat Pig Chicken TOTAL
Table 5 shows the waste disposal using container. This study revealed that open container 79.1%, using sack 16.7%, without container 4.2% and covered container 0%.
Table 5.1 shows the method of waste disposal. This study revealed that open dumping 51.4%, burning 45.9%, composting 2.7%, water segregation and collected and burial in pit 0%.
Table 5.2 shows the kind of animals found in the house. This study revealed that dog 33.3%, chicken 30.8%, cat 25.6% and pig 10.3%.
The finding as above stipulated lead the interpretation that the barangay or community has no proper waste disposal, thus implying that their daily taken food are open and easily contaminated by vectors or disease- carriers as plies, cockroaches that use to settle on food and due to contact with garbage and domestic animals as cat and dog usually frequenting places open to waste disposal.
III.
HEALTH PROFILE
Table 6 Food Storage f 18 1 1 20 % 90 5 5 100%
Bag Basket Refrigerator Cupboard with Screen TOTAL
Table 6.1 Infant Feeding Practices f 15 0 5 20 % 75 0 25 100%
Breastfeeding Bottle Feeding Mixed Feeding TOTAL
Table 6.2 Immunization f 9 3 12 % 75 25 100%
Complete Incomplete TOTAL
Table 6 shows how food are kept and stored. This study revealed that bag basket 90%, refrigerator 5%, and cupboard with screen 5%.
Table 6.1 shows the infant feeding practices. This study revealed that breastfeeding 75%, mixed feeding 25%.
Table 6.2 shows immunization to their under 10 years old children. This study revealed that complete immunization 75%, incomplete immunization 25%.
The finding pertaining to health profile has been interpreted that the food storage or how food are being kept and stored in the barangay are not safe from contamination, and also their food preparation is likewise not safe from contact of disease carriers. That the lactating mothers and those who are not practicing breastfeeding are not fully imparted knowledge on the very significance and advantages of breastfeeding. That not all mothers submit their children for immunization due to fear of the slight fever, which is the first effect of vaccine in the body. That the parents, both father and mother are working and could not able to attend the monthly immunization in the barangay, by which resulted on the failure to know or understand the importance of complete immunization to their children.
Table 6.4 Health Resources / Facilities f 0 0 20 20 % 0 0 100 100%
District Hospital Health Center Barangay Health Station TOTAL
Table 6.3 Community Facilities
Barangay Health Station School Market Park (Plaza) Others (Church) TOTAL
f 20 20 0 20 20 80
% 25 25 0 25 25 100%
It is interpreted that the barangay only has a health station available; that the schedule of check-up in the barangay is depending on the availability of Municipal Health Officer, at
which is the only chance and opportunity for the community to have personal contact with the health provider.
Health Seeking Behavior
Table 7 First person consulted in times of illness f 10 0 0 2 8 20 % 50 0 0 10 40 100%
Doctor Nurse Midwives Hilot Albularyo TOTAL
Table 7.1 Birth Attendance
Doctor Nurse Midwives Hilot Albularyo TOTAL
f 5 0 0 15 0 20
% 25 0 0 75 0 100%
Table 7 shows the first person consulted in times of illness. This study revealed that doctor 50%, albularyo 40%, hilot 10%, nurse and midwives 0%.
Table 7.1 shows the person attending birth delivery to pregnant mother. This study revealed that hilot 75%, doctor 25%, nurse 0%, midwives and hilot 0%.
The finding hinted the interpretation that the people in the barangay still seek and consult the albularyo due to lack of financial means, they being always at work and the condition of the road and the distance of the barangay to available health center or hospital quite far that needs considerable amount of time and money for medication or uncertainty available health care provider in the center. That being poor, attendant to pregnant mothers and birth delivery are still hilot.
Table 7.2 Frequency of Consultation Professional Health Worker Service type Public Private f % f % 20 33.3 0 0 20 33.3 0 0 20 60 33.3 100% 0 0 0 0 Frequency Seldom f % 11 84.6 1 7.7 1 13 7.7 100%
Doctor Nurse Midwives TOTAL
Frequent f % 0 0 0 0 0 0 0 0
If Needed f % 9 19.2 19 40.4 19 47 40.4 100%
Table 7.2 shows the frequency of consultation and service preferences. This study revealed that the public type doctor, nurse and midwives 100% and private doctor, nurse, and midwives 0%. Public doctor, nurse, midwives frequent consultation 0%, public doctor seldom consultation 84.6%, public nurse and midwives seldom consultation 7.7%. Public doctor if needed for consultation 19.2%, public nurse and midwives if needed consultation 40.4%.
The finding interpreted the frequency of consultation with the doctor is very rare and as seldom as the check up on health problem. The albularyo is most preferred on such cases, and only when consultation is badly needed that they go to for the doctor services.
Family Planning
Table 8 Awareness in Family Planning f 9 11 20 % 45 55 100%
Yes No TOTAL
Table 8.1 Favor for Family Planning f 11 9 20 % 55 45 100%
Yes No TOTAL
Table 8.2 Method of Family Planning/Contraceptives f 0 0 8 0 0 2 5 5 20 % 0 0 40 0 0 10 25 25 100%
IUD Vasectomy Pills Tubal Ligation Condom Calendar Method Withdrawal Others (None) TOTAL
Table 8 shows the awareness of family in family planning. This study revealed that yes 45% and no 55%.
Table 8.1 shows the family who are in favor of family planning. This study revealed that yes 55% and no 45%.
Table 8.2 shows the family preferred contraceptives. This study revealed that pills 40%, withdrawal 25%, not using contraceptives 25%, (IUD, vasectomy, condom, tubal ligation) 0%.
The finding linked the interpretation that the greater number of family are not aware in family planning but higher in number the family who are in favor in family planning. Family planning when using contraceptives. What is preferred most is the natural family planning and what is available in Rural Health Center.
MORBIDITY AND MORTALITY DATA (Brgy. Sioron Gigmoto, Catanduanes) LEADING CAUSES OF MORBIDITY 2011 CAUSES ARI/AURI Hypertension Gastritis Skin disease Tuberculosis Pnuemonia/Cap Vertigo Diarrhea Otitis Media Rheumatoid Arthritis/Osteoarthritis TOTAL NUMBER 149 25 18 16 16 14 11 9 7 6 271 RATE 54.9 9.2 6.7 5.9 5.9 5.2 4.1 3.3 2.6 2.2 100%
LEADING CAUSES OF MORTALITY 2010 CAUSES CVA Hypothermia Geriatric Debility TOTAL NUMBER 2 1 1 4 RATE 50 25 25 100%
LEADING CAUSES OF INFANT MORTALITY 2011 CAUSES NUMBER RATE
NO CASE reported
LEADING CAUSES OF FETAL DEATHS 2011 CAUSES NO CASE reported NUMBER RATE
LEADING CAUSES OF MATERNAL MORTALITY 2011 CAUSES NO CASE reported NUMBER RATE
VI CONCLUSION
Based on my personal observation and data gathered during survey. I was identified the basic primary needs of the community like portable water supply, proper nutrition of the family, education, hygiene and sanitation, toilet, proper waste disposal which in its absence, bring about health problems and disease- carrying insects and water supply might be contaminated by human excreta, respiratory disease and close-contact transmitted disease as
in the case of the poor with small house but with big number of members are easily transmitted to each family members. Low income of the family that is related to their low level of education be addressed to the concerned authority.
V PROBLEM INDENTIFIED 1. Unsafe water supply 2. Improper waste disposal 3. Numerous family without toilet 4. Low level of education and insufficient income to sustain family needs. 5. Birth attending practice by merely resorting to hilot 6. Hygiene of the family and environmental sanitation
VI RECOMMENDATION 1. Construction of public toilet nearest to those families without toilet, each compartment to be shared by 2 to 3 families to facilitate management of its cleanliness and maintenance.
2. Construction of water pump and or deep well to be regularly examined by the sanitation inspector to ascertain cleanliness and its safe use. 3. Barangay officials need to coordinate other government agency/NGO for livelihood programs and projects that would generate income of its constituents in the barangay.
4. To educate the people on segregating the waste materials by which they could earn additional income and minimize garbage deposit or collection. 5. To stress on the right manner of coughing and frequent hand washing to prevent spread or contact with transferable diseases. 6. Families with low income should be accordingly persuaded on the importance and advantages of the family planning scheme.
Registered Nurses for Health Enhancement and Local Service Gigmoto, Catanduanes COMMUNITY DIAGNOSIS (Home Visit) Family Number: _______ Survey By: _______________________________________ Family Head: ___________________________________________________________ Date: ___________________________________________ Address: _______________________________________________________________ I.FAMILY HOUSEHOLD DATA A. Number of Family Members:______ B. Membership and Characteristics: NAME (From Civil Family Educational LR No. Parent to Age Status Sex Role Attainment Occupation Religion Children Y N and Other Member)
Remarks:
II. ECONOMICS, ENVIROMENTAL INDICATORS A. ECONOMIC SITUATION 1. Who provides for the family, financially? Father Mother 2. What kind of family do you belong Nuclear Family Extended Family
Both Father and Mother Others pls. specify Single Parent Family Blended Family
3. Monthly Income Less than P500 P1,001 – P5,000 P5001 – P10,000 P10,001 – P15,000 P15,001 – Above Others, pls. specify 4. Housing condition a. Ownership Owned Rented Shared Others, pls. Specify
b. Tye opf Built Wood Bamboo Concrete Others, pls. specify
c. Type Strong Light Make Shift Lighting Facilities Electric Kerosene Others, pls. Specify
d. Kitchen/ Cooking facilities Electric Stove Gas Stove Firewood Charcoal Other, pls. Specify
B. ENVIROMENTAL INDICATORS 1. Source of water supply Piped in Communal River/ Lake
2. Toilet Open pit privy Closed pit privy Flush Type Water-sealed latrine
Deep well Artesian Well Others, pls. specify
Pail system Balot system None
3. Waste Disposal
3.1 Refuse and Garbage a. Container: Covered Open Others, pls. Specify ______________________ b. Method of Disposal Collected Burial in pit Composting Burning 4. Domestic Animals Dog Cat Pig Chicken C. HEALTH PROFILE 1. Food Storage Bag Baskets Refrigerator 2. Infant Feeding Practices a. Breastfeeding b. Bottle Feeding Evaporated Condensed c. Mixed Feeding (Breastfeeding and bottle feeding) d. Others, pls. Specify 3. Immunization Status of Children Complete Incomplete, Reason 4. Health Resources/Facilities District Hospital Health Center Barangay Health station Others, pls. Specify 5. Community Facilities Barangay Health Center School
Open dumping Waste Segregation Others, pls. Specify
Pig Others, pls. Specify
Cupboard with screen Others, pls. Specify
Powdered
Market Park Others, pls. Specify
6. Health Seeking behaviors a. First person consulted in times of illness Doctor Nurse Hilot b. Birth Attendance Hilot Albularyo Nurse Midwife Doctor Other, Pls. Specify
Albularyo Midwife Others, pls. Specify
c. Frequency of Consultation SERVICE TYPE Professional Health Worker Doctors Nurses Midwives Others, pls. specify___________ Public Private Frequent FREQUENCY Seldom If Needed
7. Family Planning a. Are you aware of family planning? Yes No b. Are you in favor of family planning? Yes No c. What contraceptive or method of family planning do you use/prefer? IUD Vasectomy
Pills Tubal ligation Condom
Calendar method Withdrawal
