AMA East Rizal College of Nursing

A SAMPLE COMMUNITY DIAGNOSIS OF SITIO MARIES GULOD BRGY.MAYAMOT, ANTIPOLO CITY

In Partial fulfillment of the requirements in Community RLE NCM 105 A compilation presented to the College of Nursing AMA East Rizal Prepared by: BSN 3 Batch 2014 Date Submitted: April 15, 2013

Mr. FloranteArtienda, RN, MAN Clinical Instructor

Mr. AvelinoBalagbis, RN, MAN Clinical Instructor

Ms. Madonna Dapeg, RN, MAN Immersion Coordinator

TABLE OF CONTENTS

ACKNOWLEDGEMENTS--------------------------------------------------------------------------INTRODUCTION-------------------------------------------------------------------------------------COMMUNITY PROFILE----------------------------------------------------------------------------ORGANIZATIONAL CHART----------------------------------------------------------------------OBJECTIVES------------------------------------------------------------------------------------------a. GENERAL b. SPECIFIC DEFINITION OF TERMS---------------------------------------------------------------------------SPOT MAP---------------------------------------------------------------------------------------------Chapter 1: FAMILY STRUCTURE A. Number of residents According to Age ---------------------------------------------------B. Gender ------------------------------------------------------------------------------------------C. Civil status -------------------------------------------------------------------------------------D. Type of Family --------------------------------------------------------------------------------E. Family size -------------------------------------------------------------------------------------Chapter 2: SOCIOECONOMIC & CULTURAL --------------------------------------------------A. Employment ------------------------------------------------------------------------------------B. Educational attainment -----------------------------------------------------------------------C. Religion ----------------------------------------------------------------------------------------Chapter 3: HOME & ENVIRONMENT ------------------------------------------------------------A. Home ownership ------------------------------------------------------------------------------B. Types of Houses -------------------------------------------------------------------------------C. Means of Cooking -----------------------------------------------------------------------------D. Food Storage -----------------------------------------------------------------------------------E. Water Source -----------------------------------------------------------------------------------F. Cleanliness -------------------------------------------------------------------------------------G. Ventilation--------------------------------------------------------------------------------------H. Garbage Disposal System --------------------------------------------------------------------I. Types of Excreta -------------------------------------------------------------------------------J. Excreta Disposal -------------------------------------------------------------------------------K. Pet ownership ----------------------------------------------------------------------------------Chapter 4: KNOWLEDGE on the CONCEPT OF HEALTH CARE ---------------------------A. Graph of the Concepts measuring Knowledge of Residents ----------------------------B. Interpretation of Data -------------------------------------------------------------------------Chapter 5: HEALTH CARE --------------------------------------------------------------------------A. Birth Attendant --------------------------------------------------------------------------------B. Place of Delivery -------------------------------------------------------------------------------

C. Infant feeding ---------------------------------------------------------------------------------D. Immunization of the Children ---------------------------------------------------------------Chapter 6: Responsible Parenthood -----------------------------------------------------------------A. Family Planning ------------------------------------------------------------------------------Chapter 7: Data on Community Development-----------------------------------------------------A. Health Problems of the Community ---------------------------------------------------B. Causes & Possible Solutions -----------------------------------------------------------C. Other Needs of the Community -------------------------------------------------------D. Solutions to the Needs of the Community -------------------------------------------Chapter 8: COMMUNITY PROBLEMS & RECOMMENDATIONS -----------------------A. Problem Prioritization ----------------------------------------------------------------------B. Community Health Care Plan -------------------------------------------------------------APPENDICES ----------------------------------------------------------------------------------------

INTRODUCTION

The term family as defined by AdellePelliteri is the basic unit of the community. All members should have to maintain a healthy lifestyle status. Each family member must have a disease free body. The health of the family is considered as a whole based on public health perspective. Family health office is tasked to monitor health programs which would help each family attain the proper knowledge concerning their health. It is concerned with the health of the mother to the unborn, the newborn, the infant, the adolescent and the youth, the adult men and women, and also to the elders. Salvacion G. Bailon-Reyes stated that Community Health Nursing is a field of Nursing Practice delivered outside of purely curative institutions like hospitals but in community settings such as the home, the school, and place of work, health centers and clinics. As student nurses, our goal is to enhance, improve and promote health care. We focused to our respective families and widened our scope towards the whole community to bring out their major concerns. The community involved in this study consists of one hundred thirty five (135) households and a total of five hundred ninety six (596) residents of Barangay SitioGulod in Mayamot Antipolo City.

ACKNOWLEDGEMENT

Many people contributed in the creation of this case study. We are grateful to the families who allowed us to use them as our correspondents and to be part of our ideas especially to our individual families that we immersed to and welcomed us as part of their families. We would also like to express our gratitude to our clinical instructors, Mr. FloranteArtienda, Mr. AvelinoBalagbis, Ms. Madonna Dapeg and Ms. JesusaGrimalt for guiding us and giving us their thoughtful ideas and comments regarding our stay in the community. Ultimately, we look up to you as our great mentor and educator. Thank you so much from the bottom of our hearts. Thank you for stimulating our minds and guiding us for a brighter and better future ahead in our field. In addition, we would like to thank the barangay officials and staffs headed by Mr.PabloOldan and Mr. Arthur Salvana for allowing us to interact and conduct surveys in certain families in the community. To our loved ones, who are always there to inspire us, to help us persevere, we dedicate this to all of you. With the support that you had given us, you inspire us to become more diligent in our chosen field and make us more determined to become better nurses in the future. Again, from all of us, thank you very much. To our Dean Mrs. LaviniaPanganiban and Mrs. Juliet Batac, thank you for giving us the opportunity to experience and learn this community immersion. And most of all, to our Almighty God, our source of wisdom and strength to whom we are giving back the glory.

COMMUNITY PROFILE

The total land area of Antipolo City is 38, 575.04 hectares and represents 29.4% of the total land area of Rizal. It is bounded by the town of Rodriguez, on the northwest by the towns of Marikina and San Mateo, on the east by the province of Quezon, on the southeast by the town of Tanay and Teresa andon the northwest by the towns of Taytay and Cainta. It is implemented as a city on April 4, 1998. There are 33 health centers, 3 government and 5 private hospitals located within the area and is composed of 16 Barangays with a population of 547, 157 that has the annual growth rate of 7.6%.

One of the said barangay is Mayamot. It is measured 540.74 hectares and it is located in the outskirts of Marikina and Antipolo City. The population is 46, 949 since the last 2007 census and there are 2 health centers within the area. They also have 3 doctors, 2 nurses, 2 midwives, and 8 barangay health workers within the barangay.

The power service in the Antipolo comes from Meralco, the water service is from Manila Water Company and the telephone services are from PLDT, Bayantel, PT&T. There are 153 banks, 6, 903, business establishments and 405 subdivisions. There are 36 elementary schools and 13 high schools and with a total of 49 public schools, while there are 78 private schools composed of 49 elementary and 39 high schools lastly, there are also 9 colleges and universities located within the city of Antipolo.

OBJECTIVES

General As future nurses, and with the acknowledgement and skills learned from our Related Experience Class, we are to investigate and observe the family by conducting simple interviews all about their competencies in carrying out needed interventions for health promotion, disease prevention & proper management of problems.

Specific In addition, our group laid out some objectives that would later help us in creating ways to empower our familys competency.

The objectives are as follows:

1. To follow the basic management of concepts of the family as the basic unit of care. 2. To have a systematic way of approach towards delivering nursing services to the family along with the function of our nursing processes learned. 3. To empower the family and replicate an optimistic attitude towards solving their problems. 4. To carry out health teachings for the family to make sure the proper continuity of care even after the home visit. 5. And finally, to build rapport to the family and to attend to all of their needs practically.

Organizational Chart Brgy.Mayamot Antipolo City

Pablo T. Oldan Punong Barangay

Liza T. Patilan Barangay Scretary

Liza T. Patilan Barangay Scretary

Chapter 1 FAMILY STRUCTURE A. Number of Residents According to Age Age Under 1yr 1-4yr 5-6yr 7-14yr 15-49yr 50-64yr 65 & above Total No. of Residents 17 39 24 73 310 71 12 596 Percentage 2.85% 6.54% 4.03% 12.25% 60.40% 11.91% 2.02% 100%

Interpretation: The survey consists of one hundred thirty five (135) families at Sitio Maries Gulod, Mayamot Antipolo City. The number of residents under one (1) year old to sixty five (65) years old and above have a total population of five hundred ninety six (596). Ages 1 to 4 years old have a total number of 39. Ages 5 to 6 have a total of 24, ages 7 to 14 have a total of 73 which is next to the greatest percentage of population. Ages 15 to49 have a total 360 which has the greatest percentage of the total population. Ages 50 to 64 have a total of 71 and lastly, ages 65 and above have a total of 12. All in all, the total population at Maries Gulod, Mayamot Antipolo City is five hundred ninety six (596) for both male and female. Analysis: The graph shows that there is a significant number of people from school age to late adolescence, the health needs such as proper hygeine and family planning of these people must be considered.

C. Gender

Category Male Female Total

No. of Residents 294 302 596

Percentage 49.33% 50.67% 100%

Gender
49.33% Male Female

50.67%

Interpretation: The survey consists of one hundred thirty five (135) families at Sitio Maries Gulod, Mayamot Antipolo City. The number of male residents are two hundred and ninety four (294), and the number of female residents are three hundred and two (302). All in all, the total population at Maries Gulod, Mayamot Antipolo City is five hundred ninety six (596) for both male and female. Analysis: The graph shows that there is a significant number of male residents in Maries Gulod than female residents. Health teaching such as avoidance of vices and proper maintenance of hygiene and family planning are appropriate for these type of people.

C.

Civil status Category Single Married Total Frequency 310 175 485 Percentage 63.92% 36.1% 100%

Civil Status

36.80%

Single 63.92% Married

Data Interpretation: Based on data gathered, the table and graph showsthe civil status of individuals from 18 years old and above. Three hundred ten (310) or 63.92% are single and one hundred seventy five (175) or 36.1% are married. Analysis: The civil status of individuals (18 years old and above) implies that the total single individuals dominate the total population of 485 which may indicate that there is a greater number of dependent individuals living in the community which may affect the occupational status of an individual.

D.

Type of Family Category Nuclear Extended Total Frequency 92 43 135 Percentage 68.15% 31.85% 100%

Type of Family

31.85% 68.15%

Nuclear Extended

Data Interpretation: The graph shows the family type of the respondents. Majority of the respondents in Sitio Gulod is classified as the nuclear family with a percentage of 68.15% with a frequency of 92 out of 135. The remaining 31.85% falls under the extended family with a frequency of 43 out of 135. Analysis: Most of the families in the community are classified as nuclear family. This provides advantage because this only requires needing bigger space, less expenses and gives more attention in building up relationship in the family unlike the extended family.

E.

Family size Category Small Medium Large Total Frequency 69 57 9 135 Percentage 51.1% 42.22% 6.67% 100%

Family Size
6.67%

Small 42.22% 51% Medium Large

Data Interpretation: The graph shows the family size of the respondents in the community. They are classified as small which ranges from 1 to 4 person inside the household, there are 69 or 51.1% while 57 or 42.22% is medium which range from 5 to 7 person and the remaining 9 or 6.67% has 8 person and above. Analysis: One of the problems in the large size family is the failure to support the need of the family. This is because of insufficient income that the working parents get poverty may be linked to a large family size.

E. Places of origin Place Bicolano Cebuano Tagalog Samar Ilokano Leyte Mindoro Marinduque Mindanao Bulacan Bacolod Pangasinan Negros Romblon Bukidnon Masbate Total Frequency 69 51 312 13 38 6 8 5 15 9 7 30 9 6 8 10 596 Percentage 11.58% 8.58% 52.35% 2.18% 6.38% 1.01% 1.34% 0.84% 2.52% 1.51% 1.17% 5.03% 1.51% 1.01% 1.34% 1.68% 100%

Chapter II Socio-economic & Cultural A. Employment Category Employed Unemployed Total Frequency 245 267 512 Percentage 47.85% 52.15% 100%

Employment

47.85% 52.15%

Employed Unemployed

Interpretation: The table above shows that 245 residents of Sitio Gulod is employed out of 512 and 267 are not employed. Employed residents have the percentage of 47.85% and the unemployed has 52.15%.

Analysis: In this community, only 47.85% of the population is employed. This is an indication that more than half of them are facing the problem of unemployment. As a result, people tend to just build their own business such as sari-sari store or selling different kinds of foods or meals.

B. Educational attainment Category Preschool Elementary level Elementary Grad. High School level High School Grad. Vocational College level College Grad. Total

Frequency 6 81 34 123 136 20 70 42 512

Percentage 1.17% 15.82% 6.6% 24.025 26.56% 3.91% 13.67% 8.20% 100%

Educational Attainment
8.20% 1.17% 13.67% 3.91% 24.02% 15.82% 6.64% Preschool Elementary level Elementary Grad High School level 26.56% High school Grad Vocational College level College Grad

Data Interpretation: The table above shows the educational attainment of 512 respondents. They are classified as the preschooler with the population of 6 or 6.17%; elementary level with the population of 81 or 15.82%; elementary graduate with the population of 34 or 6.64%; high school level with the population of 123 or 24.02%;high school graduate 136 or 26.56%;vocational 20 or 3.91%;college level 70 or 13.67%; college graduate 42 or 8.20%. Analysis: Educational attainment refers to the maximum degree of education that an individual had reached. As we could see, a large number of population falls under high school level and high school graduate which may indicate an increase number of individual who may not or who are not employed. Since nowadays, available jobs or companies are looking for college graduate.

C. Religion Type Roman Catholic Born Again Christian Iglesia Ni Cristo 7th Day Adventist Total: Frequency 498 89 27 4 618 Percentage 80.58% 14.40% 4.37% 0.65% 100%

0.67% 14.40% 4.37%

RELIGION
Roman Catholic BornAgain Christian 80.58% Iglesia Ni Cristo 7th Day Adventist

Data Interpretation: The graph shows the religion of the community of Sitio Maris GulodBrgy. Mayamot Antipolo. The graph illustrates that out of 618 populations, the majority of the respondents are Roman Catholic with the total average of 498 or 80.58% while the Christian has the total average of 89 or 14.40%, 27 and 4.37% belongs to the IglesianiKristo, and the 7th day Adventist has the least number with the average of 4 or 0.65%. Analysis: Religion is an organized collection of belief systems, cultural systems, and world views that relate humanity to spirituality and sometimes to moral values. As shown in the table, the Roman Catholic happens to have the largest religious organization in the community of Sitio Maris GulodBrgy. Mayamot Antipolo City and there was no said conflicts involving religious organization in the community. Most of the residents in SitioGulodBrgyMayamot Antipolo City are Roman Catholic.

Chapter 3 HOME & ENVIRONMENT A. Home ownership Category Owned Rented Informal settlers Total Frequency 130 5 0 135 Percentage 96.29% 3.70% 0% 100%

Home ownership
3.70% 0%

owned rented Informal settlers 96.29%

Interpretation: The table shows that 130 families owned their houses and 5 of them are renting. Owned house has a percentage of 92.29% and the remaining 3.70% is for the rented houses.

Analysis: It shows that majority of the houses are owned by the residents and they dont need to spend too much money in renting a house instead of paying the monthly rent they spend their money to buy food and other goods.

B.

Types of Houses Category Concrete Mixed Light Total Frequency 53 80 2 135 Percentage 39.26% 59.26% 1.48% 100%

Types of Houses
1.48%

39.26% 59.26%

Concrete Mixed Light

Interpretation: The graph shows that 53 families have concrete houses; 80 families have a mixed structure of their house and 2 of them consists their house with light materials.

Analysis: It shows that the mixed type of house had a high frequency. This shows that the residents live in a mixed type of house. Mixed type of house consists of a combination of concrete and light construction materials.

E.

Water Source Category Deep well Nawasa Delivered Total Frequency 5 126 4 135 Percentage 3.70% 93.3% 2.96% 100%

Water source
2.96% 3.70%

Deep well Nawasa 93.30% Delivered

Interpretation: The graph shows that 5 of the families get their water from deep well; 4 of them are from delivered water and 126 of them are from nawasa. Deep well has the percentage of 3.70%, delivered has 2.96% and nawasa has 93.3% Analysis: The families who got their water source from nawasa has the highest frequency and percentage this indicates that it is more accessible for them to get water and they are assured for the availability.

F. Cleanliness Category Satisfactory Fair Poor Total Frequency 33 87 5 125 Percentage 26.4% 69.6% 4% 100%

Cleanliness
4%

26.40%

Satisfactory Fair

69.60%

Poor

Data interpretation: Based on the data gathered in SitioGulodBrgy. Mayamot regarding their cleanliness, fair has a higher percentage with the average of 87 or 69.6% followed by satisfactory with the percentage of 33 or 26.4% and poor has the lowest percentage with the average of 5 or 4%. Analysis:

G. Ventilation Category Satisfactory Fair Poor Total Frequency 48 75 12 135 Percentage 35.56% 55.56% 8.89% 100%

Ventilation
8.89%

35.56% 55.56%

Satisfactory Fair Poor

Data interpretation: Based on the data gathered, good has 48 or 35.56%, and fair has 75 or 55.56% and poor has 12 or 8.89% in which fair has a higher percentage in ventilation among 135 households surveyed. Analysis:

H. Garbage Disposal Category Burning Compost Collected Total 27 15 93 135 Frequency 20.0% 11.11% 68.89% 100% Percentage

Garbage Disposal
20.00% 68.89%

Burning Compost Collected 8.2

Data interpretation: Based on the data gathered in Sitio Gulod Brgy.Mayamot, Antipolo city, the highest percentage in garbage disposal is collected with the percentage of 68.89% or 93 followed by burning 27 or 20.0% and compost with 15 or 11.11%. Analysis: Among 135 households in Sitio Gulod, 69.89% of them dispose their garbage through trash collection every Friday morning and 20% is burning in which it is very unhealthy to the environment and health while 11.11% is composting. The families who practiced burning of garbage including plastics are need to be inform and to educate about the risk and effects of inhaling the smoke from the burning garbage.

I.

Types of Excreta Category Pail System Flush System Total Frequency 116 5 121 Percentage 95.87% 4.13% 100

Types of Excreta Disposal

4.13%

Pail System Flush Sytem 95.87%

Data Interpretation The graphical illustration shows that 116 of the respondents has a percentage of 95.87% of the total respondents are using pail system while 5 0r 4.13% use flush system. Analysis: Most of the houses in the community of SitioGulodMayamot, Antipolo City, has a water carriage and have their own toilet with ventilation.This can avoid the spread of diseases.

J. Excretal Disposal Category With CR Without CR Total Frequency 119 1 120 Percentage 99.17% 0.83% 100%

Excreta Disposal
0.83%

With CR Without CR 99.17%

DataIntepretation; The graphical illustration shows that 99.17% of the total respondents have their own toilet while 0.83% of the family does not have their own toilet. Analysis: Most of the houses in the community have their own toilet while some of them do not have toilet. But there are some houses do not have a water carriage. If some houses do not have their own water carriage, it can cause diseases because of improper disposal of excreta. Having a water carriage can avoid the spread of disease or microorganisms.

K. Pet ownership Category With animals Without animals Total Frequency 85 50 135 Percentage 62.96% 37.04% 100%

Pet ownership

37.04% 62.96%

With animals Without animals

Data Interpretation: Based on the data gathered in SitioGulodBrgy.Mayamot, Antipolo city, owners with animals has frequency of 8 and a percentage of 62.96% and the owners who do not have animals have 50 and 37.04%. Analysis: Among 135 households in Sitio Gulod, 62.96% has own pets but they are not in cage or leached and most of the pets do not have vaccination for anti-rabies. These families do not have a proper way of hygiene and do not practiced safety precautions for their children.

Chapter 4 KNOWLEDGE on the CONCEPT OF HEALTH CARE A. Graph of the Concepts measuring Knowledge of Residents

B.

Interpretation of Data

Chapter 5 HEALTH CARE A. Birth Attendant

B.

Place of Delivery

C.

Infant feeding

D.

Immunization of the Children

Nursing care plans