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The Royal and Pontifical Catholic University of the Philippines

UNIVERSITY OF SANTO TOMAS COLLEGE OF NURSING

Chapter 1
Introduction
A. Background
Community organizing is a developmental approach that teaches the
community to apply to assess, to diagnose, to plan, and to evaluate its own.
Helping them utilize their available resources, thereby allowing the community
to be an active participant in the process of development (Famorca, 2013).
The community health nurse aims to empower the community by mobilizing
them to participate in identifying and resolving its own problem, to improve the
communities quality of living by uplifting their critical awareness about
hazards and
diseases that may rise in the community considering
geographical and familial factors etc., and to make the community self reliant
a partner of health care professionals in preventing disease, promoting health
and ultimately prolonging the life of its people.
B. Statement of Objectives of PAR
1. General Objectives
a. To be able to help the community form an organization that will
mobilize the people to work on their immediate and long term problems
effectively and efficiently.
b. To help the community be more aware of their health status and that
they may be more ready to take action with regards to their health.
c. To transform the people to be more participative in identifying health
hazard and health resources in the community so that they may
progress to be a self-reliant community
d. The students are able to utilize nursing skills successfully in the
community
e. To be able to identify the needs of the community and to be able to
address these needs effectively and efficiently.
2. Specific Objectives
a) The students are able to teach the community to educate them about
hypertension and to be able to form an organization that will be able to
cater the need of blood pressure monitoring in the community
b) To be able to utilize the community resources in the community and to
help develop the communitys critical awareness about the needs of
the patient by communicating to them the health programs of their
barangays.
c) Emphasis on the disease prevention, health promotion and pro longing
of life of its people
C. Scope and Limitation
The scope of our study is to survey the families in florida blanca
community from arka pol using community survey form which will include
primary data about the families and questions that are relevant to community
organizing. The surveyed family member should be of legal age and

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knowledgeable about the history of family members. The information that will
be gained from the survey are then used by the researchers to formulate the
community diagnosis. Another scope of our research is to relay to the
community member, through community assembly, the diagnosis made by
the researcher about the result from the interpreted data from the surveys
also to collaborate with them the abouts of how and what the community can
solve the enumerated problems. Finally, the scope of our study is to mobilize
the people to work with the researchers in solving the said problems of the
community.
However due to language barrier the researchers were not able to
effectively communicate information with the community. Also the lack of time
in disseminating the said community organizing activity information in the
community resulted to fewer numbers of attendees in the said program.

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Chapter 2
Research Method
A. Action Research
As stated in the website ascd.org, the Institute for the Study of Inquiry in
Education had briefly defined Action Research as a disciplined process of
inquiry conducted by and for those taking the action. Stating also that its
primary reason for engaging in such research is to assist the Actor in
improving and/or refining his or her actions. It involves seven (7) phases
namely, selecting a focus, clarifying theories, identifying research questions,
collecting data, analyzing data, reporting results, and taking informed action.
In the context of health care, it is referred to as Participatory Action
Research and sagepub.com defined it as an approach commonly used for
improving conditions and practices in a range healthcare environments. The
roles performed by healthcare practitioners in the said research are
conducting systematic inquires in order to facilitate improvement in their own
practices which then results to the enhancement of their working environment
and as well those who are part of it.
B. Population
The study consists of participants coming from Sitio Arcapol, Barangay
Cabangcalan, Floridablanca, Pampanga. There were 155 males and 144
females in the said community. Majority of the population was from the age
group of 10-14 years old. The oldest respondent involved in the study is from
the age group of 80-84 years old. 50.71% of he participants were married.
The educational attainment of most participants was elementary level.
C. Instruments
The researchers used a community survey form which requires the
participants demographic and socio-economic profile, health profile, and
environmental profile. During the home visit, the researchers also used
weighing scale to complete the health profile of the participants. In the
implementation of the program, the researchers provided pre and post tests
to the participants which verify whether the participants had learned from the
researchers.
D. Data Collection
Data collection was conducted through house to house survey. Each
researcher has families to interview and must accomplish the survey form for
each family. After gathering the data, the researchers had a group discussion
and compiled their data for planning of programs.
E. Ethical Considerations
The researchers made sure that participation in this research were
voluntary and that no deception was used to the participants. Before
conducting the survey to each family, the head of the family was asked their
consent and through this also, the main purpose of the research was also

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stated in a manner that it will be easily understood by the participants. The


researchers gave the participants an assurance that all the information
collected from them shall always be kept confidential and used solely for
planning a program to be implemented in their community. The researchers
also maintained sensitivity to cultural and social differences by being
respectful to the family and communitys norms. The researchers also made
sure that no harms such as physically and emotionally were afflicted to the
participants.

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Chapter 3
Community Diagnosis
A. Setting of the community
1. Description (describes the geographic boundaries from north to south and
west to east direction; distance from manila, total population of
municipality or barangay; type of neighborhood whether urban or rural,
subdivision or slum area, residential or commercial; physical facilities like
schools, church/chapel, health center or hospital, recreation, police station,
communication facilities, public market, commercial establishments;
climate; traffic patterns; means of transportation, natural resources
available in the community; sources of pollution; energy and water
sources)
Floridablanca is a province in Pampanga bounded by Porac,
Pampanga in the North, Lubao, Pampanga in the South, Guagua,
Pampanga in the East and Dinalupihan, Bataan in the West. It is 90
kilometer or 56 miles away from Manila with a total provincial population of
110,846 people. Sitio Arcapol, Barangay San Pedro is a rural area and is
mainly residential. It has a barangay hall in its east and the closest river to
it is the Gumain River. Aside from the different levels of excreta disposal,
no other sources of pollution is noted from the community. The main
source of income in the community is farming. This explains the
topography of the community which is mostly plains and fields. The
province of Floridablanca has two Rural Health Units. It also has a public
market to its east. There are two chapels near the community. One of it is
in the east while the other one southwards near Rural Health Unit 2. The
main means of transportation in the community are tricycles and public
utility jeeps. Most of the houses in the community have their own
electricity and the most common source of water is the artesian well
pumps.

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2. Spot Map

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3. Organizational Structure of the Community

Rodolfo Morales
Barangay Captain
Kagawad

Virginia Castro

Maynard Manansala Gary Manansala

August Lintag

Ricardo Mercado
Barangay Treasurer

Randy Mallari

Rona Lynn Carlos


Barangay Secretary

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Oscar Mendoza

Felino Dela Cruz

Alma Morales
Barangay Custodian

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B. Demographic Indices
1. Total population
2. Total families
3. Age and Gender Distribution
Percentage Distribution of Age and Gender, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
AGE IN YEARS
0-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
TOTAL

M
18
28
27
16
12
9
8
8
10
6
7
1
1
1
1
2
0
0
155

%
11.61
18.96
17.42
10.32
7.74
5.81
5.16
5.16
6.45
3.87
4.52
0.65
0.65
0.65
0.65
1.29
0
0
100

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F
20
17
20
18
8
8
16
12
6
6
4
0
4
1
3
0
1
0
144

%
13.89
11.81
13.89
12.5
5.56
5.56
11.11
8.33
4.17
4.17
2.78
0
2.78
0.69
2.08
0
0.69
0
100

N
38
45
47
34
20
17
24
20
16
12
11
1
5
2
4
2
1
0
299

%
12.71
15.05
15.72
11.37
6.69
5.69
8.03
6.69
5.35
4.01
3.68
0.33
1.67
0.67
1.34
0.67
0.33
0
100

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Population Pyramid at at Sitio Arcapol, Bgy. Cabangcalan, Floridablanca,


Pampanga as of July 2014

%M

%F
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
0-4

20

15

10

10

15

3.1 Sex Ratio=


=
= 107.64
Analysis: : 51.8% of the population in Sitio San pedro, Floridablanca
Pampanga are males and 48.2% are females. This implies that the sition
has a higher man power for the development of the community.
Furthermore, with lesser female in the in the community the population will
not expand abruptly.
3.2 Age Distribution
Analysis: Based on the age distribution graph, 10-14 years old
constitute to the highest number of individuals and ages 55-84 contribute
to the lowest number of individuals in the barangay. This shows that
majority of the population are school age. It may also indicate that the
community is at higher risk of developing child diseases like fever, cough
and colds, and flu.

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3.3 Age and Sex Pyramid


Analysis: : The pyramid shows that majority of the male members of the
community are aged 5 to 10 years old while the majority of the female
members of the community are aged between 0 to 4 and 10 to 14 years
old. This implies that there is a larger number of dependent members in
the community. The oldest male members are aged between 75 to 79
years old while the oldest female member is aged 80 84 years old. It is
evident in the pyramid that there are more female members in the
community compared to male members. Because of this, there is a bigger
chance of population growth because there are a lot of female members
that can bear children.
4. Civil Status (based on the number of population aged 15 y/o and above)
Percentage Distribution of Civil Status, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
CIVIL STATUS
Single
Married
Widowed
Separated
Live-In
TOTAL

N
50
71
6
2
11
140

%
35.71
50.71
4.29
1.43
7.86
100

80
70
60
50
40
30
20
10
0
Single

Married

Widowed

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Separated

Live-In

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1%

8%

4%
Single

36%

Married
Widowed
Separated
Live-In
51%

Analysis: 50.71% in the population are married. With this information, it can
be inferred that most of the people in the community are considered
responsible for the growth of the population. It also implies that family
planning is essential so that married couples will have enough knowledge and
they will be responsible.
C. Socio-Cultural Indices
1. Educational Attainment (based on the total number population aged 7 y/o
and above)
Percentage Distribution of Educational Attainment, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of
July 2014
EDUCATIONAL ATTAINMENT
No Formal Education
Elementary Level
Elementary Graduate
High School Level
High School Graduate
Vocational
College Level
College Graduate
TOTAL

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N
3
72
23
42
62
6
10
17
235

%
1.28
30.64
9.79
17.87
26.39
2.55
4.26
7.23
100

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80
70
60
50
40
30
20
10
0

3%

7%
4%

Elementary Level
31%

Elementary Graduate
High School Level
High School Graduate

27%

Vocational
10%

College Level
College Graduate

18%

1.1
Analysis: As you can see in the table, the people living in the
community have a variety of educational attainment. Most of the people in
the community are in the Elementary Level (30.64%). The implications to
health are that they are able to comply with health education given and
they are aware of health hazards as most of the community are with
formal education. For education, having much elementary level in the
population indicates that the population cannot grasp complex health
educations and are not aware of any professional treatments if illness
comes. Furthermore, regarding livelihood, as most of population only had
formal education below high school level; the jobs they can only take are
only non-professional jobs like farming, driving and selling. And for the
physical environment, if the superior class when it comes to educational

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attainment is elementary level, this may show that their environment is


maintained because they are mostly in their houses or their job is just
nearby.
2. Religion (based on the total number of father and mother)
Percentage Distribution of Religion, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
RELIGION
Catholic
Mormon
Iglesia ni Cristo
Jehovahs Witness
Born again
TOTAL

N
90
5
10
1
4
110

%
81.82
4.55
9.09
0.91
3.64
100

Jehovahs
Witness

Born again

100
90
80
70
60
50
40
30
20
10
0
Catholic

Mormon

Iglesia ni Cristo

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1%
4%
9%
4%

Catholic
Mormon
Iglesia ni Cristo
Jehovahs Witness
Born again
82%

Analysis: The table shows that the dominant religion in the


community is Roman Catholic (81.82%). The religion least practiced in the
community is Jehovahs Witness (0.91%). The community is composed of
people practicing different religion. With this in mind, the implication to
health is that with different religions come beliefs that can affect their
practice of health promotion and treatment. For education, there may be
teachings that are against their beliefs and practices and they may not
abide to it. Moreover, as most of the community has a religion, the
implication for spiritual is that the people in the community are religious
and are aware of the presence of God.
3. Place of Origin (based on the total number of father & mother)
Percentage Distribution of Place of Origin, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
PLACE OF ORIGIN
National Capital Region
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Region 11
Region 12

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N
6
1
1
84
3
3
6
2
0
4
0
0
0

%
5.45
0.91
0.91
76.36
2.73
2.73
5.45
1.82
0
3.64
0
0
0

14

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CAR
CARAGA
ARMM
TOTAL

0
0
0
110

0
0
0
100

90
80
70
60
50
40
30
20
10
0

2%

0%

0%

3%
3%

5%

0% 0% 0%
0%
0%

1%

4% 5%

1%

National Capital Region


Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7

76%

Region 8
Region 9

Analysis: As the table implies, most of the adults from the community are
originally from Region 3 (Aurora, Bataan, Bulacan, Nueva Ecija, Pampanga,
Tarlac, and Zambales). For the health, the populations health practices and
beliefs are somewhat identical since most of them came from the same region.
For education, there is less difficulty in teaching them for there is minimal
language and practice barrier. In terms of livelihood, since region 3 geographical
area is mostly composed of mountains and fields, farming is mostly practiced.
For physical environment, the community has minimal or no existing problems
when it comes to adaptation and in the maintenance of their barangay.
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4. Length of Residency (based on the total number of father & mother)


Percentage Distribution of Length of Residency, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of
July 2014
LENGTH OF RESIDENCY
N
%
Less than 1 year
8
7.27
1-4 years
26
23.64
5-10 years
27
24.55
11-15 years
9
8.18
16-20 years
5
4.55
21-25 years
7
6.36
26-30 years
2
1.82
31-35 years
5
4.55
36-40 years
6
5.45
41-45 years
6
5.45
46-50 years
7
6.36
More than 50 years
2
1.82
TOTAL
110
100
30
25
20
15
10
5
0
Less 1-4 5-10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 More
than 1 years years years years years years years years years years than
year
50
years

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2%

Less than 1 year


7%

6%

1-4 years

5%

5-10 years

5%

11-15 years

24%

5%

16-20 years

2%

21-25 years

6%

26-30 years
5%

31-35 years
8%

36-40 years

25%

41-45 years

Analysis: From the table, most of the families in the community are
living in that community for 5-10 years (24.55%), the second is 1-4 years
(23.64%). In terms of health, if most of the families are living there for less
than 10 years, it is safe to assume that the community is still young and
growing. For the next years, the population may increase; which in turn
may require more resources and facilities like health centers, schools,
water facilities, etc. Furthermore, in terms of the physical environment, as
most of the families have been living there for more than 5 years, they are
already adapted to their environment and they already know the ways in
which they can utilize and maintain their environment.
D. Economic Indices
1. Dependency Ratio
Percentage Distribution of Dependency Ratio, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of
July 2014
AGE OF DEPENDENTS
0-14 y/o
65 y/o and above
TOTAL

N
126
11
137

%
91.97
8.03
100

Dependency Ratio (DR) % =


= 85.62%

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140
120
100
80
60
40
20
0
0-14 y/o

65 y/o and above

8%

0-14 y/o
65 y/o and above

92%

Analysis: The table shows the percentage of the dependent age group. 126 or
91.97 of the population are aged 0-14 years old on the other hand, 11 or 8.03%
of the population are aged 65 years old and above which totals to 137 who
belong to the dependent age group. This will be beneficial to the community
since there is a greater number of entities who are independent hence able to
provide their familys needs.

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2. Source of Income
Percentage Distribution of Source of Income, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of
July 2014
SOURCES OF INCOME
Employed
Self-Employed
TOTAL

N
57
18
75

%
76
24
100

60
50
40
30
20
10
0
Employed

Self-Employed

24%

Employed
Self-Employed

76%

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3. Occupation
Percentage Distribution of Occupation, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
OCCUPATION
Farmer
Construction
Waitress
Overseas Filipino Worker
Liaison
Laundry Woman
Tricycle Driver
Quarry
Contractor
Teacher
Electrician
Vendor
Delivery
Security Guard
Chicken healer
Mechanic
Carpenter
Cashier
Government employee
Baker
Businessman/woman
Laborer
Pump boy
Mason
Barber
GSP supervisor
Janitress
Land keeper
TOTAL

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N
27
7
2
9
1
3
3
1
1
3
1
4
1
1
1
1
1
4
2
1
1
1
1
2
1
1
1
1
83

%
32.53
8.43
2.41
10.84
1.20
3.61
3.61
1.20
1.20
3.61
1.20
4.82
1.20
1.20
1.20
1.20
1.20
4.82
2.41
1.20
1.20
1.20
1.20
2.41
1.20
1.20
1.20
1.20
100

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30
25
20
15
10
5

1%

Farmer
Construction
Waitress
Overseas Filipino
Liaison
Laundry Woman
Tricycle Driver
Quarry
Contractor
Teacher
Electrician
Vendor
Delivery
Security Guard
Chicken healer
Mechanic
Carpenter
Cashier
Government employee
Baker
Businessman/woman
Laborer
Pump boy
Mason
Barber
GSP supervisor
Janitress
Land keeper

2% 1% 1%
1% 1%

1%

2%
1%

1%
Farmer

1%

1%

1%

Construction
33%

5%

1%
1%

Overseas Filipino Worker


Liaison
Laundry Woman

5%

Tricycle Driver

1%
1%

Waitress

4%
1%

8%

Contractor

11%

4%
4%

1%

Quarry

2%

Teacher

Analysis: The occupation in the community is greatly varied however


majority of the residents in the community are farmers hence it is implied
that in terms of health they are at risk of experiencing heat induced
ailments. When it comes to livelihood, their income may not be sufficient
to provide the needs of their family.

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4. Monthly Income
Percentage Distribution of Monthly Income, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
MONTHLY INCOME IN PESOS
Less than 1000
1000-5000
6000-10000
11000-15000
16000-20000
21000-25000
26000-30000
31000-35000
36000-40000
41000-45000
46000-50000
More than 50000
TOTAL

N
13
24
23
10
4
0
0
1
0
0
0
0
75

%
17.33
32
30.67
13.33
5.33
0
0
1.33
0
0
0
0
100

30
25
20
15
10
5
0

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0%

0%

1%

0% 0% 0% 0%
Less than 1000
5%

1000-5000

18%

6000-10000

13%

11000-15000
16000-20000
21000-25000
31%

32%

26000-30000
31000-35000
36000-40000
41000-45000

Analysis: The table shows the monthly income ranges of the residents of the
community. Majority of them have a monthly income ranging from 1000 to 5000
pesos this implies that they are not able to support their family adequately hence
branching out to different problems such as health and education. Since their
income is insufficient, they may not be able to give care such as buying the
medications of a sick member of their family or seek consultation. In terms of
education, their children may have an uncertain future because they may not
reach secondary or tertiary level of education which reflects the collected data
with regards to educational attainment.
5. Business Establishment
Percentage Distribution of Business Establishment, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of
July 2014
BUSINESS ESTABLISHMENTS
N
%
Sari-sari Store
6
100
TOTAL
6
100
Analysis: The table shows that in the community, there are business
establishments specifically a sari-sari store. With this, we can infer from this that
they have other sources of income which is convenient for them since they need
not have to travel far to purchase some goods.
E. Health Indices
1. Medical Conditions
1.1 Pregnant and Post Partum Women
1.1.1 Pregnant women with and without Pre-natal check-up

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Percentage Distribution of Pregnant women with and


without Pre-natal check-up, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
N
PREGNANT WOMEN

ST

1
TRI
2
0

ND

2
TRI
2
0

3RD
TRI
3
0

With Pre-Natal check-up


7
100
Without Pre-Natal check0
0
up
TOTAL
2
2
3
7
100
Analysis: The table shows that most of the pregnant women had their prenatal check-up. This indicates that the programs on health particularly on
maternal health are well utilized in the community.
1.1.2 Reasons of pregnant women without pre-natal check-up
Percentage Distribution of Reasons of pregnant women
without pre-natal check-up, at Sitio Arcapol, Bgy.
Cabangcalan, Floridablanca, Pampanga as of July 2014
REASONS
N
%
(eg. Financial constraint)
0
0
(eg. Inaccessible health facility)
0
0
TOTAL
0
0
Analysis:
1.1.3 Pregnant women with and without Tetanus Toxoid (TT)
immunization
Percentage Distribution of Pregnant women with and
without Tetanus Toxoid Immunization, at Sitio
Arcapol, Bgy. Cabangcalan, Floridablanca, Pampanga
as of July 2014
PREGNANT WOMEN
With Tetanus Toxoid immunization
Without Tetanus Toxoid Immunization
TOTAL

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N
3
1
4

%
75
25
100

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3.5
3
2.5
2
1.5
1
0.5
0
With Tetanus Toxoid immunization

Without Tetanus Toxoid Immunization

25%
With Tetanus Toxoid
immunization
Without Tetanus Toxoid
Immunization
75%

Analysis: The graph shows that 3 out of 4 pregnant women or 75%


received Tetanus Toxoid. This indicates that their newborn were less
susceptible to having Sepsis neonatorum. Only 1 out of 4 pregnant
women or 25 % was not able to be immunized.

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1.1.4 Pregnant women with and without Iron supplements (starting on


1st-3rd Tri)
Percentage Distribution of Pregnant women with and
without Iron Supplements, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014
PREGNANT WOMEN
N
%
Taking Iron Supplements
4
100
Not Taking Iron Supplements
0
0
TOTAL
4
100
Analysis: This table illustrates that all of the 4 pregnant women were
able to take Iron supplements starting on their 1st trimester up to the 3rd
trimester of their pregnancy. This implies that they have enough Iron
reserves and that there is a less probability for the to have Anemia.
1.1.5 Pregnant women with and without Vitamin A Supplementation
(within 2nd-3rd tri)
Percentage Distribution of Pregnant women with and
without Vitamin A Supplementation, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
PREGNANT WOMEN
N
%
Taking Vitamin A Supplements
4
100
Not Taking Vitamin A Supplements
0
0
TOTAL
4
100
Analysis: This data revealed that 4 out of 4 of the pregnant women had
taken Vitamin A supplements within the 2nd trimester until 3rd trimester
of their pregnancy. This means that there is a less probability for their
newborn baby to acquire illness related to Vitamin A deficiency such as
Xerophthalmia or night blindness.

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1.1.6 Post-partum women with and without post-partum follow-up


Percentage Distribution of Post-partum women with and
without post-partum follow-up, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014

POST-PARTUM WOMEN
With post-partum follow up
Without post-partum follow up
TOTAL

3
1
4

75
25
100

3.5
3
2.5
2
1.5
1
0.5
0
With post-partum follow up

Without post-partum follow up

25%
With post-partum follow
up
Without post-partum
follow up
75%

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Analysis: This graph shows that 75% of the postpartum women were able to
have their follow up check up. They were properly assessed if they have
postpartum complications such as postpartum hemorrhage, infection and uterine
atony. While 1 out of 4 was not able to attend her follow up check up.
1.1.7 Reasons of post-partum women without Post-Partum follow up
Percentage Distribution of Post-partum women without
Post-partum follow-up, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014
REASONS

N
%
Time Constraints
1
50
Financial Constraints
1
50
TOTAL
2
100
Analysis: Indicated in the table are the reasons why some of the
pregnant women were not able to have their follow up, financial and
time constraints are the said reasons. Time constraint is one of the
reason probably because of the accessibility of the hospitals that would
cost the residents a lot of time to go there. Also, money is a huge
factor since the people in the community are not that financially stable.
Because of this they were not assessed of the possible postpartum
complications.
1.1.8 Post-partum women with Tetanus Toxoid (TT) immunization
Percentage Distribution of Post-partum women with Tetanus
Toxoid immunization, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014
PREGNANT WOMEN
N
%
With Tetanus Toxoid immunization
4
100
Without Tetanus Toxoid Immunization
0
0
TOTAL
4
100
Analysis: : Indicated in this graph is the number of pregnant women
that were able to receive Tetanus Toxoid immunization after they had
given birth, and 4 out of 4 received it. This shows that their protection
against tetanus is sustained, from the time of their pregnancy until
postpartum. This also implies that the health program of the community
regarding maternal health that involves immunization is well utilized.
1.1.9 Post-partum women taking Iron supplements (within 3 months)
Percentage Distribution of Post-partum women taking Iron
Supplements, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014

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PREGNANT WOMEN
N
%
Taking Iron Supplements
3
100
Not Taking Iron Supplements
0
0
TOTAL
3
100
Analysis: : It is shown in the graph that 3 out of 3 or 100% of the pregnant
women still received Iron supplements during their postpartum period.
This means that they had replenished the Iron reserves that had loss
during the delivery. This also implies that the community was able to
benefit from the maternal health programs of the government.
1.1.10 Post-partum women received Vitamin A supplements (within a
month)
Percentage Distribution of Post-partum women who
received Vitamin A supplements, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
PREGNANT WOMEN
N
%
Received Vitamin A Supplements
3
100
Did not received Vitamin A Supplements
0
0
TOTAL
3
100
Analysis: Shown in the graph are the numbers of postpartum
women who had received Vitamin A, 3 out of 3 women had received it. This
means that they are less likely to have a Vitamin A deficiency that is usually
acquired by postpartum women.

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1.2 Past Illnesses


1.2.1 Past Illnesses with and without medical attendance (for the
last 5 years)
Percentage Distribution of Past Illnesses with and without
medical attendance, at Sitio Arcapol, Bgy. San Pedro ,
Floridablanca, Pampanga as of July 2014

DISEASES

Hypertension
Diabetes Mellitus
Stroke
Kidney Problem
Asthma
Cough and Colds
Dengue
Dehydration
Pneumonia
Diarrhea
Ameobiasis
Sepsis
Tuberculosis
Arthritis
Blood infection
Heart problem
Goiter
TOTAL

WITH MEDICAL
ATTENDANCE
N
2
1
1
1
1
0
5
2
2
1
1
1
2
1
1
1
1
24

%
8.33
4.17
4.17
4.17
4.17
0
20.83
8.33
8.33
4.17
4.17
4.17
8.33
4.17
4.17
4.17
4.17
100

WITHOUT
MEDICAL
ATTENDANCE
N
%
0
0
0
0
0
0
0
0
1
50
1
50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
100

Past Illnesses with Medical


Attendance
6
5
4
3
2
1
0

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Past Illnesses with Medical


Attendance
4%

4% 4%
8%

4%

Hypertension

4%
4%
4%

8%
4%
4%
4%

21%
8%

8%

Diabetes Mellitus
Stroke

4%

Kidney Problem

0%

Asthma
Cough and Colds
Dengue
Dehydration

Past Illnesses without Medical


Attendance
1.2
1
0.8
0.6
0.4
0.2
0
Asthma

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Cough and Colds

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Past Illnesses without Medical


Attendance

Asthma
50%

50%

Cough and Colds

Analysis: The graph shows that the leading cause of the past illness of
the people in the community is Dengue with 5 people acquiring the
illness. This reflects the cleanliness of their environment. The
community should also pay attention to the cleanliness their
surroundings since this would affect their health. It is followed by
lifestyle related illnesses such as hypertension, tuberculosis,
dehydration and pneumonia with 2 cases each, and then followed by,
diabetes mellitus, stroke, asthma, kidney problem, diarrhea,
amoebiasis, sepsis, arthritis, blood infection, heart problem, and goiter
with 1 case each.
1.2.2 Reasons of families with past illness without medical attendance
Percentage Distribution of Reasons of families with past
illnesses without medical attendance, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
REASONS
Financial Constraints

N
1

%
50

Fear

50

Total

100

Analysis: The primary cause of the inability of the people in the


community to seek for medical attendance is money and fear.
Financial matter is a hindrance for the people in the community to
consult a physician since they not financially stable. And as for fear,
they are afraid that when they consult a specialist they would be
diagnosed with a more serious health problem.

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1.2.3 Causes of Morbidity (identify the top ten causes of morbidity


based on the number of history of past illness)
Percentage Distribution of Causes of Morbidity, at Sitio
Arcapol, Bgy. Cabangcalan, Floridablanca, Pampanga as of
July 2014
DISEASES
Dengue
Hypertension
Tuberculosis
Pneumonia
Dehydration
Diabetes Mellitus
Stroke
Blood infection
Arthritis
Sepsis
Total

N
5
2
2
2
2
1
1
1
1
1
18

%
27.78
11.11
11.11
11.11
11.11
5.56
5.56
5.56
5.56
5.56
100

6
5
4
3
2
1
0

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Dengue
6%

6%

Hypertension

6%

28%

Tuberculosis
Pneumonia

5%

Dehydration

5%

Diabetes Mellitus

11%

11%

Stroke
Blood infection

11%

11%

Arthritis
Sepsis

Analysis: This graph shows the list of the top ten causes of morbidity in
the community. The leading condition is dengue with 27. 78 % or 5
persons, followed by hypertension, tuberculosis, pneumonia, and
dehydration with 11.11 % or 2 persons for each condition. The other
diseases diabetes mellitus, stroke, blood infection, arthritis and sepsis
all with 5. 56% or 1 person affected by each condition. One factor that
greatly contributes to the said diseases is lifestyle which can be
modified through proper health teaching.
1.3 Present Illnesses
1.3.1 Present Illness with and without medical attendance
Percentage Distribution of Present Illness with and without
medical attendance, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014

DISEASES

Diabetes Mellitus
Hypertension
Tuberculosis
Non-toxic Goiter
Asthma
Stroke
Heart Enlargement
Eyesight Problem
Total

WITH
MEDICAL
ATTENDANCE
N
%
2
10.53
6
31.58
1
5.26
1
5.26
3
15.79
1
5.26
1
5.26
1
5.26
16
100

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WITHOUT
MEDICAL
ATTENDANCE
N
%
0
0
0
0
0
0
0
0
2
66.67
0
0
0
0
1
33.33
3
100

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Present Illness with Medical


Attendance
7
6
5
4
3
2
1
0

6%
6%

13%

Diabetes Mellitus
Hypertension

6%

Tuberculosis
Non-toxic Goiter
Asthma

19%
38%

Stroke
Heart Enlargement

6%
6%

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Eyesight Problem

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Present Illness with Medical


Attendance
2.5
2
1.5
1
0.5
0
Asthma

Eyesight Problem

33%
Asthma
Eyesight Problem
67%

Analysis: This graph shows the present illnesses of the people in the
community. The highest is hypertension with 31.58% or 6 cases. Genetics
and lifestyle are the factors that would predispose the people to acquire
this disease, but it seems that in their case lifestyle is the a more dominant
factor, since other diseases named such as diabetes mellitus (10.53%) ,
tuberculosis( 5.26%) and stroke (5.26%) which is a complication of DM
are also related to their way of living. The other diseases named were non
toxic goiter, asthma, heart enlargement and eyesight problem each with
single case (5.26%).

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1.3.2 Reasons of Families with present illness without medical


attendance
Percentage Distribution of Reasons of Families with present illness
without medical attendance, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014

Laziness

REASONS

N
1

%
25

Distance from Health Center

25

Generic Drugs are not effective

25

No supply of drugs for families that are


members of 4Ps

25

100

Total

1.2
1
0.8
0.6
0.4
0.2
0
Laziness

Distance from
Health Center

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Generic Drugs are No supply of drugs


not effective
for families that
are members of
4Ps

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Laziness
25%

25%
Distance from Health
Center
Generic Drugs are not
effective

25%

25%

No supply of drugs for


families that are members
of 4Ps

Analysis: The graph shows the reasons behind the inability of the
people to seek for medical assistance namely laziness, distance from
the health center, generic drugs are not effective and no supply of
drugs for families that are members of 4ps. The reasons are somewhat
related, the accessibility of the health centers results to the laziness of
the people to seek for medical attendance. It can be inferred also from
the graph that money is factor that hinders the people from getting
appropriate medical assistance.
1.3.3 Point Prevalence (PP) % = Number of existing cases of
disease at a particular point in time / Number of population at that point
of time x 100 (Compute for the PP of the top 10 causes of morbidity
based on Present Illness)
Percentage Distribution of Point Prevalence, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
DISEASES
Hypertension
Diabetes Mellitus
Stroke
Arthritis
Liver Cancer
Asthma
Tuberculosis
Blood Infection
TOTAL

N
1
1
1
1
1
1
1
1
8

PP
(%)
0.3
0.3
0.3
0.3
0.3
0.3
0.3
0.3
2.7

1.4.Deaths
1.4.1 Deaths with and without medical attendance (for the last 5 years)

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Percentage Distribution of Deaths with and without medical


attendance, at Sitio Arcapol, Bgy. San Pedro, Floridablanca,
Pampanga as of July 2014
WITH
WITHOUT
MEDICAL
MEDICAL
ATTENDANCE ATTENDANCE
N
%
N
%
Cancer
1
12.5
0
0
Tuberculosis
1
12.5
0
0
Heart Attack
1
12.5
0
0
Hypertension
1
12.5
0
0
Diabetes Mellitus
1
12.5
0
0
Liver Cancer
1
12.5
0
0
Kidney Problem
1
12.5
0
0
Stroke
1
12.5
0
0
TOTAL
8
100
0
0
Analysis: This graph shows the list of the causes of mortality with and
without medical attendance. The following diseases are cancer,
tuberculosis, heart attack, hypertension, diabetes mellitus, liver cancer,
kidney problem and stroke with 12.5 % or 1 person for each condition,
all with medical attendance. It can be observed from the list that all of
the people had received medical attendance but it can also be
observed that almost all of the health conditions are chronic this which
makes it more difficult to treat the disease. The community has no
available health facility that would cater to the needs of the people with
this type of illnesses.
DISEASES

1.4.2 Reasons of Death Without Medical Attendance (for the last 5


years)
Percentage Distribution of Reasons of Death without medical
attendance, at Sitio Arcapol, Bgy. San Pedro, Floridablanca,
Pampanga as of July 2014
REASONS
Not applicable
TOTAL

N
0
0

Analysis:
1.4.3 Cause of Death Rate (CDR) % = Total # of deaths due to a
specific cause for the last 5 yrs./ Total number of population surveyed x
100 (Compute for the CDR of the top 10 causes of death in the barangay)

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Percentage Distribution of Reasons of Cause of Death Rate, at Sitio


Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
DISEASES
N
CDR (%)
Cancer
1
0.3
Tuberculosis
1
0.3
Heart Attack
1
0.3
Hypertension
1
0.3
Diabetes Mellitus
1
0.3
Liver Cancer
1
0.3
Kidney Problem
1
0.3
Stroke
1
0.3
Total
8
2.4
Analysis:
1.4.4 Swaroops Index (SI) % = Total # of deaths age 50 y/o and above
for the last 5 years / Total number of deaths for the last 5 years x 100
Analysis:
1.4.5 Causes of death among Elderly
Percentage Distribution of Causes of Death among elderly, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
CAUSE OF DEATH
Hypertension

N
1

%
50

Diabetes Mellitus

50

Total

100

Analysis: The table shows that Hypertension and Diabetes Mellitus


have been the leading causes of death in the community as of July 2014
with one case for hypertension and another for Diabetes Mellitus.
1.4.6 Causes of death among adult
Percentage Distribution of death among adult, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
CAUSE OF DEATH
Heart Attack

N
1

%
25

Hypertension

25

Diabetes Mellitus

25

Liver Cancer

25

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Total

100

Analysis: Shown in the table are the causes of death among adult. The
following health conditions are heart attack, hypertension, diabetes
mellitus and liver cancer with 25% or 1 person for each illness. You can
notice on the list that all the health conditions are lifestyle related and at
the same time they are chronic diseases and considering their age these
contributing factors when combined would make it difficult to cure a sick
person.
1.4.7 Causes of death among 0-5 y/o (age 0-5 y/o)
Percentage Distribution of Causes of death, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
CAUSES OF DEATH

N
%
Diarrhea
1
100
TOTAL
1
100
Analysis: The only cause of mortality among the children in the
community ages 0-5 years old is diarrhea. This condition would reflect to
the source of water of the community or the food handling preparation of
the family that would be the cause of the said condition
2. Family Planning Practices (based on the number married females age 1545 y/o)
2.1 Family Planning Acceptors
Percentage Distribution of Family Planning Practices, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
FAMILY PLANNING
Acceptor
Non Acceptor
Total

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N
31
19
50

%
62
38
100

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35
30
25
20
15
10
5
0
Acceptor

Non Acceptor

38%
Acceptor
Non Acceptor
62%

Analysis: 62% of the population are family planning acceptor s and


38% are non- acceptors. It indicates that the population growth of the
community is being controlled and the family has enough knowledge
about family planning and its possible effects.

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2.2 Methods Used by Acceptor


Percentage Distribution of Methods used by Acceptor, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July
2014
METHODS OF FAMILY PLANNING
Pills
Calendar
Withdrawal
Injectable
Contraceptive
Pills + Injection
Abstinence
Birth Spacing
Tubal Ligation
Total

N
13
2
3
2
4
1
1
4
1
31

%
41.94
6.45
9.68
6.45
12.90
3.23
3.23
12.90
3.23
100

14
12
10
8
6
4
2
0

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Pills

3%
13%

Calendar

3%

Withdrawal

3%

42%

Injectable
Contraceptive

13%

Pills + Injection
Abstinence
Birth Spacing

6%
10%

7%

Tubal Ligation

Analysis: Based on the table of the different methods of family


planning, pills constitute to the highest percent which is 41.94 while
pills+ injection and abstinence constitute to the lowest percent which is
3.23. This shows that most of the female members of the community
uses pills and maybe at risk for developing possible chemical or
hormonal changes in their bodies.
2.3 Reasons of Non-Acceptor
Percentage Distribution of Reasons of Non-Acceptor, at Sitio
Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
REASONS OF NON-ACCEPTOR
Fear
Religion
Knowledge Deficit
Lack of time
No Income
Age
Pro-life
Believes in self-control
No Reason
Total

Community Health Nursing- Related Learning Experience

N
1
1
1
1
1
1
1
1
11
19

%
5.26
5.26
5.26
5.26
5.26
5.26
5.26
5.26
57.89
100

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12
10
8
6
4
2
0

6%

Fear
6%

Religion

5%
5%
5%
5%

58%

5%
5%

Knowledge Deficit
Lack of time
No Income
Age
Pro-life
Believes in self-control
No Reason

Analysis: The table implies that the community has varying reasons for
not accepting family planning. And we can see that 57.89% of the
community are non- acceptor of family planning for no reason. It may
indicate that the community is not aware about family planning and the
programs being conducted by health workers. It also indicates that
there might be a sudden increase in the population.

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2.4 Reasons of Drop-Out


Percentage Distribution of Reasons of Drop-out, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
REASONS OF DROP-OUT
N
%
Not applicable
TOTAL
Analysis: No one from the community dropped out of their family
planning.
2.5 Methods Used by Failure
Percentage Distribution of Methods used by failure, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
METHODS USED BY FAILURE
N
%
Condoms
1
33.33
Pills
1
33.33
No Method
1
33.33
Total
3
100
Analysis: The table shows that 33.33% of the population used
condoms, 33.33% used pills, and another 33.33% used no method of
family planning which resulted to failure. This implies that the
community must be taught the importance of family planning and of the
variety of ways of controlling the population of the community correctly
to avoid failure.
3. Health Seeking Behavior of families (based on the number of families)
Percentage Distribution of Health Seeking behavior of families, at
Sitio Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July
2014
HEALTH SEEKING BEHAVIOR
Traditional Healers
Health Center / RHU / BHS
Private Clinic
Public Hospital
Private Hospital
Total

Community Health Nursing- Related Learning Experience

N
7
40
5
26
11
89

%
7.87
44.94
5.62
29.21
12.36
100

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45
40
35
30
25
20
15
10
5
0
Traditional
Healers

Health Center / Private Clinic Public Hospital Private Hospital


RHU / BHS

12%

8%

Traditional Healers
Health Center / RHU /
BHS
Private Clinic

29%
45%

Public Hospital
Private Hospital

6%

Analysis: The table shows that the community has different opinions in
kind of seeking health attention that they choose, whether it be traditional
healers (7.87%), health center/ RHU/BHS (44.94), private clinic (5.62),
Public hospital (29.21), and private hospital (12.36). Majority of the people
choose to seek medical attention from public hospital. With this
information, it may indicate that the people will gain knowledge and will be
able to prevent development of diseases.

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4. Primary source of health Information of families (based on the number of


families)
Percentage Distribution of Primary source of health information of
families, at Sitio Arcapol, Bgy. San Pedro, Floridablanca, Pampanga
as of July 2014
PRIMARY SOURCE OF HEALTH
INFORMATION
Professional Health Workers
Non-Professional Health Workers
Family Members
Friends/Relatives
Mass Media
Barangay
School
Self
Total

34
5
13
14
7
2
1
2
78

43.59
6.41
16.67
17.95
8.97
2.56
1.28
2.56
100

40
35
30
25
20
15
10
5
0

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2% 1%

3%
Professional Health
Workers

9%

Non-Professional Health
Workers
44%

Family Members

18%
Friends/Relatives
Mass Media
17%
6%

Barangay

Analysis: The primary source of health information of 43.59% of the


community is professional health workers which include doctors, nurses, and
health care providers found in the area. Next are their friends/relatives
(17.95%) whom they can ask regarding health matters as well. They
considered themselves as the least primary source of health information
maybe because they think that they do not have enough knowledge about
health. Also, maybe due to their educational attainment which are commonly
elementary and high school levels.
5. Infant feeding practices (for 0-1 y/o)
Percentage Distribution of Infant feeding practices, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
TYPE OF INFANT FEEDING
Breastfeeding
Bottle feeding
Mixed
TOTAL

Community Health Nursing- Related Learning Experience

N
7
1
6
14

%
50
7.14
42.86
100

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8
7
6
5
4
3
2
1
0
Breastfeeding

Bottle feeding

43%

Mixed

Breastfeeding
50%

Bottle feeding
Mixed

7%

Analysis: 50% of the population uses breastfeeding as the type of infant


feeding, 42.86% uses mixed feeding and 7.14% uses bottle feeding. This
implies that majority of the infants in the community are receiving enough
nutrition and protection against microorganisms. It also implies that infants
may grow well and diseases like fever and mal absorption may be prevented.

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6. Nutritional Status of Children (for 0-12 y/o)


Percentage Distribution of Nutritional Status of Children (0-12), at
Sitio Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July
2014

AGE
Below
0-11
months
1-3 y/o
3-5 y/o
6-12
y/o
TOTAL

NUTRITIONAL STATUS BASED ON WEIGHT (KG)


OVERWEIGHT
NORMAL
1ST
2ND
3RD
N
N
%
N
%
N
%
N % N %
0 0
0
0
0
0
0 0
2 100 2

2
0
5

28.57
0
71.43

7
1
9

41.18
5.88
52.94

2
1
9

16.6 0
8.33 1
75
3

0
25
75

0
0
0

0
0
0

11
3
26

%
4.76

26.19
7.14
61.90

100
17
100
12 100 4 100 2 100 42 100
Analysis: The table shows that 100% of the children aged 0 to 11 months
below are 3rd degree malnourished. For children aged 1 to 3 years old,
28.57% are overweight, 41.18% are normal, and 16.6% are first degree
malnourished. For children aged 3 to 5 years old, 5.88% are normal, 8.33%
are 1st degree malnourished, and 25% are 2nd degree malnourished. For
children aged 6 to 12 years old, 71.43% are overweight, 52.94% are normal,
75% are 1st degree malnourished, and 75% are 2nd degree malnourished.
The table implies that most children in the community are malnourished. This
may be due to the financial status and the number of members of their
families. The children should be given proper nutrition and enough food to
prevent diseases.

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7. Deworming Status of Children for the last 6 months (for 1-12 y/o)
Percentage Distribution of Deworming Status of Children for the last
six months, at Sitio Arcapol, Bgy. San Pedro, Floridablanca,
Pampanga as of July 2014
WITH
AGE
1-3 y/o
3-5 y/o
6-12 y/o
TOTAL

WITHOUT

8
8
32
48

16.67
16.67
66.67
100

8
2
17
27

29.63
7.41
62.96
100

35
30
25
20
15
10
5
0
1-3 y/o

3-5 y/o

6-12 y/o

Children with Deworming


Immunization for the last six months
17%
1-3 y/o
17%
66%

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3-5 y/o
6-12 y/o

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18
16
14
12
10
8
6
4
2
0
1-3 y/o

3-5 y/o

6-12 y/o

Children without Deworming


Immunization for the last six months

30%

1-3 y/o
3-5 y/o

63%

7%

6-12 y/o

Analysis: The table shows that 16.67% of children aged 1 to 3 years old are
dewormed while 29.63% are not. 16.67% of children aged 3 to 5 years old are
dewormed while 7.41% are not. 66.67% of children aged 6 to 12 years old are
dewormed while 62.96% are not. This implies that the parents should be
reminded to deworm their children because regular deworming contributes to
their good health and nutrition. It is evident in the table that though majority of
the children received deworming, there are some without. There are
deworming programs conducted by the RHUs and it is best for the parents of
those children without deworming to be reminded about the services offered
by the health centers.

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8. Vitamin A supplements received by Children for the last 6 months (for 6


months-6 y/o)
Percentage Distribution of Vitamin A Supplements received by
children for the last six months, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014
WITH
AGE

N
2
12
7
21

6 months - 1 y/o
1-3 y/o
3-6 y/o
TOTAL

%
9.52
57.14
33.33
100

WITHOUT
N
%
3
17.65
6
35.29
8
47.06
17
100

14
12
10
8
6
4
2
0
6 months - 1 y/o

1-3 y/o

3-6 y/o

Children with Vitamin A Supplements


for last six months
10%
33%

6 months - 1 y/o
1-3 y/o
3-6 y/o
57%

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9
8
7
6
5
4
3
2
1
0
6 months - 1 y/o

1-3 y/o

3-6 y/o

Children without Vitamin A


Supplements for the last six months
18%
6 months - 1 y/o

47%

1-3 y/o
3-6 y/o
35%

Analysis: The table shows that 9.52% of children aged 6 months to 1 year old
received Vitamin A supplements while 17.65% have not. 57.14% of children 1
to 3 years old received Vitamin A supplements while 35.29% have not.
33.33% of children aged 3 to 6 years old received Vitamin A supplements
while 47.06% have not. The RHUs provide supplements to children and
parents must be reminded and made aware of these services offered by
health centers.

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9. Immunization Status of Children (for 0-15 months)


Percentage Distribution of Immunization Status, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014

DOSES
VACCIN
ES

WITH
N
1
4
1
1
1
1
1
3
1
0
3

1
%
18.9
2
14.8
6
14.8
6
17.5
7
18.5
2
4.05

8.11

MMR

8.11

TOTAL

7
4

100

BCG
DPT
OPV
Hepa B
Hib
Rotaviru
s
AMV

2
N %

1
1
1
1
1
2
1
0
3

3
N %

23.4 1
1
23.4 1
1
25.5 1
3
2
21.2 1
8
0
6.38

N
14

1
N %
8.48 0 0

25

33

20

0 0

0 0

0 0

0 0

25

33

20

0 0

0 0

0 0

0 0

1 10
0
0 0

3 37.5
0
0 0

27.2 37
7
22.7 30
3
6

WITHOUT
2
3
N % N %

0 0

22.4 1 16.6 1 10
2
7
0
18.1 0 0
0 0
8
3.64 0 0
0 0
3.64 2 33.3
3
3.64 3 50

N %

0 0
2 25
3 37.5
0
8 100

4 100 4 100 16 100 6 100 1 10 1 10


7
4
5
0
0
Analysis: The table shows that 8.48% received BCG. 14.86% of children
received their first dose of DPT, 23.4% received their second does, and 25%
received their third dose. For OPV, 14.86 received their first dose, 23.4%
received their second dose, and 25% received their third dose. 17.57% of the
children received their first dose of Hepa B, 25.53% received their second
dose, and 27.27 received their third dose. 37.50 are without Hepa B
vaccination. For Hib, 18.52% received their first dose, 21.28% received their
second dose, and 22.73 received their third dose. 4.05% of the children
received their first dose of Rotavitus while 6.38% received their second dose.
For AMV, 8.11% received the vaccine while 50% have not. 8.11% received
MMR, while 50% have not. The table implies that some children are not fully
immunized which means that the parents should be informed to complete
their childrens vaccinations. The RHUs offer immunizations and the parents
should be reminded of these services for the community.

F. Environmental Indices
1. Home Ownership

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Percentage Distribution of Home Ownership, at Sitio Arcapol, Bgy.


San Pedro, Floridablanca, Pampanga as of July 2014
HOME OWNERSHIP

N
41
20
2
63

Owned
Rented
Free
TOTAL

%
65.1
31.7
3.2
100

45
40
35
30
25
20
15
10
5
0
Owned

Rented

Free

3%

32%

Owned
Rented
Free
65%

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Analysis: This chart shows that out of 63 families in Sitio Arcapol, BRGY. San
Pedro, FloridaBlanca Pampanga, 41 (65.1%) families live in an owned
residence, 20 (31.7) families live in a rented residence and 2 (3.2%) families
live in a free residence. Since most of the families live in an owned residence,
they can renovate their house to make it a safer, cleaner and a better
environment. The second most common type of home ownership type is the
rented residence. They live in their house as long as they pay their landlord. It
affects their financial status as they have to pay for their rent in a monthly
basis. Meanwhile, the least common type is the free residence. They live in
someones house, for free. It can be a potential problem in the future if the
real owner decides to return to the house.
2. Ventilation
Percentage Distribution of Ventilation, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
VENTILATION

N
27
14
22
63

Satisfactory
Fair
Poor
TOTAL

%
42.9
22.2
34.9
100

30
25
20
15
10
5
0
Satisfactory

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Fair

Poor

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35%
43%

Satisfactory
Fair
Poor

22%

Analysis: In Sitio Arcapol, BRGY. San Pedro, FloridaBlanca Pampanga,


There are 27 (42.9%) families that live in a residence with satisfactory
ventilation, 14 (22.2%) families that live in a residence with fair ventilation
and 22 (34.9%) families that live with poor ventilation. Since there are
more families living with good and fair ventilation, there are still 22 out of
63 families living with poor ventilation and they are at risk from several
health problems that may arise from increased levels of indoor
temperature and humidity and an environment that can facilitate the dusts
which can cause respiratory problems.
3. Overcrowding
Percentage Distribution of Overcrowding, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
OVERCROWDING
With
Without
TOTAL

Community Health Nursing- Related Learning Experience

N
11
52
63

%
17.5
82.5
100

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60
50
40
30
20
10
0
With

Without

17%

With
Without

83%

Analysis: This pie chart indicates that 52 (82.5%) families do not experience
overcrowding in their homes. This decreases the possibility of transmitting
diseases to other members of the family and it and is a suitable environment
for growth and development. On the other hand, there are still 11 (17.5%) that
are living in an overcrowded household. There is a higher chance of
developing and spreading communicable diseases and this would increase
the mortality and morbidity rate. They might also have problems in their
sleeping arrangements due to lack of space. Most of the families dont mid
this type of household arrangement because it saves them money and they
prefer staying with each other. Furthermore they are prone to running of
resources such food, water because of its many members.

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4. Type of Housing
Percentage Distribution of Type of Housing, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
TYPE OF HOUSE

N
21
18
24
0
63

Concrete
Light
Mixed
Makeshift
TOTAL

%
33.3
28.6
38.1
0
100

30
25
20
15
10
5
0
Concrete

Light

Mixed

Makeshift

0%

33%

38%

Concrete
Light
Mixed
Makeshift

29%

Analysis: In Sitio Arcapol, BRGY. San Pedro, FloridaBlanca Pampanga,


21 (33.3%) live in a house made out of concrete, 18 (28.6%) live in a light
type of house which is composed of wooded materials, 24 (38.1%) live in
a mixed type of house which is composed of concrete and wooden
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materials and none (0%) live in a makeshift type of house. Most of the
houses especially the concrete type are capable of withstanding
calamities like heavy rains, floods and typhoons. Meanwhile, the houses
made up of light and mixed materials are prone to damage and leaks from
floods and typhoons.
5. Electricity
Percentage Distribution of Electricity, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
ELECTRICITY
With
Without
TOTAL

N
60
3
63

%
95.2
4.8
100

70
60
50
40
30
20
10
0
With

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Without

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5%

With
Without

95%

Analysis: In Sitio Arcapol, BRGY. San Pedro, FloridaBlanca Pampanga,


60 (95.2) out of 63 (100%) families live in a household with electricity
whereas, 3 (4.8%) out of 63 (100%) families live I a hosehold without
electricity. Families living in household with electricity are prone to faulty
wiring and electrocution which may lead to fire. On the other hand,
families living in households without electricity are prone to injuries
especially in the evening due to lack of electrical light. In addition, they are
prone to starting a fire due to the use of candles and fire as light sources.
6. Privacy
Percentage Distribution of Privacy, at Sitio Arcapol, Bgy. San Pedro,
Floridablanca, Pampanga as of July 2014
PRIVACY
With
Without
TOTAL

Community Health Nursing- Related Learning Experience

N
53
10
63

%
84.1
15.9
100

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60
50
40
30
20
10
0
With

Without

16%

With
Without

84%

Analysis:Fifty-three (84.1%) out of sixty three families living in Sitio Arcapol


Barangay San Pedro Floridablanca Pampanga live with privacy while ten
(15.9) of the families are living without it. People who have privacy experience
no forms of anxiety due to insecurity of their homes unlike the families living
without it.

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7. Food Storage
Percentage Distribution of Food Storage, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
FOOD STORAGE
Refrigerated
Not Refrigerated
TOTAL

N
21
42
63

%
33.3
66.7
100

45
40
35
30
25
20
15
10
5
0
Refrigerated

Not Refrigerated

33%
Refrigerated
Not Refrigerated
67%

Analysis: In Sitio Arcapol Barangay San Pedro Florida Blanca Pampanga 21


(33.3%) families out of 63 have refrigerated food storage while 42(66.7%) of
the families have unrefrigerated foods. Families with unrefrigerated food
storage are prone to developing food poisoning from the unsanitary food
storages furthermore families with no refrigerators will have to go to the

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market everyday to buy food which is very hard to do especially if they are in
a tight schedule.
8. Water Supply
Percentage Distribution of Water Supply, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
SHARED

OWNED

TYPE OF WATER SUPPLY

LEVEL 1

LEVEL 2

21

91.3

36

90.0 57

90.4

LEVEL 3

4.3

5.0

4.8

23

100

40

100

63

100

TOTAL

%
5.0

%
4.3

4.8

25

20

15

10

0
LEVEL 1

LEVEL 2

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LEVEL 3

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Shared Water Supply


4% 4%

LEVEL 1
LEVEL 2
LEVEL 3

92%

40
35
30
25
20
15
10
5
0
LEVEL 1

LEVEL 2

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LEVEL 3

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5% 5%

LEVEL 1
LEVEL 2
LEVEL 3

90%

Analysis: The table shows that in Sitio Arcapol barangay san Pedro
Floridablanca Pampanga 3 (4.8%) families have level one type of water
supply 2 of the supply were owned while majority of the families surveyed
57(90.4) have a level 2 water supply, of the 57 families 36 and 21 were
owned and shared respectively and only 3 of the 63 families had a level
3(4.8%) water supply 2 of which were owned. Of the 63 families only 3
had a level three water supply, which is needed to have a optimal health,
unlike the level 2 and 1 water supply level 3 is required to pass through a
treatment plant so the water is absolutely clean and is distributed directly
to the consumers while both level 1 and 2 might predispose the families
from water borne bacteria or from metal poisoning. Furthermore than half
of the families (23) surveyed has a shared water supply which can also
predispose the families in many bacterial infections.

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9. Excreta Disposal
Percentage Distribution of Excreta Disposal, at Sitio Arcapol, Bgy. San
Pedro, Floridablanca, Pampanga as of July 2014
SHARED
OWNED
TYPE OF EXCRETA DISPOSAL
N
%
N
%
N
%
LEVEL 1
2
11.8
2
4.3
4
6.3
LEVEL 2

14

82.4

44

95.7 58

92.1

LEVEL 3

5.9

1.6

17

100

46

100

63

100

TOTAL

16
14
12
10
8
6
4
2
0
LEVEL 1

LEVEL 2

LEVEL 3

Shared Excreta Disposal


6% 12%
LEVEL 1
LEVEL 2
LEVEL 3
82%

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50
45
40
35
30
25
20
15
10
5
0
LEVEL 1

LEVEL 2

LEVEL 3

Owned Excreta Disposal


0%
4%

LEVEL 1
LEVEL 2
LEVEL 3
96%

Analysis: The table for excreta disposal shows that 4(6.3%) of the families
living in Arcapol barangay san Pedro Floridablanca Pampanga has a level 1
type of excreta disposal while majority of the families (58 or 92.1) has a level
2 type of excreta disposal 44 of which is owned while a single (1.6 %) level
three disposal were shared by the family. Since only one family has a level
three type of excreta disposal most of the families are prone in gaining
diseases because of the possibility of excreta seeping in the water supplies
within the community, unlike the level three excreta disposal which has a
water carriage that delivers the waste to a treatment plant furthermore
unsanitary waste disposal can propagate flies and other insects which will
have a negative impact on the environment and health of the families.

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10. Refuse Disposal


Percentage Distribution of Refuse Disposal, at Sitio Arcapol, Bgy.
San Pedro, Floridablanca, Pampanga as of July 2014
REFUSE DISPOSAL

N
14
28
8
4
14
68

Collected
Incineration
Open Dumping
Estero
Burial
TOTAL

%
20.59
41.18
11.76
5.88
20.58
100

30
25
20
15
10
5
0
Collected

Incineration Open Dumping

20%

Estero

Burial

21%
Collected
Incineration

6%

Open Dumping
Estero

12%

Burial
41%

Analysis: In Sitio ARCAPOL Barangay san Pedro Floridablanca


Pampanga 14 (20.59%) of the garbage are collected, 28(41.18) are
incinerated, 8(11.76%) are dumped in open areas 4 (5.88%) are disposed in
inlet canals and 14(20.58%) are buried. Incineration is the most common type
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of waste disposal this can be very problematic because the families near the
fire will be able to inhale the smoke this could lead to the aggregation of
asthma symptoms, suffocation if there is poor ventilation etc. Second is the
burial and collected, the best way of disposing materials is by means of
having professionals collect it for the families this takes the burden away from
the families and is disposed properly by its collectors burial on the other hand
can contaminate the soil. Third is the open dumping it can lead to water
contamination if it is not properly buried in a faraway place and last is the
dumping of refuse in the inlet canal which is very unsanitary and can lead to
clogging of the canal or over flowing of waste in the canal that promote
bacterial growth in the water and it may also become a nesting ground for
mosquitoes.
11. Insect and Vermin Control
Percentage Distribution of Insect and Vermin Control, at Sitio Arcapol,
Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
INSECT AND VERMIN CONTROL
Mechanical
Chemical
Biological
TOTAL

N
27
33
14
74

%
36.49
44.59
18.92
100

35
30
25
20
15
10
5
0
Mechanical

Chemical

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19%
36%
Mechanical
Chemical
Biological

45%

Analysis: The chart shows that 27 ( 36.49 %) of the families surveyed


constitute in Mechanical control of the insects and vermin, 33(44.59%)
use chemical agents to kill the insects and vermin while only 14(18.92%)
use biological insect and vermin control. Since the use of chemical agents
were most used by the families to control the insects and vermin they are
prone to many health problems if exposed sufficiently such as dyspnea,
tremors or even paralysis. Second is the mechanical control in which the
family member kills the insects and vermin with hands-on techniques with
the aid of some objects, many people prefer this form of control because
of its effectiveness, simplicity and price however not all insects are killed
in this process and in time the insects and vermin may relate repopulate
and last is the biological control which uses domesticated animals to kill
pest but just like the mechanical way of eliminating insect and vermin
there is high chance of repopulation because some of the pests might
have survived.
12. Domestic Animals with and without pens
Percentage Distribution of Domestic Animals with and without pens, at
Sitio Arcapol, Bgy. San Pedro, Floridablanca, Pampanga as of July 2014
With Pens

Without Pens

N
26

%
44.83

28

41.79

12.07

12

17.91

DOMESTIC ANIMALS

Dogs

%
22.22

Chickens

55.56

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Cats

10.34

8.95

Doves

11.11

14

24.14

15

22.38

Ducks

11.11

8.62

8.95

100

58

100

67

100

Total
6
5
4
3
2
1
0
Dogs

Chickens

Cats

Doves

Ducks

Domestic Animals with Pens


11%
22%
11%

Dogs
Chickens

0%

Cats
Doves
Ducks
56%

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30
25
20
15
10
5
0
Dogs

Chickens

Cats

Doves

Ducks

Domestic Animals without Pens


9%
Dogs
24%

45%

Chickens
Cats
Doves
Ducks

10%
12%

Analysis: The table shows that in Sitio ARCAPOL barangay San Pedro
Floridablanca Pampanga the families surveyed owned 28 (41.79%) dogs
twenty six of which has no pens, 15(22.38%) were doves 14 of those had
no pens, 12 (17.91%) were chicken of the 12 7 has no pens, and last are
the 6(8.9%) cats and 6(8.9%) ducks and 6 and 5 had no pens
respectively. Since most of the animals were free to roam there is a
possibility that the animals might get loss which will be a loss of a financial
asset especially for the ducks and chickens furthermore some dogs might
run off and bite other community members spreading rabies.

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G. Summary (based on the information gathered from the community in terms of


demography, socio-cultural, economic, health, and environment written in
narrative form)
H. Problems Identification and Analysis (identify at least 5 community problems
for each type)
A. Health Status
Problem Analysis
1. 1. Hypertension is the
Individuals with hypertension
leading cause of
are at risk of many
morbidity in the
complications such as stroke,
community with a
other heart diseases and worst it
percentage of 31.58.
may lead to death.
2. Malnutrition is one of
Malnourished children are at
the problems in the
greater risk of acquiring
community mostly
diseases since they lack some
prevalent among school of the needed nutrients.
age group.
3. 27.78 % of the morbidity Dengue is a life threatening
cases are due to
condition that requires
Dengue.
immediate attention.
4. Asthma is accounted for Triggering factors should be
15.79% of the present
eliminated in order to prevent
illness of the
attacks.
community.
5. Diabetes mellitus is also Diabetes mellitus may cause
one of the noted causes many complications such as
of morbidity in the kidney failure if not well
community.
managed.
B. Health Resources
1. Lack of Vitamins
The people in the community
are more prone to diseases
most especially the children.
2. Lack of Medicines
It would be difficult for the
people in the community to cure
different diseases due to lack of
medicines.
C. Health Related
1. Majority of the population Most of the people in the
attained elementary level of community dont have jobs that
education.
can sustain the financial needs
of the whole family.
2. Most of the people are They are prone to many health
farmers, construction workers, hazards
related
to
their
vendors and tricycle drivers.
occupations.
3. Thirty-two percent of the With this income, the family
families have an average needs will not be sustained.
monthly income of 1000-5000

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pesos only.
4. Most people use incineration The people in the community
as their way of refuse disposal. may acquire several diseases
particularly respiratory diseases
because of the smoke produced
when burning waste.
I. Prioritization of Identified Problems
A. Health Status
1. Hypertension is the leading cause of morbidity in the community with a
percentage of 31.58.
Criteria

Actual /
Highest
Score

Rationale
for Actual
Score

Weight

Criteria
Score

1. Nature

3/3= 1

2.Magnitude

2/4=0.5

1.5

3.Modifiability

3/3=1

4.Preventive
Potential

3/3=1

The
problem is
considered
as a health
status
problem.
31.58%
are
affected.
The
problem is
highly
modifiable
since the
people
could be
given
maintenan
ce drugs.
The
complicatio
ns that
would be
caused by
the
problem
such as
stroke can

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5. Social Concern

2/2=1

be highly
prevented
by proper
health
manageme
nt.
The
community
recognized
the
problem
that needs
urgent
attention.

8.5
Total
2. Malnutrition is one of the problems in the community mostly prevalent among
school age group.

Criteria

1. Nature

2.Magnitude

3.Modifiability

Actual /
Highest
Score
=1

Rationale
for Actual
Score

Weight

Criteria
Score

The
problem is
a health
status
problem.
55% of the
children
are
malnourish
ed.
The
problem is
highly
modifiable
by just
educating
the family
of the
proper
nutrients

2.25

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needed by
the
children.
The
related
complicatio
ns to
malnutritio
n are
highly
prevented
by
providing
the
children
proper and
adequate
nutrients
they need.
The
community
sees this
problem
that needs
immediate
attention.

4.Preventive
Potential

5. Social Concern

9.25
Total
3. 27.78 % of the morbidity cases are due to Dengue.
Criteria

1. Nature

2.Magnitude

Actual /
Highest
Score
=1

Rationale
for Actual
Score

Weight

Criteria
Score

Dengue is
considered
as a health
status
problem.
27.78 % of
the
morbidity
cases are
due to

1.5

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3.Modifiability

4.Preventive
Potential

5. Social Concern

dengue.
The
problem is
highly
modifiable
by doing
some
actions
such as
cleaning
the
surroundin
g that
could
possibly
cause
breeding of
mosquitoe
s.
The
complicatio
ns of
dengue
could be
highly
prevented
by early
detection
and
immediate
medical
attendance
.
The
community
sees this
problem
that needs
urgent
attention.

8.5
Total

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4. Asthma is accounted for 15.79% of the present illness of the community.


Criteria

1. Nature

2.Magnitude

3.Modifiability

4.Preventive
Potential

5. Social Concern

Actual /
Highest
Score
=1

Rationale
for Actual
Score

Weight

Criteria
Score

This is
considered
as a health
status
problem.
15.79% of
the present
illness of
the
community
is caused
by asthma.
The
problem is
highly
modifiable
by
reducing
the factors
that couls
possibly
trigger
asthma.
The
complicatio
ns related
to asthma
can be
highly
prevented.
The
community
attend
immediatel
y to the
problem.

0.75

7.75
Total

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5. Diabetes mellitus is also one of the noted causes of morbidity in the community.

Criteria

1. Nature

2.Magnitude

3.Modifiability

4.Preventive
Potential

5. Social Concern

Actual /
Highest
Score
=1

Rationale
for Actual
Score

Weight

Criteria
Score

Diabetes
mellitus is
a health
status
problem.
10.53 % of
the
surveyed
population
has
diabetes
mellitus.
The
problem is
not
modifiable,
since it is a
lifetime
disease,
rather it
could only
be
controlled.
The
complicatio
ns related
to DM are
highly
prevented
by proper
monitoring
of blood
glucose
levels and
by taking
medication
religiously.
The
problem

0.75

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sees this
health
problem
that needs
to be
attended
immediatel
y.
3.75
Total

B. Health Resources
1. Lack of Vitamins
Criteria

1. Nature

2.Magnitude

3.Modifiability

4. Preventive Potential

Actual /
Highest
Score

Rationale for
Actual Score

Weight

Criteria
Score

It got a score of
2 since it is a
health
resources
problem.
There are 17
children
who
did not receive
Vitamin
A
supplements
which
corresponds to
45% of the
population
is
affected.
This problem is
highly
modifiable as
the
health
centres
can
provide Vitamin
A supplements.
The
risks
related
to
Vitamin
A
deficiency
is
highly

0.67

1.5

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preventable.
The community
is
not
concerned with
the problem.
Total

5. Social Concern

7.17

2. Lack of Medicines
Criteria

1. Nature

2.Magnitude

3.Modifiability

4. Preventive Potential

Actual /
Highest
Score

Rationale for
Actual Score

Weight

Criteria
Score

It got a score of
2 since it is a
health
resources
problem.
Around 50% of
the people in
the community
complained
that
the
medicines
available in the
RHU
are
limited
The problem is
highly
modifiable as
the
health
centres
can
provide
the
medicines but
just
lack
supplies.
The
risks
related to lack
of
medicines
can
be
prevented.

0.67

2.25

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5. Social Concern

The community
does not see it
as a problem
that does not
needs urgent
attention.
Total

0.5

8.42

C.Health Related
1. Majority of the population attained elementary level of education.
Criteria

1. Nature

2.Magnitude

3.Modifiability

4. Preventive Potential

Actual /
Highest
Score

Rationale for
Actual Score

Weight

Criteria
Score

It got a score of
1 since it is a
health related
problem.
Around 30% of
the people in
the community
attained
elementary
level
of
education.
The problem is
moderately
modifiable as
there
are
institutions that
offers
vocational
scholarships.
The
risks
related to a low
educational
attainment
such
as
inability to find
a stable or high
paying job can
be prevented
since
the

0.33

1.5

2.67

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people in the
community find
ways to sustain
their needs.
The community
sees it as a
problem
that
needs urgent
attention
Total

5. Social Concern

6.5

2. Most of the people are farmers, construction workers, vendors and tricycle drivers.
Criteria

1. Nature

2.Magnitude

3.Modifiability

4. Preventive Potential

Actual /
Highest
Score

Rationale for
Actual Score

Weight

Criteria
Score

It got a score of
1 since it is a
health related
problem.
Around 50% of
the people in
the community
are engaged in
this type of
occupation
The problem is
highly
modifiable
because
the
people can be
offered
other
jobs.
The
risks
related to these
types
of
occupation can
be prevented
by
using
protective
equipment and
health
teachings
to
help them be

0.33

2.25

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aware
of
occupational
hazards.
The community
does not see it
as a problem
that does not
needs urgent
attention
but
expressed their
concerns
related
to
financial
needs.
Total

5. Social Concern

0.5

8.08

3.Thirty-two percent of the families have an average monthly income of 1000-5000


pesos only.
Criteria

1. Nature

2.Magnitude

3.Modifiability

Actual /
Highest
Score

Rationale for
Actual Score

Weight

Criteria
Score

It got a score of
1 since it is a
health related
problem.
Around 32% of
the people in
the community
only earn 1000

5000
a
month
The problem is
highly
modifiable
because
the
people can be
offered
other
jobs that pay
high so that the
families
can
sustain
their
cost of living.

0.33

1.5

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4. Preventive Potential

The
risks
related to low
income can be
prevented as
the people can
find other ways
to earn money.
The community
sees it as a
problem
that
needs urgent
attention and
expressed their
concerns
related
to
financial
needs.
Total

5. Social Concern

7.83

3. Most people use incineration as their way of refuse disposal.


Criteria

1. Nature

2.Magnitude

3.Modifiability

Actual /
Highest
Score

Rationale for
Actual Score

Weight

Criteria
Score

It got a score of
1 since it is a
health related
problem.
41% of the
people
in
community use
incineration as
their way of
refusal
disposal
The problem is
highly
modifiable
because
the
people can use
other ways of
managing their
waste.

0.33

1.5

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4. Preventive Potential

5. Social Concern

The
risks
related
incineration
can
be
prevented by
giving proper
health teaching
related to the
hazards and by
enumerating
other ways in
which they can
dispose of their
waste.
The community
is
not
concerned with
this problem.
Total

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6..83

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Chapter 4
Community Development Plan
A. HELPS Community Action Plan (CAP) (Construct an action plan following the
format below for all of the problems identified and group them accordingly to
category of: H- ealth, E- ducation, L- ivelihood, P- hysical Environment, S-ocioSpiritual/Cultural).
PROBLE Hypertension
M AREA

TITLE
GENERAL
OBJECTIVE

Inpormasyon tungkol sa Altapresyon


To increase awareness about hypertension by teaching the families in
the community about its signs and symptoms, complications, risk
factors, preventions and medications.

COMMUNITY
PROBLE
M

SPECIFI
C
OBJECTI
VES

POSSIBLE
ACTIVITIES

Mortalitie
s due to
hypertens
ion and
its
complicati
ons

To
BP taking
promote
Health
applicatio teaching
n of
hypertens
ion
preventio
n in the
communit
y

Lack of
knowledg
e
regarding
hypertens
ion

To
Health
increase
teaching
the
knowledg
e of the
people
regarding
hypertens
ion

Complicat
ions of
hypertens
ion may
affect the

To inform
the
people
the
complicat

Health
teaching
BP taking

Community Health Nursing- Related Learning Experience

TIME
FRAM
E

1 hour

1 hour

1 hour

LOCUS
OF
RESPO
NSIBILI
TY)

RESOURCE
REQUIREMENTS

Peoples sphygmomanometer
in the
stethoscope
commu brochures
nity

Peoples Brochures
in the
commu
nity

Peoples sphygmomanometer
in the
stethoscope
commu brochures
nity

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livelihood
of the
family

ions of
hypertens
ion and
its effect
if not
properly
prevente
d or
controlled
Risk of
To inform
having or the
worsenin patients
g
the risk
hypertens factors of
ion that is having or
present in worsenin
the
g
communit hypertens
y
ion
present in
the
communit
y like
cigarette
smoke,
metal-rich
potable
water and
stress
A new
To inform
study of
the
more than communit
5,300
y that
Africanprayer is
American also
s shows
important
that
for
religion
preventio
and
n and
spirituality maintena
may help nce of
to keep
hypertens
blood
ion
pressure
under
control.

Health
teaching

1 hour

Health
teaching

1 hour

Community Health Nursing- Related Learning Experience

Peoples Brochures
in the
commu
nity

Peoples Brochures
in the
commu
nity

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B. Community Project Plan (CPP)


1. Project Title - Altapresyon
2. Target Sitio & Barangay and Number of Beneficiaries - Sitio Arcapol, Barangay
San Pedro, FloridaBlanca Pampanga, 20 beneficiaries
3. Project Duration 1 Day
4. Project Rationale and Description The leading cause of morbidity in the
barangay is Hypertension. The group decided that a program related to
hypertension will benefit them the most so that they will be aware of the risks and
complications of hypertension and that they will be able to manage it well with the
appropriate means.
5. Project Objectives
a. General Objective - To increase awareness about hypertension by teaching
the families in the community about its signs and symptoms, complications, risk factors,
preventions and medications.
b. Specific Objectives
To promote application of hypertension prevention in the community
To increase the knowledge of the people regarding hypertension
To inform the people the complications of hypertension and its effect if not
properly prevented or controlled
To inform the people the risk factors of having or worsening hypertension present
in the community like cigarette smoke, metal-rich potable water and stress
To inform the community that prayer is also important for prevention and
maintenance of hypertension
6. Project Phase (Narrative)
a. Preparatory Phase After the group analyzed the data gathered, we found
that the leading cause of morbidity in the barangay is hypertension. With this
in mind, the group devised a plan wherein the people in community would be
knowledgeable about hypertension and that the will be able to manage
hypertension in an appropriate way.
b. Implementation Phase The program will be held in the center of the
barangay so that people will have easy access. The group decided on a skit
to start the program followed by the health education. The last part of the
program would be to teach one person in the community who will be willing to
learn how to take blood pressure and take the blood pressure of others in the
community. The program ended with complementary food and drinks given to
the people who attended the program while they were given a sheet to
evaluate the program. In addition, the program was closely monitored by a
barangay kagawads in case something unexpected shall occur.
c. Post- Implementation Phase The program was evaluated by the people
who attended the program.

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7. Community Participation The people in community will attend the program


implemented by the group. Furthermore, they will participate in the program and
hopefully be able to apply the teachings given to them in their lives.
8. Sustainability We believe that the program implemented was a success as
the people who attended were participating in the lecture and gave a good
evaluation of the program. Furthermore, the group believes that the program
will help with the development of the community as there will be awareness
regarding hypertension which will reduce the morbidity and mortality due to
hypertension. This project can be sustained in the community as the group
donated a sphygmomanometer and a stethoscope and the group taught a
member in the community how to take the blood pressure of a patient. In this
way, there will be a regular blood pressure checkup and monitoring in the
community. Furthermore, as the service will be provided within the community,
it will be more accessible to the residents.
9.) Project Plan Matrix
Project description
The objective is to increase awareness about hypertension by teaching
the families in the community about its signs and symptoms,
complications, risk factors, preventions and medications.
The purpose is at the end of the activity, the members of the community
will be able to gain more and correct knowledge about hypertension
and a member of the community will learn how to take blood
pressure.
The result is that they have gained more knowledge and a member
became competent in checking blood pressure.
Activities- Registration, Interview, BP taking, Health education, evaluation
Indicators
The family will reflect
The family can answer the questions asked by the reporters
A member of the community can take blood pressure
Means required to implement activity: Documents, sphygmomanometer,
stethoscope, brochure
Sources and means of verification
Project cost: P1,000
By observation and evaluation questions

PHASES

A. Preparatory

ACTIVITI
ES
Planning
on what to
do
Making of

TIME
FRAME
1 week

EXPECTE
D
OUTPUT
Planned
activity
Lesson
Plan

Community Health Nursing- Related Learning Experience

PROJECT
COST

RESOURCE
REQUIREME
NTS
internet,
books, data
Community
gathered
developmen
t team:

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B. Implementation

C. Evaluation

lesson
plan
Practicing
teaching
Practicing
skit
History
and BP
taking
Interview
Do the
skit
Do the
teaching

Let the
people
evaluate
the
program

P1,000

1 day

1 day

History
and BP
records
The
knowledg
e and
awarenes
s of the
people
regarding
hypertensi
on
increased
Evaluation
questionn
aire
completed
by the
people

brochure,
sphygmoman
ometer and
stethoscope,
documents
for interview
and
questionnaire

Evaluation
questionnaire

C. Community Budget Plan (indicate unit, quantity, cost, amount of resource


requirements)
Total Cost of the Project: P1,000
D. Health Education Plan (HEP)
ALTAPRESYON
TITLE
the whole community specially the peoples with hypertension
TARGET
LEARNERS
GENERAL
To increase awareness about hypertension by teaching the families
OBJECTIVE
in the community about its signs and symptoms, complications,
preventions and medications.
SPECIFIC
OBJECTIVES
To increase the
knowledge of the
people regarding
hypertension
To make the
people

CONTENT
Introductio
n to
hypertensi
on
Signs and
symptoms
complicatio

METHOD
short skit
discussion

Community Health Nursing- Related Learning Experience

TIME
FRAME
1 hour

RESOURCE
METHOD
REQUIREME
OF
NTS
EVALUATI
sphygmomano
ON
evaluation
meter
stethoscope
questionna
brochures
ire

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understand more
about
hypertension
To promote
application of
hypertension
prevention in the
community
After 1 hour of
discussion, the
people of the
community
will
be able to:
1. Answer the
evaluation
questions of the
reporters
2. Recognize and
recall briefly the
discussion
3. Apply their
learnings to their
daily life

ns
medication
prevention

Learning
evaluation
questions

Recitation

5
minutes

prizes
set
questions

Learning
of evaluation
questions

E. Organizational Structure of the Community Development Team


Overall Leader: Klarize Gayle J. Abelon
Community Organizing Leader: Jann Aaron V. Acua
Rural Health Unit Leader: Patricia Ann H. Adille
Occupational Health Nursing: Rafael Gianlorenzo V. Abilgos
Members:
Cristituto R. Abarintos, Jr

Nicole Philynne S. Acierda

Paolo B. Abelarde
Mark Christopher M. Abeleda
Paola Gianerikei V. Abilgos
Chelsi Anne Y. Abolencia
Charlemagne I. Abrugena

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F. Committees and Functions of the Community Development Team.


Registration Team:
Cristituto R. Abarintos, Jr
Paola Gianerikei V. Abilgos
Rafael Gianlorenzo V. Abilgos
Charlemagne I. Abrugena
Patricia Ann H. Adille
Reporting Team:
Paolo B. Abelarde
Mark Christopher M. Abeleda
Klarize Gayle J. Abelon
Chelsi Anne Y. Abolencia
Nicole Philynne S. Acierda
Jann Aaron V. Acua
G. Minute Meeting of the Community Development Team
MINUTE MEETING OF THE COMMUNITY DEVELOPMENT TEAM
Meeting Date
August 2, 2014
Meeting Location
Brgy San Pedro headquarters
Meeting Start
11 am
Meeting End
1 pm
Attendance
Brgy Captain, 4 Brgy kagawads
Meeting Apologies
3 Brgy kagawads
Recorded by
Jann Aaron V. Acua
Business/Agenda
Discussion
Action
(summary of the discussion in
(list any decisions made or
Items
the meeting)
action to be taken by whom
and by when)
1. Leader Report The activity that the group The group decided to conduct
(reading of the agenda decided to conduct
a health teaching regarding
for the meeting and
hypertension
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facilitate the approval


of the minutes of the
previous meeting)
2. Committee Report
(based
on
the
committee created by
the group)
3.
Old
Business
(unfinished business
from
previous
meeting)
4. New Business
(new
business
agenda)
Announcement
Future Agenda
Next Meeting

The findings in the data

N/A

It suggests that the most


common
cause
of
the
communitys
mortality
is
hypertension
N/A

The lesson plan needed for The making of the lesson plan
tomorrow
Any activities that the group decided to conduct will be
supported by the barangay.
The result of the implementations
The communitys evaluation
August 3, 2014

MINUTE MEETING OF THE COMMUNITY DEVELOPMENT TEAM


Meeting Date
August 3, 2014
Meeting Location
Brgy San Pedro headquarters
Meeting Start
11 am
Meeting End
1 pm
Attendance
Brgy Captain, 4 Brgy kagawads
Meeting Apologies
3 Brgy kagawads
Recorded by
Jann Aaron V. Acua
Business/Agenda
Discussion
Action
(summary of the discussion in
(list any decisions made or
Items
the meeting)
action to be taken by whom
and by when)
1. Leader Report The implementation of the N/A
(reading of the agenda activity and the communitys
for the meeting and evaluation
facilitate the approval
of the minutes of the
previous meeting)
2. Committee Report N/A
N/A
(based
on
the
committee created by
the group)
3.
Old
Business N/A
N/A
(unfinished business
from
previous
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meeting)
4. New Business N/A
N/A
(new
business
agenda)
Announcement
The barangay officials thanked us and is looking forward for
future projects from the future groups
Future Agenda
N/A
Next Meeting
N/A

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Chapter 5
Community Project Evaluation (CPE)
A. Overview (title, objectives, duration, area)
The group conducted an activity entitled Talakayan ukol sa Altapresyon. The
activity was held at Sitio Arcapol, Bgy. San Pedro, Floridablanca, Pampanga on
August 3, 2014. It lasted for two hours. The activity aimed to: educate the members
of the community about hypertension, promote a healthier lifestyle, and to
encourage regular monitoring of blood pressure by teaching one member of the
community how to take blood pressure.
B. Activities Done (what are the activities implemented before, during, after)
Preparation for the flow of activities was done. At first, the members of the
community registered for the activity. Then they were asked to take a pre-test
regarding the topic to be discussed which was hypertension. The group then
checked the vital signs of the members of the community gathered in the area. The
temperature, heart rate, respiratory rate, and blood pressure were checked.
Medications and vitamins were also given. Some children were assessed for IMCI.
After the checkup, a health teaching about hypertension was conducted by some of
the members of the group. They tackled what hypertension was, its signs and
symptoms, complications, and the different ways to prevent it. After the health
education about hypertension, the members of the group asked questions and gave
prizes for those who answered right A post-test was also given to the listeners to
evaluate the knowledge they gained from the discussion. Also, they were asked to
answer an evaluation form to evaluate the activity held. The group also chose a
volunteer from the community to teach how to take blood pressure using the
sphygmomanometer the group donated. A one on one return demonstration was
done to make sure the volunteer knows the proper way of taking blood pressure so
that she will be able to monitor the BP of the people of the community.
930 food, photocopy, brochure, prizes for kids
BP
C. List of Participants (list of community members participated the project)
Name
Amado Sibal
Angelita Castro
Judy Murtos
Grace Munos
Rodelyn Santos
Nora torres
Erlon
Efipinia fresnido
Laarnie
Rosalyn Turla
Community Health Nursing- Related Learning Experience

Age
63
46
23
51
22
42
32
70
29
33
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Rubie
Juanita Aplla
Maryvic Yanga
Jocelyn Cruz
Elvie Gadin

34
72
31
24
43

D. Project Expense Report (summary of expenses incurred for the project)


Food 300.00
Photocopy (Pretest/Post-tests/Evaluation forms/Brochures) 400.00
Prizes 230.00
BP apparatus 350
Total: 1280.00
E. Project Evaluation
1. Participants Evaluation (summary evaluation from the participants in the
community)
PAGTATASA NG GAWAIN PANG PAMAYANAN
Tagapangasiwa ng Proyekto: 3NUR1 RLE 1
Pamagat ng Gawain: Talakayan Ukol sa Altapresyon
Petsa: August 3, 2014
Lugar: Arcapol
Panuto: Ipinakikiusap na ating tasahin ang gawain ayon sa katangian nito. Lagyan ng
tsek ang naayon na kahon base sa inyong sagot.
BAHAGI NG
NAPAKAHU SOBRANG MAHUSA KATAMTAM MAHIN
GAWAIN
SA Y
HUSAY
Y
AN
A
5
4
3
2
1
1. Programa
7
5
4
2.
6
7
3
Tagapagsalita
3. Daloy ng
10
3
2
Programa
4.
7
5
3
Kahalagahan
ng gawain
5. Lugar
7
7
7
6. Tagapag6
5
5
organisa
7.
9
5
2
Pamamahala
ng Oras
8.
12
2
2
Pamamahala
ng kalinisan
Mungkahi or komento para sa ikauunlad ng programa:

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The participants of the program Talakayan ukol sa Altapresyon rated the group in
all aspect of the program as napakahusay , sobrang husay and mahusay. The
participants enjoyed the program and claimed that they gained knowledge about
hypertension and lifestyle activities that triggers it. Some also commented that the
group was able to discuss the topic clearly and actively.
2. Students Evaluation
Based from the results of the post test and from their responses
during the question and answer part, they were able to know the different
causes and effects of hypertension. Therefore we find the lecture about
hypertension effective. By the end of the activity we were able to meet the
expected results and attain our goals, to inform the people and fraise their
awareness about hypertension. The data gathered showed hypertension
as one of the leading causes of morbidity in the community thus a lecture
about hypertension is considered to be appropriate. The goals/objectives
and interventions are correct and accurate in relation to the health needs
of the community. The activity done was adequate enough to bring about
change and improvement in the community. The outcome of the
intervention done was worth the community development teams time,
effort, and resources. However, it would be better if more participants
attended the lecture. Nevertheless, the attendees met the desired
outcome of the activity.

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Chapter 6
Public Health Nursing Activities
A. Patients health profile
Patient's Name
1. M. B
2. R.C

Age
7
15

Sitio/ Purok
San pedro
Gutad

Health problem
Diarrhea
Fever

3. A.P

Gutad

Cough and
colds

4. P.D

43

Arcapol

Hypertension

5. S.B

San Pedro

Fever

6. A.J

17

San Pedro

Allergy

7. J.P

51

Arcapol

Hypertension

8. R.D

41

Arcapol

Hypertension

8. D.Y

18

Gutad

Fever

9. C.I

18

Arcapol

Fever

10. D.A

San pedro

Cough and
colds

Community Health Nursing- Related Learning Experience

Intervention
Oresol given
Antipyretics
given
increase fluid
intake
Increase fluid
intake
Increase intake
of foods rich in
vitamin C
Encourage
bedrest
Instruct regular
monitoring of
blood pressure
Antipyretics
given
Increase fluid
intake
Anti- histamine
given
Encourage
bedrest
Instruct regular
monitoring of
blood pressure
Encourage
bedrest
Instruct regular
monitoring of
blood pressure
Antipyretics
given
Increase fluid
intake
Antipyretics
given
Increase fluid
intake
Increase fluid
intake
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11. M. R

San pedro

Cough and
colds

12. T. C

Arcapol

Diarrhea

13. D. M

10

Gutad

Fever

14. K. A

39

San pedro

Hypertension

Community Health Nursing- Related Learning Experience

Increase intake
of foods rich in
vitamin C
Increase fluid
intake
Increase intake
of foods rich in
vitamin C
Oresol given
Increase fluid
intake
Encourage
bedrest
Antipyeretics
given
Increase fluid
intake
Encourage
bedrest
Instruct regular
monitoring of
blood pressure

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Chapter 7
Conclusion and Recommendation
A. Conclusion
Community Organizing Participatory Action Research is vital in the
community health nursing. The website, rnpedia.com defines it as a
continuous and sustained process of educating the people to understand and
develop their critical awareness of their existing condition, working with the
people collectively and efficiently on their immediate and long term problems,
and mobilizing the people to develop their capability and readiness to respond
and take action on their immediate needs towards solving their long term
problems. It is based on the interest of the poorest sectors of the society. It
should lead to a self-reliant community.
After the data collection, the group concludes that there are more males
than females. Majority of the male members are aged 5-10 years old while
majority of female members are aged between 0-4 and 10-14 years old.
Majority are married, have reached elementary level, Catholics,employed
where majority work as farmers with a monthly income ranging from 1,000 to
5,000 pesos,and originated from Region III. Most of the people of the
community have been staying for 5-10 years. A number of mothers had
prenatal check-up, tetanus toxoid vaccine, iron and vitamin A supplements
and postpartum follow-up and are also breastfeeding their newborn. The
dependency ratio of the community is high. In terms of disease occurrence,
dengue was the leading cause of morbidity in the past illness while for the
present illness is hypertension. Members of the community were acceptors of
family planning such as pills as the leading method. Almost all members of
the community seek services provided by the health center and rural health
units. Health workers are the primary source of health information. In their
nutritional status, most children are malnourished and are not fully
immunized. For the environmental setting, majority owns a house built with
mixed materials, with a satisfactory ventilation, electricity, and without
overcrowding however they dont have an appropriate food storage. Half of
the families surveyed has a shared level 2 water supply and a level 2 excreta
disposal and incineration is the most used method of disposal. In controlling
insects and vermin the most common technique used is chemical. Dogs are
usual in the community however without kennels.
B. Recommendation
1. Community
For the community the group recommends that they should be
aware and take advantage of the services provided for them by the health
center and the Rural Health Unit (RHU). The community is also
recommended to actively participate in various activities or seminars to
increase their awareness on different illnesses and ways to prevent them.
2. Community Development Team
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The researchers recommendation for the community development


team is for them to utilize the community resources and adjust to the
communitys way of living, the group also recommends that the students
must consider the educational level of the members of the community and
take into consideration in planning programs the ability of the members of
the community to sustain the implemented program.
C. Students learning experiences, insights, or realization
Cristituto Abarintos
When I first heard that we were the first ones to go to immersion I
immediately reacted with a big smile on my face because I was thinking that
immersion would be fun and that i would have more free time to do my
assignments however I suddenly remembered the things that would be done on
the immersion activity: surveys, establishing rapport and implementing,
evaluating etc. - also known as COPAR, this sudden realization made me a little
pessimistic because we were to work hard and exert ourselves in order to make
a proper community organization so that people will not just rely on us but
participate with us to empower themselves. This made me so pessimistic about it
because the thought that I was to build rapport and help so many people was so
overwhelming for me furthermore the documentation to be done was too bulky
for me there were so many things to analyze, tabulate and evaluate that for me
looked
very
exhausting.
However when I think about this right now, when all of the requirements
and the actual immersion was done I could actually say that I have learned not
just academically but also in my personality, this immersion has thought me how
to interact with several people not just individually but a whole family instead,
additionally my initial thoughts were debunked as mere pessimistic ideas and the
people there actually accompanied me in helping themselves- exactly the
opposite of my thoughts-, the documentation helped me understand CHN more
and that it wasn't really bulky when we as a group help each other, in which I am
very thankful for the immersion experience because it really helped us know
each
other
more.
Before the activity started I was really pessimistic about the immersion
activity because I really thought that we were really going to work all day long
and that the people there would not be so kind to us but that wasn't the case
when I came to the community they were really kind and they were curious to
why I was there they even accompanied me to the home I visited for my family
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nursing care plan furthermore the work we did was really not that tiring yes there
were times we slept late but the bitter work was handy especially if the family you
have cared for said "thank you".
Paolo Abelarde
I can consider this shift as one of those which I would never forget
because it is a new experience for me that brings about new learnings which I
can apply alongside with new realizations which brought changes into how I view
my life. Besides the academic purpose of the said activity I could tell that socially,
it made an impact because we get to work together really as a team which I think
strengthened our bond even more.
Learning is a never ending process but the learnings Ive picked up from
this immersion are truly worth keeping and it was not just limited to the concepts
we grasped from books but also from the people whom we had encountered
such as being optimistic that one day the challenges being conquered would
soon vanish, another is being strategic amid all the struggles they experience
and many more.
One realization that I made is to be thankful for what I have now because
there are a lot of people in our society who cannot even attain the basic needs of
life but us we often get more than our needs.
To sum up, this was really a fruitful activity packed with enjoyments and
learnings hopefully the next time we do such activity we would be able to utilize
our learnings that we had acquired here and also be able to gain more new
experiences.
Rafael Gianlorenzo Abilgos
The immersion was very fun and I think that it helped me improve my
social, cooking and especially my nursing skills. At first, I was very afraid on
going for the immersion. Afraid, of the people, the depressed community and the
diseases that I might acquire. But after being there for 2 weeks. I was proved
wrong. The people were very friendly and hospitable. The community wasnt as
bad as I have expected and the barangay captain was also very hospitable and
provided us with protection.
During the immersion, I got to apply the theories and lessons that Ive
learned from my community health nursing course. I was able to perform homevisit alone, take up surveys, plan appropriate programs for the community and
implement them. Furthermore, I also got to improve the lessons Ive learned from
pediatrics in our duty in the RHU. I got to practice the IMCI. In addition, I also
learned the duties and functions of a company nurse.
During the experience, I really got to cherish my life more. Seeing those
families living in bad conditions such as no electricity, toilet, air conditioning,
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education etc. I got to appreciate what I have and became more thankful for
being fortunate enough.
In all, the experience was very life changing and I cant wait for the next
immersion
Chelsi Anne Abolencia
Our RLE group went to Pampanga last July 26 to July 28, 2014 for our
immersion. It was my first time and I definitely enjoyed it. On our first day there,
we had our community house to house which was very tiring. We were asked to
interview and survey different families in order for us to know the major problems
in the community. Because of this activity, we were able to see where and how
the families live even for just a short period of time. We also had a duty in the
RHU. Though, there were a few patients, we were still able to learn a lot of things
during our discussions. Our first week in the community was one great
experience.
We went back again last August 2 to 4, 2014. We had a very fun time on
our fourth day because we were able to reminisce on our childhood. We played
piko, patintero, and chinese garter with the children of the community while the
adults had their assembly with another RLE from 3NUR3. This is probably my
most favorite activity because I really enjoyed playing with the kids. And even
though, I might not be able to meet them again, they will always have a special
place in my heart. The next day, we came back to Arcapol to conduct health
education about hypertension. I was one of the speakers and I am more than
happy to share some of my knowledge among the people of the community. On
our last day, we went back to the RHU to have our duty wherein we once again
learned a lot of new things. We were even given a chance to witness a tooth
extraction by the dentist in the RHU.
Last August 11, 2014, we went to Laguna to visit Kia which is a motor
company, to interview their occupational health nurse to know their roles and
functions. We also toured the company and identified its health hazards and what
the nurse does about them.
Our whole experience in our immersion was definitely memorable. All the
long walks under the hot sun, long hours of practicing for health education, family
nursing care plan making, and late night brainstorming for activities were worth it.
It was really fun. I even enjoyed the car ride. I am glad that I was able to
experience it with my favorite RLE. I am looking forward for another immersion in
our fourth year because I really enjoyed this shift, maybe because of the great

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place we stayed at, our nice clinical instructor, the kind people in the community
and simply the company of each other.
Charlemagne Abrugena
A mind that is stretched by new experience can never go back to its old
dimensions
-Oliver Wendell Holmes, Jr.
My whole experience during the immersion was something I will treasure. It
was one of the best experiences I ever had in my life. The immersion was able to
let me grow as a person and also as a student nurse. The activities we did
refreshed almost all the things I learned during our CHN and IMCI class. I was
also able to learn new things and appreciate more the essence of helping others.
I also feel lucky because I was able to experience all of these with my RLEmates
with the guidance of our understanding and nice clinical instructor.
I am also glad that we were able to touch and somehow make a difference
in other peoples life. Honestly, the people in the community did not just helped
me to learn things academically but they were able to touch a portion of my life
that will always be one of my inspiration to be a good and effective health care
provider. I really enjoyed in this shift and I am looking forward for another
wonderful experience like this in the community.
Nicole Philynne Acierda
With the experience of community immersion, duties at health center, and
visiting a company, I gained a lot of knowledge which helped me improve as a
student nurse and also as an individual.
In this shift, my learning in home visit and CHN was not only refreshed but
was also expanded. It helped me to become a better healthcare provider by
enhancing my skills especially in assessment.
This experience in Pampanga has also served as an eye opener for me.
Seeing the families in the community and hearing their life stories hit me. This
made me realize how lucky I am now. It pushed me to value every single thing
that I have now, no matter how little or simple it may be. This experience in the
community also showed me how important education really is, which made me
regret of the times that I do procrastinate and also served as a motivation for me
to do better and study harder.
One more benefit of having this experience is the tight bond formed within
our RLE group. Staying under one roof for several days had let us known each
other better. Understanding ones differences was very helpful. Doing our
activities with each other was very challenging and fun at the same time.

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Most importantly, I have seen and realized the importance of community


health nursing in reducing the frequency and duration of hospitalizations. It is
also very effective especially because healthcare is given right before those who
are really in need. I can say that this experience in the community was indeed a
fruitful one.
Patricia Ann Adille
With these numbers of days, we learned things that is immeasurable; a
learning that we will never learn in any school or institution. These learnings, we
deem them not as knowledge, but wisdom.
On the first day, we did our surveying. The people of the community were
very kind to us; I can see and feel that they look up on us and respect us, and so
do we; we respect them. On our second week, we played with the children in the
community. Playing with them pricks me with nostalgia; I remembered my
younger years. I enjoyed playing and watching them. I was also happy that I
gained the trust of an infant as he accepts me to carry him. On the next day, we
implemented our program regarding hypertension. Our program became like a
medical mission; most of the people who attended our program are not
hypertensives. But it is alright, we like serving and reaching out to others.
What I say is our story, so what did I learn and deem as wisdom? I
learned that money isnt everything, contradicted to what I believe. Being happy
with moneys and possessions is the most superficial form of happiness; and in
reality it does not really make you happy. Another is that, true intelligence is not
measured on how good you are in using machines; but it is by being resourceful
and building you own simple machine. The peoples in the community do not
have the sophisticated machineries that we have in the city, but still they are able
to do what we can do, maybe even better. And lastly, tall buildings and
skyscrapers are not a sign of development. I see that the people in the
community are more human than some peoples here in Manila. They say that it
is the cruel world that makes cruel individuals; but the peoples in the community
have a harsher situation, and they still maintain their values as individuals.
Happiness is not a goal...it's a by-product of a life well lived. - Eleanor
Roosevelt

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The Royal and Pontifical Catholic University of the Philippines


UNIVERSITY OF SANTO TOMAS COLLEGE OF NURSING

Appendix
A. Communication Letters
B. Instruments
C. Financial Report
D. Photo Documentation
E. Gantt Chart of Activities

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110

The Royal and Pontifical Catholic University of the Philippines


UNIVERSITY OF SANTO TOMAS COLLEGE OF NURSING

Curriculum Vitae

Community Health Nursing- Related Learning Experience

111

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