Académique Documents
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I. INTRODUCTION
The community diagnosis was done within 4 working days. The PLM nursing
students had determined the major problems within the community. With regards to this,
the community diagnosis will be the basis for the program plans and project proposals
to resolve the problems identified within the community.
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RATIONALE
The community health nurse is deeply concerned with the capability of his/her
levels of clientele- families, individual, population groups and community, and their
ability to deal with its own recognized needs and health problems. Each of the clientele
has various characteristics that the nurse must recognize and attend in order to direct
her contribution through nursing. In community health nursing, the community is not
simply a context of the existence of the families, groups or subpopulations. Hence, the
community as a whole is the locus of service of the community health nurse.
The community is the primary client of the nurse since it has a direct influence on
the health of the individual, families and subpopulations and it is at the level that most
health service provision occurs.
Through this knowledge, the student nurses have decided to formulate this
community diagnosis to obtain general information about the community’s profile and to
determine the community’s strengths and weaknesses. Barangay Masaya of Bay
Laguna is chosen to be the locale of this community diagnosis for the reason that the
student nurses are to plan and implement projects based from the results of this
community diagnosis. In this regard, they were able to identify the needs of the
community to determine what their current health status is and how it affects their living
conditions as a community. Moreover, it was done for the community to be aware on the
problems that they currently experiencing which may affect their health. Because of this,
the student nurses can also perform thorough community assessment given the short
span of time.
STATEMENT OF OBJECTIVES
General Objective
Through this community diagnosis, the people of Brgy.Masaya. Bay, Laguna, will
understand the present health status of the community, its contributing factors and
implications to the community people’s lives.
METHODOLOGY
The first batch of CIP consists of 32 students; all were assigned in the Purok
2-7 of Barangay Masaya. The group planned on the strategy to use for a more
systematic approach. In gathering data, the student nurses were divided into 2
groups wherein group A is to utilize the windshield survey technique, examine the
secondary data and conduct informative interviews in purok 2 and 3 of the said
barangay, while group B is to do the same in purok 4 to 7. The central committee
had coordinated with the barangay officials to obtain the number of households per
purok in order to determine the 30% needed to be interviewed in the respective
puroks. Before conducting the actual community assessment, the student nurses
observed around the neighbourhood and gathered data related to the people, the
place and social systems that helped define the community. The student nurses
had also informed the Barangay Chairman and their community leaders of
conducting a community diagnosis in their Barangay. The student nurses had their
respective courtesy calls to the barangay officials. By walking around the area the
student immersionist were allowed to see and be familiarized in the community. The
student nurses who made this diagnosis used survey forms with details provided by
their professor as instruments to collect data. This was used because it gathers
data faster and more conveniently. The student nurses tallied the result of the
survey forms and finally went with the last step, the interpretation and analysis of
data, summary, conclusion and recommendations. Upon finalization of the parts of
this community diagnosis the student nurses had prepared for their presentation.
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The study was conducted at Barangay Masaya, Purok 2-7 of Bay, Laguna.
The student nurses were given approximately 2 weeks for community assessment
which comprised of the courtesy call, ocular survey and the actual interview.
Moreover, the study was limited with 312 households of purok 2 to 7 only.
Specifically, in purok 2-103 households, purok 3-54 households, purok 4-43
households, purok 5-20 households, purok 6-19 households and purok 7- 74
households. Purok 1 is a private village so it was not involved in the study.
The data gathering was conducted for 2 days around the morning of a
weekday thus limiting our respondents as to who were currently in their homes
during the data gathering. The families who were not interviewed but are included in
the population of the barangay may have not been presently in their homes during
the data gathering may be because of their work. All the data gathered was
according to what the researchers heard and observed. The different areas
considered and included in the study are the family structure, socioeconomic, home
and environment status, knowledge of the concept of health care, and health
problems from the family representatives.
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Description
In the time the town was still unnamed, it was consisted of wild forests.
There were vast trees that served as shelter for different kinds of animals such
as birds, boars and other wildlife. The only means of transportation was through
riding carabaos and horses.
In 1860, a railroad was built in the municipality that was governed by the
Spaniards. This event gave birth to the trading industry of the town per se.
Through this, the products of the community became accessible to other
adjacent places, municipalities and cities. The train station served as the main
mode of transportation of the community people. The Spaniards were pleased
about the progress that happened in the town and they have come up with the
idea “MASAYA ang mga Indyos”.
As days passed by, a man named Pedro Ramos arrived in the town. He
started to develop agricultural land and fields. The town became more
progressive and people from other places went to the community.
On the other hand, to satisfy the basic needs of the community, the family
of Trinidad Cabatingan decided to open a bazaar. In addition, some
businessman in the community had also run some stores.
Later on, a chapel was built and it became the center of governance of the
people. Other resources of the community such as schools and other forms of
business were also established.
Years passed by, through the commitment and contract made by the
officials of town Masaya, Puypuy and Tranca, Purok Masaya was proclaimed as
a new Barangay. Angel T. Jaraplasan, Mario Tiongco and CrisencioPunzalan
were the initiators of the said treaty. It was permitted by Mr. Cornelio Manisi, the
mayor of Bay in the year 1956.
SPOT MAP
Figure 3: Spot map of Purok II, Barangay Masaya, Bay Laguna as of November
2012
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Figure 4: Spot map of Purok III, Barangay Masaya, Bay Laguna as of November
2012
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Figure 5: Spot map of Purok IV, Barangay Masaya, Bay Laguna as of November
2012
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Figure 7: Spot map of Purok VI, Barangay Masaya, Bay Laguna as of November
2012
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Figure 8: Spot map of Purok VII, Barangay Masaya, Bay Laguna as of November
2012
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III. POPULATION
3.2 Total Population of the houses surveyed. The nursing students were able
to survey a total of 312 households for this community diagnosis.
719 males
= × 100
682 females
= 105.43
This computation yields that approximately for every 10 females, there are 11
males. Although the difference is not that clearly defined, males exceed the female in
terms of numbers. According to the National Statistics Office’s census as of 2010, the
sex ratio in the Philippines is that there are 102 males for every 100 females. The result
of the survey is not distant from the 2010 census. In population sex ratio, the number of
males is normally higher than females but as they age, due to different factors such as
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Male Female
Age Group
F F Total %
4.43
65> 21 41 62
4.21
60 – 64 31 28 59
4.85
55 – 59 25 43 68
4.93
50 – 54 36 33 69
5.21
45 – 49 38 35 73
6.42
40 – 44 43 47 90
6.92
35 – 39 53 44 97
8.42
30 – 34 55 63 118
9.42
25 – 29 73 59 132
8.92
20 – 24 66 59 125
7.92
15 – 19 65 46 111
7.14
10 – 14 51 49 100
10.71
5–9 75 75 150
8.28
1–4 70 46 116
2.21
<1 17 14 31
100.00
Total 719 682 1401
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65> 65
65<
<
60
60 - 64
-…
55
55 - 59
-…
50
50 - 54 - Male
-…
- Female
45
45 - 49
-…
40
40 - 44
-…
35
35 - 39
-…
30
30 - 34
-…
25
25 - 29
-…
20
20 - 24
-…
15
15 - 19
-…
10-1410
-…
5-9 5-
9
1-4 1-
4
<1 <1
80 60 40 20 0 0 20 40 60 80
Table 1 shows that the highest percentage of residents in the area are in the age
group of 5 to 9 years old with 10.43% for the male and 10.99% for the female
respectively, the least is the age group of less than 1 year old with 2.36% for the male
and 2.05% for the female respectively. The number of males in the reproductive age is
355 and 315 for the females which yields to a ratio of 10 males: 9 females. In terms of
dependent age versus the productive age, ages 0-14 comprises of 397 children while
ages 65 and above includes 62 elderly having a total of 459 dependent individuals. The
total of productive individuals in the age of 15-64 years old was 492 individuals.
Due to the population distribution of the community, the figure produced a rose-
bud like shape wherein the older generation obtained the lowest percentage
representing the tip of the rose-bud. The second most populated was the middle adult
population specifically the 30-34 aged females and 25-29 aged males, showing the
body of the rose-bud, and those who belong in the school age group of 5-9 years old,
both male and female, obtained the highest percentage illustrated as the leaf of the
rose-bud.
As showed on the rose-bud shaped age distribution, a 20-year gap is present; for
the females, the generation gap is between the age groups of 30-34 and 5-9 years old
and the generation gap for the males is from the age group of 25-29 and 5-9 years.
The young generation which comprises lower than 10-14 has a wide
representation on the Pyramidal Graph of Age Distribution; this means that those who
are between 20-24 and 30-34 are the parents of this young generation. Furthermore,
there was a trend that existed that it is good to have 3-4 children in the family. It is also
proven by the proportion of the ages 50-54 to 65 and above, that a trend existed even
back then, that having more children will benefit the family greatly. Those Hence the
rosebud shape of the Pyramidal Graph.
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Status F %
Married 526 52.40
Single 312 31.06
Cohabiting 85 8.47
Widowed 60 5.98
Separated 21 2.09
TOTAL 1004 100.00
Civil Status
6% 2%
Married
9%
Single
Cohabiting
52%
31% Widow
Separated
As the table suggests, the community has a high percentage of married status.
Aside from this, there are about 318 female individuals or 46.6% out of the 682 female
individuals were considered in the reproductive age. There are about 9% of families
who are cohabitated and 2% of the families are separated. The number of separated
and cohabitated individuals are alarming. Some of the families surveyed, stated their
reason for as to why they are cohabitated; some stated that, lack of money is a factor;
some also stated that that is what their parents did previously. Others say that it is not
that big of a deal to be wedded, that it is more important to just be happy. Those
circumstances will have a definite impact on their reproduction, and might consequent
to a population boom.
Strong family ties may also reflect the increased coping ability of the community
since we consider family as the basic unit of the society.
The high number of young generation may reflect that they belong in the single
status population. High percentage of single status population has capability to increase
productivity in the community. This age bracket has the capability to take care of
oneself, contribute to the family by simple household chores, has the capability to make
a living or can be considered to live independently.
DR = No. of pop. 0-14 yrs. old + 65 yrs. old and above x 100
Pop. 15 yrs. to 64 yrs. Old
DR = (397+62/942)*100
DR = 48.73
Analysis:
This ratio signifies that there is a low dependency ratio in the community as
evidenced by in every 100 independent individuals there are 49 or could be simply said
that there are 1 dependent individual for every 2 independent individuals. It implicates
that there are more independent population capable of supporting the lesser dependent
population.
The individuals at the ages of 0-14 and 65 and above are considered dependent,
although some of the members of the families surveyed are already helping their
families earn income. Examples are; some of the young generation becomes a courier
for trash and to the other extremes, Even the father who is greater than 65 years old is
still out in the farm, tilling the soil and planting rice. These circumstances could alter the
dependency ratio.
4.2 Occupation
Status F %
384 42.38
Employed
358 39.52
Unemployed
164 18.10
Self- employed
100.00
TOTAL 906
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Occupational status
18%
42%
employed
unemployed
40%
self-employed
The table reveals that there is a high percentage of the population who are
employed in the community. This further implicates that the economic status of the
community is good.
Barangay Masaya has an agricultural land area, and this characteristic of the
barangay contributes to the factor that, farms generate jobs to the local people, and also
the barangay is near to the Market area (Bayan) where in their farm goods could be
transported easily using the barangays transportation medium, the tricycle further
adding to the jobs that can be utilized by the barangay, the use of both farm lands and
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tricycle as a medium to generate jobs and income contributes over all to the good
economy of the area.
According to the families surveyed, even though the ages of their family
members are within the dependent characteristics, they are still able to be a productive
member of the family. Like the children helping with the farm, and the elders still
working even though they already reached the ages 65 and above. This implies that
there is still a number of available manpower within the community that if used, may
contribute to the development of the community’s overall good economic status.
Occupation F %
White
Employee 38 19.79
OFW 29 15.10
96 50.00
TOTAL
Blue
Landscaper 19 2.10
Beautician 12 1.33
Tailor 7 0.77
50.00
TOTAL 452
OFW
City/Town/National Officers
College Professor
Social Worker
0 5 10 15 20 25 30 35 40
Private Business
Driver
Maintenance
Security Officer
Tailor
Interviewer
0 10 20 30 40 50 60 70 80
Occupational Status
17%
83%
Blue collar jobs are jobs performed through manual labor, which involves skilled
or unskilled workers. On the other hand, white collar jobs are defined as jobs which
involve professional, managerial or administrative works.
It showed that there are more individuals who work in a blue collar than white
collar jobs. This can be connected to the educational status and the physical description
of the community. Agriculture is one of the blue collar jobs that most of the community
people are into because the area has a vast land. The economic status of the
community is further explained by the findings, as it implies that the family may not be
able to satisfy their self-actualized needs since mostly are wage-earners.
61 11.13
7000 – 8999
93 16.97
5000 – 6999
111 20.26
3000 – 4999
89 16.24
1000 – 2999
27 4.93
<1000
548 100.00
TOTAL
Average income
0 20 40 60 80 100 120
15000>
11000 - 12999
7000 – 8999
3000 – 4999
<1000
As the table reveals, majority of the population’s income per month is around
3,000 – 4,999 php per month. National Statistical Coordination Board (NCSB) stated in
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their report that a family of five needs P5,458 to meet basic food needs monthly and
P7,821 to stay above the poverty threshold (basic food needs and non-food expenses)
every month. It can be inferred that from the whole population, only 41.43% fall below
the poverty line. With this result, 58.57% of the families in the community are able to
attain their basic needs. It can further support the good result shown in the economic
index of the community which shows that the community has a good economic status. If
the findings regarding occupational status are considered; it shows the contrary. Based
on their income and the change in ratio to 1 independent to 2 dependent, the employed
individual’s income may only suffice theirs and one dependent’s needs. Thus, the
employed individual may not be able to provide the needs of the other dependent
members of the family. This may put the health status of the individual at risk since his
needs are not met. If the productive ages are all employed, their income may be able to
shoulder all the needs of the dependents in the community.
V. SOCIO-CULTURAL INDICES
Formula: LR: No. of Pop. 8 yrs & above who can read & write x100%
Total No. of Pops 8 y/o & Above
: 916X100%
925
: 99.03%
Box 3: Literacy rate of Barangay, Masaya, Bay, Laguna as of November 2012
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The great number with regards to literacy rate is due to the structural set-up of the
barangay’s environment. Schools could be easily accessed in the vicinity for different
levels. The barangay has 2 schools in its vicinity of purok 2 and 7. According to some
families interviewed, the literacy rate is greatly affected by the parents’ initiative of home
teaching their children, and the proximity of the school to their residence.
Majority of the people in barangay Masaya could read and write despite 44.43%
of the barangay is below poverty line according to table 5. This implicates that the
people in this community value the importance of reading and writing. It is also evident
that even though some families fall below the poverty threshold, they still give effort in
order to give their children the right of education. Health teachings comprising of giving
out flyers, lectures and return demonstrations would not be difficult to be comprehended
by the people.
Level F %
Vocational 15 1.62
Educational Attainment
350 311
300
250
200 168
104 108 131
150
100 81
50 15 7
0
In line with the data showed above, there is a high percentage of young
individual in the community it implies that there is a high percentage of the individual
who finished high school. It was also distinguished from the data that there is a high
percentage of married individual this may imply that some may have stopped continuing
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education due to early marriage. According to the families surveyed their reasons for
not finishing their education is financial difficulties, early pregnancy, and lack of
motivation. Also, there are 15 individuals who graduated from vocational courses.
These individuals, even though did not graduated with a college degree, found a way to
provide a living for their respective families.
5.3 Religion
Religion
600
500
400
300
200
100
0
Roman Born Again Iglesia ni Jehova's Baptist Adventist Back To
Catholic Cristo Witness Christ
Table 7 describes the percentage distribution of the religion of the head of the
families with the following results: 92.45% Roman Catholics, 5.22% Born Again, 0.72%
Iglesia ni Cristo, 0.53% Jesus is Lord, 0.36% Jehova’s Witness, 0.36% Baptist, 0.18%
Adventist, 0.18% Back to Christ.
This implies that despite the presence of numerous religions in the community,
the difference in practices and beliefs do not hinder the health care programs
implemented in the barangay, except for the 1 back to Christ believer because it is part
of their practices of depending their health status to prayers instead of seeking medical
attention. Overall health programs may be implemented smoothly in the community
since the majority shares the same faith.
5.4 Place of Origin
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Place F %
Visayas 15 2.68
Mindanao 7 1.25
NCR 6 1.07
1% 1%
3%
Luzon
Visayas
95% Mindanao
NCR
Table 8 shows that in the 312 households surveyed, the heads of the families
have different places of origins. The table shows that 95% of population originated from
Luzon, 3% came from Visayas, 1% came from Mindanao, and the remaining 1% came
from NCR.
With different places of origin this affects the health and cultural practices of each
family. All cultures have systems of health beliefs to explain what causes illness, how it
can be cured or treated, and who should be involved in the process. Family members
undergo internal migration, where in they move from one place to another locally for the
following reasons; after marriage, the husband moves with his wife to the wife’s family.
In terms of the setting of the community, the respondents stated that, Masaya being an
agricultural and rural province they moved there because of the lands left by their long
gone family member and use it for farming rice, a staple food for the province. In terms
of occupational status, the respondents migrate to the provinces for jobs, most of the
jobs in the locale tend to be blue collar.
5.5 Population Movement
a. Length of stay in the area of the families surveyed
6 months - 1 yr 13 3.43
Length of Residency
400
294
300
200
100 13 36
2 34
0
<6 months 6 months - 1 1yr - 5 yrs 6 yrs - 10 yrs 10 yrs >
yr
It was shown in the data that greater part of the population resided in the
community for 10 years and above. This can be regarded as an advantage since the
length of residency is evidently one of the reasons why the community has a
harmonious relationship.
We can also relate this increase of residency to the place of origin of the
community people. Majority of the population came from Luzon and had specified
Barangay Masaya as there place of origin. As stated by the community people, other
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reason contributing to the length of residency was the availability of a house to stay in
since most of it was inherited from their ancestors.
5.6 Housing
a. Type of houses
Table 10. Percentage Distribution Showing the Types of Housing
of Families Surveyed of Barangay Masaya Purok 2-7
of Bay, Laguna as of November 2012
Structure F %
180 57.69
Strong
31.09
97
Mixed
22 7.05
Light
13 4.17
Makeshift
312 100.00
TOTAL
Types of Housing
4%
Strong
7% Mixed
31% Light
58% Makeshift
Strong types of houses are those that are built primarily through concrete
materials. Meanwhile, Mixed types of houses are made out of concrete and wooden
materials. Light type of housing, on the other hand, makes use of wood materials only in
building house. Lastly, Makeshift types are those houses which are made out of any
assorted light materials (plastic, broken plywood, etc).
It was shown in the data that majority of the population in the community has a
strong-type of housing despite being an agricultural community. Thus, most of the
families in the community are able to have adequate protection. Since majority of the
population living in the barangay already stayed there for 10 years and above, it implies
that the investment in strengthening their houses is one of their priorities.
However, there are still families with mixed-type and makeshift houses which
may signify that several families are still at risk for vulnerability to unexpected
environmental or weather conditions.
b. Ownership
Table 11. Percentage Distribution Showing Housing Ownership
of Families Surveyed of Barangay Masaya Purok 2-7
of Bay, Laguna as of November 2012
Type F %
Rent 17.95
free 56
74.68
Owned 233
7.37
Rented 23
100.00
TOTAL 312
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Ownership
18% 7%
Owned
Rent free
75%
Rented
Based from the data presented on the table above, majority of the respondents
own their houses. It implies that they are able utilize their income on other basic
necessities which includes their health needs, unlike those families who rent.
In relation to length of residency, most of the population had stayed for 10 years
and up in the community with the majority of the community living in a strong-type
house. Another factor that contributes to the large number of families owning their
houses is inheritance from their ancestors.
Since a percentage of the community came from different provinces, they choose
to rent a house to start a new living. Majority of the rented houses in the surveyed
community reside in a government property specifically the Philippine National
Railways.
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c. Ventilation
Ventilation
Status F %
Adequate 175 56.09
Inadequate 83 26.60
Satisfactory 54 17.31
TOTAL 312 100.00
Ventilation
17%
56% Adequate
27% Inadequate
satisfactory
The ventilation was determined by: first, verifying the total area of each
house by multiplying the length of the floor by its width; and second, determining the
area of the window by multiplying the length to its width. The determined values of the
total floor area and area of the window were then used in the formula for ventilation:
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After obtaining the result of the ventilation per household using the formula
above, it is categorized as to adequate, satisfactory or inadequate condition. Results
with 17% and below were considered to have inadequate ventilation, 17.1-18.9% on the
other hand has satisfactory ventilation and to be classified to have adequate ventilation
they should have 19% and above result.
On the other hand, 27% of the population has satisfactory ventilation. A problem
in ventilation would not be evident because the increase of population in the community
is not imminent. Lastly, the percentage of people having inadequate ventilation, choose
to use their savings or salary on their basic needs and there might nothing left for
improving the ventilation.
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Water Source
Source F %
Point Source 195 62.50
Waterworks 117 37.50
TOTAL 312 100.00
Water Supply
38%
62% Point Source
waterworks
Majority of the surveyed houses have point source type of water supply.
Members of the community that fall under the poverty line did not mention having
difficulty in their water supply due to the numerous free-flows available in the
community. Some families expounded that their point source water supply serve as their
drinking water at their homes because their source had been declared safe to drink by
proper authorities. They also explained of boiling the water for the infants. However, few
families had mentioned of purchasing mineral water from commercialized sources. This
implies that there is still a part of the population who are hesitant if their water supply is
potable.
With regards to the shared water supply, it implies that the households are
somehow in danger of acquiring water borne diseases since the pipe has been modified
to provide access for a shared water supply. Through ocular survey, it has been
observed that there are some parts of the community with scattered garbage that clog
some parts of the free flows, thus putting the majority of the population in danger of
obtaining water borne diseases.
Excreta Disposal
Type Type %
Pour-flush 281 90.06
Flush 22 7.06
Pit 9 2.88
TOTAL 312 100.00
Excreta Disposal
3%
7%
This shows that most of the community maintains a hygienic practice on human
excreta disposal. It also means that hygiene is prioritized more than the structure
maintenance of the houses. This implies that the community believes that surroundings
or environmental aspect is a factor that contributes to the occurrence of diseases. This
practice is highly appreciated despite of their condition since they maintain proper
excreta disposal. This would lead to prevention of transmission or rather acquiring
infection-related illnesses.
Proper education on proper maintenance of good environment is evidenced by
the majority of the community are high school graduates. This signifies that there would
be a continual hygienic practice since they can teach whatever they have learned to the
younger populations in the community.
Since most of the population utilizes water works system and pour-flush excreta
disposal, each family can maintain their hygienic practice unless there will be a problem
in the waterworks system. This lessens the risks of the community in developing
dissatisfactory environment, foul-odor and also the occurrence of infection-related
illnesses.
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Type F %
Collection with
segregation 228 73.08
Burning 61 19.55
Open
Dumping 19 6.09
Others:
Burying 4 1.28
TOTAL 312 100.00
Garbage Disposal
1%
6%
20% Collection
Burning
73% Open Dumping
Burying
Food Storage
Type F %
Not Refrigerated 166 53.20
Covered 162 51.92
Uncovered 4 1.28
Refrigerated 146 46.80
TOTAL 312 100.00
Food Storage
1%
Not refrigerated
47% (Covered)
52%
Refrigerated
Not Refrigerated
(Exposed)
The table above states that a high percentage of family stores food by keeping it
covered due to the absence of refrigerators. This may imply that the foods that are not
kept refrigerated are more prone to contamination and are risky to the health of the
individual when food is ingested without noticing that it was already spoiled. Moreover
with the 1% whose foods are exposed and are not kept covered. The families with this
practice are more exposed to contamination especially for children.
Note: Only those who are less than 1 year old are included in this table
16%
Breastfeeding
16%
68% Powdered
Mixed
Those who utilize the mixed type of infant feeding lessen the benefits they could
have obtained if breast feeding was solely utilized. On the other hand, those who utilize
the powdered infant feeding have minimum acquired immunity or resistance against
certain diseases compared in breastfeeding. Though powdered milks today are fortified
with different nutrients to increase the body’s resistance, it is not as the same level
compared to breastfeeding. Immunoglobulins, lactoferrin, interferon, lysozyme and
bifidus factor are some of the substances necessary to kill or prevent the growth of
bacteria and viruses causing diseases mostly gastrointestinal in nature,
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35
30
25
20
Targeted Children
15
Accomplished
10
0
BCG DPT 1 DPT 2 DPT 3 OPV 1 OPV 2 OPV 3 HEP B HEP B HEP B AMV
1 2 3
increases his age. Thus, children were not able to complete the required doses of
immunization. There are several factors that affect the surveyed families with regards to
their compliance on EPI. According to the respondents, the primary reason of their
noncompliance is the inadequate resources of their health centre. Other than this,
certain personal reasons of the family such as: busy schedules and financial constraints
also conflict with the need to comply with the vaccinations. Other families are also non-
bona fide resident of the barangay or they are newly transferred in the community.
In addition, there is certain number of children who are unable to continue their
vaccination on schedule because of unexpected illness that may interfere with the
vaccine per se.
Furthermore, the barangay officials also raised the issue behind the
noncompliance of EPI because they have said that the community people want the
vaccinations to be held at their own households.
The surveyed population further stated that the health care providers instruct the
families to buy their own vaccines and let the health care providers administer it to their
children. This is correlated with the economic index of low monthly income of the
community people which is proved by the 20% of the total earning families having
php3000-4999 income per month.
The incidence of noncompliance on EPI indicates that more children will not be
protected against certain diseases such as tuberculosis, diphtheria, pertussis or
whooping cough, tetanus, polio, liver cancer or liver cirrhoisis caused by Hepatitis B and
measles.
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Health Center 75
Hospital 70
None 66
Others 65
Private Clinic 51
The table showed that there are high percentages of families that depend on
health centers to seek medical treatment. One of the reasons is the setting of the
community; there is no accessible hospital within the municipality. The patient seeking
health service has to travel to the adjacent municipality which is Los Baňos. There is
only a number of private clinics and health center present in the nearest town.
One index of the community’s economy that influences the health seeking
behaviour of the community is their type of occupation. White collar jobs are entitled
with health benefits therefore if they are ill, there will be an underlying support for them.
However, the blue collar jobs are not entitled with such benefits therefore they seek a
low cost health services. Together with the low income of these blue collared jobs, they
have no choice to seek medical attention in the available and cost-wise resources which
is the health center.
As the table showed above, there are 3 households who never seek medical
attention to any health institution. This is because of their religion. Specifically, Back to
Christ, they believe that whenever they get sick, offering prayers are the best solution
for them to be healed rather than consulting in a medical institution.
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Source F %
Health Center 129 41.35
Media 93 29.81
Others:
Neighbor 62 19.87
Hospitals 27 8.65
Private Clinic 1 0.32
TOTAL 312 100.00
0%
9% Health Center
20% 41%
Media
Others: Neighbor
30% Hospitals
Private Clinic
The table shows the percentage distribution showing the Source of Health
Information of Families Surveyed of Barangay Masaya Purok 2-7 of Bay, Laguna. Most
of the respondents or 41.35% of the families surveyed preferred the health centers as
their sources of health information, 29.81% of the total families chosen the media,
whereas 28.85% of the total families prioritized other means, such as health information
coming from their neighbors (19.87%), hospitals (8.65%) and private clinics (0.32%).
The percentage distribution above showed that most of the families surveyed
have chosen the health center as their primary source of health information. The results
also indicated that hospital and private clinics were the least priority. With regards to the
setting of the community; there’s no accessible hospital or private clinics within the
barangay, due to this, the families have preferred other options such as health center,
media and information coming from their neighbours. Furthermore, convenience plays
a certain role when it comes to the health seeking information of the surveyed
population.
Another cause why the health center serves as the main source of health
information is the health seeking behaviour of the families. As presented on the
previous table, the health center acts as the primary institution wherein the community
people seek medical treatments. It indicated that as the community people seek medical
help, they also gathered health information. There’s a direct relationship between the
seeking behaviour and the source of health information of the community people.
On the other hand health information coming from the neighbourhood is the third
most prioritized source of health information. In connection with this, the reliability of the
health information is affected by the cultural beliefs and practices of the community per
se. in addition, there are no written documents or formal verbalizations from an
acknowledge barangay health worker or licensed health care providers.
The data also implied that there is an active involvement with the members of the
community to the health care facilities. The results only show that the people in the
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community give importance to the wellness of their health by seeking health information
as resourceful as they could.
Subdural Herniation 1
Pancreatic Cancer 1
Cardio Vascular Disease 1
Vehicular Accident 1
Chronic Obstructive
2
Pulmonary Disease
Emphysema 2
Acute respiratory
1
Distress Syndrome
Cardio Vascular
1
Disease
Hepatic Carcinoma 1
Miocardial Infarction 1
Pancreatic Cancer 1
Subdural Herniation 1
Vehicular Accident 1
Skin Diseases 18
UTI 16
Dental Carries 15
Infected Wounds 13
Boil 12
Fever 11
Parasitism 11
Asthma 10
The table presents the Morbidity and Mortality of Barangay Masaya Purok 2-7 of
Bay, Laguna. Morbidity refers an incidence of state of being diseased, unhealthy or ill
health in a population. On the other hand, mortality is the number of deaths of a certain
disease in a population noted for a year. The leading cause of morbidity in the barangay
for the month of July to October 2012 is Acute Respiratory Infection which accounts for
382 cases. Meanwhile the leading cause of mortality of the barangay Masaya for the
month of July to October 2012 is Emphysema and Chronic Obstructive Pulmonary
Disease; both diseases are related to the lungs.
The table suggests that there are certain diseases that contribute to the morbidity
and mortality rate. The leading cause of morbidity in Barangay Masaya is Acute
Respiratory Infection. It implicates that there are several factors that contributes to the
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prevalence of ARI. This case coincides with the population status of the community.
According to the total population of the community, they have higher numbers of
younger individuals. Children have weaker immune system compared to adults. Thus,
younger population is mostly accountable in these cases.
On the other hand, the leading causes of mortality are Emphysema and Chronic
Obstructive Pulmonary Disease. This two diseases are commonly affected the lungs. In
line with this, these diseases may be effect of the following factors such as; sedentary
lifestyle, hereditary, environmental factors, and exposure to chemicals.
One factor that can affect the morbidity and mortality rate is the environmental
status of the community. As the results show, the barangay has poor sanitary condition.
Due to this, the incidence of communicability of these diseases is higher. Other
environmental factors such as the unpredictable climate of the community and garbage
burning add up to the prevalence of these cases.
VIII. SUMMARY
leading mortality case in the community is acute respiratory infection while the leading
cause of morbidity in the community is chronic obstructive pulmonary disease.
CONCLUSION
Based from the observations and gathered information during the assessment
phase, the group was able to identify and verify barangay Masaya’s primary and
important needs that should be given priority by the proper authorities. These problems
are the hindrances to the community’s progress in health. Some disputes serve as
health threats to the residents and to the community itself.
Modifiability of the
The age of the population cannot be
Problem 0
modified
(Non-modifiable)
Even though that the old-aged individuals
are considered as non-productive age
Preventive Potential
0.33 group, they are also considered as a
(Low)
resources for the community people to be
tapped.
TOTAL 1.41
TOTAL 4.74
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TOTAL 7.75
TOTAL 7.09
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TOTAL 4.41
Problem No. 6: Significant number of high school graduates: indicative for high unemployment rate
4.33
TOTAL
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TOTAL 5.24
TOTAL 3.57
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TOTAL 8
TOTAL 6.42
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After the scoring of each identified problem, the body has decided to enumerate the
prioritized problems according to its score 1 being the lowest and 10 being the highest
and with the priority 10 being the least and 1 being the most prioritized.
1 Insufficient HC Resources 8
7 Malnutrition 4.41
The following are suggestions and recommendations that were made for the ten
problems found in the community. To answer the problem on insufficient health center
resources; health education on alternative herbal medicines, proper first aid with basic
life support training, and home-based management for common diseases were
suggested. Along with the health education, a complete rehabilitation was also
suggested through provision of adequate resources in coordination with local
government unit and sponsors for the health center supplies. Provision of health
education and programs were suggested for the problem on poor hygiene. Specifically
the health education would be about proper hand washing technique, proper use of
body and home disinfectants and antiseptics, proper wound cleaning and wound
dressing, and proper tooth brushing guidelines, while the programs would be for the
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promotion of dental and nutritional health in coordination with the LGU. The suggestions
for the high number of married individuals were the facilitation of health educations,
referrals and evaluations. Specifically the health education would be about the nature,
benefits and methods of family planning, and responsible parenthood, and the referrals
to agencies for families interested in engaging to family planning, while promoting and
ensuring the accuracy of the family planning utilized. It was also suggested to have an
annual evaluation of the outcomes of the utilization of family planning. The EPI
compliance of the barangay may be improved through the provision of health education
on the benefits of proper vaccination and through coordination with the LGU for the
provision of vaccine supplies. To develop the environmental sanitation of the barangay
the following suggestions were made: the provision of health education that would
include proper waste segregation, disposal, maintenance of environmental cleanliness
together with their advantages and disadvantages, encourage and ensure families to
comply with the proper waste disposal and segregation, advise the LGU on proper
budget allocation for cost-efficient garbage cans labelled accordingly, monitoring of the
barangay’s compliance to maintaining a clean environment, coordinating with LGU for
the provision of toilet bowls, and water potability testing, and a clean-up drive in
coordination and with participation of the community. Suggestions for the mismatch on
the ratio of dependency and employment were the provision of skills development
training and organization of a job fair in coordination with the LGU. To answer
malnutrition, the conduction of health teaching on keeping a balanced diet, basic food
groups and nutrients and minerals from food, and proper breast and milk feeding were
suggested. Suggestions for the significant number of high school graduates were: the
provision of seminars in career readiness, skills workshop and training, and a job fair all
in coordination with the LGU. Unutilized manpower would also be solved by the
previous suggestions to the problem on insufficient health center resources and to the
problem of mismatch on the ratio of dependency and employment. Suggestions for the
high frequency of old-aged individuals were the conduction of exercise activities like
aerobics, and the provision of health education on proper home BP taking and
monitoring, proper diet in consideration of their health condition, appropriate knowledge
and intervention about degenerative diseases.
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PROGRAM PLAN
Title of the Program: Health center Empowerment with Assisted Rehabilitation and Transformation Project
Problems Identified: Insufficient Health Center Resources
Goal: To provide adequate resources in the Health center in terms of supplies, manpower, funding,
and infrastructure.
METHODOLOGY TIME
OBJECTIVES CONTENT EXPECTED OUTCOMES
FRAME
To provide an Assessment Step I It is expected that after
assessment and activities that Coordination with the 5 years all the programs and
baseline data of would determine Barangay and Health projects are
the barangay the specific Center officials, and accomplished, the
health center needs of the discussion and resources of the health
resources health center. assessment of the center will be adequate
problems and current and the rehabilitation
status of the health will be completed
Center.
To inform and Informative
coordinate with activities which Step II
the Community, tackles the Accomplishment of the
Barangay and inadequacy of letters of request
Health Center resources in the required for health
Officials about the health center. center, in terms of
insufficient supplies.
supplies,
manpower, Step III
general funding, Coordination with the
and infrastructure government for the
in rendering needed increase in
health care with funding and supplies of
utilization and the health Center.
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proper allocation
of available Step IV
resources. Acquisition and
allocation of the supplies
To provide Health Lecture Series given by the
Education about about alternative government, through
alternative resources in the meetings with the
resources in the community officials.
community among
population Step V
groups Reassessment of the
funding and supplies of
the health center.
To stimulate the Creative
consciousness of presentations of Step VI
the community the community’s Community mobilization
progress on the through creative
adequacy of engaging activities
health center
resources Step VII
Determine potential
To provide Supplemental leaders of the
supplemental activities such as community
activities to the sponsored
community supplementation Step VIII
advocating the of resources, Identification of potential
importance of maintenance, BHW among the
health care and utilization of potential leaders
resources health center
resources and Step IX
construction of Supplementation of
satellite knowledge about
barangay health primary health care to
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Step X
Provision of essential
To encourage Socialization trainings to the BHWs
participation in activities which related to primary Health
community will include the Care
undertakings participation of
the community Step XI
people. Evaluate the skills and
knowledge of potential
To identify Workshop BHW’s established from
potential leaders seminars which the seminars and
campaigning for will include the training provided.
the adequacy of participation of
supplies in the the community Step XII
health center people. Recognition of the
trainees as volunteer
BHW
To upsurge the Lecture Series
on the Step XIII
awareness and
maintenance and Formation of a core
knowledge of group among the BHWs
importance of
recognized adequate to monitor and maintain
potential leaders Resources of the adequacy in manpower
for the health health center resources in the health
center Center.
Step XIV
Leadership Coordination with the
To strengthen the officials for the
Training
leadership and Seminars and honorarium for the new
managerial skills Workshops BHW’s
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of recognized focusing on
potential leaders Leadership within Step XV
for the health the community Utilize the manpower of
and Management the community for the
Center
for the volunteer Health
community Professionals.
Step XVI
Event Process the honorarium
To form and Organization for of the volunteer doctors,
mobilize a core the community nurses and midwives
group concerned people regarding
the maintenance, Step XVII
on the continuous
utilization of Reassess the need for
development of health center increase in funding of
the program plan resources the health center
Step XVIII
Endorsement of the
To hone the core Event program plan to the core
group in the Organization with group
formation of intra- community
sectorial groups and
collaborations federations
inside the
barangay with
the utilization of
the Community’s
resources
To prepare the
community for the Endorsement
gradual turnover activities for the
core group
of the program
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PROGRAM PLAN
PROGRAM PLAN
Endorsement
activities for the core
group
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PROGRAM PLAN
To enhance the
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core group in
network Project collaborations
development with institutions and
agencies outside the
To strengthen barangay
the community’s
ability to be self- Delegation of tasks to
reliant the core group for Event
organizations
To prepare the
community for Endorsement activities
the gradual for the core group
turnover of the
program
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PROGRAM PLAN
Title of the Program: Project CLEANER – Community’s League on Environmental Awareness and Nurturing of
Environmental Resources
Problems Identified: Inadequate Environmental Sanitation
Goal: To promote a Nature-friendly community for the people of Barangay Masaya with safe source
of water, clean sanitary measures, proper waste disposal, and level I-free excreta disposal.
METHODOLOGY TIME
OBJECTIVES CONTENT EXPECTED OUTCOMES
FRAME
To provide an Assessment Step I It is expected that
assessment and activities that Coordination with the 5 years after all the programs
baseline data of the would determine Barangay Officers, and projects
community’s Barangay Health Center, accomplished, the
the community’s
environmental status Barangay Health community people
environmental Workers, Municipal will display a nature-
status Health Officers, and aware behavior, a
Local Government nature-concerned
To inform the Informative Officers attitude, and the
community about activities which community’s
the current Step II surroundings will be
tackles the
environmental status Completion of a nature-friendly
community’s Communication letters environment.
of the community
environmental for requests and
status assessment of the
problems and current
Lecture Series status of the
To provide health among environment.
education with the population
importance of Step III
groups Formation of General
environmental
sanitation Assembly in relation to
establishing rapport to
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the Community’s
To enhance the core resources
group in network
formation Project
collaborations
with institutions
and agencies
To strengthen the outside the
community’s ability barangay
to be self-reliant
Delegation of
tasks to the core
To prepare the group for Event
community for the
organizations
gradual turnover of
the program
Endorsement
activities for the
core group
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PROGRAM PLAN
PROGRAM PLAN
Title of the Program: Developing and Maintaining the Holistic Wellness of the Elderly
Problem Identified: High frequency of Number of Elders
Goal: To be of assistance in aligning the elders to positively cope with aging to maintain holistic
wellness in life
TIME EXPECTED
SPECIFIC OBJECTIVES CONTENT METHODOLOGY
FRAME OUTCOME
To provide an Assessment Step I 5 years Within the 5 years, it
assessment and programs which aim Coordination with the is expected that there
baseline data of to determine a Barangay Officers, will be a continuous
the elder baseline data with Barangay Health Center, development of
community regards to the Barangay Health Workers, holistic wellness of
Elders of the Municipal Health Officers, the elderly,
community and Local Government specifically they will
Officers grow in body, mind
To inform the A creative type of and spirit,
community about seminar which Step II
the common tackles the problems Completion of
problems encountered by the Communication letters and
encountered by elderly age group other required documents
their age group
Step III
To provide Series of Conduction of assessment
supplemental supplemental activities that will
activities activities that determine the extent of the
advocating the promote wellness of problem
wellness of the the elderly
elders Step III
Formation of General
To stimulate the Creative Assembly in relation to
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Vision (Pananaw)
Mission (Hangarin)
Goal (Mithiin)
Kgg. Angelito M. De Mesa Kgg. Josefina S. Oliva Kgg. Yolanda R. Kgg. Danilo T. Diaz Kgg. Celso B. Navarro Kgg. Renato D. Kgg. Daniel Joseph Kgg. Rey S. Mariňas Eula Paula L.
Kagawad Kagawad Matanguihan Kagawad Kagawad Amparo B. Mercado SK Chairman Elegado
Kagawad Kagawad Brgy. Clerk
Social Welfare Training & Finance Peace & Order Health & Sanitation Livelihood Infrastructure Sports & Youth
Education Appropriation Development
Aiza D. Rota Marciano Perez Jr. Brgy. Chief Eula Paula L. Elegado Kgg. Jenny Mariňas
BNS Kgg. Rodelyn Gavanes
DCW Edito Maac Brgy. Deputy
Kgg. John Mark Sapopo
Evelyn Susana Juanito Magpantay Team Leader Kgg. Deza Jean Valencia
DCW Kgg. Glaiza Rota
Kgg. Rhina Padagas
Sheryl M. Docto
Kgg. Darwin Diaz
DCW
Ma. Theresa Eusebio
RICC