GUIDE IN THE MAKING OF COMMUNITY DIAGNOSIS

TITLE PAGE:
ACKNOWLEDGEMENT:
To show appreciation for the assistance or favor extended to the trainee.
TABLE OF CONTENTS:
INTRODUCTION
Preliminary statement in explanation of the study or justification of the selection or
choice of the study.
RATIONALE
State reasons for undertaking the study
May include statements of logical basis of facts or exposition of principles
STATEMENT OF OBJECTIVES
a. General Objective – statement of what one hopes/ intends to accomplish with the
study.
b. Specific objectives – statement of what are to be accomplished to attain the general
objective or goal.

METHODOLOGY AND TOOL USED

A description of the adoption, construction and administration of instruments.
Instruments include tests, questionnaires, interview guides and/ or schedules etc.
LIMITATION OF THE STUDY
State any limitations that exist in the reference population
I. SETTING OF THE COMMUNITY:
1. Description
Describe the location, boundaries, total population, physical features, climate,
medium of communication, means of transportation, resources in the community.
2. Construct a spot map with the following:
2.1 Title
2.2 Direction

2.3 Resources in the Community – ie., Barangay Hall, School, Market, Church,
Public Faucet, Public Toilet, etc.
2.4 Use Color Legends to indicate:
Households interviewed
Health Program Acceptors/ Beneficiaries identified ie., FIC, Malnourished
Child, TB patient, AP, PP, etc.

II. POPULATION
2.1 Total Population of the Barangay
2.2 Total Population of the Families Surveyed
2.3 Sex Ratio:
No. of Males
 Formula: SR = ---------------------------------------- x 100 %
No. of Females

Analysis: ________________________________________

2.4 Age and sex distribution

a. Age and Sex Distribution (Table 1)

TABLE 1. Age and Sex Distribution of Barangay _______, Zone ______

District _______ _______________________. 20___

m % f % TOTAL %
AGE (MALE) (FEMALE)
<1
1-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60>
TOTAL

ANALYSIS: ___________________________________________________________________
(Major composition of the population. Health Programs that should be intensified in the
community).
b. Pyramid – Age Interval of 5 (<1; 1-4; 5-9, etc.)
(Fig 1) color legend: MALE – blue, FEMALE – red

AGE AND SEX DISTRIBUTION

>65
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
<1
18 16 14 12 10 8 6 4 2 0 0 2 4 6 8 10 12 14 16 18
MALE FEMALE

2.4 Civil Status

a. Civil Status of Residents surveyed (Table 2)
 TABLE 2. PERCENTAGE DISTRIBUTION showing the CIVIL STATUS of
Individuals 15 y/o. & Above. Barangay __________________, Zone ________, District ______,
_______________, 20___.

Civil Status f %
Single
Married
Separated
Widow
TOTAL

ANALYSIS: ___________________________________________________________________

III. ECONOMIC INDICES:

3.1 Dependency Ratio:

No. of Pop. 0-14 y/o + 65 y/o. & Above

FORMULA: DR = --------------------------------------------------------------- x 100 %
Population 15-64 y/o

Analysis: ___________________________________________________________

3.2 Occupation (Table 3)

TABLE 3. Percentage Distribution showing the Average Income of Earning Individuals.

Barangay ______________, Zone _______, District ____________________, 20______.

(month)
Income/ month F %
<1,000
1,000 – 2,999
3,000 – 4,999
5,000 – 6,999
7,000 – 8,999
9,000 – 10,999
11,000 – 12,999
13,000 – 14,999
>15,999
TOTAL

ANALYSIS : ________________________________________________________________
(Include poverty line according to NEDA. Implication to ability of residents to
seek health care and to meet basic needs.)

3.3 Average Income (Table 4)

Table 4. Percentage Distribution Showing the Types of Occupation of Earning

Individuals. Barangay ____________, Zone ___________ District _________,
________________, 20____.

(month)

Occupation F %

eg. Laborer, vendor

TOTAL

ANALYSIS: ____________________________________________________________________
IV. SOCIO-CULTURAL INDICES:

4.1 Literacy Rate:

No. of Pop. 8 yrs. & Above who can read & write
Formula: LR= -------------------------------------------------------------------- x 100 %
Total No. of Pop. 8 yrs. & above

ANALYSIS: __________________________________________________________

4.2 Educational Attainment (Table 5)

Table 5. Percentage Distribution Showing the Educational Attainment of Individuals

Surveyed. Barangay ____________________, Zone _____________ District
___________, _______________________, 20___.

(month)

Educational Attainment f %
No formal education
Elementary level
Elementary graduate
High School level
High school graduate
College level
College graduate
Total

Note: Consider Educational attainment of Individuals 8 y/o and above.

Analysis: _________________________________________________________
( To include its effect on the success/failure of health education activities being
implemented in the community, can also correlate this with types of occupation
that they have)

4.3 Religion (Table 6)

TABLE 6. Percentage Distribution Showing the Religion of Families Surveyed.

Barangay___________, Zone__________, District___________,________________20___.

(month)
Religion F %
e.g Catholic
Iglesia ni Cristo
TOTAL:
Note: Count separately place of origin of mother and father.
Analysis: _________________________________________________________________
( To include any cultural belief that the residents practice which may affect the
acceptance of health programs/activities)

4.5 Population Movement

a. Length of Stay in the area of families surveyed (Table 8)

TABLE 8. Percentage Distribution Showing the Length of Residency of Families Surveyed.

Barangay ___________, Zone __________ District__________,____________20_____.

(month)
Length of Residency F %
<6 months
6 months – 1 year
 1 year – 5 years
6 years – 10 years
10 years & above
Analysis: _____________________________________________________________________

4.6 Housing:
a. Types of Houses (Table 9)
TABLE 9. Percentage Distribution Showing the Types of Housing of Families
Surveyed. Barangay _______, Zone _______, District _______, ________________20____.

(month)
Type of Housing F %
Makeshift
Light
Strong
Mixed
TOTAL:
Analysis:____________________________________________________________________
(To include the effect of housing condition to health)

b. Ownership (Table 10)

TABLE 10. Percentage Distributing Showing Housing Ownership of Families
Surveyed. Barangay_______, Zone______, District______, ________________20_____.

(month)
Ownership F %
Rent-free
Owned
Rented
TOTAL:
Analysis: ___________________________________________________________________
( The status of house ownership as an additional burden to meet the family
needs).

c. Ventilation (Table 11)

TABLE 11. Percentage Distribution Showing Ventilation of Houses of Families
Surveyed. Barangay_________ Zone______, District______,___________________20___.
(month)

Ventilation F %
Adequate
Inadequate
TOTAL:
Analysis:_____________________________________________________________________

V. ENVIRONMENTAL INDICES:
5.1 Water Supply (Table 12)
TABLE 12. Percentage Distribution Showing Water Supply of Families Surveyed.
Barangay _________, Zone____ District__________,__________________20____.
(month)

Level F %
I. Point Source
II. Communal Faucet
System or Standpost
III. Waterworks System
TOTAL:
Analysis:____________________________________________________________________
 5.2. Excreta Disposal (Table 13)
TABLE 13. Percentage Distribution Showing Excreta Disposal of Families
Surveyed. Barangay_________, Zone______, District__________,__________20____.
(month)

Excreta Disposal F %
Level I. Pit Latrines
Level II. Pour-Flush Toilet
Level III. Flush Toilet
Balot System/Wrap & Throw
Others, specify_________
TOTAL:
Analysis:________________________________________________________________

5.3 Garbage Disposal (Table 14)

TABLE 14. Percentage Distribution Showing Garbage Disposal of Families
Surveyed. Barangay __________ Zone______, District______,______________20____.
(month)

Garbage Disposal F %
DPS (collected)
Open Dumping
Burning
Waste Segregation
TOTAL:
Analysis: ________________________________________________________________
(Uncollected garbage and improper disposal as potential risk to health and to the
environment).

VI. HEALTH INDICES:

6.1 Food Storage (Table 15)
TABLE 15. Percentage Distribution Showing Food Storage Practice of Families
Surveyed. Barangay _______, Zone_____, District________,_______________20_____
(month)

Food Storage F %
Refrigerated
Not Refrigerated
a. covered
b. exposed
TOTAL:
ANALYSIS:____________________________________________________________________
(Importance of food storage to avoid food contamination)

6.2 Infant Feeding Practice (Table 16)

TABLE 16. Percentage Distribution Showing Infant Feeding Practice of Families
Surveyed. Barangay ________, Zone_______, District_________,______________20_____.
(month)

Type of Infant Feeding F %

Breastfeeding
Bottlefeeding
a. Evaporated
b. Condensed
c. Powdered
Mixed
a. Evaporated
b. Condensed
c. Powdered
TOTAL
ANALYSIS: ______________________________________________________________
(To include the effect of type of Infant Feeding to susceptibility to
infections/diseases. Include only infants up to 6 months old).

6.3 Immunization Status (Table 17)

TABLE 17. Percentage Distribution showing Immunization Status of Children <1
year old Among the Families Surveyed. Barangay________, Zone______,
District_______,________________ 20___.
(month)

Antigen No of Targetted Accomp. %

Children
BCG
DPT 1
DPT2
DPT 3
OPV 1
OPV 2
OPV 3
HEP B 1
HEP B 2
HEP B 3
AMV
ANALYSIS: ___________________________________________________________________
(To include number of children fully immunized. Give the reason/s why target
population was not given immunization or fully immunized).

6.4 Health Seeking Behavior (Table 18)

TABLE 18. Percentage Distribution Showing Health-Seeking Behavior of
Families Surveyed. Barangay_______, Zone_____, District______,____________20____.
(month)

Health Facility F %
Hospital
Health Center
Private Clinic
Others: Specify__________
TOTAL
ANALYSIS____________________________________________________________________
(Awareness of the medical services of the health center can encourage residents
to patronize said health facility. Include financial capability of families to seek medical
treatment at institutions other than health center).

6.5 Source of Health Information (Table 19)

TABLE 19. Percentage Distribution Showing the Source of Health Information of
families surveyed. Barangay ________, Zone______, District_______,______________20____.
(month)

Source F %
Hospital
Health Center
Media
Others: Specify___________
TOTAL
ANALYSIS_____________________________________________________________________
 6.6 Comparative Analysis of the 10 Leading Causes of Morbidity at the Health Center
during the recent 2 years (Table 20 & Fig 2, Bar Graph)

TABLE 20. Ten Leading Causes of Morbidity in Barangay________,

Zone_______, District________,_____________20____.