COPAR

124
Bulacan State University College of Nursing Malolos, Bulacan In Partial Fulfilment In the Requirement in the Subject NCM 102 B-RLE COMMUNITY NURSING DIAGNOSIS Barangay Carillo, 1 st District of Municipality of Hagonoy, Bulacan A Compilation Presented to the College Of Nursing Bulacan State University Prepared by: BSN-3H Date of Exposure: S.Y. 2009-2010

Transcript of COPAR

Page 1: COPAR

1

Bulacan State University

College of Nursing

Malolos, Bulacan

In Partial Fulfilment

In the Requirement in the Subject

NCM 102 B-RLE

COMMUNITY NURSING DIAGNOSIS

Barangay Carillo,

1st District of Municipality of Hagonoy,

Bulacan

A Compilation Presented to the

College Of Nursing

Bulacan State University

Prepared by:

BSN-3H

Date of Exposure:

S.Y. 2009-2010

Submitted to:

Charina Faustino, RN

Page 2: COPAR

2

DEDICATION

First we would like to dedicate the success of this study to our All Mighty

God whom been the source of our strength and knowledge in arriving in the

completion of this study.

This study is dedicated to our parents who inspired us to be the best that

we can be in the midst of conducting and completing this study. To our clinical

instructors who have supported us, and imparted their knowledge for us to arrive

in a much precise information and made us pursue to the completion of this

study.

We also dedicated this thesis to the community people, our friends and

classmates who have been a great source of knowledge and motivation..

Finally, this thesis is dedicated to those people who believe in the

importance of empowering the community people for the purpose of

strengthening and improving the extent of nursing care rendered n the

barangays.

Page 3: COPAR

3

ACKOWLEDGEMENT

This work would not be possible without the help of those people who made

valuable contribution and provided us encouragement to finish this study.

The researchers would like to extend their deepest and sincerest gratitude to the

following people who made this study success.

To our creator, all mighty God for the gift of wisdom and for never ending

guidance, strength and knowledge that he has given us.

To Mrs Loida O. Crespo, RN, MSN, MaEd, OIC Dean College of nursing for her

full support, assistance and understanding.

To Ms. Charina Faustino RN, our Community Health Nursing Instructor ,for

teaching us to become effective community nurses and for being supportive and

patient to us all the way to the completion of the study, to Mrs Myline S. Eser

RN, for giving wisdom towards community empowerment.

To the Barangay Captain Mrs. Flavia Santiago, for letting us have our community

exposure at the said barangay, and to Ms. Sonia Carpio the Community

Midwife for aiding us in the community programs and to all the barangay

officials and organizations who helped us towards the community.

To our foster parents that lend us shelter and accepted us as a part of their

family during our exposure, we thank you.

To our family that deserves much credit for our accomplishment for their undying

support and unconditional love and providing greater understanding

throughout the study.

To our friends, for giving us moral support, prayers and concern.

Thank you and may God Bless us all.

Page 4: COPAR

4

TABLE OF CONTENTS

TITLE NAME PAGE NUMBER

DEDICATION

ACKNOWLEDGEMENT

I. INTRODUCTION

II. STATEMENT OF THE OBJECTIVES

III. METHODOLOGY

IV. SCOPE AND DELIMINATION

V. COMMUNITY OVERVIEW

A. History

B. Spot Map

A. Community As A People

1. Population Of The Barangay and Families Surveyed

a. Length of Residency

b. Age and Sex Distribution

c. Civil Status

d. Religion

e. Highest Educational Attainment

B. Community as a Social SystemSocial Aspects of the Community

a. Predominant Organization

b. Recognized Leaders

c. Traditions Celebrated

d. Awareness on the Community Programs

C. Community as a Place

1. Economic Aspects of the Community

b. Monthly ExpensesPrioritization of ExpensesHealth Aspects of the

Community

a. House Ownership

Page 5: COPAR

5

I. INTRODUCTION

According to World health Organization, “Health is a state of complete

physical, mental and social well being and not merely the absence of disease.” It

is considered to be a goal for public health in general is important to every

individual.

Community is a common group of people sharing common geographic

boundaries and/or common values and interests. (Maglaya, 2005)

Community Diagnosis is a process in which a team of students works with

a designated community to identify its strengths, weaknesses, overall needs, and

future directions for promoting health and well-being. In doing this process, our

clinical instructor accompanied us, BSN -3H, for initial introduction to the

community and helps us in gathering information about its surroundings and

social environment.

We conducted a survey to one hundred forty two families of Barangay

Carillo, Hagonoy, Bulacan. And reviewed various data and evaluated resources

to identify the areas of concern that affects the health of the residents.

Each pair of student was assigned to a poster family to be able to get

more information. Through our stay we are able to interact with the family and

gather some information on by its Demographic, Socio-economic, Cultural,

Environmental, and Health- Related and Political variables of barangay.

As soon as health problems were identified from the data sources, we

made certain interventions and prioritized. This document provides a description

on community diagnosis process and outcomes for Barangay Carillo.

Page 6: COPAR

6

II. STATEMENT OF THE PROBLEM

GENERAL OBJECTIVES

The Bulacan State University – College of Nursing, Level III Section H,

aims to identify community problems in Barangay Carillo, Hagonoy, Bulacan and

develop a plan that will promote and raise the level of health status of every

individuals and community. Its goal is to help the community and families to cope

with the discontinuities in health and threats that maximizes their potential for

high level wellness.

SPECIFIC OBJECTIVES

a) To be able to assess over-all health status of the community people and

identify certain health problems.

b) To be able to plan and sets goals that may be appropriate to the

community.

c) To implement and evaluate a quality nursing services to community,

families as well as to individuals.

d) To develop student’s skills with regards in providing nursing service in the

community.

e) To coordinate with the community people and encourage them to

participate in nursing service with the health team provider in achieving

the aims of health services in the community.

Page 7: COPAR

7

III. RATIONALE OF THE STUDY

This study has been completed and undertaken to prepare us, the

researchers to an experience and learn to varied kinds of community here in our

country. This has also been initiated for us to carry out community assessments,

diagnose community needs, and evaluate the effectiveness, accessibility, and

quality of health services provided in the community. Because of this, the BulSU

– 3rd year nursing students had the opportunity to focus on a direct care role or

leadership role as future health workers that would lead a certain community in

the near future. The direct care emphasis prepare them with advanced clinical

skills who can employ complex strategies, interventions, and to promote,

maintain, and improve health and prevent illness of high-risk aggregate in

community-based settings such as home health agencies and ambulatory health

centers.

This study has been performed to organize further as well as to mobilize

the community assessed after such outcome and researchers has been done.

This will help the community people set up within themselves the potential of

being self-sufficient amidst any health defeat that might overrun their community.

The study has been conducted in order to gather databases of the

community for further use of other health workers and community profiling. This

has also been conducted to evaluate their health status after such assessment

and diagnosis been carried out through proper education, health promotion, and

direction.

Page 8: COPAR

8

IV. METHODOLOGY

This section of the research presents the design of the study particularly

the methods and techniques used in conducting this research.It includes the

population and sample of the study, key informant interview, ocular survey, as

well as the instrument used to gather the necessary data.

Research Design

In the conduction of this study, various approaches were done to be able

to arrive to the acquisition of the data. In order for the students to attain such

findings descriptive method was used to ascertain the similarities and differences

of the researchers experience in accordance to the surveyed respondents.

A survey tool was made and utilized, in the conduction of the study to be

able to acquire unity in the date collection and presentation.

Research Locale/ Setting

The study was conducted at Barangay Carillo, Hagonoy Bulacan at Purok

1-6, respectively. Hagonoy is on the western part of the Bulacan province, which

is composed of 26 Barangays including Barangay Carillo. The students of BSN-

II-H were divided into 4 Groups and were distributed in the Purok’s. Group I at

Purok 5-6, Group II at Purok 3, Group III at Purok 4, and Group IV at Purok 1-2.

The students were then conducted their survey on their respective Purok’s.

Sample and Sampling Technique

The students used a “zoning” technique in which all the present residents

in the chosen Purok’s were used as the respondents. With this method the

students had a much relevant data for it had contained the majority of the

population of the chosen Purok’s in Barangay Carillo.

Research Instrument

Survey questionnaire is adopted and modified in the needs of the study,

and was utilized by all the researchers in gathering data. Close-ended questions,

inclusive of choices were given to acquire the needed data and for the

respondents to easily comply with the given questions.

Page 9: COPAR

9

The survey tool consists of questions that identifies and determines

general information about the community including demographic variables, socio

economic and cultural variables, health resources and political patterns.

Statistical Treatment

1. Percentage (P) is used to determine the number of respondents that fall

in a particular category. Percentages were computed using the formula:

Percentage = Number of respondents in a particular category

Total number of Respondents

2. Frequency Distribution

Was used to show the number of respondent in a particular category

3. Ungrouped frequency distribution

Used to merely arrange data from highest to lowest of value

showing the frequency of occurrence of the different values of such

variables.

4. Grouped frequency distribution

Used to arrange data for it to show the frequency of occurrence of

values falling within arbitrarily defined ranges of the variable known as

intervals.

V. SCOPE AND DELIMITATION

This study is intended for the benefit of the residents in Brgy. Carillo Hagonoy

Bulacan. The main focus of this community assessment is concerned with the

development and empowerment of the people of the said barangay.

The study presents data based on the study conducted by the students. It

includes a house to house interview and ocular survey. The respondents include

the 142 families within purok 1-6 of Brgy.Carillo with a total population of 731

respondents.

This research focuses on the assessment and planning to identify the

health problems present in the said community and arrive in an appropriate

action plan for the empowerment of the people. Target respondents are those

head of each household as well as the family members present.

Page 10: COPAR

10

VI. DEFINITION OF TERMS

Antipolo type – type of toilet that is elevated and has shallow pit that extends

upward to a platform by means of pipe made of clay, metal or board

Bored-hole latrine – consists of a deep (usually more than 10 feet) but

relatively narrow (less than 10 feet) hole made with boring equipment

Burial Pit – refers to garbage that is placed in a pit and is covered when filled

up. There is no intention to dig it up for use as fertilizer.

Cohabiting Family – refers to couple who is living together but not legally

married

Closed-pit Privy – a pit privy in which a hole is made over a toilet and is

provided with a cover

Composting – involves burying or stacking of alternating layers of organic-

based refuse/garbage and “treated soil” arranged so as to hasten a rapid

decay and decomposition into compost

Extended Family – a family unit living together with their grandparents or any

other relative

Employed – an activity in which one is engaged or is employed to gain an

income

Fumigation – the process in which to subject to smoke as for disinfection

Nuclear Family – a social unit that consists of father, mother and child or

children

Open Dumping – refuse or garbage piled into a dumping place with no soil

covering

Open-pit Privy – a kind of privy in which a hole over a toilet is not usually

covered

Over-hung latrine – toilet house that is constructed over a body of water

Into which excreta is allowed to flow freely

Page 11: COPAR

11

Unemployed – not engaged in gainful occupation for means of livelihood

Water-sealed latrine – refers to an Antipolo type of toilet or any pit privy

wherein the water seals the toilet bowl

VII. COMMUNITY OVERVIEW

A. Barangay Profile

I. Barangay Bound:

North: Brgy. Abulalas

East: Brgy. Iba

West: Brgy. San Miguel

South: Brgy. Palapat

II. Total Population:

2800

III. Household:

425 houses

IV. Total Land Area:

137 hectares

V. Classification:

Agricultural

VI. Source of Electricity:

Meralco

VII. Source of Water:

Hagonoy Water District

VIII.Communication Facility:

Digitel, PLDT

IX. Transportation Facility:

Tricycle

X. Location of Barangay Hall:

Purok 3 Barangay Carillo, Hagonoy, Bulacan

XI. Barangay Fiesta:

First week of October, Feast of Virgin of Sto. Rosario

XII. Location of Health Center:

Purok 2, Barangay Carillo, Hagonoy, Bulacan

XIII.Location of School:

Name Location

Day Care Center of Carillo Purok 2, Barangay Carillo,

Hagonoy

Page 12: COPAR

12

Carillo Elementary School Purok 5, Barangay Carillo,

Hagonoy

XIV. Political Data:

Congressional District: 1st district

No. of Puroks: 7

b. History

Barangay Carillo was then just part of Brgy. Iba., but in April 25, 1969, the

“Sangguniang Baranggay appealed for a reform”that will let to people have their

own barangay and on Septmember 30, 1975 it was amended. Barangay Carillo

was then mandated. The first barangay captain of Carillo was Mr. Joaquin

Gonzalvo. Followed by Mr. Isidro Manolo, from 1971- 1996. Then Mrs. Marivic

Manolo, 1997-2002. And Ms. Flavia Santiago from 2002 up to the present.

Carillo came from the word “Sigarilo”, referring to a tree of which they call

“Puno Pangkulot”. Barangay Carillo is surrounded by many natural resources. It

was also surrounded by ponds and rivers where fishermen catch a lot of fish and

sell it to the market. Also, they plant trees, vegetables and fruits and when

harvested they also sell it. Most of the people in Barangay Carillo were farmers,

fishermen and gardeners.

The 7 “puroks”in Barangay Carillo have their own meaning. These were:

Purok 1: Poblacion

Purok 2: Bisita

Purok 3: Lakbangan

Purok 4: Dike

Purok 5: Pulo

Purok 6: Sapang bagbag

Purok 7: Sapang munti

The chapel that is located in Purok 2 in front of the Baranggay Hall was

donated by the family of Mr. Antonio Baustista and their patron saint is Virgin of

Sto. Rosario. At first their school was only a primaray school but on September

2004 it became Carillo Elementary School.

Barangay Carillo is a quiet place governed by their Barangay Captain, Ms.

Flavia Santiago with the help of the Barangay Tanod of Carillo.

Page 13: COPAR

13

c. Spot Map

Page 14: COPAR

14

VIII. ORGANIZATIONAL CHART

Angel C. Cruz, Jr.

(Municipal Mayor)

Rommel Pajella, M.D.

(Municipal Health Officer)

Flavia Santiago

(Barangay Captain)

Rhandy Santos, M.D.

(Rural Health Physician)

Carmencita Pascual

(Public Health Nurse)

Sonie Carpio

(Midwife)

Floserfida Salamat

(Barangay Health Worker)

Carmen Mercado

(Barangay Health Worker)

Gertrudes de Jesus

(Barangay Health Worker)

Page 15: COPAR

15

IX. DIMENSIONS OF THE COMMUNITY

A. Community as a People

1. Population of the Barangay and Families Surveyed

The study covers, Purok 1-6 of Barangay Carillo, Hagonoy Bulacan. The

remaining Purok which is Purok 7 was not surveyed due to environmental factor.

Purok 1-6 has a total population of 731 as of June 2009 when the survey was

done.It includes 142 families which in total represents 731 people.

a. Length of Residency

Table 1.1 Frequency And Percentage Distribution Of Length Of Residency

In Barangay Carillo, Hagonoy, Bulacan

11%

21%

19%16%

9%

24%

Length of Residency

0-10 years 11-20 years

21-30 years 31-40 years

41-50 years >50 years

Interpretation

The table shows that in Barangay Carillo, Hagonoy, Bulacan, out of 731

people surveyed, 173 (23.67%) resides for more than 50 years, 150 (20.51%)

resides for 11-20 years, 138 (18.88%) resides for 21-30 years, 119 (16.28)

resides for 31-40 years, 82 (11.22%) resides for 0-10 years and 69 (9.44%)

resides for 41-50 years.

Analysis

The longest length of residency was the population account for more than

50 years citizen in Barangay Carillo, Hagonoy, Bulacan. This is due to their

ancestors’ that resides there for a long period of time and continue to lived most

probably because they mostly eat mixed food (fish, meat, vegetable alternatively)

and it’s most possible reason for having balanced diet and healthy lifestyle

(moderate smoking and drinking).

Length of

Residency

Frequenc

yPercentage

0-10 years 82 11.22%

11-20 years 150 20.51%

21-30 years 138 18.88%

31-40 years 119 16.28%

41-50 years 69 9.44%

>50 years 173 23.67%

Total: 731 100 %

Page 16: COPAR

16

b. Age and Sex Distribution

Table 1.2 Frequency and Percentage Distribution of Population Surveyed

according to Age in Barangay Carillo, Hagonoy, Bulacan

Age Male Female Both Percentage

0-12 mos 18 15 33 4.51%

1-5 12 11 23 3.14%

6-10 15 11 26 3.56%

11-15 36 29 65 8.89%

16-20 51 34 85 11.63%

21-25 42 35 77 10.53%

26-30 34 27 61 8.34%

31-35 30 29 59 8.07%

36-40 29 31 60 8.21%

41-50 40 29 69 9.44%

51-55 26 24 50 6.84%

56-60 21 16 37 5.06%

61-65 20 19 39 5.34%

65 above 26 21 47 6.43%

Total 400 331 731 100%

0-12 mos 1-5

6-1011-1516-20 21-25 26-30 31-35 36-40 41-50 51-55 56-60 61-65

65 above

0 10 20 30 40 50 6018

1215

3651

4234

3029

4026

2120

26

151111

2934

3527

2931

2924

1619

21

Age

FemaleMale

Page 17: COPAR

17

Interpretation

The table shows that out of 731 surveyed at Brgy. Carillo Hagonoy

Bulacan 85 (11.63%) are 16-20 years old, 77(10.53%) are 21-25 years old,

69(9.44%) are 41-50 years old, 65(8.89%) are 11-15 years old, 61 (8.34%) are

26-30 years old, 60 (8.21%) are 36-40 years old, 59 (8.07%) are 31-35 years

old, 50 (6.84%) are 51-55 years old, 47 (6.43%) are 65 above, 39 (6.43%) are

61-65 years old, 37 (5.06%) are 56-60 years old, 33 (4.51%) are 0-12 mos,26

(3.56%) are 6-10 years old, 23 (3.14%) are 1-5 years old.

Analysis

As shown in the graph, the highest group that dominates the Barangay

Carillo is the adolescent age, varies from 16-20 years old. Young population

means lesser human resources for employment, community improvement or

other jobs that needs manpower, adequate knowledge and skills which younger

people cannot achieve because of their young age. But as Erickson believed the

new interpersonal dimension that emerges during adolescence is a sense of

identity versus role confusion. To achieve this, adolescents must bring together

everything they have learned about the themselves as a son or daughter, an

athlete, a friend, a fast food coo, a student, a scout and so on, and integrate

theses different images into a whole, that make sense. If adolescents can not do

so, they are left with role confusion that is they are left unsure of what kind of

person they can become. Some adolescents seek a negative identity, being

identified as drug abuser or runaway may be preferable to having no identity at

all. In connection with this to our graph, it signifies the importance of achieving

identity in adolescent stage, because being identified might bring you to a bright

future, which may help you and your community a positive outcome. The

community will have a more productive population. Young age group may be of

great help in succeeding years when their age progresses in order to improve

and develop the community in general.

Page 18: COPAR

18

c. Civil Status

Table1.3 Frequency Distribution and Percentage According to Civil Status

in Barangay Carillo, Hagonoy, Bulacan

53%43%

2% 1%

Civil Status

Single Married

Widowed Separated

Interpretation

The Table Shows that out of 731, 361 or 49.38% are single, 345 or

40.36% are married, 16 or 2.19% are Widowed, and 9 or 1.23% are Separated.

Analysis

Most of the people surveyed at Barangay Carillo, Hagonoy, Bulacan are

single with 49.38 % because most are children and adolescents. Another factor

also is the awareness of the citizens in Carillo, for the consequences after

marriage in consideration to the financial crisis that country Philippines is now

going through (The Effects of the Asian Financial Crisis on the

Philippines,www.eadn.org) that is why it has the highest percentage.

The third reason is that most of the citizens in Brgy.Carillo, Hagonoy,

Bulacan are unemployed, through these, married life will not suffice (Erikson, E.

1963). The awareness of the charge after having married life is now being

dominated all over the world and practicality outstands the present.

Here in our country, matrimony is an essential part of completing the

seven sacred sacraments wherein Catholicism is dominion in nature as also the

result of the survey done in Brgy. Carillo, Hagonoy, Bulacan, wherein, 93.04%

are Catholics. But, matrimony became the last thing for the new generation. At

present, there are lots of cases of early pregnancy and the number continues to

rise. And because the aforementioned pregnancies are unplanned the

relationships behind it vanished and the result is single parenthood.

Civil Status Frequency Percentage

Single 361 49.38

Married 345 40.36

Widowed 16 2.19

Separated 9 1.23

Total 731 100%

Page 19: COPAR

19

d. Religion

Table 1.4 Frequency and Percentage Distribution Religion

in Barangay Carillo, Hagonoy, Bulacan

Interpretation

The table and graph shows that among the 713 population in Brgy. Carillo,

Hagonoy, Bulacan, there are 666 (93.4%) are Roman Catholic, while 26 (3.65%)

are Born Again Christian, 17 (2.39%) are Iglesia ni Cristo and 2 (0.28%) of them

are the Jehovah’s Witness and Muslim respectively.

Analysis

Majority of the people living in Barangay Carrillo are Roman Catholic. The

Catholic is the religion preference of the Brgy. Carillo. It is inherent of their families

closed devotion to one God all through the generations as imposed by the

Spaniards colonization along ago in the history. But then some of them evolve and

opened their self for a change and for some it signifies openness and spiritual

growth as elucidated by the others, that’s why there are some appeared to have a

different preferred religion.

Health Implication

“Religion has become one of the most important, prevalent and highly

promising areas of transcultural nursing. People have varied depth and faith about

their health according to knowledge and practices on their religion’s belief”.

(Madeline Leininggers)

93%

4%2% 0% 0%

Religion

Roman CatholicBorn Again ChristianIglesia Ni CristoJehovah’s WitnessMuslim

Religion Frequency Percentage

Roman Catholic 666 93.4%

Born Again

Christian

26 3.65%

Iglesia Ni Cristo 17 2.39%

Jehovah’s

Witness

2 0.28%

Muslim 2 0.28%

Total 713 100%

Page 20: COPAR

20

e. Highest Educational Attainment

Table 1.5 Frequency distribution and Percentage according to

Educational Attainment in Barangay Carillo, Hagonoy, Bulacan

Highest educational attainment Frequency Percentage

Miscellaneous 25 3.51%

Post graduate 3 0.42%

College graduate 69 9.68%

College level 61 8.56%

Short courses 11 1.54%

Vocational courses 23 3.23%

High school graduate 116 16.27%

High school level 112 15.71%

Elementary graduate 90 12.62%

Elementary level 114 15.99%

Pre- elementary level 38 5.33%

No formal education 51 7.15%

Total 713 100%

4% 0%10% 9%

2%

3%

16%16%13%

16%

5%7%

Highest Educational Attainment

MiscellaneousPost graduateCollege graduateCollege levelShort coursesVocational coursesHigh school graduateHigh school levelElementary graduateElementary levelPre- elementary levelNo formal education

Interpretation

Page 21: COPAR

21

The table and figure above shows that of the 713 respondents,

116(16.27%) of the population surveyed are high school graduate; 114(15.99%)

are still in elementary level; 112(15.71%) are high school level; 90(12.62%) are

elementary graduate; 69(9.68%) are college graduate; 61(8.56%) are still in

college level; 51(7.15%) does not have any formal education; 38(5.33%) are pre-

elementary; 23(3.23%) took vocational courses; 11(1.54%) took short courses

and the remaining 3(0.42%) are post graduate.

Analysis

This shows that most of the population surveyed in Brgy. Carillo Hagonoy,

Bulacan are high school graduate and has the highest account for the education

is that it is free in public school and low costs in high school.

Health Implication

if there is high literacy, there is high level of education and from this; high

level of awareness to the health status of each individual” (Henderson).Education

and health are merely correlated, acquisition of education is essential and is vital

to a person. Education provides the use of one’s maximum potential to gain

knowledge and put it into action, it also increase one’s awareness of his

necessities and the need to provide care to its maximum extent.

B. Community as a Social System

Page 22: COPAR

22

2. Social Aspects of the Community

a. Predominant Organization

Barangay Ordinance

1. To monitor the number of fishponds or fishery business in Barangay Carillo

owner are oblige to pay P500.00 fee to the barangay as a formal tax.

2. Garbage Disposal, people are oblige to segregate their waste to non

biodegradable to degradable plastic bags or sacks, a garbage truck collects

their garbage once a week.

3. “Bawal magsiga ng basura”, was launched on August 30, 2007 as to aid in

the Clean Air Act and to reduce the pollution in the barangay.

Peace and Order

Drunken adolescents are the usual cause of feud in the barangay. It is

usually settled in the barangay with the help of the Barangay Tanod.

Blotter: P30.00

Tax: P25-100 depending on the land area

Business Permit: P200.00

P500.00 (for fishery business)

The total income of the barangay comes from 10% of its collection of

taxes the 90% is allotted to be accounted to the Municipality of Hagonoy.

Livelihood Programs

The following trainings and seminars are given to the barangay people who is

interested to earn money at home:

1. Tocino making

2. Candle making

3. Basket making

Programs implemented in the community

1. Cardiovascular Disease Program

2. National Tuberculosis Control Program

3. Maternal and Child Health

4. Comprehensive Nutrition Program

5. Expanded Program in Immunization

6. Dengue Prevention and Control Program

7. Under 5 Clinic

8. Family Planning Program

Page 23: COPAR

23

9. Control of Diarrheal Disease

10.Dental Health Program

Barangay Health Center

Ratio:

1 midwife: 5000 people

Schedule of Midwife (reporting to 2 barangays)

Barangay Carillo: Monday and Tuesday

Barangay Palapat: Thursday and Friday

Schedule of Physician:

2nd week of the month every Tuesday

Facilities:

Weighing scale, Doppler, BP apparatus, Stethoscope

Budget:

Medicine and supplies are delivered to the health center evey months

Lingkod Lingap sa Nayon (LNN)

Leader:

Mrs. Tranzuelo de Jesus

Members:

Eulalla Gutierrez

Marietta Reyes

Wilfreda Gutierrez

Connie Gunda Halili

Gracia Juliano

This organization has activities that are usually done in the community.

These activities were feeding program especially to the children of Barangay

Carillo. They also do “Operation Timbang” that aims to know the health status of

the people in the community. They also do medical mission and they lend help to

families whose member have passed away.

b. Recognized Leaders

Page 24: COPAR

24

Table 2.1 Percentage and frequency of Recognized Leaders as Perceived

by the Community People

68%

18%

9%6%

Person approached to settle conflicts

KapitanKamag - anakKonsehoElderly

Interpretation

As shown in the table, we can see that among the given choices, majority

of the community people recognize the Barangay Captain as a person of

influence and power. The people assume the authority of the Kapitana for solving

conflicts in the barangay, with a percentage of 67.6%, 96 out of 142 families

agreed in the supremacy of the barangay Captain as a leader of authority,

followed by seeking guidance amongst family members with a total of 25 family

or 17.6%, next is that of the council men with 9.15% comprised of 13 families and

lastly is that the community people considers the elders to be the least

recognized leaders to be asked when conflicts arise, with a percentage of 5.6%

or 8 families.

Analysis

The leading recognized leader as perceived by the community people is The

Barangay Captain (67.6%), this is due to that most of the conflicts arising in the

barangay is usually brought in the barangay wherein kapitana Flavia Santiago

resolves those conflicts, also taking note that the barangay hall is located in the

center of the barangay wherein it makes it more accessible to the community

people.

c. Traditions Celebrated

Person

approached

to settle

conflicts

Frequenc

yPercentage

Kapitan 96 67.6%

Kamag -

anak

25 17.6%

Konseho 13 9.15%

Elderly 8 5.6%

Total 142 100%

Page 25: COPAR

25

Table 2.2 Frequency and Percentage of Community People that Actively

Participates in Community Traditions

Actively Participate/ Celebrating Fiesta

YesNo

Interpretation

As shown in the table, majority of the community people still enjoys and

actively participate in community traditions, such as celebrating fiesta, 120 out of

142 families were surveyed to be active in celebrating barangay fiesta while 22 or

15.5% of the total surveyed families were not active in participating in community

traditions.

Analysis

We can infer that majority of the community people still values the importance

of celebrating fiesta’s, maintaining community involvement and participation

promoting a healthy social interaction between the barangay and people, and

people to people interactions. The figure that corresponds to the population who

were surveyed not to participate in such events are due to financial stability and

practices.

d. Awareness on Community Programs

Actively

Participate/

Celebratin

g Fiesta

Frequency Percentage

Yes 120 84.5%

No 22 15.5%

Total 142 100%

Page 26: COPAR

26

Table 2.3 Frequency and Percentage Showing the Extent of Awareness of

the Community People on the Barangay Health Programs

81%

19%

Awareness on Community Program

AwareUnaware

Interpretation

As shown in the table, majority of the community people are aware of the

community programs offered by the barangay health center with a total of 115

families surveyed that they are aware of it or 80.9% of the surveyed families said

that they were aware, while a minority of 27 families or 19.1% surveyed families

that they were not.

Analysis

Awareness of the community people indicates that the community health

programs are well perceived by the community and we can say that the

programs are well utilized based on the percentage of people gone aware of

those programs, this only show the effectiveness of the programs as well as the

healthy communication existing between the barangay health center and the

community people.

C. Community as a Place

Awareness

on

Community

Program

Frequency Percentage

Aware 115 80.9%

Unaware 27 19.1%

Total 142 100%

Page 27: COPAR

27

3. Economic Aspects of the Community

a. Monthly Income

Table.3.1 Frequency and Percentage Distribution of the monthly income of

Barangay Carillo, Hagonoy, Bulacan.

Monthly Income Frequency Percentage

Less than 5,000 64 45%

5001 – 10,000 55 38.7%

10,001 – 15,000 10 7%

15,001 – 20,000 7 4.9%

20,001 – 25,000 5 3.5%

25,001 – 30,000 1 0.7%

30,001 – 35,000 0 0%

35,001 – 40,000 0 0%

40,001 – 45,000 0 0%

45,001 – 50,000 0 0%

50,001 and above 0 0%

Total 142 100%

45%

39%

7% 5%4% 1%

Monthly Income

Less than 5,0005001 – 10,00010,001 – 15,00015,001 – 20,00020,001 – 25,00025,001 – 30,00030,001 – 35,00035,001 – 40,00040,001 – 45,00045,001 – 50,00050,001 and above

Interpretation

Page 28: COPAR

28

The table above shows that out of 142 families surveyed at Barangay Carillo,

Hagonoy, Bulacan, 64 (45%) has a monthly income of less than Php 5000, 55

(38.7%) has a monthly income of Php 5001- Php 10,001, 10 (7%) has a monthly

income of Php 10,001- Php 15,000, 7 (4.9%) has a monthly income of Php 15-

001-20,000, 5 (3.5%) has a monthly income of Php 20,000- Php 25,000,1 (0.7%)

has a monthly income of Php 25,001-Php 30,000.

Analysis

Based on the survey done at Barangay Carillo, Hagonoy, Bulacan, most of

the families monthly income falls to less that 5,000. Different factor can affect

their income such as the age, educational attainment, and the location of their

community. In terms of age, most of the respondents are in the age bracket of 6

– 10 years old where they are dependent to their parents. Secondly, the

educational attainment where most of the respondents are high school graduate

where they can’t find good job that are suitable for their needs. Lastly is the

location of the community, the Barangay Carillo are located at rural area which is

less commercialized than in urban area.

Health Implication

According to Gabay, Remotin, and Uy, (2008), a person’s income is one of

the factors in availing health services needed by one’s body. A person who has a

lower income cannot afford all health service in maintaining his health. People

who are receiving lower income may somehow rely on the public heath services

rendered by the government and some non – government organization. The

income of an individual can affect his own health in many ways. It affects the six

aspect of his personality such as his physical, emotional, social, mental, spiritual,

and sexual.

b. Monthly Expenses

Page 29: COPAR

29

Table 3.2 Frequency Distribution and Percentage of Monthly Expenses in

Brgy. Carillo, Hagonoy, Bulacan

Interpretation

The table and graph above shows that out of 142 families surveyed in

Brgy. Carillo, Hagonoy, Bulacan. 68 (48%) have monthly expenses of less than

5,000 pesos. 52 (37%) have monthly expenses of 5,001-10,000 pesos. 13 (9%)

have monthly expenses of 10,001-15,000 pesos. 7 (5%) have monthly expenses

of 15,001-20,000 pesos. 1 (1%) have monthly expenses of 20,001-25,000 pesos

and 25,001-30,000 pesos.

Analysis

From the table and graph above shows 68 (48%) of the population at

Brgy. Carillo has low expenditure. This means that majority of the population has

an income less than 5,000 pesos a month, because most of their job was

seasonal and some are high school graduate that’s why they do not have a job

that can give them a high income.

Health Implication

Poverty and ill-health are intertwined. A problem on health is often

associated with substantial health care costs and benefits. Furthermore, poverty

and low income can also cause ill-health. Poor people within a barangay suffer

from multiplicity of deprivations that translate into high levels of ill-health. (Gabay,

Remotin & Uy, 2008)

The low expenditure of the family to its basic needs can be an early

warning of poverty in the area. The misallocation of the budget for health can

endanger the individual’s health status of every family member. The lack of

resources can indicate the poor status of health if it is not monitored properly.

c. Prioritization of Expenses

48%

37%

9%5%

1% 1%

Monthly Expenses

<5,0005001-10,00010,001-15,00015,001-20,00020,001-25,000>30,000

Monthly Expenses

Frequency Percentage

<5,000 68 47.89%

5001-10,000

52 36.62%

10,001-15,000

13 9.15%

15,001-20,000

7 4.93%

20,001-25,000

1 0.70%

>30,000 1 0.70%Total 142 100%

Page 30: COPAR

30

Table 3.3 Prioritization of Expenditures (Family’s priority by ranking 1-6)

in Brgy. Carillo, Hagonoy, Bulacan

1 2 3 4 5 6 Total

Food 118 18 4 2 0 0 142

Clothing 2 9 21 68 40 2 142

Education 10 30 57 28 5 12 142

Utilities 2 15 27 29 49 20 142

Health 8 70 33 12 8 11 142

Recreation 2 0 0 3 40 97 142

Total: 142 142 142 142 142 142 852

Frequency Distribution According to Prioritization of Expenses

Legend:

Family’s Priority by Ranking 1-6

1) Food

2) Health

3) Education

4) Clothing

5) Utilities

6) Recreation

Interpretation

1 2 3 4 5 60

20

40

60

80

100

120

140

Food

Clothing

Education

Utilities

Health

Recreation

Page 31: COPAR

31

As you look further on the table and graph, it shows that

most of the families view food as their main concern in spending their

money. Followed by health, education, clothing, utilities and the last is

recreation.

Analysis

We all know that food has many roles in our life. This is one

of the primary reasons why we are still surviving or existing. According to

the Maslow’s hierarchy of needs, human physiologic needs take the

highest priority, where food is considered as one of those needs (Kozier

and Erb’s Fundamentals of Nursing, 8th edition).

Food supplies the essential nutrients needed by our body,

which is converted into energy in order for us to perform our daily

activities. We considered eating nutritious foods as one way of taking care

of ourselves. It helps us to prevent in acquiring the different diseases or to

feel sick because it strengthens our immune system. It also helps for the

proper development of our mind and body. I think these are some of the

reasons why the families of Barangay Carillo, Hagonoy, Bulacan prioritize

food as their main concern in terms of expenses.

Health Implication

We already know the different advantages of food in our life, but we

can’t also deny that it has disadvantages too, especially in terms of the

kinds of food were eating every day. We all eat food. We all want food of

the highest quality and safety. If we are on a low budget, our common

strategy is to eat badly. Issues such as food allergies, and the effects of

additives, organic versus conventional foods are all areas that people

have worries about ( DOH, Article “Food Issues”).

According to some studies made, those chemicals used in

preserving foods can cause or can lead us to the formation of different

diseases like heart, kidney, liver diseases or even cancers. But that should

not be the case. The truth is that, we are the one responsible in taking

care of our health by taking vitamins and minerals. Eat nutritious and rich

natural foods especially vegetables which is the most sound and effective

way to healthy living.

Page 32: COPAR

32

4. Health Aspects of the Community

Environmental Indices

a. House Ownership

Table 4.1 Frequency Distribution and Percentage of Home

Ownership in Barangay Carillo, Hagonoy, Bulacan

Interpretation

Table show that out of 142 families in Barangay Carillo 113 owned their

home. While 25 families rent their house and 3 or 2 % leasing to own, one or 1%

is renting a house for free.

Analysis

Majority of the houses in Barangay Carillo are owned by families who live there.

It shows about a quarter of the houses are rented by the families that cannot

afford to have their own house. There are families that rent for free, and some

owned at least two houses. It would be an additional expense to them if they pay

for the rent of the house of their monthly income.

Health Implication

Those who own their houses have the chance to save more money.

Those who rent don’t save much because they need to pay their bills in order to

stay in rented house. (www.healthmanagement.com.ph)

b. Type of House

80%

17% 2% 1%

Home Ownership

Owned Rented

Least to own Rent-free

Home

OwnershipFrequency Percentage

Owned 113 80 %

Rented 25 17 %

Least to

own3 2 %

Rent-free 1 1 %

total 142 100 %

Page 33: COPAR

33

Table 4.3 Frequency Distribution and Percentage of Types of Houses

In Brgy. Carillo, Hagonoy, Bulacan

Interpretation

The tables show that the types of houses that are being

occupied by families of Barangay Carillo, are made of mixed materials and this

account for 83 or 59 %. Forty four or 31 % houses that are made from strong

materials and 15 or 20 % houses are made from light materials

Analysis

Majority of the houses in Barangay Carillo are made up of mixed

materials. In this case, it is better than those made of light materials, if houses

are made from light materials they will be easily be blown by stong winds and

typhoons, they can be easily taken down by strong earthquakes and floods.

Having houses made from light like wood can be prone to fire because these

materials burn easily

Health Implication

People often build houses out of the nearest available material and often

tradition and culture govern construction. Materials so whole towns areas

countries or even states/countries maybe built out of one main type of material

houses that are made. From strong materials can have the family a better

housing or protection from any harm or accidents or any typhoons that may come

up from their places. Also with houses made from a mixed material (stone and

wood) but not totally protected because it will not protect you fully from any

accidents likely, there would be typhoons in the country. Houses that are not

made from good materials may cause harm to the family.

(www.healthimplication.com.ph)

59%

31%

20%

Types of Houses

mixed strong light

Types

Of

Houses

Frequency Percentage

Mixed 83 59 %

Strong 44 31 %

Light 15 20 %

Total 142 100 %

Page 34: COPAR

34

c. Lighting Facility

Table 4.4 Frequency Distribution and Percentage of Lighting Facility

in Barangay Carillo, Hagonoy, Bulacan

73%

27%1%

Lightning Facility

Electricity Kerosene

Others

Interpretation

The table reveals that out of 142 families who were interviewed, 103

(72.54%) utilize electricity as source of light at home. Thirty eight or 26.76% use

kerosene, and the rest prefer other means like candles and lamps for lighting

which accounts for 0.70%.

Analysis

Majority of the families living in Brgy. Carillo uses electricity as their source

of light at home. Having enough power sources in the community is necessary in

order to perform things easier and for their safety needs. The lighting facility

utilized in each household may be associated with the economic status. Due to

financial constraints, there are still who uses kerosene and other means of

lighting at home and cannot afford to avail electricity from MERALCO.

Health Implication

As stated in Florence Nightingale’s Environmental theory, one of the

factors that the nurse should utilize to assist patient in his recovery is light. Any

deficiency in one or more of the factors she stated could lead to impaired

functioning of life processes or diminished health status. Like water and food, the

body uses light in a variety of metabolic processes. Thus, lights give us a chance

at a better life, enabling us to perform activities of daily living to our full extent.

(Fundamentals of Nursing by Kozier et. al., seventh edition, 2004)

d. Ventilation

Lighting

Facility

Frequenc

y

Percentage

Electricity 103 72.54 %

Kerosene 38 26.76 %

Others 1 0.70 %

Total 142 100 %

Page 35: COPAR

35

Table 4.5 Frequency Distribution and Percentage Table of Adequacy of

Ventilation in Barangay Carillo, Hagonoy, Bulacan

Interpretation

The table shows that out of 142 surveyed people from Brgy. Carillo, 121 or

86% of them have adequate ventilation wherein only 21 or 14% has inadequate

ventilation.

Analysis

Natural ventilation occurs when the air in a space is changed or outdoor

air without the use of mechanical systems, such as fan. Most often natural

ventilation is assumed through open windows but it can also be achieved through

temperature and pressure differences between spaces. Most of the households

in Barangay Carillo described their house with adequate ventilation. It indicates

that about 86% of the total number of families interviewed is comfortable in their

houses when it comes to ventilation.

Health Implication

Fresh air is important for the health and comfort of the inhabitants. A

frequent cause of deadly carbon monoxide gas is incomplete combustion due to

an inadequate supply of oxygen. It is also vital household air be flushed to get rid

of pollutants that built up and irritate humans and even threaten the health of

people living in homes lacking proper air circulation.

(yourtotalhealth.ivillage.com). Also, some benefits of having fresh air includes, it

cleanses the lungs, it helps improve our breathing technique and also Fresh air

produces a healthy mind, clean lungs, and a calmer constitution.

(www.yahoo.com)

86%

14%

Adequacy of Ventilation

Adequate Inadequate

Adequacy

of

Ventilation

No. of

Household

s

Percentage

Adequate 121 86%

Inadequate 21 14%

Total 142 100%

Page 36: COPAR

36

e. Excreta Disposal

Table 4.6 Frequency Distribution and Percentage Table of Type of Toilet

Facility In Barangay Carillo, Hagonoy, Bulacan

Interpretation

The table shows that most of the

families in Brgy. Carillo use water-

sealed toilet facility. This accounts

for 72% of the total population. It

also shows that 23% uses flush

type facility and only 5% uses open pit privy type of toilet facility.

Analysis

Most families in Brgy. Carillo use water-sealed facility. This shows that

most of the family considers water-sealed for it is economical type of facility

because it is cheaper than the flush type. The remaining 23% who uses flush

type system are mostly families that are in the middle level because they can

afford the flush type system while the other 5% are used by those indigent

families may be because of financial problem.

Health Implication

Aside from the sense of status that goes along with it, we trust our flush

toilet because seemingly it has worked for us at domestic level, it fulfils a need

for comfort and its extremely easy for us to operate. Another important factor is

that we let our noses instead of our conscience make the decision. Although we

may hear of other types of toilets that don’t use water and are totally safe for your

health and the environment. It seems that we are not willing to consider another

option if we suspect that it implies unpleasant odours or would appear to be

“counter-culture”- that is to say, outside of what is identified as the “progress” and

“development” for which we all strive. The sad truth of the matter is that our

noses are only able to pick up certain things, and they are generally unable to

perceive the direst effects generated by our way of living. (www.wikipedia.com)

f. Toilet Facility

Table 4.7 Frequency Distribution and Percentage of Type of

Ownership of Toilet Facility

72%

23%6%

Toilet Facility

Water sealedFlush typeOpen pit privy

Type of Toilet

Facility

Frequency Percentage

Water sealed 104 72%

Flush type 30 23%

Open pit

privy

8 5%

Total 142 100%

Page 37: COPAR

37

Interpretation

As observed on the table, out of 142 respondents, 133 have their own

toilet facility and this accounts for 94% of the total population while the remaining

6% shared toilets with other families.

Analysis

Majority of the families in Brgy. Carillo have their own toilet facility. This

shows that the people in the baranggay prefer to have their own toilet and let

only the members of the family use it and so, the tendency of acquiring disease

from other people is low unlike with the people who uses public toilets and those

share toilets to others.

Health Implication

Owned toilet facility decreases the incidence of acquiring diseases like

Urinary Tract Infection because only known members of the family are able to

use the toilet. In this way, the hygiene and sanitation of the family is assured.

Also by having owned toilet facility, the maintenance of the toilet area is

monitored and must be kept clean and dry most of the time.

(yourtotalhealth.ivillage.com)

g. Sewerage System

Table 4.8 Frequency Distribution and Percentage of Drainage System in

Barangay Carillo, Hagonoy, Bulacan

94%

6%

Type of Ownership

OwnedShared/public

Type of

Ownership

No. Of

Households

Percentage

Owned 133 94%

Shared/

Public

9 6%

Total 142 100%

Page 38: COPAR

38

69%

31%

Drainage System

Open drainage Covered

Interpretation

Table shows that out of 142 families, 69% in Brgy. Carillo has open

drainage system and 42(31%) have covered type of drainage.

Analysis

Majority of the household in Brgy. Carillo has an open drainage and it

indicates that illness or disease may emerge because of this type of drainage

system. Illness such as dengue could increase its risk of occurrence because the

drainage is not being covered. Most of the households in Brgy. Carillo are not

that well informed on proper drainage system and by this possible contamination

and emergence of disease may occur.

Health Implications

Generally, an underground drainage system is the most desirable way to

remove surface water effectively from operating areas. An open drainage

system, like ditch, is economical; however, when not properly maintained, t is

unsightly and unsafe. Sometimes, an open drainage system also causes erosion,

thus resulting in failures to nearby structures. Flooding caused by an inadequate

drainage system is the most prevalent cause leading to the rapid deterioration of

roads and airfields. Drainage canals or water treatment and disposal facilities are

often misused for washing, drinking, and uncontrolled disposal of human excreta

or other waste by the poorest and, thus, most vulnerable social groups. In this

way, drainage water contributes to disease transmission. (www.wikipedia.com)

Table 4.9 Frequency Distribution and Percentage of Drainage System

Condition in Barangay Carillo, Hagonoy, Bulacan

Type of

Drainage

System

No. Of

Households

Percentage

Open

drainage

100 69%

Covered 42 31%

Total 142 100%

Page 39: COPAR

39

Interpretation

The table shows that out of 142 families, 124(88%) have flowing drainage

system while only 18(12%) have stagnant drainage system condition.

Analysis

It shows that majority have flowing system and this indicates lesser risk of

occurrences of diseases such as malaria and dengue. In this way, the decrease

in the development of such diseases like malaria and dengue will show that the

Brgy. is properly informed on proper drainage system condition.

Health Implication

Stagnant places attract vectors that acquire different diseases especially

dengue and malaria because these places may serve as reservoir. Stagnant

drainage system may also cause bad odor because of the piled wastes. By this,

it is most applicable to have flowing drainage system because by this we could

lessen the possibility of acquiring the said diseases. (www.google.com)

h. Garbage Disposal

Table 4.10 Frequency, Distribution and Percentage of Method of Disposal

88%

12%

Drainage Condition

FlowingStagnant

Drainag

e system

condition

No. Of

households

Percentage

Flowing 124 88%

Stagnant 18 12%

Total 142 100%

Page 40: COPAR

40

In Barangay Carillo, Hagonoy, Bulacan

Interpretation

The table shows that out of 142 respondent, 83 or 58% have chosen

composting as their method of waste disposal 31 or 22% family preferred that

their waste are to be collected, 14 or 10% use burial in pit, 13 or 9% respondents

consider open dumping and only 1 or 1% of the respondent disposed waste by

giving or feeding the animal like hogs.

Analysis

Fifty-eight percent of the people of Barangay Carillo made a preference of

adopting composting as a method of disposing their garbage for the reasons that

composting process will yield by products. Such as organic fertilizer that is

needed for crops production, and anti-pollutant products which is environmental

friendly.

Health Implication

Composting process of disposing garbage is the preference of the 58%

respondents due to the facts that it is environmental human being friendly . Its by

products could be used by farmers as organic fertilizer for their crops which is

free from the content of hazardous chemical toxic compound and makes our

vegetable foods safe for eating and people may live in a healthy life. Vegetable

crops as a yielded by products when using organic fertilizer are safe for

consumption because no traces of hazardous chemical compound having found

on them. Hence, it could provide a long lasting healthy life.

i. Garbage Container Used

56%

22%

12%10%

1%Method of Disposal

Composting Collected Burial in Pit

Open Dumping Hog feeding

Method of

Disposal

Frequency Percentage

Composting 83 58%

Collected 31 22%

Burial in Pit 14 10%

Open

Dumping

13 9%

Hog feeding 1 1%

Total 142 100%

Page 41: COPAR

41

Table 4.11 Frequency, Distribution and Percentage of Waste Disposal

Storage In Barangay Carillo, Hagonoy, Bulacan

Interpretation

The table shows that out of 142 families, 82 or 58% used plastic bag as

their means of waste disposal storage, 29 or 20% used covered container, while

23 or 16% used open container and 6% they dispose their garbages in any

available open space such as roads, drainage and open lots as their means of

disposal storage.

Analysis

Fifty-eight percent, which comprises the total respondents, used plastic

bag as their means of waste disposal for such a reason that plastic bag could be

able to handle conveniently the garbage because of its strength and flexibility.

Health Implication

Since plastic bag’s flexibility and strength could able to handle the

garbage well, bacteria coming from the garbage cannot be diffused or spread out

easily by the flying, crawling and walking scavengers. As a result bacteria inborn

disease are not eliminated.

Plastic bag is a non-biodegradable materials, once it has thrown on the

drainages and some open spaces it may cause clogging of canals and during

rainy season, it created flooding within the low lying communities and cities.

Exposure to flood waters containing leptospira, may cause a life threatening

disease known as leptospirosis and other pulmonary disease.

.

57%

16%

14%

7%6%

Type of Waste Disposal

Platic bagContainerCoveredOpenNone

Type of

Waste

Disposal

Storage

Frequenc

yPercentage

Plastic Bag 82 58%

Container:

Covered

container29 20%

Open

container23 16%

None 8 6%

Total 142 100%

Page 42: COPAR

42

j. Source of Water Supply

TABLE 4.12 Frequency Distribution and Percentage of Water Supply

In Barangay Carillo, Hagonoy, Bulacan

79%

15%6%

Types Of Water Supply

Local Water DistrictCommercial WaterDeep Well

Interpretation

Referring to table, out of 142 families, 112 or 79% revealed that their

water supply came from local water district while 21 or 15% are from commercial

water and 9 or 6% have water supply from deep well.

Analysis

Majority of the families in Barangay Carillo have depended much on the

local water system as their source of water supply, followed by those who use

commercialized water system because of safety and accessibility the water

systems could ensure the families in community. Safe and easy water supply is

given more importance despite that they have to pay by some means. The

difference between those who used commercial and local water system is a

matter of the families’ preferences and ability to pay. Only few used deep well

water system because of the effort required in water from it but still do so far

paying for the water is not needed.

Health Implication

Most people take a safe water supply for granted. When clear, good-

tasting water comes out of the faucet, we assume it is safe to drink. Unfortunately

this assumption is not always correct. Water supply needs to be tested regularly

to confirm safe water.

Local water district supplies water most of the families in Barangay Carillo,

Hagonoy, Bulacan. Safeness of water is depending on the way and good tubing

connections that connects their house from the water district. Together with good

water storage, safeness of water will varies.

k. Water Storage

Types Of Water Supply

Frequency

Percentage

Local Water District

112 79 %

Commercial Water

21 15 %

Deep Well9 6 %

Total142 100 %

Page 43: COPAR

43

TABLE 4.13 Frequency Distribution and Percentage of Water Storage

In Barangay Carillo, Hagonoy, Bulacan

Interpretation

Referring to table, out of 142 families, 96 or 68% revealed that they’re

using large container with cover while 39 or 27% were using refrigerator for water

storage. Six families or 4% did not use anything as their water storage while 1

family prefers to use large container without cover.

Analysis

Majority of the families in Barangay Carillo prefer to use large container

with cover as their water storage, followed by water in a refrigerator because of

safety and convenience. Safety of their drinking water is very important to the

families in the community to prevent diseases. Just simply using clean large

container with cover as water storage can facilitate reduction of acquiring any

disease-causing microorganisms from water.

Health Implication

Using large container without cover as water storage is not safe because

of environment’s infiltrates and easy contamination of the water. Families cannot

ensure the good quality of water especially for drinking comsumption because of

inadequate water storage protection and poor management. Families that were

not using any water storage are prone to develop any diseases like diarrhea and

amoebiasis.

l. Food Storage

68%

27%

4% 1%

Water Storage

Large Container with CoverRefrigeratedNo Water StorageLarge Container without Cover

Kinds ofWater

Storage

Frequency

Percentage

Large Container with Cover

9668 %

Refrigerated 39 27 %No Water Storage

6 4%

Large Container

without Cover

1 1%

Total142 100 %

Page 44: COPAR

44

Table-4.14 Frequency Distribution And Percentage Of Types Of Food

Storage in Barangay Carillo, Hagonoy, Bulacan

Interpretation

Referring to the table above, 71(50%)of the total population

interviewed revealed that they stored their food through refrigerator, 50(35%)

uses table, while 13(9% ) uses basket and 8( 6%) of them uses cabinet as their

means of food storage.

Analysis

Majority of the people in barangay Carillo, Hagonoy, Bulacan uses

refrigerator as their means of storing their food. This implies that majority of them

has a low tendency of having spoiled foods and the likes. As the refrigerator

produces cold ice, it helps to maintain food preservation of meat, fruits,

vegetables and other perishable foods.

Health Implication

One of the most effective ways to store food that makes it less

susceptible for contamination is the use of refrigerator. It prevent food from

spoilage due to invasion of microorganisms that may cause disease upon eating.

Refrigerated leftovers must eat within 4 days to maintain food safety. If

don’t anticipate being able to eat this food within this period of time, freeze them

immediately. To help ensure food safety, refrigerate perishable foods quickly and

don’t let them stay for longer than 2 hours at room temperature or for longer than

one hour if the room temperature is above 90F (32C).

In some instances, people who unfortunately can not afford to buy or used

refrigerator at all could use a cooler with ice as an alternative way to preserve

their food for a short period of time. Some may buy food only when they were

about to eat it, to avoid spoilage or contamination

Table- 4.15 Frequency Distribution And Percentage Of Types Of Food

Storage in Barangay Carillo, Hagonoy, Bulacan

50%

35%

9%6%

Types of Food Storage

Refrigerator-50% Table-35%

Basket-9% Cabinet-6%

Type of

Food

Storage

Frequency Percentage

Refrigerator 71 50%

Table 50 35%

Basket 13 9%

Cabinet 8 6%

Total 142 100%

Page 45: COPAR

45

Interpretation

Table shows that

among the 142 families surveyed at

Barangay Carillo, Hagonoy, Bulacan

129 or 91% stored food with cover,

while13( 9%) of them stored food

without cover.

Analysis

Majority of people in Barangay Carillo, Hagonoy Bulacan prefer to cover

their food to keep their prepared food uncontaminated by some vectors. This

implies that the majority of the households are able to maintain cleanliness in

order to ensure that the food were clean and safe to eat. Food sanitation should

ensure primarily the consumption of safe and wholesome food and thereby

protect the individual from illness and at the same time promote the health and

well being.

Health Implication

Sanitation is the state free from disease causing organisms. It

preserves cleanliness and promotes food safety. Food can be contaminated in so

many ways if they left their food uncovered.. Therefore, proper handling, covering

and cleaning of the kitchen utensils greatly reduces the risks of food-borne

disease or the illnesses contracted from eating contaminated food or beverages.

Botulism, Brucellosis, Campylobacter enteritis, Escherichia coli, Hepatitis A,

Listeriosis, Salmonellosis, Shigellosis, Toxoplasmosis, Viral gastroenteritis,

Taeniasis and Trichinosis are examples of foodborne diseases.  After they are

swallowed, there is a delay, called the incubation period, before the symptoms of

illness begin.  This delay may range from hours to days, depending on the

organism, and on how many of them were swallowed.  During the incubation

period, the microbes pass through the stomach into the intestine, attach to the

cells lining the intestinal walls, and begin to multiply there.  Some types of

microbes stay in the intestine, some produce a toxin that is absorbed into the

bloodstream, and some can directly invade the deeper body tissues.  The

symptoms produced depend greatly on the type of microbe. Numerous

organisms cause similar symptoms, especially diarrhea, abdominal cramps, and

nausea.  There is so much overlap that it is rarely possible to say which microbe

is likely to be causing a given illness unless laboratory tests are done to identify

91%

9%

Types of Food Storage

Covered-91%Uncovered-9%

Type of

Food

Storage

Frequency Percentage

Covered 129 91%

Uncovere

d13 9%

Total 142 100%

Page 46: COPAR

46

the microbe, or unless the illness is part of a recognized outbreak.

(http://www.cdc.gov/ncidod/dbmd/diseaseinfo/foodborneinfections_g.htm#happe

nsbody)

m. Breeding Sites

Table4.16 Frequency Distribution and Percentage of Presence of Breeding

Sites in Barangay Carillo, Hagonoy, Bulacan

Page 47: COPAR

47

Interpretation

The table shows that out of 142

families, 80 (56%) of surveyed

population in Brgy. Carillo said that

there’s no presence of breeding sites

on their place while 62 (44%) of

surveyed population have breeding

sites for vectors.

Analysis

Merely half of the total families

surveyed 62 (44%) of families in

Brgy. Carillo have a high risk of

being exposed to vectors due to

presence of breeding sites in their

environment.

Health Implication

According to World Health Organization, the primary vector for dengue

fever is well adapted to breeding in human-made breeding sites in urban and

periurban environments. Dengue is now endemic in over 100 countries, with a

dramatic increase in incidence and geographical range recorded in recent years.

Reasons for this increase include growing levels of urbanization, international

trade and travel disseminating both the vector and viruses, and the inadequacies

of current methods to reduce dengue transmission and other diseases.

(www.who.int)

n. Control Measures

Table 4.17Frequency Distribution and Percentage on Methods of

Controlling Vectors in Barangay Carillo, Hagonoy, Bulacan

44%

56%

Presencence of Breeding Sites

WithWithout

Presence

of

Breeding

Sites

Frequency Percentage

With 62 44%

Without 80 56%

Total 142 100%

Control

MeasuresFrequency Percentage

Cleaning the

Yard60 42%

Insecticides 25 18%

Natural 24 17%

Fumigation 19 13%

None 10 7%

Setting

Traps4 3%

Total 142 100%

Page 48: COPAR

48

Interpretation

The table shows that 60 (42%) of

surveyed population in Brgy. Carillo clean

their yard to control breeding sites for

vectors, 25 (18%) uses insecticides, 24

(17%) uses natural method as their ways of

controlling vectors by using mosquito traps,

then 19 (13%) uses fumigation, 10 (7%) do

nothing in controlling vectors and 4 (3%)

used traps such as mouse trap.

Analysis

The table shows that majority of surveyed population in Brgy. Carillo

cleaned their yard as their way to eliminate vectors to reduce possible agent in

transforming disease from one person to another. By

Health Implication

According to World Health Organization, unhygienic conditions and

practices at the household level create a dangerous environment with immediate

health risks to children. Also, lack of sanitation facilities in schools helps transmit

diseases. Waste dumps sited on the outskirts of almost all major cities provide

hazardous environmental conditions to those living nearby and even more so to

those living as scavengers on such wastes. Sanitation interventions, technical

and managerial, are badly needed in all areas in houses, schools, and within the

community at large. (www.who.int)

o. Domestic Animals

Table 4.18 Percentage Distribution of Domestic Animals in Barangay

Carillo, Hagonoy, Bulacan

16%

10%

52%

5%

17%

Domestic Animals

DogsCatsChickenPigsBirds

42%

18%

17%

13%7%

3%

Control Measures

Cleaning the YardInsecticidesNaturalFumigationNoneSetting Traps

Domestic

Animals

Frequency Percentage

Dogs 131 16%

Cats 80 10%

Chicken 410 51%

Pigs 43 5%

Birds 136 17%

Total 800 100%

Page 49: COPAR

49

Interpretation

The table and graph above shows that a big part of the population own

dogs, cats, chicken, pigs and birds as their pets. 51% of these domestic animals

are chicken, 17% are birds, 16% are dogs, 10% are cats and 5 % are pigs.

Analysis

Most Filipinos are fond of having pets especially in rural communities.

According to the people interviewed, they own dogs and cats not just as pets but

also as guards or one who helping them get rid of the pets like rats. They also

own chicken because of the money they will earn.

p. Domestic Animal Vaccination

Table 4.19 Percentage Distribution of Domestic Animals (with or without

vaccine) in Barangay Carillo, Hagonoy, Bulacan

Domestic

Animals

Frequenc

y

Percentag

e

With

Vaccines

222 42%

Without

Vaccines

312 58%

Total 534 100%

Page 50: COPAR

50

Interpretation

The table and graph above shows the difference between the number of

household pets which had already received vaccines like anti rabies for dogs and

cats. Domestic animals without vaccines accounts about 58% of the total number

of household pets and 42% do have vaccines.

Analysis

Community people like Carillo lacks information about the importance of

vaccination of their household pets especially dogs and cats. Upon interview to

the residence of the community, most of the people who own such pets don’t

have any idea about project of the Barangay on vaccination of their pets.

Health Implications

Human infected with rabies is nearly always secondary to animal bite,

with dog being the major reservoir for human rabies. Once clinical symptoms

have occurred, the disease is almost invariably fatal.

Health Indices

a. Lifestyle Practice

Table 4.20 Frequency Distribution of families according to Lifestyle

Practices

Lifestyle practices Practiced Not practiced

Vaccination of Domestic Animals

with vaccines

without vaccine

Page 51: COPAR

51

Taking a bath regularly 140 2

Brushing 138 4

Hand washing 137 5

Nail cutting 130 12

Ear cleaning 127 15

Dental check up 122 20

Regular change of clothes 120 22

Use of hygienic practices 113 29

Sleep 8-10 hours 104 38

Drinking carbonated drinks 102 40

Recreational activity 91 51

Drinking alcoholic beverages 77 65

Exercise 3 times a week for

30 minutes

72 70

Smoking 73 69

Medical 42 100

taking a

bath re

gular

ly

brush

ing

handwash

ing

nail cu

tting

ear cle

aning

dental ch

eck up

regu

lar ch

ange

of cloth

es

use of h

ygienic p

ractice

s

sleep 8-10 hours

drinkin

g carb

onated drin

ks

recre

ational

activit

y

drinkin

g alco

holic beve

rages

exerci

se 3 times a

week

smokin

g

medical

020406080

100120140160

Lifestlye Practices

practicednot practiced

Interpretation

A further look on the table above, most of the people on the community

practiced taking a bath regularly, tooth brushing, hand washing, nail cutting, and

ear cleaning as well. But there are also few who didn’t practice it. Half of the

people in the community are cigarette smokers and drinks alcoholic beverages. A

Page 52: COPAR

52

larger number of respondents who don’t even seek a medical check up from the

health care professionals can also be observed.

Analysis

The people in the community are still concern in their health because most of

them practice personal hygiene. However, as a result of a large number of

alcoholic drinkers, troubles and misunderstanding develop in the community. An

increased number of smokers can also be related to the large number of

alcoholic drinkers because drinking is often times associated with smoking.

Medical check-up is performed only by few who need medical assistance due to

their health problems.

Health Implication

Maintaining a high level of personal hygiene such as taking a bath regularly

and tooth brushing will help to increase self-esteem and confidence while

minimizing the chances of developing imperfections. Keeping the body cleaned

decreases the chance of acquiring certain diseases. Lifestyle management plays

a crucial role in ensuring the overall wellbeing of a person. However, failure to

perform proper lifestyle practices can cause various physical and mental

complications.(http://www.bestindiansites.com/lifestyle/lifestyle-

management.html)

b. Health Consultant

Table 4.21 Frequency and Percentage Distribution of families according to

Health Consultants in Barangay Carillo, Hagonoy, Bulacan

Interpretation

Health Consultants

Number of households

Percentage

Doctor 94 66%

Midwife 18 12.6%

Hilot 14 9.8%

Albularyo 10 7%

Faith Healer

3 2.1%

Elderly 3 2.1%

Nurse 0 0

Total 142 100%

Page 53: COPAR

53

The table shows that out of 142

respondents, 94 (66%) respondents

consulted the doctor when sickness

arises, 18 (12.6%) respondents visited the

midwife in the Barangay Health Center for

consultation, 14(9.8%) respondents seek

the help of the albularyo and 3(2.1%)

respondents preferred to visit the faith

healers and elders in the community respectively.

Analysis

As we can see on the table above, the doctor got the highest percentage in

terms of health consultation. The people in the community are now more aware

of the modern ways in promoting their health rather than the traditional ones.

They believe on the abilities of the doctors in making them feel better when they

have health problems. Being a doctor takes a lot time of studying and practicing

to be able to perform his/her duties appropriately. Knowledge gained by doctors

throughout those years is scientifically and medically based. Hence, the

interventions provided by doctors are well guided by a scientific basis and

malpractice is not merely to happen.

c. Food Usually Eaten

Table 4.22 Frequency Distribution and Percentage of Families According to

the Foods They Usually Eat

Health consultants

doctormidwifehilotalbularyofaith healerelderlynurse

Page 54: COPAR

54

1% Fish17%

13%

68%

Food Usually Eaten

MeatFishVegetableMixed

Interpretation

The table shows that 97(67.83%) of the surveyed population in Brgy.

Carillo ate mixed type of foods, which is the combination of meat, fish and

vegetables. Twenty-four (17.48%) of the population ate fish. Nineteen (13.29%)

of the surveyed population ate vegetables. And only 2(1.40%) respondents

preferred to eat meat.

Analysis

Majority of the families in Brgy. Carillo preferred mixed type of food, which

is the combination of meat, fish and vegetables, for the reason that they can

easily purchase these items from their nearest market. And also, they know the

importance of eating equal or balanced amount of food to acquire their needed

energy and nutrients.

Health Implications

You must have carbohydrate, protein, fat, vitamins, minerals salts and fiber in

the correct proportions. If there is not enough protein, you will not be able to grow

properly and you will not be able to repair yourself i.e. wounds will not heal

properly. If you do not have enough energy containing foods you will feel very

tired, you will not have enough energy. If you have too much energy containing

foods you will become overweight. If you think that you are overweight you might

try taking more exercise to "burn off" some of the excess food which you ate at

your last meal. (A Balance Diet, 2006, http://www.purchon.com/biology/diet.htm)

d. Family Planning

Table 4.23 . Frequency Distribution and Percentage of Families According

to Acceptance of Family Planning Methods

Food Frequency Percentage

Mixed 97 68.31%

Fish 24 16.90%

Vegetabl

e

19 13.38%

Meat 2 1.41%

TOTAL 142 100%

Page 55: COPAR

55

Interpretation

The table and figure above shows

that of the 145 families surveyed in Brgy.

Carillo, 83(58.04%) were acceptor of

family planning methods and

60(41.96%) families are non-

acceptor of the family planning methods.

Analysis

Majority of the people of Brgy. Carillo are acceptor of family planning

methods. This denotes that the Barangay Health workers are effective in

disseminating knowledge regarding the family planning programs and supporting

them would help the government and the Department of Health in achieving their

goal in family planning.

Health Implication

Family planning is a national mandated priority public health program to

attain the country’s national health development. It provides information and

services for the couples of reproductive age to plan their family according to their

beliefs and circumstances through legally and medically acceptable family

planning methods.

According to the Department of Health, Family Planning Program wishes

to empowered men and women living healthy, productive and fulfilling lives and

exercising the right to regulate own fertility through legally and acceptable family

planning services.

The choice of the couple to utilize a family planning method constitutes to

several benefits such as improvement of reproductive health, reduction of

poverty and of maternal and child mortality, empowerment of women by

lightening the burden of excessive childbearing within the context of responsible

parenthood and enhancement of environmental sustainability by stabilizing the

planet’s population. (NEDA Region V, 2005)

Table 4.24 Frequency Distribution and Percentage of Families

According to Family Planning Method Used

Types Of Family Frequency Percentage

58%

42%

Acceptability of Family Planning Methods

AcceptorNon-Acceptor

Acceptor/ Non-

Acceptor

Frequency Percentage

Acceptor 83 58.45%

Non-Acceptor

59 41.55%

Total 142 100%

Page 56: COPAR

56

Planning

Natural

Calendar 23 27.71%

Withdrawal 15 18.07%

Others 8 9.64%

Lactational Amenorrhea

Method(LAM) _6_

7.23%

Subtotal 52

Artificial

Injectables 11 13.25%

Condom 8 9.64%

Pills 5 6.02%

Others _1_ 1.22%

Subtotal 25

Permanent

Tubal Ligation 6 7.23%

TOTAL 83 100%

Withdrawal18%

LAM7%

Calendar28%

Others(Natural)

10%

Pills6%

Injectables13%

Condom10%

Others(Artificial)1%

Tubal Ligation7%

Family Planning Methods

Interpretation

Referring to the table above, of the 83 acceptors of family planning,

52(62.65%) respondents used Natural Family Planning(NFP) methods such as

calendar method, withdrawal/coitus interruptus and Lactational Amenorrhea

Page 57: COPAR

57

Method(LAM) and others such as cervical mucus method, basal body

temperature and abstinence. Twenty-five (30.12%) of the respondents used

Artificial methods such as injectibles, condom, pills and others such as IUD,

estrogen patch, etc. Six (7.23%) subject to permanent method particularly tubal

ligation.

Analysis

Majority of the residents of the said barangay used the NFP methods,

particularly the calendar method, for the reason that it didn’t cost them anything.

Moreover, they prefer to use natural methods because it didn’t produce any

undesired effects unlike the artificial methods.

On the other hand, some prefer to use artificial methods, particularly the

injectables, because it provides the lowest percent of error in preventing

conception. The effectiveness rate of this method is almost 100% making them

an increasingly popular contraceptive method. (Pilliteri, A., Maternal and Child

Nursing 5th ed.)

Lastly, only few were subjected to permanent method particularly tubal

ligation because they are satisfied with the number of children they have. This

method has a 99.5% effectiveness rate. (Pilliteri, A., Maternal and Child Nursing

5th ed.)

Health Implication

Fertility awareness methods or Natural Family Planning methods are

based on the fact that fertilization is most likely to occur around the time of

ovulation. Intercourse is avoided during those times when a woman is fertile, thus

preventing conception. Fertility awareness methods are the only methods of birth

control which require the cooperation of both partners. Advantages of these

methods are that they are very inexpensive, do not require the use of artificial

devices or drugs, and have no harmful side-effects. In addition, many people

prefer a natural, mutual method of preventing pregnancy. Even if fertility

awareness isn't used as contraception, every woman can benefit from

understanding the workings of her body. (Fertility Awareness,

http://www.contracept.org/natural.php)

X. IDENTIFIED PROBLEMS

PROBLEMS IDENTIFIED IN BARANGAY CARILLO, HAGONOY, BULACAN

Nursing Problems

Page 58: COPAR

58

A. Potential for enhanced capability for health management/health maintenance

1. Inability to recognize presence of the problem due to lack of knowledge

2. Inability to make decisions with respect to taking appropriate health

action due to failure to comprehend the nature and magnitude of the

problem

3. Failure to utilize community resources for health care due to lack of

knowledge of community resources for health care

B. Presence of breeding sites or resting sites of vectors of disease

1. Inability to recognize presence of the problem due to lack of knowledge

about the condition

2. Inability to make decisions with respect to taking appropriate health

action due to failure to comprehend the nature and magnitude of the

problem

3. Inability to provide a home environment conducive to health maintenance

and personal development due to:

a. Lack of/inadequate knowledge of preventive measures

b. Lack of/ skill in carrying out measures to improve home environment

C. Open drainage system as health threat

1. Inability to recognize presence of the problem due to lack of knowledge

about the condition

2. Inability to make decisions with respect to taking appropriate health

action due to failure to comprehend the nature and magnitude of the

problem

3. Inability to provide a home environment conducive to health maintenance

and personal development due to lack of knowledge about the

importance of sanitation

D. Improper garbage disposal

1. Inability to recognize presence of the problem due to lack of knowledge

about the condition

2. Inability to make decisions with respect to taking appropriate health

action due to failure to comprehend the nature and magnitude of the

problem

3. Inability to provide a home environment conducive to health maintenance

and personal development due to:

Page 59: COPAR

59

a. Lack of/inadequate knowledge about the importance of sanitation

b. Lack of/ skill in carrying out measures to improve home environment

E. Smoking as health threat

1. Inability to recognize presence of the problem due to lack of knowledge

about the problem

2. Inability to make decisions with respect to taking appropriate health

action due to failure to comprehend the nature of the problem

F. Alcohol drinking as health threat

1. Inability to recognize presence of the problem due to lack of knowledge

about the problem

2. Inability to make decisions with respect to taking appropriate health

action due to failure to comprehend the nature of the problem

G. Drinking carbonated drinks as health threat

1. Inability to recognize presence of the problem due to lack of knowledge

about the problem

2. Inability to make decisions with respect to taking appropriate health

action due to failure to comprehend the nature and magnitude of the

problem

XI. PROBLEM PRIORITIZATION

Potential for Enhanced Capability For

Health Management/Health Maintenance

Page 60: COPAR

60

Criteria Computation Actual

score

Justification

Nature of

the problem

3/3 x 1 1 The problem is a wellness

condition.

Modifiability

of the

problem

1/2 x 2 1 The problem is partially

modifiable since the medical’s

resources are available but

enhancing the capability for

health management require

quite a financial expenditure.

Preventive

potential

1/3 x 1 1/3

Salience of

the problem

0/2 x 1 0 Most of the families in Brgy.

Carillo doesn’t perceived it as a

condition needing immediate

attention or change

TOTAL SCORE 2 2/3

Alcohol Drinking

Criteria Computation Actual Score Justification

Nature of the

problem

2/3 x 1 2/3 It is a health

threat that does

Page 61: COPAR

61

not demand

immediate

attention.

Modifiability of the

problem

2/2 x 2 2 Current

knowledge,

interventions and

resources are

available to solve

the problem like

providing health

teaching

Preventive

potential

3/3 x 1 1 The possibility of

complication and

occurrence of

abnormalities in

the body are

prevented if

alcohol drinking is

eliminated as

early as possible.

Salience of the

problem

1/2 x 1 1/2 It is not a felt

problem and

doesn’t need

immediate

attention

TOTAL SCORE 4 1/6

Drinking Carbonated Drinks

Criteria Computation Actual Score Justification

Nature of the

problem

2/3 x 1 2/3 It is a health

threat

Page 62: COPAR

62

Modifiability of the

problem

2/2 x 2 2 The problem is

easily,

modifiable since

the nurse’s

resources are

available, she

can help the

family to choose

alternative drinks

like water, juices

which has less

sugar to have

healthy living

Preventive

potential

3/3 x 1 1 Practice drinking

sufficient water

instead of

carbonated

drinks to prevent

divergent

complications.

Salience of the

problem

0/2 x 1 0 The family does

not recognize

the existence of

the problem.

TOTAL SCORE 3 2/3

Improper Garbage Disposal

Criteria Computation Actual Score Justification

Page 63: COPAR

63

Nature of the

problem

2/3 x 1 2/3 It is a health

threat

Modifiability of the

problem

2/2 x 2 2 The local

government of

Brgy. Carillo

have altered

budget for

maintaining

cleanliness in

the community.

Resources are

available and

interventions are

feasible.

Preventive

potential

3/3 x 1 1 Occurrence of

parasitism and

other

communicable

disease can be

reduced or

minimized

Salience scale ½ x 1 ½ The families in

Brgy. Carillo

mostly perceived

it as a condition

or problem not

needing

immediate

attention.

TOTAL SCORE 4 1/6

Smoking

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 It is a health

Page 64: COPAR

64

problem threat that does

not demand

immediate

attention.

Modification of the

problem

2/2 x 2 2 The problem is

easily, modifiable

since the nurse’s

resources are

available, she

can help the

Brgy. Carillo with

effective health

teaching and

possible

complication

Preventive

potential

3/3 x 1 1 The possibility of

complications are

prevented with

proper knowledge

of the diseases

that may occur.

Salience of the

problem

1/2 x 1 1/2 Majority of the

families in Brgy.

Carillo perceived

it as a problem

not needing

immediate

attention

TOTAL SCORE 4 1/6

Presence of breeding or resting sites of vectors of diseases

Criteria Computation Actual score Justification

Page 65: COPAR

65

Nature of the

problem

2/3 x 1 2/3 It is a health threat

conducive to disease or

accident.

Modifiability of

the problem

2/2 x 2 2 The local government of

Brgy. Carillo have

allotted budget for

restoring and

maintaining the

orderliness and

cleanliness in the

community. Resources

are available and

interventions are

feasible.

Preventive

potential

3/3 x 1 1 Occurrence of

parasitism and other

communicable diseases

like malaria, dengue,

leptospirosis etc. can be

reduced or minimized if

breeding/resting sites of

the vectors of these

diseases are eliminated

Salience of the

problem

0/2 x 1 0 Most of the families

doesn’t perceived it as a

condition or problem not

needing immediate

attention.

TOTAL SCORE 3 2/3

Open Drainage System

Criteria Computation Actual

score

Justification

Page 66: COPAR

66

Nature of

the problem

2/3 x 1 2/3 It is a health threat that may

result to failure to maintain

wellness or realize health

potential.

Modifiability

of the

problem

2/2 x 2 2 The local government of Brgy.

Carillo have included open

drainage system to barangay’s

expenditure. They have allocated

budget to patch up drainage

systems left uncovered. Current

knowledge, resources and

interventions are available to

solve the problem.

Preventive

potential

3/3 x 1 1 Poor drainage systems collect

stagnant rainwater, sewage,

garbage and other waste causing

a strong stench and can be

dangerous to ones health. Open

drainage systems also allow for

the breeding of mosquitoes, thus

increasing the risk of malaria and

dengue. This incidence can be

reduced or minimized if drainage

systems are covered and treated

properly.

Salience of

the problem

0/2 x 1 1/2 Not perceived as a problem of

families in the Barangay

TOTAL SCORE 4 1/6

PRIORITIZED HEALTH PROBLEMS

PROBLEMS SCORE

Page 67: COPAR

67

Alcohol Drinking 4 1/6

Improper Garbage Disposal 4 1/6

Smoking 4 1/6

Drinking Carbonated Drinks 3 2/3

Open Drainage System 3 2/3

Presence of breeding or resting sites

of vectors of diseases3 2/3

Potential for Enhanced Capability

For Health Management/Health

Maintenance2 2/3

XII. APPENDICES

a. Survey Tool

COMMUNITY HEATH SURVEY TOOL

Control No : ______________________________

Page 68: COPAR

68

Address : ______________________________

Informant : ______________________________

Surveyed By : ______________________________

Date : ______________________________

I. DEMOGRAPHIC VARIABLES

N

O.

NAME OF

FAMILY

MEMBERS

S

E

X

A

G

E

BIRTH

DATE

CIVIL

STATUS

R

E

L

I

G

I

O

N

HIGHEST

EDUCATIONAL

ATTAINMENT

OCCUPATION

PLACE

OF

ORIGIN

LENGTH OF

RESIDENCE

 T

Y

P

E

 P

L

A

C

E

1. 

    

                     

2. 

    

                     

3. 

    

                     

4. 

    

                     

5. 

    

                     

LEGEND MEANING LEGEND MEANING

SEX TYPE OF WORK

M Male NE Not Employed

F Female E Employed

CIVIL STATUS RF Regular Full Time

C Child RP Regular Part Time

S Single C Contractual 6 Months

Page 69: COPAR

69

M Married CW Contractual Every Week

MS Married but Separated CE Contractual Everyday

W Widow SE Self-Employed

Wr Widower S Seasonal

RELIGION PLACE OF WORK

RC Roman Catholic I Within The Community

P Protestant OF Office

INC Iglesia Ni Cristo FL Field

BAC Born Again O Outside The Community

JW Jehovah Witness FC Factory

M Muslim OFW Overseas Filipino Worker

EDUCATION PLACE OF ORIGIN

NFE No Formal Education NCR Metro Manila

P Pre-Elementary NL Northern Luzon

EL Elementary Level V Visayaz

EG Elementary Graduate CL Central Luzon

HL High School Level SL Southern Luzon

HG High School Graduate M Mindanao

V Vocational

SC Short Courses

CL College Level

CG College Graduate

PG Post Graduate

TYPE OF PAMILY: ( ) Nuclear ( ) Extended ( ) Single Parent

( ) Homosexual ( ) Cohabiting ( ) Matriarchal

( ) Patriarchal ( ) Egalitarian ( ) Patricentric

( ) Matricentric ( ) Patrilocal ( ) Matrilocal

II. SOCIO-ECONOMIC BACKGROUND

1. SOCIAL INDICATORS

Page 70: COPAR

70

A. MODE OF TRANSPORTATION:

( ) Tricycle ( ) Jeep ( ) Bicycle

( ) Private Vehicle

B. MODE OF COMMUNICATION:

( ) Postal System ( ) Email ( ) Telephone

( ) CP

C. RECOGNIZED LEADER/KEY PERSON:

( ) Brgy Captain ( ) Religious Leader ( ) Elderly ( ) BHW ( ) Influential

Person ( ) Kagawad ( ) Neighbor

D. SERVICES IN THE COMMUNITY:

( ) Religious ( ) Livelihood ( ) Health

( ) Garbage Collection ( ) Peace & Order

E. INSTITUTIONAL FACILITIES:

( ) Brgy Hall ( ) Health Center ( ) Church

( ) School

F. ORGANIZATION:

( ) Senior Citizen ( ) Youth ( ) Couples ( ) SK

G. VALUES/TRADITION/COUSTOMS:

( ) Bayanihan ( ) Palabra De Honor

( ) Pakikisama ( ) Nigas Kugon ( ) Fiesta ( ) Close Family Ties

( ) Respect for Elderly

H. RECREATIONAL FACILITIES: ( ) Volleyball Court ( ) Basketball Court

( ) Badminton Court ( ) Others

2. ECONOMIC INDICATOR

A. MONTHLY FAMILY INCOME

( ) Less Than 5,000 ( ) 25,001 – 30, 000 ( ) 50, 001 Above

( ) 5,000 – 10,000 ( ) 30,001 – 35,000

( ) 10, 001 – 15,000 ( ) 35,001 – 40,000

( ) 15,001 – 20,000 ( ) 40,001 – 45,000

( ) 20,001 – 25,000 ( ) 45,001 – 50,000

B. MONTHY FAMILY EXPENDITURE

( ) Less Than 5,000 ( ) 25,001 – 30, 000 ( ) 50, 001 Above

( ) 5,000 – 10,000 ( ) 30,001 – 35,000

( ) 10, 001 – 15,000 ( ) 35,001 – 40,000

( ) 15,001 – 20,000 ( ) 40,001 – 45,000

( ) 20,001 – 25,000 ( ) 45,001 – 50,000

C. PRIORITY & EXPENDITURE ( RANK 1 – 5)

( ) Food ( ) Clothing ( ) Education ( ) Utilities ( ) Health ( ) Recreation

D. DECISION MAKER IN TERMS OF FINANCIAL SUPPORT

Page 71: COPAR

71

( ) Father ( ) Mother ( ) Both ( ) Family ( ) Others

3. CULTURAL INDICATOR

A. IF FAMILY MEMBERS GET SICK, BELIEVE THAT IT IS CAUSED BY?

( ) Physiologic ( ) Superstition ( ) Lack of Knowledge ( ) Poverty ( ) Bad

‘Karma’ Or Punishment (Balis, Usog,Kulam) ( ) Others

B. RITUALS PERFORMED TO GET BETTTER

( ) None ( ) Prayer/Novena ( ) Panata

( ) Follow Advices of Faith Healers (Pag-aalay)

( ) Others

C. ACTIVELY PARTICIPATE/CELEBRATE FIESTA

( ) Yes ( ) No

4. ENVIRONMENTAL INDICATOR

A. HOME

a. OWNERSHIP: ( ) Owned ( ) Rented ( ) Rent For free

( ) Least to Own

b. MATERIALS USED: ( ) Light ( ) Mixed ( ) Strong

c. NUMBER OF ROOMS: ___________________

d. ADEQUACY OF SPACE: ( ) Adequate ( ) Inadequate

e. LIGHTING FACILITY: ( ) Electricity ( ) KEROSENE ( ) Others

f. ADEQUACY OF LIGHTING: ( ) Adequate ( ) Inadequate

g. VENTILATION: ( ) Adequate ( ) Inadequate

h. GENERAL SANITARY CONDITION:

_______________________

B. DRINKING WATER SUPPLY

a. SOURCE:

( ) Deep Well ( ) Local Water District ( ) Commercial

b. STORAGE:

( ) None/Direct from Faucet ( ) Large Container with Cover

( ) Large Container without Cover ( ) Refrigerated ( ) Others

c. FOOD STORAGE/COOKING FACILITIES

a. STORAGE: ( ) Refrigerator ( ) Cabinet ( ) Basket ( ) Table

b. COOKING FACILITIES: ( ) Electric Stove ( ) Gas Stove

( ) Firewood/Charcoal

d. WASTE DISPOSAL

a. STORAGE: ( ) Container ( ) Plastic Bag ( ) None

C. WASTE SEGREGATION: ( ) Practiced ( ) Not Practiced

- IF PRACTICED, METHOD OF DISPOSAL

Page 72: COPAR

72

( ) Hog Feeding ( ) Open Dumping ( ) Burial in Pit ( )

Collected

( ) Composting

- REASON FOR PRACTICING

( ) Environment Friendly ( ) Brgy Ordinance ( ) For

Business

- IF NOT PRACTICED, METHOD OF DISPOSAL

( ) Hog Feeding ( ) Open Dumping ( ) Burial in Pit ( )

Collected

( ) Composting ( ) Open Burning

- RESON FOR NOT PRACTICING

( ) Not Aware ( ) Long Time Practice by Family ( ) No Time ( )

Not a Brgy Ordinance

5. TOILET FACILITY

A. OWNERSHIP: ( ) Owned ( ) Shared/Public ( ) None

B. TYPE: ( ) Balot System ( ) Open Pit Privy ( ) Close Pit Privy ( ) Overhung

Latrine ( ) Bored Hole Latrine ( ) Antipolo type ( ) Water Sealed ( )

Flushed Type

( ) others

C. LOCATION FROM SOURCE OF WATER: ( ) Less Than 20 feet

( ) 20 feet beyond

D. DRAINAGE SYSTEM: ( ) Open ( ) Covered

CONDITION: ( ) Flowing ( ) Stagnant

6. DOMESTIC ANIMALS

A. ANIMAL RAISED

KIND NUMBER WHERE KEPT WITH

VACINATION

WITHOUT

VACINE

Page 73: COPAR

73

B. MEASURE DONE TO CONTROL INSECTS

( ) Fumigation ( ) Insecticides ( ) Setting Traps ( ) Cleaning ( ) None

C. BREEDING SITES

( ) None ( ) With

III. HEALTH & ILNESS PATTERN

A. HYGENIC PRACTICES / HEALTH HABITS

HYGENIC PRACTICES PRACTICE NOT PRACTICE

TAKING BATH REGULARLY

BRUSHING TEETH

HANDWASHING

NAIL CUTTING

USE OF HYGENIC PRODUCTS

EAR CLEANING

REGULAR CHANGES OF CLOTHES

SLEEP 8 – 10 HOURS

EXERCISE 3 TIMES A WEEK FOR 30 MINUTES

MEDICAL CHECK UP EVERY 6 MONTHS

DENTAL CHECK UP EVERY 6 MONTHS

SMOKING

DRINKING ALCOHOLB. FOOD USUALY TAKEN

( ) Meat Only ( ) Fish Only ( ) Vegetables Only ( ) Mixed

C. BELIEF & PRACTICES

a. PERSON CONSULTED IN TIMES OF SICKNESS

( ) Doctor ( ) Nurse ( ) Midwife ( ) Hilot ( ) Albolaryo ( ) Faith Healers

( ) Elderly

b. MEASURE TAKEN IN TIMES OF SICKNESS

( ) Consult a private health worker ( ) See a community healer

( ) Consult a BHW ( ) Self medicate

c. MEDICATION TAKEN IN TIMES OF SICKNESS

( ) Prescribed by Doctor ( ) Over the counter

( ) Herbal

D. COMMUNITY HEALTH PROGRAMS

a. SERVICES IN THE COMMUNITY

Page 74: COPAR

74

( ) Immunization ( ) 4 o’clock habit

( ) Nutrition programs ( ) Prenatal check up

( ) Family planning ( ) Health seminars

( ) Dental programs ( ) Fumigation

b. IMMUNIZATION RECORD (AGES 0 – 18 MONTHS)

NA

ME

OF

THE

CHI

LD

AGE

IN

MONT

HS

SE

X

BC

G

DP

T 1

DP

T 2

DP

T

3

He

pa

B

OP

V 1

OP

V 2

OP

V 3

Measl

es

COMPLE

TE

ACCORD

ING TO

AGE

INCOMPL

ETE

FUL

LY

NAME OF

CHILD

BIRTH

DATE

AGE IN

MONTHS

Wt. IN

Kg

Ht. IN

METRES

NUTRITIONAL

STATUS

c. WEIGHING PRORAM (AGES 0 – 6 MONTHS)

d. FAMILY PLANNING

( ) ACCEPT REASONS: ( ) Good for family ( ) Personal

( ) Influenced

( ) NOT ACCEPT REASONS: ( ) Bad for family ( ) Religion ( )

personal

e. METHOD USED

( ) Natural ( ) Artificial ( ) Permanent

f. PREGNANCY

NAME AOG PRENATAL

CHECK UP

TETENUS TOXOID

(with or without)

Page 75: COPAR

75

g. MORBIDITY ( JAN 2009 – DEC 2009)

NAME AGE GENDER PARENTING

S/SX

INTERVENTION

( WITH OR

WITHOUT)

RESULT

h. MORTALITY (JAN 2009 – DEC 2009)

NAME AGE GENDER CAUSE OF DEALTH

i. AWARENESS ON HEALTH SERVICES

( ) Aware ( ) Unaware

IV. POLITICAL/LEADESHIP PATTERN

A. USUAL CAUSE OF TRAUBLE IN THE BARANGAY

( ) Gossip ( ) Envy ( ) Alcoholism ( ) Barkada

B. PERSON APPROACH TO SETTLE CONFLICT

( ) Kapitan ( ) Kamag-anak ( ) Elderly ( ) Konseho

C. WHERE CONFLICT ARE SETTLED

( ) Baranday ( ) Police ( ) On your own ( ) Others

b. List of Students and Foster Families

LIST OF STUDENTS AND FOSTER FAMILY

GROUP I

NAME OF STUDENT FOSTER FAMILY

Balaba, Arlene

Cahanding, Dianne Ellaine

Mylene Santiago

Castro, Maanne Marieta Chico

Page 76: COPAR

76

Calub, Jasmin

Cruz , Penelaphy Jean

Concepcion, Kathleen Grace

Saida De Guzman

Cueco, Tiffany Elise

Santiago, Marissa

Asuro, Alvin Lee

Violeta Manalo

Carreon, Len Marc

Del Carmen, Lovely Joy

Cesar Manalo

Austria, Wilmar

Danting, Patricia Ann

Victorino Santiago

GROUP II

NAME OF STUDENT FOSTER FAMILY

Garcia, Maria Norissa

Gonzales, Rose Anne

Alfredo Manalo

Domingo, Angelie Cyrell

Diego, Reinard Jayson

Rosalinda Gutierrez

Libiran, Annilou

Sy, Baby Cheenie

Isidro Manalo

De Guzman, Mark Vincent

Fernanado Jaqueline

Belen Marquez

Galang, Claire

Illustrisimo, Maricris

Maximo

Idago, Veneriza

Catayong, Mark Russel

Angel Mercado

GROUP III

NAME OF STUDENT FOSTER FAMILY

Manzanero, Herchele DC.

Marcelo, Jessamine Josiah

Carmencita Pascual

Ramos, Grace Kristian

Fajardo, Rey Albert

Helen Batoto

Padilla, Princess

Paulino, Jennifer

Rusty Ramirez

Page 77: COPAR

77

Rodriguez, Ciera Mae

Guevarra, Roberto

Emeteria De Jesus

Sacdalan, Cerlainne Ann

Quiambao, Jennilyn

Dionisio, Mark Anthony

Jacinta De Jesus

Pulumbarit, Crizell

Pegollo, Andrea Lauren

Ambrocia de Guzman

GROUP IV

NAME OF STUDENT FOSTER FAMILY

Torres, Cheenee Marie

Mendoza Jr., Lazaro

Maria & Adriano de Guzman

Vistan, Charmaine

Santos, Roselle

Ambrocia de Guzman

Ramelb, Eric Jason

Sto. Domingo, Farren Faye

Resty & Maria Ramirez

Buhain, Christopher

Santiago, Arianne

Gertrudes de Jesus

Reyes, Pauline Joy

Rodriguez, Mary Ann

Jacinta de Jesus

Zuniga, Kathleen Allene

Urbano, Evelyn

Helen Batoto

c. Pamphlets

Page 78: COPAR

78

Ihiwalay ang nabubulok sa di nabubulok

Sundin ang pamantayan na 3R sa basura

Page 79: COPAR

79

Malinis na kapaligiran para maiwasan ang mga sakit

Tulong para matigil ang paninigarilyo

Page 80: COPAR

80

Ihanda ang sarili. Alamin ang mga dahilan kung bakit nais tumigil.

Pagpasyahan at planuhin nang mabuti.

Page 81: COPAR

81

Magtakda ng petsa kung kalian talaga titigil.

Page 82: COPAR

82

Umiwas sa tukso. Pansamantalang lumayo muna sa mga kaibigang

naninigarilyo rin o kaya ay ipaalam sa kanila ang plano mong

huminto na. Itabi ang lahat ng sigarilyo at ashtray sa bahay at

opisina. Huwag maglalagay ng sigarilyo sa bulsa.

Asahan ang pagdating ng tinatawag na withdrawal symptoms. Ano

ito? Ito ay isang kondisyon kung saan ang buong katawan ay

nakararanas ng masamang pakiramdam at pagkabalisa dala ng

biglang pagtigil sa bisyong nakasanayan na. Ang withdrawal

symptoms ay mararanasan sa umpisa ngunit ito ay isang senyales

na ang katawan ay nag-uumpisa nang humilom.

Page 83: COPAR

83

Humingi ng suporta mula sa mga kamag- anak, kabiyak at kaibigan.

Maging abala sa mga iba-ibang Gawain. Magkaroon ng mga dagdag

na libangan tulad ng sports at pagsasayaw.

Page 84: COPAR

84

Kunin ng paisa-isang araw ang pagtigil sa paninigarilyo hanggang sa

unti-unting makasanayan na hindi ka na gumagamit nito.

Huwag agad masiraan ng loob kung sa simula ay hindi magtagumpay.

Kailangan ang matinding determinasyon para subukan muling huminti.

Mag-pursige.

Page 85: COPAR

85

Imbis na sigarilyo ang ilagay sa bibig, mag nicotine gum ka na lang.

Magtanong sa doctor o sa botika tungkol sa tamang paggamit ng

Nicotine gum.

Tandaan: Ang paghinto sa paninigarilyo ay hindi biro. Kailangan ng tiyaga

at determinasyon upang mapanaig ang kagustuhang matigil ang

paninigarilyo, at mapanumbalik ang kalusugan ng katawan.

Tulungan kita kaibigan. Kaya natin yan!

Page 86: COPAR

86

d. Documentation Pictures

Page 87: COPAR

87

Page 88: COPAR

88

Feeding program at San Miguel Hagonoy, BulacanFebruary 25, 2010 3rd year 2nd semester

At Wilmar and Patricia’s foster parent house

December 10, 2009 3rd year 2nd sem.

Page 89: COPAR

89

Kathleen and Penelaphy’s Foster FamilySeptember 23, 2009 3rd year 2nd semester

Patricia and Wilmar’s Foster FamilySeptember 23, 2009 3rd year 2nd semester

Page 90: COPAR

90

Len Marc and Lovely’s Foster FamilySeptember 23, 2009 3rd year 2nd semester

Maanne and Jasmin’s Foster Family

September 23, 2009 3rd year 2nd semester

Page 91: COPAR

91

Marissa, Tiffany and Alvin’s Foster FamilySeptember 23, 2009 3rd year 2nd semester

Dianne and Arlene’s Foster

FamilySeptember 23,

2009 3rd year 2nd

semester

Page 92: COPAR

92

Crizell Pulumbarit and Andrea Pegollo together with their Foster Family.

(L-R) Jennifer Paulino, Cerlainne Ann Sacdalan, Princess Paulino, Ma’am Myline

Eser, Ciera Mae Rodriguez and Herchelle Manzanero strike a pose infront of the

Barangay hall and Health Center.

Page 93: COPAR

93

Jennifer Paulino interviewing one of the respondents in Brgy. Carillo.

Ma’am Myline Eser crossing the wooden bridge to reach other

purok in Brgy. Carillo.

Page 94: COPAR

94

TOP (L-R) Herchelle Manzanero, Ma’am Myline Eser, Mark Anthony Dionisio,

Roberto Guevarra, Grace Ramos, Rey Albert Fajardo, Cerlainne Ann Sacdalan,

Jennifer Paulino, Ciera Mae Rodriguez, Princess Padilla and Jessamine Josiah

Marcelo BOTTOM (L-R) Andrea Pegollo and Crizell Pulumbarit make a pose

after doing the Survey.

Members of Groups 4 during Tallying the Data

Page 95: COPAR

95

After the doing the survey, group4 members were waiting for the jip to arrive.

Group4 Members Together With Mrs. Myline Eser during Health Teaching Of

H1n1 in Brgy Carillo Elementary School

Page 96: COPAR

96

Students together with their parents and teachers of Barnaggay Carillo

Elementary School listen in different health teachings about H1N1

Michelle Santos of group 4 discussing H1n1 symptoms

Page 97: COPAR

97

Arianne Santiago And Mary Ann Rodriguez Teaching Proper Hand Washing,

One Way Of Preventing H1n1

Parents and teachers during question and answer portion in health teachings in

the Brgy Carillo Elementary School