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Transcript of 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
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.
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.
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
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.
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.
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.
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.
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.
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
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
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.
13
c. Spot Map
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)
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 %
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
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.
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%
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%
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
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
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
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
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%
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%
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%
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
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
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%
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
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.
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 %
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 %
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 %
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%
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%
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%
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%
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%
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%
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%
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 %
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 %
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%
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%
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
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%
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%
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%
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
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
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%
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
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%
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%
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
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
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:
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
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
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
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
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
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
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
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
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 : ______________________________
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
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
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
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
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( ) 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
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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
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( ) 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)
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
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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
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
78
Ihiwalay ang nabubulok sa di nabubulok
Sundin ang pamantayan na 3R sa basura
79
Malinis na kapaligiran para maiwasan ang mga sakit
Tulong para matigil ang paninigarilyo
80
Ihanda ang sarili. Alamin ang mga dahilan kung bakit nais tumigil.
Pagpasyahan at planuhin nang mabuti.
81
Magtakda ng petsa kung kalian talaga titigil.
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.
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.
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.
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!
86
d. Documentation Pictures
87
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.
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
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
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
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.
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.
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
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
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
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