Community health nursing is one of the two major fields of nursing in the Philippines; the other is hospital nursing.

It is a professional practice with the primary goal of promotion and preservation of the health of its clients- the individuals, families and groups. The practice of community health nursing is comprehensive, general, continual and not episodic by integrating the skills and knowledge relevant to both nursing and public health.

In community health nursing, the population as a whole or the community is the primary concern as it directly affects the health of individuals and families. A community is a group of people sharing common geographic boundaries and/or common values and interests. Every community is unique as it functions within a particular socio-cultural context and is regarded as an organism with its own stage of development. Caring for the community as a client starts with determining its health status. A community assessment or situational analysis called community diagnosis is a tool that would help the nurse assess the communitys health status in order to determine the existing and predisposing health problems and health-related problems in the community.

There are two types of community diagnosis: comprehensive community diagnosis and problemoriented community diagnosis. The comprehensive community diagnosis aims to obtain general information about the community. It is used to assess the present condition or health status of the entire community in order to determine what the community needs. The problem-oriented community diagnosis is done when the community is encountering or facing a specific problem like a disaster situation or an outbreak of diseases. It responds to a particular need to identify the existing health problem and the factors aggravating it. This community diagnosis that the researchers made is problem-oriented.

To be successful in the provision of health care services, the nurse must identify the different factors such as the socio-economic, sociocultural, political and environmental factors that could directly and indirectly influence the health status of the community. Then a nurse would proceed to the analysis of the data gathered to search for the explanations of the occurrence of the existing health problems. It should be followed by the planning of actions and interventions to solve the identified problems. This process is called a community diagnosis.

The researchers identified problems or conditions affecting the health status of the community which will be discussed in the planned Community Assembly. An implementation of a proposed action plan was enacted in the third week of exposure to remedy the problems identified in the study.

The Gantt Chart served as a guide for the researchers in order to track the progress of their activities during the span of the community diagnosis. It helped the researchers plan and schedule the tasks needed to be accomplished on a specific period of time. In gathering data for the study, the researchers utilized a survey tool that based on the elements of comprehensive community diagnosis according to Araceli S. Maglaya in her book entitled, Nursing Practice in the Community. Key Informant Interview, Community Survey Tool and Ocular Survey were utilized by the researchers to collect and gather the pertinent data needed for the study. These tools and method paved way in obtaining sufficient and reliable information from the involved residents of the community. Prior to conducting the survey, the researchers sought the approval of the homeowners president to gain access to the community. They identified first the area and the scope of population study. The said methods were performed during the first 2 days of exposure followed by a thorough assessment of the significant attributes in the community.

Different strategies were employed in order for the researchers to have an efficient and equitable data gathering. The group marked the homes that have been surveyed with green stickers bearing the corresponding control number on the Community Survey Tool. A sticker is placed on the upper right portion of the doors or gates per family. In line with this, the researchers used a white colored sticker located on the same site were the green stickers are usually attached marked with letter R- meaning the family refused to be interviewed ; and NI for those homes whose residents were not available during the survey due to certain conditions like work. There is a quota of 10 families assigned to each member of the group. The survey interview provided the researchers firsthand information through open-ended questions. These allowed the interviewer obtain detailed data for additional implications and evaluations. Another method used was observation. Through direct observation, home and environmental conditions and behavioral responses were assessed.

After data collection, the researchers then tallied all the data that were acquired during the interviews then created tables and figures which showed the frequency and percentage of the results. These results were then interpreted and analyzed as to its implications on the health status of the community and to determine the actual and potential problems in the community.

General Objective: The study aims to assess the health condition of the community, identify common community health problems and Implement courses of action to improve the health status in the community. Specific Objectives: Establish rapport with the community people to gain their support and cooperation. Determine the geographical characteristics of the community. Assess the community through collection of the following data: Demographic Data Socioeconomic, Cultural, and Environmental data Health Practices and Awareness Health Resources Analyze and interpret the collected data. Identify and prioritize actual and potential health problems in the community. Organize a community assembly to be able to relay the results of the study to the community. Formulate an implementation program to alleviate the identified problem in the community.

This community diagnosis concentrated on the health status of the community which encompassed Blocks 30-32 of Bernabe Compound, Pulang Lupa 1, Las Pinas City which included demographic data, history, socio-economic indicators, geographical boundaries, & environmental aspects. A total of 98 which comprised the 81% out of 118 families were surveyed during the three days community assessment. Twenty families were not surveyed because of unavailability of the respondents while some refused to be interviewed.

Chapter 2

COMMUNITY PROFILE

Bernabe Compound, Pulang Lupa Uno Las Pinas City ( N Villa Alfonso E Sarao Motors W Las pinas River S - Padre Diego Siera Avenue 9.7 hectares , 40 blocks covering 10 hectares of land including Block 30,31,32 16,896 total population 3,379 families

499 total population 446 surveyed family members 83.05% of the total population 98 houses 81% of 118 surveyed families 53 not interviewed families

PHYSICAL FEATURES

Climate Bernabe Compound, as part of the Philippines, experiences two seasons: dry from November to April and wet from May to October.

Medium of Communication The common dialect spoken in Bernabe Compound is Tagalog. The residents of the community also use other dialects to converse with one another. They also communicate with the use of modern technology such as cellular phones, electronic mail and the internet.

Pedicabs and tricycles are the main modes of transportation in the community since these are the only vehicles that can access the streets. Residents also make use of their personal vehicles such as cars, bicycles and motorcycles in traveling. Walking is the preference of the residents when covering short distances.

Common Resources are available in Bernabe Compound. There is a daycare center located behind the health center adjacent to the basketball court that accommodates the young children of the community. Several sari-sari stores are scattered throughout the community including bakeries, food carts and eateries. Other resources include a computer shop, a fitness gym and mini-arcades. A chapel is located behind the barangay hall and health center. A basketball court is also available to the members of the community. Health resources are readily available to the residents of Bernabe Compund through the health center. Its services are free of charge which include general consultation, prenatal check-ups and vaccinations. It is attended by a physician, a dentist, nurses and volunteer barangay health workers. For those with conditions that require special attention, the Las Pias district hospital is nearby.

Bernabe compound was created in 1990. It was commissioned by the National Housing Authority ( NHA) to relocate 10 families from Pulo, Coastal. The original homes of these 10 families were demolished, hence the relocation. Prior to relocation, the NHA conducted a census among the residents of Pulo. Those included in the census were relocated to Bernabe. Bernabe composed of 40 blocks covering 10 hectares of land. The average sizes of the houses in the area are 40 sq. m with the exception of those homes located at the sides of the compound, which can range 40 -57 sq. m. The residents pay a monthly fee from the land, and they will receive its papers after full payment of the total due. Romy Vilnade was the first head resident among the original 10 families in Bernabe. The selection of the head resident is done through an election, which is held after the local elections. The residents also have the option of selling half of their land, just as long as they can pay the monthly due, which can explain why there are homes that share the same lot number the present, foreigners and seamen own most of the land in Bernabe compound.

98 surveyed houses 6 refuse, 14 not interviewed 11 house with dogs 6 houses with breast fed and immunized babies 2 house with pregnant women

CROWDING INDEX

BLOCK 30 (39 families)

Adult

98 x 3.05 sq.m =298.9q.m Children 68 x 1.5 sq.m = 102 sq.m = 400.9 sq.m ( overcrowded) * BLOCK 31 (39 families) + A = 88 x 3.05 = 268.4 sq.m + C = 85 x 1.5 = 127.5 sq.m = 395.9 sq.m ( overcrowded) BLOCK 32 (20 families) A = 57 x 2.5 sq.m = 142.5 sq.m C = 50 x 1.26 sq.m = 63 sq.m = 205.5 sq m ( overcrowded)

Chapter 3

DEMOGRAPHIC PROFILE

Male Age Group

Frequency 0-4 years old 5-9 years old 10-14 years old 15-19 years old 20-24 years old 25-29 years old Percentage Frequency

Female
Percentage Frequency

Total
Percentage

26 37 18 15

11.61% 16.52% 8.04% 6.70%

26 19 25 21

11.71% 8.56% 11.26% 9.46%

52 56 43 36

11.66% 12.56% 9.64% 8.07%

21
27 21 17 10 12

9.38%
12.05% 9.38% 7.59% 4.46% 5.36%

25
20 19 20 12 14

11.26%
9.01% 8.56% 9.01% 5.41% 6.31%

46
47 40 37 22 26

10.31%
10.54% 8.97% 8.30% 4.93% 5.83%

30-34 years old

35-39 years old 40-44 years old 45-49 years old 50-54 years old 55-59 years old

11
4 0 5 224

4.91%
1.79% 0% 2.23% 100%

11
3 5 2 222

4.95%
1.35% 2.25% 0.90% 100%

22
7 5 7 446

4.93%
1.57% 1.12% 1.57% 100%

60-64 years old

65- above years old

Total:

TABLE 1: FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWINGTHE AGE & SEX DISTRIBUTION OF FAMILIES IN BLK. 30, 31, 32 BERNABE COMPOUND PULANG LUPA UNO, LAS PIAS CITY

FIGURE 1: FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWINGTHE AGE & SEX DISTRIBUTION OF FAMILIES SURVEYED IN BLK. 30, 31, 32 BERNABE COMPOUND PULANG LUPA UNO, LAS PIAS CITY

49% n=222

51% n=224
Male Female

FIGURE 2: FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWING THE SEX COMPOSITION OF FAMILIES SURVEYED IN BLK. 30, 31, 32 BERNABE COMPOUND PULANG LUPA UNO, LAS PIAS CITY

SEX RATIO:

Number of Males x 100 Number of Females = 224 x 100 222 = 101 = There are 101 males for every 100 females.

3% n=8
36% n=106

61% n=181

Single
Married Widow / Widower

FIGURE 3 : FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWING THE CIVIL STATUS OF INDIVIDUALS AGES 15 AND ABOVE IN BLK. 30, 31, 32 BERNABE COMPOUND PULANG LUPA UNO, LAS PIAS CITY

Chapter 3

SOCIO - CULTURAL STATUS

Elementary Undergraduate Elementary Graduate

60 22 48 114 49 40

High School Undergraduate

High School Graduate College Undergraduate College Graduate Vocational 5 out of school
0 20

17
40 60 80 100 120

FIGURE 4: FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWING THE HIGHEST EDUCATIONAL ATTAINMENT OF INDIVIDUALS AGES 8 YEARS OLD AND ABOVE IN BLK. 30, 31, 32 BERNABE COMPOUND PULANG LUPA UNO, LAS PIAS CITY

N= 5; 1%

Literate N= 350; 99% Illiterare

FIGURE 5: FREQUENCY AND PERCENTAGE DISTRIBUTION OF LITERACY RATE OF INDIVIDUALS AGES 8YEARS OLD AND ABOVE IN BLK. 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

Literacy Rate = No. of Population 8 yrs. Old and above who can read and write X 100 Total no. of Population 8 yrs. Old and above

= 350 X 100 355 = 99%

N= 20; 4%

Catholic

N= 426; 96%

NonCatholic

6: FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWING THE RELIGION OF POPULATION RESIDING IN BLK. 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

N= 2; 10%

N= 3; 15% N= 4; 20% N= 11; 55%

Born Again Muslim Iglesia Jehovah's Witness

FIGURE 6.1: FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWING THE RELIGION OF POPULATION RESIDING IN BLK. 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

N= 18, 10%

Luzon
N= 74, 38%

N=89, 52%

Visayas
Mindanao

FIGURE 7: FREQUENCY AND PERCENTAGE DISTRIBUTION SHOWING THE PLACE OF ORIGIN OF THE PARENTS OF THE FAMILY IN BLK. 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

N= 9; 9%

Permanent

N= 89;91%
Transient

FIGURE 9: FREQUENCY AND PERCENTAGE DISTRIBUTION OF LENGTH OF RESIDENCY OF FAMILIES IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

N= 32;33% N= 66; 67%

Nuclear Extended

FIGURE 10: FREQUENCY AND PERCENTAGE DISTRIBUTION OF TYPE OF FAMILY STRUCTURE IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

N= 38;39%

n= 27; 27% Matriarchal N= 33;34% Patriarchal Egalitarian

FIGURE 11: FREQUENCY AND PERCENTAGE DISTRIBUTION OF TYPES OF FAMILY AUTHORITY IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

n=4; 4%

n=32; 43%

n=52; 53%

1-4 members 5-8 members 9-12 members

FIGURE 12: FREQUENCY AND PERCENTAGE DISTRIBUTION OF HOUSEHOLD MEMBERS OF FAMILIES IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Chapter 3

SOCIO- ECONOMIC STATUS

n= 158; 35%
n= 288; 65%

dependent independent

FIGURE 13: FREQUENCY AND PERCENTAGE DISTRIBUTION OF DEPENDENCY RATIO IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

No. Of Population from 0 to14 years old + 65 years old above Dependency Ratio = -----------------------------------------------------------------------------No. of Population from 15 to 64 years old = = 158/288 * 100 55%

n= 100; 34%

EMPLOYED

n=188; 66%

UNEMPLOYED

FIGURE 14: FREQUENCY AND PERCENTAGE DISTRIBUTION OF EMPLOYED INDIVIDUALS AGES 15-64 IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

n= 15% n= 30% n= 55%

PERMANENT SEASONAL CONTRACTUAL

15: FREQUENCY AND PERCENTAGE DISTRIBUTION OF DEPENDENCY RATIO IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

n=32; 17.02%

BLUE COLLAR WHITE COLLAR

n=156; 82.98%

FIGURE 16: FREQUENCY AND PERCENTAGE DISTRIBUTION OF OCCUPATIONAL TYPES OF INDIVIDUALS IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Average income 500-1,000 1001- 5,000 5,001-10,000 10,001-15,000 15,001-20,000 20,001-25,000 25,001-30,000 30,001-35,000 35,001-40,000 40,001-45,000 45,001-50,000 50,001-and above

Number of families 1 14 35 16 12 6 2 5 2 1 0

Percentage 1.02% 14.29% 35.71% 16.33% 12.24% 6.12% 2.04% 5.10% 2.04% 1.02% 0

4 4.08% 98 TOTAL 100% TABLE 2. FREQUENCY AND PERCENTAGE DISTRIBUTION OF FAMILIES

ACCORDING TO THE MONTHLY INCOME OF THE PRODUCTIVE INDIVIDUALS 15-64 YRS. OLD IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

RANK 1 2 3 4 5 HEALTH

PRIORITIES FOOD AND WATER EDUCATION ELECTRICITY SHELTER

6
7 8

SAVINGS
CLOTHING RECREATION

TABLE 3. FREQUENCY AND PERCENTAGE DISTRIBUTION OF FAMILY EXPENSES IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

IV. HOME AND ENVIRONMENT

N= 8; 8.16%

Rented Owned Rent-free

N=32; 32.65% N= 58; 59.18%

FIGURE 17. FREQUENCY AND PERCENTAGE DISTRIBUTION OF TYPE OF HOUSE OWNERSHIP IN BLOCK 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

Housing Structure

N= 15; 15.31

Concrete Mixed
N= 30; 30.61% N= 53; 54%

Wood

FIGURE 18. FREQUENCY AND PERCENTAGE DISTRIBUTION OF TYPE OF HOUSING STRUCTURE IN BLOCK 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

Food Storage
N= 5; 5% N= 19; 19%

Table N= 20; 20% N= 54; 55% Refrigerator Cabinet Basket

FIGURE 19. FREQUENCY AND PERCENTAGE SHOWING TYPES OF FOOD STORAGE USED BY THE FAMILIES IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Water supply

N= 98; 100%

Waterworks System

FIGURE 20. FREQUENCY AND PERCENTAGE DISTRIBUTION WATER SUPPLY BY THE FAMILIES IN BLOCK 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

Drinking Water

N= 29; 30% N= 69; 70% Treated Faucet

FIGURE 21. FREQUENCY AND PERCENTAGE DISTRIBUTION OF THE TYPE OF DRINKING WATER USED BY THE FAMILIES IN BLOCK 30, 31, 32 BERNABE, PULANG LUPA I, LAS PINAS CITY

Ventilation Status

n= 40; 41% n= 58; 59% Adequate Inadequate

FIGURE 22. FREQUENCY AND PERCENTAGE DISTRIBUTION OF VENTILATION STATUS IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Lighting status

n= 12; 12%

n= 86; 88%

Adequate Inadequate

FIGURE 23. FREQUENCY AND PERCENTAGE DISTRIBUTION OF LIGHTING STATUS IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Types of Toilet Facility

n= 4; 4%

Pour Flush Flush

n= 94; 96%

FIGURE 24. FREQUENCY AND PERCENTAGE DISTRIBUTION OF TOILET FACILITY IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Toilet Ownership

n= 27; 28% Owned Shared

n= 71; 72%

FIGURE 25. FREQUENCY AND PERCENTAGE DISTRIBUTION OF TOILET OWNERSHIP IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Garbage Disposal Method

N= 9; 9%

N= 89; 91%

Collected

Open Dumping

FIGURE 26. FREQUENCY AND PERCENTAGE DISTRIBUTION OF GARBAGE DISPOSAL METHOD IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Waste Segregation

N= 98; 100% No

FIGURE 27. FREQUENCY AND PERCENTAGE DISTRIBUTION OF FAMILIES PRACTICING WASTE SEGREGATION IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Pets Owned

N= 3; 13%

N= 8; 33%

N= 13; 54%

Dog

Cats
Others

FIGURE 28. FREQUENCY AND PERCENTAGE DISTRIBUTION OF PETS OWNED IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

Vaccination Status of Dogs

N= 6; 46% N= 7; 54%
Vaccinated Not Vaccinated

FIGURE 29. FREQUENCY AND PERCENTAGE DISTRIBUTION OF VACCINATION STATUS OF DOGS IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

N= 3; 23% Kept Unkept N= 10; 77%

FIGURE 30. FREQUENCY AND PERCENTAGE DISTRIBUTION OF DOGS KEPT AND UNKEPT IN BLOCKS 30, 31, 32 BERNABE COMPOUND, PULANG LUPA UNO, LAS PINAS CITY

IV. HEALTH AND ILLNESS PATTERNS

Family Planning N= 2; 2%

N= 38; 42% N= 51; 56%

Acceptor Non-Acceptor Defaulter

FIGURE 31. FREQUENCY AND PERCENTAGE DISTRIBUTION OF ACCEPTANCE OF FAMILY PLANNING BY MARRIED AND LIVING-IN COUPLES AGES 15- 49 IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Types of Family Planning Method Natural Method N= 4; 24%

N= 13; 76%

Withdrawal Calendar

FIGURE 32. FREQUENCY AND PERCENTAGE DISTRIBUTION OF NATURAL FAMILY PLANNING METHOD UTILIZED BY MARRIED AND LIVING-IN COUPLES AGES 15-49 IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Artificial Method N= 2; 6% N= 2; 6% N= 4; 11% Pills N= 20; 57% Ligate

N= 7; 20%

Injectables
IUD Condom

FIGURE 33. FREQUENCY AND PERCENTAGE DISTRIBUTION OF ARTIFICIAL FAMILY PLANNING METHOD UTILIZED BY MARRIED AND LIVING-IN COUPLES AGES 15-49 IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Methods of Infant Feeding

N=2; 40

N= 1; 20% Breastfeeding Bottlefeeding Mixed feeding N= 2; 40%

FIGURE 34. FREQUENCY AND PERCENTAGE DISTRIBUTION OF METHODS OF INFANT FEEDING OF AGES 0-6 MONTHS IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Immunization Status

N= 1; 17%

Complete Immunization Fully Immunized N= 5; 83% FIGURE 35. FREQUENCY AND PERCENTAGE DISTRIBUTION OF IMMUNIZATION STATUS OF INFANTS AGES 0-11 MONTHS IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Health Seeking Behavior

1, 1% 30, 33% 52, 56%

Hospital Private Clinic Health Center Arbularyo

9, 10%

FIGURE 36. FREQUENCY AND PERCENTAGE DISTRIBUTION OF HEALTH SEEKING BEHAVIOR OF FAMILIES IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Sources of Health Information

43, 47% 49, 53%

Media Health Personnel

FIGURE 36: FREQUENCY AND PERCENTAGE DISTRIBUTION ACCORDING TO SOURCES OF HEALTH INFORMATION OF FAMILIES IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Knowledge on Health Concepts

Statement

f 1. Common illnesses like TB and measles 93 can be prevented

2. Foods rich in protein such are needed for 93 proper growth 3. Headache, dizziness and edema are 56 normal in pregnancy 4. Umbilicus is cleaned until totally dry 67

Yes % 95%

f 4

No % 4%

f 1

Uncertain % 1%

TOTAL 98 (100%)

97% 57% 68% 93% 90% 85% 88% 88% 51% 20% 93%

2 29 24 2 2 13 6 3 24 49 6

2% 30% 24% 2% 2% 13% 6% 3% 24% 50% 6%

1 13 8 5 8 2 6 9 24 29 1

1% 13% 8% 5% 8% 2% 6% 9% 24% 30% 1%

98 (100%) 98 (100%) 98 (100%) 98 (100%) 98 (100%) 98 (100%) 98 (100%) 98 (100%) 98 (100%) 98 (100%) 98 (100%)

5. Breastfed children are healthier than 91 bottlefed 6. Measles, polio, diphtheria and pertussis 88 can be prevented by vaccines 7. Thick and warm clothing should be 83 removed when children have fever 8. Oresol is given to children with diarrhea 86

9. Family planning can improve the health of 86 the mother 10. Herbal medicines are safe even in large 50 doses 11. Coughing out of blood is a sign of 20 diarrhea 12. Small cuts and lacerations can be 91 cleaned with soap and lukewarm water.

TABLE 5 : FREQUENCY AND PERCENTAGE DISTRIBUTION OF KNOWLEDGE ON HEALTH CONCEPTS OF FAMILIES IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Knowledge on Health Concepts

Response Frequency Percentage

Yes

93

95%

No

4%

Uncertain

1%

TOTAL

98

100%

Table 5.1 Frequency and Percentage Distribution of responses on Q # 1 . Common illnesses such as TB and Measles can be prevented.

Response Yes No

Frequency 93 2

Percentage 97% 2%

Uncertain
TOTAL

1
98

1%
100%

Table 5.2. Frequency and Percentage Distribution of responses on Q #2 Foods rich in protein such as meat, fish and eggs are needed for proper physical and mental growth

Response

Frequency

Percentage

Yes

56

57%

No

29

30%

Uncertain

13

13%

TOTAL

98

100%

Table 5.3. Frequency and Percentage Distribution of responses on Q#3 Headache, dizziness and edema of the face, hands and legs are normal signs of pregnancy

Response

Frequency

Percentage

Yes

67

68%

No

23

24%

Uncertain

8%

TOTAL

98

100%

Table 5.4. Frequency and Percentage Distribution of responses on Q#4 The umbilicus can be cleaned only until totally dry

Response

Frequency

Percentage

Yes

91

93%

No

2%

Uncertain

5%

TOTAL

98

100%

Table 5.5. Frequency and Percentage Distribution of responses on Q#5 Breastfed infants are healthier than bottle-fed infants

Frequency

Percentage

Yes

88

90%

No

2%

Uncertain

8%

TOTAL

98

100%

Table 5.6. Frequency and Percentage Distribution of responses on Q#6 Diseases such as measles, polio, diphtheria and pertussis can be prevented by vaccines

Response

Frequency

Percentage

Yes

83

85%

No

13

13%

Uncertain

2%

TOTAL

98

100%

Table 5.7. Frequency and Percentage Distribution of responses on Q# 7 Thick and warm clothing should be removed when a child has fever in order to lower the body temperature

Frequency

Percentage

Yes

86

88%

No

6%

Uncertain

6%

TOTAL

98

100%

Table 5.8. Frequency and Percentage Distribution of responses on Q#8 Oresol is given to children with diarrhea

Response

Frequency

Percentage

Yes

86

88%

No

3%

Uncertain

9%

TOTAL

98

100%

Table 5.9. Frequency and Percentage Distribution of responses on Q#9 Family planning can help in improving the health of

Response

Frequency

Percentage

Yes

50

51%

No

24

24%

Uncertain

24

24%

TOTAL

98

100%

Table 5.10. Frequency and percentage distribution of block 3032 responses on q#10 herbal medicines are safe and do not have side effects even if taken in large doses

Response

Frequency

Percentage

Yes

20

20%

No

49

50%

Uncertain

29

30%

TOTAL

98

100%

Table 5.11. Frequency and Percentage Distribution of Block 30-32 responses on Q#11 Coughing out of blood is a sign of diarrhea

Response

Frequency

Percentage

Yes

91

93%

No

6%

Uncertain

1%

TOTAL

98

100%

Table 5.12. Frequency and Percentage Distribution of Block 30-32 responses on Q#12 Small cuts and lacerations may be cleaned with soap and lukewarm

Top 5 Leading causes of Mortality in the past 2 years Rank 1 2 3 3 Cause Cases

Cardiovascular Disease 10 (MI) Natural Causes (old age) 2 Leukemia Vehicular Accident 1 1

Bone Ca

FIGURE 37. FREQUENCY AND PERCENTAGE DISTRIBUTION OF LEADING CAUSES OF MORTALITY IN THE PAST 2 YEARS IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Top 10 Leading Causes of Morbidity in the past 6 months

Rank Cause Cases

1
2

Upper Respiratory Infection Bronchial Asthma Influenza

Urinary Tract Infection Pneumonia Diarrhea Chickenpox

Tract 86
5

3
4 5 6 7

5
4 4 3 2

8
9 10

Measles
Hypertension Diabetes Mellitus

2
1 1

FIGURE 38. FREQUENCY AND PERCENTAGE DISTRIBUTION OF LEADING CAUSES OF MORBIDITY IN THE PAST SIX MONTHS IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Budget for Health

43.88%, 44% 56.12%, 56% YES NO

FIGURE 39. FREQUENCY AND PERCENTAGE DISTRIBUTION OF ALLOCATION OF BUDGET FOR HEALTH IN BLOCK 30, 31, 32 BERNABE, PULAN LUPA I, LAS PINAS CITY

Chapter 4

PROBLEM

Sluggish Water Drainage with Presence of Breeding Site

CRITERIA
1. NATURE OF THE PROBLEM

COMPUTATION

ACTUAL SCORE

JUSTIFICATION

13 x 1

0.33

The problem is considered health related due to the presence of breeding sites in their community. This environmental problem could render a possible threat to the health of the members of the community by contributing to the occurrence of communicable diseases.

2. MAGNITUDE OF THE PROBLEM

34 x3

2.25

Majority of the community was surrounded by water drainage to dump their used water from household chores as well as from their hygienic usages. Since the community have found with water drainages in streets, the implementation of keeping them free flowing were not practiced and well observed. Therefore, presence of stagnant water from different houses is sluggish within the community and not drained.

3. MODIFIABILITY OF THE PROBLEM The problem is moderately modifiable, since the intervention of cleaning the breeding sites in the community can be practiced and well implemented as soon as possible as long as the people of the community will cooperate and work together to impede the threat of acquiring possible diseases which is brought by unsanitary environment. The problem is considered a moderate preventive potential because prevention activities may be drawn or shared by each family members affected to prevent negative effects such as: 1. Reduction of open dumping system.

23 x4

2.66

4. PREVENTIVE POTENTIAL

23 x1

0.66

2. Cleaning or destruction of breeding sites (e.g drainage, backyard, places for temporary garbage disposal, part of the house conducive for breeding site) 3. Weekly removal of trashes in drainages. 4. Maintaining clean and healthy environment.

5. SOCIAL CONCERN

12 x1

0.5

The community perceived presence of problem but not needing urgent action because even they are aware about the consequences brought about by their open dumping practices of garbage disposal as well as the stagnant water in the drainage no actions have been taken to control it

Total Score

6.4

PROBLEM 2: WASTE SEGREGATION IN BERNABE COMPOUND, PULANG LUPA 1 LUPANG LAS PINAS CITY
CRITERIA Nature of the Problem COMPUTATION 1/3 x1 SCORE 0.33 JUSTIFICATION Improper waste segregation is a health related problem because it may aggravate health status of the people in the community.

Magnitude of the Problem

3/4 x 3

2.25

61% of the total population does not practice waste segregation

Modifiability of the Problem

2/3 x 4

2.67

It is easily modifiable practicing waste segregation will lead to a healthier community

Preventive Potential

3/3 x 1

The

problem

is

highly

preventive

considering

communicable disease can be transferred by rodents and other pests from garbage.

Teachings can help them to earn knowledge from proper waste disposal and segregation.

Social Concern

0/2 x 1

The

community

does

not

recognize waste segregation as a problem or condition needing immediate change

Total

6.25

PROBLEM 3: INSUFFICIENT KNOWLEDGE REGARDING THE HEALTH PROGRAMS IN BERNABE COMPOUND, PULANG LUPA 1, LAS PINAS CITY
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem

1/3 X 1

0.66

It is considered as a health related

problem due to limited knowledge regarding health programs

implemented in the community

Magnitude of the Problem

3/4 x 3

1.5

Out of the total population of 92 families, 66% know a limited number of health programs being implemented in the community

Modifiability of the Problem

3/3 x 4

1.33

Insufficient regarding health the

knowledge implemented is it highly only health

programs since a

modifiable requires

detailed

teaching with regards to the available health programs at the local health center.

Preventive Potential

3/3 x 1

0.33

Health teaching will provide the members of the community with sufficient information about the health programs

Modifiability of the Problem

3/3 x 4

1.33

Insufficient knowledge regarding the implemented health programs is highly modifiable since it only requires a detailed health teaching with regards to the available health programs at the local health center.

Social Concern

0x1

0.50

The

community

does not see the problem as a

community concern

Total

4.22

SUMMARY , CONCLUSION AND RECOMMENDATION

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