FAMILY HEALTH CARE PROCESS

A. FAMILY PROFILE
Name of the family: Akilit
Address: Zone II, Cawit, Zamboanga City

Members of the household:

Father’s name: Silvio Akilit Age: 23 y/o Occupation: fisherman
Mother’s name: Normina Akilit Age: 30 y/o Occupation: housewife

Children : none
Type of family structure:
The family is nuclear family. They are living together and the wife is 7 months pregnant, primigravida.

Dominant family members in terms of decision making:

Both of them decide on particular matters

General family relationship:

The family has a good relationship with each other and the family-in-laws as well

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

1. Income and expenses
Silvio Akilit works as a fisherman with a daily income of 300php-500php

2. Adequately to meet basic necessities:

Apparently, the daily income is sufficient to buy daily goods, since they are two of them live in a home. T

3. Who makes decision about money and how it is spent?

Both of them decide about the money and the Normina spends the money for daily goods

4. Educational attainment
Silvio - - Elementary School
Normina - - High School

5. Ethnic background: Tausug

6. Religious affiliation: Islam

7. Relationship of the family to larger community

The family has been staying in the settlement for almost 2 years. They have a good relationship in their
neighborhood.

C. HOME AND ENVIRONMENT

The client’s house is located a few meters away from the main road of Cawit, Zone 2, Zamboanga City. The
wooden houses are built on stilts over water and are connected to each other by numerous walkways. The house
is estimated to be 5 x 5 meters in square and has a single bed room. It is made of wood and light materials. The
house is built by them. The family has their water supply from artesian wall for cleaning purposes and drinking
as well. The waste is thrown away to the sea.

D. HEALTH STATUS OF EACH FAMILY MEMBERS

According to the client, Normina Akilit, in her husband’s family, there is no history of complications or disease
and so hers as well. The husband was not around during the visit. Normina’s blood pressure was 90/60 mmHg
and her pulse rate was 102 bpm. Her husband is a frequent smoker but not an alcoholic person. Normina is
primigravida, 7-month and has her monthly check up at Cawit Health Center which is located only a few meters
away from her house.

E. VALUES AND PRACTICES OF HEALTH PROMOTION/ MAINTENANCE AND DISEASE

PREVENTION
She is well-concerned with her health and has her maternal check up every month. She will have a health
consultation at Cawit Health Center if she has any illnesses. She doesn’t practice herbal medicine.
 COMMUNITY SURVEY TOOL

Interviewer: Ajerson M. Gargar

Date interviewed: July 30, 2010

A. COMMUNITY CORE
Name: Normina Akilit Religion: Islam
Address: Zone 2, Cawit, Zamboanga City Dialect: Tausug, Chavacano, Tagalog
Sex: female Family structure: Nuclear
Civil status: married Ethnicity: Tausug

Age group SEX

Male Female
0-28 days (neonate)
29 – 1 year old (infant)
1 y/o and 1 day – 3 y/o (toddler)
3 y/o and 1 day – 6 y/o (pre-schooler)
6 y/o and 1 day – 12 y/o (school age)
12 y/o and 1 day – 19 y/o (adolescent)
19 y/o and 1 day – 35y/o (early adulthood) I I
35 y/o and 1 day – 65 y /o (middle adulthood
65 y/o and above (late adulthood)
B. COMMUNITY SUBSYSTEMS

SOCIO-ECONOMIC FACTORS
Educational attainment: highschool
Employment status: unemployed
Occupation: housewife
Monthly income: Husband’s ( 300php-500php)
Communication facilities: Cell phone
Possessing electrical facilities: yes

ENVIRONMENTAL FACTORS
Housing facilities
 Type of housing: light materials
 Ownership: owned
 Adequacy of living space: one room
 Water supply: faucet
 Storage: with cover
Waste disposal
 Human waste disposal: antipolo
 Refuse disposal: thrown to the sea
 Presence of rodents/insects: yes
 Sewage system: -
Presence of pollutants:
 Air: -
 Water: -
 Land: -
 Noise source: -

CULTURAL FACTORS
- Health seeking behavior (first person to approach when family member got sick): health personnel
- Health practices: hilots, hospital
- Personal habits/ practices: -

HEALTH CARE DELIVERY

- Health facilities (type of health facilities frequently availed by the community): health center
- Health manpower (among the health personnel to whom do you always avail of health services): midwife,
nurse, doctor
- Health status (number of children immunized): -
- Common illness experience by the family: cough/colds, fever
- How often do you avail of the services: sometimes

POLITICAL FACTORS
- Do the barangay officials consult the people decision of major issues? : yes
- Are barangay officials actively involved in the community health services? : yes
- Are the officials responsive to the needs/ problems of the community? Yes
- Institution present: police station and health center
AKILIT FAMILY
Cues/ data
Client states that she eats
fried fish, dried fish and
seldom with vegetables
She also eats canned food
Seldom, she drinks milk
The house is located over
water and floored with
bamboos
The walkways are poorly
built (some are only tied
with rope for attachment)
The house is very small (5
x 5 in meter squares)
It has only one room with a
cubicles to separate the
kitchen and comfort room
Health problem
Inadequate food intake both
in quantity and quality as
health threat
Accident hazards (fall
hazards) as health threat
Poor environmental
sanitation (inadequate
living space) as health
threat
Family health problem
1. Inability to recognize the presence of a problem due
to
a. ignorance of facts
b. attitude/philosophy of life
2. inability to make decisions with respect to take
appropriate health action due to:
a. failure to comprehend the nature, magnitude and
scope of the problem
b. low salience of the problem
c. lack of knowledge and insight as to alternative
courses of action open to them
1. Inability to recognize the presence of a problem due
to
a. ignorance of facts
b. attitude/philosophy of life
2. inability to make decisions with respect to take
appropriate health action due to:
a. low salience of the problem
1. Inability to recognize the presence of a problem due
to
a. ignorance of facts
b. attitude/philosophy of life
2. Inability to provide a home environment which is
conducive to health maintenance and personal
development due to:
a. inadequate family resources financially
b. failure to see benefits (specially long-term ones) of
investment in home environment improvement
c. attitude/ philosophy in life
ESTABLISHING PRIORITIES

A. Inadequate food intake both in quantity and quality as health threat

Criteria Computation Actual score Justification

Nature of the problem 2/3 x 1 0.67 It is a health threat but it needs immediate action due
to the fact that the wife is pregnant
Modifiability of the 2/2 x 2 2 Current knowledge, interventions and resources are
problem available to solve the problem

Preventive potential 3/3 x 1 1 The possibility to increase the quality and quantity
can be done

Salience of the problem 1/2 x 1 0.5 The family doesn’t really recognize the problem but
the client is eager to provide good quality food for
her during pregnancy
Total 4. 17

B. Accident hazards (fall hazards) as health threat

Criteria Computation Actual score Justification

Nature of the problem 2/3 x 1 0.67 It is a health threat.

Modifiability of the 1/2 x 2 1 The problem is partially modifiable

problem
Preventive potential 2/3 x 1 0.67 It is partially preventive due to ignorance of the fact
and attitude/philosophy in life

Salience of the problem 1/2 x 1 0.5 The family doesn’t really recognize the problem.

Total 2.84

C. Poor environmental sanitation (inadequate living space) as health threat

Criteria Computation Actual score Justification

Nature of the problem 2/3 x 1 0.67 It is a health threat.

Modifiability of the 1/2 x 2 1 Resources are insufficient to modify the problem

problem
Preventive potential 2/3 x 1 0.67 It is partially preventive due to lack or resources

Salience of the problem 1/2 x 1 0.5 The family doesn’t really recognize the problem.

Total 2.84

RANKING OF PRIORITY HEALTH PROBLEMS

Health problems Total score Rank

Inadequate food intake both in quantity and quality as health threat 4.17 1

Accident hazards (fall hazards) as health threat 2.84 2

Poor environmental sanitation (inadequate living space) as health threat 2.84 2