FIRST LEVEL ASSESSMENTI.

PRESENCE OF HEALTH THREAT

Poor Environmental Sanitation Improper garbage disposal and drainage system Supporting cues: Their house is situated near the river with a lot of garbage and has a foulodor and added to that their garbage is not properly segregated andthey also have an improper drainage system because their canal directlydrains to the river Presence of Breeding Sites of Vectors of Diseases Supporting cues: They are prone to having dengue and malaria because they live near theriver with stagnant water and they have basins with water which arenot drained and these are all breeding sites for mosquitoes. Their thingsinside their house are not kept properly and can be breeding places forcockroaches that can cause diseases. Poor Lighting Supporting Cues: Poor lighting is experienced by the family as seen by the absence of electricity in their home. Poor Ventilation Supporting Cues: Their house is congested because their things are not organized so thereis poor ventilation. Air and Noise Pollution Supporting Cues: They are beside the barangay road where many vehicles pass by,causing noise pollution that can disturb the family especially duringresting hours and air pollution coming from their engines which can leadto respiratory diseases. Presence of Hereditary Diseases Supporting cues: The children have risks of hypertension since Mr. Fuerte and his motherhave histories of hypertension Threat of Cross-infection from a Communicable Disease Support small house, sleep very close with each other and havepoor ventilation. Faulty/Unhealthful nutritional/Eating Habits Supporting cues: The other members of the family eats at the right time except for Ezraelwho delays his intake of lunch to 1:30-2:30 in the afternoon, his attitudetowards eating on time may affect his health and lead him to developgastritis, ulcer and the like. Sometimes, the Fuerte family does not havethe enough or required quantity of food or the viand thus inhibitingthem from getting the nutrients needed by their body. Accident Hazards Fire Hazards Supporting cues: The family uses candle at night because they do not have electricconnection. Since their house is mainly made up of combustiblematerials (unorganized galvanized iron sheets, plywood, ted

Fall/Trip Hazards Supporting cues: The flooring of their house is not leveled equally because it is only madeup of sand with candles at night makingthem prone to falling or tripping. Pointed Sharp Objects Supporting cues: Their walls and roof which are not high enough and are made of galvanized iron sheets and woods/bamboo which are not properly arranged are very pointed and sharp. These objects can cause injuries tothe members of the family. Collapse of the House Supporting cues: The house is not resistant to earthquakes and typhoon making it proneto collapsing due to its poor foundation. Another is their house islocated in a cliff of the river and is very dangerous due to records of landslide and soil erosion. III. PRESENCE OF HEALTH DEFICITS Supporting cues: The head of the family is suffering from chronic cough as diagnosed by a doctor.

FORSEEABLE CRISIS SITUATIONS Financial Constraints Supporting cues: The monthly income of the family amounts just enough to meet thebasic needs of all its members. Unexpected expenses like needs of Michelle in schooling may affect all the other needs of the family. . Presence of Adolescent Supporting cues: The presence of adolescent in the family hand-in-hand includes newneeds and further stretching of their budget, time and effort.Misunderstandings between parents and children may occur and needsof the child as an adolescent may add to the expenses (e.g. personalhygienic needs)

Second Level Assessment Poor ventilation -Inability of the family to provide a home environment conducive to health maintenance and personaldevelopment due to inadequate family resources for house maintenance and the absence of humanresources (responsible member who can maintain a clean environment)as manifested by theunorganized condition of their house which adds to the congestive situation of their house thuspreventing proper ventilation of the house. Presence of Breeding Sites of Vectors of Diseases -Inability of the family to provide a home environment conducive to the health maintenance andpersonal development due to members preoccupied with their own concerns/interests and absence of good place to build a house and lack of knowledge of importance of hygiene and sanitation asmanifested by the unorganized condition of the house which can be resting sites for cockroaches andthe river that could be breeding sites of mosquitoes

Presence of Poor Lighting -Inability of the family to provide a home environment conducive to health maintenance and personaldevelopment due to inadequate family resources specifically financial resources as manifested by theuse of candles for lighting purposes by the family at night time and inability to provide an electricalconnection at their house. Presence of Air and Noise Pollution -Inability to provide a home environment conducive to health maintenance and personal developmentdue to lack of knowledge of the importance of hygiene and sanitation as manifested by the windowswithout cover for them to minimize the air and noise pollutants that enters the house that are producedby vehicles passing by their place and the garbage that are in the river. Faulty nutritional Habits and Unhealthful Eating Habits asmanifested by their body size and condition and their low BMI. Fire Hazards -inability to provide a home environment conducive to health maintenance and personal developmentdue to the risk of fire in their house as manifested by the combustible materials that make up the houseand the use of candles at night. Pointed Sharp Objects -Inability to provide a home environment conducive to health maintenance and personal developmentdue to lack of skill in carrying out measures to improve home environment as manifested by theunarranged galvanized iron sheets and woods for their walls and not high roofs. Financial Constraints of expenses shouldered by the family as manifested by the absence of meals(sometimes), absence of electricity and own water supply.

Fall/Trip Hazards -Inability to provide a home environment conducive to health maintenance and personal developmentdue to inadequate resources specifically financial resources that can be used for therepair/reconstruction of the house as manifested by unequally leveled floor due to its components: sandwith embedded pieces of cements. Cross Infection of Communicable Disease (Cough) -Inability to provide a home environment conducive to health maintenance and personal developmentdue to insufficient knowledge to avoid exposure to infected persons as manifested by the close contactof the other members of the family to Mr. Fuerte who is suffering from cough . Presence of Adolescent -Inability to make decisions with respect to taking appropriate health action due to low salience of theproblem/condition as manifested by the low attention given to the adolescent