Eastern Samar State University
College of Nursing
Borongan City Eastern Samar
A Comprehensive Nurse’s Report on Community Organizing – Participatory Action
Research (COPAR)
Barangay Pagbabangnan, San Julian Eastern Samar
November 23, 2011 – January 05, 2012
Group 1 Sapphire Batch 2012
Ray Dominic R. Ladera, RN
Instructor
CHAPTER I
Introduction
This Chapter presents the Community profile of Brgy. Pagbabangnan. It includes
the history of the Barangay socio-political structure, physical description and topography,
spot map, and the description and justification for the selection of the adopted community
and lastly, the methodologies used.
Introduction to COPAR
A community is a social group determined by geographical boundaries, living
together to attain certain common goals and sharing the same values and interests (World
Health Organization). A community must be defined by its geographical boundaries
within certain identifiable characteristics, made of institutions organized into a social
system with the institutions and organizations linked in a complex network, common
shared interests have an area with fluid boundaries and have a population aggregate
concept. A community will be considered healthy if; the members are aware of their own
health and biologic status has a strong and reliable governing body, the parents and
guardians serve as a role model for their children and people shows concern on their
health status (Maglaya).
The practice of COPAR (Community Organizing Participatory Action Research)
can give a full fundamental nature of Community Health Nursing because COPAR is a
Community Health Nursing itself. Community Health Nursing promotes and preserves
the health of populations by integrating the skills and knowledge relevant to both nursing
and public health, (ANA, Clark 1999-50)
COPAR is a process by which a community identify its needs and objectives,
develops confidence to take action with respect to them and in doing so, extends and
develops cooperative and collaborative attitudes and practices in the community, (Ross,
1967). It is a continuous and sustained process of educating the people to understand and
develop their critical awareness of their existing conditions; working with the people
collectively and efficiently in their immediate and long term problems; and mobilizing
the people to develop their capability and readiness to respond and take action on their
immediate needs towards solving their long term problems (Community Organizing: A
manual of Experience, PCPD).
It is an important tool for Community development and people empowerment.
This helps the community workers to generate community participation in developmental
activities. It also offers alternative solutions to health problems that may not resolve
modern medical interventions, (The Basic of Community Health Nursing, Gesmundo).
The significance of COPAR, specifically to the Community Immersion Program
is the community health nursing practicum of health care students to apply the concepts
of PH card Community Organizing in a real community set up. The students will live
with the selected foster families and learn to integrate with the whole community for four
weeks. This will be the actual application of the knowledge skills, and attitudes in dealing
with the family and community as a whole. In the process, the student nurses arouse the
people’s awareness about health and wellness, (Concepts and Guidelines in COPAR,
2007).
The general objectives of COPAR is to further develop the level of consciousness
and sensitivity of the community in relation to the prevailing situation in today’s society
that contributed to the detriment of the people’s health condition. The specific objectives
are: (1) To bring into consciousness of the actual flight of the community’s condition in
terms of socio-political aspects and their effect to the National Health Situation, (2) take
active part in the management and implementation of a program or organization, (3)
respond to the health needs of the community health through utilization of natural
available resources, (4) acquire and develop skills and potentials in CO, (5) contribute to
the enhancement of the process in developing and training community health workers,
(Concepts and Guidelines in COPAR, 2007).
Brief History of the Barangay
During the Spanish times when the present site of Pagbabangnan was barely
grassy mangrove situated near the river, the people were very happy enjoying the
blessings of a simple life.
Because of the proximity of the settlement to the river, most of the inhabitants
were fishermen. With their limited space near their house, they grow some root crops,
vegetables, a few banana plants and coconut trees. From the products of those plants, of
the barangay folks contented for they can sustain their lives.
The river was not only the source of livelihood but also a means for transporting
products and people. Being shallow during low tide, every traveller from north going to
south could not reach their destination without crossing it. Some found it joy to wade but
others don’t. And to those found it inconvenient would borrow a banca put two pieces of
wood under it and push the banca to the water using the “bangil” until it reaches the deep
ocean of the river. The bangil was important for it makes easy to drag or push the banca
and it lessens the effort of those pushing it. This is the usual site in this river from
morning till evening.
It took many years for the people and travellers to use the “bangil” and whenever
other people ask what the place is, they would gladly answer, “Pagbabangonan” taken
from the word “bangil”.
As years rolled by different folks come and visit Pagbabangonan. In order to
identify it, the name Pagbabangonan Was modified to Pagbabangnan, the official name of
present day PAGBABANGNAN.
General Topography
Brgy. Pagbabangnan is essentially a cemented barangay. It is 432.65 hectares,
situated south of the town proper. The Barangay is 3 kilometres, 10 minutes away from
the town proper.
Description and Justification for the Selection of the Adopted Community
There are criteria to be considered in selecting an adopted community and this are
the following:
 The community must be socio-economically depressed and underserved as
evidenced by the high percentage of the family income below the national
poverty threshold;
 Health services in the community are inaccessible or inadequate to meet the
needs of the community residents;
 The community is in poor health status with high malnutrition rate there is lack
of sanitary toilet facilities in the community;
 It should be relatively peaceful and safe for the students and faculty memebers
to immerse in;
 Their must be acceptance of the program to ensure that the community residents
will accept the activities;
 The area must not be currently served by similar agencies or programs to avoid
competition.
Socio-Political Structure
Brgy. Captain
Brgy. Treasurer
Brgy. Secretary
Brgy. Record Keeper
Committees








Committee on Education
Committee on Peace and Order
Committee on Agriculture
Committee on Budget and Finance
Committee on Health and
Sanitation
Committee on Resolution and
Ordinance
Committee on Infrastructure
Committee on Sports
SK Chairman
SK Kagawad
Methodologies
In order to collect data, the group conducted interviews among the residents along
with some questionnaires. After which, these data were collated and used ass basis in
assessing the community’s demographic, socio-economic, environmental profile and
health status of each residents.
CHAPTER II
Presentation of Data
Chapter
II presents
socio-demographic
profile,
socio-economic
profile,
environmental sanitation profile, health status and utilization profile, health indices and
immunization profile, maternal and child health profile, and mortality and morbidity
profile.
A. SOCIO-DEMOGRAPHIC PROFILE
Number of Household by Purok
Purok Number
Number of Households
Purok 1A
72
Purok 1B
26
Purok 2
80
Purok 3
45
Purok 4
46
Total
269
Table 1. Number of Household by Purok in Pagbabangnan, San Julian Eastern Samar,
January 2012
The table shows the total number of household in Pagbabangnan which is 269.
The Barangay is divided into five Puroks; Purok 1A, Purok 1B, Purok 2, Purok 3, and
Purok 4, which has 72, 26, 80, 45, and 46 households respectively.
Age and Gender Ratio
Age
Male
Percent
Female
Percent
Total
Percent
Number
0 -11 months
11
2.50
13
1.93
24
2.15
1-3 years
22
5.00
26
3.85
48
4.30
4 -5 years
14
3.18
22
3.25
36
3.23
6-12 years
56
12.73
96
14.20
152
13.62
13-20 years
82
18.64
128
18.93
210
18.82
21-40 years
105
23.86
146
21.60
251
22.49
41-65 years
97
22.05
133
19.67
230
20.61
66-75 years
32
7.27
94
13.91
126
11.29
76-85 years
19
4.32
15
2.22
34
3.05
86-100 years
2
0.45
3
0.44
5
0.45
>100 years
0
0
0
0
0
0
Total
440
39.43
676
60.57
1116
100
Table 2. Percentage Distribution Showing the Age and Gender in Pagbabangnan, San
Julian Eastern Samar, January 2012
The table shows the total number of population residing in Pagbabangnan which
is 1116. The total number of males and females in all age group are 440 and 676
respectively. The age group 21 – 40, which are the young adults, comprises the highest
population in both gender, while the age group 86 – 100, which are the old-old,
comprises the lesser population.
Figure 1. Population Distribution by Age and Gender in Pagbabangnan, San Julian
Eastern Samar, January 2012
Actual Findings:
The figure shows the frequency distribution of people in the community of
Pagbabangnan in relation to age and sex. The highest frequency in sex goes to female
which has 676 and male with 440.
Based on the survey, young adults have the highest number of populace with two
hundred fifty one people. One hundred forty six of them were females and one hundred
five were males. The second highest number of populace is the middle adult with 230
individuals, 133bof theme are females and 97 are males. While the lowest number of
populace is the old adult with only 5 individuals. Three of them were females and 2 were
male.
Normal Findings:
According to the concept and guidelines in COPAR, there are several stages of
development that persons undergo throughout the life span as follows:
0 – 1 months – Neonates
15-17 y.o – Middle adolescence
2 – 11mos. – Infant
18-20y.o – Late adolescence
1-3y.o –Toddler
21-40 y.o- Young adult
4-5y.o-Pre-school
41-60 y.o- Middle adult
6-10 y.o –School age
>60 y.o- Old adult
11-14y.o –Early adolescence
The community contribute to every level of development is its members. It has to supply
and/or the health, education, livelihood and needs of the people.
There are generally three types of population pyramid created from age-sex distributions;
expansive, constrictive and stationary. Example of these three types of population
pyramids appear at the end of this report. Definitions of the three types follow:
1. Expansive population pyramids show larger numbers of percentages of the
population in the younger age group, usually with each age group smaller in size
or proportion than the one born before it. These types of pyramids are usually
found in populations with very large fertility rates and lower than average life
expectancies.
2.
Constrictive population pyramids display lower numbers or percentages of
younger people.
3. Stationary or near-stationary population pyramids display somewhat equal
numbers or percentages of almost all age groups. Of course, smaller figures are
still to be expected at the oldest age group. The age-sex distributions of some
European countries, especially Scandinavian ones, will tend to fall this category.
(Metagora Organization, 2007)
Analysis and Interpretation:
The population pyramid shows an expansive type in which the younger population is
greater in number. This younger population needs the support of the community. For
example, an infant needs immunization and vaccines so the community provides
barangay health stations. Community schools are also present in the community to foster
good education to the people. The young and older members of the community who are
already able to work find their source of livelihood within the community. The working
age group becomes responsible and contributes to the society and community.
The high number of individuals in young adulthood, middle adulthood and old adulthood
needs special attention as to prevention of lifestyle related diseases.
Civil Status
Widow/er
4%
Others
2%
Married
36%
Single
58%
Figure 2.Civil Status of the People in Pagbabangnan, San Julian.
Actual Findings:
Figure 2 shows the division of the population of barangay Pagbabangnan in erms o civil status.
The single dominates the population which accounted 58% followed by married with 36%,
widowed 4% and others with 2%.
Normal Findings:
According to Willian Farr, marital status as been found to influence health mortality. Married
people have significantly better health and a lower mortality than their single counter parts;
Widowed, divorced and never married individuals were more likely to die than married people.
Analysis and Interpretation:
As shown in the above figure, his is the highest percentage of singe individual in the community.
This may be a simple implication that the community has a greater population of children which
may be accounted to poor family planning practice an needs to be supported in a large number of
dependent people in the community.
Religion
1200
1090
1000
800
600
400
200
7
17
1
1
0
0
Roman
Catholic
Protestant
Iglesia ni
Cristo
Jehova's
Witness
Born-again
Christian
Others
Figure 3.Religious Affiliation of the People in Pagbabangnan, San Julian.
Actual Findings:
Majority of the resident of the barangay are Roman Catholic with a number of 1,090 of the total
population. Next to it is Iglesias ni Cristo 17 individual, followed by protestant of 7 individual
followed by Jehovah’ witness and Born again with a number of 1 individual.
Normal Findings:
Based on the provincial data as of 2006, 89% of residents in Eastern Samar are Roman Catholics
and the rest are composed of born again, mormons and others.
Analysis and Interpretation:
The religious sector existing in Brgy. Pagbabangnan are Roman Catholic, There are 1090 out of
1117 residents are catholic and the others belong to other religious sector. These data indicate
that most people in these communities have a common religion.
Place of Origin
Migrant
24%
Native
76%
Figure 4.Percentage Distribution Showing the Place of Origin of the Residents in Pagbabangnan,
San Julian, January 2012.
Actual Findings:
The data shows that seventy-six percent of people in the community re native residence of
Barangay Pagbabangan, and the remaining twenty-four percent are migrants from other places.
Normal Findings:
According o the study conducted the department of health about migration in the Philippines,
more than three in five individuals spent their childhood in a barrio, while twenty-one percent
lived in the city and fifteen percent grew up in a town. About two in five individuals have never
moved from their place of birth. Twenty-seven percent of individual reported that they relocated
from a barrio, twenty-two percent relocated from a city, and nine percent moved from a town.
Less than two percent of respondents were visitors in the households in which they were
interviewed (National Statistics Office, 2008)
Analysis and Interpretation:
The actual findings shows that majority of the people in Pagbabangnan are native residents, they
were born and have stayed in the community for so long, and twenty-four percent came from
other communities or places who married a resident of Pagbabangnan. Other might have
migrated from other places.
Length of Stay in the Community
847
900
800
Population
700
600
500
400
300
200
141
44
57
27
1-3 yrs
4-5 yrs
100
0
Less than a
year
6-10 yrs
more than 10
yrs
Figure 5. Length of Residency of the Populace in Pagbabangnan, San Julian as of January 2012.
Actual Findings:
The length of residency in the community shows that 847 residents out of 1117 individuals have
lived in that place for more than ten years while 142 residents lived for 610 yrs., followed by 57
residents lived for 1-3 yrs., followed by 44 residents for less than a year nd 27 residents lived for
4-5 years.
Normal Findings:
In Eastern Samar, 76.2 percent of the population has been residence of the province for more
than 10 yrs., and 24.8 percent are migrants (NSO)
Analysis and Interpretation:
The data shows that 847 of the residents have been staying in the community for more than 10
years. This is advantageous because they are aware of the programs facilities and organization
in the community that can be utilized.
TYPE OF FAMILY
Cohabiting
3%
Single-parent
5%
Blended
2%
Others
4%
Nuclear
48%
Extended
38%
Figure 6. Types of Family in Pagbabangnan, San Julian as of January 2012.
Actual Findings:
The figure entails that 48% of the households that was surveyed in Brgy. Pagbabangnan
is a Nuclear Family; Extended Family with 38%; Single Parent with 5%, then cohabiting family
has 3%; and others 4%.
Normal Findings:
The family may take a traditional or non –traditional form. The traditional family is viewed as an
autonomous unit in which the father, mother and child/ children live together under one roof.
The mother assumes the nurturing role or the role of housewife, whereas the father assumes the
breadwinner role or the role of the provider of the family’s economic needs. In the traditional
form, the father may be involved in the household chores, bringing up the children and family
life in general. The mother on the other hand, is employed and contributes in addressing the
financial needs of the family. (The Basics of Community Health Nursing, page 13 Monina H.
Gesmundo RN, RM, MAN(C)
Analysis and Interpretation:
The chart indicates that the type of family in the said brgy. mostly belongs to a nuclear family
which has a percentage of 48%, followed by an extended family which has 38% then the singleparent family which has 5%, then the cohabiting family has 3% and the blended family has only
2% which stands as the least percentage among all of the type of family lastly for others 4%.
B. SOCIO- ECONOMIC PROFILE
.Educational Attainment
No formal
schooling
2% Pre-school
3%
Post Graduate Vocational
1%
3%
N/A
College Graduate
6%
8%
Elementary
Level
20%
College Level
16%
High School
Garduate
13%
High
School
Level
17%
Elementary
Graduate
11%
Figure 7. Educational Attainment of Residents in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The graph shows that of the total population, 20% are of the elementary level, 17% of
High School level, 16% are college level, 13% of High School Graduates, 11% are elementary
graduates, 8% college graduates, 3% are Preschoolers as well as Post graduates, 2% have no
formal schooling an 1% have taken vocational courses.
Normal Findings:
Educational has been widely perceived as one of the mos important socioeconomic
determinants of health and morality. Recently, the government has adapted the education for all
the program which focuses on early childhood care development, quality of primary education,
eradication of illiteracy, and continuing education for adults and out-of-school youth (DepEd).
There is considerable evidence that low educational attainment is strongly correlated
with diseases, health risks and mortality. It has been suggested that education affects health and
mortality through a number of path ways , such as lifestyle, health behavior, problesolving
abilities, social relations, self-esteem and stress-management, as well as through income or
occupation.
Analysis and Interpretation:
In terms of educational attainment, fig. shows that 72% of the respondents have obtained
education and 2% has no formal schooling. Education is considered vital for health, if the
patients have good education, they can understand better the health programs implemented in the
community, unhealthy behavior can easily be recognized and modified.
Pagbabangnan population has a small number who achieved college level; while a greater
number of them are currently in and only acquired class level. Adults who only acquired
Elementary level are mostly farmers and fishermen.
Literacy Rate
Illiterate
4%
Literate
12%
Functionally
Literate 2
62%
Functionally
Literate 1
22%
Figure 8. Literacy Rate of Residents in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The data shows 62% of the total population in the community was assessed literate 2 and
22% are functionally literate 1. 12% of them were literate and only 4% of them are illiterate.
Normal Findings:
Literacy is fundamental aspect of an individual’s ability to fully participate and take
advantage of socioeconomic development and advancements in health and nutrition.
Literacy rates in the Philippines are high; Literacy does not vary much across the background
characteristics. Younger respondents are slightly more likely to be literate than older
respondents.
Analysis and Interpretation:
Pagbabangnan population has a greater number percentage of respondents assessed
under literacy state; only few cannot read or write. This can be supported on the data gathered
regarding educational attainment as shown in Fig.
, which shows 72% of the respondents
obtained education.
The literacy percentage in the community was high.
Occupation
283
297
300
Population
250
200
150
94
89
82
100
50
0
Government
Private
Self-employed
Student
None
Figure 9. Occupation Status of Residents in Pagbabangnan, San Julian, January 2012.
Actual Findings:
This graph shows the number of respondents who are employed ant, student and none. There is a
total of 283 who are self-employed, 94 who are government employee, 89 are unemployed and
82 who are recorded working on private (non-government employee).
Normal Findings:
Occupation greatly affects individual health. Individuals with occupations such as government
employee, self-employed, private, that require physical efforts and exposure to some chemical
substances are prone to health hazards. Occupation is also an indicator of socioeconomic status.
Analysis and Interpretation:
Majority of the working group in the community are self-employed that render physical
effort and are prone to health hazards.
Household Monthly Income
Number of Households
168
180
160
140
120
100
80
60
40
20
0
42
26
Below Php 3,000 Php 4,000-6,000
Php 7,000-9,000
33
Php 10,000
onwards
Figure 10. Average Monthly Income per Household in Pagbabangnan, San Julian, January 2012.
Actual Findings:
With regards to economic status, the data shows that 168 of family household earned less than
Php 3,000, 42 estimated their income to Php 4,000-6,000, 26 has income ranging Php 7,0009,000 and 33 family household have a monthly income of 10,000 onwards.
Analysis and Interpretation:
This implies that most of the residents in the said community earned less than Php 3,000. This
may be a contributing factor to poverty, poor environmental practices, poor health seeking
behavior and lack of family planning receptors.
Household Monthly Expenditure
Php 10,000
onwards
13%
Php 7,000-9,000
11%
Php 4,000-6,000 Below Php 3,000
50%
26%
Figure 11. Monthly Expenditure of Households in Pagbabangnan, San Julian, January 2012.
Actual Findings
Fig. , shows that 50% of family household has expenditure of below Php 3,000, which has the
highest percentage manifested by chart representation of the data gathered. 26% of the families
has Php 4,000-6,000 month. About 13% has a monthly expenditure of Php 10,000 onwards and
11% of the families have a monthly expenditure of Php 7,000-9,000.
Analysis and Interpretation:
In terms of monthly expenditure, Fig. shows that 50% of family household has expenditure
of Php 3,000 and about 11% of the families have a monthly expenditure of Php 7,000-9,000.
This implies that most of the residents in the said community have a monthly expenditure of not
more than their monthly income In Brgy. Pagbabangnan, most of the monthly income is allotted
only to their basic needs.
HOUSING CONDITION
House Ownership
Tenant
9%
Squatter
8%
Rented
4%
Owned
79%
Figure
12. Distribution of Households According to Home Ownership, Pagbabangnan, San Julian,
January 2012.
Actual Findings:
There are 74% from the total number of househols surveyed owned there house; tenants
with 9%; residents who rents 4%; squatters 8%.
Normal Findings:
In the Philippines, specifically on rural areas, people live and grow old in the places
inherited from their ancestors, and therefore soon to inherit to their ownership title. (Palaganas
2003)
Analysis and Interpretation:
The results tell that most of the residents or families in the barangay owned their houses
which has 74%, followed by tenant or those families who owned their house but not the lot and
has 9%. The families who are renting has 4% and the squatters has 8%.
Construction Materials
Concrete
25%
Light Materials
38%
Semi-concrete
37%
Figure 13. Distribution of Households According to Construction Materials of Housing in
Pagbabangnan,
San
Julian,
January
2012.
Actual Findings:
The above figure shows 38% have uses light materials; 37% uses semi-concrete and 25%
for concrete materials.
Analysis and interpretation:
This illustration shows that most of the houses in Barangay Pagbabangnan uses light
materials and semi-concrete because based on the result light materials has 38% which has the
highest percentage then semi-concrete has 37%, lastly 25% uses concrete materials for their
houses
Area of the House
91 sq
m and
up
13%
61-90 sq m
10%
31-60 sq m
11%
10 sq m and
below
38%
11-30 sq m
28%
Figure 15. Distribution of Households According to Estimated Area of the House in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The data shows 38% have uses light materials; 37% uses semi-concrete and 25% for
concrete materials.
Analysis and Interpretation:
Most of the families in the barangay has 10 sq. m. And below which has a total
percentage of 38%, followed by 11-30 sq. m. Which has 28%, then 11% for 31-60 sq m. And
10% for 61-90 sq. m. which stands as the least percentage among the area of the houses, lastly 91
sq. m. above has 13%.
VENTILATION FACILITY
Air-conditioner
1%
Hand Fan
23%
Window
46%
Electric Fan
30%
Figure 16. Ventilation Facilities of Households in Pagbabangnan, San Julian, January 2012.
Actual Findings:
This shows that 46% from the total number surveyed uses window for ventilation facility;
electric fan with 30%; hand fan with 23% and 1% of air-conditioned house.
Analysis and Interpretation:
The chart shows that most households in the barangay uses windows as there ventilation
facility which has a percentage of 46%, followed by the use of electricfan which has 30%, and
those who could not afford to buy an electric fan just uses hand fan which has a percentage of
23% and only 1% uses aircon.
AMENITIES
116
Number of Household
120
111
100
80
69
61
60
40
20
26
25
16
11
15
10
1
0
Figure 18. Distribution of Households in Pagbabangnan, San Julian According to amenities
Owned, January 2012.
Actual Findings:
Fig.18 shows that 116 households of Brgy. Pagbabangnan owns a TV, 111 households
have cellphones, 69 households has iron, 61 households has refrigerators, 26 households has
other types of amenities (e.g. DVD players, water dispensers, rice cooker…..etc.), 25 households
have radio, 16 households have washing machines, 15 households have bicycles,11 households
has oven toasters, 10 households own tricycles, and there was only 1 household who own a
computer set.
Analysis:
Based on the actual findings above, households with television sets dominated. Watching
TV serves as one way of their relaxation techniques. The second in rank was the households who
have cellphones as their way of communicating with their relatives who are in other places. The
other amenities owned by the households who were surveyed were: iron, refrigerators, radio,
washing machines, bicycles, tricycles, oven toaster, and a computer.
C. ENVIRONMENT AND SANITATION
GARBAGE DISPOSAL
Waste
Segregation
11%
Composting
0%
Burning
20%
Dumping
69%
Figure 19. Garbage Disposal in Pagbabangnan, San Julian, January 2012.
Actual Findings:
Fig.19 indicates how the residents of Brgy. Pagbabangnan manage their garbage/wastes.
The figure shows that 150 (69 %) of households practice dumping, another 20 % of households
burn their garbage, 11 % practices waste segregation and it is also shown in the above figure that
no single household practices composting.
Normal Findings:
Waste should be placed in a covered receptacle to prevent the spread of diseases caused
by oro – fecal route. (Maglaya, 2004)
Analysis:
Based on the actual findings, most households of Brgy. Pagbabangnan practices dumping
method. Wherein they just dump their garbage at their backyards without cover. This practice
can be harmful to the residents through the spread of vector-borne diseases. And it was also
noted in the actual findings that some households practices burning as their method of
eliminating their garbage.
TOILET FACILITY
Closed pit privy
Open
2%
pit
Hang
latrine Flush type privy
3%
3%
8%
None
18%
Bore hole Pail system
1%
1%
Water-sealed
latrine
64%
Figure 20.Types of Toilet Facility Used by Residents of Pagbabangnan, San Julian, January
2012.
Actual Findings:
Fig. 20 shows that out of 269 households who were interviewed, there were 64% who
uses water-sealed latrine toilets, 18% have no toilets, 8% of the surveyed households have
“flushed-type” toilets, 3% have hang latrine type of toilets, 3% has an open-pit privy type of
toilet, 2% has a closed-privy type of toilet, 1% of the households “bore holes” at their backyards,
and 1% practices the pail system.
Normal Findings:

LEVEL I
o Non – water carriages toilet facility no water is necessary to wash the waste into the
receiving space. Examples are pit latrines, reed odor – less earth closet.
o Toilet facilities requiring small amount of water to wash the waste into the receiving
space. Examples are pour flush toilet and aqua privies.

LEVEL II
o On site toilet facilities of the water carriage type with water – sealed and flush type
with septic tank or vault disposal facilities.

LEVEL III
o Water carriage types of toilet facilities connected to septic tanks and to sewerage
system to treatment plant.
o In rural areas, the “blind drainage “ type of waste water collection and disposal
facility shall continue to be the emphasis until such time that sewer facilities and off
– site treatment facilities shall be made available to clustered houses in rural areas.
o Conventional sewerage facilities are to be promoted for constructions in poblacions
and cities in the country as developmental objectives to attain control and prevention
of fecal – water –borne diseases.
o Other policies embodied in the Code of Sanitation in the Philippines shall be pursued
and enforced by the local government units. (Cuevas, et al, 2007)
Analysis:
The graph shows that most households that were interviewed in the said Barangay uses a
water-sealed latrine type of toilet which is on the Level II of Cuevas, et al, types of toilet wherein
he defined as an onsite toilet facilities of the water carriage type with water sealed and flush type
with septic tank or vault disposal facilities. On the other hand, 49 households that comprises 18%
of the 269 surveyed households
COOKING FACILITY
Charcoal
18%
Gas stove
20%
Wood
62%
Figure 21. Cooking Methods Used by Residents of Pagbabangnan, San Julian, January 2012.
Actual Findings:
As shown in the figure above, there were 62% of households who uses wood, 20% use
gas stoves, and 18% use charcoal for cooking.
Normal Findings:
Information on the type of fuel used for cooking is another measure of the socioeconomic status of the household. The use of some cooking fuels causes pollution and can have
adverse consequences on health and environment. Smoke from solid fuels is a serious health
hazard, particularly for persons with respiratory ailments. The use of wood for cooking is
common in rural areas, while use of LPG, natural gas, or biogas is common in urban areas.
Analysis:
Based on the information gathered, the use of wood as their cooking facility dominated in
the barangay. It was attributed to the fact that wood is cheaper than any other cooking facilities
and sometimes free. The other households use LPG and charcoals as their cooking facility. Based
on the normal findings, it is stated that the use of these facilities can cause pollution and can
harm the environment.
WATER SUPPLY (GENERAL)
River, spring
(natural)
6%
Nawasa
35%
Water pump
2%
Aretesian well
57%
Figure 22. Water Source for General Use in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The above figure shows that out of 269 households there are a
percentage of 57 obtain there general water supply in artesian well, 6% get there general water
supply at the river, spring (natural), 2% get there water supply from the water pump while 35%
of the population obtain their general water supply from Nawasa.
Normal Findings:
Approved Types of Water Facilities:

LEVEL I (Point Source) – A protected well or a developed spring with an outlet but
without a distribution system, generally adaptable for rural areas where the house are
thinly scattered. A Level I facility normally serves around 15 to 25 households and its
outreach must be more than 250 meters from the farthest user. The yield or discharge is
generally from 40 to 140 Liters per minute.

LEVEL II (Communal Faucet System or stand Posts) – a system composed of a source of
a reservoir, a piped distribution network and communal faucet, located at not more than
25 meters from the farthest house. The system is designed to deliver 40 to 80 liters of
water per capital per day to an average of 100 households. Generally suitable for rural
areas where houses are clustered densely to justify a simple piped system.

LEVEL II (Waterworks system or an Individual House Connection) – A system with a
source, a reservoir, a piped distributor network and household taps. It is generally suited
for densely populated urban areas. This type of facility requires minimum treatment or
disinfection. (Cuevas, et al, 2007)
Analysis and Interpretation:
The table indicates that most of their source of general water supply is
from artesian well with 57% of households from the total surveyed households.
WATER SUPPLY (DRINKING)
Deep Well
6%
Purified
(commercial)
10%
River, spring
(natural)
2%
NAWASA
19%
Water Pump
1%
Artesian Well
62%
Figure 23. Source of Drinking Water in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The data shows that 62% of the population obtain their drinking water
from artesian well, 19% obtain their drinking water from NAWASA, 10% obtain their drinking
water from a purified or refilling station, 6% obtain their drinking water from deep well, 2%
obtain their drinking water from river, spring (natural), while 1% of the population obtain their
drinking water from water pump.
Normal Findings:
Approved Types of Water Facilities:

LEVEL I (Point Source) – A protected well or a developed spring with an outlet but
without a distribution system, generally adaptable for rural areas where the house are
thinly scattered. A Level I facility normally serves around 15 to 25 households and its
outreach must be more than 250 meters from the farthest user. The yield or discharge is
generally from 40 to 140 Liters per minute.

LEVEL II (Communal Faucet System or stand Posts) – a system composed of a source of
a reservoir, a piped distribution network and communal faucet, located at not more than
25 meters from the farthest house. The system is designed to deliver 40 to 80 liters of
water per capital per day to an average of 100 households. Generally suitable for rural
areas where houses are clustered densely to justify a simple piped system.

LEVEL II (Waterworks system or an Individual House Connection) – A system with a
source, a reservoir, a piped distributor network and household taps. It is generally suited
for densely populated urban areas. This type of facility requires minimum treatment or
disinfection. (Cuevas, et al, 2007)
Analysis and Interpretation
That data shows that the primary source of drinking water in the
community is artesian well than any other public source.
WATER TREATMENT
Purified
8%
Chlorination
4% 0%
Boiling
24%
None
64%
Figure 24. Water Treatment Practices by the Residents of Pagbabangnan, San Julian, January
2012.
Actual Findings:
The data shows that, 64% of the population doesn’t practice any water
treatment, 24% boils their water before drinking it, 8% just buy their water from the refilling
station, 4% practices chlorination to treat their drinking water.
Normal Findings:
There are some water treatments which are commonly practiced by the Filipinos. One
way is boiling, water should be boiled 5 -7 min to kill germs and be used for drinking. Others
just by purified water from the refilling stations. (Maglaya, 2004)
Analysis and Interpretation:
This data shows how families treat their drinking water. The table
reveals that large percentage of the family’s do not treat their drinking water which may cause
diarrhea for some other people and other diseases caused by dirt drinking water
Water Storage Method
150
Number of Household
160
140
120
100
80
62
63
60
40
0
Covered
Uncovered
2
0
20
0
6
0
Pail
62
Jar
150
Bottles
63
Others
6
0
2
0
0
Figure 25. Types of Water Storage Used in Brgy. Pagbabangnan, San Julian, January 2012.
Actual Findings:
The graph shows that out of there are 150 of households storing their
water in jar with cover; 63 households stores their water in bottles; 62 stores in pail with cover; 2
households store their water in a jar uncovered. While 6 uses other types of storage container.
Normal Findings:
According to the Manual for Sanitary Inspector by Technical Section
PHO-BES, A-51, family members within the community should acquire appropriate practice in
handling water from or the storage of water to prevent it from being contaminated by vectors and
other disease-causing organisms. (Manual for Sanitary Inspector by Technical Section Pho-BES,
A-51)
Analysis and Interpretation:
The graph shows that most families use covered jars, bottles, pails to
store their drinking water for it not to be contaminated by microorganisms that might be harmful
to the body. However, covered reservoir does not necessarily mean free from contamination,
appropriate handling of water from the source of storage should also be considered as human can
also be carrier and a source of diseasing causing microorganism through direct and indirect
transmission.
Number of Household
DOMESTIC ANIMALS
100
90
80
70
60
50
40
30
20
10
0
96
69
75
70
43
8
16
Figure 26.Distribution of Households According to Domestic Animals Owned in Pagbabangnan,
San Julian, January 2012.
Actual Findings:
The above figure shows the total population of domestic animals in Pagbabangnan
composed of 96 cats, 70 chickens, 69 dogs, 43 pigs, 16 carabaos, 8 birds, and there are other 75
animals present at the said community.
Normal Findings:
A domestic animal is an animal that can live with human such as dogs, cats, rats, snakes,
lizards, turtles, and so forth. Animals that depends on a human for food, water and shelter this
includes farm animals such as cattle, horses, sheep, etc. as well as dogs and cats and other house
pet. (Wikipedia, 2010).
Domestic animals such as fowls should be kept outside the houses. Cages should be clean
to maintain sanitation which will reduce transmission of certain microorganisms that would
cause disease or infection within the family and community. ( Manual for Sanitation Inspectors
by Technical Section, PHO-BES, A-15)
Analysis and Interpretation:
Number of domestic animals present in the community, proves scenario which gives a
possibility of an easy transmission of microorganisms which may lead to disease
VERMIN/PESTS
Rodents
3%
Cockroaches
26%
Mosquitoes
39%
Flies
32%
Figure 27.Percentage Distribution Showing the Presence of Vectors in Pagbabangnan, San
Julian, January 2012.
Actual Findings:
This graph shows the result in what vectors is most present in their houses. This shows
that the mosquitoes outnumbered the other vectors.
Normal Findings:
One kind of vector should not cover more than 40% of the household population, if so,
disease may be possible, example of such diseases are Leptospirosis, Dengue, Typhoid Fever,
Cholera, etc. (Argonauta, 2008).
Analysis and Interpretation:
No more that 40% of the household population was covered by the vectors. Presence of
mosquitoes cover only 39% of the household. The barangay is at risk of diseases carried by
mosquitoes and flies.
D. HEALTH PROFILE
BASIC NUTRITIONAL INFORMATION
Frequency of Daily Meals
Dinner
27%
Afternoon Snack
11%
Breakfast
26%
Lunch
25%
AM Snack
11%
Figure 29. Percentage Distribution Showing Frequency of Daily Meals in Pagbabangnan, San
Julian, January 2012.
Actual Findings:
The graph shows that mostly all of the residents in Pagbabangnan eat three times a day.
But the slight difference in percentage among the three, that is breakfast, lunch and dinner,
shows that some of the residents do not or cannot eat breakfast or lunch. Only a small number of
residents take morning and afternoon snacks.
Normal Findings:
Three meals a day gives your body the appropriate amount of time to digest food and
helps avoid health problems. The minimum amount of healthy meals you should eat throughout
the day is three. Reason being, the body functions 24 hours a day. Eating all your servings of
fruits, vegetables, grains, proteins, and fats for the entire day in one sitting would wreak havoc
on your body and organs. The body needs time to digest nutrients and distribute them to the
appropriate body part or organ.
It is also appropriate to eat more than three meals; however, these meals are considered
"mini meals." A mini meal is a smaller portioned meal consisting of the same food groups you
would eat in a regular meal. Eating five or six mini meals would be equivalent to three regular
meals. (http://www.livestrong.com/article/43876-eat-three-meals-day/)
Analysis and Interpretation:
As compared to the normal findings, mostly all of the residents are eating a three meal
diet which has the appropriate amount of time in digesting food and helps avoid health problems.
Morning and afternoon snacks cannot be considered as mini meals since they do no consists the
same food groups as what is in a regular meal, and they can be unhealthy snacks too, which
consists junk foods and soft drinks.
Daily Meal Composition
Nutritional (Vit.,
minerals)
supplementation
7%
Fats
9%
Carbohydrates
48%
Proteins
36%
Figure 30. Percentage Distribution Showing Daily Meal Composition in Pagbabangnan, San
Julian, January 2012.
Actual Findings:
The graph shows that the residents in Pagbabangnan mostly consume carbohydrates in
their meal. Only 36% of the population consume protein rich foods. A small percent of residents
consume vitamin rich foods (7% of the population), and fats (9%).
Normal Findings:
Experts will tell you that a good balanced meal usually consists of roughly 60%
carbohydratess, 15% protein, and 15% fat. A common example of this would be a serving of
meat (chicken, fish, tofu if you're a vegi), a serving of vegetables, 2 other higher-carb side dishes
(dinner
roll
and
potato,
maybe),
a
glass
of
milk,
and
some
butter.
(http://www.joyproject.org/whatised/normaleating.html)
Analysis and Interpretation:
Not all of the family in Pagbabangnan consume a balance meal. The graph will tell us
that during meals, some of the family (about 12% of them) only consume rice with no other
viand. And it shows that only few of them eat fruits and vegetables, a good source of vitamins
and minerals which is vital for proper nutrition.
Average Fluid Intake of the Family Members
5 glasses (8001,200 cc)
11%
3 glasses (500800 cc)
1%
Others
41%
8 glasses (1,2002,000 cc)
47%
Figure 31. Percentage Distribution Showing Average Fluid Intake of the Family Members in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The graph shows the percentage distribution of average fluid intake of each family
members in Pagbabangnan. 47 percent of the population drinks about 8 glasses of water a day,
41 % of which drinks more than 8 glasses of water a day, 11% drinks about 5 glasses of water a
day, and 1% drinks about 3 glasses of water a day.
Normal Findings:
Every day you lose water through your breath, perspiration, urine and bowel
movements. For your body to function properly, you must replenish its water supply by
consuming beverages and foods that contain water.The Institute of Medicine determined that an
adequate intake (AI) for men is roughly 3 liters (about 13 cups) of total beverages a day. The AI
for women is 2.2 liters (about 9 cups) of total beverages a day.
What about the advice to drink eight glasses a day?
Everyone has heard the advice, "Drink eight 8-ounce glasses of water a day." That's about
1.9 liters, which isn't that different from the Institute of Medicine recommendations. Although
the "8 by 8" rule isn't supported by hard evidence, it remains popular because it's easy to
remember. Just keep in mind that the rule should be reframed as: "Drink at least eight 8-ounce
glasses
of
fluid
a
day,"
because
all
fluids
count
toward
the
daily
total.
(http://www.mayoclinic.com/health/water/NU00283)
Analysis and Interpretation:
Almost all of the residents in Pagbabangnan consume the proper amount of water per day
which is 8 or more glasses of water a day. Only a small number of residents consume less than 8
glasses of water a day, who are likely to experience constipation and other related problems.
Food/Nutritional Supplement
Ferrous Sulfate
(Iron)
8%
Multivatamins
17%
Ascorbic
Acid
21%
None
54%
Figure 32. Percentage Distribution Showing Intake of Food/ Nutritional Supplement of the
Family Members in Pagbabangnan, San Julian, January 2012
Actual Findings:
The graph shows that more than half of the population (54%) do not take any
food/nutritional supplement. About 21% of the population takes ascorbic acid/vit. C, 17% of
which takes multivitamins and only 8% takes ferrous sulphate. Those taking up ferrous sulphate
are mostly pregnant women.
Normal Findings:
A dietary supplement, also known as food supplement or nutritional supplement, is a
preparation
intended
to
supplement
the
diet
and
provide nutrients,
such
as vitamins, minerals, fiber, fatty acids, or amino acids, that may be missing or may not be
consumed in sufficient quantities in a person's diet. Some countries define dietary supplements
as foods, while in others they are defined as drugs or natural health products.
(http://en.wikipedia.org/wiki/Dietary_supplement)
Nutritional supplements are an excellent way to ensure that you are getting the nutrients
that are necessary for your health and longevity. Nutritional Supplements are an important part
of a balanced healthy regimen as has been suggested based on scientific research.
Analysis and Interpretation:
As what the actual findings state, more than half of the residents in Pagbabangnan do
take up any food/nutritional supplements. Given that not all of the residents take up a balanced
meal and does not take up food supplements, they are not getting the nutrients that are necessary
for health and longevity.
Food/Nutritional Supplement
Ferrous Sulfate
(Iron)
8%
Multivatamins
17%
Ascorbic Acid
21%
None
54%
Figure 32. Percentage Distribution Showing Intake of Food/ Nutritional Supplement of the
Family Members in Pagbabangnan, San Julian, January 2012
Actual Findings:
On the above data, of the total population of 1116, 8% have a nutritional
supplement of ferrous sulfate, 17% takes multivitamins, 21% of them takes ascorbic acid, and
54% of the total population does not take a food/nutritional supplement.
Normal Findings:
A dietary supplement according to the Dietary Supplement Health and Education Act
(DSHEA) is a pill, capsule, tablet or even liquid, that is properly labelled and supplements the
food intake of humans. It can contain single or multiple vitamins, minerals, herbal extracts and
amino acids, depending on its purpose. Vitamin B12, Folic acid, Zinc, Vitamin A, Calcium, Iron,
and Vitamin C are the common dietary supplement.
Analysis and interpretation:
46% of the total population takes a dietary supplement whereas 54%
does not take a dietary supplement.
FOOD STORAGE
Refrigerator
18%
Others
33%
Cabinet
20%
Basket
29%
Figure 33. Percentage Distribution Showing Food Storage Used by Residents in Pagbabangnan,
San Julian, January 2012.
Actual Findings:
Out of the total population of 1116, 18% uses refrigerator for food
storage, 20% uses cabinet, 29% for basket, and 33% uses other stuff for food storage.
Normal Findings:
Stainless food storage is recommended, because plastics can break down especially when
exposed to heat and sunlight.Glass canning jars can be used to freeze foods, but you have to
allow at least an inch for expansion and it's not unusual to have an occasional broken jar. For this
reason, plastic containers or freezer bags are preferred, but vacuum sealing being the best. Foods
cannot be kept forever in the freezer and regardless of how you package it, they do eventually
dry out, lose their freshness, suffer freezer burn, take on an unpleasant taste or spoil.
Proper food storage includes maintaining proper food temperature and
storing food in such a way to keep it clean and safe prior to he time it is served to the consumers.
It is generally recommended that refrigerator is the best storage in keeping the food safe.
Analysis and interpretation:
The residents in Brgy. Pagbabangnan stores food according to the available food storage
in order not to spoil the remained food.
FAMILY HEALTH STATUS
Presence of Communicable Disease
With
Communicable
Disease
6%
Without
Communicable
Disease
94%
Figure 34. Percentage Distribution Showing Presence of Communicable Disease Among
Members in the Family in Pagbabangnan, San Julian, 2012.
Actual Findings:
94% of the total population does not have a communicable disease,
whereas 6% had a communicable disease.
Normal Findings:
The World Health Organization reports that microorganisms such as a bacteria, fungi,
parasites or viruses cause infectious diseases which have the ability to spread from one person to
another. Understanding risk factors, modes of transmission and ways to prevent communicable
diseases is important to keep yourself healthy.
Tuberculosis, pneumonia, dengue, malaria, and AIDS, are some of the communicable
diseases that are common in the Philippines
Family Members who Practices Smoking
Does
Smoke
16%
Does Not
Smoke
84%
Figure 35.Percentage Distribution Showing Who Does and Does Not Practice Smoking in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
On the above data, it shows that 84% of the total population engage in
cigarette smoking, whereas 16% does not engage in cigarette smoking.
Normal Findings:
Smoking is the most important lifestyle choice affecting respiration.
Smokers are far more likely than nonsmokers to acquire emphysema, chronic bronchitis, lung
cancer, oral cancer, and cardiovascular diseases. By producing more mucus and by slowing the
mucociliary escalator, smoking inhibits mucus removal and can cause airway blockage,
promoting bacterial colonization an infection. Regardless of whether or not a clinically
identifiable lung diseases is present, smokers usually breathe more rapidly than nonsmokers do
(Lippincott, Fundamentals of Nursing, 4th Ed. p.813-814).
Family Members who Practices Alcohol Drinking
Drinks
Alcoholic
Beverages
19%
Does Not
Drink
81%
Figure 36. Percentage Distribution Showing Who Does and Does Not Practice Alcoholic
Drinking in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The data shows that out of 1116 of the total population, 19% (212)
practices alcoholic drinking and 81% does not drink alcoholic beverages.
Normal Findings:
Alcohol drinking can harm the society in the near future. Alcohol
drinker should not cover more than 30% of the total population to prevent damage to the society
(Untulan 2007). Alcohol in large doses can depress the central nervous system with a resulting
decrease in respiration. The intoxicated person is in danger of vomiting and aspirating stomach
contents into the lungs. Alcohol depresses the reflexes that protect the airways, so if vomiting
occurs, stomach contents can easily slip into trachea and choke the victim. If the aspiration is
revived, aspiration is likely to cause pneumonia (Lippincott, Fundamentals of Nursing, 4 th Ed.
p.814).
Analysis and Interpretation:
Greater percentage of the population does not engage in alcoholic
drinking which means that they give importance to their health.
RELAXATION AND RECREATION
Methods of Relaxation
Playing cards
7%
Sports
7%
Meditation
3%
Watching Tv
43%
Reading
17%
Others
23%
Figure
37. Percentage Distribution Showing the Methods of Relaxation of Families Surveyed in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The figure above shows that 43% of households in Pagbabangnan spend time in watching
television, 17% of the families of Pagbabangnan spend time in reading, 7% playing cards and
also in sports, and 23% others.
Normal Findings:
There should be a balance relaxation and work to practice and continue
healthy lifestyle to prevent sedentary way of living (Capistrano, 2004)
Analysis and Interpretation:
The data indicate that most of the relaxation method of the households
surveyed is watching TV and followed by others forms of relaxation methods which includes
reading, playing cards, sports and meditating.
EXERCISE/ACTIVITY PATTERN
Frequency of Exercise
Number of Household
120
107
100
80
75
60
40
27
25
19
20
3
6
7
0
Everyday Once a
week
Twice a
week
3x a
week
4x a
week
5x a
week
6x a
week
None
Figure 38. Frequency of Exercise of Every Household in Pagbabangnan, San Julian, January
2012.
Actual Findings:
The figure shows that there are 75% of the total households do their exercise everyday,
27% once a week, 25% twice a week, 19% three times a week, 3% four times a week, 6% five
times a week, 7% six times a week, and in contrast 107%
of the total households of
Pagbabangnan do not practice exercise.
Normal Findings:
It best to exercise in the morning, 2 hours before eating and 4 hours
after eating (Zinner, 1942).
Analysis and Interpretation:
The actual findings shows that most of the residents of Brgy. Pagbabangnan do not
practice exercise this may indicate that they are at risk of health illnesses due to their sedentary
lifestyle.
Type of Exercise
Cycling
2%
Running
2%
Dancing
1%
Weigh Lifting
7%
Jogging
16%
Brisk walking
47%
Others
25%
Figure 39.Percentage Distribution Showing Type of Exercise Performed by Residents of
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The figure shows that there are 47% of the families do their brisk walking, 16% jogging,
7% weigh lifting, 2% running and also cycling, 1% dancing, and 25% others.
Normal Findings:
There are types of exercise that a healthy person can practice without any limitations or
contraindications like walking, jogging, weight lifting, cycling, dancing, running, and others; but
some of cases exercises may be contraindicated to a person with cardiac problems and other
situations like post-operative patients, etc. (Cuevas, et al, 2007).
Analysis and Interpretation:
The actual findings shows that most of the Brgy. Pagbabangnan prefer brisk walking and
jogging as the type of exercise. These exercises would help good circulation of their blood and
also for their muscles to be toned
USE OF PROTECTIVE MEASURES
Methods of Protection During Sleep
Insect repellent Others
7%
topical
8%
Insect repellent
spray
9%
None
9%
Mosquito net
67%
Figure 40. Percentage Distribution Showing the Methods of
Protection During Sleep of
Households in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The data shows that there are 67% of the households of Barangay Pagbabangnan use
mosquito net to protect themselves during sleep; 9% uses insect repellent (spray); 8% uses insect
repellent (topical); 7% uses other measures like the use of electric fan. And 9% who do not use
anything to protect themselves during sleep.
Normal Findings:
A sleep should be free from harmful elements such as insects. An insect may bite a
person and will then be at risk of dengue and other diseases related vector biting (Untalan, 2005).
Analysis and Interpretation:
The actual finding shows that the households of Barangay Pagbabangnan are using
mosquito nets during sleep. This may indicate lesser risk of acquiring disease from mosquito
bites like dengue fever or malaria.
E. CHILD-HEALTH INFORMATION
Body Mass Index
Immunization Status
Incompletely
immunized
29%
Fully
Immunized
71%
Figure 41.Percentage Distribution Showing the Immunization Status of Children (6 years old and
below) in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The figure shows that 71% of pre-school children who received full immunization and
29% are incompletely immunized.
Normal Findings:
In the year 2001, the region of Eastern Visayas was reported to have 65.1% fully
immunized child (FIC), while a total of only 61.3% FIC in all regions in the Philippines was
reported based on the 2001 Maternal and Child Health Survey (MCHS) conducted by the
National Statistics Office. In the year 2004, fully immunized Children (9-11 y.o.) reached 92,847
(81% of 115,332) in Eastern Visayas Region based on the Health Research Agenda of Region 8.
Analysis and Interpretation:
The percentage of fully immunized children in Brgy. Pagbabangnan is greater than that
for Region 8 in 2001. It shows that the mothers and caretakers of these children are aware of the
benefits of child vaccination and have availed of others services in their health units.
Infant Source of Food
Formula Milk
10%
Mixed
38%
Breastfeed
52%
Figure 42.Percentage Distribution Showing Infant Source of Food of Children (6 years old and
below) in Pagbabangnan, San Julian, January 2012.
Actual Findings:
It is illustrated from above that among the feeding practice categories, those who engage
in feeding their child with formula milk is the least having only a percentage of 10.
Normal Findings:
Breast milk is the best food it contains essential nutrients completely suitable for infants’
needs. It is also the natures first immunization, enabling the infant to fight potential serious
infection. It contains growth factors that enhance organ system (Untalan, p.158)
Analysis and Interpretation:
Fifty two percent (52%) of mothers have breastfed their children which only show that
more than a half of the total population of mothers interviewed understands the benefits and the
significance of purely breastfeeding their children.
Type of Birth
Cesarean Section
10%
Normal
Delivery
90%
Figure 43.Percentage Distribution Showing the Type of Birth of Children in Pagbabangnan, San
Julian, January 2012.
Actual Findings:
The children delivered normally have the greater number which consisted of 90% of the
total populace surveyed compared to those delivered in cesarean section which is only 10%.
NORMAL FINDINGS:
Normal spontaneous vaginal delivery ( NSVD ) is the more ideal and
preferable mode of delivery. The stay in the hospital and pain felt disappear more rapidly than
the agony felt by the woman who has had cesarean section.
ANALYSIS and INTERPRETATION
Almost majority of children in the community delivered normally which
result to 90% and only 10% is delivered cesarean.
F. MATERNAL-FAMILY INFORMATION
Family Planning Practices
Artificial
16%
Natural
27%
None
57%
Figure 44. . Percentage Distribution Showing Family Planning Methods Used by Mothers in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
57% of the parents interviewed do not practice family planning methods which in turn
have the highest number of population. Couples who practice family planning methods was 27%
and only 16% preferred to use artificial family planning method out of the total number of
interviewed couples.
NORMAL FINDINGS:
The need to make decision on family planning is done during pregnancy, according to the
SCSI guideline (2002) is discussed in the 7th visit or the 36thweek. These will p provides the
couple ample time to choose kind of family planning method to practice (Maglaya p 264).
Encouraging the couples practice family planning methods is to provide a better life for
their children. They will be able to send them to school, provide them the material things they
need, as well as give them emotional support through guidance and love (Untalan p. 165).
ANALYSIS and INTERPRETATION
57% of the overall population does not practice family planning method, while 27%
practice natural family planning, and only 16 % conform to artificial family planning method due
to lack of information known by them.
Place of Delivery
RHU
2%
Hospital
33%
Home
65%
Figure45. Percentage Distribution Showing the Place of Delivery by Mothers in Pagbabangnan,
San Julian, January 2012.
Actual Findings:
The table shows that 65% of mothers’ population delivered their child at their respective houses.
33% delivered their babies at the hospital and only 2% have decided to deliver their babies at the
rural health units.
NORMAL FINDINGS:
According to DOH, home deliveries attended by licensed health personnel
should been courage. This indicates that midwives or TBAs/ Hilots may be allowed to attend
home deliveries only in the following circumstances: (1) in areas where there are no trained
health personnel on maternal care; (2) when at the time of delivery the personnel are not
available.
Mothers should be educated and encouraged to visit their health worker to
visit from their prenatal to post-partum. It is important for mothers to know what to expect at the
different stages of motherhood. They should be encouraged to get advance information of
reliability of the facilities of the place where they inline to.
ANALYSIS and INTERPRETATION
65% of the in their community prefer to give birth in their houses primarily
.Thirty three percent have chosen because they feel it is cheaper and affordable. 33% for the
chosen hospitals because they feel safer in terms of life saving measures.
Prenatal Consultation/ Delivery History
RN
6%
Midwife
13%
MD
26%
Hilot
55%
Figure 46. Prenatal Consultation and Delivery History of Mothers in Pagbabangnan, San Julian,
January 2012.
Actual Findings:
From the graph illustrated above it shows that 55% women consulted hilots to assist them
in birth giving, 26% seek presence of MD, 35% opted for midwives to assist them in process of
delivery, and 6% have consulted registered nurses to assist them
.
NORMAL FINDINGS
Mothers should ideally prefer doctors, midwives to attend them in birth giving. Both of
those to attendants have thorough knowledge on this area.
Doctors are preferred (like
Obstetrician and Gynecologist) because they specialize in the field of birth delivery even though
they have professional fees. Midwives are said to be primary important because of their
availability, accessibility, and affordability as well. They are the most accessible professional
health provider. Mother should be provided and educated in choosing the right birth assistant to
assist them in birth giving. We should stress out that mothers should think about the safety of
their baby and of themselves as well.
ANALYSIS and INTERPRETATION
55% mothers of the population seeks for traditional birth attendants or hilots to assist
them in birth giving ,since they are always present in the community and are always available
even at the wee hours of morning. While 26% prefer ideally the presence of doctors to attend
their giving of birth, despite of the cost the mothers know they are in good hands. 13% of them
seek for midwives, and 6% of the mothers have had consulted registered nurses.
G. HEALTH UTILIZATION INFORMATION
PHILHEALTH MEMBERSHIP
Non-member
24%
Member
76%
Figure 47. Percentage Distribution Showing Phil health Members and Non-Phil Health
Members in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The graph shows that 76% of the population have Phil health membership while 24% of
them are not members of Phil health agency.
Normal Findings:
As a member of the community, he/ she should be aware of the community resources
they have in their community. And be updated on the new trends of health care so that he will
have an easy access to the health care and visit this health care unit as possible as needed.
(Untalan, 2005).
Analysis and Interpretation:
Almost three fourths of the population are using promotive – preventive health service
(Phil Health) and are insured of their health.
MEDICAL/ DENTAL CONSULTATION
Brgy. Health
Center
8%
Bisaya
2%
Hospital
36%
None
1%
Private
1%
RHU/Sentro
52%
Figure 48. Percentage Distribution Showing Where the Residents in Pagbabangnan, San
Julian,Go for Medical/Dental Consultation, January 2012.
Actual Findings:
The information gathered about the Medical/ Dental services in the community shows
that 52% of the households have availed the service in the RHU/ Sentro. The community is able
to avail of this kind of service in the Hospital having a total of 36 % . Next to the Hospital is the
Brgy. Health center having a total of 8% respondents who went for medical/ dental consultation.
Residents of Pagbabangnan with 2% availed their medical/dental consultation in Bisaya while
1% of them went for Private consultation. Among the residents, 1% have not availed medical or
dental service at all.
Normal Findings:
R.A 1981 amended RA 1082 in 1957. It is strengthened health and dental services in the
rural area and created rural health units of eight categories of staffing pattern corresponding to
population groups of municipalities to be tasked on a more equitable and scientific distribution
on the ratio of personal to population. (Public Health Nursing)
Analysis and Interpretation:
The finding shows that more than half of the population in the community have availed
medical and dental services rendered to the community. It is a big help to the resident because
they were able to receive medical and dental check – up.
AWARENESS OF DOH PROGRAMS
Not Aware
28%
Aware
72%
Figure 49. Percentage Distribution Showing Awareness of DOH Program in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The pie graph shows that 72 % of people in Brgy. Pagbabangnan state that they are aware
of the program of DOH while only 28 % are not fully aware.
Normal Findings:
According to DOH (Dept. of Health), all of the people in the community should be aware
of its programs. This awareness will encourage the people to avail the said programs.
Analysis and Interpretation:
Compared to the normal findings, 72 % of the community population is aware of the
DOH Programs, while 28% of them are not well-informed of the said programs. Many of the
respondents are aware of the different DOH programs which will encourage them to avail the
programs.
DOH PROGRAM AVAILED
Others
5%
None
9%
Maternal-Child
Progarm
30%
Mgt. of CD and
Non-CD
16%
Family Planning
Program
20%
EPI
20%
Figure 50. Percentage Distribution Showing the DOH Program Mostly Availed by Residents in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
Thirty percent of the respondents have availed Maternal – Child Program of the DOH
while 20% have availed the EPI and Family Planning Program. The program of Management of
Communicable and Non-Communicable Disease have 16% of the respondents availed while 9%
have not availed any DOH program and 5% are others.
Normal Findings:
Health is a right of every human being. A healthy person is a prerequisite to national
development. The DOH uses the lifespan approach to design programs and assist in the delivery
of health services to specific age groups. It values health care of individuals within the context of
the family. A family must free from diseases as infinity with no disabilities. (Public Health
Nursing)
Analysis and Interpretation:
Almost all of the population was able to avail the different programs of DOH which is
right for the community. This prevents the spread of diseases which can be acquired or
transmitted anywhere. Through this program, the residents are givenadequate knowledge
likewise initiating awareness to the people regarding the programs of the
HEALTH MANAGEMENT
Arbularyo/Bisaya
17%
Home managed
49%
Consults
medical/Hospital
34%
Figure 51. Percentage Distribution Showing How the Residents Manage their Health in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The data shows that 49% of the population manages their illness at home, 34% consults a
doctor in the hospital while 17% visits an Albularyo/ Bisaya.
Normal Findings:
It is the common in the Philippines to self – medicate first before going to the physician
to seek for help. It is a healthy perception but may not be acceptable if they just consult a doctor
if they are already in the most severe case, (Dizon, 1977)
Analysis and Interpretation:
Almost half of the population home managed their illness. They cure the illness on their
own like buying over the counter drugs and taking herbal medicines. The person with illness
must seek medical attention immediately to be able to identify the disease and to determine the
appropriate medications to be taken.
SUPPLY OF MEDICAL/HEALTH THERAPY
None
2%
Community/Herb
al garden
27%
Government/RH
U organization
41%
Others
30%
Figure 52.Percentage Distribution Showing Where the Residents in Pagbabangnan, San Julian
Get their Supply of Medical and Health Therapy.
Actual Findings:
The figure above shows that 41% of the residents in Pagbabangnan, San Julian were
getting their medical supplies at the rural health organization/government, 17% at the
community/herbal garden, 30% utilized other medical supplies, and 2% of the surveyed family is
not complying to any supply of medical and health therapy.
Analysis and Interpretation:
The findings shows that the majority of the resident of Barangay Pagbabangnan, San
Julian Eastern Samar were getting their supply of medical supplies and other health therapy
through government or rural health unit organization.
H. MORBIDITY AND MORTALITY INFORMATION
Adult Morbidity Rate (within the last 3 years)
TB respiratory
3%
Heart diseases
3%
Influenza
5%
Chickenpox
1%
Measles
1%
Acute Lower
RTI and
pneumonia
9%
Hypertension
13%
Others
52%
Diarrhea
13%
Figure 54. Percentage Distribution Showing Cases of Adult Morbidity in Pagbabangnan, San
Julian, January 2012.
Actual Findings:
The figure shows the percentage of the adult morbidity in Pagbabangnan, San Julian.
13% diarrhea, 13% hypertension, 9% acute lower RTI and pneumonia, 5% influenza, 3% TB
respiratory, 3% heart diseases, 1% chickenpox,1% measles, and 52% cases were other disease.
Normal Findings:
According to Department of Health statistical findings, the top leading causes of adult
morbidity as of year 2004 were acute lower respiratory tract infection and pneumonia, bronchitis,
acute watery diarrhea, influenza, hypertension, TB, heart disease, malaria, chickenpox, and
dengue fever.
Analysis and Interpretation:
The results and findings of the surveyed family at Barangay Pagbabangnan, San Julian
Eastern Samar correlate with the data of DOH where one of the top leading causes of adult
morbidity were acute lower respiratory infection, pneumonia, bronchitis, diarrhea, hypertension,
TB, heart disease, malaria, chickenpox, and dengue fever.
FREQUENCY OF ADULT MORBIDITY
75
80
70
Population
60
50
40
30
20
19
13
10
19
8
4
5
1
1
0
Figure 53. Frequency of Adult Morbidity in Pagbabangnan, San Julian, January 2012.
Actual Findings:
The graph shows that 13% of the adult morbidity within 3 years at Pagbabangnan, San
Julian were pneumonia, 19% diarrhea, 8% hypertension, 4% TB, 5% heart disease, 1%
chickenpox, 1 %measles, and 75% were other diseases.
Analysis and Interpretation:
The results and findings of the surveyed family at Barangay Pagbabangnan, San Julian
Eastern Samar correlate with the data of DOH where one of the top leading causes of adult
morbidity were acute lower respiratory infection, pneumonia, bronchitis, diarrhea, hypertension,
TB, heart disease, malaria, chickenpox, and dengue fever.
ADULT MORTALITY RATE (for the past 5 years)
Pneumonia
Cancer 6%
5%
.COPD and allied
conditions
6%
Murder
5%
Heart disease
11%
Others
56%
Natural (old age)
11%
Figure 55. Percentage Distribution Showing Adult Mortality Rate for the Past 5 Years,
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The figure shows the adult mortality for past 5 years in Pagbabangnan, San Julian. 11%
of the adult mortality were due to natural death(old age), 11% heart disease, 5% murder, 5%
cancer, 6% pneumonia, 6% COPD and allied condition, and 56% were cause by other incident or
diseases.
Normal Findings:
According to the Philippine National Statistics office, here are the top ten causes of death
in the Philippines as of 2007.
1. Diseases of the heart
2. Cerebrovascular diseases
3. Malignant neoplasm
4. Pneumonia
5. Tuberculosis
6. Chronic lower respiratory diseases
7. Diabetes mellitus
8. Assault
9. Perinatal-period illnesses
10. Nephritis, nephrotic syndrome and neprosis
11.
12.
Analysis and interpretation:
The results and findings correlate with the statistical findings of Philippine National
Statistic Office where the one of the top leading causes of adult mortality were heart diseases.
INFANT MORTALITY RATE (0 to 1 year old)
Complications
of pregnancy
9%
0% 0% 0% 0%
Others
14%
Bacterial sepsis
of newborn
5%
Pneumonia
36%
Unknown
36%
Figure 56. Percentage Distribution Showing Infant Mortality Rate (0 to 1 year old) in
Pagbabangnan, San Julian, January 2012.
Actual Findings:
The figure shows the infant mortality rate from 0 to 1 year old in Pagbabangnan, San
Julian. 36% were due to pneumonia, 5% bacterial sepsis of newborn, 9% complication of
pregnancy, 36% were due to unknown causes, and 14% were cause by other diseases.
Normal Findings:
According to Department of Health statistical findings as of year 2006 showed that the
top ten leading cause of infant mortality rate were bacterial sepsis, respiratory distress,
pneumonia, disorders related to short gestation and low birth weight, congenital malformations
of the heart, neonatal aspiration syndromes, other congenital malformation, intrauterine hypoxia
and birth asphyxia, and diarrhea/gastro-enteritis of presumed infectious origin
Analysis and Interpretation:
This findings correlate with the statistical findings of Department of Health (2006) were one of
the top leading causes of infant mortality rate were diarrhea and other congenital malformation,
and other related diseases.
CHAPTER III
PLAN OF ACTIVITIES
AND
DAILY ACCOMPLISHMENT REPORTS
Community Plan of Activities
Plan of Activities
Day 1 (Nov. 23, 2011)
Goal and Objectives
Target Activities
In-Charge
Resources
Evaluation
Before the end of the
Courtesy
day, the group will be
Mayor Erroba, and the
able:
-courtesy
1. To
have
call
with All Group Members
a Mayor Erroba, and with
call
with
Manpower
barangay councils of the
Camera
barangay was done. As
courtesy call with the Barangay councils of
well
the
survey. Spot map had
municipal the Barangay.
as
the
ocular
mayor, and the
been
barangay
secondary data’s were
councils;
-do the ocular survey
All Group Members
Manpower
gathered
Camera
barangay and some were
2. Be able to do an
from
ocular survey;
-obtain a draft of a spot Ms. Gayo
Pencils,
map
manpower
bond
up with a spot -communicate with the Mr. Bello
school principal
Manpower
from
the
Health
3. Be able to come
map;
validated,
paper, group
Municipal
Office.
was
the
able
The
to
integrate
with
the
residents
of
the
community.
4. Be able to talk
with the principal
of
Pagbabangan
Elem.
School
regarding
school
the
health
nursing;
-collect
necessary Casillano
Money
documents available in Pandapatan
Manpower
the community
Paper, Pens
5. Be able to gather
secondary data’s -communicate with the Mr. Bello
needed;
Manpower
foster families regarding
the stay
6. Be
able
to
communicate
with
the
-mingle
foster community people.
families;
7. Be
able
to
integrate with the
community
people.
with
the All Group Members
Manpower
Day 2 (Nov. 24, 2011)
Goal and Objectives
Target Activities
In-Charge
Resources
Before the end of the
Manpower:
day, the group will be 8:00-11:00 am
All
able
Cardeňo and Gayo
to
conduct
the Health survey
members
Evaluation
nursing The group started the
except students
community health survey
Money
with
a
health survey to about
Materials: survey tools, household
50% of the household,
pencils/pen, stickers
and will be able to take
of
73
interviewed,
which constituted only
26%. Weight and height
the weight and height of 8:00 – 11:00 am
the children aged 0-6 Weight
years old.
total
taking
and
Cardeňo
height Gayo
Manpower:
nursing taking of children 0 to 6
students
Materials:
years old was done, but
weighing not
scale, paper, pencil/ pen
all
children
was
measured.
Anthropometric
measurement
was
continued the next week.
Day 3 (Nov. 30, 2011)
Goal and Objectives
Target Activities
In-Charge
Resources
Evaluation
Before the end of the day,
Manpower:
the group will be able to
students
visit
Money: snacks
school
Materials: visuals aids
Pagbabangnan
the
Barangay’s
Elementary
School;
provide
nursing
visit
nursing The group was able to
the
of
provide
assistance to the people
elementary
Brangay
and
nursing
assistance to the people.
of the barangay.
Objectives:
1. Collate data on 8:30-9:30 am
nutritional status Data collation
Cardeňo
Gayo
The group was able to
on children ages
collate data for about
0-12 years old.
57%
of the children
aging
0-12
yrs
old
regarding on their height
2. To be able to 10:00-11:30 am
form
group.
a
core Forming
members
core
Barbero
and weight.
group Casillano
Cillo
The assigned group was
Geroy
able to form core group.
Pandapatan
3:30-5:00 pm
3. To be able to Core group meeting
conduct
core
group meeting.
Casillano
Cillo
Barbero
The group was able to
Pandapatan
conduct
core
group
meeting to the identified
core group members.
Day 4 (Dec. 01, 2011)
Goal and Objectives
Target Activities
Before the end of the day,
the group will be able to
visit san Julian Municipal
Health
Office
Barangay’s
and
Elementary
School,
collate
the
gathered
data;
and
identified
problems
of
barangay
based
on
collated data.
In-Charge
Resources
Evaluation
Objectives:
1. Gather secondary Community
Manpower
The community health
data for validation Nursing
Money for fare:
nurses had gathered the
purposes.
P40.00
needed secondary data.
Manpower
The
taking the height
Materials:
participated
of
Weighing scale
their height and weight.
2. Weighing
Health
and School Health Nursing
pre-schoolers
and school ages.
in
actively
taking
Tape measure
3. Collate the survey Data Collation
result
students
data
for
identification
of
Manpower:
The group finished the
Materials:
data collation after 4
Survey tools
days and identified the
pertinent
community
information.
diagnosis.
nursing
4. Identify
community
Community Diagnosing
Manpower
The identified problems
problems based on
are:
the result of data
- Malnutrition
gathered.
- Hypertension
- Lack of awareness on
reproductive health
-
Poor
environmental
sanitation
Day 5, (December 2, 2011)
Goal and Objectives
Be
able
to
requested
data
get
Target Activities
the Collect
In-Charge
necessary Apelado
Resources
Evaluation
Manpower
The community health
secondary secondary data available
for
purposes.
validation in the RHU.
(Nutritional
nurse was not able to
Caspe
Transportation (P32.00)
Communication Letter
collect
the
secondary
data because there are no
Status, Leading causes
available data as of 2011
of Morbidity, Leading
in the RHU.
causes
of
Mortality,
Leading causes of Infant
Mortality and Leading
causes
of
Maternal
Mortality.
The group will be able
to
present
to
Brgy.
All group members
Manpower
The group was able to
Council, the data of
problems
that
were
present the data- for he
Presentation of data
Materials:
(Cartolina,
Manila paper and pentel
identified by the group.
pen)
final survey output and
the Brgy. Council of
Pagbabangnan
participated
in
the
session conduced by the
group.
Day 6 (December 07, 2011)
Goal and Objectives
In-Charge
Resources
Evaluation
The group will be able Health teaching
Gayo
Man Power
The group was not able
to
Cardeño
Materials:
to conduct because of
Alde

Visual Aid
transportation problem.
Barbero

Bp apparatus

Thermometer

Wrist watch

Books

Dummies
The group was able to

Hand outs
choose
visit
the
Target Activities
primary
school
Choose
a
site
for Cardeño
Be able to look a site for gardening of the herbal Bello
a
site
for
gardening
of
herbal plants.
plants.
Caspe
gardening herbal plants
Apelado
located at Day Care
Center.
Demonstrate
Demonstrate
in Casillano
and obtaining
Body Pandapatan
The core group was able
discuss proper skills in temperature, BP, Pulse Cillo
to
getting the vital signs, and
Respiratory
rate,
discuss proper skills in
first
aid,
and
getting the v/s, know
aid,
BLS,
and first
physical assessment.
BLS,
physical Assessment
demonstrate
thw procedures in first
aid,
bls,
assessment.
Day 7 (December 08, 2011)
Goal and Objectives
Goal:To
be
able
demonstrate
Target Activities
to
proper
exercise to the people in
the
community
of
Pagbabangnan especially
and
In-Charge
Resources
Evaluation
physical
to the old adult group; to
have health teaching to
the barangay Elementary
school;
to
have
core
All group members
group training about first
aid during an emergency
situation,
vital
taking,
signs
physical
Pandapatan
assessment, and basic life
Casillano
support.
Apelado
Objectives:

To
optimum
level
achieve Morning Exercise
Manpower

Sound system
health
Caspe

Barangay Plaza
through
Geroy

Community
exercise.


Bello
people
Carry out health School Health Nursing
the

Manpower
pupils that will

Money (P200.00)
serve

Materials:
teaching to
as
additional
(Cartolina,
Educational
information about
Chart, Pentel Pen)
health.

Manpower
and

Money (P200.00)
core

Materials
Core Group

Educate
coach
the
group about first
(Dummies,
aid
modules, alcohol, cotton,
during
an
emergency
BP
situation,
signs
vital
training
apparatus,
Thermometer,
taking,
secondhand watch.)
physical
assessment,
and
basic life support.
Day 8 (December 14, 2011)
Goal and Objectives
Goal: The group will be
able
to
knowledge
provide
on
health
teaching to the barangay
elementary, to impart
Target Activities
In-Charge
Resources
Evaluation
additional
and
knowledge
training
to
barangay
the
health
Gayo
workers, and to provide
Cardeno
a symposium on proper
Barbero
solid waste management
to the residents.
Pandapatan
Objective:
Casillano
1. To conduct a health School Health Nursing
teaching
on
students
and
provide
them
-Materials and Money:

on
health.
-Manpower,
Core Group training
able
to
conduct a training
on
health
additional
knowledge on first
Barangay
health
workers,
Pagbabangnan
barangay
hall
Materials and Money:

management and to
impart
Visual aids:
All group members
knowledge
be
pupil’s
-Manpower,
participation
additional
2. To
Apelado
Dummy adult and
infant

First aid module:
P100
aid.
-Manpower,
Kalinisan
Kusughan
be
able
system, Barangay plaza,
Barangay
community participants
(Symposium on Solid
-Materials and Money:
Waste Management)
3. To
Sound

to Theme: Kalinisan tungo
Stage
decoration:
P310

Certificate: P84
solid

Program: P270
waste management

Token: P229
to the community

Posters and Flyers:
impart
on
knowledge sa Malusogna Barangay
proper
resident.
P27

Garland: P200

Snacks: P2,705

Transportation
fees: P255
Day 9 (December 15, 2011)
Goal and Objectives
Target Activities
In-Charge
Resources
Evaluation
Goal: The group will be
able
to
knowledge
provide
on
health
teaching to the barangay
elementary,
to
impart
additional knowledge to
the
barangay
health
workers and to promote
All group members
healthy lifestyle to the
residents.
Objective:
4. To
Morning Exercise
be
able
to
demonstrate proper
exercise
implement
Bello
-Manpower,
Sound Resident
attended
Pandapatan
system, Barangay Plaza, morning exercise:
Geroy
Resident participation.
2nd day: 33
and
healthy
Bello
lifestyle.
School Health Nursing
5. To conduct a health
teaching on students
Alde
-Manpower,
pupil’s Pupil’s participated in
Apelado
participation
health teaching:
-Materials and Money:
2nd day: Grade IV, V,VI

Visual aids:
and provide them
additional
The BHWs are able gain
knowledge
on
health.
-Manpower,
health
Barangay knowledge on different
workers, uses
of
Pagbabangnan barangay medicines.
6. To
be
able
to Core Group discussion
hall
conduct a training
on
health
management and to
impart
Materials and Money:

additional
knowledge
herbal medicines.
on
Herbal medicine
book

Word
presentation
herbal
Day 10 (January 5, 2012)
Goal and Objectives
Target Activities
In-Charge
Resources
Evaluation
At the end of the last day
The
of
community
Core Group Member,
the
group
BHW’s and students had
will be able to show
fun and were able to
gratitude
and
express gratitude to each
the
other.
the
immersion
appreciation
to
community.
Distribution
Objective:
-To be able to
certification to the Core Core Group
have Group
the culmination activity BHW’s
together with the whole Officials.
community people.
of All students
Gathering.
Members, Brgy. Officials
and
Brgy. BHW’s
Simple
MANPOWER
Brgy.
Officials,
Daily Accomplishment Reports
Day 1, November 23, 2011
The group started the community immersion with a courtesy call to the San Julian Municipal
Mayor George N. Erroba. The mayor stressed some of their programs for the municipality,
specifically with regards to health. He gave us a brief background regarding their programs, such
as the MNCHN (Maternal Neonatal Child Health Nutrition).
After the meeting, the group proceeded to the community of Pagbabangnan, San Julian
Eastern Samar. They were cordially welcome by the by the barangay officials.
At one o’clock in the afternoon the group started their ocular survey. They also visited
Pagbabangnan Elementary School and were able to communicate with officer in charge of the
school.
The group was able to integrated ate with the community people, and preliminary social
investigation has been done. And the group was divided into two for their foster families.
Day 2, November 24, 2011
The group started the community health survey with a total of 73 household interviewed,
which constituted only 26%. Weight and height taking of children 0 to 6 years old was done, but
not all children was measured. Anthropometric measurement was continued the next week.
Day 3, November 30, 2011
The group arrived at Brgy Pagbabangnan at around 8:30 in the morning. The assigned
group for core group management identified and formed members. The remaining group
continues their health survey and weighing of the children from 1 month to 12 years old to
identify the nutritional status of each child and get percentage of children needing nutritional
supervision. In the afternoon, we did our Self-awareness Leadership Training to our core group
members.
There were 13 core group members who attended the meeting composed of Brgy. Captain, Sk
Chairman, Brgy. Secretary, 3 Kagawads, 4 SkKagawads, and 3 Brgy. Health Workers. Election
for the core group officers was conducted before the Self Awareness Training Program.The
topics discussed during the SALT were the following: needs of man; aspects of man; self
awareness activities were also conducted during the training.
Day 4, December 1, 2011
The community health nurse went to san Julian Municipal Health Office to request for the
following secondary data for validation purposes.
1. Nutritional Status
2. Leading causes of Morbidity
3. Leading causes of Mortality
4. Leading causes of Infant Mortality
5. Leading causes of Maternal Mortality
Weighing and taking the height of the preschoolers and school ages of Pagbabangnan
Elementary School was efficiently done by the assigned school health nurses. The group finished
tallying and collated the survey tools. The identified problems in the community as enumerated:
1. Malnutrition
2. Waste Management
3. Type of Deliveries
4. Mortality and Morbidity Rate
The group prepared the visual aids for tomorrow’s Community Health Presentation with the
barangay council.
Day 5, December 2, 2011
The group finished their visual aids of the identified problems. Each member of the group
had started their task for the preparation of all the data to be presented. At 3:00pm, the group
started to present their identified problems to the Brgy. Council of Pagbabangnan.Identified
problems in the community as enumerated.
1. Malnutrition
2. Lack of awareness on reproductive health (safe delivery)
3. Poor environmental sanitation
4. Hypertension
In line with this identified problems, the group together with the Brgy. Council of
Pagbabangnan started to implement programs to address the nursing care needed by the
community.
After the session, the group cleaned the Brgy. Hall,where they conducted the
presentation; and went to their respective poster family.
Day 6 December 7, 2011
The group arrived in the community at exactly 8 o’clock in the morning, we were already
late because supposedly we should be there before 7:30 a.m in the reason that we are going to
conduct a health teaching in Pagbabangnan, Elem. School, because that was the scheduled time
that was available for us. In order to give respect and apology that we could not conduct the
health teaching in the school, the group of School Health Nurses went to the school together with
our Clinical Instructor Mr. Ray Dominic Ladera.
The community Health Nurses visited the site where they are planning to plant the herbal
plants and they were accompanied by the Brgy. Captain Mr. Norberto Cabo. After visiting the
site, the group decided to ask herbal plants from the houses where there are herbal plants.
While the community health Nurses were busy doing house to house collection herbal
plants, the core group nurses were also busy discussing about V/S taking, First aid, BLS, and
Physical assessment, after the discussion they demonstrated the procedures then they let the
participants performed vital signs taking, due to the limited time the group will resume the
training on the next day for other return demonstration.
Day 7, December 8, 2011
At exactly 4:30 a.m. the group started the morning exercise entitled, Hataw
Pagbabangnan. There are about 40 elders who attended the exercise and there were teenagers and
school age children. At 9:00 a.m. the group stated the core group training and all the Barangay
Health workers were present. At 11:00 a.m. herbal garden planting were started.
Day 8, December 14, 2011
The group leader designated the members on their assigned responsibilities. In the
morning, School Health nursing group continued their Health Teaching to the pupils of
Pagbabangnan Elementary School. The community health nursing group visited the herbal
garden and clean the area located at Pagbabangnan Day Care Center. The core group nursing
continued their training to the core group members and the barangay health workers. The other
group prepared the stage, the sound system, the chairs, the foods, and other needed materials for
the seminar. In the afternoon, the group started the symposium on solid waste management
(Kalinisan Kusughan Barangay) with a theme of Kalinisan tungo sa MalusognaKumunidad. The
group facilitated the said event and interacts with the community people during the program.
After the symposium, the group had a Christmas party held at the one of our foster parents
attended by the foster families and the SK chairman. The group organized a small program
participated by the said people. Everyone had fun and enjoyed the party.
Day 9, December 15, 2011
The group started the day with a morning exercise participated by the community people.
The group also discussed about wound care, how to control and stop bleeding, and the uses and
importance of herbal medicine. The school health nurses also discussed different topics like
proper hand washing, proper hygiene, basic food group, importance of vegetable, basic food
group, and proper brushing of teeth. The group also performed their assessment on selected
families for the FNCP.
Day 10, January 5, 2012
On our 10th day of community immersion, we were able to accomplished tasks related to
our upcoming culminating activity. We were able to make the certificate for the Brgy.
Official,Core Group Members and BHW’s. We prepared the Brgy. Plaza with the chairs and
tables as well as the sound system and snacks all set for afternoon activities--(PAGBABANGNAN GOT TALENT)
The activity was formally opened by an opening message delivered by the Brgy. Captain
Norberto Cabo, followed by the distribution of the certificate to the Core Group Members,
BHW’s and Brgy. Official. After the awarding of the said certificates and tokens, Mr Rey
Dominic Ladera gives his closing remarks.
The Party Started. It was h best fun and very memorable.
Program Proposals
and
Health Teaching Plans
Program Proposal Plan
Program
Program
Program
Title
Objective
Description
School
To be able
The topics
This
The assigned school

Manpower
School Health
Health
to
to be
promotes
health nurses were given

Money for
Nurses
Nursing
promote
discussed
and
with topics to be
the health
among the
preserves
discussed to the school
of school
students
the health
children of
children
are:
of
Brgy.Pagbabangnan. Each
populations
group prepares visual aids
Proper
by
and teaching materials to
health
hand
integrating
be used in teaching their
problems
washing
the skills
assigned topics. Every
IrenehJoy
Proper
and
morning at exactly 7:30,
A.
discussion
Hygiene
knowledge
the group does their
Geroy,
, the
Healthy
of the
health teachings and
Giselle C.
pupils
Diet
school
imparts their knowledge
were able
about certain topics that
to
could help the children in
enumerat
and
prevent
that will


hinder
their

learning.

Rationale
Program-Methodology
Resources
Implementing
Evaluation
Body
Nutrition children.

students
materials

Charts
are able to

Alde,
perform
Renalyn
the proper
Barbero,
steps in
(P38.00)
Claudette
handwash
Cartolina
G.
ing.
(P35.00)


The
Pentel pen
(P20.00)



Gayo,

After the
their developmental tasks
e the
and preserving their
importanc
health.
e of
proper
hygiene.

The
studentsar
e able
identify
the
importanc
e and
increase
consumpti
on of
fruits and
vegetables
.

The
children
are able
verbalize
the proper
intake of
nutritious
foods.
Program Title
Program
Program
Objective
Description
Rationale
Program-
Resources
Methodology
Implementin
Evaluation
g Body
Hataw sa
The
The
Pagbabangna
community
This activity
Morning

Manpower
All members of
The
communit
n
people are
enhances
exercises

Materials
the group
community
y people
able to
musculoskeleta will be
-Speaker
people are
are able to
perform the
l activities and
conducte
-CD’s
Exercise
able to
perform
following
help prevents
d at Brgy.
facilitators:
perform the
the steps
steps in 16
lifestyle
Plaza and
Apelado,
steps in the
in the
counts.
diseases. It also the
Pamela C.
morning
morning



promote
assigned
bend
enthusiasm to
students
counts
the community
will lead
Head
people of Brgy.
the
Nathalie
bend
Pagbabangnan.
exercise.
Jean C.
(sideway
s)

Head
rotation

Shoulder
lift

Shoulder
rotation

Shoulder
Stretch

Hand

Body
Twisting


Head
Knee
Bending
Cillo,
Arlene M.

Cardeño,
exercise.
exercise.

Leg
Stretchin
g

Foot
Rotation

Jog in
place

Jumping
Jack
Program Title
Program
Program
Objective
Description
Rationale
Program-
Resources
Methodology
To be able to
This activity The

Manpower
Kusughan
impart
enchances
symposium

Materials
Barangay
knowledge
the
was
-Speaker
on proper
awareness
conducted
-CD’s
solid waste
of
at the
- Snacks
management
community
barangay
-Materials and
to the
people in
plaza at
Money:
community
waste
1:00 in the
resident.
segregation
afternoon
Kalinisan
and
with the
tungo sa
promotes a
community
on Solid
Waste
Management)
Theme:
Malusogna
Barangay
-Manpower, Sound
The
system, Barangay
community
plaza, community
people are
participants
able to


healthy and people.
clean
Evaluation
Body
Kalinisan
(Symposium
Implementing
community.
gain
knowledge
Stage
on the proper
decoration:
solid waste
P310
management.
Certificate:
P84

attend and
Program:
P270

Token: P229

Posters and
Flyers: P27

Garland: P200

Snacks:
P2,705
Transportation fees:
P255
Program
Program
Program
Title
Objective
Description
Culmination
Night
To be able
Culmination
to integrate
Program
with the
Rationale
Program-
Resources
Methodology
Handover of
This
different
promotes
interpersonal
community
relationship
people and
within
to give
community.

Manpower
All Group 1, The

Money for
BSN –IV

the

appreciation

to the
Evaluation
Body
programs
implemented.
Implementing
barangay.
community
materials
people are
Pentel pen
able to
P38.00
participate
Cartolina
the
P40.00
thanksgiving
Sound
party.
system
P3,200
Pagbabangnan
Talent Search:
Got Talent
(Search for
To be able
Hip- hop and
to enhance
Singing Idol
the talents,
2012)
abilities, and
boost self –
confidence
This
Handover of
promotes
different

Hip – hop

Competition interpersonal programs
Singing Idol relationship implemented.
within
the This
promotes
community. interpersonal
relationship

Manpower
All Group 1,

Money for
BSN -IV



The
materials
community
Pentel pen
people are
P38.00
able to
Cartolina
participate
P40.00
the talent
Sound
search and
of
within
community
community by
people who
integrating
have the the
potential to
succeed
using their
talents.
.
talents
abilities.
the
their
system
P3,200

and
Prizes
P2000

Others
P3762
dance party.
Health Teaching Plans
Learning
Learning
Objectives
Content
Proper hand
Hand washing is
washing

Rationale
This promotes the health
Resources
Evaluation

Dec. 7,8 &
Manpower
important in every of school children and
14 2011
Money for
discussion,
Be able to
setting. It is
prevents health problems
(7:30 – 8:00
materials:
pupils were able to
discuss the
considered one of
that would hinder their
a.m. 30
Cartolina –
enumerate
After 30 minutes of
the
importance of the most effective
learning and performance minutes )
P20.00
the importance of
proper hand
infectious control
of their developmental
Pentel pen-
proper hand
washing to
measures.
tasks.
P38.00
washing.
the
students.
Educational
Procedure:


Time Frame

charts-
Wet the hands
get rid of the germs
P25.00
thoroughly by
present in the hands
procedures of hand
holding them
by flushing the germs
washing.
under the
downward.
Pupils should
running water,
be able to
and apply
demonstrate
soap to the
flow from least
the procedure
hands.
contatminated to the
Hold the
most contaminated
hands lower
area; the hands are
or process of
proper hand


Running water can

The water should
The pupils were able
to perform the proper
washing.
than the
generally
elbows so that
contaminated, more
the water
contaminated than the
flows from the
lower arms.
arms to

fingertips.
The circular action
helps remove
microorganisms
mechanically.


Interlacing the fingers
Use firm,
and thumbs cleans
rubbing, and
the interdigital
circular
spaces.
movements to
wash the
palm, back,
and wrist of
each hand.

Interlace the
fingers and

The nails and
fingertips are
thumbs, and
commonly missed
move the
during hand washing.
hands back
and forth.
chapped readily;
chapping produces
this
lesions.
at least 15
seconds.
Rub the
fingertips
against the
palm of the
opposite hand.

Moist skin becomes
Continue
motion for


Thoroughly
dry the hands
and arms, with
a clean and
dry towel or
tissue.
Learning Objectives
Learning Content
Rationale
Importance of proper
Value of proper
Dec. 7,8 & 14
Manpower
After the
hygiene:
hygiene, an
2011
Money for
discussion, the
To discuss
-it could lead to
individual would
( 7:30– 8:00 a.m.
materials:
pupils were able to
concisely the
healthy body and
improve the quality
30 minutes )
Cartolina –P20.00
identify the
importance of
mind
of lifestyle.
Pentel pen- P38.00
importance of
Proper Hygiene

proper hygiene
Time Frame
Resources
Evaluation
Educational charts- proper hygiene.
P25.00

To observe and
To understand and
follow the
Proper hygiene
apply the
The children are
proper hygiene
practices are as
knowledge and
able perform
practices
follows:
know the different
proper hygiene
-Taking a bath
good practices of
practices.
-combing hair
hygiene so that
-brushing teeth
everyone would be
healthy and have a
good grooming.
Following the

To prevent the
Preventive measures:
different preventive
different
-proper nutrition
or control measures
The children are
infectious
-clean culture
diseases
of infectious
able to identify the
diseases, the spread
preventive
or acquisition of
measures to
the disease will be
prevent the
controlled or stop.
different infectious
diseases.
Eventually doing

To identify the
Good effects of
all the proper
different good
practicing proper
hygienic practices,
The children are
effects of
hygiene:
good effects will be
able to identify the
practicing
-healthy body
attained such as
good effects of
proper hygiene.
-clean environment
healthy body and
practicing proper
good environment.
hygiene.
Learning Objectives
Healthy Diet

To promote
health through

Learning Content
Rationale
Time frame
Resources
Evaluation
Importance of
Vegetables:
1. Vegetables are


Knowing
Dec. 7,8 & 14
Manpower
the
2011
Money for
minutes of
After 30
increased
important
importance
( 7:30 a.m. 30
materials:
discussion,
consumption of
protective food
of
minutes )
Cartolina –P20.00
the pupils
fruits and
and highly
vegetables
Pentel pen- P38.00
were able
vegetables
beneficial for the
make
Educational charts-
identify the
among
maintenance of
people or
P25.00
importance
children.
health and
children
and increase
prevention of
aware of its
consumption
diseases.
nutritive
of fruits and
and
vegetables.
To provide
education and
2. They contain
to improve
valuable food
curative
access to fruits
ingredients
value to
and vegetables
which can be
life.
among
successfully
children.
utilized to build
up and repair the
body.
Kinds of Vegetables:
1. Edible roots

The students
2. Stems
are able to
3. Leaves
identify the
4. Fruits
different
5. Seeds
kinds of

To better
Natural Benefits of
identify the
Vegetables:
different
1. Nutritive and
kinds of
medical
vegetables.
vegetables.

The students
are able to
values in
enumerate the
vegetables not
natural
lost if it would

To clearly
benefits of
be steamed or
know what
vegetables.
boiled in their
are the
own juices on
natural
a slow fire
source of
and the water
energy and
or cooking
how this
liquid should
energy give
not be drained
the body
off. And if it
many
would be
nutrient
boiled soft
people need
and not for a
to keep
long time.
going.
2. Largest
amount of
minerals in
most root
vegetables can
be achieved if
it not be
peeled first,
instead
directly under
the skin.
3. Preservation
of taste and
nutritive value
of vegetables
should not
include or
practice
soaking of it.
Why Vegetables are
Important to Health:
1.

The students
Most
are able to
vegetables are
identify the
naturally low
importance of
in calories and
vegetables to
provide
our health.
essential
nutrients and
dietary fiber.
2. They also
play a role in
preventing
certain
chronic
diseases.
3. Those who set
more
generous
amounts, as
part of a
healthy diet,
tend to have
reduced risk
of chronic
diseases.
4. Optimal
nourishment
is achieved
when eating
vegetables.
Learning
Learning Content
Rationale
Time Frame
Resources
Evaluation
Objectives
Nutrition

To be
1. Definition of nutrition
 Nutrition is the study of
able to
food in relation to
promote
health of an individual
a good
inside
2. Definition of Malnutrition
 Malnutrition refers to

These
Dec. 7,8 & 14
Manpower
provide
2011
essential
nutrients

After
30
Money for
minutes
of
( 7:30 a.m. 30
materials:
discussion the
minutes )
Cartolina –
children
are
about
the lack of one or more
to dietary
P20.00
able
nutrition.
essential nutrients in
fiber. They
Pentel pen-
explain
the body.
may
P38.00
definition
prevent
Educational
nutrition,
certain
charts-
malnutrition,
person who has
chronic
P25.00
and
inadequate intake of
diseases.
nutritious foods.
These
3. Definition of Malnourish
 Malnourish refers to a
4. Importance of 3 BASIC FOOD
diseases
GROUPS Importance of which
include
are as follows:
stroke,
 Build body tissues,
muscles and bones
 Repair and heal body
Type II
DM, some
types of
to
the
malnourish.
of
tissues
cancer,
 Supply energy for
and
active work and play
cardiovasc
 Rich in vitamins and
ular
minerals
diseases,
 Keep eyes, skin, hair,
and gums healthy
 Increase resistance to

To be
are
hypertensi
verbalize the
on.
importance of

nourished child
To have an
FOOD
idea about
GROUPS
able to
 Clear eyes
nutrition
encourag
 Shiny hair
and what
e the
 Smooth skin
is it all
proper
 Attentive
about.
intake of
 Active
nutritious
 Energetic
foods.
 Has strong and healthy

To avoid
any
existing
 Has healthy gums
diseases
 Intact nails
To be
 Always happy
able to
the 3 BASIC
teeth

The children
and
infections
5. Characteristics of a healthy or


To
able to
prevent

6. Effect of improper foods (e.g.
evaluate
junk foods)
the effects
malnutrit
 Less Attentive
on the
ion
 Under nourished
child.
To be
 Tooth problem
able to
 Become addict to junk
promote
a “child-

are able to

foods
 Loss of appetite
To be
determine the
health
characteristics
conscious.
of a healthy
healthyfriendly”

The students
or nourished

To avoid
school.
buying
To be
junk foods.
child.

The children
able to
are able to
impleme
explain the
nt
effects of
awarenes
improper
s
food e.g. junk
program
foods.
against
improper
food e.g.
junk
CHAPTER IV
COMMUNITY HEALTH
NURSING CARE PLANS
Prioritization Plan
1. Malnutrition
Criteria
Computation
Actual Score
1. Nature of the Problem
Justification
It is a health deficit that
3/3x1
1
requires
immediate
management
to
eliminate
untoward consequences.
2. Modifiability
of
the
The
Problem
problem
is
partially
modifiable in a sense that the
barangay has no more budgets
1/2x2
1
for the feeding program. And
most
parents
knowledgeable
are
not
about
the
nutritious foods and are mostly
financially unstable.
3. Preventive Potential
Susceptibility to other diseases
and infection can be prevented
3/3x1
1
if malnutrition is eliminated;
and
normal
growth
and
development of children can
thus be achieved.
4. Salience of the problem
The community recognizes it as
a problem needing immediate
2/2 x 1
1
attention. The barangay council
had been consulted but states
that there is no budget of the
barangay.
Total Score
4
2. Lack of Awareness on Reproductive Health (Safe delivery)
Criteria
1. Nature of the Problem
2. Modifiability
of
Computation
Actual Score
Justification
2/3x1
2/3
It is a threat.
the
The
Problem
problem
is
partially
modifiable because the BHC is
not
yet
equipped
with
instruments and personnel who
1/2x2
1
are
competent
However
through
enough.
healthy
education and IEC materials
and with the help of BHW’s it
can still be implemented.
3. Preventive Potential
3/3x1
1
This can be prevented through
the implementation of a new
program
mayor
of
of
MNCHN,
cooperation
the
municipal
San
Julian,
the
and
with
the
of
barangay
officials and residents.
4. Salience of the problem
The barangay recognizes it as a
2/2 x 1
1
problem that needs immediate
attention and intervention.
Total Score
3 2/3
3. Hypertension
Criteria
1. Nature of the Problem
2. Modifiability
of
Computation
Actual Score
Justification
2/3x1
2/3
It is a health threat.
The community doesn’t have
the
Problem
adequate resources of solve the
problems and the some BHW’s
1/2x2
1
are not knowledgeable on BP
monitoring,
however
the
students can conduct a training
regarding BP reading, normal
values
and
complications.
Students can also conduct a
morning exercise to promote a
healthy lifestyle.
Although the BHW’s will be
3. Preventive Potential
2/3x1
2/3
trained, the families will still be
responsible on the prevention
on the disease.
4. Salience of the problem
The community perceives it as
1/2 x 1
½
problems that do not need
immediate attention.
Total Score
1 5/8
4. Poor Environmental Sanitation
Criteria
1. Nature of the Problem
2. Modifiability
of
Computation
Actual Score
Justification
2/3x1
2/3
It is a health threat.
the
The
Problem
problem
is
partially
modifiable in a sense that the
1/2x2
1
intervention that will be made
(public
information
dissemination) result in peoples
awareness of the problem.
3. Preventive Potential
Diseases be it communicable or
not
3/3x1
1
can
Especially
be
those
prevented.
that
is
transferred through insects or
rodents.
4. Salience of the problem
Total Score
0/2 x 1
0
2 2/3
It is a felt problem.
COMMUNITY DIAGNOSES
1. Malnutrition
2. Lack of awareness on reproductive health
3. Hypertension
4. Poor environmental sanitation
Nursing Diagnoses
Cues
Justification
Malnutrition
44 (29%) children (7-12 y.o.) were The cases of under nutrition in the
underweight. 23 (29%) of which were boys barangay might be attributed to low socioand 21 (30%) were girls from 150 children economic status and lack of knowledge
who were weighed.
about
the
proper
food
choices
and
nutrition. Therefore if health teachings and
feeding programs will be made, cases of
malnutrition will be minimized.
Lack of awareness on reproductive health 57% of the total population do not practice Place of delivery and the persons involved
(safe delivery)
family planning, 65% give birth at their for a mother’s delivery can affect its
houses, and 55% are delivered through the health. There are times that, neonates
traditional hilot.
become morbidly sick because of the
unstereile practice of those who attended
the delivery. This problem should be
addressed to prevent cases like this.
Hypertension
19 (13%) of the residents from the total Hypertension can be a result of sedentary
population were hypertensive. There were lifestyle. Programs concerning lifestyle
also 15 hypertensive residents out of the 59 changes should be made in order to prevent
residents who were monitored.
Poor environmental sanitation
or minimize the disease.
Out of 269 households, 69% of which The community perceives it as a felt
practices dumping as their method of problem. A community with a poor
disposing garbage, and 49 (18%) of the environmental sanitation can be a health
total households surveyed have no toilets.
threat to the residents of the community.
NURSING CARE PLANS
Problem
Malnutrition
Community
Goals
and Intervention
Nursing Problem
Objectives
Malnutrition
After 1 month of
Rationale
Evaluation
related to inability nursing
to provide nursing interventions,
the
care to children due level of awareness
to
lack
of of the community
knowledge on food members
preparation.
children
and
will
be
increased.
o The children
o Conduct
of
o To
school health
the
teachings
nursing
community
were
children
conducted at
o School health
will be able
during
to
entire stay of
about
understand
the students’
proper food
elementary
the
in
choices,
school from
importance
community.
importance
grades
1-6
of
and
the
of
proper
nutrition.
o Providing
visual
the
educate
the
of
aids
regarding
proper
food
choices
and
the
proper
the
nutrition and
students were
the different
able
food groups.
participate
during
to
the
its importance
to
discussions.
the
elementary
school.
Problem
Community Nursing Problem
Goals
and Intervention
Rationale
Evaluation
Objectives
Hypertension
1. Inability
to
provide After
the
adequqte nursing care nursing
due to:
interventions,
a. Lack of knowledge on the community
the
nature
management
and will take the
of
the necessary
health condition,
measures
b. Lack of knowledge on prevent
to
or
o Assemble
a
o To know the
o There
booth
BP status of
were
the nature and extent of properly
BP
nursing care needed.
(Bantay Alta
the
hypertensi
Presyon)
concerned
ve
residents.
residents
2. Inability
to
utilize hypertension.
resources for health care
due to:
manage
o The
resident
15
out of the
a. Failure to perceive
s of the
59
the benefits of health
commu
residents
care, and
nity
b. Inaccessibility of the
require service.
o Conduct
of
who were
will be
morning
o Promotes
aware
exercises.
good
monitored.
body
o The
of their
circulation
BP.
and
communit
enhances
y
commu
physical
were able
nity
fitness
to perform
will be
among
able to
residents.
o The
the
the
people
steps
during the
organiz
exercise
e
sessions.
progra
ms
concern
ing
healthy
lifestyl
e.
Problem
Community
Goals
and Intervention
Nursing Problem
Objectives
Poor environmental Poor environmental After
sanitation
Rationale
Evaluation
a week of
The
sanitation related to nursing
inadequate
knowledge
proper
management.
community
people were able to
interventions,
the
learn the different
on community residents
methods of proper
waste will be:
1. Aware
Conduct
a Conducting
of symposium/seminar
different
methods
of
(Kalinisan
of Han
a waste management
symposium to the and
Kusog community
Barangay:
the
possible
will effects of improper
A give them baseline waste disposal to
proper waste Symposium on Solid information
to health as evidenced
management
in by
and
the
possible
effects
of
ways
proper
to
making
waste suggestions
to
come up with a
solution
problem.
waste
health.
identify
management.
improper
disposal
Waste Management)
to
the
References
A. Books
Kozier et.al. Fundamentals of Nursing Concepts, processes and Practice 7th ed.2004
Maglaya, Araceli. Nursing Practice in the cOmmunity 4th ed. 2004
Pillitteri, Adelle. Maternal and Child Health Nursing: Care for child bearing and child rearing
families. 5th ed. 2007
B. Websites
http://www.livestrong.com/article/105058-communicablediseases/#ixzz1kAllkFRPhttp://wiki.answers.com/Q/Top_10_communicable_diseases_in_the_Ph
ilippines
http://housewares.about.com/od/foodstorageoptions/qt/foodstoragetips.htm
http://wiki.answers.com/wiki_drainage_system
http://www.infobarrel.com/10_Popular_Dietary_Nutritional_Supplements
http://www. Wiki.answer.com/Q/What_is_COPAR
http://www.scribd.com/Dox/Community_organizing_participatory_action_research
Chapter V
Recommendations
Chapter V
Recommendations
The survey done during our community immersion, serves as a baseline data, in order to
identify and vividly see the problems encountered by the barangay and be able to coordinate with
the people specially with the barangay councils and BHWs in implementing programs that might
be helpful in solving such problems.
Based on the findings, malnutrition was the primary and prioritized problem, followed by
lack of awareness on reproductive health, poor environmental sanitation, and hypertension.
Thus the group recommends the following:

Continuous feeding/supplementation program;

Public information dissemination through seminars/symposium, posters and flyers might
also be helpful in increasing the awareness of the community people about healthy
lifestyle, reproductive health, and environmental concerns;

The barangay should have an ordinance concerning proper waste management;

Programs implemented by the group must be continued (morning exercise, herbal
gardening), and;

The BHWs’ should be continuously trained.
Appendices
Appendix A
Organizational Structure
BRGY.PAGBABANGNAN ORGANIZATIONAL STRUCTU
Hon. Norberto A. Cabo
Brgy. Chairman
Hon. Anthony Operario
SK Chairman
Hon. Oscar Jay C. Operario Jr.
Committee on Education
Hon. Delia L. Balingata
Committee on Peace and Order
Hon. Lorenzo A. Alde Jr.
Committee on Agriculture
Hon. Budget and Finance
Committee on Health and Sanitation
Hon. Benjamin C. Baleña
Committee on Resolution, and Ordinance
Hon. Sally B. Alamin
Committee on Infrastructure
Hon. Anthony C. Operario
Commmittee on Sports
Clementa E. Catalo
Brgy. Secretary
Mendiola B. Baleña
Brgy. Treasurer
Greg G. Cainto
Record Keeper
Barangay Tanods
Barangay Health Workers
Appendix B.
Community Spot Map
Appendix C.
Documentations
Communication Letters
Republic of the Philippines
EASTERN SAMAR STATE UNIVERSITY
Borongan, Eastern Samar (ZC 6800)
Tel. # (055) 261-2500; Telefax # (055) 261-2725
College of Nursing: Tel. No. (055) 261-3816
COLLEGE OF NURSING
Mr. Roy Aserit
Principal
Pagbabangnan Elementary School
Brgy. Pagbabangnan, San Julian E. Samar
Sir;
The Level IV nursing students of Eastern Samar State University, College of Nursing is
requesting from your office to allow the group to conduct health teaching in your school with
the following topics:

Proper hand washing

Healthy diet

Nutrition

Proper hygiene
o Taking a bath
o Brushing the teeth
o Cutting the nails
This topic will be discussed on the Pre-school of which we are going to use your first
subject, at 30 minutes from Wednesday to Friday within 3 days beginning on December 1 to
December 2, 2011 and to continue on December 7, 2011.
We wish and hope for your kind acceptance on our request.
Respectfully yours,
(SGD.)Wilmar G. Bello
Group Leader, BSN –IV
Noted by:
(SGD.)Mr. Ray Dominic Ladera, RN
Instructor, COPAR
Republic of the Philippines
EASTERN SAMAR STATE UNIVERSITY
Borongan, Eastern Samar (ZC 6800)
Tel. # (055) 261-2500; Telefax # (055) 262-2725
COLLEGE OF NURSING
November 30,2011
Dr. ArtemiaLobrio-Balongay
Municipal Health Officer
San Julian, Eastern Samar
Thru: Mrs. Susana C. Operario
Public Health Nurse
San Julian Eastern Samar
Madame;
The undersigned students of Eastern Samar State University College of Nursing are currently
conducting our Community Immersion for the concept Community Organizing Participatory
Action Research in Barangay Pagbabangnan. In connection to this, we would like to request a
secondary data with the objectives of formulating a baseline data of demographic, sociodemographic, sanitation, environment and with this we request from your office for the
following secondary data for validation purposes.
1. Nutritional status
2. Leading causes of morbidity
3. Leading causes of mortality
4. Leading causes of infant mortality
5. Leading causes of maternal mortality
Hoping for your favorable action toward this matter. Thank you and more power.
Respectfully yours,
(SGD.)Wilmar G. Bello
Group Leader
Noted by:
(SGD.)Mr. Ray Dominic Ladera,RN
Instructor, COPAR
Republic of the Philippines
EASTERN SAMAR STATE UNIVERSITY
Borongan, Eastern Samar (ZC 6800)
Tel. # (055) 261-2500; Telefax # (055) 262-2725
COLLEGE OF NURSING
November 30, 2011
Municipal Planning and Development Office
San Julian, Eastern Samar
Sir/Madame;
The BSN Level IV students of Eastern Samar State University College of Nursing are currently
conducting our Community Immersion for the concept Community Organizing Participatory
Action Research in Barangay Pagbabangnan. In connection to this, we would like to request a
secondary data with the objectives of formulating a baseline data of demographic, sociodemographic physical description and topography, sanitation, and with this we request from
your office for the following secondary data for validation purposes.
1. physical description and topography of the community (location, boundary and
physical measurement of the community)
We hope for your kind acceptance and favorable action on our request. Thank you and
more power.
Respectfully yours,
(SGD.)Wilmar G. Bello
Group Leader
Noted by:
(SGD.)Mr. Ray Dominic Ladera,RN
Instructor, COPAR
Republic of the Philippines
EASTERN SAMAR STATE UNIVERSITY
Borongan, Eastern Samar (ZC 6800)
Tel. # (055) 261-2500; Telefax # (055) 262-2725
COLLEGE OF NURSING
Dec. 12, 2011
Dr. Eva Palada
Dean College of Agriculture and Natural Sciences
Eastern Samar State University
Madame:
The BSN Level IV students of Eastern Samar State University College of Nursing will be
conducting a symposium on solid waste management. In connection to this, we are inviting
Mr. Edgar I. Peque as our resource speaker of a symposium on solid waste management
entitled “Kalinisan, Kusoghan Barangay: A symposium on Solid Waste Management with the
theme, “Kalinisan Tungo sa MalusognaKomunidad.”
This will be held on Dec. 14, 2011,
Wednesday at 1:00 p.m. at Barangay Pagbabangnan, San Julian Eastern Samar.
We hope for your kind acceptance in our request. Thank you!
Respectfully yours,
(SGD.)Wilmar G. Bello
Group Leader
Noted by:
(SGD.)Mr. Ray Dominic R. Ladera, RN
Instructor
EASTERN SAMAR STATE UNIVERSITY
Borongan, Eastern Samar
COLLEGE OF NURSING
Summary - Peer Evaluation Tool – COPAR
Section/Group: Group I, BSN IV
Concept: Community Health Nursing – COPAR
Area: Brgy. Pagbabangnan, San Julian Eastern Samar
Name of
Evaluators
(In alphabetical
order)
Alde, Renalyn G.
Apelado, Pamela
C.
Barbero,
Claudette G.
Bello, Wilmar G.
Cardeño,
Nathalie Jean C.
Casillano, Karen
Ruth C.
Caspe, Ronnavie
Anne A.
Cillo, Arlene M.
Gayo, Ireneh Joy
A.
Geroy, Giselle C.
Pandapatan,
Jiamela A.
Total
Average Score
Alde,
Apelado, Barbero, Bello, Cardeño, Casillano, Caspe,
Cillo, Gayo, Geroy,
Pandapatan,
Renalyn Pamela Claudette Wilmar Nathalie
Karen
Ronnavie Arlene Ireneh Giselle
Jiamela A.
G.
C.
G.
G.
Jean C.
Ruth C.
Anne A.
M.
Joy A.
C.
4. 6
4.4
4.5
4.9
4.9
4.9
4.8
4.7
4.6
4.4
4.7
4.4
4.7
4.5
4.8
4.6
4.6
4.5
4.7
4.7
4.6
4.6
4.6
4.6
4.6
4.6
4.6
4.6
4.8
4.8
4.8
4.8
4.8
4.8
4.8
4.5
4.5
4.5
4.5
4.5
4.5
4.5
4.5
4.7
4.7
4.7
4.7
4.7
4.8
4.8
4.8
4.4
4.6
4.6
4.8
4.8
4.8
4.5
4.5
4.5
4.5
4.5
4.5
4.5
4.7
4.6
4.7
4.7
4.7
4.7
4.7
4.7
4.7
4.8
4.7
4.8
4.8
4.8
4.7
4.6
4.7
4.6
4.7
4.4
4.7
4.4
4.6
4.4
5.0
4.6
4.5
4.4
5.0
4.4
5.0
4.9
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
46.2
47.2
46.3
47.1
46.7
47.8
46.3
47.6
46.8
46.8
46.3
4.62
4.72
4.63
4.71
4.67
4.78
4.63
4.76
4.68
4.68
4.63
4.5
4.5
4.6