Ateneo de Zamboanga University

2021 – 2022

“Malnutrition, Poor Environmental Factors, Lack of Immunization and Inadequate Family

Income Prevention Education among residents of Enrique Drive, Boalan, Zamboanga city”
Is presented by the following:
Arabani, Reem J.
Arakani, Mussah-Harija J.
Bayle, Sheryhan T.
Esperat, Babe Sheena T.
Fabian, Gracelle Erica L.
Fernandez, Zefanie F.
Flores, Kathleen Mei T.S
Francisco, Mariah Erika Faye M.
Franchesca, Pia
Gonzales, Francesca Rae M.
Viloria, Freha A.
Yanga, Anton Victor F.

Is presented to:
College of Nursing
December 2021

Mr. Julius Lapasaran, USRN, MAN

Adviser
 Table of Contents

ACKNOWLEDGEMENT………………………………………………………………………1

Chapter I INTRODUCTION ……….………………………………………………………2 - 3

1.1.1 Purpose / Rationale …………………………………………………………….3
1.1.2 Review of Related Literature ………………………………………….………3 - 4
1.1.3 Statement of the Problem ……………………………………………….…..…5 - 6
1.1.4 Methodology ……………………………………………………………………...6
1.1.5 Limitation …………………………………...…………………………………….6

Chapter II Target Community Profile

2.1 Geographical Identifiers ………………………………………………………..……....6
2.1.1 Historical Background ………………………………………………………….6 - 7
2.1.2 Organizational Chart of Barangay Boalan………………………………....……..8
2.1.3 Organizational Chart of Boalan Health Center …………………………..……9 – 10
2.1.4 Community Organizing Officers …………………………………………..…….11
2.1.5 Group Officer ……………………………………………………………………12
2.1.6 Spot Map of Boalan……..……………………………….……………………….13

Chapter III Demographic Data

3.1 Total Population ….………………………………….…………………………14
3.2 Total Population of Boalan …………………………………….………………14
3.3 Population Density ………………………………………………..……………14
3.4 Total Families Surveyed ……………………………………………….……….14
3.5 Total Number of Household …….………………………………………………14

Chapter IV Socio- Demographic Data

4.1 Gender Distribution ……………………………………………………………..15
4.2 Age Distribution ……………………………………………………………….15
4.3 Family Structure ………………………………………………………………..16 – 17

Chapter V Socio – Economic and Cultural Data

5.1 Highest Educational Attainment ……………………………………………………18
5.2 Occupation
…………………………………………………………………………………18
5.3 Religious Affiliation
…………………………………………………………………………………………19
5.4 Ethnic Background
…………………………………………………………………………………………19
 5.5 Monthly Income …………………………………………………….20

Chapter VI Environmental Factor

6.1 Home Ownership …………………………………………………………………21
6.2 Structure of the House ………………………………………………………………21
6.3 Lighting Facilities …………………………………………………………………22
6.4 Water Supply
……………………………………………………………………………22
6.5 Storage Water ………………………………………………………………….23
6.6 Cooking Facilities .……………………………………………………………….23
6.7 Drainage Facilities ………………………………………………………………….24
6.8 Methods of Disposal ……………………………………………………………….24
6.9 Type of Toilet ……………….…………………………………………………….25
6.10 Domestic Animals ……….…………………………………………………………25
6.11 General Housing Condition …..……………………………………………….26

Chapter VII Health Profile

7. 1 Nutritional Status ……….……………………………………………………….27
7.2 Immunization Status of Children ……….………………….……......27 - 29
7.3 Family Planning ……….……………………………………………..29

Chapter VIII
8.1 Problem Tree …………………………..……………………30
8.2 Ranking ……….………………………………………………………………31 - 32

Chapter IX
9.1 Community Nursing Care Plan ……….……………………………………….33 - 38

Chapter X Discussion and Implication .

……………………………………………………………………..39

Chapter XI Conclusion and Recommendation

…………………………………………………….40 - 41
Appendices
I. Sample Assessment Data Base ……….……………………………..42 - 51
II. Attendance Sheet……….……………………………………………..….52 - 54
III. Letters ……….…………………………………………………………..55 - 57
 IV. Programme ……….…………………………………………………58 - 60
V. Certificate ……….………………………………………………………..61
VI. Documentation ……….…………………………………………….62 - 64
Bibliography …..….……………………………………………………..65
 ACKNOWLEDGEMENT

We, the Ateneo University of Zamboanga Level III Nursing Students, would like to
extend our sincerest gratitude for the encouragement, support, and patience to all for making this
research study possible. Before anything else, we offer our praises and thanks to our Almighty
God, our most gracious and heavenly Father. This study would not be possible without His
blessing and His power to drive us all towards the end of this study.

To Mrs. Lorna B. Paber, RN, MAN, the Dean of the College of Nursing, for allowing the
nursing students to conduct this case study.

To Mr. Julius Lapasaran, RN, MAN, our Clinical Instructor and COPAR Research
Advisor, who provided guidance and expertise from the beginning to the success of this case
study. In addition, we extend our sincerest appreciation to our adviser and Mrs. Elena Tierra for
their unconditional and tireless guidance and support during the time that the nursing students are
collecting case study samples, data, and other information needed for the case study. 

To the Faculty of the College of Nursing, as well as the respectable and professional
group of panelists in the case presentation, who assist us in becoming holistically competent
registered nurses in the future through their passionate teachings. Furthermore, we would like to
express our sincerest gratitude to our clients for their significant contribution and involvement.

Lastly, this research is dedicated to the students' parents and families, who provided them
with guidance, love, inspiration, and moral support throughout their academic journey. This
study is also dedicated to the students’ classmates and friends for their uplifting support and
encouragement throughout the case study.
 CHAPTER I

INTRODUCTION

A community is a group of people who share common characteristics in the same area

and have a common interest in the community. However, there are many problems today,

including common health problems. To prevent this, the community needs to be aware of and

involved in all actions taken by the community health department and barangay authorities to

resolve community issues.

COPAR (Community Organizing Participatory Action Research) is a social development

aimed at transforming indifferent, individualistic, silent poor people into a dynamic,

participatory, and politically sensitive community. It aims to educate people in the community to

understand and deepen their critical awareness of existing problems in the community. It also

helps identify issues that can improve the lifestyle of the community with the help of critically

considered research.

The Level III Nursing Student of Ateneo de Zamboanga University conducted COPAR to

be able to organize the community and identify the existing problems that the community

experiencing. The researchers conducted a survey in the community wherein it was concluded

that there were common health problems present in Enrique Drive, Boalan Zone II which are

Malnutrition, Poor Environmental Factors, lack of immunization and inadequate family income

to obtain resources.

Malnutrition, Poor Environmental Factors, lack of immunization and inadequate family

income are all common problems present in the community. Both issues may lead to various

complications as these four had an interaction which will lead to developmental delay, muscle
weakness or loss, and chronic fatigue while family income can lead to household food insecurity

and unhealthy household environment. In the community, residents tend to have unhealthy

lifestyles and others already have a history of malnourishment which correlates to the inadequate

family income that the household receives. This becomes a rising problem in the community as

the inadequate income becomes one of the causes for malnutrition which influences the increase

of mortality rate. Therefore, the researchers chose Malnutrition, Improper waste management,

lack of immunization and inadequate family income education among the residents of Boalan to

give awareness and information regarding the Malnutrition, Improper waste management, lack of

immunization and inadequate family income so that they may apply the values and concepts

taught and to be able to improve their healthy lifestyle that may promote awareness about the

diseases.

The researchers’ goal is to make the community promote healthy lifestyle against

diseases that are dominant by providing an accurate and concise health education to the

community to allow themselves to improve and achieve the desired lifestyle that will help

alleviate and prevent diseases.

1.1.1 Purpose/Rationale

The purpose of this study is to help the Enrique Drive community, Boalan zone II, take

appropriate action to resolve problems such as the common illness which is Malnutrition and

possible infections due to lack of immunization and to encourage the affected family to develop

proper budgeting and waste management skills. To achieve this goal, researchers will provide

actions such as nursing management and health education wherein we will be able to provide
information and knowledge to help the community be aware of the present disease and

prevention of illness.

1.1.2 Review of Related Literature

Food security means that everyone has enough safe and nutritious food all year round

which will lead to an active and healthy life. It also means food is produced and distributed in

ways that promote a healthy environment, community self-reliance, and enough good food for

every individual in the community.

Since younger children are known to be the most vulnerable individuals and at risk as

they are both still growing and learning, parasitic infections potentially threaten a child’s overall

physical and psychological development and may cause or aggravate malnutrition (Stephenson et

al., 2000). Malnutrition in many developing countries affects the physical, mental, social

wellbeing and child development and it is associated with lower enrollment and poor cognitive

functioning among children attending school (Francis et al., 2012). These authors also described

that the nutritional status of people infected with helminths is altered through a decline in food

intake and an increase in nutrient wastage through blood loss, vomiting or diarrhea. In some

underdeveloped regions, they are a major cause of childhood diarrhea and stunting of growth and

cause significant economic losses related to human health and to agriculture (Roberts et al.,

1994; Guerrant et al., 2002).

Childhood undernutrition remained stubbornly prevalent. The root causes of

undernutrition lay in the lack of household economic resources, particularly women’s lack of

access to income.
 Nutritionists define undernutrition as the inadequate daily intake of diet, measured in

calorie intake while malnutrition as imbalance or inadequately in the quality of the diet (Boyd,

1950). If such inadequate calorie intake is allowed to take place over a continuous span of time,

the result will be lack of sufficient physical development and less activity on the part of children.

For adults, undernutrition could result in reduction of the body weight or physical activity or

both.

Malnutrition causes diarrhea – diarrhea causes malnutrition. For all children, not having

enough to eat (malnutrition) and being ill each makes the other worse. When children are ill, they

cannot make use of all the nutrition from the food they eat, and they often eat less, making them

even weaker and more likely to stay ill or become ill again soon and eventually may lead to

death.

Malnutrition lowers resistance to infection, including infection by parasites. As a result,

the malnourished people are heavily burdened by a herd of parasites. Malnourished children

grow slowly and learn poorly in school or are too weak to go to school. Moreover, poor nutrition

can lead to poor health, which can lead to poor performance at school, and poor schools can lead

to unemployment.

Poverty threshold or poverty line is the minimum income required for a family or

individual to meet the basic household needs. According to the 2015 Philippine Statistics

Authority (PSA) data, a minimum of 9,064 PHP is needed monthly to meet both basic food and

non-food requirements of a Filipino family with 5 members having a budget of 1,813 php for

each member. The national goal is to lower the percentage of families below poverty threshold to

17.2%.
 After infecting and causing the death of thousands of persons in China, the virus has

spread, reaching Italy and other European countries and the USA, with the number of confirmed

new cases currently increasing every day. The WHO declared it a pandemic due to the

widespread infectivity and high contagion rate. Many efforts have been directed toward the

development of vaccines against COVID-19 to avert the pandemic and most of the developing

vaccine candidates have been using the S-protein of SARS-CoV-2.5 Currently, three vaccines

are authorized and recommended to prevent COVID-19. Large-scale (phase 3) clinical trials are

also in progress or being planned for other COVID-19 vaccines in the United States.

The presence of available vaccines is the key element to minimize new infections, so it is

crucial to vaccinate people, and especially healthcare workers. However, the willingness for

vaccination is deeply influenced especially by the mistrust of health authorities.

The World Health Organization (WHO) defined the vaccine hesitancy as a behavior,

influenced by several factors including issues of confidence (do not trust vaccine or provider),

complacency (do not perceive a need for a vaccine, do not value the vaccine), and convenience

(access). Vaccine-hesitant individuals are a heterogeneous group who hold varying degrees of

indecision about specific vaccines or vaccination in general. Vaccine-hesitant individuals may

accept all vaccines but remain concerned about vaccines, some may refuse or delay some

vaccines but accept others; some individuals may refuse all vaccines.

1.1.3 Statement of the Problem

This research study aims to find ways on how residents of Enrique Drive, Boalan Zone II

obtain knowledge and application of learnings on the prevention of Malnutrition, Improper waste
management, lack of immunization and inadequate family income. Specifically, it will answer

the following questions:

1. What is the common cause of Malnutrition, Improper waste management, lack of

immunization and inadequate family income in the community?

2. How does Malnutrition, Improper waste management, lack of immunization and

inadequate family income affect the daily life of an individual in the community?

3. What are the interventions made and how will it improve the lifestyle of the community?

4. What is the level of awareness of the residents of Enrique Drive, Boalan Zone II with

regards to the prevention of Malnutrition, Improper waste management, lack of

immunization and inadequate family income?

1.1.4 Methodology

This part of the study discusses the methods and processes of data gathering. The

techniques utilized in conducting the research, the population, and instruments will be also

included in the study.

The researchers are the students from Ateneo de Zamboanga University, Level III

Nursing students. This research was conducted at Enrique Drive, Barangay Boalan Zone II,

Zamboanga City. The researchers were paired to collect data through Assessment Database

which is an instrument tool in gathering data. There were a total of 12 families that the

researchers were able to randomly interview during the first week of their visit. Once the data are

all complete, it will be analyzed and interpreted by the researchers through a pie chart and

percentage which will be presented in the succeeding chapters.

1.1.5 Limitation of the Study

The study is only intended for the residents of Enrique Drive, Boalan Zone II wherein the

researchers only selected 12 families to gather the data needed for the study. The timeframe for

this study will be only for 3 weeks to achieve the goal of the researcher which is to make the

residents to be more independent, empowered and to improve their way of living.

Chapter II – Target Community Profile

2.1.1 Historical Background
Boalan is located near the East Coast of Zamboanga City and is along the main highway. It is
approximately 8 kilometers from City Hall.
The story goes that during the Spanish era, a group of Spanish soldiers came upon this place and
they saw a small nipa hut which happened to be inhabited by a Chinese. When they approached
the Chinese, the soldiers inquired about the name of the place, the Chinese who hardly
understand Spanish replied by uttering the word “bolang” which means in Chinese language as
“no people”, thinking that he was being asked about the other people living in the neighborhood.
That time rare are the individuals living in the place. Hence, the Spaniards took it as the answer
to their question and even went to the extent of understanding it as “Boalan” instead of Bolang.
Then and there, the word Boalan sprung as the name of this Barangay.
The majority of the people from Boalan can trace back their lineage to the original
Zamboangueños, Filipino by ancestry, professing Roman Catholic religion and their medium of
communication is Chavacano. Most of the people are engaged in farming as their means of
livelihood. The people are educated in English schools. Sports is their main recreation. The
Baranagy itself is a tourist spot because it is the only Barangay where the rice fields are planted
all year round.
2.1.2 Organizational Chart of Barangay Boalan

Teresita C. Francisco Angelica G. Inot Jan Tristan A. Santiago

Barangay Secretary BARANGAY CAPTAIN SK Chairman
 Cherryl S. Tubo
Benjamin E. Limen Alicia F. Cabayacruz Jesus F. Inot
Barangay Treasurer
Barangay Kagawad Barangay Kagawad Barangay Kagawad

2.1.3 Organizational Chart of Boalan Health Center

2.1.3 Organizational Chart of Barangay Boalan Health Center
Javier C. Atilano Jr. Rommel T. Enriquez Jocelyn G. Enriquez Wilfredo F. Inot
Barangay Kagawad Barangay Kagawad Barangay Kagawad Barangay Kagawad

Rosanna L. Arquiza, MD, MHA

Medical Officer IV

Jocelyn G. Alavar, RN
District Nurse

Ralf N. Garcia
Sanitary Inspector
Eleonor E. Toribio Edlyn G. Cabayacruz
Barangay Health Barangay Health Cristy S. Mariano, RM
Volunteer Volunteer Midwife II

Terany Mae H. Maristela, RN John Vincent F. Alvarez, RM

DOH – Human Resource for Health NDP/RHMPP
Tracy Anne S. Delos Reyes Milabel Lacastesantos Marilen F. Atilano Marites A. Galvez
Barangay Nutrition Scholar Barangay Health Worker Barangay Health Worker Barangay Health Worker

Mercidita F. Divino Ella G. Barillo Benildes F. Fernandez Dominiciana R. Gaspar

Barangay Health Worker Barangay Health Worker Barangay Health Worker Barangay Health Worker
2.1.4 Community Organizing Officers

Angie Fabian
PRESIDENT

Lucile Fernandez Teresita Francisco

VICE - PRESIDENT SECRETARY

Casper Arabani Cheryl Tubo

P.I.O TREASURER
2.1.5 Group Officers

Sheryhan Tahir Bayle Gracelle Erica Fabian Reem Arabani

PRESIDENT VICE - PRESIDENT SECRETARY

Francesca Gonzales Sheena Babe Esperat Zefanie Fernandez

TREASURER Auditor P.I.O

Mariah Erika Faye Francisco Franchesca Pia Yumol Anton Yanga

PROJECT MANAGER PROJECT MANAGER DOCUMENTOR

Freha Viloria Muse Arakani Kathleen Mae Flores

DOCUMENTOR DOCUMENTOR DOCUMENTOR
2.1.6 Spot Map of Boalan
 CHAPTER III
Demographic data
3.1 Total Population of Barangay 
The total population of Barangay Boalan, Zamboanga city as of 2021 is 11, 570.

3.2 Total Population of Enriquez Drive Surveyed 

The total population of Enriquez Drive, Zone II, Boalan, Zamboanga City is 59 residents in 12
families.

3.3 Population Density

Population Density is the number of people per unit of area. It is calculated by dividing the total
number of populations in an area over the total land area in square meters multiplied by 1,000.

Population density = Total no. of population X 1,000

Total no. of sq meters
therefore,
Population density = ___315 __x 1,000 = 15.57
20, 100
As of 2021, the total population of Enriquez Drive is 315 people in a total land area of
square meters. 315 is then divided by 20, 100 which gives the quotient of 0.01567. The quotient
is further multiplied by 1,000 which gives us the population density of 15.67 in Enriquez Drive.

3.4 Total Families surveyed

The group surveyed a total number of 12 families in Zone II, Boalan, Zamboanga City. The
families that were surveyed represented a feasible number to supply the respondents for the
whole population in Zone II.

3.5 Total Number of households

The households surveyed with a total number of 12 respondents in Zone II, Boalan, Zamboanga
City.
 CHAPTER IV
SOCIO-DEMOGRAPHIC DATA
FIGURE 4.1 GENDER DISTRIBUTION

GENDER

Male
Female
46%; 46%
54%; 54%

 In the data shown above, 54% of the community are females and 46% are males. In a sample
size of 59, 32 are females and 27 are males. This indicates that there are more females in the
community compared to males. 

FIGURE 4.2 AGE DISTRIBUTION

AGE

5%; 5%
Adult (25-29)
24%; 24% Children (0-14)
44%; 44% Youth (15-24)
Senior (60-above)

27%; 27%

In a sample size of 59, 26 are adults with ages ranging from 25 to 29 taking up most of the
population with a percentage of 44%, 16 are children with ages ranging from 0 to 14, making it
the second leading group with a percentage of 27%. There are 14 youths with ages ranging from
15 to 24, taking up 24% of the population. Lastly, there are only 3 seniors with ages 60 and
above, making it the lowest age group with only 5% of the population.

FIGURE 4.3 FAMILY STRUCTURE

BASED OF COMPOSITION

Nuclear
33%; 33% Extended

67%; 67%

As shown in the data above, the majority are nuclear families with a percentage of 67%.
Based on the data gathered, 8 out of the 12 families are nuclear families and 4 out of 12 families
are living as extended families, with a percentage of 33%. There were no families living as
beanpole and none of the families were also living with a single parent.
 CHAPTER V
SOCIO-ECONOMIC AND CULTURE DATA
FIGURE 5.1 HIGHEST EDUCATIONAL ATTAINMENT

HIGHEST EDUCATIONAL ATTAINMENT

2% 2% 2%

Elementary Graduate
Elementary Undergraduate
35% High School Graduate
High School Undergraduate
College Graduate
43%
College Undergraduate

16%

In the data shown above for the highest educational attainment, limiting the responses to
those who have worked and supported the household, the pie chart shows that 13 respondents
said are High School graduates, 11 respondents are College graduates, and 5 are High School
undergraduates. While one of each respondent said are elementary graduate, elementary
undergraduate, and college undergraduate.
 FIGURE
OCCUPATION Unemployed
5.2
Saleslady
2% 2%
2% 2% Helper
2%
Driver
2%
Construction Worker
2%
2% Online Seller
2%
6% 38% Laborer
Teacher
Store Manager
6%
Vendor
Launderer
10% Electrician
Fisherman
Security Guard
12% 12%
Farmer

OCCUPATION

Based on the pie chart shown above for the occupation, limiting the respondents of adults
supporting the household, not including ages ranging from 17 below and 60 above, 12 of them
said are unemployed, four respondents said working as a saleslady and four also said to be
working as a helper. Three of the respondents are working as a driver. 2 respondents said
working as a construction worker, and 2 also are online sellers. The rest represents one
respondent of the data works as a laborer, teacher, store manager, vendor, launderer, electrician,
fisherman, security guard, and farmer.
FIGURE 5.3 RELIGION AFFILIATION

RELIGION AFFILIATION
5%

Roman Catholic
31% Islam
Protestant

64%

The data shown above represent the religious affiliation of the 12 household families, and 39
out of 59 of the residents are Roman Catholic, 19 out of 59 are Islam, and 3 out of 59 are
Protestant.
FIGURE 5.4 ETHNIC BACKGROUND

ETHNIC BACKGROUND
10%

10%
Zamboangueño
Tausug
Bisaya
Sinama
Tagalog
58%
22%

In the data shown above for the ethnic background of the 12 household families, 34 out of 59
are Zamboangeños, leading most of the residents in Enriquez Drive. 13 out of 59 are Tausug, 6
out of 59 are Bisaya and Sinama, and 3 out of 59 are Tagalog.
FIGURE 5.5 MONTHLY BACKGROUND

MONTHLY BACKGROUND

13% Below 2,500

8% 33% 2,500 to 5,000
above 5,000 to 7,500
above 7,500 to 10,000
above 10,000 to 12,500
20%

28%

The chart shown above represents the monthly background check of the 12 household
families, limiting the respondents to those who have worked for their family. Eight respondents
answered below 2,500, 7 respondents have around 2,500 to 5,000, 5 respondents have above
5,000 to 7,500, 3 respondents said to have above 10,000 to 12,500, and 2 have above 7,500 to
10,000.
 Chapter VI.
ENVIRONMENTAL FACTORS
FIGURE 6.1 HOME OWNERSHIP

HOME OWNERSHIP

Owned
Rented
42%
Free

58%

The chart above represents 12

families concerning their homeownership. The said question has three choices: owned, rented,
free. 7 families own their homes, while 5 families answered that they are renting their own
homes.

FIGURE 6.2 STRUCTURE OF THE HOUSE

 STRUCTURE OF THE HOUSE

Light
33%
Mixed
Strong

67%

The 12 families were given 3 choices regarding the structure of their house: light, mixed,
strong. 4 family answered that their house's structure is light, and 8 families responded that they
used mixed materials for the structure of their house.

FIGURE 6.3 LIGHTING FACILITIES

LIGHTHING FACILITIES

8%

Electricity
Kerosene

92%

The chart above indicates the lightning facility of the 12 families. They were given 2 choices:
kerosene, electricity. The chart shows that majority of the families use electricity for their source
of light, while only 1 family uses kerosene for their lightning source.

FIGURE 6.4 WATER SUPPLY

 DRINKING SOURCE

25%
Private
Public

75%

PORTABILITY

36% Safe
Unsafe

64%

Based on the chart, there were choices given concerning their water supply: private and
public, and safe or unsafe. 9 families answered that they have a public water supply, while 3
families responded that they have a private water supply. 8 families responded that they have an
unsafe water portability, and 4 families responded that they have a safe water portability.

FIGURE 6.5 STORAGE WATER

 STORAGE WATER

Direct from faucet or pipe

33%
Covered container with faucet
Large uncovered without fauces

67%

In the chart above, 12 households were asked how they store their water. Three options were
given: direct pipe, covered container, or a large uncovered without faucet. 4 households
answered that their water storage is direct from a faucet or pipe, and 8 households answered that
their water storage is in a covered container with a faucet.

FIGURE 6.6 COOKING FACILITIES

COOKING FACILITY

Electric
36% Gas stove
Firewood/Charcoal

64%

The chart shows the responses of the 12 families concerning their cooking facilities. Three
choices were given: electric, stove, firewood/charcoal. 4 families responded that they utilize gas
stoves for cooking, and the majority responded that they utilize firewood/charcoal.
FIGURE 6.7 DRAINAGE FACILITIES

DRAINAGE FACILITIES

8%
Open drainage
Blind drainage
None
50%
42%

The chart reflects the drainage facilities of the 12 families. There were 3 options in this
question: open drainage, blind drainage, or if none. 6 families answered open drainage, 5
answered blind drainage, and 1 family responded with no drainage facility.

FIGURE 6.8 METHODS OF DISPOSAL

METHODS OF DISPOSAL

25%
Open dumping
Open burning
42%
Garbage collection

33%
 The 12 households were asked about the method of their waste disposal. There were 6
options listed: hog-feeding, open dumping, burial in pit, composting, open burning, garbage
collection. The chart shows that 5 families answered open dumping, 4 families answered open
burning, and 3 families answered that their waste disposal is through garbage collection.

FIGURE 6.9 TYPE OF TOILET

TYPE OF TOILET

17% 17%
Antipolo system
Pail system
Flush type
Other (Dry toilet)
25%

42%

In the data above, 12 families were given 9 options regarding the type of their toilet: an
overhung latrine, open-pit privy, closed pit privy, bored hole latrine, pail system, Antipolo
system, water sealed latrine, and if none. The chart shows that 2 families utilize the Antipolo
system, 5 utilize the pail system, 3 families use flush type, and 2 families answered others,
specifying the utilization of dry toilets.

FIGURE 6.10 DOMESTIC ANIMALS

 DOMESTIC ANIMAL

8 With Pets
10
Without Pets
Dogs Kept Inside
2 Dogs Kept Outside
11 Cats Kept Inside
Cats Kept Outside
10

12

The graph depicts the answer of the 12 households to the presence of pets or domestic
animals at their homes. Out of 12, only 10 households’ own pets at their homes. 6 families have
dogs as their pets, and 6 families have cats. 2 households have both dogs and cats. 6 families
keep their pets inside, while the rest keeps their pets outside

FIGURE 6.11 GENERAL HOUSING CONDITIONS

GENERAL SANITARY CONDITION

33% Poor
Good
Excellent

67%
 HOUSE CONGESTION

33% Uncongested
Congested

67%

PRESENCE OF BREEDING FACTORS

25%
Vector
None

75%

The general housing condition is divided into three essential subcategories: general sanitary
condition, house congestion, and breeding factors. In the General Sanitary Condition category,
among the 12 families, 8 families answered that they have a poor general sanitary condition, and
4 families responded good. Under the House Congestion category, 4 families answered that the
spaces between their houses are not congested, while 8 families answered congested. In terms of
the presence of Breeding Factors, 9 families answered that there are visible breeding factors in
their area, and 3 answered that there is no presence of breeding factors around them.

CHAPTER VII
 HEALTH PROFILE

FIGURE 7.1. NUTRITIONAL STATUS

NUTRITIONAL STATUS

Good
42% Not Good

58%

The chart shows the Nutritional Status of 12 households with a total of 59 members
surveyed in Zone II, Barangay Boalan. A total of 58% are in good condition while 42% are with
existing comorbidities such as Malnutrition, ranking as the major problem, others with
hypertension, asthma, diabetes, and Gout.

FIGURE 7.2. IMMUNIZATION STATUS OF CHILDREN

IMMUNIZATION STATUS

6%

Complete
Incomplete

94%
 The chart shows the immunization status of 12 households with a total of 59 members
surveyed in Enriquez Drive, Barangay Boalan. Majority of the households were fully immunized
except for one.

VACCINATION STATUS

31% Fully vaccinated

1st dose
Not yet vaccinated

2%
67%

The chart shows the Vaccination status of 12 households with a total of 59 members, where
children below 12 years old are not included in the survey of Enriquez Drive, Barangay Boalan.
A total of 67.3% are not yet vaccinated, 30.6% are fully vaccinated, and 2% are done with their
1st dose. Most of the households failed to be vaccinated due to certain factors (e.g., fear,
perception, beliefs, and hoax news).

VACCINATION BRANDS

6%
Sinovac
13%
AstraZeneca
Pfizer
44% Moderna
Johnsons & Johnsons
25%

13%
 The chart shows the Vaccine brands taken by the 12 households with a total of 59 members
where children below 12 years old are not included in the survey of Enriquez Drive, Barangay
Boalan. A total of 44% were vaccinated of Sinovac, 12% of AstraZeneca, 25% of Pfizer, 13% of
Moderna, and 6% of Johnsons & Johnsons. Thus, Sinovac is the most preferable vaccine brand
of the majority.

VACCINATION IN AGE GROUPS

6% 6%
Children
Youth
25%
Adult
Senior

63%

The chart shows the Vaccination in age groups of the 12 households with a total of 59
members where children below 12 years old are not included in the survey in Enriquez Drive,
Barangay Boalan. The group of adults (25-59) is the highest vaccinated group of 63%, followed
by the youth (15-24) of 25%, Senior (60 above) of 6%, and Children (0-14) of 6%. The results
vary depending on the individual’s perception, beliefs, and feelings.

FIGURE 7.3.
FAMILY PLANNING FAMILY
PLANNING

Natural
Artificial

100%
 The chart shows the Family planning of the 12 households with a total of 59 members
surveyed in Enriquez Drive, Barangay Boalan. All the family members in the 12 households
used the natural method.
 ASSESSMENT DATA BASE IN FAMILY NURSING PRACTICE
ADDRESS: Enriquez Drive Boalan II FAMILY NUMBER: _____
N/A______
Street / Road Barangay Zone
A. FAMILY STRUCTURE, CHARACTERISTICS, & DYNAMICS / RELATIONAL PATTERNS
1. Members of the Household
Name of Family Age Birthdate Sex Civil Status Position in the Relationship to the
Member Family Head of the Family
Month Year
ZLF 75 March 1946 F Widow Grandmother Mother
JMF 45 February 1976 M Married Father Head
NLG 40 January 1981 F Married Aunt Sister
AFF 10 March 2011 F Single Daughter Eldest Daughter
DFF 5 April 2016 M Single 1st Son Nephew
SFF 3 January 2018 M Single 2nd Son Youngest Son

2. Socio-demographic data of members not currently living in the household but with a major role in resource generation and use.
Name of Family Age Birthdate Sex Marital Highest Occupation Relationship to
 Member Month Year Status Educational Type of Work Place the Head of the
Attainment Family
JAFL 49 May 1971 F Married 4th year College Cashier Davao Wife
LDG 39 August 1982 M Married 4th year High Factory Worker Pagadian Brother-in-law
school
NNF 29 June 1992 M Single 3rd year High Fisherman Cebu Brother
School

3. Length of Residency: __ 15 years_____

4. Type of Family Structure and Form

Based on Composition Based on Locus of Power Based on Place of
Residency
⬜ Nuclear Family ⬜ Step-family / Blended ⬜ Patrifocal / Patriarchal ⬜ Patrilocal
⬛ Extended ⬜ Single ⬜ Matrifocal / Matriarchal ⬜ Matrilocal
⬜ Beanpole ⬜ Same-sex / Homosexual ⬛ Egalitarian ⬛ Bilocal
⬜ Single-Parent ⬜ Cohabiting / Communal ⬜ Matricentric

5. Family Dynamics, Communication Pattern/s, Interaction Processes and Interpersonal Relationships

Criteria Status Additional Information
Observable Conflicts between family members Minimal Minor conflicts are observed between children fighting over a toy,
which causes minor misunderstandings between the mother and sister-
in-law.
Characteristics of communication Very Good The adults in the household are very open to each other's opinions and
listen to each other's ideas and suggestions.
Interaction patterns among members Very Good Interaction among members has been observed wherein they are very
expressive of their feelings openly and interact very well during
mealtime.
Others
B. SOCIO-ECONOMIC & CULTURAL CHARACTERISTICS
Name of Family Ethnic Religion Highest Educational Occupation Income
Member Background Attainment
Nature of Work Place of Work
JMF Bisaya Roman Catholic 4th year High School Construction Zamboanga 1
Worker
NLG Bisaya Roman Catholic 4th year College Saleslady Zamboanga 2
ZLF Bisaya Roman Catholic 4th year High School
AFF Bisaya Roman Catholic
DFF Bisaya Roman Catholic
SFF Bisaya Roman Catholic
Legend for Monthly Family Income
1 – Below 2,500 3 – above 5,000 to 7,500 5 – above 10,000 to 12,500 7 – above 15,000 to 17,500 9 – above
20,000 to 25,000
2 – 2,500 to 5,000 4 – above 7,500 to 10,000 6 – above 12,500 to 15,000 8 – above 17,500 to 20,000 10 – above
25,000
1. Income and Expenses
a. Adequacy to Meet Basic Necessities
The monthly income of the family members allows them to eat two times a day, and because they are not financially stable,
sometimes once a day. They also prioritize providing education for their children in a public school and a small house to live in
with enough space to sleep.
2. Family Traditions, events or practices affecting members’ health or family functioning
The head believes that vaccines for the virus are not effective, and the grandmother also only believes in albularyo. Mr. JMF
verbalized, “And use herbal medicines for her asthmatic child. Mr. JMF verbalized, “ah gihimo himo ang sa gobyerno ang covid,
gi himo lang nila na para magkapondo sila.” He also added, “pati di na gyud ko mutoo naa kay daghan gyud ga sabi sabi na
daghan daw namatay sa covid vaccine ug mga side effects na mu sakit daw imuhang sakit”.
Significant Others – role (s) they play in family’s life.
Name Role and Relation to Family
JFP The brother of the head helps them with financial support and
transactions in children's education.
NFM The sister of the wife helps in for medical support and
transactions, especially for the mother-in-law.

3. Relationship of the Family to Larger Community – Nature and extent of participation of the family in community activities
a. Awareness of existing organization ⬜ Yes Name_______________________ ⬛ No
b. Membership in an organization ⬜ Yes Name_______________________ ⬛ No Why? Lack of knowledge
regarding the different existing organizations.
c. Involvement in an organization ⬜ Yes Name_______________________ ⬛ No Why? Lack of knowledge
regarding the different existing organizations.
d. Potential or Existing leaders_ N/A__________________________________________________________________

C. HOME AND ENVIRONMENT

1. Home
 Ownership: ⬜ Owned ⬛ Rented ⬜ Free Constructional material used: ⬜ Light ⬛ Mixed ⬜ Strong
Lighting Facilities: ⬛ Electricity ⬜ Kerosene Others (Specify):
________________________________________
Number of rooms used for sleeping & sleeping arrangement: They have two small rooms for the father and grandmother, and
the sister and children sleep in the living room.
2. Water supply
Drinking: Source ⬜ Private ⬛ Public Potability: specify if safe for drinking ⬜ Safe ⬛
Unsafe
Storage ⬜ Direct from faucet or pipe ⬛ Covered container with faucet ⬜ Large uncovered without
faucet
Other/s (specify):
___________________________________________________________________________

3. Food storage and cooking facilities

Cooking facility: ⬜ Electric ⬜ Gas stove ⬛ Firewood / Charcoal
Sanitary condition: The sanitary condition is poor, and they are not bothered about the cleanliness in the area because of the
small living space they live in.
Drainage Facility: ⬛ open drainage ⬜ blind drainage
4. Waste Disposal
a. Refuse and Garbage
● Container ⬜ covered ⬛ open ⬜ none
● Method of Disposal: ⬜ hog feeding ⬛ open dumping ⬜ burial in pit ⬜ composting ⬜ open burning ⬜
garbage collection Other/s (specify):
_________________________________________________________________________
b. Toilet
● Type: ⬜ none ⬜ overhung latrine ⬜ open pit privy ⬜ closed pit privy ⬜ bored-hole latrine
⬜ pail system
⬜ Antipolo type ⬜ water-sealed latrine ⬜ flush type others (specify) Dry
toilet
● Distance from the house: The toilet is located inside the house.__________________________________________
● Sanitary condition: The toilet is located outside of the house close to the dirty kitchen.______________
 Domestic Animals:
Kind Number Where kept
Dog 1 Outside
Cat 3 Outside

5. The Community in General

a. General sanitary condition: The general sanitary condition of the community is poor, garbage is an open dumping, and
there are lots of breeding sites especially for mosquitos.
b. Housing congestion: The houses are congested and some areas also are separated in small distances.
c. Presence of breeding or resting sites of vectors of disease: The presence of vectors of diseases such as rats located in
canals and insects such as bees in plants and mosquitos in dirty water that could be at risk in dengue.
d. Recreational facility: There is a basketball court located in the area where people play and hang out.
e. Availability of health care services: Boalan Health Care Center
f. Distance of house from nearest health care facility: The distance of the house from the nearest health care facility is 8-10
minutes walking distance and 2-3 minutes within the use of a vehicle.
g. Communication and Transportation Facilities available: The family owns one sikad, and public transportation is available
in the area such as habal, jeepney, and tricycle.

D. HEALTH STATUS OF EACH FAMILY MEMBER

1. Medical & Nursing History
Family Health Status/Health History Family Health Status/Health History
Member Member
ZLF Present History: Has been coughing for the AFF Present History: Having on and off asthma
past few days and has colds. attacks at night.
Past History: Hospitalized due to Past History: UTI, chicken pox
appendicitis.
Family History: Hypertension (Father side)
Family History: Hypertension, Diabetes
V/S:
V/S:
T: 36.7 C
T: 37.0 C
RR: 14 bpm
HR: 17 bpm
HR: 80 bpm
PR: 88 bpm
BP: 120/70
BP: 130/80
JMF Present History: Feeling nape pain and DFF Present History: Looks pale and lethargic
headaches for the past few days. and underweight with a weight of 12 kgs.
Past History: N/A Past History: N/A
Family History: Hypertension Family History: Hypertension (Father side)
V/S: V/S:
T: 36.6 C T: 36.5 C
RR: 18 bpm RR: 20 bpm
PR: 90 bpm HR: 75 bpm
BP: 140/90 mmHg BP: 110/55 mmHg
NLG Present History: Feeling okay nowadays. SFF Present History: Looks pale, lethargic,
 markedly underweight with weight of 10
kgs, and malnourished.
Past History: N/A
Past History: Scabies
Family History: Hypertension
Family History: Hypertension (Mother
V/S:
side), Diabetes (Father side)
T: 36.4 C
V/S:
RR: 17 bpm
T: 36.4 C
HR: 90 bpm
RR: 25 bpm
BP: 120/90 mmHg
HR: 85 bpm
BP: 90/70 mmHg

2. Nutritional Assessment

a. Anthropometric Data: Measure of Nutritional Status of Children

● Anthropometric Data (Children)
Name of Family Member Weight Height Mid-Arm Circumference
AFF 10 kg 80 cm 11.5 cm (severe malnutrition)
● Anthropometric Data (Adults)
Name of Family Member Weight Height Body Mass Index Waist Circumference
ZLF 55 kg 150 cm 24.4 (normal) 36 cm
JMF 60 kg 19 cm 24.6 (normal) 28 cm
NLG 40 kg 150 cm 17.7 (underweight) 23 cm
 b. Dietary History specifying quality & quantity of food / nutrient intake per day
The members of the household family eat two times a day. If they have enough money, they buy food from the carinderia
and if not, they usually eat rice with toyo.
c. Eating / Feeding habits / practices
d. In the morning, they usually go for pandesal from the bakery or none if they don't have money, and at lunch and dinner,
they eat a proper meal depending on what the money can afford.
e. Risk factor assessment indicating presence of major & contributing modifiable risk factors for specific lifestyle diseases:
f. According to our assessment, most family members suffer from malnourishment, especially the children in the household,
and hypertension in adults. Poor sanitation is also present in the house with no proper water storage, which could be at risk
of dengue.
g. Result of laboratory / diagnostic & other screening procedures supportive of assessment findings: N/A

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE & DISEASE PREVENTION

1. Immunization status of family members
Name of Child Immunization Status Remarks
DFF Complete Immunization (BCG, Hepa N/A
B, DPT-Hepb-Hib, Oral Polio,
Rotavirus, anti-measles, MMR)
SFF Complete Immunization (BCG, Hepa N/A
B, DPT-Hepb-Hib, Oral Polio,
Rotavirus, anti-measles, MMR)
2. Vaccination status of family members
Names of Adult Vaccination Status Remarks
ZLF Not vaccinated N/A
 JMF Not vaccinated N/A
NLG Not vaccinated N/A

3. Healthy lifestyle practices

The family members sometimes do exercising, stretching, and meditating.
4. Adequacy of:
a. Rest & Sleep ⬛ Yes specify: The family rest and sleeps around 8-10 hours a day. ⬜ No Why___________________
b. Exercise / Activities ⬛ Yes specify: The family does play basketball sometimes. ⬜ No Why
_____________________
c. Use of Protective Measures ⬛ Yes specify: Face mask, face shield, and alcohol ⬜ No Why _____________________
d. Relaxation & other stress management activities ⬛ specify: Listening to radio ⬜ No Why_______________________
e. Opportunities which enhance feelings of self-worth, self-efficacy and sense of connectedness to self, others and a higher
power, essence of meaningfulness ⬜ Yes specify: ____________________________ ⬛ No
5. Use of promotive-preventive health services ⬜ Yes specify: ______________⬛ No Why No budget
5. Used of Family Planning Methods
A. Type
⬛Natural
Abstinence Lactational Amenorrhea method Basal Body Temperature Cervical Mucus
Symptothermal Method Standard Days Method
Artificial
Hormonal
Oral contraceptive Specify: progesterone-only oral contractive Low-Dose Combined Oral
Contraceptive
Injectable {depot medroxyprogesterone acetate/ Depo-proven (DMPA)}
Norplant Implant
Barrier
Intrauterine Devices Condom Diaphragm Cervical cap others: specify:
_________________
Permanent
 Tubal Ligation Vasectomy None
Are you willing to practice the Family Planning Method? Yes No
What hinders you from practicing Family Planning Method? Biological Psychological Social
Cultural
Religion Others: specify:
_________________________
B. Who taught you about Family Planning Methods?
PHN/PHM BHW Friend Neighbor Print/ Visual Ads
Student Nurse others; specify:
C. Is your husband aware of your usage of the Family Planning Method? Yes No
D. Do you know the side effects of the Family Planning Method as a result of its use? Yes No
Change in menstrual bleeding Headache Nausea Weight Gain
Moodiness
Delayed return of fertility Dizziness Acne in women Nervousness
Change in Appetite
Enlargement of ovaries/ovarian cyst Hair Loss Breast Tenderness Others;
specify:_____________________
E. Do you have Misconceptions about Family Planning Methods? Yes No
Some FP method cause abortion Using Contraceptives will render couples sterile Using
Contractive method will results to loss of sexual desire
Others; specify:
 CHAPTER
VIII
8.1 Problem tree

1. PROBLEM TREE ON MALNUTRITION

2. PROBLEM TREE ON INADEQUATE FAMILY INCOME

3. PROBLEM TREE ON PRESENCE OF BREEDING SITES OF VECTORS OF
DISEASES

4. PROBLEM TREE ON LACK OF IMMUNIZATION

8.2 Scale ranking
Poor Environmental Factors

Criteria  Computation  Actual Justification 

score 

Nature of the problem 3/3 x 1 1 It is a health threat because mosquitoes and other vectors of diseases can cause
presented dengue fever among the family members since we know that poor
environmental factors such as the improper waste disposal may lead to the
Poor Environmental presence of breeding sites that contributes to certain illnesses. 
Factors as a health
threat

Modifiability of the 2/2 x 2 2 The problem is easily modifiable because the family shows willingness to
problem presented  eradicate the mosquitoes and other vectors of disease.

Easily modifiable 

Preventive potential 3/3 x 1 1 It can be highly preventive since nursing interventions are accessible in a
simple and easy-to-follow methods that the family can follow such as having a
High  proper waste disposal and the family demonstrate cooperation in eradicating
the problem.

Salience of the 2/ 2 x 1 1 The problem needs immediate attention to avoid spreading the vector diseases
problem  since having presence of breeding sites may lead to occurrence of serious
illnesses and even death.
A condition or problem
needing immediate
attention 

Total score  5
 Lack of Immunization

Criteria  Computation  Actual Justification 

score 

Nature of the problem
presented
Lack of immunizations
as health threat
3/3 x 1 1 It is a health threat since the cases of COVID-19 are increasing. Due to lack
of knowledge about the vaccine, some of the family members are not yet or
do not want to get vaccinated because of fear and rumors. If parental refusal
continues, this might lead to serious illnesses.

Modifiability of the 2/2 x 2 2 It is easily modifiable since the family attends our virtual meeting for
problem presented  educational purposes for COVID-19 vaccination, and they are willing to
learn about the side effects and what the purpose of this vaccination is. 
Easily modifiable 

Preventive potential 3/3 x 1 1 It is highly preventive since the problem can easily be solved if the family
have adequate knowledge about what COVID-19 is and the importance of
High  vaccination.

Salience of the 1/2x1 0.5 It is a condition or problem since not getting vaccination will make the
problem  family vulnerable to COVID-19 and acquire the health condition easily but
not needing immediate attention.
A condition or problem
not needing immediate
attention 

Total score  4.5

 SCALE RANKING Malnutrition

Criteria Computation Actual score Justification

Nature of the problem 3/3 x 1 1 It is a health deficit that requires immediate management to eliminate untoward
presented consequences.

Malnutrition as health deficit

Modifiability of 2/2 x 2 2 The problem is easily modifiable since the community nurses' sources are available, we
the can help the family on effective budgeting of money and scheduling of time, we can
problem presented develop the skills of other members to achieve good nutrition, proper food selection
and preparation, and feeding practices.

Easily modifiable

Preventive potential 3/3 x 1 1 Susceptibility to other diseases and infections can be prevented if malnutrition is
eliminated, normal growth and development can thus be achieved.

High

Salience of the problem 1/2 x 1 1 It is felt as a problem that needs immediate management since we would want to
avoid the complications of malnutrition, it should be treated as early as possible.

A condition or
problem needing
immediate attention

Total score: 5
 Inadequate family income to obtain resources

Criteria Computation Actual score Justification

Nature of the problem 3/3 x 1 1 It is a health threat because we are unable to decide about taking appropriate actions
presented to prevent the possible occurrence of health problems in the future due to
inadequate family income. Low income can affect the health of the family in the
future due to poor budgeting skills and possible ineffective rationing of food.
Inadequate Family Income to
Obtain Resources as Health
Threat
Modifiability of the problem 1/2 x 2 1 It is partially modifiable since it is not yet sure if the family can maintain proper
presented budgeting skills in the long-run or in the future and if they are able to identify the
cause of inadequate income that failed them to obtain resources.

Partially modifiable
Preventive potential 3/3 x 1 1 Occurrence of diseases and infections in the future can be prevented if proper
budgeting skills and/or daily tracking of expenses are practiced.

High
Salience of the problem 1/2 x 1 1 It is felt as a problem, but it does not need immediate management

A condition or problem not

needing immediate attention
Total score: 4

Health Conditions/s or
Problems and Family
Nursing Problems
Malnutrition as Health
Deficit
Inability to recognize the
presence of malnutrition in a
dependent member due to lack
of knowledge
Inability to decide about
taking appropriate health
action due to failure to
comprehend the nature,
magnitude and scope of the
problem
Inability to provide adequate
nursing care to a member
suffering from malnutrition
CHAPTER IX
COMMUNITY NURSING CARE PLAN
Evaluation Plan
Objectives of Nursing Outcome
Plan of Interventions Methods /
care Criteria/Indicators,
Standards Tools
After nursing 1. Assess the capability of the Evaluation Standard Methods:
intervention, the family family to comprehend and/or
will be able to: understand regarding
malnutrition.  Home Visit
 Interview
The patient is able to
 Verbalize what Rationale: To be able to know if the  Physical
achieve a sufficient
malnutrition is family members has adequate Assessment
amount of nutritional
and its causes knowledge when it comes to managing  Nutritional
value and maintained a screening
a family member who is malnourished normal and healthy
and how the affected member will  Feeding
 Identify the weight. program/Gardening
signs and cope with the present health condition.
symptoms of
malnutrition Materials:
Proper food selection
2. Educate the family about:
 Recognize the
manifestations  Intake and output
of malnutrition a. What is Malnutrition and its Performance
effects on the body? Criterion/Indicators chart
on a affected  Height and Weight
family member b. What are the clinical
manifestations of malnutrition? scale
c. How to prevent malnutrition?  Record Review
 Improve the The family is able to
 Assessment
due to: nutrition and have adequate Database Form
health status of knowledge about  PHN Bag
the affected Rationale: Educating the family and
malnutrition.  Plant seeds
family member the affected member about
 Lack of knowledge  Tools for
malnutrition will help increase their gardening
about the health
 Enhance the knowledge and prevent this health  Food
condition The family is able to
capability of a problem from occurring in the future.
 Lack of knowledge on identify the
the nature and extent responsible
manifestations of
of nursing care needed family member
to look after the malnutrition and is
 Inadequate resources 3. Educate the family about the
health status and able to prepare proper
for care (responsible proper meal plan that a
nutritional needs malnourished person should meal plan for the
family member and
of the affected take (e.g. protein such as meat, affected patient.
financial constraints)
family member fish, chicken, eggs, beans,
through proper fruits and vegetables)
nutrition and The family is able to
health education attend a regular check-
Rationale: Educating the family on a
up in the nearest health
proper meal plan will help them
center.
develop skills on proper meal selection
and preparation and to prevent the
occurrence of malnutrition in the
The family is able to
future.
grasp the importance
of having an active
and responsible
4. Advice the patient who is
member and having an
malnourished to not have
initiative to take care
drinks before meals
of one’s health and
have a healthy
Rationale: To prevent the patient from lifestyle.
feeling full.
 5. Encourage the patient who is
malnourished to attend a
regular check-up in the nearest
health center.

Rationale: To be able to monitor the

health status of the patient.

6. Encourage the family to be an

active and responsible member
of the family wherein each will
have the initiative to take care
of one’s health and have a
healthy lifestyle.

Rationale: For the family members to

have that sense of responsibility and
initiative to look after their health as it
is one of the most important aspects of
a well-being.
 Evaluation Plan
Health Conditions/s or
Objectives of Nursing Outcome
Problems and Family Nursing Plan of Interventions Methods /
care Criteria/Indicators,
Problems
Standards Tools

Inadequate Family Income to After nursing 1. Assess the family’s daily income Evaluation Standard Methods:
Obtain Resources as Health intervention, the and daily expenses
Threat community will be able
to: Rationale: To help the family know what Proper budgeting ● Virtual
expenses they spend on the most whether skills meeting via
Inability to recognize the Zoom
it is a necessity or not.
presence of inadequate family ● Identify the ● Visual aids
income to obtain resource due to cause of (Powerpoint
lack of knowledge inadequate Presentation)
family income 2. Identify the cause of the family’s Performance ● Education
inadequate income that failed them Criterion/Indicators Program
to obtain resources ● Interview
Inability to decide about taking ● Determine what
appropriate actions to prevent resources should
the possible occurrence of health Rationale: To help the family prioritize The community is able Materials:
be prioritized
problem due to inadequate first necessities that are more important. to identify the cause of
family income inadequate income
that failed them to ● Record
● Budget 3. Encourage the family to create a obtain resources Review
effectively based list of monthly expenses ● Laptop
Inability to provide adequate on family
nursing care to the family with income
inadequate income to obtain The community can
Rationale: To know what expenses should Resources:
resources due to: determine what
they spend on and to avoid buying daily
● Encourage the resources should be
as it can consume the budget rapidly.
 responsible prioritized first
family member
● Lack of knowledge about in managing the 4. Encourage the family to set goals ● Time and
the presence of budget when it comes to budgeting. Effort of the
inadequate family nursing
income to obtain The community is able student and
resource Rationale: To know how much money the
the family should set aside and how much to set goals when it
● Lack of knowledge on community
to spend comes to budgeting
the nature and extent of
nursing care needed
● Inadequate resources for
care (financial
constraints)
 Evaluation Plan
Health Conditions/s or
Objectives of Nursing Outcome
Problems and Family Nursing Plan of Interventions Methods /
care Criteria/Indicators,
Problems
Standards Tools

Poor Environmental Factors as After nursing 1. Assess condition of the house and Evaluation Standard Methods:
a Health Threat intervention, the level of knowledge
community will be able
to: Rationale: To have baseline data to plan The areas in the ● Virtual
Inability to recognize the the appropriate interventions to be done. community has no meeting via
problem due to lack of presence of breeding Zoom
knowledge ● Demonstrate sites. ● Visual aids
understanding of (Powerpoint
2. Discuss the possible sources of the Presentation)
the health
presence of rodents, insects and ● Education
Inability to decide about taking teachings with Demonstration of
mosquitoes. Program
appropriate actions to prevent regards to the proper general
possible causes ● Interview
the possible occurrence of health cleaning. ● General
and effects of the Rationale: Knowing the causes of the
problem Cleaning
presence of poor problem serves as one way to manage it.
environmental
factors (presence Performance
Inability to provide adequate Materials:
of breeding sites Criterion/Indicators
nursing care to the community 3. Explained to the family all the
and improper
possible harmful effects that these
due to: waste disposal)
vectors can cause to the health of ● Cleaning
the entire family The community
equipment
● Determine the understand the health
● Laptop
● Lack of knowledge about diseases that teachings with regards ● Record
 the problem may occur due to Rationale: To increase their awareness to the possible causes Review
● Lack of knowledge on poor regarding the presence of the breeding and effects of the
the nature and extent of environmental sites so as to persuade them in doing presence of poor
nursing care needed factors Resources:
actions that would avoid the occurrence of environmental factors
● Inadequate resources for breeding sites. (presence of breeding
care (financial sites and improper
constraints) ● Show behaviour ● Time and
and compliance waste disposal)
Effort of the
on measures on 4. Assist the family in cleaning the nursing
how to maintain house, removing the spoiled foods student and
a clean and providing a cover on each The community can the
environment in trash can. determine the diseases community
order to that may occur due to
eradicate poor environmental
breeding sites of Rationale: To avoid breeding places for
these vectors factors
mosquitoes, flies
and rodents

5. Educate the family simple

methods on how to prevent the
occurrence of breeding site (e.g.
general cleaning around the house
2 times a week)

Rationale: Learning about the methods on

how to prevent the presence of breeding
sites can help enhance knowledge and
prevent the future occurrence of breeding
sites that may lead to diseases.

6. Educate the members of the family

 the advantages of having a clean
environment in relation to
eliminating the breeding sites.

Rationale: Being aware about the benefits

of having clean environment can promote
a healthy lifestyle.

Evaluation Plan
Health Conditions/s or
Objectives of Nursing Outcome
Problems and Family Nursing Plan of Interventions Methods /
care Criteria/Indicators,
Problems
Standards Tools

Lack of Immunization as a After nursing 1. Establish therapeutic Evaluation Standard Methods:

Health Threat and Foreseeable intervention, the communication skills of active
Crisis community will be able listening.
to: Register for the ● Virtual
Rationale: To develop trust nurse-client COVID-19 meeting via
Inability to recognize the relationship and to encourage client to talk vaccination. Zoom
presence of the problem due to ● Verbalize ● Visual aids
freely without fear of judgement.
lack of knowledge knowledge, (Powerpoint
misconceptions, Presentation)
The community is
and feelings ● Interview
2. Identify the conditions that may fully vaccinated.
regarding
vaccination. preclude client receiving
Immunization. Assess client’s Materials:
readiness to learn. Performance
● Explain the Criterion/Indicators
importance of ● Laptop
 Immunization, Rationale: Response may vary widely
needs, safety
depending on client’s age, cultural
concerns, and
differences, travel history, family beliefs
disease about vaccination and medical conditions. The community is able Resources:
prevention. to verbalize
knowledge,
● Register for the 3. Discuss misconceptions, and ● Time and
COVID-19 a. Client’s perceptions and feelings regarding Effort of the
vaccination. fearful feelings. Active vaccination. nursing
listen client’s concerns. student and
b. The cause, signs and the
symptoms and mode of community
The community is able
transmission of COVID-
to explain the
19.
c. Protective benefits of the importance of
vaccine, route of vaccination, needs,
administration, expected safety concerns, and
side effects and potential disease prevention.
adverse reactions.
d. Common myths about the
COVID-19 vaccine.
e. Importance of herd
immunity.
Rationale: Promotes atmosphere of caring
and permits explanation or correction of
misperceptions.

4. Educate and provide written

information of the different types
of the vaccine by sharing video
 campaigns and pamphlets;
guidelines on how the client can
get vaccinated such as accessing
the website of the city government
or go to the nearest health center to
have their names listed.

Rationale: Reinforces learning process

and allows the client to proceed on their
own phase.
 Chapter X
Discussion and Implication
A study was conducted in Enrique Drive community, Boalan zone II with a total population of
11, 570 as of 2021 wherein 12 families (59 residents) were to identify underlying conditions of
the citizens currently living there and raise public awareness. Results shows that,
…
To put an end to malnutrition, researchers provided nursing management and health education to
further nourish their understanding about Malnutrition so as it’s prevention. 

Nursing education 
Different family cases were shown in the study as it apprised us of the actual problem existing in
the community. On the other hand, community organizing, and participatory action research
(COPAR) allow us to evaluate ourselves to provide better health care services since it is
significant for every student nurse to relate and adjust in actual situations. An adequate health
service is requisite in the community, with regards to this, it entails that every community must
have sufficient public health nurses that must accommodate each family. The capacity of health
agencies should provide accessible health care. This project utilized the Family Case Study to
identify the health needs of the community and to implement strategies and services that meet
those needs. 

Nursing Profession
Nursing proficient competence, commitment and validity of information are required within the
call. Commitment of a nurse to serve within the community is “exceptional and extraordinary”.
In any case medical attendants must persistently upgrade their information, knowledge, and skills
to investigate the capacity to be utilized within the community. The nurse and the community
must collaborate to attain effective management on the identified problem, malnutrition. This
will allow the public to raise awareness and implement community nursing interventions
appropriately.

Nursing research 
This research figures out that most children in the community weigh below the normal health
indications, malnourished. Due to lack of financial resources, they do not seek medical
assistance. The researchers therefore recommend that future studies in those existing cases,
especially in the community, should focus on determining tactile ways to educate people about
malnutrition and the significance of good health in general.
 CHAPTER XI
Conclusion and Recommendations

Conclusion
The findings of the study showed that there are concerns in terms of Malnutrition and
Inadequate Family Income to obtain resources. For malnutrition, it is due to lack of knowledge,
lack of food, poor maternal health and nutrition, difficulty obtaining food, and low income, the
community has manifested certain problems under it such as chronic health conditions, infection
and illnesses, heart disease, weight loss, weak immune system. While on the other hand, the
problem of inadequate family income to obtain resources has been concerning due to lack of
government support, lack of education, unemployment, and physical disabilities, which resulted
in debt, inadequate nutrition, food security, and child care, and food and fuel poverty.  

As a result, the researchers conducted health education and nursing management for
malnutrition, and the importance of adequate income to seek medical assistance in order to ease
and help those families. 

The planning of interventions for malnutrition and inadequate family income achieved
the purpose which was to attain effective management on the identified problem, know the
different methods on how to alleviate the lack of income in meeting their daily needs as well as
to combat malnutrition in the community. The residents have gained a better understanding of
the issues that have been recognized and have willingly participated in the different management
strategies. 

Recommendation:
The community identified several problems during the community assembly, and the following
are the recommendations:

For Community:
 Wash hands before and after eating and store food properly.
 To conduct an initial feeding “feeding program” for the community.
 Choose nutritious foods that can help strengthen one's health.
 Prepare, consume, and store food hygienically.
 Exclusive breastfeeding of infants for at least six months and introduce healthy
complementary food to support breastfeeding for at least one year. 
 Participate in a pangkabuhayan program to enhance new skills to make people in the
community to help them realize there is hope in generating income. 
 Encouragement of the community is highly needed, as well as education for every
individual member per household. They must act as role models for the effective change
and progress of the community towards their individual improvement of a quality of life.

For Student:
 Be guided in making an informed decision as to whether they would want to take part in
the research.
 Establish the existing health conditions in the area.
 Educate the resident on the different concepts that are unfamiliar to them with regards to
their community