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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 Others
4% 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

1090
1200

1000

800

600

400

200 17 1 1
7 0
0
Roman Protestant Iglesia ni Jehova's Born-again Others
Catholic Cristo Witness Christian

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
700
600
Population

500
400
300 141
200 44 57 27
100
0
Less than a 1-3 yrs 4-5 yrs 6-10 yrs more than 10
year 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

Blended Others
Cohabiting 2% 4%
3%
Single-parent
5%

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 single-
parent 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
Post Graduate Vocational No formal
3% 1% schooling
N/A 2% Pre-school
College Graduate 3%
8% 6%
Elementary
Level
20%
College Level
16% Elementary
High Graduate
School 11%
Level
High School 17%
Garduate
13%

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
Functionally Literate 1
Literate 2 22%
62%

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

297
283
300

250

200
Population

150
94 82 89
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

168
180
160
Number of Households

140
120
100
80
42
60 26 33
40
20
0
Below Php 3,000 Php 4,000-6,000 Php 7,000-9,000 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 7,000-
9,000 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


26% 50%

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

Squatter
Tenant 8%
9%

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
61-90 sq m m and
10% up
13% 10 sq m and
below
31-60 sq m 38%
11%

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

120 116 111

100
Number of Household

80 69
61
60

40 26
25
16 15
20 11 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 Composting
Segregation 0%
11%

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

Open
Closed pit privy Bore hole Pail system
Hang 2% pit 1% 1%
latrine Flush type privy
3% 3%
8%

None
18% 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 socio-
economic 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 Water pump


(natural) 2%
6%

Nawasa Aretesian well


35% 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)

River, spring
Water Pump
(natural)
1%
2%
Deep Well
6%
Purified
(commercial)
10%

NAWASA Artesian Well


19% 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

Chlorination
Purified 4% 0%
8%

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
160
140
Number of Household

120
100
80 62 63
60
40
20 0 2 0 6 0
0
Pail Jar Bottles Others
Covered 62 150 63 6
Uncovered 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.
DOMESTIC ANIMALS

96
100
90
69 70 75
80
Number of Household

70
60
50 43
40
30
16
20 8
10
0

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 Mosquitoes
26% 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
Breakfast
27%
26%

Afternoon Snack AM Snack


11% Lunch 11%
25%

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 (800- 3 glasses (500-


1,200 cc) 800 cc)
11% 1%

8 glasses (1,200-
Others 2,000 cc)
41% 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 None
Acid 54%
21%

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 None


21% 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
Others
18%
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 Meditation


7% 3%
Sports
7%

Watching Tv
Reading 43%
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

120 107

100
Number of Household

75
80

60

40 27 25
19
20 6 7
3
0
Everyday Once a Twice a 3x a 4x a 5x a 6x a None
week week week week week week

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

Running Cycling Dancing


2% 2% 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


topical 7%
8%

Insect repellent
spray
9%

None Mosquito net


9% 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%

Breastfeed
Mixed
52%
38%

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 None
27% 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%

Hilot
MD
55%
26%

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

None Private
Bisaya 1% 1%
Brgy. Health 2%
Center
8%

RHU/Sentro
Hospital 52%
36%

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
Maternal-Child
9%
Progarm
Mgt. of CD and 30%
Non-CD
16%

EPI
Family Planning 20%
Program
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)

Heart diseases Chickenpox


TB respiratory 3% 1% Measles
3%
Influenza 1%
5%
Acute Lower
RTI and
pneumonia
9%

Hypertension Others
13% 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

80 75

70
60
Population

50
40
30
19 19
20 13
8
10 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 .COPD and allied


Cancer 6% conditions
5% 6%

Murder
5%

Heart disease Others


11% 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 Bacterial sepsis


of pregnancy 0% 0% 0% 0% of newborn
9% 5%

Others Pneumonia
14% 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 call with
day, the group will be Mayor Erroba, and the
able: -courtesy call with All Group Members Manpower barangay councils of the
1. To have a Mayor Erroba, and with Camera barangay was done. As
courtesy call with the Barangay councils of well as the ocular
the municipal the Barangay. survey. Spot map had
mayor, and the been validated,
barangay secondary data’s were
councils; -do the ocular survey All Group Members Manpower gathered from the
Camera barangay and some were
2. Be able to do an from the Municipal
ocular survey; Health Office. The
-obtain a draft of a spot Ms. Gayo Pencils, bond paper, group was able to
map manpower integrate with the
3. Be able to come residents of the
up with a spot -communicate with the Mr. Bello Manpower community.
map; school principal
4. Be able to talk
with the principal
of Pagbabangan
Elem. School
regarding the
school 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 Manpower
needed; foster families regarding
the stay
6. Be able to
communicate -mingle with the All Group Members Manpower
with the foster community people.
families;
7. Be able to
integrate with the
community
people.
Day 2 (Nov. 24, 2011)

Goal and Objectives Target Activities In-Charge Resources Evaluation


Before the end of the Manpower: nursing The group started the
day, the group will be 8:00-11:00 am All members except students community health survey
able to conduct the Health survey Cardeňo and Gayo Money with a total of 73
health survey to about Materials: survey tools, household interviewed,
50% of the household, pencils/pen, stickers which constituted only
and will be able to take 26%. Weight and height
the weight and height of 8:00 – 11:00 am Cardeňo Manpower: nursing taking of children 0 to 6
the children aged 0-6 Weight and height Gayo students years old was done, but
years old. taking Materials: weighing not all children was
scale, paper, pencil/ pen 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: nursing The group was able to
the group will be able to students visit the elementary
visit the Barangay’s Money: snacks school of Brangay
Elementary School; Materials: visuals aids Pagbabangnan and
provide nursing provide nursing
assistance to the people assistance to the people.
of the barangay.
Objectives:
1. Collate data on 8:30-9:30 am Cardeňo
nutritional status Data collation 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 Barbero and weight.
form a core Forming core group Casillano
group. members Cillo The assigned group was
Geroy able to form core group.
Pandapatan
3:30-5:00 pm Casillano
3. To be able to Core group meeting Cillo
conduct core Barbero The group was able to
group meeting. Pandapatan conduct core group
meeting to the identified
core group members.

Day 4 (Dec. 01, 2011)

Goal and Objectives Target Activities In-Charge Resources Evaluation

Before the end of the day,


the group will be able to
visit san Julian Municipal
Health Office and
Barangay’s Elementary
School, collate the
gathered data; and
identified problems of
barangay based on
collated data.
Objectives:
1. Gather secondary Community Health Manpower The community health
data for validation Nursing Money for fare: nurses had gathered the
purposes. P40.00 needed secondary data.

2. Weighing and School Health Nursing Manpower The students actively


taking the height Materials: participated in taking
of pre-schoolers Weighing scale their height and weight.
and school ages. Tape measure

3. Collate the survey Data Collation Manpower: The group finished the
result data for Materials: data collation after 4
identification of Survey tools days and identified the
pertinent community nursing
information. diagnosis.

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 Target Activities In-Charge Resources Evaluation


Be able to get the Collect necessary Apelado Manpower The community health
requested secondary secondary data available nurse was not able to
Caspe Transportation (P32.00)
data for validation in the RHU. collect the secondary
purposes. (Nutritional Communication Letter 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 present the data- for he
Presentation of data Materials: (Cartolina,
problems that were final survey output and
Manila paper and pentel
identified by the group. the Brgy. Council of
pen)
Pagbabangnan
participated in the
session conduced by the
group.

Day 6 (December 07, 2011)

Goal and Objectives Target Activities In-Charge Resources Evaluation


The group will be able Health teaching Gayo Man Power The group was not able
to visit the primary Cardeño Materials: to conduct because of
school Alde  Visual Aid transportation problem.
Barbero  Bp apparatus
 Thermometer
 Wrist watch
 Books
Choose a site for Cardeño  Dummies The group was able to
Be able to look a site for gardening of the herbal Bello choose a site for
 Hand outs
gardening of herbal plants. Caspe gardening herbal plants
plants. Apelado located at Day Care
Center.

Demonstrate in Casillano
Demonstrate and obtaining Body Pandapatan The core group was able
discuss proper skills in temperature, BP, Pulse Cillo to demonstrate and
getting the vital signs, and Respiratory rate, discuss proper skills in
first aid, BLS, and first aid, BLS, and getting the v/s, know
physical assessment. physical Assessment thw procedures in first
aid, bls, physical
assessment.

Day 7 (December 08, 2011)

Goal and Objectives Target Activities In-Charge Resources Evaluation


Goal:To be able to
demonstrate proper
exercise to the people in
the community of
Pagbabangnan especially
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 signs
taking, physical Pandapatan
assessment, and basic life Casillano
support. Apelado
Objectives:  Manpower
 To achieve Morning Exercise  Sound system
optimum health Caspe  Barangay Plaza
level through Geroy  Community
exercise. Bello people

 Carry out health School Health Nursing


teaching to the  Manpower
pupils that will  Money (P200.00)
serve as  Materials:
additional (Cartolina, Educational
information about Chart, Pentel Pen)
health.

Core Group  Manpower


 Educate and  Money (P200.00)
coach the core  Materials
group about first (Dummies, training
aid during an modules, alcohol, cotton,
emergency BP apparatus,
situation, vital Thermometer,
signs taking, secondhand watch.)
physical
assessment, and
basic life support.

Day 8 (December 14, 2011)

Goal and Objectives Target Activities In-Charge Resources Evaluation


Goal: The group will be
able to provide
knowledge on health
teaching to the barangay
elementary, to impart
additional knowledge
and training to the
barangay 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 Apelado -Manpower, pupil’s
teaching on participation
students and -Materials and Money:
provide them  Visual aids:
additional All group members
knowledge on -Manpower, Barangay
health. Core Group training health workers,
Pagbabangnan barangay
2. To be able to hall
conduct a training Materials and Money:
on health  Dummy adult and
management and to infant
impart additional  First aid module:
knowledge on first P100
aid.
-Manpower, Sound
Kalinisan Kusughan system, Barangay plaza,
Barangay community participants
(Symposium on Solid -Materials and Money:
Waste Management)  Stage decoration:
3. To be able to Theme: Kalinisan tungo P310
impart knowledge sa Malusogna Barangay  Certificate: P84
on proper solid  Program: P270
waste management  Token: P229
to the community  Posters and Flyers:
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 provide
knowledge 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: Morning Exercise Bello -Manpower, Sound Resident attended


4. To be able to Pandapatan system, Barangay Plaza, morning exercise:
demonstrate proper Geroy Resident participation. 2nd day: 33
exercise and
implement healthy Bello
lifestyle. Alde -Manpower, pupil’s Pupil’s participated in
School Health Nursing Apelado participation health teaching:
5. To conduct a health -Materials and Money: 2nd day: Grade IV, V,VI
teaching on students  Visual aids:
and provide them
additional The BHWs are able gain
knowledge on -Manpower, Barangay knowledge on different
health. health workers, uses of herbal
Pagbabangnan barangay medicines.
6. To be able to Core Group discussion hall
conduct a training
on health Materials and Money:
management and to  Herbal medicine
impart additional book
knowledge on  Word
herbal medicines. presentation
Day 10 (January 5, 2012)

Goal and Objectives Target Activities In-Charge Resources Evaluation


At the end of the last day The Brgy. Officials,
of the community Core Group Member,
immersion the group BHW’s and students had
will be able to show fun and were able to
gratitude and express gratitude to each
appreciation to the other.
community.
Distribution of All students MANPOWER
Objective: certification to the Core Core Group
-To be able to have Group Members, Brgy. Officials
the culmination activity BHW’s and Brgy. BHW’s
together with the whole Officials. Simple
community people. Gathering.
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 Rationale Program-Methodology Resources Implementing Evaluation


Title Objective Description Body

School To be able The topics This The assigned school  Manpower School Health  The
Health to to be promotes health nurses were given  Money for Nurses students
Nursing promote discussed and with topics to be materials are able to
the health among the preserves discussed to the school  Charts  Alde, perform
of school students the health children of (P35.00) Renalyn the proper
children are: of Brgy.Pagbabangnan. Each  Pentel pen  Barbero, steps in
and populations group prepares visual aids (P38.00) Claudette handwash
prevent  Proper by and teaching materials to  Cartolina G. ing.
health hand integrating be used in teaching their (P20.00)  Gayo,
problems washing the skills assigned topics. Every IrenehJoy  After the
that will  Proper and morning at exactly 7:30, A. discussion
hinder Hygiene knowledge the group does their  Geroy, , the
their  Healthy of the health teachings and Giselle C. pupils
learning. Diet school imparts their knowledge were able
 Nutrition children. about certain topics that to
could help the children in enumerat
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 Rationale Program- Resources Implementin Evaluation


Objective Description Methodology 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
 Head promote assigned  Cillo, exercise. exercise.
bend enthusiasm to students Arlene M.
counts the community will lead  Cardeño,
 Head people of Brgy. the Nathalie
bend Pagbabangnan. exercise. Jean C.
(sideway
s)
 Head
rotation
 Shoulder
lift
 Shoulder
rotation
 Shoulder
Stretch
 Hand
 Body
Twisting
 Knee
Bending
 Leg
Stretchin
g
 Foot
Rotation
 Jog in
place
 Jumping
Jack
Program Title Program Program Rationale Program- Resources Implementing Evaluation
Objective Description Methodology Body

Kalinisan To be able to This activity The  Manpower


-Manpower, Sound The
Kusughan impart enchances symposium  Materials
system, Barangay community
Barangay knowledge the was -Speaker
plaza, community people are
on proper awareness conducted -CD’s
(Symposium participants able to
solid waste of at the - Snacks
on Solid attend and
management community barangay -Materials and
Waste gain
to the people in plaza at Money:
Management) knowledge
community waste 1:00 in the
 Stage on the proper
Theme: resident. segregation afternoon
decoration: solid waste
Kalinisan and with the
P310 management.
tungo sa promotes a community
 Certificate:
Malusogna healthy and people.
P84
Barangay clean
 Program:
community.
P270
 Token: P229
 Posters and
Flyers: P27
 Garland: P200
 Snacks:
P2,705
Transportation fees:
P255
Program Program Program Rationale Program- Resources Implementing Evaluation
Title Objective Description Methodology Body

Handover of
Culmination To be able Culmination This  Manpower All Group 1, The
different
Night to integrate Program promotes  Money for BSN –IV community
programs
with the interpersonal materials people are
implemented.
community relationship  Pentel pen able to
people and within the P38.00 participate
to give community.  Cartolina the
appreciation P40.00 thanksgiving
to the  Sound party.
barangay. system
P3,200

Pagbabangnan Talent Search:  Manpower All Group 1,


Got Talent This Handover of  Money for BSN -IV The
(Search for To be able  Hip – hop promotes different materials community
Hip- hop and to enhance Competition interpersonal programs  Pentel pen people are
Singing Idol the talents,  Singing Idol relationship implemented. P38.00 able to
2012) abilities, and within the This promotes  Cartolina participate
boost self – community. interpersonal P40.00 the talent
confidence relationship  Sound search and
of within the system dance party.
community community by P3,200
people who integrating their  Prizes
have the the . talents and P2000
potential to abilities.  Others
succeed P3762
using their
talents.
Health Teaching Plans

Learning Learning Rationale Time Frame Resources Evaluation


Objectives Content
Proper hand Hand washing is This promotes the health Dec. 7,8 & Manpower  After 30 minutes of
washing important in every of school children and 14 2011 Money for discussion, the
 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
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 Educational
students. Procedure:  Running water can charts-  The pupils were able
 Wet the hands get rid of the germs P25.00 to perform the proper
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  The water should
demonstrate soap to the flow from least
the procedure hands. contatminated to the
or process of  Hold the most contaminated
proper hand hands lower area; the hands are
washing. than the generally
elbows so that contaminated, more
the water contaminated than the
flows from the lower arms.
arms to  The circular action
fingertips. 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  The nails and


fingers and fingertips are
thumbs, and commonly missed
move the during hand washing.
hands back  Moist skin becomes
and forth. chapped readily;
Continue chapping produces
this lesions.
motion for
at least 15
seconds.
 Rub the
fingertips
against the
palm of the
opposite hand.
 Thoroughly
dry the hands
and arms, with
a clean and
dry towel or
tissue.
Learning Objectives Learning Content Rationale Time Frame Resources Evaluation
Proper Hygiene 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 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 of infectious able to identify the
diseases 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 Learning Content Rationale Time frame Resources Evaluation
Healthy Diet Importance of
 To promote Vegetables:  Knowing Dec. 7,8 & 14 Manpower  After 30
health through 1. Vegetables are the 2011 Money for minutes of
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
 To provide diseases. nutritive of fruits and
education and 2. They contain and vegetables.
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 vegetables.
Natural Benefits of identify the
Vegetables: different
1. Nutritive and kinds of  The students
medical vegetables. 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:  The students
1. 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 1. Definition of nutrition
 To be  Nutrition is the study of
able to food in relation to  These Dec. 7,8 & 14 Manpower  After 30
promote health of an individual provide 2011 Money for minutes of
a good 2. Definition of Malnutrition essential ( 7:30 a.m. 30 materials: discussion the
inside  Malnutrition refers to nutrients minutes ) Cartolina – children are
about the lack of one or more to dietary P20.00 able to
nutrition. essential nutrients in fiber. They Pentel pen- explain the
the body. may P38.00 definition of
3. Definition of Malnourish prevent Educational nutrition,
 Malnourish refers to a certain charts- malnutrition,
person who has chronic P25.00 and
inadequate intake of diseases. malnourish.
nutritious foods. These
4. Importance of 3 BASIC FOOD diseases
GROUPS Importance of which include
are as follows: stroke,
 Build body tissues, Type II
muscles and bones DM, some
 Repair and heal body types of
tissues cancer,
 Supply energy for and
active work and play cardiovasc
 Rich in vitamins and ular
minerals diseases,  The children
 Keep eyes, skin, hair, and are able to
and gums healthy hypertensi verbalize the
 Increase resistance to on. importance of
infections the 3 BASIC
5. Characteristics of a healthy or  To have an FOOD
 To be nourished child 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  To avoid
foods.  Has strong and healthy any
teeth existing
 Has healthy gums diseases
 Intact nails
 To be  Always happy  To
able to 6. Effect of improper foods (e.g. evaluate
prevent junk foods) the effects
malnutrit  Less Attentive on the
ion  Under nourished child.  The students
 To be  Tooth problem are able to
able to  Become addict to junk  To be determine the
promote foods health characteristics
a “child-  Loss of appetite conscious. of a healthy
healthy- or nourished
friendly”  To avoid child.
school. buying
 To be junk foods.  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 Justification
1. Nature of the Problem It is a health deficit that
requires immediate
3/3x1 1
management to eliminate
untoward consequences.
2. Modifiability of the The problem is partially
Problem modifiable in a sense that the
barangay has no more budgets
for the feeding program. And
1/2x2 1
most parents are not
knowledgeable about the
nutritious foods and are mostly
financially unstable.
3. Preventive Potential Susceptibility to other diseases
and infection can be prevented
if malnutrition is eliminated;
3/3x1 1
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
attention. The barangay council
2/2 x 1 1
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 Computation Actual Score Justification
1. Nature of the Problem 2/3x1 2/3 It is a threat.
2. Modifiability of the The problem is partially
Problem modifiable because the BHC is
not yet equipped with
instruments and personnel who
1/2x2 1 are competent enough.
However through 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 of the municipal
mayor of San Julian, the
MNCHN, and with the
cooperation 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 Computation Actual Score Justification
1. Nature of the Problem 2/3x1 2/3 It is a health threat.
2. Modifiability of the The community doesn’t have
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.
3. Preventive Potential Although the BHW’s will be
trained, the families will still be
2/3x1 2/3
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 Computation Actual Score Justification
1. Nature of the Problem 2/3x1 2/3 It is a health threat.
2. Modifiability of the The problem is partially
Problem modifiable in a sense that the
intervention that will be made
1/2x2 1
(public information
dissemination) result in peoples
awareness of the problem.
3. Preventive Potential Diseases be it communicable or
not can be prevented.
3/3x1 1 Especially those that is
transferred through insects or
rodents.
4. Salience of the problem 0/2 x 1 0 It is a felt problem.
Total Score 2 2/3
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 socio-
and 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. or minimize the disease.
Poor environmental sanitation 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 Community Goals and Intervention Rationale Evaluation


Nursing Problem Objectives
Malnutrition Malnutrition After 1 month of
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 and
preparation. children will be o Conduct of o To educate o School health
increased. school health the teachings
o The children nursing community were
will be able during the children conducted at
to entire stay of about the the
understand the students’ proper food elementary
the in the choices, school from
importance community. importance grades 1-6
of proper o Providing of of proper and the
nutrition. visual aids nutrition and students were
regarding the different able to
proper food food groups. participate
choices and during the
its importance discussions.
to 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 and will take the
management of the necessary
health condition, measures to
b. Lack of knowledge on prevent or o Assemble a o To know the o There
the nature and extent of properly BP booth BP status of were 15
nursing care needed. manage (Bantay Alta the hypertensi
2. Inability to utilize hypertension. Presyon) concerned ve
resources for health care o The residents. residents
due to: resident out of the
a. Failure to perceive s of the 59
the benefits of health commu residents
care, and nity o Conduct of who were
b. Inaccessibility of the will be morning o Promotes monitored.
require service. aware exercises. good body
of their circulation o The
BP. and communit
o The enhances y people
commu physical were able
nity fitness to perform
will be among the the steps
able to residents. during the
organiz exercise
e sessions.
progra
ms
concern
ing
healthy
lifestyl
e.
Problem Community Goals and Intervention Rationale Evaluation
Nursing Problem Objectives
Poor environmental Poor environmental After a week of The community
sanitation sanitation related to nursing people were able to
inadequate interventions, the learn the different
knowledge on community residents methods of proper
proper waste will be: Conduct of a Conducting a waste management
management. 1. Aware of symposium/seminar symposium to the and the possible
different (Kalinisan Kusog community will effects of improper
methods of Han Barangay: A give them baseline waste disposal to
proper waste Symposium on Solid information to health as evidenced
management Waste Management) identify ways in by making
and the proper waste suggestions to
possible management. come up with a
effects of solution to the
improper problem.
waste
disposal to
health.
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-communicable-
diseases/#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, socio-
demographic, 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, socio-
demographic 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
Alde, Apelado, Barbero, Bello, Cardeño, Casillano, Caspe, Cillo, Gayo, Geroy,
Evaluators Pandapatan,
Renalyn Pamela Claudette Wilmar Nathalie Karen Ronnavie Arlene Ireneh Giselle
(In alphabetical Jiamela A.
G. C. G. G. Jean C. Ruth C. Anne A. M. Joy A. C.
order)
Alde, Renalyn G. 4. 6 4.5 4.9 4.9 4.9 4.8 4.7 4.6 4.4 4.7
Apelado, Pamela
4.4 4.4 4.7 4.5 4.8 4.6 4.6 4.5 4.7 4.7
C.
Barbero,
4.6 4.6 4.6 4.6 4.6 4.6 4.6 4.6 4.6 4.6
Claudette G.
Bello, Wilmar G. 4.8 4.8 4.8 4.8 4.8 4.8 4.8 4.8 4.8 4.8
Cardeño,
4.5 4.5 4.5 4.5 4.5 4.5 4.5 4.5 4.5
Nathalie Jean C.
Casillano, Karen
4.5 4.5 4.5 4.7 4.6 4.5 4.5 4.5 4.5 4.5
Ruth C.
Caspe, Ronnavie
4.7 4.7 4.7 4.7 4.7 4.7 4.7 4.7 4.7 4.7
Anne A.
Cillo, Arlene M. 4.7 4.8 4.7 4.8 4.8 4.8 4.7 4.7 4.8 4.8
Gayo, Ireneh Joy
4.6 4.7 4.6 4.7 4.4 4.7 4.4 4.6 4.8 4.4
A.
Geroy, Giselle C. 4.4 5.0 4.6 4.5 4.4 5.0 4.4 5.0 4.9 4.6
Pandapatan,
5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0
Jiamela A.
Total 46.2 47.2 46.3 47.1 46.7 47.8 46.3 47.6 46.8 46.8 46.3
Average Score 4.62 4.72 4.63 4.71 4.67 4.78 4.63 4.76 4.68 4.68 4.63

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