Chapter 1

BACKGROUND AND SETTING OF THE COMMUNITY

A. Historical Background

Gawad Kalinga – Ray of Hope Village (Davao City Female Dormitory)

In 2004, through the project proposal of then Honorable Mayor Rodrigo R.

Duterte, the local government of Davao City allotted three million pesos(P3,000,000) for
the initial fencing of the Bureau of Jail Management and Penology(BJMP) female
inmate’s facility. By March 2005, the BJMP partnered with Gawad Kalinga and signed a
Memorandum of Agreement that facilitated the materialization of the Ray of Hope
Village, in association with other generous partners of such as New City Commercial
Center Cares Foundation (NCCC Cares Foundation) and Metro Davao Sports Association
(MEDSA).

In December 2006, the groundbreaking ceremony of the facility transpired with

the attendance of the respective representatives from the local government, the GK
members, NCCC Cares, and the rest of the stakeholders. After 8 months, on August 3,
2007, the Ray of Hope Village had its soft opening.

Finally, on March 3, 2008, the Phase 1 of the village was officially inaugurated
and turned-over to the BJMP personnel. This consisted of five duplex houses, or ten
cottages, with respective comfort rooms. Each cottage had windows made of steel grills
and a veranda, and was painted colorfully, with a goal of homey environment in mind.
The facility also had 2 multi-purpose rooms which served as their working area,
counseling room, classroom, music room and other rehabilitative activities during the
day. Another useful facility was the multi-purpose hall. This is where the detainees
perform their various activities such as livelihood programs, religious enhancements,
literacy program, recreational activities and medical and dental services. The area caters
big group activities. The Women Development Code of Davao City also known as the
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City Ordinance 5004 and Executive Order 24 supports the creation of this female-friendly
facility. On August 8, 2008, the Phase 2 of GK-Ray of Hope Village which composed of
another 5 duplex building, was turned over to the BJMP which was funded by MEDSA
through the initiative of Honorable Mayor Rodrigo R. Duterte.

B. Physical Description of the Area

Figure 1.1 Map of Gawad Kalinga – Ray of Hope Village, Ma-a, Davao City

2
 The GK- Ray of Hope Village is a 5400 square-meter compound located at
Telecom Reservation Area, Purok 25, Brgy. Ma-a Davao City, approximately 4
kilometers away from the city proper. It features 20 cottages, each of which is 20.25
square meters with a floor area of 405 square meters and has a capacity of 25- 30
detainees. A main gate is stationed by a 1st guard post, before entering the male and
female jail. Upon entering, there is a parking space provided for the official vehicles. A
second gate is situated on the left side, which serves as the entrance for the female
section of the jail. A guard stationed at this gate is assigned for inspection of the visitors.
A third gate is finally placed entering GK- Ray of Hope Village. Upon entering the
village, a basketball court is located on the right side while an interfaith facility is placed
on the left. A third guard is post is visible in front of the multipurpose function hall,
found at the center of the village where visitation, morning meetings, and other big group
activities are being held. Behind the function hall, is where the canteen, the bakery, the
infirmary, and the sewing areas are located. The kitchen and laundry area are found at the
back of the village, along with the 4th guard post.

C. Organizational Structure

Currently, there are 31 female jail officers rotating every 24-hour shift. The
warden supervises all the activities inside the village. She is stationed at the office near
the gate together with two administrative officers. There are three senior officers of the
day, seven escorts, and eighteen custodial officers. Each of them has their own
responsibility of keeping peace and order as well as safety and security. As of January
2018, the facility has a total of 563 female inmates. Most of the cases are involved in
drugs while others are involved in as murder, arson, illegal recruitment, theft, robbery
and parricide, child abuse, estafa and illegal possession of firearms.

3
Figure1.2 Organizational Structure
4
D. Facility Profile
a. Sports and Recreation Activities

The institution features a basketball court where they can do morning

exercises, zumba, play basketball and other sports. The facility also features a
multipurpose function hall where they can have their big group meetings,
programs, hosting a party, or other social events.

b. Education

An Alternative Learning Studies (ALS) Program is provided for qualified

and interested female detainees for the primary and secondary education students
who opt to further enrich their education. They are given lectures, quizzes and
examinations as requirements to move up and to graduate. The facility also has a
mini library for their readings.

c. Income Generation

Income generating efforts are promoted within the facility, to encourage

independence and self-reliance, such as cooking, baking and tailoring. They also
offer services like parlor, massage, manicure and pedicure and laundry to their co-
detainees, personnel and visitors. Inmates who are not allowed to get out of their
respective cottages are encouraged to participate in bag-making and wallet-
making. The money earned by the inmates may either be spent in addition to their
daily expenses in the jail or may be sent to their families outside.

d. Electricity

The Davao Light and Power Company supplies power and electricity for
the entire facility. There are also available emergency lights in cases of power
shortages and blackouts.
5
 e. Transport

In cases of medical emergencies, the facility has its own ambulance

available 24/7. Also, after securing an approval of court order, official high
security vehicles are available for transport during course cases and checkups.

f. Community Organization

The facility has established a well-organized system to avoid any conflicts

among detainees and to keep peace and order. Detainees may volunteer
themselves for certain tasks within the facility such as in cooking, cleaning and in
monitoring the sickly inmates. Each cottage has its own assigned leader and
assistant leader, chosen by the BJMP staffs. They are responsible for maintaining
harmony among the detainees within their respective cottages. However, if the
disagreement can’t be contained the BJMP staff will intervene.

E. Living Environment

a. Water Supply and Sanitation

The facility has 2 water sources, the Davao Water District and a jetmatic
pump connected to the well. The tap water from the former is used for drinking,
bathing and laundry, while the water from the later is used for watering the plants
and cleaning purposes. Only two buckets of water per day is allotted for each
detainee, one in the morning and one in the afternoon.

6
 b. Cottages

There are 2 phases of cottages. In each phase, there are 10-low cost type
cottages made out of concrete floors and walls, galvanized iron roofing and large
steel windows which provide adequate ventilation. Each cottage can house 25 to
30 detainees. Inmates sleep on either the floor or a cut out carton.

c. Wastes

Large trash bins are located in designated areas with proper labels for
segregation of waste. Wastes within their respective cottages are collected 2x a
day. These wastes are collected by the Community Environment and National
Resources Office (CENRO) twice a week for proper disposal and waste
management.

d. Psychosocial Environment

Unlike any penitentiary, the Ray of Hope Village is considered as the most
humane facility for female inmates in the Philippines. Its friendly environment
makes it unique and the inmates are called “family” and even calls each other
sisters. Also, when a visitor comes and checks their cottage, everyone would greet
the visitor as a family. Every morning, 2 cottages gather in the function hall to
have a meeting where they share a common value, sing songs and be updated with
the latest news outside the prison. The feeling of being in a prison will be erased
as they live in a colorful cottage and able to do work inside the facility.

7
F. LGU Health Programs And Services

Each inmate is allocated P5.00 per day for medicine, however this budget
may vary depending on the number of inmates and the regional BJMP budget.
The monthly budget for medications coming from the regional office is divided
depending on number and needs of the inmates. The inmates are provided with
medicines for the common illnesses such Paracetamol, carbocisteine, mefenamic
acid, etc. Though certain medications run short in the middle of the month, the
local health center provides free vitamins such as ferrous sulfate and folic acid for
every one which they can claim in the infirmary unit daily. Also, non-government
agencies tapped by the BJMP personnel may extend the provision of medicines
and other available services.

G. Health Care

One cottage is used as an infirmary to cater sick detainees. The infirmary

is where medical supplies such as oxygen tanks, first aid kits and medicines are
found. Also, another cottage is used to serve as temporary housing for those
detainees who have communicable diseases. Detainees with psychiatric history
and those who need monitoring are placed in one cottage together with the health
aids near the infirmary. There is no resident physician or psychological counsellor
available for immediate consultation. However, there are jail officers who are
registered nurses and health aid detainees assigned to cater to those who need
medical assistance. Each detainee has an Inmates Health Records (IHR) wherein
either a physician, nurse or health worker fills up upon admission of the female
inmates. These records are also used as a reference for medical and dental
missions by the doctors. However, due to lack of health care personnel,
equipment and lengthy processing of a court order, inmates with significant health
findings but calls for no emergent action, are only recorded and cannot be given
immediate medical care.

8
 Chapter II

DEMOGRAPHIC

PROFILE

A. Population Size and Composition

Population Size

Currently, there are 563 female detainees in Gawad Kalinga- Ray of Hope

Village. There are 20 duplex cottages with an ideal capacity of 10 to 15 persons

per cottage. Each cottage has an average of 25 detainees.

The group were able to gather data from 236 detainees which represent

42% of the population.

Age

Figure 2.1 Age Profile of Respondents

Out of the 236 respondents, 71 respondents are within the age range of 25

to 31 years old. There were 65 respondents are 32 to 38 years old, 30 respondents

9
are within 39 to 45 years old, 27 respondents are 18 to 24 and 46 to 52 years old

and 17 respondents are 53 to 60 years old.

Civil Status

Figure 2.2. Civil Status of Respondents

Seventy-six respondents are married, 75 respondents have common law

partners, 44 are single, 24 are divorced and 15 are widowed.

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Educational Attainment

Figure 2.3 Educational Attainment of Respondents

The majority, 76 out of 236, of the respondents are high school

graduates.59 are high school undergraduates, 44 are college undergraduates, 20

are college graduates, 13 are elementary graduates, 12 are elementary

undergraduates, 8 finished vocational courses and 2 are illiterate.

Source of Income

Figure 2.4. Source of Income of Respondents before Detention

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 Out of the 236 respondents, 79 were self-employed, 63 were housewives,

59 were employed, 44 rely on support from their family, 21 were pushing drugs,

13 were sex workers, 6 relied on benefits from the government and 1 was a theft.

B. Family Profile

Number of Children

Figure 2.5. Number of Children of Respondents

Majority, 81 out of 236, of the respondents have 1 to 2 children. 74 have 3

to 4 children, 52 have 7 to 8 children, 28 have 5 to 6 children, 12 do not have

children and 7 have 9 to 10 children.

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Family Income

Figure 2.6. Monthly Family Income of Respondents

59 of the respondents’ family are earning 1,000 to 4,999 Php per month,

49 are earning 5,000 to 9,999 Php per month, 26 are earning 10,000 to 14,999 Php

per month, 19 are earning 20,000 to 29,999 Php per month, 18 are earning 0 to

999 Php per month, 11 are earning 30,000 to 39,999 Php per month, 5 are earning

40,000 to 49,000 Php per month and 3 are earning 50,000 to 59,999 Php per

month.

13
C. Social

Status

Residence

Figure 2.7. Residence of Respondents

There are 156 respondents from Davao Region, 20 are from ARMM, 17

are from Northern Mindanao, 6 are from Central Visayas, 5 are from Caraga

Region, 4 are from SOCCSKSARGEN, 3 are from National Capital Region, 2 are

from Eastern Visayas, 1 is from Bicol Region and 1 from Zamboanga Peninsula.

Religion

14
Figure 2.8. Religion of Respondents

15
 The majority, 161 out of 236, respondents are Catholics. 52 are Islam, 5

are Born Again, 5 are Seventh Day Adventist, 4 are Baptist, 3 are Evangelical, 1

Iglesia ni Cristo, 1 Protestant and 1 UCCP.

D. Prison

History

Prison Time

Figure 2.9. Prison Time of Respondents

Majority, 118 out of 236, of the respondents are imprisoned for more than

12 months, 49 for less than 12 months and 6 for less than 1 month.

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Type of Case

Figure 2.10. Reason for Imprisonment

Majority, 103 out of 236, of the respondents are imprisoned for using

drugs, 103 for pushing drugs, 7 for theft, 4 for Estafa, 1 for murder, 1 for

kidnapping and 1 for prostitution.

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 History of Imprisonment

Figure 2.11. History of Past Imprisonment

201 of the respondents were not previously imprisoned and 11 were

previously imprisoned.

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 Chapter III

HEALTH PROFILE

A. Acute Medical Condition

The following are the acute medical condition identified by our respondents.
Assessment and diagnosis of illnesses were done prior to and during imprisonment by
health care personnel of this institution from November 2017- February 2018.

Figure 3.1. Respondents with Acute Medical Condition

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 Among the acute medical conditions, cough and colds are the identified most
prevalent illnesses experienced by the female inmates in Gawad Kalinga- Ray of Hope
Village. It was followed by fever, blurring of vision, back pain and chest pain. On the
other hand, skin discoloration, non-healing wound, hematemesis and edema were the
least prevalent acute medical conditions among the female inmates.

B. Chronic Medical Condition

Figure 3.2. Respondents with Chronic Medical Condition

Out of the 236 respondents, 146 respondents stated to have been diagnosed with
chronic medical conditions before imprisonment. Hypertension is the leading chronic
illness among the female inmates. Asthma, arthritis, allergic rhinitis, diabetes mellitus,
and heart disease are few of the chronic illnesses prevalent in the community. These
respondents were provided with their maintenance medications daily and monitored
regularly by the infirmary personnel.

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C. Obstetrical and Gynecologic

History Menarche

Figure 3.3. Age of Menarche of the Respondents

Menarche pertains to the onset of menstruation which begins during puberty.

According to Philippine National Demographic and Health Survey (2013), the mean age
of menarche among women ages 15 to 49 years is 13.1 years. Further, it stated that most
of the women had their first menstruation between 12 to 13 years old.

Among the 236 respondents, 118 respondents had their menarche between 11-13
years old, 78 respondents had it between 14-16 years old, 11 respondents has it age 8-10
years old, 9 respondents had their menarche between 17-19 years old and 20 of the
respondents are unable to recall exact menarche.

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Interval of Menstruation

Figure 3.4. Interval of Menstruation of the Respondents

A normal menstrual cycle ranges from 21 to about 35 days, with the average of 28
days. Irregular menstrual cycle can be observed when there is an abnormal variation in
length reaching eight days between the shortest and longest cycle lengths. Also, missed
menstruation, vaginal bleeding between expected menstrual periods and infrequent
menstruation are signs of menstrual irregularity.

According to the Philippine National Demographic and Health Survey (2013),

menopause is the culmination of a gradual decline in fecundity with increasing age. The
average age of menopause among women in the Philippines is 48 years old.

Figure 3.4 shows that 173 (73%) respondents have regular monthly menstruation,
38 (16%) respondents have irregular menstruation and 25 (11%) respondents undergo
menopause.

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Menstruation Duration

Figure 3.5. Menstrual Duration of Respondents

Based on the Philippine Commission on Women (2017), a menstrual period

usually lasts from 3-5 days, but some lasts for 2-7 days.

Among the 211 respondents who still have their menstruation, 113 (54%)
respondents had it for 2-4 days, 93 (44%) respondents had it for 5-7 days and 5 (2%)
respondents had their menstruation for more than 7 days.

Coitarche

Figure 3.6. Age of Coitarche of Respondents

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 Coitarche pertains to the first sexual intercourse that signals start of sexual
maturity. For women, it is the beginning of exposure to risk for childbearing. Based on
the Philippine National Demographic and Health Survey (2013),women ages 25- 49 years
had their first sexual intercourse at the median age of 21.5 years.

Figure 3.8 presents the age of coitarche of the respondents. It shows that 109
(52%) respondents had their first sexual intercourse between 16- 19 years old, 60 (29%)
respondents had it between 12- 15 years old, 27 (13%) respondents between 20-23 years
old, 9 (4%) respondents between 24-27 years old, and 5 (2%) respondents had it more
than 28 years old.

Sexual Partners

Figure 3.7. Number of Sexual Partners of Respondents

Figure 3.7 shows the number of sexual partners of respondents since engaging in
sexual intercourse. Seventy percent of the respondents claimed to have 1-3 sexual
partners in their lifetime, followed by 4-6 sexual partners with 21%, more than 10 sexual
partners with 6% and 7-10 sexual partners with 3%.

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Contraception

Figure 3.8 Method of Contraception of Respondents

According to the Philippine National Demographic and Health Survey (2013),

oral contraceptive pills (99%) are the leading modern method of contraception, followed
by male condoms (97%) and female sterilization (96%). The least utilized methods of
contraception are patch (10%) and emergency contraception (15%). Also, it is stated that
oral contraceptive pills are the most frequently utilized contraception between 20-39
years old, withdrawal is used among married women age 15-19 and female sterilization is
practiced among older women ages 40-49.

Among the 87 respondents who practices contraception, 47 (54%) respondents

uses oral contraceptive pills (OCP), 22 (25%) respondents prefers condoms, 12 (14%)
respondents uses injectable (i.e. Depo-Provera), 2 (2%) respondents had intrauterine
device (IUD) and 2 (2%) respondents undergo bilateral tubal ligation (BTL).

25
 D. Vices

Figure 3.9. Number of Respondents Who Have Vices

According to World Health Organization (2010), total recorded per capita

consumption of Filipinos is 4.6 liters of pure alcohol for those liters of pure alcohol for
those 15 years and above. Prevalence of heavy episodic drinking in males 15 years and
older is 3.5% while females is 0.3% of the entire population.

The Philippine Drug Enforcement Agency (PDEA) as of 2017 estimates that there
are 4.7 million drug users which represent 6.1% of the population aged 10-69 years.
Based on the Philippine National Demographic and Health Survey (2013), only 6
percent of women aged 15-49 are using tobacco, mostly cigarettes. Use of tobacco
gradually increases with age. Two percent of pregnant women and 4 percent of
breastfeeding women smoke cigarettes.
Among the 236 respondents, 86 (36%) respondents engaged in alcohol beverage
drinking, 73 (31%) respondents involved in illicit drug use and 71 (30%) respondents
engaged in cigarette smoking,

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E. Treatment Seeking Priority

Figure. 3.10 Treatment Seeking Priority Before Imprisonment

Figure 3.10 shows the treatment seeking priority of female inmates before
imprisonment. Seventy-six (76) respondents seek health care support from the health
centers, 63 respondents self-medicated with over-the-counter drugs, 46 respondents from
private clinic, 45 respondents from hospital, 41 respondents from traditional healer, and
34 respondents used herbal medicine.

Based on the data collected by the Philippine National Demographic and Health
Survey (2013), utilization of public medical facilities and providers (7%) is more
common than private medical providers (4%). Use of alternative medical and non-
medical providers presents less than 1%. Also, it is observed that the rural areas (12%)
have higher health seeking behavior compared with the urban areas (9%)

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F. Health Benefits

Figure3.11. Respondents with Health Benefits from the Government

Among the 236 respondents, 69 (29%) respondents claimed not to avail any
health benefits from the government. Seventy respondents availed in Philippine Health
Insurance (Philhealth), 46 respondents from Davao City- Lingap, 16 respondents from
4Ps, 14 respondents from Department of Social Welfare and Development, 13
respondents from the services of 911, and 8 respondents from PCSO.

According to Philippine National Demographic and Health Survey (2013),

PhilHealth accounts for by far the largest coverage, insuring 60 percent of the population.

28
G. Perceived Problems

Perceived Health Needs

Figure 3.12. Perceived Health Needs of the Respondents

Among the 236 respondents, scarcity of medicines for common illnesses is the
leading perceived health need identified. It is followed by lack of Healthcare provider
(i.e. doctor, nurses, health aides) with 132 respondents, lack of health monitoring of
illness with 102 respondents, and lack of health knowledge with 74 respondents.

According to Senator Ralph Recto in a press release last August 2016, an inmate’s
P1,825 yearly allowance for medicines is far greater than the P96 per capita budget of the
Department of Health (DOH) for medicines and vaccines for that year. It only shows that
BJMP inmates have been given much attention on their health concerns.

However, according to BJMP Director Serafin Baretto in a press released last

April 13, 2017, the allocated allowance for medicine for each inmate, Php 10 per day or
Php 300 per month, will eventually be insufficient to address the health issues due to the
29
increasing congestion rates in the facilities. Also, the officers and personnel in BJMP are
greatly overwhelmed by the number of prisoners, with the ratio of 1 personnel per 60
inmates, leading to lack of manpower to provide services to the inmates. (Philstar, 2017)

Perceived Non-Health Needs

Figure.3.13 Perceived Non- Health Needs of the Respondent

Among the 236 respondents, inadequate living space revealed to be the principal
perceived non-health needs of the female inmates. It is followed by lack of source of
income/ livelihood with 119 respondents, inadequate water supply with 111 respondents,
and lack of food variety supply with 107 respondents.

Based on the Bureau of Jail Management and Penology (2017), congestion rate of
the jail in the Philippines reached up to 544%. In the report, it stated the current jail
population has reached 131,530 detainees which greatly exceeds the ideal capacity of
20,399 detainees in 466 jails in the country. It has been the reason for the perceived
inadequate living space of the inmates.

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 Chapter IV
THE PROBLEM

A. Problem Identification

1. Inadequate Living Space

There are 20 cottages in the GK - Ray of Hope Village, each of which has
a floor area of 20.25 square meters and shelters a capacity of 25-35 inmates,
providing each inmate with an average of ∼0.68 square meters.
This living condition can lead to a decrease in ventilation due to crowding,
and gives multiple possibilities for infectious diseases to arise, and provides easy
transmission within the inmates inside a cottage.

2. Inadequate Water Supply

Water is the most useful natural resource which is a necessity for daily
proper hygiene. However, due to the increasing population of detainees, the
institution implements ways for water conservation, which results to entitling
each inmate with two (2) pails of water for daily bathing and laundry. Because of
this, according to 47.03% of respondents, the water supply inside the community
is inadequate.

3. Scarcity of Medicines for Common Illnesses

Medications inside the community are mostly provided by the government

and numerous generous sponsors. These supplies are located in the infirmary
which is accessible to all female inmates during certain timeframes daily. Other
inmates are also provided for by their families outside the BJMP Female Jail,
especially those who have chronic illnesses such as hypertension and diabetes
31
mellitus. However, there are also inmates whose families could not provide
medications, for both the acute and chronic illnesses they encounter. These
inmates solely depend on the supply inside the infirmary.
Scarcity occurs whenever the demand for these medications exceed the
supply. Due to inaccessibility to the outside community, inmates are forced to
wait for necessary medications and supplies, regardless of the urgency. Increased
demand also results from the increased prevalence of acute and chronic illnesses
within the community, and because of this, the situation worsens leading to
delayed treatment, increased morbidity and eventually an increase in health
complications and an increase in mortality.

4. Lack of Health Monitoring

The current situation for health monitoring inside the community is

dependent on three (3) detainees assigned at the community’s clinic. These
trustees are assigned to watch over the health of all the inmates, who have various
acute and chronic illnesses that needs monitoring of their blood pressure,
temperature, oxygen saturation, and as such. Monitoring could not occur as
desired, and is based only during designated timeframes, when inmates are
allowed to visit the infirmary, or when the trustees are permitted to roam around
and perform tasks. Therefore, as much as 43.22% of the respondents recognized
this as a community problem.

5. Lack of Food Variety and Supply

With a budget of PHP 50.00 per inmate everyday, each of them gets three
meals daily, composed of a cup of rice and a viand. 45.34% of the respondents
find this insufficient as they claim that the meal allotment cannot suffice for their
daily caloric needs.

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6. Fever

Fever signifies infection, which can rapidly spread all throughout the
community when prevention is not practiced. Inmates recognize this as a problem,
especially as an increasing number of cases of fever appear to affect them. The
failure to prevent and control the source of fever may lead to worsening of acute
illnesses and may possibly result to an increase in morbidity.

7. Lack of Healthcare Providers

The three (3) detainees assigned at the infirmary are referred to as trustees.
They help with watching over the overall health of all inmates, manage acute
illnesses with basic over-the-counter medications, help with maintainance
medications of those with chronic illnesses, and assure healthy wellbeing of each
inmate. With the increasing population of 563, each of these trustees are basically
tasked to watch over the healthy wellbeing of ∼188 inmates. The lack of
workforce with the limited skills these trustees are able to perform contribute as
factors to the 55.93% of respondents who believe that the weight of this problem
needs to be addressed.

8. Lack of Source of Income/Livelihood

The community offers multiple ways to have a source of income or a mere

monthly allowance inside th BJMP Female Jail. The inmates are encouraged to
make use of their talents while inside, contributing to the community as well.
Those who are skilled in the kitchen are automatically assigned to prepare daily
meals for both inmates and jail officers. Currently, there are three (3) seamstresses
who accept orders from inside and outside the community, giving them the
chance to earn even just a little. The main source of income or livelihood inside
the community are their works of art. Inmates have drawings, artworks, purses
and bags of different sizes made out of ropes and sell them to those within and
33
 outside the community for affordable prices. However, these products can barely
reach a lot of potential buyers due to the lack of marketing.

9. Cough/Colds

There is an increasing number of cases of those who have cough and colds
inside the community. 46.19% of the respondents recognize this as a problem and
believe interventions must be done. The prevention of its easy transmission seems
impossible as the crowded living conditions continue. Its worsening and severity
are then inevitable, resulting to an increase in morbidity.

10. Lack of Health Knowledge/Teaching

Detainees have the opportunity of learning inside BJMP. They have daily
morning meetings composed of their therapeutic community sessions wherein
they get to interact and learn about each other, and have the chance to take
courses such as Information Technology and Agriculture being offered to those
who wish to expand their education. However, the amount of information does
not suffice to contribute to the community’s healthy wellbeing. The inmates
believe that being knowledgeable about common acute and chronic illnesses will
be able to help them recognize the importance of medications and actions taken
on avoiding and managing these.

B. Problem Prioritization

The problems stated are gathered from the questionnaires sent out to 236 inmates.
These inmates recognized different problems, health and non-health related, namely
scarcity of medicines for common illnesses, lack of healthcare providers, inadequate
living space, lack of source of income/ livelihood, inadequate water supply, lack of food
variety and supply, cough and colds, lack of health monitoring, lack of health
knowledge/teaching, and fever, as ranked from the most recognized to the least. These
34
problems were then ranked by cottage leaders based on four (4) different variables:
magnitude of the problem, vulnerability to change, presence of existing health policies
and social concern. After being scored based on these variables, they are ranked from the
most to the least prioritized. The top rank would show the main problem of the
community, as needed to be immediately addressed.

The top two (2) problems prioritized are inadequacy of living space and
inadequacy of water supply, respectively. Aside from being perceived as non-health
needs in the community, the health sector could only minimally contribute to these
problems. Therefore, scarcity of medicines for common illnesses, as ranked third among
the ten (10) problems, and first among all perceived health needs identified in the
community, will be addressed by the health sector. The problems are summarized on
Table 1.

Table 1. Problem Prioritization among Detainees in the GK - Ray of Hope Village

Existing
Social
Problem Magnitude Vulnerability Health Total Rank
Concern
Policies
Inadequate
Living Space 1 1 1 1 4 1
(50.85%)
Inadequate
Water
2 3 2 3 10 2
Supply
(47.03%)
Scarcity of
Medicines
for Common 5 2 3 2 12 3
Illnesses
(64.41%)
Lack of
Health
3 4 7 4 18 4
Monitoring
(43.22%)
Lack of Food
Variety and 4 6 5 5 20 5
Supply
35
 (45.34%)
Fever
8 7 4 10 29 6
(29.24%)
Lack of
Healthcare
9 5 10 6 30 7
Providers
(55.93%)
Lack of
Source of
Income/ 6 9 9 7 31 8
Livelihood
(50.42%)
Cough and
Colds 7 8 8 8 31 9
(46.19%)
Lack of
Health
Knowledge/ 10 10 6 9 35 10
Teaching
(31.36%)

36
 Increase mortality
C. Problem Tree Analysis
Effects

Increase morbidity Increase health complications

Delayed treatment
Increase prevalence of acute illnesses

SCARCITY OF MEDICINES FOR COMMON ILLNESSES

Main Problem
Increase number of acutely-ill inmates

Increase demand of
medications

Inaccessibility of medications Poor hygiene

Lack of nutrition

Lack of knowledge of Inadequate living space

Poor health care
alternative support
treatment
Core Problems Inadequate water supply 36

Figure 4.1. Problem Tree Analysis

 The scarcity of medicines for common illnesses may be caused by several factors
found within the community that individually contribute to the main problem. One of the
core problems identified is the lack of knowledge of alternative treatment. This can
eventually lead to poor health care support, which comprises of the lack of training
provided to the trustees inside the community. Because of this, there will be
inaccessibility of medications and thus, scarcity of medicines for common illnesses.

Other core problems identified are inadequate water supply and inadequate living
space. These are problems identified and ranked by the community as the top priorities
that could also lead to scarcity of medications. Together, they contribute to improper
hygiene practiced by the inmates. This occurs as there is easy transmission among
inmates with the current living condition, and the inadequate water supply limits the
detainees from performing proper hygienic practices which could prevent the rise and
avoid the spread of various illnesses present in the community.

Another core problem identified is lack of nutrition. The overall wellbeing of a

person should first of all be guaranteed to be able to avoid the easy transmission of
diseases and thus decreasing the number of inmates affected by various illnesses.
However, due to the insufficient daily caloric intake, and the lack of variety of food that
could contribute to health, detainees then are more susceptible to common diseases,
increasing the demand for medicines and thus leading to its scarcity in the community.

The community’s scarcity of medicines for common illnesses identifies three (3)
immediate effects. The first possible effect is the increase in morbidity. An increase in the
morbidity means because of the initial illness that could not be addressed appropriately, it
is inevitable for the disease to progress, to worsen, and eventually lead to an increase in
mortality. The second effect is delayed treatment. The longer a disease has to wait to be
treated, the sooner it will open to health complications which, if not acted upon, will lead
to an increase in mortality. Another effect will be the increase in the prevalence of the
diseases. As a certain illness could not be addressed and managed, there will be the
37
possibility of easy transmission, owing to the improper hygienic practices, and thus an
increase in the prevalence of the untreated diseases, with the worst outcome of an
increase in mortality in the community.

D. Analysis of Cause

The core problems identified that caused the scarcity of medicines for common
illnesses in the community can be subdivided based on whether these may be addressed
by health or non-health sectors of the community.

Table 2. Causes that can be addressed by the health sector and other sectors

Health Sector Other Sectors

Lack of knowledge of alternative treatment Inadequate water supply

Poor hygiene Inadequate living space

Lack of nutrition Inaccessibility of medications

Poor health care support

Increase demand of medications

Increase number of acutely-ill inmates

These core problems may also be differentiated and classified under causes that
can be addressed over a short period of time, and those that can be addressed during a
long period of time.

38
Table 3. Causes that can be addressed in short term or long term

Short Term Long Term

Poor health care support Inadequate water supply

Lack of knowledge of alternative treatment Inadequate living space

Poor hygiene Lack of nutrition

Inaccessibility of medications

Increase demand of medications

Increase number of acutely-ill inmates

39
 Decrease mortality

E. Objective Tree
Decrease health complications

Effects
Decrease morbidity
Timely treatment Decrease prevalence of
acute illnesses

Main Problem SUFFICIENT MEDICINES FOR

COMMON ILLNESSES

Decrease demand of medications

Accessibility of medications
Core Problems Extensive health care support
Decrease number of acutely ill inmates
Good hygiene
Adequate nutrition

Adequate knowledge on
alternative treatment
Adequate water supply Adequate living space 40

Figure 4.2. Objective Tree

 Chapter V
HEALTH ACTION PLAN

A. Title: “Dagdagan-Dagdagan, Wag Bawasan!”

B. Problem: Scarcity of Medicines for Common Illnesses
C. Rationale

Scarcity of essential medicines have been reported from high-, middle- and low-
income countries. They are expensive for health systems to manage, causing additional
costs for replacement of medicines and absorbing significant staff time. Medicine
shortages pose risks for patient health as a result of non-treatment, under-treatment and
possible medication errors from attempts to substitute missing medicines. While
medicine shortages are not a new phenomenon, they have been increasing in recent years
prompting international concern about long-term supply of key medicines
Inaccessibility, lack of knowledge about the alternative medicine, as well as the lack
of clinically trained health care personnel in assessing acutely-ill inmates leads to an
increase in numbers of sick inmates, hence, the increase in demand and decrease in
supply of medicine.
To address this phenomenon, basic training for the health care personnel in the
community, providing knowledge about the approved herbal medicines by the
Department of Health, and conducting lectures of the process of making and its
appropriate use may be effective solutions.

D. General Objective

To address the Scarcity of medicines for common illnesses among female inmates
of Gawad Kalinga Ray of Hoppe Village, Bureu of Jail Management and Penology
(BJMP), Maa, Davao City.

41
E. Specific Objectives

1. To conduct an organized Medical mission among the female inmates of Gawad

Kalinga Ray of Hope Village, BJMP, Maa, Davao City which contains:
a. Free consultation, and
b. Free medication;
2. To impart knowledge and training among the health care personnel detainees of Gawad
Kalinga Ray of Hope Village, BJMP, Maa, Davao City through health education,
workshops and booklets on:
a. CPG guidelines for health aid personnel, and
b. Prevention and treatment of common illnesses;
3. To demonstrate and impart knowledge to female inmates about the alternative and
cost-effective approved herbal medicinal plants by the Department of Health, such as
Lagundi syrup.

42
F. Activity Matrix

Table 4. Activity Matrix

Causes of Objectively
Time Materials Persons
Core Objectives Activities Target Verifiable
Frame Needed Responsible
Problem indicator

Lack of -To impart - Lectures -All 20 March -PowerPoint -Medical -All 20

knowledge of knowledge on cottage 7-9, presentation Clerks cottage l
alternative about alternative health aids 2018 -LCD projector -All cottage health aids, 3
treatment -Informational
alternative medicine -3 health aids infirmary
medicine infirmary pictures -Infirmary personnel and
-Lagundi personnel -videos about Personnel 1 BJMP
-To teach and syrup -1 BJMP herbal -BJMP health
demonstrate making health medicine personnel personnel
how to personnel -chopped participated
prepare Lagundi leaves on the lecture
Lagundi -1kg brown about
syrup for Sugar alternative
cough -Butane Burner medicine.
-Cooking Pot
-basin

43
 -To plant -Lagundi -Medicine -Can
Lagundi to be planting bottles with participate
available and caps and return
accessible -Booklet demonstrate
within the how to make
facility. Lagundi
syrup based
-To create -Provide a on the
guidelines for booklet on instructional
appropriate proper use videos.
alternative and -Can plant
(herbal) preparation Lagundi
medication of within the
use and alternative facility.
preparation (herbal)
for common medication
illnesses in
the
community

Increased To provide To conduct Selected March -Free -Medical -Selected

Demand of free a Medical inmates 26-28, Medications clerks inmates
Medication consultation Mission in with 2018 -Manpower -Medical participates
and supply of the existing Doctors on the
proper community health -Infirmary medical
medications complaints Personnel mission

44
 -BJMP
personnel

Lack of To increase -Lectures -563 March -PowerPoint -Medical -563 inmates

Knowledge knowledge on common inmates 7-9, presentation Clerks participate on
about the and illnesses 2018 -LCD projector -All cottage the lectures
common awareness and its -Informational leaders about Proper
illness in the about the preventive pictures -Infirmary hygiene
community common measures. -videos about Personnel composing of
illnesses in basic hygiene -BJMP Hand washing
the techniques personnel and
community Feminine
hygiene

-Can
participate
and answer
questions
after the
lecture.

45
Poor Health To train -1 session - All 20 March - PowerPoint -Medical - All cottage
Care Support healthcare training for cottage 15-16, presentation Clerks health aids
personnel the health 2018 -LCD projector -All cottage can
among the healthcare aids health aids participate
inmates personnel. -3 -Booklet on -Infirmary during the
infirmary health Personnel training
personnel guidelines -BJMP
personnel -Can ask and
answer
questions
after the
training.

46
 Appendix A

Davao Medical School Foundation

Department of Community and Family Health Medicine
Community Medicine IV

February 21, 2018

JSSPT AMELIA A. RAYANDAYAN, Ed.D. RPsy

Jail Senior Superintendent
Regional Director
BJMPRO-XI

RE: Permission to Conduct Survey

Dear JSSPT Rayandayan,

Greetings of Peace!

We, the fourth year medical clerks from Davao Medical School Foundation-College of Medicine
under the direct supervision of Medical Officer, Dr. Carmela Jocelyn V. Cunanan, are assigned in your
institution, Davao City Female Jail- Ray of Hope Village for our community medicine exposure from
February 19, 2018 to April 8, 2018.

In view hereof, we are asking for permission to be allowed us to conduct a survey within your
institution. The major respondents for the survey would be the female detainees. We will assure you that
all the data gathered will be held confidential and will be used for academic purposes only. The data that
will be collected will be used to analyze the overall health status of your facility, to identify potential
health necessities and to implement a realistic and effective health action plan within our visit in your
institution.

Thank you for your understanding.

Respectfully yours,

Jerille Gay H. Gonzales

Jinky P. Guilonsod

Shahira D. Julkani

Alyanna Katrizia Kasilag

Grace Stephanie F. Luna

Approved by:

Dr. Carmela Jocelyn V. Cunanan

Medical Officer

47
 Appendix B

Davao Medical School Foundation

Department of Community and Family Health Medicine
Community Medicine IV

Consent Form

I, of legal age, a detainee of the Bureau of Jail Management and

Penology, understand that I am being asked to participate in a survey/questionnaire activity that
will be conducted by the Medical Clerks from Davao Medical School Foundation, Inc. This
activity is part of the course requirement in Community Medicine aimed to gather information
regarding health issues in our community.

I understand that the results of this activity will be used exclusively for the said research and
none of the information I provide will be published in any form, in any journals or conference
proceedings.

I also understand that there are no risks involved in participating in this activity, beyond those
risks experienced in everyday life.

I have read the information above. By signing below and returning this form, I am consenting to
participate in this survey/questionnaire project as designed by the Medical Clerks from Davao
Medical School Foundation, Inc.

Ako, , nasa legal na edad, isang “detainee” sa Bureau of Jail

Management and Penology. Nauunawaan ko na pinapasali ako sa isang sarbey na ginagawa ng
mga Medical Clerks mula sa Davao Medical School Foundation, Inc. Ang aktibidad na ito ay
sang-ayong sa kinakailangan sa “Community Medicine” para makalikom ng impormasyon sa
mga problemang pangkalusugan sa aming komunidad.
Naunawaan ko na lahat ng resulta na magmumula sa aktibidad na ito ay hindi malalathala sa
anumang paraan, talaarawan o pagpupulong.
Nabasa ko lahat ng impormasyong nakasulat sa itaas. Ang pagpirma at pagbalik ng pormang ito
ay nagpapahiwatig ng aking pagpayag sa pagsali sa aktibidad na ginagawa ng Medical Clerks
mula Davao Medical School Foundation, Inc.

Participant name: _
Signature:
Date:

48
 Appendix C

Davao Medical School Foundation

Department of Community and Family Health Medicine
Community Medicine IV

Community Survey Questionnaire

(Baseline Data)

Pangalan (Optional):
Numero ng Cottage:
Petsa ng Survey:

Panuto: Punan ng kasagutan ang mga patlang. Para sa mga tanong na may pagpipilian o
may “Oo” o “Hindi”, bilugan lamang ang iyong sagot. Para sa tanong na may saknong
“( )”, lagyan lamang ito ng tsek (/), ang inyong sagot. Kung wala sa mga pagpipilian,
maaaring isulat ang iyong sagot sa loob ng kahon o sa gilid ng papel. Maaari ding
magkaroon ng maraming sagot sa isang katanungan na kung saan ay nangangailangan ng
maramihang sagot. Paalala lamang na kailangang sagutan ang lahat ng mga katanungan.
Kung hindi sigurado, maaaring isagot ang “wala”, hindi na maalala” o “hindi sigurado”.
Sisiguraduhin namin na ang aming impormasyong makakalap ay kumpidensyal o walang
ibang makakaalam at gagamitin lamang ang mga ito sa layuning pang-edukasyon.

Section 1. Demographic Profile

1. Edad:
2. Relihiyon:
3. Tribo:
4. Probinsyang pinanggalingan:
5. Linggwahe:
6. Pinakamataas na antas sa pag-aaral
( ) Elementary undergraduate
( ) Elementary graduate
( ) High School undergraduate
( ) High School graduate
( ) College undergraduate
( ) College graduate
( ) Vocational Course
( ) Hindi nakapag-aral
Iba pa (Pakitukoy):

49
 7. Civil Status

( ) Walang Asawa ( ) May Asawa ( ) Hiwalay

( ) Biyuda ( ) Ka-live in

8. Bilang ng anak:

9. Kasarian (Gender Identity): ( ) Babae ( ) Bisexual

( ) Transgender

Section 2. Socio-Economic Status

2.1 Ano ang pinagkakakitaan bago nakulong? Lagyan ng tsek (/). Pwedeng magkaroon
ng maraming sagot.

Nagtatrabaho Sa bahay lang

May pansariling kalakaran Nagbebenta ng bawal na

(Self-employed) gamot

Benepsiyo/ pensyon Sex worker

Suporta galing sa pamilya Pagnanakaw

At iba pa (pakitukoy):

2.2 Kita sa isang buwan ng pamilya: (Lagyan ng tsek)

P 0-999 P 20,000-29,999

P1,000-4,999 P30,000-39,999

P5,000- 9,999 P40,000- 49,999

P10,000- 14,999 P50,000-59,999

At mahigit pa
P15,000 – 19,999 (pakitukoy):

50
 2.3 Sariling kita sa isang buwan / allowance: (Lagyan ng tsek)

P 0-499 P 2,000-2,499

P500-999 P2,500-2,999

P1,000-1,499 P3,000-3,499
At mahigit pa
P1,500-1,999 (pakitukoy):

2.4 Economic Status

2.3.1 Ari-arian
Lupa

Bahay

Kasangkapan (TV,
Refrigerator, Aircon,
atbp.)

Hayop o pet

Iba pa (pakitukoy):

2.5 Pribilehiyo

Pensyon sa
pagretiro Scholarship
4 P’s (Pantawid
Pensyon sa Pamilyang

pagkabiyuda Pilipino Program)

Benepisyo dahil sa Iba pa (pakitukoy):

kapansanan

Utang sa gobyerno

51
 Section 3. Prison History

Lagyan ng tsek ang iyong sagot. Maaaring magkaroon ng maraming sagot at ilagay o isulat
sa tabi kung wala sa pagpipilian.

3.1 Tagal ng pagkakakulong:

( ) 1-29 days ( ) 1 month- < 12months ( ) > 12 months

3.2 Uri ng kaso sa kasalukuyan

Nagbebenta ng bawal na Paggamit ng bawal na Panloloko

gamut gamot

Pagpatay Nangidnap Iba pa (pakitukoy):

Pagnanakaw Prostitusyon

3.3. Nakulong ka na ba dati? ( ) Oo ( ) Hindi

Kung nakulong na dati, ano ang rason?

Nagbebenta ng bawal na Paggamit ng bawal na Panloloko

gamut gamot

Pagpatay Nangidnap Iba pa (pakitukoy):

Pagnanakaw Prostitusyon

Section 4. Living Environment

4.1 Ilan kayo naninirahan sa isang cottage:

( ) 1-10 ( ) 11-20 ( )21-30

4.2 Ilang beses kayo naglilinis ng cottage araw-araw:

( ) 1x ( ) 2x ( ) 3x ( ) 4x
( ) Higit pa, (pakitukoy):

52
4.3 Ilang beses kayo naglilinis ng palikuran sa isang araw?

( )1x ( )2x ( )3x ( )4x ( ) Higit pa, (pakitukoy):

4.4 Anong oras kayo madalas natutulog tuwing gabi?

4.5 Ilang beses kinokolekta ang basura araw-araw?

4.6 Ano ang inyong tinutulugan?

( ) sahig ( ) banig ( ) karton ( ) kama ( ) kutson

4.7 May alagang hayop? ( ) Meron ( ) Wala

Kung meron, ( ) Aso ( ) Pusa ( ) Manok

Iba pa, pakiyukoy:

Section 5. Health Profile

5.1 Nutrisyon.
Alin sa mga sumusunod ang kinakain araw-araw? Lagyan ng tsek (/).
Pwedeng magkaroon ng maraming sagot.

( ) Almusal ( ) Meryenda sa umaga

( ) Pananghalian ( ) Meryenda sa hapon

( ) Panghapunan ( ) Meryenda sa gabi

5.2 Women’s Health Assessment:

Gynecologic Profile:

Edad noong unang regla:

Edad noong nag menopause:
Regular o hindi regular ang pag regla:
Ilang araw ang pagregla:
Edad noong unang pakikipagtalik:
Bilang ng “sexual partners”
Gumagamit ba ng kontrasepsiyon? ( ) Oo ( ) Hindi
Kung oo, pakitukoy ito:
Nagkaroon ka ba sakit na nakukuha sa pakikipagtalik o STI (Sexually
Transmitted Infection)? ( ) Oo ( ) Hindi

53
 Kung oo, pakitukoy:
Napagamot ba ito? ( ) Oo ( ) Hindi
Paano ito ipinagamot?
Ilang buwan ang natapos na gamutan:

OB History:

Ilang beses ka ng nabuntis? _

Matagumpay mo bang nailuwal lahat?
Nakunan ka ba sa iyong pagbubuntis?
May komplikasyon ka ba sa iyong pagbubuntis?
Buhay ba ang lahat ng iyong mga anak ngayon?
Bilang ng lahat ng ipinanganak:

5.3 Morbidity/Illnesses (Past and Present, Year)

5.3.1 May mga Iniinom ka ba na gamot sa kasalukuyan: Meron o Wala

Pangalan ng gamot: _
Ilang beses sa isang araw:
Ilang buwan o taon ng iniinom:

5.3.2 Allergies sa pagkain at gamot:

5.3.3 Mga sakit noon sa nakalipas na 3-5 taon :

5.3.4 Operasyon:
5.3.5 Adult vaccination:
5.3.6 Nagkaroon ka ba ng Tuberculosis noon ( ) Oo ( ) Hindi
Kung oo, pinagamot ba ito? ( ) Oo ( ) Hindi
Ilang buwan ang natapos na gamutan:

5.4 Causes of Morbidity

Nagkasakit ka ba ngayong taon or nakalipas na

isang taon? Oo Hindi
Kung oo, anu-ano ang mga ito?
Na ospital ka na ba? Oo Hindi
Kung oo, ano ang dahilan?
May nalalaman ka bang programang
pangkalusugan ng gobyerno? Oo Hindi
Kung oo, anong programa?

54
 Nakatanggap ka na ba ng benipisyo mula sa mga
programang pangkalusugan ng ating Oo Hindi
gobyerno?
Kung oo, ano-ano ang mga ito?

( ) Philhealth Card
( ) “Lingap sa Mahirap”
Program
( ) PCSO Medical Support
( ) DSWD Medical
Support
( ) CCT / 4P’s
( ) 911 Ambulance Service
( ) Iba pa (pakitukoy):

5.5 Review of Systems

Lagyan ng tsek ( / ) kung nakaranas ka ng mga sintomas na nabanggit sa

baba sa nakalipas na 3 buwan (huwag nang ilagay kung ito ay sobra sa 3 buwan).
Pwedeng magkaroon ng maraming sagot.

5.5.1 Acute Medical Illness

Mga sintomas Mga sintomas

Pagbawas ng timbang Ubo/Sipon

sa isang taon

Pagdagdag ng timbang Pagsusuka ng dugo

Lagnat Asthma

Panginginig o chills Pagsusuka

Pagpapawis sa gabi Naduduwal (Nausea)

Madaling mapagod Pagdumi na may kasamang dugo

55
Panghihina Pagdumi na kulay itim

Panglalabo ng mata Pananakit ng tiyan

Pagkabingi Pagtatae

Pamamaos Pananakit ng likod

Sinusitis Masakit umihi

Pagdurugo ng ilong Pag-iihi ng madalas

Kulani (Lymphadenopathy) Nahihirapan magbawas

Paninikip ng dibdib Laging uhaw

Pamamanas Rashes

Palpitation Skin discoloration

Nahihirapan huminga Sugat sa kahit anong

parte ng katawan

56
5.5.2 Mga sakit na nasuri na ng doktor (Chronic Medical Illness)

Hypertension (Altapresyon o
highblood) Skin diseases (sakit sa balat)
Diabetes Mellitus Hepatitis B

Asthma Heart Diseases (sakit sa puso)

Hypercholesterolemia
Arthritis (mataas ang kolesterol)

Tuberculosis Liver Diseases (sakit sa atay)

Cancer Stroke
Goiter Epilepsy
Mental Illness (sakit sa pag
Kidney Diseases (sakit sa bato) iisip)

Allergic Rhinitis At iba pa (pakitukoy):

5.6 Mga posibleng dahilan na nagdudulot ng problemang pangkalusugan

( ) Mga sakit na namamana sa pamilya.

Lagyan ng tsek (/) ang mga sakit sa inyong pamilya. Pwede magkaroon ng
maraming sagot at maglagay kung wala sa pagpipilian.

Hypertension Thyroid Disease Psychiatric Diseases

Diabetes mellitus Cancer Iba pa (pakitukoy):

Asthma Cardiac Diseases

( ) Paninigarilyo Piraso kada araw:

Ilang taon ng naninigarilyo: _
( ) Pag-inom ng alak Uri ng alak: _
Bilang ng bote kada buwan
( ) Paggamit ng bawal na gamot
( ) Mga trabahong nakakapagdulot ng stress

57
 ( ) At iba pa (pakitukoy):

5.7 Kung masama ang pakiramdam o nagkakasakit, saan ka unang

pumupunta? ( ) Manghihilot/ Traditional healer
( ) Sariling medikasyon
( ) Herbal na gamot
( ) Health Center
( ) Pribadong Klinika
( ) Ospital

5.8 Sa tingin ninyo, ano ang mga pangangailangang pang-kalusugan sa inyong

lugar?
( ) Medical supply (Kagamitang medikal)
( ) Healthcare provider (Doktor, nars, atbp.)
( ) Health teaching
( ) Health monitoring
( ) Iba pa, pakitukoy :

5.9. Sa tingin ninyo, ano ang iba pang pangangailangan ninyo maliban sa natukoy
sa paunang numero?
( ) Lugar na matutulugan
( ) Sapat na patubig
( ) Food variety/ Sari-saring pagkain
( ) Pangkabuhayan
( ) Iba pa, pakitukoy :

5.10 Mga kailangan ng cottage kapag kalusugan ang binabanggit. Pwedeng

magkaroon ng maraming sagot.

1.
2.
3.

58