Community Assessment and Diagnosis

Brgy. Inosluban,Lipa City

CORTEZ,JONATHAN AARON M.
BSN 2025
 TABLE OF CONTENTS

I. Introduction

II. Objectives

III. History of the Barangay

IV. Barangay Topography

V. Barangay Organizational Chart

VI. Barangay Health Center Organizational Chart

VII. Barangay Spot Map

VIII. Multifactorial Phenomena

IX. Morbidity and Mortality Rates

X. Priority Setting

XI. Community Care Plan

XII. Appendix

Barangay Profile
 INTRODUCTION

Community Health Nursing 2 (CHN 2) is a specialized field in nursing that aims to

enhance the health of people in the communities.It involves interacting with the
members of the community. Specifically it involves preventive care,health education,
and collaboration with local organizations to promote well-being and address health
inequalities.

Community assessment is a comprehensive process that involves examining various

aspects of a particular community such as its demographics,resources and health
needs. This assessment is necessary to identify the community's advantages and
limitations, with this it gives us the proper interventions and strategies to improve the
community

Community Diagnosis involves identifying the specific health needs and problems
within the community through a systematic assessment. This process includes
gathering information on the specific community in order to understand the community
problem, health issues and their underlying causes. The findings or the information
collected is used to create interventions and actions that target the identified health
issues,aiming to enhance the general well-being of the community.

This task will assist barangay officials in establishing guidelines to tackle the recognized
health issues and enhance the overall health conditions of the community. For the
residents, it will provide awareness and valuable knowledge about their present health
status and prevailing circumstances.
 OBJECTIVES

General Objectives:

The goal of this study is to provide an overview of the health conditions in Barangay
Inosluban, situated in the city of Lipa, by conducting a thorough evaluation and analysis
of the community's health profile.

Specific Objectives:

This Community Assessment and Diagnosis intends to achieve the following specific
objectives:

•To identify health issues that requires highest priority and need to be treated with
utmost urgency
• To identify the morbidity and mortality cases in the barangay.
• Develop a comprehensive care plan for each identified issue within the community.
• To further improve the community
 HISTORY OF THE BARANGAY

Before becoming a formidable barangay, Inosluban was home to just a handful of

people who mainly farmed various crops such as rice, coffee, corn, sugarcane, pepper,

and more. As time passed, more folks found the place, and since the land was fertile,

business people got involved in its development, turning it into a thriving community.

Barangay Inosluban is considered to be one of the biggest barangay out of all 72

barangays in Lipa City,Batangas. Among all the existing subdivisions in Inosloban that

are highly patronized and well-established, St joseph is known as the most popular and

oldest subdivision standing in the area. Moreover, the first semiconductor industry in

Lipa takes place in Inosluban which is PKI(Philippines Kyohritsu Inc..). For the history of

the barangay it was stated by the elders that it comes from a tragedy that happened to

one of the natives named “Ines”. She was robbed and the people shouted the phrase

“Si Ines,nilooban!”. The phrase later became “Inosluban” which is the name used now.
 BARANGAY TOPOGRAPHY

Brgy. Inosluban is situated in the northern part of Lipa City, atop the highlands of
Batangas Province. It is bordered by Barangay Bugtong na Pulo to the north, Barangay
Lumbang to the east, Barangay Pusil to the west, and Barangay Marawoy to the south.
Inosluban is conveniently close to the popular Sm Lipa, only a 10-minute drive away,
and approximately 1 kilometer from the Lipa City Hall. There's also an expressway
nearby that leads to Levitown, where you can find a Public Market and a small night
market. This expressway also connects to Fiesta Mall and the Floral Memorial Garden
cemetery.

Land Area and Land Use Pattern of Barangay Inosluban

Land Area : 642.858 hectares

Land Use Pattern:

Residential : 75%
Agricultural : 2%
Commercial : 23%
 BARANGAY ORGANIZATIONAL CHART

Old Barangay Organizational Chart

In the previous organizational chart of Brgy. Inosluban, Hon. Miguel L. Olgado served as
the Barangay Captain, leading a team of seven Kagawad members: Elena B. Aguilera,
Merlita P. Garcia, Felix A. Magcawas, Virgilio M. Olan, Omar M. Cabrera, Prescila M.
Manalo, and Marcos V. Magtibay.

For the Sangguniang Kabataan (SK), Roldan M. Mitra held the position of Chairperson,
supported by seven SK Kagawad members: Angelika Mae Castillo, Jasper B. De
Torres, Mary Rose M. Aberia, Maria Elysa Daria C. Llanes, Emiel Bernadeth S. Abello,
Karl Anthony A. Pacaco, and Kenneth M. Briagas. Additionally, Justine Gaylle V. Lit
served as the SK Secretary, while Debbie Vanessa S. Lasac acted as the SK Treasurer.
Recent Barangay Organizational Chart
Following the recent election, Hon. Miguel Olgado retained his position as Barangay
Captain of Inosluban. Assisting him are seven barangay councilors: Hon. Merlita Garcia,
Hon. Elena Aguilera, Hon. Felix Magcawas, Hon. Jericho Dumlao, Hon. Omar Cabrera,
and Nestor Balita. Together, they handle tasks such as creating local laws, representing
the community, joining committees, and providing public services.

In addition, Hon. Ashlie Nicole Gonzales was elected as the SK Chairman. She leads a
team of seven SK Councilors: Faye Abueg, Gemma Marquez, Jean Michelle Maoirat,
Lawrence Macahia, Gian Carlo Barairo, and Mylene Joycee Calise. Their focus is on
youth-related matters within the barangay.

With that being stated they are committed to enhancing the welfare of Barangay
Inosluban. Through collaborative efforts, they aim to enact positive changes, address
community needs, and foster a better living environment for all residents.
BARANGAY HEALTH CENTER ORGANIZATIONAL CHART
The Health Center of Barangay Inosluban is staffed by several workers and officials. Dr.
Madonna N. Suan serves as the medical officer, responsible for organizing health
education initiatives and overseeing the community's medical documentation.Nurse
Amy L. Cuenca and Nurse Elsa K. Gutierrez work under her. Additionally, Midwife Mary
Ann K. Manalo, whom we interviewed, provides us with the data for our barangay.. Next
is the Barangay Health Workers(BHW) which consists of Marilyn B. Latina,Juliet
M.Libao,Evelyn M. Macahia,Lolita K Mercado,Hermina G. Jaralve,Elena C
Llanes,Rosemarie K Canas,Rowerna M, Mercado,Nancy S Lasac,Esperanza S
Olan,Janine R Cuenca and lastly is Chink M. Marquez teaches people about health,
and helps connect residents with health care places. They play a big part in making the
community healthier. And Lastly is the Barangay Nutrition Scholar which consists of
Concepion O Rosales,Emelina C Rogado and Liezel B Latayan. They assess and
educate the community on proper nutrition.

All of them function as the barangay's frontline responders, addressing residents'

immediate health needs and promoting overall well-being while preventing diseases
within the community
 BARANGAY SPOT MAP

Barangay Inosluban in the highlands of Batangas Province spans 642.858 hectares.

Residential areas cover 75%, Agricultural land is 2%, Commercial zones make up 23%,
and there is no idle land. The barangay is linked to neighboring barangays in Lipa
through an expressway, offering convenience but causing traffic congestion in specific
areas due to its connection to the main road.

Barangay Inosluban's population consists of diverse age groups: 952 aged 0-5, 2,901
aged 6-17, 6,458 aged 18-59, 1,003 aged 60-80, and 55 individuals aged 81 and above.
There are 2,302 households, 131 disabled persons, 1,058 senior citizens, and a total of
2,872 families in the barangay.
 MULTIFACTORIAL PHENOMENA

A. POLITICAL FACTORS

The political atmosphere in the barangay remains peaceful and devoid of

controversy. While differing opinions and party affiliations surface during
elections, there exists a strong culture of respect for each individual's voting
choices. The Barangay Peace and Order Committee, along with the Barangay
Police Force and Lupong Tagapamayapa, work in conjunction with the Barangay
Officials to ensure the maintenance of peace. Currently, upholding peace and
order does not impede the barangay's progress.The execution of plans will be
the exclusive responsibility of the barangay, led by Punong Barangay Miguel L.
Olgado, with input from the Sangguniang Barangay members and other
functionaries, fostering a closer relationship between the youth and adults
through collaborative efforts. The community's objectives revolve around
enhancing infrastructure, agriculture, and livelihood projects to bolster overall
development.There is also an active participation on the part of the community to
further ensure the continued progress of the Barangay.

B. SOCIO-CULTURAL FACTORS

As per the barangay officials, the population composition of Barangay Inosluban

comprises 88 percent Roman Catholic, 10 percent Iglesia ni Cristo, and 2
percent Baptist. The barangay observes its annual feast on the 1st of May, with
community members actively preparing various dishes for anticipated visitors.
Festivities include organized programs by barangay officials, featuring small
concerts, games, and vibrant decorations. Moreover, street performances by
bands and carnival attractions add to the celebratory atmosphere.
C. ECONOMIC FACTORS

Inosluban, one of Lipa's largest barangays, offers abundant job opportunities.

Numerous subdivisions and the PKI contribute to employment, fueled by
increased demand and expansion. The area boasts an old factory(PKI),
alongside amenities like coffee shops, restaurants, a gym, and automotive
services, providing diverse job options. A nearby public school benefits street
vendors, adding to income sources. According to barangay officials, most
families fall into the average-income bracket, relying on farming, business, and
employment. The barangay facilitates job information dissemination through
bulletin boards and public announcements.

According to information from barangay officials, the primary communication

networks used in the area are Globe, PLDT, and Smart. In terms of
transportation, community members commonly use tricycles, jeepneys,
motorcycles, buses, and private vehicles, making travel within or outside the
barangay convenient and straightforward.

D. ENVIRONMENTAL FACTORS’

1. Physical/Geographical/Topographical Characteristics of the Community

Barangay Inosluban is situated in the highlands of Batangas Province. According

to barangay records, the land area spans 642.858 hectares, with the following
land use distribution: Residential areas cover 75%, Agricultural land comprises
2%, Commercial zones make up 23%, and there is no idle land. The barangay is
well-connected with an expressway linking it to other barangays in Lipa,
providing convenience but contributing to traffic in certain parts due to its
connection to the main road. The road widening initiative has not only improved
transportation but has also enhanced the overall organization of the barangay.

The climate in Inosluban is akin to that of the city and nearby towns and
provinces, falling under the first type of tropical climate with two distinct seasons
throughout the year. Typhoons are common during the rainy season,
occasionally causing damage to agricultural products and crops. This results in
environmental challenges for the community.

2.Water and electric supply

As per the barangay authorities, every member of the community has access to
safe and drinkable water, with the water source being the Metro Lipa Water
District. Initially, when we first arrived, there were occasional issues with water
pressure, particularly on weekends, but these concerns were addressed over
time. Regarding the electricity supply in Barangay Inosluban, it is provided by
BATELEC II, and it has proven to be reliable, even in the face of challenges such
as strong typhoons.

3. Waste Disposal

Every week, a garbage collector visits the barangay to ensure that every
household's waste is collected, promoting cleanliness and preventing potential
health issues for residents. The barangay adheres to strict waste disposal
practices, but there is a common issue where residents often neglect to
segregate their garbage properly. Segregation involves sorting waste types to
facilitate recycling and appropriate disposal. During our interview with a councilor,
 it was mentioned that there are occasional delays in garbage collection due to
various reasons. One factor is the inoperable garbage truck, while another
challenge stems from a conflict regarding the location of the main garbage
disposal site. These issues contribute to delays in garbage collection, potentially
resulting in the accumulation of waste within the community.

4. Air,Water and Land pollution

Due to the delayed garbage collection, some residents resort to burning

accumulated waste, often using dried leaves, leading to air pollution. This is
particularly concerning in the afternoon when many children are playing outside.
Inhaling the smoke from burning waste may result in respiratory problems,
discomfort, headaches, nausea, and could trigger asthma among residents.
According to the midwife, or at least her assumption, the nearby PKI factory
might contribute to the increased health issues in our barangay. Additionally,
certain areas within the barangay have turned into unofficial dumping sites,
causing drainage systems to become clogged.
‘

E. PHILIPPINE HEALTH CARE DELIVERY SYSTEM

The healthcare delivery system encompasses a structured network of

institutions, healthcare providers, and resources dedicated to offering medical
care and services within a specific area or nation. In the Philippines, this system
is intricate, combining public and private entities, functioning within a
decentralized framework that spans from community-based initiatives to
advanced tertiary healthcare facilities. Its primary objective is to provide medical
services and foster health throughout the country.
The Barangay Health Center (BHC) is conveniently situated near the Basketball
Court within the barangay hall, ensuring easy access for all residents.
Operational from Monday to Friday, 8am to 5pm, it caters to various health
needs. Services offered include first aid, maternal and child healthcare,
management of communicable diseases, and addressing prevalent health
concerns within the community. They also stated they are more on prevention
and referral systems.

The center provides prenatal education and checkups, offering crucial

supplements to expectant mothers. Barangay health workers aid in supporting
mothers and children and administer vaccines for infants. Additionally, adults
receive anti-pneumonia and anti-flu vaccinations.Operation Timbang (OPT) is a
service aimed at tracking malnutrition among children aged 0-71 months within
the barangay and was implemented by the BHW according to their assigned
purok.Additionally, the BHC provides family planning programs, offering
contraception methods like pills and condoms. These health workers act as
crucial frontline figures, delivering fundamental health services that uphold the
primary healthcare approach, emphasizing accessible and acceptable health
services within the barangay.
 MORBIDITY AND MORTALITY RATES

Top 3 Causes of Morbidity in 2022 and 2023

Year:2022
Ranking Morbidity Total

1st Animal Bite 150

2nd Upper Respiratory Tract 36

Infection (URTI)

3rd Skin Rashes 37

Year:2023
Ranking Morbidity Total

1st Animal Bite 77

2nd Upper Respiratory Tract 38

Infection (URTI)

3rd Influenza 5

In 2022, animal bites led to morbidity with 150 cases in Barangay Inosluban, followed by
upper respiratory tract infections (36 cases) and skin rashes (37 cases). In 2023, animal
bites remained the top concern but decreased to 77 cases, while URTI slightly
increased to 38 cases. Influenza emerged as the new 3rd, reporting 5 cases.

Animal bites can cause various health problems, leading to sickness in affected
individuals. These bites often come from animals like dogs, cats, and wildlife such as
bats or snakes, and they can bring a risk of infection due to the germs in the animal's
mouth or on its skin. s. If not treated properly, complications like cellulitis, abscesses,
and systemic infections can occur. There's also a serious risk of rabies,requiring quick
medical attention and preventive measures. Allergic reactions, emotional impacts like
fear or anxiety, and the strain on healthcare systems are also important parts of the
problems caused by animal bites. Preventing these issues involves proper wound care,
responsible pet ownership, and public health efforts.
 MORBIDITY AND MORTALITY RATES

Top 10 Mortality in 2023

2023(January-September)

Ranking Mortality Total

1st Senility 5

2nd Myocardial Infarction 4

3rd Pneumonia 3

4th Hypertension 3

5th Diabetes 3

6th Acute Respiratory Failure 2

7th Lung Cancer 1

8th Renal Disease 1

9th Multi-organ Failure 1

10th Colon Cancer 1

The mortality data for the period spanning January to September 2023 reveals
significant insights into the leading causes of death within the barangay. Topping the list
is senility, accounting for the highest number of reported cases at 5. Following closely is
myocardial infarction with 4 cases, and pneumonia takes the third spot with 3 cases.
Other notable contributors to mortality include hypertension, diabetes, acute respiratory
failure, lung cancer, renal disease, multi-organ failure, and colon cancer, each reported
with varying frequencies. This ranking provides a snapshot of the prevailing health
concerns and can guide health authorities and practitioners in directing resources and
interventions towards addressing these specific health issues within the community
 PRIORITY SETTING

Problem #1 :High Animal Bite Incidence

Criteria Computation Actual Score Justification

1.Nature of the Animal bites pose a

2/3*1 0.67
Problem significant health
threat as they can
lead to infections
and diseases,
affecting the
well-being of
residents in the
barangay.

2.Modifiability of the This problem is

2/2*2 2
problem highly modifiable
through measures
like pet vaccination,
responsible pet
ownership
education, and
community
awareness
programs.

3.Preventive Proper measures,

3/3*1 1
potential including
vaccination drives
and animal control,
can effectively
prevent or reduce
the incidence of
animal bites so this
falls on high
preventive
potentital

4.Social Concern High incidence of

2/2*1 1
animal bites
demands
immediate attention
due to the risk of
injuries and
potential
transmission of
 diseases.
Addressing this
issue is crucial for
community health
and safety.

Total Score
4.67

Problem #2 :Improper Waste Management

Criteria Computation Actual Score Justification

1.Nature of the Improper waste

2/3*1 0.67
Problem management poses
health threats due
to potential
diseases arising
from unmanaged
waste, impacting
the residents'
well-being.

2.Modifiability of the This issue is highly

2/2*2 2
problem modifiable through
education and
community
programs
promoting proper
waste segregation
and disposal
practices.

3.Preventive There is a high

3/3*1 1
potential possibility that this
will be prevented if
the resident have
the knowledge on
effective waste
management to
reduce
environmental
contamination and
disease spread.
4.Social Concern Addressing
2/2*1 1
improper waste
management needs
immediate attention
as it affects public
health and the
environment,
necessitating
immediate
community action
and awareness.

Total Score
4.67

Problem #3: High rate of Upper Respiratory Tract Infection(URTI)

Criteria Computation Actual Score Justification

1.Nature of the Upper respiratory

2/3*1 0.67
Problem tract infection,
considered a health
deficit, requires
immediate
attention,
intervention, and
proper
management to
prevent
complications and
ensure effective
care.

2.Modifiability of the 1/2*2 1 It is partially

problem modifiable because
some factors
contributing to it,
like hygiene
practices, can be
controlled, but
others, such as
seasonal changes
and factories which
affects the air are
 hard to influence

3.Preventive 3/3*1 1 It is a high

potential preventive potential
because simple
actions like
handwashing and
vaccinations
significantly reduce
its transmission
risk.

4.Social Concern 2/2*1 1 It needs immediate

attention to prevent
further
complications and
quickly treat the
infection.

Total Score 3.67

 Health Assessment Objectives Planning Implementatio Evaluation Recommenda
Problem n tions
Animal Bite According to General Organize Conduct health After For the
Incidence the barangay Objective: community teaching participating in Barangay
the leading workshops, sessions in the health officials:
cause of Reduce the seminars, or community education
morbidity in occurrence of awareness centers to program, the Sustain
Inosluban is animal bites campaigns on disseminate intended ongoing
Animal Bite and associated animal bite information on participants educational
health risks prevention, preventing acquired the campaigns on
within the and proper first animal bites ability to animal bite like
community. aid. and steps to prevent and giving
take when gained vaccination
Specific Collaborate bitten. knowledge onto pets and
Objectives: with healthcare about responsible pet
providers to Establish appropriate ownership.
-Increase establish reporting actions to take
community efficient channels for in the event of Strengthen
awareness reporting and animal bite an animal bite. collaborations
about animal treatment incidents and between
bite prevention protocols for ensure prompt Residents in healthcare
and first aid. bite victims. medical the community providers, local
attention for became more authorities,
Work with local victims. at ease and community
authorities to concerning members.
-Enhance develop and animals or
access to implement Do a health their pets, For
medical care animal control teaching in the taking Residents:
and measures and community and proactive steps
post-exposure vaccination if possible by ensuring Follow safety
prophylaxis for programs for implement their pets precautions in
bite victims. stray animals. programs receive approaching
encouraging vaccinations animals and
-Implement responsible pet such as keep in mind
measures to care and anti-rabies the lessons in
control stray advocating for shots. health
animal the humane teaching.
populations treatment of
and promote animals. .
responsible pet
ownership.
 Health Assessment Objectives Planning Implementatio Evaluation Recommenda
Problem n tions

Improper The current General · Establish · Start After the For the
Waste health concern Objectives: rapport coordinatin discussion with Barangay
Management revolves within the g with the the barangay Officials:
around · Following residents of barangay officials, they
improper the nursing the officials to start to
waste intervention community further implement
, the · Implement
disposal, and discuss on health teaching
community strict policy
fueled by barangay how to to the target
will acquire for
residents' lack officials to implement participants.
knowledge segregating
of avoid health
about After attending garbage in
understanding discomfort. teaching to
proper the seminar the
regarding its the
waste and health community.
impact on residents.
health. This manageme education
nt and · Ask for · Implement session, the
includes issues
disposal. permission Health intended
like ·
from the teaching to participants
unsegregated Continuousl
Specific barangay instruct successfully
waste, plastic y monitor
Objectives: leaders residents grasped the
burning, the proper
before on how to proper waste
resulting air · Verbalized waste
discussing maintain disposal
pollution, and understandi disposal of
any cleanliness methods,
potential health ng about the
problems or in the comprehended
risks from the effects residents
health barangay. the adverse
inhaling toxic of within the
issue in the health effects
fumes. unsegregat community. linked to barangay.
ed waste · Encourage inadequate
and the sanitation, and
improper residents to gained insights
· · Coordinate attend the For the
disposal to into
with the program by residents:
their health. composting.
barangay announcing
· Gain officials to the This was
knowledge discuss the information evident · Do not
about identified using the through their forget all
segregation problems barangay accurate the
of waste and ask for help. demonstration important
advice on of waste details that
· Avoidance what ways · Assess the segregation discussed
of mixing they can level of and their ability during
biodegrada offer to knowledge to describe the seminar.
ble and solve or of every essential steps
non-biodeg improve the resident in for recycling. · Avoid
radable disposal of the throwing
wastes. waste community garbage to
within the in terms of the canals
· Each barangay. proper Residents
and
household waste initiated
maintain
will learn to disposal. conversations
good
contribute regarding the
attitude.
to the · Explain the advantages of
proper health maintaining · Be a
waste issues that good responsible
disposal of may arise if sanitation, resident for
garbage improper particularly
 waste emphasizing the
· The disposal of the importance community
residents of the of proper to become
the residents garbage better and
barangay will disposal, and have a safe
start to continue. have devised and clean
properly plans for its environmen
segregate · Prepare all implementation t.
their trash needed .
and places materials
them in for the
their discussion.
assigned
location. · Prepare a
venue for
the
discussion
 Health Assessment Objectives Planning Implementatio Evaluation Recommenda
Problem n tions
High rate of According to General -Establish -Start working After the -Encourage
Upper the barangay it Objective: rapport within with barangay discussion with continued
Respiratory is the 2nd in the residents officials to find the barangay adherence to
Tract morbidity due Reduce the of the efficient ways officials, they hand hygiene
Infection(URT to seasonal severity and community and to educate start to and cough
I) changes and duration of barangay residents implement etiquette even
pollution in URTI officials to about health programs and after symptom
factories symptoms. avoid regarding methods. resolution.
discomfort. URTI.
Specific After that the -Advocate for
Objectives: -Install hand URTI cases vaccination
-Coordinate sanitizers in will drop. against
-Alleviate with the public areas, preventable
discomfort barangay distribute respiratory
associated officials to tissues at infections (e.g.,
with symptoms schools, and influenza).
discuss the
like cough, showcase
sore throat, identified posters in -Emphasize
and problems visible seeking
congestion. community medical care if
spots. symptoms
-Prevent the worsen or new
spread of -Partner with complications
infection to healthcare arise.
others within providers to
the community. conduct -Promote a
vaccinations, healthy
-Educate the promote lifestyle to
patient on vaccination boost immune
proper hygiene schedules, and function and
practices and educate on its prevent future
self-care significance. infections.
measures.

-Monitor for
complications
such as
pneumonia or
worsening
respiratory
distress.
 APPENDIX
Barangay Profile
 REFERENCES

Animal Bite retrieved Nov 14 2023 from:

https://www.who.int/news-room/fact-sheets/detail/animal-bites

URTI retrieved Nov 14 2023 from:

https://emedicine.medscape.com/article/302460-overview

Inosluban Topography retrieved Nov 14 2023 from:

https://www.philatlas.com/luzon/r04a/batangas/lipa/inosloban.html