COPAR- Community Organizing Participatory Action Research Final Output

P H IL

MA COLLE

G

O O F S UTHER N

E

IP P IN E S

DM

DMMA COLLEGE OF SOUTHERN PHILLIPINES Tigatto Road, Buhangin, Davao City Philippines

1 9 9 3

COMMUNITY ORGANIZING PARTICIPATORY ACTION RESEARCH

(COPAR) __________

In Partial Fulfillment of the Requirements in Nursing Care Management (NCM) 105

__________

Submitted by DCSP –BSN Level IV “Batch Kheir El Oah 2010” March, 2010 – Second Semester

__________

Submitted to Alberto Alejandre II, RN Pamela Veroy RN, MAN Rizza lei Loreto, RN Lovely Lagat, RN Jameson Wils Ong RN,

Cosare, Elena Aurora

Ogaya,

Pamela Veroy RN, MAN Member CEC

Member CEC

COPAR

Coordinator

Maceda, Virgie

Alberto S.

Alejandre, II RN Member CEC

COPAR

Coordinator DEDICATION We,

the COPAR coordinators and Community Extension Committee

members, stand with pride and joy at seeing our students, Kheir El’oah 2010, participate and engage in an undertaking that requires time, energy and money, willingly doing their own part, no matter how small, in achieving the goals of this venture. We hope that this experience will open the eyes of these students that they may realize that there is more work to do out there, more people to help, and more reasons to be in this noble profession of nursing. Mabuhay tayong lahat! Sulong Pilipinas!

Acknowledgement We would like to thank first our Almighty God For his guidance and for giving us strength while doing this Research work. We would also like to thank Mr Alberto S. Alejandre II, RN, Pamela Veroy RN, MAN, Rizza lei Loreto, RN, Lovely Lagat, RN, Jameson Wils Ong RN. Our COPAR Clinical Instructors for their effort And time in guiding and giving us more knowledge on how To make a good Community Organizing Participatory Action Research Report. In particular, Ms. Veroy’s Recommendations and suggestions have been Invaluable for the success Of our work. Special thanks must be given to Hon. Raul Bicong, Barangay Captain of Tigatto Buhangin, Davao City for giving Us necessary information about our site that could be a big contribution in The fulfillment of our study. This could not be possible without the participation of the members of our group that made up the framework. Finally, we give thanks to our beloved parents For their encouragements and moral support to Pursue our dreams to become future nurses.

TO GOD BE THE GLORY. Table of Contents Title page Acknowledgement Dedication Spot Map

Chapter 1

Introduction General Objectives Specific Objectives Scope and Delimitation of the study Instrumentation Statistical Method

Chapter 2

Community Profile Barangay Profile Purok Profile

Chapter 3 I-

Presentation, interpretation, and analysis of data gathered FAMILY DATA

A. Length of residency B. Profile of No. of Population According to Age C. Religion II-

FAMILY MEMBERS CHART

A. Gender B. Sex C. Education D. Occupation

III-

FAMILY CHARACTERISTICS

A. Type of family structure B. Monthly Income C. Family Profile in Health Status D. Home Environment F1. House and Lot Owners F2. Housing Type of Materials F3. Garbage Disposal F4. Waste Disposal F5. Open Drainage F6. Water Supply F7. Drinking Water Storage F8. Containers Used F9a. Rodents F9b. Pets and Animals F9c. Accident Hazard IV-

HEALTH FAMILY PRACTICES

A. Common Illnesses encountered for the past six months B. Health Related Problems preferred consultants C. Other than health problems preferred consultants V-

Five Informal Leaders consulted in times of problems

VI-

Dependency Ratio

VII-

Calendar of Activities

Chapter 4

Summary and discussion of the weekly events

Chapter 5

Conclusion and Recommendation

Community Nursing Care Plan

Appendices A. Organizational Chart B. Committee C. Letters D. Certificate E. Family assessment Tool

CHAPTER I INTRODUCTION Community Health Nursing is a nursing practice outside the hospital which focuses on the rural and remote areas. In building a strong and stable nation, the development and empowerment of the communities must be of utmost importance. The greatest need, therefore, is to promote the health of the families in the community, prevent possible illnesses and control ailments that are already present. The ultimate goal is a healthy community. This venture can be realized through the collaboration of the community residents and the advantageous number of nursing students and its mentors. The Community Extension Services of DMMA College of Southern Philippines has felt the need to reach out to a community and adopt it as its own and assist it towards progress. The chosen community is Purok San Vicente, Brgy. Tigatto, Buhangin, Davao City. On February 23, 2010, the level IV nursing students of DMMACSP started their Community Organizing and Participatory Action Research (COPAR) in the said community as part of their requirement for the subject NCM 105. The students will hold a series of activities which will foster care, and at the same time conduct a research on the deficiencies of the community and find out what they need and what can be done to improve the community’s condition. This effort of entire agencies; the LGUs, health workers (Private and Government); other specials agencies (e.g. Dept. of Agriculture etc.), will hopefully support the government’s project in strengthening families and communities that someday they may be self-sufficient and independent. General Objectives: The main goal of the DCSP Level IV BSN students is to contribute development, promote health, prevent and control illnesses, and improve healthy lifestyle leading to better living of the residents of Purok San Vicente, Tigatto,

Buhangin, Davao City; to conduct programs that specifically focus to the identified problems and needs of the community based from the outcome of meticulous research and survey in the area; and to contribute great learning towards nursing students during their COPAR RLE exposures for only a period of twelve days during the second semester. Specific Objectives: The specific objectives that focus directly towards the people in the community are as follows: 1. To conduct an ocular survey of the area of Purok San Vicente, Tigatto, Buhangin, Davao City. 2. To collect, interpret and analyze the data gathered from the community. 3. To determine demographic data like number of population, number of households, etc. 4. To identify agricultural products, livelihood, way of living, level of sanitation, kind of education, culture, etc. 5. To organize community leaders as a Non-government Organization (NGO), and be able to register in the Security Exchange Commission (SEC). 6. To present to the community residents their present community situation during the Culmination Day. 7. To make plans for activities such as: conduct a seminar that help additional income in the family, and enhance skills and learning that improve living conditions. 8. To collaborate and find linkages with the government and private agencies capable of helping and assisting the people’s needs in the community. 9. To create a map of Purok San Vicente within its boundaries. 10.To make a manuscript out of all the gathered data as one of the requirements for COPAR that will be used as a future reference for community development projects. The specific objectives that focus to the DCSP Level IV Students are as follows:

1. To gain knowledge, skills and a working attitude regarding COPAR exposure. 2. To be able to make a manuscript by means of student’s initiative, learning through cooperation, participation and unity within co-students and through the guidance of clinical instructors. 3. To be able to apply their learnings in how to conduct seminars and programs in the actual community setting. 4. To be able to utilize nursing student’s communication skills with the community people by referral, “grape vine system” of communication, open forum in dealing with their problems. 5. To promote camaraderie among themselves. 6. To promote self-reliance and independence in a humble manner. 7. To recognize the value of poor people, and be able to understand the reality of their condition. 8. To learn the values of Filipino culture. 9. To relate the importance of COPAR as part of the nursing curriculum, and how it will benefit the students in the near future when they become registered nurses. 10. To appreciate the importance of duties and responsibilities of a community health nurse. Scope and Delimitation of the Study The community research committee had experienced some lapses in conducting research work during the community exposure due to the following reasons:

1. Some areas within the boundary of Purok San Vicente were not covered due to the fact that some households belonged to the middle and upper class level of economic status which exempts them from the research conducted and programs held. 2. Some of the household residents were unavailable for interview (2 dead files – house structures without residents to retrieve data from), hence the discrepancies in the total number of families and households. 3. Not all families and households were included in the study as the sole recipients of this program are only those who are indigent or are below the poverty line, and those endorsed by the Brgy. Officials who are in need of immediate attention and care.

Instrumentation: Instruments use of the study is a Family Nursing Assessment Tool; a questionnaire-made tool that provides data which describes a profile of the community. Data that enable to gather are about demographic profile, types of family, length of stay, their religions, occupations, educational background, dietary habits, family income, health status and history and health practices, preferred consultants in any health problems, home environment, and types of waste disposal, drainage system, water supply, and their felt family needs. It will also provide information to which they will consult their problems, which lead to identify a potential prospects or candidate for a nongovernment implementers and facilitator in their community. Statistical Method: Statistical method use is a derived tallied score and converts into a percentile method; with a corresponding pie graph for more visible view of the data to be analyzed and studied.

CHAPTER II COMMUNITY PROFILE

BARANGAY COUNCIL Brgy. Captain: Raul C. Bicong Brgy. Kagawads: 1. Amarillo, Mardonio

5. Lapitan, Lito

2. Baguio, Leopoldo C.

6. Navales, Ricardo

3. Fernandez, Walter

7. Saludar, Felipe

4. Geron, Virginia

SK Chairman: Saludar, Claide Kenneth Brgy. Secretary: Tecson, Anthony Brgy. Treasurer: Mangubat, Natividad BARANGAY POLICE/TANOD 1. Adimat, Cesar

11.Macacua, Sadiba

2. Alindajao, Rommel

12.Mamara, Salipca

3. Almonicar, Julius

13.Pangarawan, Val

4. Amaquin, Semion

14.Pecolados, Saturnino

5. Cardama, Sozimo

15.Sacatan, Roberto

6. Catucag, Ammar

16.Salva, Pelagio

7. Cayon, Lalie

17.Sumbaquil, Felixberto

8. Compacion, Dionisio

18.Teves, Bobby

9. Darama, Nolie

19.Umabo, Rodolfo

10.De Asis, Nardyflor

20.Venancio, Jerry

BARANGAY FUNCTIONARIES 1. Bicong, Rolando

2. Endrina, Leonida

3. Jumamoy, Honesto

6. Mayono, Sergio

4. Lais, Alfredo

7. Negre, Gemmalyn

5. Lais, Janet

8. Tubalado, Edwin

PEACE OFFICERS 1. Albaran, Virgilio

10.Darama, Jaban

2. Algabre, Antonio

11.Diana, Tirso

3. Atamosa, Leopoldo M., Jr.

12.Lacadon, Lumabao

4. Barida, Belly

13.Lausa, Isidro

5. Cabatao, Eduardo

14.Lindongan, Oscar

6. Caberas, Jobenal

15.Mantilla, Benjamin

7. Camagan, Leonides R.

16.Panes, Antonio

8. Cogollodo, Fidel

17.Pariulan, Romualdo

9. Daliri, Salvador

BARANGAY HEALTH WORKERS 1. Algabre, Fe

13.Navales, Herminigildo

2. Alindajao, Letecia

14.Padayogcog, Elizabeth

3. Amamag-id, Madilyn

15.Pangarawan, Estella

4. Anod, Loreta

16.Pansit, Daisy

5. Bule, Susana

17.Partulan, Lilia

6. Cabañog, Herminia

18.Sanguilan, Perly

7. Camamara, Normelita 8. Castalla, Luigarda 9. Cecilio, Dionisio 10.Curato, Gloria 11.Fernandez, Lea 12.Macalay, Judith

BARANGAY PROFILE

I.

Brgy. Boundaries (specifically in the COPAR site) North: Robinson’s Subdivision East: Buhangin Diversion Road West: Jade Valley South: Davao River

II.

List of Areas within the Brgy. (COPAR site) Area 1: Davao Riverside, Jade Valley crossing, Buhangin Diversion Road Area 2: Jade Valley crossing, Diversion Road, Pueblo Verde st. Area 3: Pueblo Verde st., from house 3001 to 3007 Area 4: Pueblo Verde st., from house 4001 to 4008 Area 5: Pueblo Verde st., from house 5001 to 5008 and 3 vacant houses Area 6: Pueblo Verde st., from house 6001 to 6008 and 1 vacant house

III.

Date created: April 1, 2009

IV.

Land Area: 390 meters wide and 279.5 meters long

V.

Brgy. Total population: 296

VI.

Total number of households: 50

VII.

Number of registered voters: 138

VIII.

Number of SK voters: 22

IX.

Location of Brgy. Hall: Km. 8 Tigatto, Buhangin, Davao City

X.

Brgy. Fiesta: April 7 – Patron: San Vicente Ferrer

XI.

Location of Health Center: Km. 8 Brgy. Hall, Tigatto, Buhangin, Davao City

XII.

Location of Schools: DMMA College of Southern Philippines, Tigatto Road, Buhangin, Davao City

CHAPTER III

PRESENTATION, INTERPRETATION, AND ANALYSIS OF DATA GATHERED The following data gathered presented tables represented the data of the following information gathered accordingly. I. FAMILY DATA Interpretation of Data This family profile according to

Table I- PROFILE OF FAMILY ACCORDING TO LENGTH OF RESIDENCY

Length of

Frequen

Percenta

length of residency reflects that 37

Residency 0-1 2-10 11-20 21-above Total

cy

ge

families have resided in Purok 3

37 20 5 0 61

60 32 8 0 100

San Vicente for 0 – 5 years, 20 families for 5 – 10 years, and the others for 10 – 20 years with no family

having

resided

here

for

more than 20 years.

Table II-A: PROFILE OF NUMBER OF POPULATION ACCORDING TO AGE: Age

Frequency

Percentage

0–5

70

24

6 – 10

49

17

11 – 15

17

6

16 – 20

22

7

21 – 25

31

10

26 – 30

27

9

31 – 35

16

5

36 – 40

18

6

41 – 45

13

4

46 – 50

16

5

51 – 55

7

2

56 – 60

2

1

61 – 65

3

1

66 – 70

3

1

71 – 75

1

0

76 – above Total

1

0

296

100

Graph I- PROFILE OF FAMILY ACCORDING TO LENGTH OF RESIDENCY

Interpretation of Data Based on the data gathered, majority of the people in Purok 3 San Vicente ranges from 0-5 years old with a percentage value of 24%, the lowest age group that resides on the area according to the data gathered would be the ages ranging from 71-75 and 75 and above with only 1 identified person.

Graph II-A: Profile of No. of Population According to Age:

Table II-B1: Religion

Religion

Frequenc

Percentage

y Baptist Roman

2 49

3 81

Catholic INC

5

8

Alliance

2

3

Others

3

5

Total

61

100

Interpretation of Data Majority Roman

of

Catholic

the which

residents accounts

are 50

family out of 61 which is equivalent to

81% of the total population, the Iglesia ni Cristo,5 which is equal to 8% ranked the 2nd highest religion, followed by Baptist and Alliance which accounted unto 2 or 3% of the total population. The remaining 3 or 5% belonged to other religion.

Graph II-B1: Religion

Table II-B2: Gender Interpretation of Data Gender

Frequency

Percentage

Female Male

146 150

51 49

Total

296

100

In this data, it is shown that 49% are female and 51% are male. This indicates that there is

a slightly higher population of males compared females in Purok 3 San Vicente.

Graph II-B2: Gender

Table II-C: Educational Profile Education Kinder Elementary undergrad Elementary grad High School undergrad High School grad College Undergradu ate College Graduate Nonschooling Total

Interpretation of Data

Frequenc y 6 16

Percentag e 4 10

31

20

elementary graduate with 20%, 23%

37

23

high school undergraduate, high school

34

21

graduate with 21%, 7% for college

11

7

This graph shows that 10% are elementary

undergraduates;

undergraduates,

7%

for

college

graduates; and finally kinder level with 11

7

12

8

158

100

3%. However 8% were found out to be

uneducated or never been to school. This indicates that majority of them have at least reached elementary level. Graph II-C: Educational Profile

Table II-D: Occupation Profile OCCUPATION

FREQUENCY

PERCENTAGE

Driver

11

13

Interpretation of Data The data presented shows that there are top 5 occupations

Carpenter

10

12

Housewife

35

41

Laborer

23

27

Vendor

6

7

85

100

that are common in Purok 3 San Vicente. As you can see there are

drivers

which

is

equivalent to 13%. Next, you have 10 carpenters that come up

Total

11

to

12%.

There

are

35

housewives equivalent to 41%,

23 laborers to 27%, and the least number of persons working as vendors who only reach to 7% and composed of only 6 persons. All in all the total number of persons in the community who are working is only 85. And if you sum up all the percentage the total would be 100%. Graph II-D: Occupation Profile

Table II- D1 Profile of Employment-Unemployment Rate Ages Between 1660 years old Status

Frequency

Percentage

Interpretation of Data Employed

114

90

Unemployed

9

10

This Table II-D1 presenting the

un-employment

rate

graph

that totaled 123 of the people Total

123

100

ages between 16 to 60 years old who are able; 114 of them are employed which is equivalent to 90 percent;

and 9 of the people who are work able are unemployed; which mostly composed of housewives.

Graph II- D1 Profile of Employment-Unemployment Rate Ages Between 1660 years old

II-FAMILY CHARACTERISTICS Table III-A: Type of Family Structure Type

Frequency

Percentage

Extended

8

13

Matriarchal

2

3

45

74

6

10

61

100

Nuclear Patriarchal Total

Interpretation and Analysis of Data The data shown in this Table III-A is that 45 out of the 61 families are nuclear type of family, which is the highest score. Second is the

extended type of families with a frequency of 8 out of the 61 families with an equivalent of 13 percent. The lowest score is the matriarchal type which is only 2 equivalents of 3 percent. It is the Nuclear type of family dominates the rest. Table III-A: Type of Family Structure

Table III – B: Family Monthly Income income range Below P 5,000.00 P 5,000.00 – 10,000.00 P 10,000.00 – 15,000.00 P 15,000.00 – 20,000.00 P 20,000.00 – 30,000.00 P 30,000.00 – 40,000.00 More than P 50,000.00 Total

Table III – C presents the profile of

frequen cy 29 26

percentag e 47 43

5

8

61 of the families’ earning belong to

1

2

the bracket in the 5,000 pesos and

0

0

below; with an average daily income

0

0

0

0

61

100

family’s monthly income. 29 out of

of about 150 pesos regardless of the family size or number of family

members. Second is 26 out of the 61 families earned about 5,000 to 10,000 pesos monthly. 5 families had an earning of above 10,000 pesos monthly. There is 1 family who acquired an income of 15,000-20,000 a month. Graph III – B Family Monthly Income

In this Graph III – B; it shows the blue colored sliced pie represents the family monthly income with only 5,000 pesos and below.

Table III-C: Family Profile in Health Status Condition Asthma Common Cold Cough Fever Hypertensio n Others Total

Frequen cy 8 58

percentag e 4 27

29 73 6

13 34 3

40 214

19 100

Interpretation and Analysis of Data The chart shows that out of 214 identified illnesses in the community. Thee highest number of cases is the fever which accounts for 34 % followed by common colds with 27%, cough with

13%, asthma with 4%, hypertension with 3 percent.

Others illnesses

encountered by the community accounts for 19%.

Table III-C: Family Profile in Health Status

III-HOME ENVIRONMENT Table III-D1: Lot Owner OWNED? Yes No Total

FREQUENC

PERCENTA

Y 3 47

GE 6 94

50

100%

Interpretation and Analysis of Data In Table III- D1 shows that 47 out of the 50 households accounts

for 67 percent in Purok 3 San Vicente does not own the land; only 3 out of 50 households owns a a lot which accounts for 6 percent. It signifies that most of the 50 house structures in their respective lot are not their own.

Graph III-D1: Lot Owner

Table III-D1: House Owner OWNED?

FREQUENC

PERCENTA

Yes No

Y 37 13

GE 72 28

Total

50

100

Interpretation and Analysis of Data In Table III- D1 shows that 13 out of the 50 households account

for 28 percent in Purok 3 San Vicente does not own their houses; 37 out of 50 households which accounts for 72 percent owed their house. It signifies that most of the 69 house structure in the respective lot not their own. Graph III-D2: House Owner

Table III-D2: Type of Housing Material Material Concrete Makeshift Mixed Wood Others Total

frequenc y 2 3 15 28 2 50

percentag e 4 6 30 56 4 100

Interpretation and Analysis of Data The table shows that most houses in San Vicente is composed of wood which has a score of 28 out of the 50 household which is equivalent of 56

percent and the second is the mixed type of house structure which has a score of 15 out of 50 equivalent of 30 percent. Only 2 equivalent to 4 percent is made of concrete. Only 3 houses are made of makeshift which accounts to 6 %. Other type of housing materials accounts for 4 %.

Graph III-D2: Type of Housing Material

The violet colored sliced pie as shown in Graph III-F2, represents the biggest part among other category which means that the house structures in purok 3 are mostly made of wood materials. Table III – D3: Profile of Garbage Disposal Type Buried Burned Collected Fed To Animals Open Dumping Segregated Thrown In The River/Sewer Others Total

frequenc y

percentag e

2 24 12 4

4 48 24 8

2

4

2 4

4 8

0 50

0 100

In this Table III-D3 shows that 24 out of 50 household equivalent to 48 percent are burning their garbage

which

is

the

highest

percentage among other category with regards to garbage disposal. Buried and segregation of garbage & open dumping got the same

score of 2 out of the 69 household with a percentage of 4%.

Graph III – D3: Profile of Garbage Disposal

Table III – D4: Profile of Waste Disposal type

frequency

Flush

8

percentag e 16

Pit Privy

8

16

25

50

4

8

5

10

50

100

Water-Sealed Wrap And Throw Others Total

Out of 50 households, there are 25 as the highest score equivalent of 50 percent who uses water-sealed. Flush and

pit

privy

accounts

for

8

%

respectively. 4 houses uses wrap & throw which accounts for 8% and the

other types of waste disposal accounts for 10%.

Graph III – D4: Profile of Waste Disposal

Table III – D5: Profile in Drainage System: type

Frequency

percentage

Open

32

63

Closed

18

37

Total

50

100

There are 32 out of the 50 household

equivalent

of

63

percent having an open type of drainage system. The rest of the household having closed type of drainage system.

Table III – D5: Profile in Drainage System:

Table III- D6: Profile in Water Supply Type

Frequency

Percentage

13

26

There are 19 out of 50 household owned their water supplies within

Bought

their zone area, 16 shared their Owned

19

38

Shared

16

32

Others

2

4

50

100

Total

water and 13 bought their water. Most of the household got water supplies of their own for cooking, drinking and washing.

Table III- D6: Profile in Water Supply

The red colored sliced pie graph indicates the biggest part; which means that mostly they shared their water supplies in the community.

Table III-D7: Profile of Drinking Water Storage:

According to the data shown in Table III-F7; 41 out of 50 household Type

Frequency

Percentage

41

82

Refrigerated

8

16

Uncovered

1

2

50

100

equivalent of 82 percent uses Covered

covered water storage; 8 uses refrigerator;

and

the

only

1

house uses uncovered water Total

storage equivalent to 2 percent. There Graph III-D7: Profile of Drinking Water Storage:

The blue colored sliced graph indicates the category under covered water storage practiced of the people in the community; which represents the biggest part or majority of the household.

Table III-D8: Type of Container Used: Type Bottles Jars, Clay Pots Plastic Pitchers Others Total

Frequency 9 5 35 1 50

Percentage 18 10 70 2 100

The Table III-D8 shows that 35 out of 50 household’s uses plastic

pitchers

which

is

equivalent to 70 percent. Second, 9 houses uses bottle, next would be the Jars, Clay Pots which is 5 equivalent to 10 %.

Table III-D8: Type of Container Used:

The green colored sliced pie graph indicates the highest score or biggest part under the category of plastic pitcher used for water container.

Table III-D9: Type of Food Storage: Food/Cooking Facilities Cabinet Covered Pots/Pans, Etc. Refrigerator Stove Uncovered Total

Frequency

Percentage

3 33 4

6 66 8

6 0 4 50

12 0 8 100

As shown on the Table III-D9; the most common type of food storage used is the covered type which has 33 out of 50 households, equivalent to 66 percent.

Followed

by

the

use

of

refrigerator with a score of 6 which is

equivalent to 12 percent. Only 8 percent uses pots, pans. Only 3 out of 69

equivalent of 6 percent as the lowest uses cabinet as food storage. None of the households uses stove.

Table III-D9: Type of Food Storage:

The red colored sliced pie graph indicates the highest score or biggest part under the category of covered type used for food storage.

Table III-D9A: Presence of Rodents Rodents

Frequency

Percentage

Yes

44

92

No

4

8

50

100

Total

As shown on this Table III-D9A; there are 49 out of 69 households with a percentage of 71 percent stated that

there are rodents present in the community; while there are only 20 household equivalent of 29 percent said that there are no presence of rodents in their community.

Table III-D9A: Presence of Rodents

The blue colored sliced pie graph indicates the highest score or biggest part which means that most of the households have rodents in their houses.

Table III-D9B: Accident Hazard: Description

Frequenc

Percentage

Yes No

y 41 9

82 18

Total

50

100

Results from the data shown in Table III – D9B 41 out of 50 household states that their community is accident hazard

which accounts for 82%; and 9 out of 50 equivalent to 18 percent states that their place is not accident hazard. Table III-D9B: Accident Hazard:

The blue colored sliced pie graph is the biggest portion indicating that their place in the community is prone accident.

IV HEALTH FAMILY PRACTICES Table IV-A1: Nutritional Status of under 5 years old Children in Zone 1: STATUS

FREQUENCY

PERCENTAGE (%)

Normal Underweig ht Overweigh t Total

31 20

57 37

3

6

54

100

This normal

graph weight

shows is

that more

numerous than under and over

weight children under 0-5 year old ; wherein 31 out of 57 children are within normal weight; 20 are underweight children. There are 3 overweight under 5 children.

Graph IV-A1: Nutritional Status of under 5 years old Children in Purok 3:

In Graph IV-A1 shows that the blue colored sliced pie graph indicates the largest portion among categories in which the blue are the children belong to the normal weight.

Table IV-B1: Whom to Consult for Health Problems: PERSONNEL

FREQUENC

PERCENTA

Y

GE

Albularyo

5

8

BHW

3

5

Doctor

18

30

Health Center

16

26

Manghihilot

13

21

Midwife

3

5

Nurse

0

0

Others

3

5

61

100

Total

In Table IV-B1 shows that the

Doctor

priority

is

when

the

top

consulting

illnesses in the members of the family; wherein 18 out

of

the

61

families

preferred a doctor; next is

the ‘Manghihilot’, and the least is the Barangay Health Worker and the midwife, which is only 5 out of the 61 families. Graph IV-B1 Whom to Consult for Health Problems:

Table IV –B2: Problems Other than Health Whom to Consult personnel

frequency

Brgy. Officials

9

percentag e 15

Family Members

24

39

Friends

5

8

Priests

1

2

Relatives

11

18

Others

11

18

Total

66

100

Table IV-B2 presented data shows that they usually

asked

for

assistance when they had problems is their family

that

has

a

frequency of 24 equivalent to 39%, followed by the relatives, then the barangay officials, friends and the priest.

Graph IV-B2 Problems Other than Health Whom to Consult

Table IV-C1 Profile of Rest and Sleep for the Past Week: Adequate Rest and Sleep Yes No

Frequenc y 41 9

Percentag e 82 9

Total

50

100

The community was able to take a long interval of sleep in which data presented is 41 out of

50 households with equivalent of 82 percent stated “YES”, indicates good sleep; while the re a re 9 of the hous e holds ca nnot able to s le e p a n d re s t prope rly s inc e las t we e k .

Graph IV-C1 Profile of Rest and Sleep for the Past Week:

Table IV-C2: Profile of Exercise for the Past Week: Exercise

Frequency

Percentage

Table IV –C2 shows data that 47

Yes

47

77

out of 61 households had adequate

No

14

23

Total

61

100

exercise;

while

14

out

of

61

households did not exercise within the past week.

Graph IV-C2: Profile of Exercise for the Past Week:

Table IV-C3: Profile of Relaxation Activities Relaxation Frequen Activities cy Yes 47

Percentage 77

No

14

23

Total

61

100

In Table IV-C3, 47 out of 61 households

equivalent

of

77

percent stated that they have their

relaxation activities; while 14 out of the 61 equivalent to 23 percent do not have relaxation activities. Graph IV-C3: Profile of Relaxation Activities

Table IV-C4: Profile of Stress Management: Stress Management

Frequenc

Percentage

Yes No

y 49 12

80 20

Total

61

100

Table IV-C4 presented the profile of stress management; wherein 49

out

of

61

household

equivalent of 80 percent stated

that they have their way of stress management; and only 12 out of 61 do not have stress management. Graph IV-C4: Profile of Stress Management:

V: TOP 5 FORMAL/ INFORMAL LEADERS CONSULTED IN TIMES OF PROBLEMS 1. LANDO SELADA 2. RAUL BICONG 3. BINAL CASIBAS 4. JACOBE TIMOTEO 5. MARYJANE ARMADA

The top 5 priority leaders as listed above as chosen by the people in the community are considered an informal election as prospected leader to be

nominated during their formal assembly in the Presentation of Data and election of NGO (Community Health Officers) Organization. VI: DEPENDENCY RATIO Age Bracket 0-14 years old=136 65 years old-

Population 141

above=5

15-64 years old=

Result The result is 0.86, this means that the dependency ratio is very high or 1: 1 ratio. Every 1 independent person has 1 dependent person in the family; in which the normal ratio supposedly 1:10 means every 10 independent person will only have 1 dependent person.

155

155

TOP 5 COMMUNITY PROBLEMS These are the top 5 identified community problems as assessed by the COPAR team of DMMACSP. 1. No public safety water utility WATER SUPPLY PROFILE

2. Accident hazards PRESENCE OF ACCIDENT HAZA RDS

3. Low family income MONTHLY FAMILY INCOME PROFILE

4. Malnutrition NUTRITIONAL STATUS OF CHILDREN UNDER 5 YEARS OLD

5. Poor sewerage system

GARBAGE DISPOSAL SYSTEM PROFILE

Situational Analysis (SWOT) Purok San Vicente Brgy. Tigatto Based by ZONE Zone 1 and 2

Factor

Strengths

Weaknesses

Opportunities

Threat

Family Size It was seen in

Although they

The level of the

Increasing

all our

were contented family

number of

households

with their lives

opportunity can

members in

that the

their level of

be acquired by

every family

Family stayed

competence in

means of

displays a

together

life is

educating the

significant

despite of

transparent,

individual

change on

their

the increasing

families about

their status.

hardships.

numbers of

family planning,

The

Predominantly

members

health education

malnutrition,

the members

within the

and offering them

poor health

are supportive

family already

livelihood

status, may

in each other;

is a sign of

programs.

follow. The

they have this

overpopulation

increasing

mindset that

and beyond

number of

life is simple

the limit of

members on

that they were

their salary.

each

contented

household

with their

creates

lives.

inadequate space for

Economic

Although half

Since majority

By encouraging

everyone. Scarcity,

of the overall

of the

livelihood

inadequate

population of

household are

programs such as

food supply,

the family

undergraduate

Jewelry making.

malnutrition

head have a

s this increases

Planting also

and poor

stable job, the

the families

provides them

health can

other half

low chance to

the chance to

greatly occur.

have unstable

have a quality

have a source of

job, we are

life, unable to

income which

able to assess

provide their

adds to their

the

daily needs

daily needs and

determination

which results

supplies.

of the family

to financial

head to find a

instability

job to support

which made

the family

great impact

members

on their health

need.

and as well as their status in life.

Location

They have

The location is

The opportunity

The location

planted trees

considered

of the location of

is high-risk of

and fruits.

very hazardous

our households

landslide

and considered

are at no chance

during rainy

as a health

of improvement

season. The

threat. The

because of the

improper

area is very

fact that they

waste

prone of

don’t own the

disposal and

landslide

land. Primary

poor sewage

because the

action may be

system health

houses are

implemented as

status of

located in the

of now, these are,

family

cliff of the man

providing

members are

made

awareness about

greatly

mountain. The

the hazards and

affected.

pathway is half

threats, may

Diseases may

cemented and

advice them, or

arise such as

the other half

encouraged them

amoebiasis

is made of wet

in tree planting to

and or

sand in which

decrease the

dengue as

this would

risks of

well as other

bring difficulty

landslides. People

illnesses.

towards the

should be aware

Airborne

people who

of the proper

diseases is

trail the path

waste disposal

also prone to

especially

system and

arise on this

during rainy

proper sewage

area since

days. The

system.

houses are

locations also

close and

have no

crowded to

sufficient light

each other.

to lighten the whole area during night time, most of the people claimed that they don’t own the land they are living. There is also no proper waste disposal and poor sewage

Character

Usually the

system. They don’t

(populatio

families

challenge

others members

population,

n

source of

themselves to

of the newly

high rate of

income came

be able to

elected Brgy.

dependency

from their

improve their

Officers,

poor status

bread winner

quality of life

implementation

and quality of

which usually

they limit

of family planning

life.

are the

themselves

and health

husbands and

because of the

awareness

Diseases may

the ones that

great factor of

program were

arise in

were left in

having a poor

given to the

accordance to

Together with the

Over

their houses

status in life

individual

were the

and in this

families to at

their poor

mothers who

ways their

least improve

sanitation

looks after

health were

their state of life.

which

their children,

greatly

includes their

they were the

affected

way of

ones who

especially their

improper

budgets their

way of living.

handling of

daily costs.

They don’t

food.

The

practice family

housewives

planning. They

point of view

don’t limit and

majority

discipline

claimed that

themselves to

they are

be aware of

contented

the

with their way

consequences

of living and

that can be

they seemed

acquired

to have no

afterwards.

sense of competence

Almost

in life

majority of the

considering

population as

their

observed were

individual

dependent.

educational status . Some of them stresses out the importance of education for their children.

Recommendation: Every community problems that are significantly seen and observed must be taken into a consideration and great focus implementation of variety programs must be done affecting primarily the heath status, livelihood programs, family planning and clean and green programs. Encouragement of the community is highly needed and importantly education and awareness for every individual member on the households.

They must act as role models for the effective change and

progress of the community towards their individual improvement of quality of life.

Zone 5 and 6 Factor

Strengths

Weakness es

Opportunities

Threat

Family

>Good family

High

Productivity in life’s

Large family

Size

bonding

population

endeavor since each

size may

and birth

member is given a top

result to

>Top priority

rate due to

priority and ample

diseases or

of the

lack of

time despite the lack

drug

members/each

knowledge

of resources

incompliance

individual in

on family

because

the community

planning

they’d rather prioritize

>Knows how

food than

to adjust to

health

life’s obstacles >Happy and appreciates even small things such as having new clothing and housing

Economic

materials >The

Lack of

Business (small as

Poverty to

population is

resources

starting

the extent

determined to

and

point)/pangkabuhayan

that their

succeed

materials to

health may

towards

pursue and

be at risk

economic

implement

growth

their plans

>Openminded to opportunities that improve their economy

Location

None

Dangerous

Cannot be identified

Prone to

due to

accidents

nature of

such as falls,

slippery

land erosion

slopes;

and

located

landslides

beside

Brgy.

>Available for

highway Unaware of

New offered programs

Slow

Officials

almost every

the

such as health

progress

activities

community’s

improvement, free

resulting

involving the

needs and

housing materials as

from

community

problems

long as leaders know

ineffective

how to lead out

leaders

>Cooperative in joining

Character

activities Participative of

Some were

Building a new

Anytime the

(populati

activities

lazy and

perspective towards

residents

on

offered and

others have

uplifting their present

may lose

implements for voiced out

conditions in respect

their homes

the

doubt

to their own needs

and be

betterment of

“Bahalag

and deficits

driven out as

the community

unsay

the property

buhaton

they are

Willing to

pobre

using is

coordinate

gihapon,

owned by

maypag

Robinson’s

magpuyo ug matulog”

Recommendation:

Based on the community problems identified, activities in line with pangkabuhayan will be of great help towards their improvement. If only the community leaders can see and identify the needs and respond to these conditions, only then can economic growth be achieved. What the community longs is feasible opportunities that will help them struggle through life’s obstacles.

Zone 3 and 4 Factor Family Size

Strengths

Weaknesses

Opportunities

Threat

We can see

The families

Though most of

Because the

that despite

are hesitant in

the members of

families are

their

participating in

the families have

extended

hardships,

planning and

poor educational

families,

each family

other project

background, they

threats of

member is

implementatio

could still

inability to

still trying to

n in the area.

improve because

provide basic

survive. The

The families

they are willing to

needs and

head of the

blame it in

be educated in

scarcity of

household is

their lack of

pangkabuhayan

foods is a

eager to make education and

programs. They

problem. It is

money for

household

still have the

considered as

food and daily

chores. Instead

opportunities to

a threat to the

needs of the

of going to

uplift their living

health of the

Economic

Location

family. If they

community

condition.

families, as

will be

meetings they

well as growth

provided with

just make

of the

good

most of their

children.

opportunity,

time attending

they have a

the needs of

bigger chance

their children.

of survival. Even in their

Most of the

Due t the

Some are

own ways,

families can’t

pangkabuhayan

forced to sell

families are

find decent

opportunities,

their bodies or

trying their

jobs because

some family

take indecent

best to earn

of their lack of

members are now

jobs just to

for a living.

education.

starting to

meet their

Despite

They blame it

contribute to the

needs. Others

today’s crisis

on the

famiy’s finances.

turn to

they still try

government.

gambling and

to budget

Some meet

the like to

their earning

their wants

earn easy

to fit their

first before

money.

needs. Each

their needs.

family has a

They stil go for

starategy in

buying

meetig their

cigarettes and

needs.

liquor than

No strengths

food. The trek

If the land will be

It is very

identified

towards the

legally given to

observable to

nipa houses

them, they can

those who

and the purok

approach the

pass by the

take so long

barangay to help

area that the

and is

them make their

houses are

treacherous,

community

frighteningly

which needs

productive and

hazardous to

patience and

free from

the lives of

physical

environmental

those living

strength.

and social

there. The

Because most

hazards.

absence of

of the families

light, the

don’t own the

threat of

land, they still

landslide, the

hesitate in

problem of

making a

water supply,

permanent

and

residence in

environmental

the said area.

sanitation are just some of the identified

Brgy.

Although not

Lack of time to

Because of their

threats. There is a risk

Officials

visible, the

supervise and

position, they are

that these

community

address

more likely to be

officials will

leaders are

people’s

entertained by

receive lots of

willing to help

needs; unable

government

complaints if

the

to properly

officials and have

they are

community

prepare and

their needs

unable to

grow.

allocate

addressed and

meet the

budget for

met.

demands of

community

Character

their job.

projects. Some think

Like the rest of

Because of

they are

the residents,

their

in the

forsaken by

some of them

characters

community

the growing

have struggled

that are only

are claiming

system. Some

with even the

relying on

that they are

just sit in their

smallest of their

whatever they

poor. But

houses waiting

needs yet their

may have for

some of them

for the sun to

never day die

the day, they

Some of the

(population people living

are thankful

set. Some are

spirit always gave

might have

that they

them the courage

problems in

grew up in

to face one

the future. If

poverty,

problem after the

they will not

because they

other. They said

pursue in

said that even

that if it is God’s

finding ways

in their early

will to have them

to earn and to

life they

live in that

have

learned that

situation then

education

being happy

they will never

they will not

doesn’t mean

run scared. It’s

improve.

having the

the fighting spirit

best of

that counts, they

everything

say.

but rather making the most of whatever comes their way.

Recommendation: Because the families are seen isolated, less prioritized and belonged to the marginalized sector, it is better for them to be funded and to be given attention by those who are in the position to do so. If they don’t have earnings it would mean days of hunger for families who couldn’t find food and endurance for those who need immediate medical help. They are deprived of accessible roads, & some of them don’t have the comfort of electricity, neither enjoy germ-free water to quench their thirsts. It is recommended that they would be provided with their basic needs through their effort with the aid of the members of those barangay & local officials.

COMMUNITY NEWLY ELECTED OFFICERS POSITIONS WITH JOB DESCRIPTIONS PRESIDENT: Shana R. Sabroso

1. Supports and sustains the improvement of the community especially in: •

Projects initiated by DMMACSP students

•

Promotion of peace and order

•

Unity in solving identified problems

2. Leads and sets good example and inspiration towards constituents. 3. An advocate of the community especially in addressing the needs of the people. 4. Approves all activities.

5. VICE-PRESIDENT: Nelsa Ocmen

1. Represents the president during his/her absence. 2. Assists the president on improving the community to achieve its goals and plans for the people.

SECRETARY: Edelisa R. Cal

1. Writes down events and documents all activities. 2. Keeps and documents all projects of the community. 3. Represents the group during meetings with the community officials. TREASURER: Alberto Bergantino

1. Holds and keeps the funds of the association. 2. Collects money from the people for the funding of projects and needs of the association. 3. Audits and budgets the funds for projects.

4. Controls the disbursement of funds. PRESS INFORMATION OFFICERS: Jonard Pamor Willy Zamora

1. Informs the members of the community regarding activities and events. 2. Represents the association. 3. Assembles the members of the community during gatherings and activities. FAMILY ASSESSMENT TOOL Family Name ___________________________ Address _______________________________________ I.

Demographic Data Household Number: ________________

Brgy. House Number:

______________ II. Family Data Length of Residency: ___________________ Place of Origin: _______________________ _______________________ Family size: __________________________ Religion: Husband - ___________________ Wife - _______________________ Family Member’s Chart

Family

Age

Sex

Members

Civil

Positi

Relations

Education

Occupatio

Stat

on in

hip to

al

n

us

the

Family

Attainme

Famil

Head

nt

y 1. 2. 3. 4. 5.

III. Family Characteristics Type of Family Structure A. Extended

__________________

B. Matriarchal ________________

D. Nuclear _________________ E. Patriarchal _______________

C. Dominant Family Member ___________________ General Family Relationship/Dynamic Criteria Observable conflicts between

Status

Additional Information

family members Characteristics of Communication Interaction patterns between members Family Dietary Habits What did you eat today? (24 hours dietary recall) Breakfast

: ________________________________________________________________

Lunch

: ________________________________________________________________

Supper

: ________________________________________________________________

Monthly Family Income Source Husband

: ________________

Wife

: ________________

Others

: ________________

Monthly Family Income Source Total (check bracket) •

Below P 5,000.00

•

•

[ ]

[ ]

P 5,000.00 – 10,000.00 •

[ ] •

P 30,000.00 – 40,000.00 [ ]

P 10,000.00 – 15,000.00 •

[ ] •

P 20,000.00 – 30,000.00

P 40,000.00 – 50,000.00 [ ]

P 15,000.00 – 20,000.00 [ ] •

More than P 50,000.00 [ ]

Family Health Status/Health History Father Mother Children

: _______________________________________________________________ : _______________________________________________________________ : _______________________________________________________________

Felt Family Needs (Identify and rank according to priority)

1.

5.

2.

6.

3.

7.

4.

8. IV. Home and Environment A. Is your lot owned? Yes

[ ]

B. Is your house owned?

Yes

C. Type of Housing Materials

No [ ]

[ ] No

[ ]

[ ]

Wood

[ ]

mixed

[ ]

Concrete

[ ]

Makeshift

Others, specify: ___________________________________ D. Is the living space adequate?

Yes

[ ]

No

[ ]

E. What are the appliances owned by the family?

F. Type of waste disposal [ ]

Flush

[ ]

water-sealed

[ ]

Wrap and throw

[ ]

Pit privy

Others, specify: __________________________________ G. Type of garbage disposal [ ]

Collected

[ ]

Burning

[ ]

Waste segregation

[ ]

Burying

[ ]

Feeding to animals

[ ]

Throw in the

[ ]

Open dumping

river/sewer

Others, specify: __________________________________ H. Type of drainage system [ ] Open I.

[ ] Closed

Source of Water Supply Owned

[ ]

Shared

Bought

[ ]

Others, specify:

[ ]

_________________________

J.

Drinking water storage Refrigerated

[ ]

Uncovered

[ ]

Covered

[ ]

K. Containers used [ ]

Plastic pitchers

[ ]

Bottles

[ ]

Jars, clay pots

Others, specify: ___________________ L. Food storage/cooking facilities [ ] Covered

[ ] Cabinet

[ ] Refrigerator

[ ] Stove

[ ] Uncovered

[ ] Pots/pans, etc.

M. Common household pets kept at home

N. Are there breeding sites of insects, rodents, etc. present? [ ] Yes [ ] None O. Pets/animals kept in the yard/home

P. Are there accident hazards present?

[ ] Yes

[ ] None

V. Health and Health Practices A. Common illnesses encountered for the last 6 months and the treatment applied.

B. Whom do you consult for health-related problems? [ ] Manghihilot

[ ] Midwife

[ ] Doctor

[ ] Nurse

[ ] Brgy. Health Worker

[ ] Health Center

[ ] Albularyo

Others, specify: _____________________

C. For problems other than health, whom do you consult? [ ] Family members

[ ] Relatives

[ ] Friends

[ ] Brgy. Officials

[ ] Priest

Others, specify: ________________

D. Immunization status of family members

E. Have you had adequate 1. Rest and sleep?

Yes [ ]

No [ ]

2. Exercise?

Yes [ ]

No [ ]

3. Relaxation activities?

Yes [ ]

No [ ]

4. Stress management activities VI.

Yes [ ]

No [ ]

Environment 1. Kind of Neighborhood 2. Social and health facilities available 3. Communication and transportation facilities

VII.

Awareness of community organization A. Are you aware of existing organizations in the community? Yes

[ ]

No

[ ]

B. Name all the organization/s you know.

C. Are you a member of any of these organizations? Yes

[ ]

No

[ ]

D. Are you aware of its activities and projects? Yes

[ ]

No

[ ]

E. How are you involved in its activities? [ ] Attend meetings

[ ] Give donations

[ ] Planning

[ ] Evaluation

[ ] Implementation

Others, specify: __________________

F. Name 5 formal and nonformal leaders of the community whom you think can lead the people. 1. 2. 3. 4. 5.

PH

MA C O LLE

G

O OF S UTHER N

E

DMMA COLLEGE OF SOUTHERN PHILIPPINES

S

DM

IL I P P I N E

Tigatto Road, Buhangin, Davao City Philippines

1 9 9 3

CALENDAR OF ACTIVITIES NCM 105 – COPAR (Community Organizing Participation Active Research) School Period: 2nd Semester; February – March 2010 DATE ACTIVITIES REMARKS th - A “Protocol Visit” in the Barangay Hall in - All 4 year BSN students together February 23, Tigatto; Brgy. Captain Raul Bicong, together with the Clinical Instructors and 2010 with other Barangay Officials . members of the Community Tuesday -

March 1-2, 2010 Monday & Tuesday

DATE March 3, 2010

Proceed to the area; Purok San Vicente where the Purok Leader waiting. Ocular Survey, Preliminary sketching of spot map and encoding.

Make a house to house visit in Purok San Vicente for the following activities; - Conduct interview to gather demographic data - Conduct BP monitoring - “Operation Timbang” for the under 5 y.o. children - Conduct physical assessment to every family member that is subject for referrals. E.g. (PTB. Malnutrition, Hypertension, Pregnancies and more) - Make a thorough ocular survey on the geographical structure of the area that is significant on the community living status. - Start establish rapport with the people in the community through daytime immersion and perform/assist daily routine household task

ACTIVITIES -

Final tallying of the data surveyed and

-

-

-

-

Extension Committees pay a visit at the Tigatto Barangay Office with the presence of Brgy. Captain Raul Bicong Sketching of spot map done; encoding of location for the assigned students in a respective group done. 6 groups of students assisted by 2 C.I.s in coordination with the Community Ext. Com. For updates of activities Mapping Group conducts thorough ocular survey for finality of the significant landmarks and makes proper descriptions of the area. Discuss for the things needed for dental care and hygiene program specifically for Under 5 children.

REMARKS All students, C.I.s and members of the

Wednesday

-

March 8, 2010 Monday

-

-

gathered Initial encoding in the computer of the vital data for Community Diagnosis Program Coordinator send letters for interagency referrals in the “Healthcare Delivery System” and “Kabuhayan Program” Establish Community Diagnosis Conduct health teachings (e.g. Dental Care; Personal Hygiene etc.)

“Community Assembly” Must have any representatives attending the assembly from the Barangay to witness the event Organized Community Health Team by Local Elections Oath Taking of the Elected Officials of Community Health Team A preliminary meeting of the newly elected officials of the Com. Health Team together with the Student Leaders, C.I.s, and Members of the Community Extension Committee to discuss the matters on the plans/solutions on the identified community problems. The Community Extension Committee will aid/assist in the preparation to formalize the newly organized group in the registration in SEC that represent as a founder of the organization.

Comm. Ext. Com. Will have a forum of the following; - - identify findings of the community diagnosis and rank according to priority - Making visual aid devices for graph presentation - Discussion of the agenda for the incoming Community Assembly - Distribution of Dental Care materials and Hygiene Kit for the under 5 children. - Make a preliminary solutions of the problem discussions made by group leaders, C.i.s, and members of Com. Ext. Com. All people on a selected area in Purok San Vicente will be invited to attend for the following reasons; - To present the findings based on the data gathered - Present the community problems identified to be confirmed by the people for any reactions and acknowledgement; and for awareness - Organized a Community Health Team by conducting local elections.

DATE March 9, 2010 Tuesday- A.M.

Tuesday P.M.

March 10, 2010 Wednesday A. M.

ACTIVITIES 1. Tree Planting and Vegetable Seeds Planting Technique - Tree Planting provided by the DENR/CENRO Agency - Vegetables Seeds Planting Technique with the assistance of the technician representative from the Department of Agriculture; this event is for the food production project in the community – “Backyard Gardening Program” 2. Feeding Program - With the initiative of all DCSP committees; assisted and coordinated by the Community Health Team; Barangay Health Workers, specifically mothers with identified malnourished children

1. Kabuhayan Program - The first yet simple projects for providing “kabuhayan/pangita sa katawhan” - “Jewelry Making”; a start for enhancing new skills to make people in the community realize there is hope in generating income.

REMARKS The initiative projects/event objectives; - for the preservation and propagation of mother nature - to prevent the risk of soil erosion on the area; hence residing on a cliff (over-hang) area. Objectives of this event; - To conduct an initial feeding for the malnourished children - To encourage participation of the mothers for the awareness of the nutritional condition of their children - To formalize endorsement of the children in the Barangay Health Center for registration under the Nutrition Program. The projects will give an initial glimpse of hope for the people to find means yet a simple and cheap capital to start for a small business on their own. - This project is chose for the reasons that it is handy, you can do it anywhere they are comfortable - Materials use will not depreciated - It is easy to train their skills - It has a small cost of capital to start up yet 50% and more gain (return of investment)

-

DATE March 10, 2010 Wednesday P.M.

March 15, 2010 Monday

March 16, 2010 Tuesday March 17, 2010 Wednesday

ACTIVITIES 2. “Kabuhayan Program” - Tea Making (Alternative Medicine-Herbal) - A second step for a small project in providing their own alternative therapy for their family members - It is a good start to established a small business when enhance well of their skills through the assistance of the Community Extension Committee in the continuity of the community projects. “Operation Community Clean-up” - Cleaning up the area where the community exposure takes place by the DCSP committees. - To encourage the people living in the community to participate in the clean-up and to gain value of the environment sanitation of the place. - This event will promote health prevention for the people in the community and develop the importance in having a clean living environment. Araw ng Dabaw – Local Holiday Culmination Program – to be held in the Tigatto Gym Near Brgy. Hall - With the presence of all Barangay Officials - The newly elected Community Health Team in Purok San Vicente with the presence of their

It also provides recreation and aesthetic (beauty specially for women)

REMARKS The event or training will provide the people in the community the importance of; - Providing a alternative medicine on their own capabilities for their family - It can be a treatment and for a start of having a small business through enhancement training by our accessory (trainer) that the DCSP collaborated. - All BSN students will learn the value of taking care on the environment to protect, to preserve, and maintain the sanitation and healthy nature where they are exposed for learning experience. - It will gain mutual respect to both parties and the people will actively participating in maintaining the area free from scattered garbage. - No activities - Preparation for the Culmination Program A farewell gathering will lead to the objectives of; - Preparation of the DCSP committees for departure - Proper dissemination of

-

Purok Leader Community Extension Committee Clinical Instructors BSN 4 students

information on the progress achieved by the DCSP Com. during the community exposures -

Finalization of endorsement with the organized committee specifically to the Brgy. Captain & their officials of the documents and materials needed for future utilization in the following;

-

DATE Continuation

Prepared by:

ACTIVITIES To bid farewell by the DCSP Com and to ensure the following; - To present a summary about the community character regarding their strength and potentials that will be a tool for development - To present their dreams, hope and needs of the people in the community that needs to be attended with the partnership of the DCSP Community Extension Com. - To create a solid partnership between nongovernment sectors, through the effort od the DCSP Nursing Department and Community Extension Committee. DISMISSAL Noted by:

Pamela M. Veroy RN, MAN Level 4 COPAR Clinical Instructor

-

REMARKS Research Documents Projects and budget proposals Discussion about the Future Development Plans together with the Community Extension Program

-

Alberto S. Alejandre II, RN Level 4 Clinical Coordinator

Approved by: Ludivina S. Alejandre, RN, MAED, MAN Dean of Nursing/ Head of Community Extension Committee

Situational Analysis (SWOT)

Purok San Vicente Brgy. Tigatto Based on the Top 5 Community Problems CATEGORY

SUBCATEGORY (Problem Identified) • No public safety water utility

STRENGTHS

There existing lines.

WEAKNESSESS

are Limited budget to water install and improve water system.

•

Water Supply

•

Safety

•

Accident hazards

Availability of community officials to conduct safety awareness drive

•

Economy

•

Low family income

Heads of families are determined to find a job to

OPPORTUNITI ES Quality of health and sanitation will improve.

THREATS

Misuse of water supply (damage to pipe lines, poor conservation of water, etc.) The location is Residents, It is very considered very especially observable to hazardous and children will those who pass considered as a have an by the area health threat. environment that the houses The area is very where they can are prone to work and play frighteningly landslides and feely without hazardous to rains make paths being worried of the lives of difficult to tread safety issues. those living because of its This will also there. The slipperiness. attract more absence of Roads are also economic light, and the dimly lit or have opportunities. threat of no light posts at landslide. all. Lack of formal By encouraging May become education has livelihood complacent if hindered some programs such these residents to as Jewelry opportunities

STRATEGIC IMPORTANCE High

High

High

•

•

Nutritional Status

Garbage Disposal

•

•

Malnutritio n

Poor sewerage

support the family members need. Despite today’s crisis they still try to budget their earning to fit their needs. Each family has a strategy in meeting their needs. Community leaders are willing to wok hand in hand with government health agencies to crack down on malnutrition.

Together with the support of the local

qualify for making. are decent-paying Planting also mismanaged. jobs. provides them the chance to have a source of income which adds to their daily needs and supplies.

Due to monetary constraints, the residents are unable to avail of health services; Lack of knowledge of the proper nutritional requirements.

Money spent on health rehabilitation will now go to more productive pursuits if residents are healthier and well-nourished.

Inability to provide a healthy eating patterns due to: lack of financial budget for food, lack of parental supervision Inability of the A clean family to provide environment home will elevate the

May regress to former health status if leaders won’t regularly assess and check up the community’s health status.

High

Must be maintained and checked

High

System

system

government, the community has enough man power to improve the drainage system, along with the help of some NGO’s.

environment 74community’s conducive to health status health and and open maintenance economic opportunities as Inability to well. recognize the existence of the problem due to ignorance of facts inability to take appropriate health action due to lack of knowledge Insufficient space for garbage disposal Lack of knowledge regarding proper garbage management(e.g. garbage segregation biodegradable/nonbiodegradable) Absence of garbage collector

regularly or else garbage will pile up and clog water systems.

Noted by: Pamela M. V Veroy, RN, MAN Copar Coordinator Committee

Approved by: Ludivina S. Alejandre, RN, MAed, MAN Head, Community Extension

Alberto S. Alejandre II, RN Copar Coordinator

COMMUNITY NURSING CARE PLAN GROUP 1 HIGH FREQUENCY OF COMMON RESPIRATORY ILLNESS

CRITERIA

SCORE

NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.6

4

3

3

3

4

4

3

1

1

2

1

1

3 2 1 4 3 2 1 3 2 1 0 3 2 1 2 1 0

SCORE=9.5

Family Nursing problems

HIGH FREQUENCY OF COMMON RESPIRATORY ILLNESS Goals Objectives Intervention methods Methods of nursing

Resources Required

>Inability of the family to recognize the presence the causes and made of transfer of the disease >Inability of the family to identify natural remedies for the disease

After rendering nursing interventions, the family will be able to identify the measures to prevent common respiratory illnesses.

CRITERIA NATURE OF THE PROBLEM >Health Status

After rendering nursing interventions, the family will be able to: > enumerate some first aid remedies intended for common respiratory illnesses >Identify precautions on how to prevent this illness >Gain understanding on how significant preventive measures in your daily life.

SCORE 3

family contacts Home Visit

>assessed the family the health problems that will occur if they don’t have proper preventive measures >rendered health teachings in relation with, on how to prevent such respiratory illness >Discuss to the family some natural first aid remedies such as making of lagundi granules.

IMPROPER WASTE DISPOSAL HIGHEST POSSIBLE SCORE 3

>Visual aid >Discussion >Time and Effort of the student nurses and family members

WEIGHT

ACTUAL SCORE

1

1

>Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

2 1 4

3

2.25

3

4

2.67

3

1

1

2

1

0.50

4 3 2 1 3 2 1 0 3 2 1 2 1 0

SCORE=7.42

Family Nursing problems

Goals

IMPROPER WASTE DISPOSAL Objectives Intervention methods

Methods of nursing family contacts

Resources Required

>Inability of the family to provide home environment conducive to health and maintenance due to improper waste disposal

After rendering nursing interventions, the family will be able to identify tips on how to segregate their waste.

CRITERIA NATURE OF THE PROBLEM >Health Status

After rendering nursing interventions, the family will be able to: > recognize and observe proper disposal of waste >identify way on how to utilize or segregate waste >enumerate some possible health problem if improper waste disposal are not prevented

SCORE 3

>assessed the family the degree of awareness of the family with regards to the existing problem >taught the family how to do proper waste disposal >encouraged the family to practice proper segregation on waste among the measures of the family

FIRE & FLOOD HAZARD HIGHEST POSSIBLE SCORE 3

Home Visit

>Visual aid >Discussion >Time and Effort of the student nurses and family members

WEIGHT

ACTUAL SCORE

1

0.67

>Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

2 1 4

3

2.25

3

4

2.67

3

1

0.67

2

1

1

4 3 2 1 3 2 1 0 3 2 1 2 1 0

SCORE=7.26

Family Nursing problems >Inability of the

Goals

After rendering

FIRE & FLOOD HAZARD Objectives Intervention methods

After rendering

>assessed the degree

Methods of nursing family contacts Home Visit

Resources Required >Visual aid

family to recognize and identify possible hazard threatened the health of the family members particularly the fire & flood hazard

nursing interventions, the family will be able to identify possible hazard threatened the health of the family.

CRITERIA NATURE >Health >Health >Health

OF THE PROBLEM Status Resources Related

nursing interventions, the family will be able to: > gain understanding about the significance of safety in the family >enumerate possible ways intended to prevent the occurrence of fire & flood hazard

of awareness of the family with regards to the problem >taught the family about proper fire/flood safety >encouraged the family to spread the information of proper safety among family members such as there children.

ACCIDENTAL FALL & DROWNING HAZARD SCORE HIGHEST POSSIBLE WEIGHT SCORE 3 1 3 2 1

>Discussion >Time and Effort of the student nurses and family members

ACTUAL SCORE 0.33

MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

4

3

1.5

3

4

2.67

3

1

1

2

1

0.5

4 3 2 1 3 2 1 0 3 2 1 2 1 0

SCORE=6

Family Nursing problems >Inability to make decisions with respect to

Goals After rendering nursing interventions,

ACCIDENTAL FALL & DROWNING HAZARD >House is along the highway Objectives Intervention Methods of methods nursing family contacts After rendering >Establish Home visitation nursing rapport interventions, the >Explain to the

Resources required >Visual aid -Discussion >Time and effort of

taking appropriate health action due to: failure to comprehend the nature, magnitude/scope of the problem >Feeling of confusion and/or resignation brought about by failure to break down problems into manageable units of attack.

the family will be able to prevent the accident that might cause injury and lessen the problem of accident.

family will now: >Lessen their problem regarding accidents. >know to prevent accident hazard.

family the danger that might occur due to accident hazard. >Demonstrate to the family the actions on preventing accident.

the student nurse and family members.

GROUP 2 CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE

SCORE

OPEN DRAINAGE HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

1

3

3

3 2 1 4

PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

4 3 2 1 3

4

4

3

1

0.33

2

1

1

3 2 1 0 3 2 1 2 1 0

SCORE=9.33

Family Nursing problems >inability to recognize the presence of the

Goals

After 2 weeks of rendering care with the family

OPEN DRAINAGE >Presence of an open canal near their house Objectives Intervention methods

After rendering nursing interventions, the

>established rapport >educated the family about danger posed by an

Methods of nursing family contacts Home Visit

Resources Required >Time and effort of the student

problem due to ignorance of the facts.

would be able to take appropriate action towards avoiding any harmful accidents from the canal.

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected

family will be able to: > see the advantages of what would be the danger threats of having an open canal >become more aware of their surroundings especially things that can harm them >find ways of fixing or closing the canal

SCORE

open canal that can possibly cause injuries to the Family especially the children >made the family realize the dangers of not doing anything about the present problem >encouraged the family to think ways on how to solve the problem >promoted the family’s independence & to make them more responsible to provide solutions to their problem >asked the family to mention the possible sanitary modifications

VEHICULAR ACCIDENT HIGHEST POSSIBLE SCORE 3

nurses, family and the people in the area >knowledge/ information that the nurse will impart to the family

WEIGHT

ACTUAL SCORE

1

0.66

3

1.5

3 2 1 4 4 3 2

>less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

1 3

4

1.33

3

1

0.66

2

1

1

3 2 1 0 3 2 1 2 1 0

SCORE=5.15

Family Nursing problems >inability to make decisions with respect to taking appropriate help action due to

Goals

After 2 weeks of rendering care with the family would be able to take appropriate

VEHICULAR ACCIDENT Objectives Intervention methods

After rendering nursing interventions, the family will be able to: > know the

>provided information of safety needs or injury prevention and motivation to prevent injury >discussed about supervision for the young

Methods of nursing family contacts Home Visit

Resources Required >Time and effort of the student nurses, family and the people in the

reduce or low salience of the problem

action towards avoiding any accidents.

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable

importance of a safe environment free from hazards and accidents >aware and knowledgeable of the hazards and accidents in their home including its preventive measures

SCORE

ones and improvement of the facility

IMPROPER WASTE DISPOSAL HIGHEST POSSIBLE SCORE 3

area >low cost resources to improve and modify facilities in home and environment

WEIGHT

ACTUAL SCORE

1

1

4

3

2.25

3

4

4

3 2 1 4 3 2 1 3 2 1 0

PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

3

1

1

2

1

0.5

3 2 1 2 1 0

SCORE=8.75

Family Nursing problems

Goals

>Inability to decide about taking appropriate action due to failure to comprehend the nature and scope of

Within 4 hours of nursing intervention, the family will be able to determine the importance of practicing proper

IMPROPER WASTE DISPOSAL Objectives Intervention methods

After rendering nursing interventions, the family will: > Identify the different ways on proper disposal of garbage >enumerate the proper techniques on keeping the surroundings clean

>assessed the family’s level of understanding regarding the identified problem >provided the family information about proper ways on waste disposal

Methods of nursing family contacts Home Visit

Resources Required >assessment >discussion >time and effort of the student nurses with the family members

the problem

methods on waste disposal

and through using proper method of waste disposal >define the meaning of garbage disposal and its advantages >recognize the possible effects of garbage burning >verbalize understanding about the importance of practicing proper waste disposal

>explored with the family the advantages and disadvantages of the different methods of waste disposal >emphasized the importance of practicing proper garbage disposal with the family

GROUP3 CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected

RISK FOR FOOD CONTAMIINATION SCORE HIGHEST POSSIBLE SCORE 3 3 2 1 4 4 3 2 1

WEIGHT

ACTUAL SCORE

1

1

3

3

MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

3

4

4

3

1

1

2

1

1

3 2 1 0 3 2 1 2 1 0

SCORE=10

Family Nursing problems >food was not covered and some of the flies are the food

Goals

Within 2 hours of nursing intervention, the family will be able determine unhealthy sanitation and proper storage of food.

RISK FOR FOOD CONTAMINATION Objectives Intervention methods

After rendering nursing interventions, the family will: > Identify that contamination food can lead to illnesses. >Identify the importance of sanitation.

>Assessed their concerns of the family and their practices on sanitation and storage of food. >Discussed the family the risk on not putting their food in proper storage. >Taught the family to do the proper storage

Methods of nursing family contacts Home Visit

Resources Required >Paper >1 pen >Transportation

of food and sanitation.

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM

SCORE

POOR HYGIENE HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.6

4

3

2.25

3

4

4

3 2 1 4 3 2 1

>High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

3 2 1 0 3

1

1

2

1

1

3 2 1 2 1 0

SCORE=8.85

Family Nursing problems >Inability to recognize the existence of the problem due to ignorance of facts >inability to take appropriate

Goals

After rendering nursing interventions, the following are expected to take place: the occurrence of cough & colds among family members will be

POOR HYGIENE >Lack of knowledge Objectives Intervention methods

After rendering nursing interventions, the family will: > be imparted of the health teaching at the earliest possible time.

>provided adequate knowledge about various ways of maintaining cleanliness in their surroundings >discussed the importance of knowing the necessary information about diseases to prevent

Methods of nursing family contacts Home Visit

Resources Required >visual aid >1 pen >Time and effort of student nurse and the family members

health action due to lack of knowledge

prevented, the chances to reduce of spread of communicable diseases to other family members & discuss the proper personal hygiene to the family members to be aware that it is to prevent sickness

spreading them >taught the family members to do proper handwashing and encouraged them to perform it before and after handling food. >encouraged the family members to promote cleanliness to avoid communicable diseases.

GROUP 4 CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected

SCORE

IMPROPER GARBAGE DISPOSAL HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.6

3

3

3 2 1 4 4 3 2 1

MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

3

4

4

3

1

1

2

1

1

3 2 1 0 3 2 1 2 1 0

SCORE=9.6

Family Nursing problems

Goals

>Insufficient space for garbage disposal >Lack of knowledge regarding proper garbage management(e.g garbage segregation bio-

After rendering nursing interventions, the family will be able to manage and maintain proper garbage disposal.

IMPROPER GARBAGE DISPOSAL Objectives Intervention methods

After rendering nursing interventions, the family will: > gain knowledge regarding proper garbage management >learn about garbage segration.

>conducted health education >emphasized the importance of environmental sanitation >discussed about proper garbage management >provided with 3

Methods of nursing family contacts Home Visit

Resources Required >Paper >1 pen >Transportation

degradable/nonbiodegradable) >Absence of garbage collector

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM

sacks for garbage segregation. >imparted the need for an effective and efficient environmental sanitation. >encouraged families to participate in environmental sanitation campaigns & projects in the community.

IMPROPER ENVIRONMENTAL SANITATION SCORE HIGHEST WEIGHT POSSIBLE SCORE 3 1 3 2 1 4 3

ACTUAL SCORE 0.6

3

4 3 2 1 3

4

2.6

>High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

3 2 1 0 3

1

0.6

2

1

1

3 2 1 2 1 0 SCORE=7.8

IMPROPER ENVIRONMENTAL SANITATION >Burning of garbage waste, Improper segregation of waste materials such as: biodegradable & non Family Nursing Goals Objectives Intervention methods Methods of problems nursing family contacts >Inadequate After 4 hours of After rendering >established rapport to Home Visit family resources nursing nursing the family. such as: financial intervention, the interventions, the >discussed to the family problem family will take a family will be on how to maintain good >Loneliness necessary action able: health status. >lack of to improve and >To improve the >maintained the proper knowledge about maintain the importance of garbage waste the health importance of proper segregation such as: prevention environmental segregation of biodegradable & >Lack of facilities sanitation and waste materials. nonbiodegradable.

biodegradable Resources Required >Time & effort, communication to the family >Visual aids >Nurse and family interaction

and communication >lack of knowledge about environmental santation

health prevention.

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate

>To enhance their knowledge on biodegradable and non biodegradable.

SCORE

>conducted a strong health education program directed towards environmental sanitation. >eliminated vector by destroying breeding places of mosquitoes by cleaning surrounding & proper disposal of empty bottles and cans.

FOOD SANITATION HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.6

4

3

3

3

4

4

3 2 1 4 3 2 1 3 2

>Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

1 0 3

1

1

2

1

1

3 2 1 2 1 0

SCORE=9.6

Family Nursing problems

Goals

>Ignorance on the importance of proper food preparation

After rendering nursing interventions, the individual will be able to know the proper way on how to maintain good

FOOD SANITATION >Unsanitary food storage Objectives Intervention methods

After rendering nursing interventions, the family will be able: >To become aware and knowledgeable regarding healthy food

>provided health teachings through dissemination of information regarding healthy food sanitation in terms of cleanliness of food preparation. >Guided the family in recognizing the need for proper food preparation. >performed health education & conference sessions through

Methods of Resources nursing Required family contacts Home Visit >Time & effort of both the nurse and the family >monetary allowance for transportation expenses >visual aids

sanitation in terms of food storage.

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low

sanitation.

SCORE

health teaching. >emphasized the danger of complications in the possible diseases when foods are improperly stored. >stressed out to the family the specific diseases that might be acquired in unsanitary food storage and preparation.

COUGH HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.3

4

3

3

3

4

2.6

3 2 1 4 3 2 1 3 2 1

>Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

0 3

1

1

2

1

1

3 2 1 2 1 0

SCORE=7.9

Family Nursing problems

Goals

Objectives

>Lack of knowledge about the illness, how to prevent cough and what is cough >Financial problem due to inability to provide their needs and wants

After rendering nursing interventions, the family will be able to understand what is cough & how to prevent it and the medication to take to prevent cough.

After rendering nursing interventions, the family will be able: >To improve their skills on the prevention of such illness >To provide their needs in their daily

COUGH Intervention methods

>established rapport to the family >discussed the different types of cough, what is cough and how to prevent it >taught the basal technique on how to prevent cough like: deep breathing exercise, paper bag technique >advised the family to take medicine when there is presence of cough >advised the family to the

Methods of nursing family contacts >Home Visit >One on one interview

Resources Required >Visual aids >time and effort to teach the family on proper way in preventing cough >nurse and family interaction

>Environmenta l problem due to hazardous place

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable

living >To enhance their knowledge about cough

SCORE

nearest hospital or health center >educated the family regarding the methods of control & importance of early diagnosis

COUGH, COLDS, FEVER HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.3

4

3

3

3

4

4

3 2 1 4 3 2 1 3 2 1 0

PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

3

1

0.6

2

1

1

3 2 1 2 1 0

SCORE=8.9

Family Nursing problems >inability to recognize the effect of such diseases. >Lack of knowledge to prevent their health problem or other medicine that can treat >Financial probleminability to

Goals

After rendering nursing interventions, the parents will be able to have knowledge

COUGH, COLDS, FEVER Objectives Intervention methods

After rendering nursing interventions, the family will be: >aware on what the effect of the disease >To have knowledge about the treatment for

>discussed with the family members the importance and information about such diseases to prevent spreading. >provided adequate knowledge about maintaining cleanliness in their surroundings. >instructed & demonstrated to them on how to do proper hygiene to prevent illness. >discussed to the family the importance of proper food preparation, exercise & rest in

Methods of nursing family contacts >Home Visit >One on one interview

Resources Required >Visual aids >time and effort of both the nurse and the family >monetary allowance for nurse’s transportation exprenses

provide their basic needs especially in health care needs

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL

cough, colds & fever

SCORE

strengthening one’s resistance against illness. >provided information on health centers for immediate health care assistance.

MALNUTRTION HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

1

4

3

2.25

3

4

2.6

3

1

0.6

3 2 1 4 3 2 1 3 2 1 0

>High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

3 2 1 2

1

1

2 1 0

SCORE=7.45

Family Nursing problems

Goals

>inability to recognize the existence of a problem due to ignorance of facts >inability to provide a healthy eating patterns due to: lack of financial budget for food, lack of parental supervision

After rendering nursing interventions, the parents will manage care of children who are malnourished.

MALNUTRTION Objectives Intervention methods

After rendering nursing interventions, the family will: >be aware and knowledgeable about nutrition

>assisted the family in recognizing and solving health problems >guided family in recognizing the need for proper food preparation >performed health education & conference section through health teaching & talking to community groups >instructed & demonstrated proper procedures for food preparation responsible family members >emphasized the danger of complications in specific food borne diseases & explain

Methods of Resources nursing Required family contacts >Home >Visual aids Visit >food chart >feeding program

measures to prevent them

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low

SCORE

FOOD SANITATION HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.6

4

3

3

3

4

2.6

3

1

0.6

3 2 1 4 3 2 1 3 2 1 0 3 2 1

SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

2

1

1

2 1 0

SCORE=7.8

Family Nursing problems >inability to provide a sanitary food preparation to maintain nourishment due to: lack of knowledge on proper food handling and preparation, ignorance on the importance of proper food preparation

FOOD SANITATION >Such as unhealthy food sources, unsanitary food storage Goals Objectives Intervention methods Methods of Resources nursing Required family contacts After rendering After rendering >health education through >Home >Visual aids nursing nursing dissemination of healthy food Visit >clean food interventions, interventions, sanitation >house to storage the parents will the parents >assisted in deworming house manage and will be able: activities for children groups survey follow our >to be aware >became a role model for imparted health & others in terms of cleanliness teachings in knowledgeable in food preparation order for them to about food >intensified food hygiene have good food sanitation education through health sanitation.nts will >to maintain education manage care of and to have a >conducted trainings in food children who are clean food handling & proper food malnourished. storage sanitation >to understand and cooperate in every activity

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low

SCORE

SCABIES HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

1

4

3

2.25

3

4

2.6

3

1

0.6

3 2 1 4 3 2 1 3 2 1 0 3 2 1

SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

2

1

0.5

2 1 0

SCORE=6.95

Family Nursing problems

Goals

Objectives

>inability to recognize the presence of the problem due to ignorance of facts >inability to provide home that is conducive to maintaining personal development due to: inadequate family resources, lack of information regarding preventive measures, failure to use health resources due to knowledge deficit

After rendering nursing interventions, the parents will be able to provide care with regards to scabies problem.

After rendering nursing interventions, the family members will be able to: >become more aware on the present situation regarding scabies >know the nature and facts about the disease > identify the dangers about scabies

SCABIES Intervention methods

>provided health teaching to the family by exploring the nature, sign, symptoms, etiology of the disease process >emphasized the importance of good personal hygiene like bathing & cutting of fingernails >teaching the importance of regular changing of clean clothes, beddings & towels >discussed the importance of eating the right kind of food that are rich in Vitamin A & C >stressed out the importance of keeping the houses clean and improving environmental sanitation

Methods of Resources nursing Required family contacts >Home >Time & effort Visit of both the nurse and the family >financial needs for transportation

>inability to provide proper nourishment due to financial problem

GROUP 5 CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN

LACK OF PROPER HYGIENE AND SANITATION SCORE HIGHEST POSSIBLE WEIGHT SCORE 3 1 3 2 1 4 3

ACTUAL SCORE 1

3

4 3 2 1 3

4

4

3

1

1

2

1

0.5

3 2 1 0 3 2 1

>Urgent community concern >Recognized problem but does not need urgent attention Not a community concern

2 1 0

SCORE=9.5

Family Nursing problems

Goals

>Self care deficit related to lack of knowledge about proper hygiene as evidenced by halitosis and body odors

After rendering nursing interventions, the family members will be able to explain the risk of improper hygiene practice to their health & enumerate tips to acquire good hygiene practices

LACK OF PROPER HYGIENE AND SANITATION Objectives Intervention methods

After rendering nursing interventions, the family members will be able to: >promote good hygiene practice to their health

>discussed the significance of having a good hygiene among the family members >analyzed with the family the advantages and disadvantages of good hygiene >taught family members the proper hygiene practices

Methods of nursing family contacts >Home Visit

Resources Required >Time & effort of both the nurse and the family >poster with pictures about good hygiene practices such as proper brushing of teeth and handwashing.

CRITERIA NATURE OF THE PROBLEM >Health Status >Health Resources >Health Related MAGNITUDE OF THE PROBLEM >75-100% affected >50-75% affected >25-49% affected >less than 25% affected MODIFIABILITY OF THE PROBLEM >High >Moderate >Low >Nonmodifiable PREVENTIVE POTENTIAL >High >Moderate >Low SOCIAL CONCERN >Urgent community concern >Recognized problem but does not need urgent

SCORE

LACK OF JOB OPPORTUNITY (UNEMPLOYMENT) HIGHEST POSSIBLE SCORE 3

WEIGHT

ACTUAL SCORE

1

0.67

4

3

2.25

3

4

4

3

1

0.67

2

1

1

3 2 1 4 3 2 1 3 2 1 0 3 2 1 2 1

attention Not a community concern

0

SCORE=8.59