Copar Documentation

COMMUNITY ORGANIZING PARTCIPATORY ACTION RESEARCH (COPAR)

In partial fulfillment for the requirements in Community Health Nursing 102 For the Degree of Bachelor of Science in Nursing

By: Mary Grace A. Osorio – Leader With the following members: 1. Apon, Jeamelyn C.

13. Limbo, Raffy Y.

2. Balbuena, Carylle C.

14. Macayaon, Joana Marie C.

3. Batino, Mary Anne A.

16. Martinez, Rowena C.

4. Blancaver, Irish Rose T.

17. Navarro, Maria Rufina M.

5. Bonda, Jose Reymond S.

18. Nidera, Ma. Theresa A.

6. Caceres, Grace Marie A.

19. Ong, Clarisse Anne D.

7. Capate, Vanessa

20. Pedro, Katherin B.

8. Chiong, Edlyn R.

21. Perez, Andro O.

9. Dianela, Camille Grace V.

22. Ramos, Andrea Liz A.

10. Emeterio, Kristine F.

23. Ramirez, Anjelly

11. Felicen, Miriam Fatima A.

24. Tabbuac, Rachel A.

12. Gara, Kathy

BSN 3B2-3

MRS. ANGELA CHRISTIE OGOT-MOTILLA Community Health Nursing 102 Adviser

Acknowledgement We would like to thank first our Almighty God For his guidance and giving strength to us while doing this Research work. We would like also to thank Mrs. Angela Christie Ogot-Motilla, our research adviser for Community Care Management 102 for her effort and time in guiding and giving us more knowledge on how To make a good Community Organizing Participatory Action Research Report. In particular, Mrs. Motilla’s Recommendations and suggestions have been Invaluable for the success Of our work. Special thanks must be given to Hon. Nestor T. Reyes, Barangay Captain of North Fairview Quezon City for giving Us necessary information about our site that could be a big impart 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 Of our study. Finally, we give thanks to our beloved parents For their encouragements and moral support to Pursue our dreams to become a future nurses. TO GOD IS THE GLORY. --------The Researchers

Dedication

We would like to dedicate this Research to our parents, brothers, and sisters, Relative, friends and our members of the group. Without their patience, understanding, support and

Most of all the love and the completion of this Work would not have been possible.

The Researchers

Introduction During the Biblical Times, Adam and Eve were created by God. They made the first family in this world made their siblings and continue to spread their ancestry. As time passed by, from a small family is now a big group of family and these forms the community. Community therefore is defined as a group of people with common characteristics of goals and shared interest living together within a geographical boundary, has a population and environmental resources. Community is somehow divided into different sectors like political sector in which they are considered as the leaders of the community. Another sector is that cultural sector they are the ones responsible for the

cultural profile of heir community, environmental sector they are for the restoration of our forest and most importantly the health sector these are composed of doctors and mostly nurses, they are the ones who can gave so much contribution to reduce the mortality and morbidity rates. The health sector in the community that intervenes for the improvement of the health of the community is known as the Community Health Nursing. Community

Health

Nursing

is

defined

by

different

personalities in the field of Medicine. According to the WHO “CHN is a special field of Nursing that combines skills of Public Health and some phases of social assistance and function as a part of the total health program. For the promotion of health improvement in the conditions of social and

physical

environment,

rehabilitation

of

illness

and

disabilities. Therefore it is the public nurse that assesses the community health needs and problems and must intervene something for the improvement of the health condition of the community people. This is a big task for a nurse because it takes for a long period of time for the preparations of your intervention, your equipments going to use, the budget available, the resources available and the most important of all

the

participation

of

the

community

people

in

such

activities that you are planning to perform. At first, on your own point of view, you must determine your objectives. Then look for your study population, determine your needed data’s, start now to develop your instruments. By this time you can

now have actual data gathering, after that collate all your data’s. Try to present it and analyze your data. At this point onwards you can now identify the community health problems and you can now identify which problem in the community you will prioritize most. You have to gather so many data’s and profile of the community for you to be able to understand it as a whole and this is very challenging for every Public Health Nurse. Afterwards of such intervention, you will now have your trademark in your community that a Public Health Nurse has a warmth attribute of love for the development of their community and thinks not only for itself but also for the goodness of mankind.

TABLE OF CONTENTS

Page Acknowledgements ………………………………………………………… ………………. i Dedication ………………………………………………………… ………………. ii Introduction …………………………………………………………… …………… iii Table of Contents ………………………………………………………………… ……… v Community Profile ………………………………………………………… ……………… ix Spot Map ………………………………………………………… ……………… xii Barangay Organizational Chart …………………………………………… …………… xiii Health Center Organizational Chart ……………………………………… ……….. xiv Chapter 1 Family Structure A. FAMILY SIZE B. TYPE OF FAMILY

…………………………..

1

…………………………..

1 C. NUMBER OF FAMILY MEMBERS D. PLACE OF RESIDENCE

…………………………..

1

…………………………..

2 E. AUTHORITY

…………………………..

2

F. DECISION MAKER (health)

……………………….....

2

G. NUMBER OF FEMALE ECONOMICALY …………………………… 3 REPRODUCTIVE H. BREADWINNER OF THE FAMILY …………………………. Chapter 2 Socio0Economic and Cultural Variables A. COMMUNICATION NETWORK 4

…………………………..

3

B. TRANSPORTATION SYSTEM

…………………………..

4 C. EMPLOYMENT RATES

………………………….

4 D. OCCUPATION

………………………….

5

E. MONTHLY INCOME PER HOUSEHOLD …………………………. 5 F. Priority in Expenditure

………………………….

6 G. AVERAGE MONTHLY FAMILY EXPENDITURE …………………..

6

H. INCOME GROUP

6

…………………..

I. MONEY MANAGER

…………………..

7

J. EDUCATION ATTAINMENT

…………………..

7

K. RELIGION

…………………..

7

Chapter 3 Home and Environment A. LENGTH OF STAY (residency)

……………………

B. HOME OWNERSHIP

……………………

8

C. LAND OWNERSHIP

…………………..

8

D. TYPES OF HOUSES

…………………..

9

E. TYPES OF STRUCTURE

…………………..

F. VENTILLATION

…………………..

10

G. NUMBER OF ROOMS

…………………..

10

H. LIGHTNING FACILITY

…………………..

10

I. MEANS OF COOKING

…………………..

11

8

9

J. FOOD STORAGE

…………………..

11

K. GENERAL FOOD SANITARY CONDITION

…………………..

12

L. WATER SOURCE

…………………..

12

M. STORAGE OF DRINKING WATER N. GARBAGE DISPOSAL SYSTEM

…………………..

12

…………………..

13

O. TYPES OF TOILET FACILITY P. TOILET USAGE

………………….. …………………..

Q. STORAGE R. SEWERAGE SYSTEM

13

14

…………………. …………………..

14

15

S. CONDITION OF SEWEWRAGE SYSTEM

…………………..

15

T. GENERAL SANITARY CONDITION

…………………..

15

U. RODENTS PRESENT

…………………..

V. SAFETY MEASURE FACILITIES

16

…………………..

16

Chapter 4 Knowledge on the Concept of Health Care A. VALUES ON HEALTH PROMOTION

……………………..

17 B. KNOWLEDGE RELATED TO HEALTH

………………………

18 C. SUPERSTITIOUS BELIEF RELATED TO HEALTH ………………… 19

Chapter 5 Health Care A. PRE-NATAL CHECK-UP

………………………….

23 B. ANTEPARTAL PERIOD

…………………………..

23 C. POST-PARTUM CHECK-UP

…………………………..

D. BIRTH ATTENDANT

………………………….. 24

E. FEEDING PRACTICES

………………………….. 25

F. VITAMINS GIVEN

24

………………………….

25 G. MATERNAL CARE (Tetanus Toxoid)

…………………………

25 H. INFANT FEEDING 26

……….…………………

I. INFANT IMMUNIZATION

…………………………

26 J. ILLNESS PREFERENCES

…………………………

26

K. AUTHORITIES CONSULTED

………………………..

27

L. MEDICATION TAKEN

…………………………

27

M. DISTANCE OF HEALTHCARE FACILITIES

…………………………

27 TO HOUSEHOLDS N. COMMUNITY HEALTH SERVICE PROGRAMS ………………………… 28 AVAILED BY THE FAMILY O. QUALITY OF HEATH SERVICES RENDERED ………………………….. 28

Chapter 6 Responsible Parenthood I. FAMILY PLANNING

…………………………

J. METHOD OF FAMILY PLANNING (specify)

29

…………………………

29 K. SOURCE OF INFORMATION ABOUT

………………………..

30 HEALTH CARE Chapter 7 Data on Community Development L. SOCIAL FUNCTIONS OF THE COMMUNITY

…………………..

31

( recognized leader with regards to community problems) M. ORGANIZATION PARTICIPATED BY HE FAMILY

…………………

…. 32 N. RECREATIONAL ACTIVITIES IN THE COMMUNIY …. 32 THE FAMILY PARTICIPATED

…………………

O. HEALTH PROBLEMS OF THE COMMUNITY

…………………

33 P. CAUSES OF COMMUNTY PROBLEMS

……………………

34 Chapter 8 Community Problems and Recommendations A. Problem Prioritization

…………………

….. B. Summary

……………………..

C. Conclusions

…………………

….. D. Recommendations

…………………

…..

Appendices ……………………………….

……………………………………………………………………

Community Profile DISTRICT: I1 AREA: 8 BARANGAY : NORTH FAIRVIEW BARANGAY PROFILE 1. A. BARANGAY BOUNDARIES North: Creek; D,B,T. Mambay and Lagro Subd. Boundary East: Lagro Subd. Tullihan Creek West: Bgry. Sta, Monica And Nort Fairview Subd. Boundary.

South: Bgry. Fairview Tullahan Creek B. LIST OF SITIO/ AREA WITHIN THE BARANGAY NAME / NO. COVERAGE STREETS: 1, North Fairview 2, Fairmont 3, Neopolitan -Sito Seville 4, SSS Village (Housing) 5, NAMAPA & SAMASAPE 6, Phase VIII 2. DATE CREATED: Sept. 10, 1996 3. MANNER OF CREATION: Ordinance No. 439,S-96 4. LAND AREA ( HECTARES): 2,078,333 Sq. m. 5. TOTAL NO. OF POPULATION: 17,995 / 9,480 AS OF NSO (Sept .1995) 6. TOTAL NO. OF HOUSEHOLD: 2,832 AS OF May 1998 7. TOTAL NO. OF REGISTERED VOTERS: 5,606, AS OF May 1998 8. NO. OF VOTING CENTERS: (1) North Fairview ES, No of Precinct ; 29 9. NO. OF SANGGUNIANG KABATAAN (SK) REGISTERED VOTERS: 10. A.) LOCATION OF BRGY. HALL: Arches St. Inside North Club house Fairview TEL. NO. 936-9070 / 418-1170 B.) BRGY. COVERED COURT 11. NO. OF STREET: 116

ALLEYS:25

12. BRGY. FIESTA:

Last Sunday of Aug.PATRON SAINT: Divine Savior 13. NO. OF BUSINESS ESTABLISHMENTS:190 14. LOCATION OF HEALTH CENTER: 15. NO. / LOCATION OF HOSPITAL/S: NAME OF HOSPITAL LOCATION 16. NO. LOCATON OF SCHOOL/S: NAME OF SCHOOL LOCATION 1.North Fairview Elem. Sch. NF Subd , # 930-3243 /419-5932 2.Ivy Montessori Phase 3.Angel of Jesus Learning Burbano St, 4.STI Regalado Avenue 5.Lagro Annex NF Subd , # 419-10-05 6.Divino Savior NF Subd, # 936-8348 7.Fatima Collage Regalado Avenue 8.Another Home to Grow Learning Cent. Adrian # 24 17. POLICE STATION COVERED: Station V Lagro Police Station 417-6665 18. FIRE STATION/TEL NO: 19. ECONOMIC STATUS OF BRGY: (BASED ON THEIR DEPRESSED AREAS) Class B1 (Middle) 20. DEPRESSED AREAS: NO.OF SPECIFIC LOCATION / FAMILIES NAMA 215 Sitio 1 80 North Fairview 600 21. NO. LIST OF SUBDIVISION/S: North Fairview Subd. Fairmont Subd. S.S.S Housing Subd. Sitio Seville Subd. Phase 8 United North Fairview

22.NO./NAME LOCATION OF CHURCH/S: Divine Savior Parish Church 23.FLOOD PRONE AREA/S: Purok Sitio 1 .

Samasape

24. NAME/LOCATION OF GASOLINE STATION/S: Petron Gasoline Caltex 25. NAME/LOCATIONOF GOV’T PUBLIC LIBRARY (IF ANY): 26. NAME/LOCATION OF PARKS & PLAYGROUND (IF ANY): Sitio Seville, North Fairview Park, SSS. Housing 27. NAME/LOCATION OF MARKET/S AND SUPERMARKET/S (IF ANY): Neoville Supermarket 28. NAME/LOCATION OF MOVIE HOUSE/S (IF ANY):

SPOT MAP

Introduction During the Biblical Times, Adam and Eve were created by God. They made the first family in this world made their siblings and continue to spread their ancestry. As time passed by, from a small family is now a big group of family and these forms the community. Community therefore is defined as a group of people with common characteristics of goals and shared interest living together within a geographical boundary, has a population and environmental resources. Community is somehow divided into different sectors like political sector in which they are considered as the leaders of the community. Another sector is that cultural sector they are the ones responsible for the cultural profile of heir community, environmental sector they are for the restoration of our forest and most importantly the health sector these are composed of doctors and mostly nurses, they are the ones who can gave so much contribution to reduce the mortality and morbidity rates. The health sector in the community that intervenes for the improvement of the health of the community is known as the Community Health Nursing. Community

Health

Nursing

is

defined

by

different

personalities in the field of Medicine. According to the WHO “CHN is a special field of Nursing that combines skills of Public Health and some phases of social assistance and

function as a part of the total health program. For the promotion of health improvement in the conditions of social and

physical

environment,

rehabilitation

of

illness

and

disabilities. Therefore it is the public nurse that assesses the community health needs and problems and must intervene something for the improvement of the health condition of the community people. This is a big task for a nurse because it takes for a long period of time for the preparations of your intervention, your equipments going to use, the budget available, the resources available and the most important of all

the

participation

of

the

community

people

in

such

activities that you are planning to perform. At first, on your own point of view, you must determine your objectives. Then look for your study population, determine your needed data’s, start now to develop your instruments. By this time you can now have actual data gathering, after that collate all your data’s. Try to present it and analyze your data. At this point onwards you can now identify the community health problems and you can now identify which problem in the community you will prioritize most. You have to gather so many data’s and profile of the community for you to be able to understand it as a whole and this is very challenging for every Public Health Nurse. Afterwards of such intervention, you will now have your trademark in your community that a Public Health Nurse has a warmth attribute of love for the development of their

community and thinks not only for itself but also for the goodness of mankind.

CHAPTER 1 FAMILY STRUCTURE A. Family Size Sm all

28%

Medium Large

31% 41%

In this graph, mostly in the community has small family structure with the percentage of 41, while the large family structure has only 28 percent. B. Type of Family

Nuclear

25

Single Parent

20

Extended

15

Cohabiting

10

Live-in Gay/ Lesbian

5 0

Thus, the type of family in the community is the nuclear family with the total of 23 respondents. C. Number of Family Members

8 7 6 5 4 0%

10%

20%

30%

40%

3

In this graph, 33%of the community has family members of 5, while the 5% are from 3 members. D. Place of Residence

11% Patrilocal

14%

Matrilocal Neolocal

75%

As a result, 76% is patrilocal while 11% is neolocal. E. Authority

Egalitarian Patricentic Matriarchal Patriarchal 0%

20%

40%

60%

80%

Therefore, Mostly in the community are patriarchal with the percentage of 68, while the least is the egalitarian with the total percentage of 5, same as the patricentric. F. Decision Maker 10% 0% Father Mother

25%

Eldest child Others

65%

In this graph it shows only than the decision making the father is the majority with the total percentage of 65%. G. Number of Female Economically Reproductive

13% 1 15%

42%

2 3 4

30%

As a result, only 1 of the female economically reproductive with the percentage of 40, while the least are the 4 with the percentage of 15.

H. Breadwinner of the Family

13%

0% Father Mother Eldest child

30%

57%

Others

In this graph, the breadwinner of the family is the father with the percentage of 57, while the least is the eldest child with 13% only.

CHAPTER II SOCIO ECONOMIC AND CULTURAL VARIABLES I. COMMUNICATION NETWORK

50 40 Cellphone 49% 30

Te levision 23%

20

Radio 21%

10 0

Surfing 7 %

Therefore, 49% in the community use cell phone as their major communication instrument while 10% of them use internet surfing. II. Transportation System 35% 30%

Taxi FX

25% 20%

Bus Jeep

15% 10%

Tricycle

5%

Pedicab

0%

Others

In this graph, Mostly in the community use jeep as the major transportation system while Pedi cab is the least one with 7% only. III. EMPLOYMENT RATES Employed 13%

3%

Unemployed Underemployed

84%

In this graph shows only that majority in the community are employed with the percentage of 85. IV. OCCUPATION

25

other

20

clerk

15

vendor

10

te ac he r

rs e nu

in ee r en g

sa le sl

m

ve nd

ad y

nurse

ec ha ni c

engineer or

0 cl er k

saleslady

ot he r

m echanic

5

teacher

Therefore, 22% of occupations are the teachers and vendors while 2% of it is clerk. V. MONTHLY INCOME PER HOUSEHOLD

35 30 2000-4000

25

5000-7000

20

8000-10000

15

11000-13000

10

13000 above

5 0

Therefore, 33% of monthly income per household has 5000-7000 monthly income while 6% of it has 14000 and above monthly income per household.

VI. Priority in expenditure 16%16% 14% 12%

14%

13%

14%

13%

12%

10% 8% 6%

9%

4% 2%

10%

Food Clothing Shelter Water Electricity Transportation Education Others

0%

Therefore, the community agrees that there major priority is the food while the least priority is transportation with only 9%. VII. Average Monthly Family Expenditure

20 below 1000

15

1001-2000 2001-3000

10

3001-4000 4001-5000

5

above 5000 0

Therefore, 20% of average monthly family expenditure has 3001-4000 while 12% of it taken by 5000 and above. VIII. INCOME Group

27%

7% High Moderate Low 66%

Therefore, 66% of Income group have a moderate income; while 7% of it have a high income.

IX. MONEY MANAGER 100% 80% 60% 40% 20% 0% Father

Mother

Eldest Chid

Others

In this graph, the community agreed that their money manager would be the mother with the 82%. X. Education Attainment

College Graduate

3% 33%

Vocational Course Graduate HS Graduate

44%

20%

Elementary Graduate

Therefore, 44% of them were vocational course graduate while 3% of them were elementary graduate. XI. RELIGION 3% 3% 6% 3%

Rom an Catholic Born Again Jehovha's w itness

84%

Iglesia ni Cristo islam

As a result, 84% of the communities are Roman Catholic while Jehovah’s witnesses, Iglesia ni Cristo and Islam are 3%

CHAPTER III. HOME AND ENVIRONMENT I. LENGTH OF STAY

LENGTH OF STAY(RESIDENCY) 25 22.5 20 17.5 15 12.5 10 7.5 5 2.5 0 1-3Yrs.

4-6 Yrs

7-9 Yrs.

10-12 Yrs.

13 Yrs. Above

The Bar graph shows that 25% of the respondents stay more than 13 years, the 22.5% of the respondents answered 10-12yrs of residency, the 20% of the respondents answered 7-9yrs. Of residency then 15% of the respondents answered 4-6yrs of residency, then the 17.5 of the respondents answered 1-3yrs of residency II & III. LAND OWNERSHIP

HOME OWNERSHIP

owned owned

rental; payment/mo.

rental; payment/mo.

The pie graph shows that most of the respondents are renting their house and lot and only a % has owned their house and lot. IV. TYPE OF HOUSES

TYPES OF HOUSES 40 35 30 25 20 15 10 5 0 concrete

wooden

mixed

makehift

The bar graph shows that 40% of the respondents have a mixed type of house then 35% of them have wooden houses, then 20% of them have makeshift then only 5% of them have concrete house V. TYPE OF STRUCTURE

TYPES OF STRUCTURE 50 45 40 35 30 25 20 15 10 5

50% of

0 single attached

single detached

up and down

others

the

respondents answered the single attached type of their house, then 37.5% of the respondents have single detached structure then 12.5% have the up and down structure of their house. VI. VENTILLATION VENTILLATION

Most of the respondents answered that they have adequate ventilation and only adequate inadequate

a percentage of them had inadequate ventilation.

VII. NUMBER OF ROOMS NUMBER OF ROOMS

The pie graph shows a % of respondents answered they only have 1-2 rooms and only a 1 2 3

% of the respondents have 3 rooms. VIII. LIGHTNING FACILITY

LIGHTNING FACILITY

The pie graph shows 75% of the respondents electronic kerosene others

answered they have electronic lightning facility and only 25% of them answered kerosene as their lightning facility. IX. MEANS OF COOKING MEANS OF COOKING 50%

the

40 The pie graph shows 50% of % gas stove respondents are electric 10% firewood

Using firewood in cooking, then 40% of them are using gas stove and only 10% Used electric in cooking X. FOOD STORAGE

FOOD STORAGE 50 45 40 35 30 25 20 15 10 5 0 refrigerator

cabinet

basket

table

covered

uncovered

The bar graph shows that 50% of the respondents answered they stored their food in the refrigerator, 17.5% of the respondents they use cabinet as their food storage, 10% used basket and table for storage and 12.5% only covered their food as storage XI. GENERAL FOOD SANITARY CONDITION GENERAL SANITARY CONDITION 50 45 40 35 30 25 20 15 10 5 0 Very good

Good

Poor

Needs improvement

The bar graph shows that 47% of the respondents answered they had good sanitary condition, 27% of them answered very good sanitary condition, 15 % answered poor sanitary condition while 10% needs improvement their sanitary condition. XII. WATER SOURCE WATER SOURCE

The table shows the that 50% of respondents are using Distribution

Deep well(level 1) Communal(level 2) Distribution(level 3)

(level 3), while 30% of them are using Communal(level 2) and 20% are using Deep well(level 1).

XIII. STORAGE OF DRINKING WATER The table shows the water source in

STORAGE OF DRINKING WATER

the community. It shows that 77.5%

covered

22.5 %

of

uncovered

the

respondents

covered

their

drinking water and the remaining 22.5% of them stored their drinking

77.5%

water uncovered. weekly collection

XIV. GARBAGE DISPOSAL SYSTEM burning

segregation

GARBAGE DISPOSAL SYSTEM 5%

20% 75%

The table shows the percentage of the garbage disposal system in the community. It shows that 75% is weekly collection, 20% burning, 5% segregation and 0% in others. XV. TYPES OF TOILET FACILITY

TYPES OF TOILET FACILITY 50 45 40 35 30 25 20 15 10 5 0 Hand flushed

Septic tank

Ballot system/wrap throw system

Antipolo pit privy

The table shows the types of toilet facilities in the community. It shows that 35% Hand Flushed, 47.5% septic Tank, 0% Ballot system/Wrap throw system and 17.5% antipolo pit privy. XVI. TOILET USAGE TOILET USAGE

Individual household Communal None

The table shows the toilet usage in the community. It shows that 62.5% individual household, 25% communal, and 12.5% none. XVII. STORAGE

STORAGE 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 Covered with faucet

Uncovered without faucet

Covered with faucet

Uncovered with faucet

None,direct

Others

The bar graph shows that 75% of our respondents answered the covered with faucet in terms of storage system. The people in the community is somehow aware that of preventing to develop communicable diseases.

XIX. SEWERAGE SYSTEM The pie graph shows that most of the respondents answered open sewerage system,

a

percentage

SEWERAGE SYSTEM

Open Blind None

answered blind sewerage system then a percentage of the respondents answered none. XX. CONDITIO OF THE SEWERAGE SYSTEM CONDITION OF SEWERAGE SYSTEM

The pie graph shows that most of the respondents show that the

Stagnant Flowing

condition of the sewerage system is flowing and a percentage of them answered that the condition of

their

sewerage

stagnant XXI GENERAL SANITARY CONDITION

GENERAL SANITARY CONDITION 50 45 40 35 30 25 20 15 10 5 0 Very good

Good

Poor

Needs improvement

system

is

The bar graph shows that 47% of the respondents answered they had good sanitary condition, 27% of them answered very good sanitary condition, 15 % answered poor sanitary condition while 10% needs improvement their sanitary condition. XXII. RODENTS PRESENT RODENTS PRESENTS

The respondents answered most Rats cockroach others

of the rodents present is rats then

a

percentage

of

them

answered cockroach and a small percentage of them answered others XXIII. SAFETY MEASURESFACILITIES SAFETY MEASURE FACILITIES

Most of the respondents have no safety measure facilities, then a

Fire extinguisher Fire exit None

percentage of them answered they have fire exit and a percentage of them answered that they have at least fire extinguisher

CHAPTER 4 KNOWLEDGE ON THE CONCEPT OF HEALTH CARE SUPERSTITIOUS BELIEF RELATED TO HEALTH

Knowledge on the concept of health care Hygienic practices and health practices

The Bar graph shows that most of the people in this community practiced use of slippers and it also shows that almost half of the people in this community do not practiced medical check up every 6 months. This means that people of this community are in poor level of income. They can only buy their needs that are not expensive like slippers but they can not afford medical check up every 6 months may be because they are busy working to earn money so they have no time to visit the nearest health center in their community.

Knowledge related to health

The bar graph above reveals that most of the people in this community agree that breast feeding in infants are healthier than bottle fed ones. It shows that most of this people are aware about the benefits of breast feeding in infants may be because of

the promotion of the department of health and the help of TV

advertisements for promoting breast feeding. In this graph also indicates that some of the people in this community disagree that the blood steak sputum from coughing is symptoms of diarrhea. It shows that they are knowledgeable about having blood steak sputum from coughing is not the symptoms of diarrhea. And it is also reveals that few people of this community says that “I don’t know that blood steak sputum from coughing is symptoms of diarrhea”. It means that few of this people are no knowledge about the diarrhea, what is diarrhea, and what the symptoms of diarrhea are. And they do not also know that blood steak sputum from coughing may resulted by communicable diseases like tuberculosis. SUPERSTITIOUS BELIEFS ( HYGIENE)

30 25 20 agree

15

disagree I don't know

10 5 0 #1

#2

#3

#4

#5

#6

#7

#8

INTERPRETATION: The bar graph shows, that 28 of the sample population disagrees, or doesn’t belief in superstitious beliefs related to hygienic practices. While 24 of them, do believe in performing the superstitious beliefs related to hygiene. And 5 of the sample population didn’t know where to believe in. SUPERSTITIOUS BELIEF (NUTRITION) 35 30 25 20

agree disagree

15

I don't know

10 5 0 #1

INTERPRETATION:

#2

The bar graph shows that, almost one third of the sample population agrees, or believe in the superstitious belief related to nutrition. While 23 of the sample population disagrees in practicing these superstitious beliefs. And 1 of them has no idea about the said superstitious belief related to nutrition.

SUPERSTITIOUS BELIEF (Care of the sick at home)

INTERPRETATION: The bar graph shows that, 25 among the sample population agrees about the superstitious beliefs related to care of the sick at home; while 26 of the respondents disagree in practicing the said belief. And 1 of the sample population has no idea about the superstitious regarding to care of the sick at home.

SUPERSTITIOUS BELIEF (Infant and child care)

INTERPRETATION: The bar graph shows, that 29 among the respondents agree or believes in the superstitious belief related to infant and child care; while 15 among the respondents disagree about practicing the said superstitious belief.

CHAPTER V HEALTH CARE I. HEALTHCARE PRE-NATAL CHECK-UP

16 14 12 10 8 6 4 2 0

private OBGYNE Health center midwife hilot 1st 2nd 3rd 4th 5th Qtr Qtr Qtr Qtr Qtr

kumadrona

The bar graph presentation shows that the health center gets the highest score which is 16%, second goes to private ob gyne which is 7%, third & fourth goes to midwife and hilot got the same score 6% and lastly, kumadrona got the lowest score which is 5%. II. ANTEPARTAL PERIOD 20 15

private ob gyne

10

health center m idw ife

5

hilot

0 1st Qtr

3rd Qtr

5th Qtr

kum adrona

The graph presentation shows that the health center got the highest score which is 20%, the private ob-gyne got 9%, 5% for hilot, and lastly kumadrona got the lowest score which is 3%. III. POST-PARTUM CHECK-UP 20 15

PRIVATE OB-GYNE HEALTH CENTER

10

MIDWIFE 5

HILOT KUMADRONA

0 1st Qtr

2nd Qtr

3rd Qtr

4TH 5TH QTR QTR

Health center have the highest score which is 20%, midwife got 9%, the private OB-GYNE and hilot got the same score which is 6%, 2% for kumadrona.

IV. BIRTH ATTENDANT 20 15

HEALTH CENTER

10

MIDWIFE DOCTOR/OB

5

NURSE HILOT

0 1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

5TH QTR

Health center got the highest score for the birth attendant which is 17%, next is the midwife got the score of 15%, and Doctor/OB got the score of 4%, the nurse and the hilot have the same score which is 2%. V. FEEDING PRACTICES

30 25 20 15

BREASTFEED

10

BOTTLEFEED

5

MIXEDFEED

0 1s t Qtr

2nd 3rd Qtr Qtr

The feeding practices show that Breastfeed got the highest score having 30%, next bottle feed has 15% and lastly, mixed feed got 5% score for the feeding practices. VI. VITAMINS GIVEN

20

CEELIN

15 10 5

CHILDREN'S CLUSIVOL

0

TIKI TIKI 1st Qtr

2nd Qtr

3rd Qtr

The presentation shows that the vitamins given, children’s clusivol got 19%, ceelin got the score of 15% and tiki-tiki got the score of 6%. VII. MATERNAL CARE VACCINATION (TETANUS TOXOID GIVEN) 8 7 6 5 4 3 2 1 0

TETANUS TOXOID1 TETANUS TOXOID2 TETANUS TOXOID3 TETANUS TOXOID4 TETANUS TOXOID5 1st 2nd Qtr Qtr

3rd Qtr

4th 5TH Qtr QTR

Tetanus Toxoid1 up to Tetanus Toxoid5 shows that got all the same score as shown having the score of 8%.

VII. INFANT FEEDING 20 15 BREASTFEED 10

BOTTLEFEED MIXEDFEED

5

"AM"

0 1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

Breast feed got 20%, Bottle feed got 10%, mixed feed having the score of 6%, and “AM” got the score of 4%. IX. NOURISHMENT CHILDREN AGES 0-12yrs. Old m alnouris he d

20 15

unde rnouris he d

10

norm al

5 ove rnouris he d

0 1s t 2nd 3rd Qtr Qtr Qtr

4th 5th Qtr Qtr

obe s e

Normal got the score of 20%, malnourished 7%, undernourished 6%, over nourished 4%, and obese 3%. X. INFANT IMMUNIZATION 6 5

BCG

4

DPT1

3

DPT2

2

OPV1

1

OPV2 OPV3

0 1s t Qtr

3r d Qtr

5TH QTR

7TH QTR

M e as le s

BCG,DPT1,DPT2,OPV1, OPV2 and OPV3 have the same score shown as 6% and Measles got 4%. XI. ILLNESS PREFERENCES

AUTHORITIES CONSULTED 25 20 15

HEALTH CENTER

10

HOSP.PUB. HOSP.PRIV.

5

MIDWIFE

0 1st Qtr

2nd Qtr

3rd Qtr

4th Qtr

Health center got 24%, hospital public 14%, hospital private 1% and midwife 1%. XII. MEDICATION TAKEN 25 prescribed by doctor

20 15

prescribed by faith healers

10

self-m edication

5 0 1st Qtr

2nd Qtr

3rd Qtr

herbal m edicines

4th Qtr

Prescribed by doctor 25%, prescribed by the faith healers 3%, self medication 7%, herbal medicines 5% XIII. DISTANCE OF HEALTH CARE FACILITIES TO HOUSEHOLD 25 20 15

w alk ing dis tance

10

ne e d to r ide

5 0 1s t Qtr

2nd Qtr

Walking distance got 18%, need to ride got 22% of distance health care facilities XIV. COMMUNITY HEALTH SERVICE PROGRAMS AVAILED BY THE FAMILY

im m unization

20 15

check-ups

10 5

fam ily planning

0 1st 2nd 3rd 4th 5th Qtr Qtr Qtr Qtr Qtr

nutritional program s health sem inars

Immunization 18%, check-ups 15%, family planning 9%, nutritional programs 6%, health seminars 5%. XV. QUALITY OF HEALTH SERVICES RENDERED

very good

16 14 12 10 8 6 4 2 0

good satisfactory poor 1st Qtr

3rd Qtr

5th Qtr

needs im provem ent

In terms of health services rendered, very good got 6%, good 15%, satisfactory 10%, poor got 5%, needs improvement got the score of 4%.

CHAPTER VI RESPONSIBLE PARENTHOOD

Responsible Parenthood Family Planning 1, 3%

0, 0% 0, 0% 21, 52% 18, 45%

natural method permanent method others

Artificial method none

This data shows that 21.52% of the people in the community uses artificial method, 18.45% uses natural method and 1.3% uses permanent method.

Methof Of Family Planning 10, 26%

, 0%

10, 26%

5, 13% 13, 35% calendar method pills IUD

withdrawal method condoms Others

This graph shows that 35% uses pills as a method of family planning, 26% uses calendar method and condoms and 13% uses withdrawal method.

Source of Information About Health Care 2, 2%3, 3%

20.4, 19%

50, 48% 30, 28%

health center hospital mass media relative/friends/neighbor others

This graph represents the different sources of information about Heath Care. 48% gets information through mass media, 28% from hospital, 19% health center, 3% gets information from the other sources, 2% from relative, friends or neighbors.

CHAPTER VII DATA ON THE COMMUNITY DEVELOPMENT

40

Social Functions of The Community (recognized leader with regards to community problems)

Brgy. Captain Brgy. Councilors Secretary

No. of Respondents

35 30 25 20

20

Chief of Brgy. Police SK Members

15 10 5 0

10

Brgy. Health Workers Others

8 2

Organization Participated By The Family

No. of Respondents

40 35

Youth Organizations

30

Core Organization

25 20 15 10 5 0

Helath Organization Senior Cititzen Organization Religious Organization Nongovernemnt Organization None

Recreational Activities In the Community the Family Participated 40 No. of Respondents

35 30 25 20 15 10 5 0

Yes (Basketball league) No

HEALTH PROBLEMS OF THE COMMUNITY HEALTH PROBLEMS Communicable disease Air pollution Water pollution Foul smell of garbage’s Malnutrition Addiction High cost of heath care Noise pollution Poor environmental sanitation Interrupted family process Lack of health care providers Lack of health care facilities Inaccessible health care

NO. OF RESPONDENTS VOTE 15 10 9 21 18 7 3 13 11 4 8 12 2

RANK 3 7 8 1 2 10 12 4 6 11 9 5 13

institutions As we noticed in the chart the number 1 problems in the surveyed community is foul smell of garbage’s. The respondents says that the truck that collect all the garbage in their community collect the garbage once or twice a week. As a big community in the urban areas, the proper collecting of garbage is at least 3-4 times in a week because where they put their garbage? Because of the foul smell of the garbage, their community is risk in disease or other infection. Their second main problem is malnutrition, most of the people in the community especially those younger in age is malnourished. The community is like a “squatters” area. The level status of the people in the community is in the low socio-income level. The money they earned is not enough for their basic needs do that many people and children in the community are malnourished. The third main problem in their community is spread of communicable disease especially tuberculosis. Through improper disposal of garbage’s the result is many communicable disease spread in their community.

HEALTH PROBLEMS OF THE COMMUNITY

The main causes of community problems are lack of budget for health care. In every country the providing health for people is essential or vital. Because if people in one country ill or sick it reflect that government towards neglect in providing health for people. Man power is the most important of all. Without people who is work in offices even factory etc. Giving or providing a care in the people in the community is very important so that we can prevent the increase of mortality and morbidity rate in our country and also we can prevent the spread of communicable disease in one community.

CHAPTER VIII PRIORITY SETTING, SUMMARY, CONCLUSIONS AND RECOMMENDATIONS

Summary of Findings: From the data yielded by the instruments, the researchers summarized the following: In terms of family Structure, most of the respondents have small family size usually 2-3 siblings, nuclear type of family, their place of residence is patrilocal, the authority in the family is the father (patriarchal), he is also the decision maker of the family. In terms of female economically productive most of the residents has only one female economically reproductive that can sustain their everyday living. And also the father is the breadwinner of the family because this is one of his responsibilities. In terms of Socio-economic and cultural variables, even though poverty crises arises, most of the respondents have cell phones because they answered it as their major communication instruments. The transportation system in their community are jeepney, only few answered FX, bus, Pedicab etc. in the employment rates, very glad to know that 84% of them are employed and their most occupation is a school teacher. Due to lack of budget provided by our community leaders, 33% of the respondents answered they have 50007000monthly income which is exactly only for a family with five members. By this sufficient income, the food ranked as the most priority in their expenditure and also the five basic needs of the family such as food, clothing, shelter, water, education and electricity. Most of the respondents have 3001-4000 expenditure monthly which means there is approximately 1000 pesos left monthly as their savings and most of them belong to moderate income group. The father being account for being the breadwinner of the family, the mother still accounts for being the money manager of the family and most of the respondents are college graduate because most of their occupations were teachers. Most of the respondents also are Roman Catholic.

In terms of their Home and Environment, most of the respondents are living there for more than 13years, and for their length of stay, most of them are having rentals in their house and lot. Only few of them only have their owned house and lot. When it comes to their type and structure of their house, most of them have single attached and mixed type of house. The ventilation is also adequate. Their rooms commonly 1-2 rooms, they have electricity supplied by Meralco. Their means of cooking Is though firewood although 40% are using gas stove, using firewood got its highest score of 50%. In terms of their food storage, they are also aware of prevention of disease, so that most of them answered refrigerator as their mean of food storage so that they have a good sanitary food condition. This community also supplied by the Nawasa as their water source, and to prevent compromised of their health, they covered their storage of drinking water. A good project of their community is having a weekly collection of garbage’s of heir community. In their type of toilet facility, most of them have septic tank and gladly to know that none of them is using the Ballot system / wrap throw system. And they also had individual household toilet usage and in terms of storage of human excreta, 75% of the respondents covered with faucet their storage to avoid foul smelling contamination of he water sources that could contribute to the development of diseases in the community. Their sewerage system is open and stagnant. With the information’s stated above, in terms of general sanitary condition, the respondents classified them as good. Still rodents in houses are present Rats and Cockroach is the most common pests. Most of the respondents despite of this has no fire-exit is cases of fire. There is a big compromised in such unpredictable tragic in our life. In Terms of their knowledge to related to concept of health care, it shows that most of the people in this community practiced use of slippers and it also shows that almost half of the people in this community do not practiced medical check up every 6 months. This means that people of this community are in poor level of income. They can only buy their needs that are not expensive like slippers but they can not afford medical check up every 6 months may be

because they are busy working to earn money so they have no time to visit the nearest health center in their community. On their knowledge related to health this reveals that most of the people in this community agree that breast feeding in infants are healthier than bottle fed ones. It shows that most of this people are aware about the benefits of breast feeding in infants may be because of

the

promotion of the department of health and the help of TV advertisements for promoting breast feeding. In the graph also indicates that some of the people in this community disagree that the blood steak sputum from coughing is symptoms of diarrhea. It shows that they are knowledgeable about having blood steak sputum from coughing is not the symptoms of diarrhea. And it is also reveals that few people of this community says that “I don’t know that blood steak sputum from coughing is symptoms of diarrhea”. It means that few of this people are no knowledge about the diarrhea, what is diarrhea, and what the symptoms of diarrhea are. And they do not also know that blood steak sputum from coughing may

resulted

by

communicable

diseases

like

tuberculosis.

Most

of

the

respondents do not agree with the superstitious beliefs that we presented to them and for the nutritional beliefs most of them were agree on our presented statements. Fot the beliefs regarding care for the sick at home 25 among the sample population agrees about the superstitious beliefs related to care of the sick at home; while 26 of the respondents disagree in practicing the said belief. And 1 of the sample population has no idea about the superstitious regarding to care of the sick at home. For the beliefs regarding infant ad child care 29 among the respondents agree or believes in the superstitious belief related to infant and child care; while 15 among the respondents disagree about practicing the said superstitious belief. In terms of health care, most of the respondents seek prenatal check-up, antepartal check-up, post partum check-up and birth attendant in health centers. In feeding practices of he infant, they usually breastfeed them rather than bottle feed because breast milk is still the most nutritious milk for infants. Of course with support vitamins tiki-tiki for infants, Children’s Clusivol for toddlers and school age children. For maternal care, all of them have complete tetanus toxoid

given. Their children also have normal nourishment and complete infant immunization. For illness preferences most of the respondents consulted in health centers and public hospital and they take their medication as prescribed by the doctor, even though the distance of health care facility is need to ride, still community people seek for their at least cost. The community leaders provide Health service programs that can be availed by the family is the immunization and they ranked the quality of Health Service rendered by the community as good. In terms of Responsible parenthood, the community people use artificial method in terms of their family planning specifically the pills and condoms. They use mass media as their source of information about health care.

In terms of Data’s in the community development, most of the respondents recognized the Barangay Captain as their leader with regards to community problems. The organizations participated by the family commonly is the senior citizen organization and most of them do not participate in the recreational activities in the community.