Sample Community Diagnosis 39b1r

TABLE OF CONTENTS

INTRODUCTION Community health Nursing (CHN) special field of nursing that combines the skills of nursing, public health and some phases of social assistance and functions as part of the total public health program for the promotion of health, the improvement of the conditions in the social and physical environment, rehabilitation of illness and disability ( WHO Expert Committee of Nursing ). It’s the integration of nursing process in the community as its primary client. Community is a group of people sharing common geographical location and or common values and interest. It functions within a particular sociocultural context which means that no two communities are alike. The physical environment varies and so with the people’s way of life, as in behaving and coping with their internal and external problems, concerns and responsibilities and such other affecting their interest, their associative links and relation with their surroundings and generally, their existence as a people. Florence Nightingale believed that in manipulating the physical environment, the body could repair itself. Nurses or even clients alone can nurture the surroundings to create an environment conducive to body’s reparative processes. Such that, the community people themselves, even in the absence of nurses can resolve existing and arising community health problems through genuine cooperation to work together in controlling these environmental factors affecting and threatening their health. Virginia Henderson also added that we, nurses, must “assist our clientele, sick or well, in the performance of activities contributing to health or its recovery that he/she would perform unaided if that person had the necessary strength, will or knowledge to gain independence as soon as possible”. Conversely, we nurses are here to guide the community and fill the knowledge deficit that prevails to achieve independence. After all, health education is our primary role according to Nursing Law of 2002 and health promotion is our focus in the community. Faye Abdellah, conceptualized nursing as an art of science that mold the attitude, intellectual competencies and technical skills of the individual nurse to serve as guiding force and energy of the people in the community, and with their ability to help people sick or well in coping up with their health problems and needs.

The ultimate goal of the expected efficient and

effective delivery of service is the total improvement of health and quality of

life that would redound to lengthening the lives of our people. So, among our primary concerns is to prolong life by maintaining healthy environment and appropriate lifestyle and care. Health is a gift, but we have to work in keeping it always in a desired good condition. The RNheals project of the DOH has been asg nurses to the Rural Health Unit (RHU) for a period of one year with the sole purpose of achieving Universal Health Care towards community health enhancement. To which nurses needed to be creative, resourceful and explore innovative ways to achieve and maintain high level of community health amidst this economic difficulties and very limited resources. The DOH requires a Community Diagnosis for the completion of the training. The focus of this study is the Barangay Sioron of Gigmoto, Catanduanes. Community diagnosis or the study and identification of community problems by studying particularly the causes and effect commonly known as assessment or situational analysis is designed to collect the required data about the community in order to know the different factors that directly or indirectly influence the health condition of the populace, to analyze and formulate explanation for the occurrence of health nursing diagnosis as then delivered thereof to be the bases for developing and implementing community health nursing intervention and strategies. This study utilized the nursing process, earnest thinking and prudent communication to client in the community, and the established culturally competent care for the community recognizing economic and ethnic characteristics

of

its



and

the

demonstrated

therapeutic

communication skills. Rationale There is a need to conduct such investigation since for the past 5 years, even with the intense effort of the RHU, health indicators in Barangay Sioron hasn’t changed significantly. What could be the possible reasons for these and hopefully we can find workable solutions. Significance of the study This study will be significant to the following:  Primarily, to the residents of Barangay Sioron.

The information that

will be derived from this community diagnosis includes the graphical presentations of relevant data gathered and its interpretations to

identify, prioritize and find possible solution to both health problems and health risks for the ultimate goal of achieving a high level of community health.  The result of this study will also be significant to the LGU, RHU and other community development organizations. These are agencies concerned in elevating the level of community health and they have the capability to change the lives of the people especially if the suggested solutions to identified problems need a huge sum of money. They will have the idea where to focus. Hopefully with this, they will perceive which project must be prioritized so that funds will be spent effectively and efficiently.  To other nearby Baranggays; their leaders will have the idea on how to deal or solve similar existing and arising problems. Statement Objectives General Objectives  By the end of the community assessment on Barangay Sioron the community will posses adequate knowledge and consciousness to their present health condition and other health problems, whereupon providing them necessary actions and solutions to prioritized problems and subsequently generate a good condition not only on health but also on the economic and social factors as well, toward the better and healthy community. Specific Objectives  Collects facts and information by the community survey, that is essential for indentifying the community needs and problems and will also help on monitoring the improvement of the health situation.  Determine the problems and needs of the community and identify what should be the priorities and how it is affecting the whole community.  Dissemination of the current health condition of the community and spreading of knowledge and information regarding the improvement of health condition, health distribution and its proper utilization  Formulate

helpful

suggestions

and

recommendation

solutions,

programs and activities that are needed that will enable the community to solve the priority problems.

Methodology and tool used The study used the descriptive, non-experimental both qualitative and quantitative methods of research. Gathering of primary data were done through survey using a closedended questionnaire. This made the data gathering smooth, not time consuming since the client will not be having difficulties in answering the question and facilitates easy tabulation and interpretation of the data gathered. Secondary data where gathered from the Rural Health Unit, especially the health indicators such as mortality and morbidity rate, etc. Sloven formula was not used to estimate the sample population size, but rather according to the RNheals manual to which it states that at least 10% of the total population. According to the data gathered from CBMS (Community Based Monitoring System), in the year 2012 Sioron has a total number of 173 households and the researcher used 20 households as its respondents to represent the entire community. To remove biases and so that every household will have the chance to be selected, a probability sampling (lottery) was used to identify the respondents. Prior to conducting the survey, courtesy call was done to barangay officials for the researcher’s safety and explained to them the purpose of the community diagnoses in order to remove confusion. In the interview the respondents were likewise explained or informed why the survey is to be conducted and told that their confidentiality and anonymity be secured. Scope and Limitation of the study This study is only limited to the Baranggay Sioron and may or may not apply to the other Baranggays. The margin of error in this study is unknown since the estimates of population size is not patterned on scientific research or thesis so inconsistencies may or may not appear and can be attributed to sample size of respondents per se.

I – COMMUNITY PROFILE A. Description Looking back through the years, Gigmoto, situated on the eastern part of Catanduanes, is 28 kilometers to Baras on the south, and 35 kilometers to Viga on the north, and could be reached by all ing the circumferential road. The place was formerly, a forestall area where hunters of wild animals used to roam and encamp.

These hunters made some clearings which

became the nucleus of the early settlement in Gigmoto. Then it became a sitio of Bato.

A few years before the close of the Spanish era, scores of

immigration of people from Baras, Bato and Virac settled in this place. Thus making Gigmoto the biggest barrio of the municipality of Baras. Gigmoto has no records of its pre-historic period because it was only from 1885 to the early part of the American era that the civilization of the place begun.

Gigmoto was later separated from Baras and made an

independent municipality and inaugurated as such on May 15, 1951, to which land territory was included the barrios or barangays of Dororian and Biong, which were formerly, the barrios of Baras on the north, and for Vicente, Sioron and Sicmil which were formerly, the barrios of Viga on the south. Also added is barangay San Pedro in the hinterland. The poblacion was divided into three municipal districts: barangay district 1, 2 and Sioron is a sleepy, windswept and desolate barangay deserted by its well-off residents who settled elsewhere for better fortune. Sioron is lying between the coastline and steep mountain ridges always exposed to the fury of the Pacific Ocean and the hazards of landslide at time stormy weather occurs. This barangay is around six kilometers or more from the poblacion of Gigmoto and can be reached by ing the rough dirty road, and by the sea in motorized boat. The lowly inhabitants live by means of simple farming and fishing.

Gigmoto continues to soar as the third millennium approaches. But when several destructive super-typhoons hit the locality in 1995, then in 1998. And on the succeeding years, the road became hardly able.

At such

critical period of time, the health care service, particularly to the poor and the needy could be done by providing them free medical assistance. It is

only in this latter part of the year that greater improvements of the road being undertaken.

II- POPULATION A. Total Population of the Baranggay  785 is the total population of Sioron to which it has 173 households as of July, 2012 B. Total number of household surveyed  20 households C. Sex Ratio: No. of Males Formula: SR = ----------------------- X 100% No. of Females SR = 57 / 51 X 100% SR = 1.12 X 100% Sex Ratio = 112 Interpretation: The sex ratio is 112. This suggests that in every 100 females there are 112 males. The population of males in this baranggay is higher than the females. D. Age and Sex Distribution Table 2.1 Age Bracket Under 1 1-5 6-10 11-14 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-64 Above 65 Total

Female Frequency 3 7 9 5 4 4 3 3 2 2 2 2 1 1 3 51

% 2.8% 6.5% 8.0% 4.6% 3.7% 1.5% 2.8% 2.8% 1.5% 1.5% 1.5% 1.5% 1.2% 1.2% 2.8% 47.9%

Male Frequency 2 11 6 4 7 5 4 3 2 3 3 3 1 1 2 57

% 2.0% 10.2% 5.6% 3.7% 6.5% 4.6% 3.7% 2.8% 1.5% 2.8% 2.8% 2.8% 1.2% 1.2% 1.5% 53.2%

Interpretation: The table above shows the number of male and females in each age bracket. As we can see, early in their lives, the male population is higher

than the female. As they grow older, the number of males is almost equivalent to the number of females. Later in their lives, especially in the age bracket of more than 65 y/o, female population is already higher than males. This can be attributed to the nature of work and more on the lifestyle to which more population of males are indulged in unhealthy habits of smoking and drinking alcohol compared to females. Graphical Presentation of Age and Sex Distribution Chart 2.1

12 10 8 6

7

4 2

9 5 4 4 3 3 2 2 2 2 3 1 1

3

0

Less tha 1 y/o

Male

6-10 y/o

15-20 y/o

26-30 y/o

36-40 y/o

46-50 y/o

56-60 y/o

Female

Male

65 y/o& above

III- ECONOMIC INDICES A. Dependency ratio No. of pop. 0-14 y/o + 65 y/o above Formula: DR = -------------------------------------------------------No. of population of 15 – 64 y/o DR = 52 / 56 X 100% DR = 0.93 X 100% Dependency Ratio: 93% Interpretation:

x 100%

Dependency ratio reflects the proportion between the dependent population (those with ages 0-14 y/o and 65 y/o and above) and labor population which includes ages from 15-64 y/o. A dependency ratio of 95% is high, meaning the labor population of the Baranggay Sioron must work harder to earn more for the upbringing of the children, daily finances of the family and also for the health related expenditures of the aged population. B. Occupational Status Table 3.1 Frequency % Government Employee 1 2.5% Fisherman 5 12.5% Farmer 4 10% Both fishing and farming 10 25% Laborer 2 5% Business 1 2.5% Housewife 7 17.5% TOTAL 40 100% Table 3.1 shows the occupation of parents. This study revealed that most of the households rely in both farming and fishing to earn for a living which comprises 25% of the total occupational status. Fishing alone comprises 12.5%, farming alone comprises 10%, laborer is 5%, those employed in the government and with business establishment each comprise 2.5% and the remaining 17.5% is comprised by plain housewives. Graphical representation of the Occupational Status Graph 3.1 3% 23%

17%

Government Employee Fisherman Farmer

3%

13%

Fishing & Farming Laborer Business

7%

Housewife

34%

C. Average Monthly Income Table 3.2 Average Monthly Income Less than 500 1,001 – 5,000 5,001 – 10,000 10,001 – 15,000 15,001 Above TOTAL Interpretation and analysis:

Frequency 0 12 6 1 1 20

% 0 60% 30% 5% 5% 100%

The data above (Table 3.2) shows the average monthly income of the family. To which 60% of the households has an average income that ranges from 1001-5000 pesos per month. 30% of the sample population earns monthly income that ranges from 5,001-10,000 pesos. While there are also households with average monthly income that ranges from 10,001-15,000 pesos and 15,001-20,000 each comprise 5% of the respondents. Having these data, we can safely assume that most of the families are not capable of sending their children even to secondary education and more so to college. This is no surprise, Sioron is more or less 5-6km away from the town and you need 50pesos for each person to go back and forth. That’s is why many of them would rather spend their money for purchasing medicines than go to RHU and will just receive 6 tablets of paracetamol or ATB’s. This small amount of monthly income may only suffice their most primary needs like food and shelter. Graphical representation of the Average Monthly Income Graph 3.2 60% 50% 40%

< 500Php 1,001-5,000Php

30%

5,001-10,000Php 10,001-15,000Php

20%

15,001-20,000Php

10% 0%

< 500Php

1,0015,000Php

5,00110,00115,00110,000Php 15,000Php 20,000Php

D. Providing the family Financially

Table 3.3 Provider

%

Father Mother Both Father and Mother Family Relatives TOTAL

Frequency 12 0 7 5 2 26

46.2 0 26.9 19.2 7.7 100%

Interpretation and analysis: The table above gives us the idea that still, it’s the father who provides most of their daily needs which comprises 46.2%. Family represent the big sisters or big brothers of the family comprising 19.2%. There are few households who belong to an extended type of family, so it’s not surprising to see that 7.7% is provided by otherrelatives.

Graphical presentation of percentage of Family that provide financially Graph 3.3

50.00% 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00%

Providers

Father

Mother

Both

Family

Relatives

IV- SOCIO-CULTURAL INDICES A. Literacy Rate No. of pop. 8 y/o above whom can read and write Formula: LR = ------------------------------------------------------------------x 100% Total No. of pop. 8 years and above LR = 61/69 X 100% LR = 0.88 X 100% Literacy rate is = 88% Interpretation and analysis: Literacy rate reflects the capability of the population who can both read and write. Reading is not only confined in articulating the words but more especially it about comprehending what you have read. A literacy rate of 88% is not bad for a far-flung community like Sioron.

B. Educational Attainment Educational attainment of parents. Table 4.1 Educational Attainment College Graduate College Undergraduate High School Graduate High School Undergraduate Elementary Graduate Elementary Undergraduate TOTAL

F 1 1 11 9 12 6 40

% 2.5 2.5 27.5 22.5 30 15 100%

Table 4.1 shows the educational attainment of parents. This study revealed that most parents are at least elementary graduate which comprises

30%,

high

school

graduate

27.5%,

high

school

undergraduate 22.5%, elementary undergraduate 15% and, college graduate and college undergraduate 2.5%. Again, the data is not surprising. Sioron has an elementary school, but the secondary level is situated in the town of Gigmoto which is more or less 5-6km away from

Sioron. Most of them would like their children be sent to school, but it is difficult for the family since their monthly income is just enough for food. But there are some very dedicated students who are walking just to go to high school. They don’t care about the burning heat of the sun or even by the distance that they are going to travel for as long as they can continue studying. Graphical presentation of Educational Attainments Chart 4.1 Elementary Undergrad Elementary Grad High School Undergrad High School Grad College Undergrad College Grad 2.50%

2.50%

15%

27.50%

30%

22.50%

C. Religion Table 4.2 Religious Affiliations Roman Catholic Iglesia ni Cristo Born Again Protestant TOTAL

% Frequency 20 0 0 0 20

100 0 0 0 100%

Interpretation and analysis: As we can see, all of the respondents are Roman Catholic. People in Sioron are very religious, there is also a small church that is situated near the Baranggay hall and sometimes serve as their temporary settling area whenever there is an impending strong typhoon. A mass is also held there once a week.

D. Housing 1. Ownership Table 4.3 Type of Ownership Owned Rented Shared Others TOTAL

f 18 0 2 0 20

% 90 0 10 0 100%

2. Type of Built Table 4.4 f Wood Bamboo Concrete Others ( Semi-Concrete) TOTAL

9 7 1 2 20

% 45 35 5 10 100%

3. Type Table 4.5 f Strong Light Make Shift TOTAL

4 16 0 20

% 20 80 0 100%

4. Lighting Facilities Table 4.6 f Electric Kerosene Others TOTAL

14 6 0 20

% 70% 30% O 100%

5. Kitchen/ Cooking Facilities Table 4.7 f Electric Stove Gas Stove Firewood Charcoal Others TOTAL

0 2 19 3 0 24

% 0% 8.3% 79.2% 12.5% 0 100%

Interpretations and analysis:  Table 4.3 shows the ownership. The data revealed that 90% of the households own their houses, 10% is shared, and rented is 0%.  Table 4.4 shows type of built. The materials used in building the house. The data above shows that 45% of the houses are made up of wood, houses made from bamboo is 35%, semi-concrete 5%, and concrete is 5% also.  Table 4.5 shows type of the house. This study revealed that 80% of the houses can be considered to light and 20% of the houses can be considered strong.  Table 4.6 shows the lighting facilities. This revealed that 70% of the household respondents uses electricity and the remaining 30% uses kerosene.  Table 4.7 shows the kitchen. The data show that most of the respondents uses firewood for cooking which comprises 79.2%, charcoal 12.5%, gas stove 8.3%, while none of the respondents use electric stove. With the following data at hand, most of the respondents don’t spend much for the construction, maintenance and daily operational expenses of their house, such that most of the households are owned, 80% of which are made from light materials (wood and bamboo) and most of the respondents uses firewood to cook for their food. All of these predominantly existing housing conditions suggest that the respondents are not likely to invest their money to strengthen their houses and not likely to have the luxury of using gas stove for cooking but rather use the money for their primary need, which is food. They would rather be tired of axing firewood than to use gas stoves. Sioron is bounded by the Pacific Ocean in East and on its western part is mountainous. The area is at risks for storm surges, earthquakes, possible tsunami and landslides. Added to the fact that 80% of the houses are built from light materials, we can conclude that when any of the above calamities mentioned happened, the result can be disastrous. Therefore, disaster management plan is empirical in this area.

6. Kind of Family Table 4.8 F Nuclear Family Extended Family Single Parent Family Blended Family TOTAL

18 2 0 O 20

% 90 10 0 0 100%

Table 4.8 shows the kind of family. This data revealed that most of the family is of nuclear type which comprises 90% and the remaining 10% is an extended type of family.

V- ENVIRONMENTAL INDICES A. Source of water supply Table 5.1 Source Piped in Communal River/ Lake Deep well Artesian Well Others TOTAL

f 0 14 14 3 1 0 32

% 0 43.8 43.8 9.3 3.1 0 100%

Graphical presentation of sources of water supply Chart 5.1

14 12

Piped in Artesian well

10

Deep well

8

lake/river

6

communal

4 2 0 Frequency

Interpretation and analysis: Table 5.1 and graph 5.1 give us the idea with regards to the sources of water supply for drinking, for cooking, for bathing and other personal use of water. As we can see most of the respondents get their water supply from lake/river and communal sources which comprises 43.8% each of them. Some resorted to deep well, comprising 9.3% while others to artesian well which is about 3.1% of the total respondents. Categorically speaking, sources of water supply are predominantly type 1 and type 2, very high risk for contamination since no water treatment plant exists to protect the sources and ensure its potability. B. Type of Toilet

Table 5.2 Type Open pit privy Close pit privy Flush Type Water-sealed latrine Pail System None TOTAL

f 0 3 0 7 1 9 20

% 0 15 0 35 5 45 100%

Graphical presentation of toilet type Chart 5.2

none pail system water sealed latrine flush type close pit privy open pit privy Percentage 0%

10%

20%

30%

40%

50%

Interpretation and analysis: Table 5.2 shows the kind of toilet being used. The data collected revealed that there is a high number families without toilet, comprising 45% of the total respondents. The remaining 55% or those with toilet are further subdivided or specified into water – sealed latrine which is 35%, close pit privy 15%, pail system 5%, and flush type and open pit privy 0%. Number of households without toilet here is significant enough to start an outbreak of diarrheal cases, worsen by the fact that there is no treatment plant available to maintain the source of drinking supply.

C. Waste Disposal 1. Container Table 5.3 Type of Container Covered Open Others (Sacks) None TOTAL

f 0 19 4 1 24

% 0 79.1 16.7 4.2 100%

2. Method of Disposal Table 5.4 f Collected Burial in Pit Composting Burning Open Dumping Waste Segregation TOTAL

0 0 1 17 19 0 37

% 0 0 2.7 45.9 51.4 0 100%

D. Domestic Animals Table 5.5 Animals Dog Cat Pig Chicken TOTAL

f 13 10 4 12 39

% 33.3 25.6 10.3 30.8 100%

Interpretation and analysis:  Table 5.3 shows the waste disposal using container. This study revealed that open container 79.1%, using sack 16.7%, without container 4.2% and covered container 0%.  Table 5.4 shows the method of waste disposal. This study revealed that open dumping 51.4%, burning 45.9%, composting 2.7%, water segregation and collected and burial in pit 0%.  Table 5.5 shows the kind of animals found in the house. This study revealed that dog 33.3%, chicken 30.8%, cat 25.6% and pig 10.3%.

The finding as above stipulated lead the interpretation that the barangay or community has no proper waste disposal, thus implying that their daily taken food are open and easily contaminated by vectors or disease- carriers as flies, cockroaches that use to settle on food and due to with garbage and domestic animals as cat and dog usually frequenting places open to waste disposal.

VI-

HEALTH PROFILE/INDICES

1. Food Storage Practices Table 6.1 Type of Storage Bag Basket Refrigerator Cupboard with Screen TOTAL

f 18 1 1 20

% 90 5 5 100%

2. Infant Feeding Practices Table 6.2 f Breastfeeding Bottle Feeding Mixed Feeding TOTAL

15 0 5 20

% 75 0 25 100%

3. Immunization Status Table 6.3 f Complete Incomplete TOTAL

9 3 12

% 75 25 100%

Table 6.1 shows how food are kept and stored. This study revealed that bag basket 90%, refrigerator 5%, and cupboard with screen 5%. Table 6.2 shows the infant feeding practices. This study revealed that breastfeeding 75%, mixed feeding 25%. Table 6.3 shows immunization to their under 10 years old children. This study revealed that complete immunization 75%, incomplete immunization 25%. The finding pertaining to health profile has been interpreted that the food storage or how food are being kept and stored in the barangay are not safe from contamination, and also their food preparation is likewise not safe from of disease carriers. That the lactating mothers and those who are not practicing breastfeeding

are not fully imparted knowledge on the very significance and advantages of breastfeeding. That not all mothers submit their children for immunization due to fear of the slight fever, which is the first effect of vaccine in the body. That the parents, both father and mother are working and could not able to attend the monthly immunization in the barangay, by which resulted on the failure to know or understand the importance of complete immunization to their children. 4. Health Resources / Facilities Table 6.4 Health Resources / Facilities District Hospital Health Center Barangay Health Station TOTAL

f 4 10 6 20

% 20% 50% 60% 100%

Pie graph of health Resources /Facilities Chart 6.1 District Hospital 20%

BHS 30%

Health Center 50%

Interpretation and Analysis: According to the data above (table 6.4), 50% of the total respondents prefer to have their check up in the RHU’s, while 30% prefers to wait until the health care provider visit the baranggay health stations and the remaining 20% prefers to visit the District hospital. Factors that affect their choice of health facility are the availability of the physician and the availability of free medicines. That’s why, much of the population seek the services of the RHU. 5. Community Facilities

Table 6.5 f Barangay Health Station School Market Park (Plaza) Others (Church) TOTAL

20 20 0 20 20 80

% 25 25 0 25 25 100%

Interpretation and Analysis: According to the data above (table 6.4), 50% of the total respondents prefer to have their check up in the RHU’s, while 30% prefers to wait until the health care provider visit the baranggay health stations and the remaining 20% prefers to visit the District hospital. Factors that affect their choice of health facility are the availability of the physician and the availability of free medicines. That’s why, much of the population seek the services of the RHU. 6. Health Seeking Behavior First person consulted in times of illness Table 6.6 f Doctor Nurse Midwives Hilot Albularyo TOTAL

10 0 0 2 8 20

% 50 0 0 10 40 100%

2. Birth Attendance Table 6.7 f Doctor Nurse Midwives Hilot Albularyo TOTAL

5 0 0 15 0 20

% 25 0 0 75 0 100%

Table 6.6 shows the first person consulted in times of illness. The data revealed that 50% of the respondents seek the services of physician first, albularyo is 40%, hilot 10%, nurse and midwives 0%.

Table 6.7 shows the person attending birth delivery to pregnant mother. This study revealed that hilot 75%, doctor 25%, nurse 0%, midwives and hilot 0%. The finding hinted the interpretation that the people in the barangay still seek and consult the albularyo due to lack of financial means, they being always at work and the condition of the road and the distance of the barangay to available health center or hospital quite far that needs considerable amount of time and money for medication or uncertainty available health care provider in the center. That being poor, attendant to pregnant mothers and birth delivery are still hilot.

3. Frequency of Consultation Table 6.8 Professional Health Worker Doctor Nurse Midwives TOTAL

Service Public f % 20 33.3 20 33.3

type Private f % 0 0 0 0

20 60

0 0

33.3 100

0 0

Frequency Frequent Seldom If Needed f % f % f % 0 0 11 84.6 9 19.2 0 0 1 7.7 19 40.4 0 0

0 0

1 13

%

7.7 100

19 47

40.4 100

%

Table 6.8 shows the frequency of consultation and service preferences. This study revealed that the public type doctor, nurse and midwives 100% and private doctor, nurse, and midwives 0%. Public doctor, nurse, midwives frequent consultation 0%, public doctor seldom consultation 84.6%, public nurse and midwives seldom consultation 7.7%. Public doctor if needed for consultation 19.2%, public nurse and midwives if needed consultation 40.4%. The finding interpreted the frequency of consultation with the doctor is very rare and as seldom as the check up on health problem. The albularyo is most preferred on such cases, and only when consultation is badly needed that they go to for the doctor services. 7. Methods of Family Planning

%

1. Awareness in Family Planning Table 6.9 f Yes No TOTAL

%

9 11 20

45 55 100%

2. Favor for Family Planning Table 6.10 f Yes No TOTAL

%

11 9 20

55 45 100%

Method of Family Planning/Contraceptives Table 6.11 Methods Used IUD Vasectomy Pills Tubal Ligation Condom Calendar Method Withdrawal Others (None) TOTAL

f

%

0 0 8 0 0 2 5 5 20

0 0 40 0 0 10 25 25 100%

Graphical presentation of Methods of family planning Chart 6.2

IUD 40%

Vasectomy

35%

Pills

30%

Tubal Ligation

25%

Condom

20%

Calendar Method

15%

Withdrawal

10%

none

5% 0% Percentage

Interpretation and Analysis:  Table 6.8shows the awareness of family in family planning. This study revealed 45% of the total respondents are aware of family planning and 55% are not aware.  Table 6.10 shows the family who are in favor of family planning. 55% are in favor of family planning and 45% are not in favor.  Table 6.11shows the family preferred contraceptives. The data revealed that the most commonly used family planning in Sioron is pills, which ed for 40% of the total respondets, withdrawal 25%, not using contraceptives 25%, (IUD, vasectomy, condom, tubal ligation) 0%. It is impossible to attain 100% acceptability of family planning methods, especially in sitio like Sioron. Primary reason is that, the predominant religion is Roman Catholic which is the greatest hindering force for the acceptance of FP. Another, there are many myths surrounding different methods of the modern FP. I few want to increase awareness and acceptability we must advocate for FP, intense health education and collaborative efforts must be done and these myths must be explained to the people and be justified. It’s not surprising to see that pills is the most common method used in FP since it’s readily accessible to RHU’s.

8. MORBIDITY DATA OF BRGY. SIORON GIGMOTO, CATANDUANES, 2007-2012 TOP 10 LEADING CAUSES OF MORBIDITY

CAUSES ARI/AURI Hypertension Gastritis Skin disease Tuberculosis Pnuemonia/Cap Vertigo Diarrhea Otitis Media Rheumatoid Arthritis/Osteoarthritis 9. MORTALITY DATA OF BRGY. SIORON GIGMOTO, CATANDUANES, 2007-2012 TOP 10 LEADING CAUSES OF MORTALITY

CAUSES CVA Hypothermia Geriatric Debility TOTAL

2010 NUMBER 2 1 1 4

RATE 50 25 25 100%

VI

CONCLUSION

Based on my personal observation and data gathered during survey. I was identified the basic primary needs of the community like portable water supply, proper nutrition of the family, education, hygiene and sanitation, toilet, proper waste disposal which in its absence, bring about health problems and disease- carrying insects and water supply might be contaminated by human excreta, respiratory disease and close- transmitted disease as in the case of the poor with small house but with big number of are easily transmitted to each family . Low income of the family that is related to their low level of education be addressed to the concerned authority.

V

PROBLEM INDENTIFIED 1. Unsafe water supply 2. Improper waste disposal 3. Numerous family without toilet 4. Low level of education and insufficient income to sustain family needs. 5. Birth attending practice by merely resorting to hilot 6. Hygiene of the family and environmental sanitation

VI

RECOMMENDATION 1. Construction of public toilet nearest to those families without toilet, each compartment to be shared by 2 to 3 families to facilitate management of its cleanliness and maintenance. 2. Construction of water pump and or deep well to be regularly examined by the sanitation inspector to ascertain cleanliness and its safe use. 3. Barangay officials need to coordinate other government agency/NGO for livelihood programs and projects that would generate income of its constituents in the barangay. 4. To educate the people on segregating the waste materials by which they could earn additional income and minimize garbage deposit or collection.

5. To stress on the right manner of coughing and frequent hand washing to prevent spread or with transferable diseases. 6. Families with low income should be accordingly persuaded on the importance and advantages of the family planning scheme.

Sample Questionnaire Used ed Nurses for Health Enhancement and Local Service Gigmoto, Catanduanes COMMUNITY DIAGNOSIS (Home Visit) Family Number: _______ Survey By: _______________________________________ Family Head: ___________________________________________________________ Date: ___________________________________________ Address: _______________________________________________________________ I.FAMILY HOUSEHOLD DATA A. Number of Family :______ B. hip and Characteristics: NAME (From No .

Parent to

Civil Ag e

Stat us

Se x

Childre

Fami

Educatio

ly

nal

Role

Attainme

LR Y N

Occupati

Religi

on

on

nt

n and Other Membe r)

Remarks: II. ECONOMICS, ENVIROMENTAL INDICATORS A. ECONOMIC SITUATION 1. Who provides for the family, financially? Father

Mother

Both Father and

Others pls. specify

Mother 2. What kind of family do you belong Nuclear Family

Single Parent Family

Extended Family

Blended Family

3. Monthly Income Less than P500 P1,001 – P5,000 P5001 – P10,000 P10,001 – P15,000 P15,001 – Above Others, pls. specify 4. Housing condition a. Ownership Owned Rented Shared Others, pls. Specify

b. Type of Built Wood Bamboo Concrete Others, pls. specify c. Type Strong Light Make Shift Lighting Facilities Electric Kerosene Others, pls. Specify d. Kitchen/ Cooking facilities Electric Stove Gas Stove Firewood Charcoal Other, pls. Specify

B. ENVIROMENTAL INDICATORS 1. Source of water supply

2.

Piped in

Deep well

Communal

Artesian Well

River/ Lake

Others, pls. specify

Open pit privy

Closed pit privy

Toilet

Flush Type

Balot system

Water-sealed latrine

None

Pail system 3. Waste Disposal 3.1 Refuse and Garbage a. Container: Covered Open Others, pls. Specify ______________________ b. Method of Disposal Collected

Open dumping

Burial in pit

Waste Segregation

Composting

Others, pls. Specify

Burning

4. Domestic Animals Dog

Chicken

Cat

Pig

Pig

Others, pls. Specify

C. HEALTH PROFILE 1. Food Storage Bag Baskets

Cupboard with screen

Refrigerator

Others, pls. Specify

2. Infant Feeding Practices a. Breastfeeding b. Bottle Feeding Evaporated

Powdered

Condensed c. Mixed Feeding (Breastfeeding and bottle feeding)

d. Others, pls. Specify 3. Immunization Status of Children Complete Incomplete, Reason 4. Health Resources/Facilities District Hospital Health Center Barangay Health station Others, pls. Specify 5. Community Facilities Barangay Health Center School Market Park Others, pls. Specify 6. Health Seeking behaviors a. First person consulted in times of illness Doctor

Albularyo

Nurse

Midwife

Hilot

Others, pls. Specify

b. Birth Attendance Hilot Albularyo Nurse Midwife Doctor Other, Pls. Specify

c. Frequency of Consultation SERVICE Professional Health Worker

TYPE Public

Private

FREQUENCY Frequent

Seldom

If Needed

Doctors Nurses Midwives Others, pls. specify___________ 7. Family Planning a. Are you aware of family planning? Yes No b. Are you in favor of family planning? Yes No c. What contraceptive or method of family planning do you use/prefer? IUD

Condom

Vasectomy

Calendar method

Pills

Withdrawal

Tubal ligation