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INITIAL DATA BASE A. Family Structure, Characteristics and Dynamics A.1 Members of the household and relationship to the head of the Family Solis Family (Patriarchal Family) Extended Type Family Ferdinand Solis Age: 62 Married - Head of the Family Sex: M Civil Status:

Teresita Nicanor Solis - Mother Age: 64 Sex: F Married Mary Grace Solis - Daughter (1st child) Age: 24 Sex: F Single William Solis - Son (youngest) Age: 20 Sex: M Married Nerrisa Solis - granddaughter Age: 3 Sex: F Williamson Solis grandson Age: 7 mos. Sex: M Maribeth Dayag Solis- daughter-in-law Age:20 Sex:F

Civil Status:

Civil Status:

Civil Status:

Civil Status:Married

* Dominant Family members in terms of decision-making, especially in matters of health care A.2 Place of Residence of Each Member Ferdinand Solis - 15th Avenue, Murphy Cubao Q.C Teresita Nicanor Solis - 15th Avenue, Murphy Cubao Q.C Mary Grace Solis- 15th Avenue, Murphy Cubao Q.C William Solis - 15th Avenue, Murphy Cubao Q.C

*All family members live in the same house. A.3 General Family Relationship/Dynamics Presence of any obvious/readily observable conflict between members; characteristic/interaction patterns among members Observable Interview

*Strained sibling relationship Mary Grace mentioned that (between Mary Grace and William) William and his family is somewhat becoming a burden to their family since William doesnt have a stable job and only she herself and her father is working to sustain their familys needs. B. Socio-Economic and Cultural Characteristics B.1 Income and Expenses Ferdinand Solis - Head of the Family Educational Attainment: high school graduate Ocupation: Foreman (construction work) Place of Work: depending on work available Monthly Income/Rate: daily basis, P450 Teresita Nicanor Solis Mother Educational Attainment: high school graduate Ocupation: none Place of Work: -----Monthly Income: ----Mary Grace Solis - Daughter (1st child) Educational Attainment: high school graduate Ocupation: Cashier Place of Work: EdMarts, QC Monthly Income: fixed P4,000 William Solis - Son (youngest) Educational Attainment: high school graduate

Ocupation: school bus conductor Place of Work: school bus for Stella Maris College, Q.C Monthly Income/Rate: daily basis, P150 Maribeth Dayag Solis- daughter-in-law Educational Attainment: high school graduate Ocupation: none Place of Work: ----Monthly Income: -----

B.2 Ethnic Background and Religious Affiliation The whole family is Roman Catholic in religion. No one except Mrs. Solis is a regular church-goer owing that she doesnt have a work and all household chores are left to her daughter-in-law, Maribeth, to attend to. Mang Ferdinand, Mary Grace and William, on the other hand, has to go to their respective works. C. Home and Environment C.1 Housing a. Adequacy of living space and Sleeping arrangement Small 1-bedroom apartment ideal for 3 to 4 persons 1 Room (separate from living area) - occupied by William, Maribeth and 2 children Living area used by Mr./Mrs. Solis and Mary Grace (portion from the entrance serves as the kitchen)

* Sketch of Solis residence (one-bedroom apartment) b. Presence of breeding sites of vectors Cockroaches found under kitchen sink Drainage positioned outside door entrance, cockroaches present c. Presence of accident hazards Sharp and rusted galvanized iron used as door for the bathroom area Fire hazard Unsecured kitchen wares (knife and heavy pots on kitchen top) Slippery pavement Fall-hazard crib (crib side rails falls off when shaken, screws loosened) d. Food storage and cooking facilities 1 refrigerator, fully functional, 4.3 Cu. Ft Family uses covered dish cabinet Ladles, pots and pans laid and exposed (no available cabinet and space for storage) Kitchen sink and surface not tiled Faucet, with visible hard water deposit/stains e. Water Supply - communal faucet system, NAWASA, potable * Analysis: Relation to incidence of waterborne dermatological diseases in the family f. Toilet facility - Pour-flush toilet (communal, in use of 3 other families in the same compound); unsanitary (stained bowl and foul-smelling) g. Garbage/refuse disposal DPS (collected) and open burning (backyard) *Analysis: Uncollected garbage and improper disposal as potential risk to health and to the environment h. Drainage system - Sustainable Urban Drainage Systems C.2 Kind of Neighborhood- congested C.3 Social and Health Facilities Available Brngy. San Roque Health Center (10-minute walk) Quirino Memorial Medical Hospital (known as Labor; 1 jeepney ride) C.4 Communication and Transportation Facilities Available : Easy access to all transportational means (except FX)

Telephone line feasible and available on the area, though, the family doesnt have a phoneline

D. Health Status of Each Family Member D.1 Medical and nursing history indicating current or past significant illnesses, beliefs and practices conducive to health and illness and health risk factors

Ferdinand Solis - Head of the Family Hypertensive, confirmed by records Chain Smoker *complains about recurring joint pains *refuses motivation of modifying smoking habit, states that there are many heavy smokers but are even living a healthier life and that it just so happen that hypertension runs in their family Teresita Nicanor Solis - Mother Hypertensive Diabetic Elevated blood lipid Mary Grace Solis - Daughter (1st child) Stress William Solis - Son (youngest) Alcohol Drinking (controllable) Smoking Nerrisa Solis - granddaughter Asthmatic Skin problem (multiple mosquito bites) Emaciated (inadequate/improper nutrition) Williamson Solis grandson Skin problem (multiple mosquito bites) Maribeth Dayag Solis- daughter-in-law 1 Miscarriage (2008), confirmed by records

Skin problem (multiple mosquito bites)

D.2 Nutritional Assessment D.2.1 Anthropometric Data (Nutritional Status of Children) Nerrisa Solis - granddaughter Age: 3 Sex: F Weight: Height: BMI: Waist Circumference: Waist Hip Ratio:

Williamson Solis grandson Age: 7 mos. Sex: M Weight: Height: BMI: Waist Circumference: Waist Hip Ratio: D.2.2 Dietary History (Quality and Quantity of Daily Intake)

Nerrisa Solis - granddaughter No milk given Eats basic food (rice and ulam) Williamson Solis grandson Bonakid Wyeth (approx. 7-8 feeding using 270ml bottle)

D.2.3 Results of Laboratory and other Screening Procedures Ferdinand Solis: Blood Pressure monitoring: 160 over 100 mmHg (fluctuates higher), blood glucose level: FBS 100 mg/dl (elevated) Teresita Solis: Blood glucose level: FBS 129 mg/dl (elevated) Mary Grace Solis: Blood Glucose level: FBS 98 mg/dl (normal) Maribeth Solis: (-) VDRL (done year 2008 after miscarriage) Nerrisa Solis: (+) Metacholine Challenge Test (asthma) Williamson Solis: Newborn Screening Test (no congenital problem)

E. Values, Habits, Practice on Heath Promotion, Maintenance and Disease Prevention E.1 Immunization Status Maribeth Dayag Solis (completed series of Tetanus Toxoid vaccine year 2007) Nerrisa Solis (completed vaccines) Williamson Solis (BCG, 2 Hepa vaccines, 1 DPT, 1 OPV) E.2 Healthy Lifestyle Practices Practices hand washing before preparing food Boils bottle feeders Washes plates immediately after using E.3 Adequacy of: a. Rest and Sleep- Mang Ferdinand, Mary Grace and William are the working family members in the family and have stated that they at least get a descent sleep, so as the other family members b. Exercise and Activities- Nanay Teresita weighs 182 lbs at does not work so she practices a sedentary lifestyle. c. Use of protective measures uses bed net (ineffective though since Nerrisa and Williamson both have mosquito bites) and slippers d. Relaxation and other stress management activitiesNanay Terista plays binggo, it serves as her recreational activity. Maribeth, on the otherhand, stays at home most of the time as she serves as home keeper while everybody else is out working E.4 Use of Promotive-Preventive Measures Maribeth gets her youngest child out every morning states, I know know that morning sunlight is healthy. Maribeth also avails from their health center all available services (i.e. vaccines). If their budget allows, she buys Nerrisa Nido so her child can get the nutrients a girl in her age needs (Nerrisa is undernourished though).

FLOOR PLAN

Housing Condition A. Type of Housing Mixed made of concrete and wooden materials B. Ownership Rented family pays P4,500 a month (excluding electricity and water bills) C. Ventilation Total Floor Area Area 1 L= 13.3 feet or 4.05384 meter W= 7.2 feet or 2.19456 meters L x w= 8.89 sq. meters Area 2 L= 12.8 or 3.90144 meters W=7.2 or 2.19456 meters L x w= 8.56 sq. meters Window Opening Length of window= 4 feet or 1.2192 meters Width of window= 3.5 feet or 1.0668 meters TWO= L x w = 1.3 sq. m TFA= A1+A2 TFA= 17.45 sq. meters

Ventilation TWO/TFA x 100 1.3/17.5= 0.7428 0.7428 x 100 = 7.428 *Analysis: Poor Ventilation D. Overcrowding Room Rquirements Asing;le single [;lkdasjklahfh Multipurpose Room RReReq. Ferdinand Solis 3.5 sq m Teresita Nicanor Solis Mary Grace Solis William Solis Maribeth Dayag Solis 3 sq. m Single Purpose Room 3 sq. m 2.5 sq.m

3.5 sq m 3.5 sq m 3 sq. m

3 sq. m 3 sq. m 2.5 sq.m

*Analysis: TSR > TFA, Overcrowded

Three-Day Diet Recall Breakfast January 20, 2010 Day 1 January 21, 2010 Day 2 January 22, 2010 Day 3 Egg, rice and coffee Pandesal with coffee Lunch Menudo and rice Hotdog, Instant noodles with rice Fried chicken and rice Merienda Mais con yelo Dinner Miswa, hotdog and rice Sinigang and rice, nilagang okra Ginisang sayote with and rice

Fish balls and softdrinks

Tuyo with kamatis and rice

none

Three-Day Activity Recall January 20, 2010 Day 1 Tatay Ferdinand Stay at home, resting prepared lunch for her family and did some chores then went to Farmers Mall to play bingo from 1 PM to 5:30 PM Worked at the mini grocery (7:30 AM to 5:30 PM) Worked as a conductor in a school bus (5AM to 5PM), went home for lunch and watched over kids January 21, 2010 Day 2 Surveyed project area at Antipolo Played bingo 9 AM to 1PM, slept during siesta houtrs then prepared dinner for her family Worked at the mini grocery (7:30 AM to 5:30 PM) Stayed at home, watched over kids January 22, 2010 Day 3 Working at construction as foreman Went to Quiapo Church by morning and in the afternoon play binggo

Nanay Teresita

Mary Grace

William

Work at the mini grocery (7:30 AM to 5:30 PM) Work as a conductor in a school bus (5AM to 5PM), went home for lunch and watched over kids

Maribeth

Clean the house and take care of their children, cooked dinner and did the chores afterwards

Play binggo with her mother-in-law 9AM to PM, did chores when they went home

Take care of their children and wash their clothes

HEALTH PROBLEMS Presented problems are: Poor Sanitation Poor Ventilation Overcrowding Hypertension of Mang Ferdinand

Priority Setting (Salience: Based on the familys response) 1. Poor Sanitation Criteria Nature of the Problem Health deficit 3 Health threat 2 Foreseeable crisis 1 Modifiability of the Problem Easily Modifiable 2 Partially Modifiable 1 Not Modifiable 0 Preventive Potential High 3 3 1 2 Weight

Moderate 2 Low 1 Salience Immediate attention 2 A problem but does not need Immediate attention 1 Not a felt need/problem 0 1

Nature of the Problem Score/Highest Score = Ans. X Weight = Modifiability of the Problem Score/Highest Score = Ans. X Weight = 5.33 Preventive Potential Score/Highest Score = Ans. X Weight = Salience Score/Highest Score = Ans. X Weight = 2. Poor Ventilation

2/3= 0.666 0.666 x 2= 1.33 1/2= 0.5 0.5 x 1= 0.5 Total Weight=

3/3= 1 1 x 3= 3 1/2= 0.5 0.5x 1= 0.5

Criteria Nature of the Problem Health deficit 3

Weight

Health threat 2 Foreseeable crisis 1 Modifiability of the Problem Easily Modifiable 2 Partially Modifiable 1 Not Modifiable 0 Preventive Potential High 3 Moderate 2 Low 1 Salience Immediate attention 2 A problem but does not need Immediate attention 1 Not a felt need/problem 0

Nature of the Problem Score/Highest Score = Ans. X Weight = Modifiability of the Problem

2/3= 0.666 0.666 x 2= 1.33

Score/Highest Score = Ans. X Weight = 2.16 Preventive Potential Score/Highest Score = Ans. X Weight = Salience Score/Highest Score = Ans. X Weight =

1/2= 0.5 0.5 x 1= 0.5

Total Weight=

2/3= 0.66 0.66 x 2= 0.3 3 0/2= 0 0 x 1= 0

3. Overcrowding Criteria Nature of the Problem Health deficit 3 Health threat 2 Foreseeable crisis 1 Modifiability of the Problem Easily Modifiable 2 Partially Modifiable 1 Not Modifiable 0 Preventive Potential 2 2 Weight

High 3 Moderate 2 Low 1 Salience Immediate attention 2 A problem but does not need Immediate attention 1 Not a felt need/problem 0 1 3

Nature of the Problem Score/Highest Score = Ans. X Weight = Modifiability of the Problem Score/Highest Score = Ans. X Weight = 5.83 Preventive Potential Score/Highest Score = Ans. X Weight = Salience Score/Highest Score = Ans. X Weight =

2/3= 0.666 0.666 x 2= 1.33 2/2= 1 1 x 1= 1 Total Weight=

3/3= 1 1 x 3= 3 1/2= 0.5 0.5x 1= 0.5

4. Hypertension of Mang Ferdinand Criteria Nature of the Problem Health deficit 3 Health threat 2 Foreseeable crisis 1 Modifiability of the Problem Easily Modifiable 2 Partially Modifiable 1 Not Modifiable 0 Preventive Potential High 3 Moderate 2 Low 1 Saleince Immediate attention 2 A problem but does not need Immediate attention 2 3 1 3 Weight

1 Not a felt need/problem 0

Nature of the Problem Score/Highest Score = Ans. X Weight = Modifiability of the Problem Score/Highest Score = Ans. X Weight = 5.83 Preventive Potential Score/Highest Score = Ans. X Weight = Salience Score/Highest Score = Ans. X Weight =

3/3= 0.666 0.666 x 2= 1.33 1/2= 0.5 0.5 x 1= 0.5 Total Weight=

3/3= 1 1 x 3= 3 2/2= 1 1 x 1= 1

*Family stated that this particular problem be addressed immediately since Mang Ferdinand is the biggest earner in the family and they will find it difficult to survive if Mang Ferdinand will be disabled by his illness. 453.59237 Grams