CHAPTER 1

INTRODUCTION
Barangay 421, zone 43, district IV is a community located at the heart of urban
Manila. It is a few blocks away from the LRT 2 station. The barangay is led by Francisco
Manahan and regularly receives health services from the Manila health department which
provides basic vaccines. The Manila Health Department has also established a
community health center for the residents of the barangay. The community is in an urban
setting and is surrounded by industrial establishments like the San Miguel warehouse,
and the CLYK commercial office building. The Philippine National Railway and the LRT
2 are located a few blocks away from the community. The primary method of
transportation in the community is by tricycles and jeepneys. Some families have their
own private vehicles. Squalor and pollution is evident because of the communitys urban
and industrial settings. There are a few private preschools found in the area. There is also
a basketball ring used by residents for entertainment but it is placed in the middle of a
street.
On July, 2011, the University of Santo Tomas Medical Technology Interns
conducted an interview in the area. The interview was done to gather essential data about
the community. As of July 2011 there are 77 males for every 100 females in the said
community, there is also a high number of middle aged people in the barangay. Most of
the working age people who live in the area are single and earns more than 19,000 pesos
per month. The occupations are generally mixed, but most occupations generally fall into
the blue collar bracket. The education background of the community is poor as more than

half of the population did not finish college. Majority of the population is Roman
Catholic. The survey also shows that most of the population has lived in the barangay for
more than 10 years and their province of origin is generally from the island of Luzon.
The materials used to build the houses in barangay 421 are generally mixed of
light and strong materials but ventilation is quite adequate; also, most of the people who
live in the community say that they are renting the house that they live in. Water supply is
not much of a problem; Maynilad is in charge of water distribution in the area. Garbage
collection is managed by the City government and occurs every week.
The community generally has a level II excreta disposal system. Majority of the
families in the community has refrigerators used for food storage. Mothers were also
interviewed in their practice of infant feeding, majority of the babies were not breastfed
but were given powdered milk. Six children below 1 year old were involved in the survey
and out of the six children in the survey only one was fully immunized by the community
health center.
Most residents of barangay 421 go to hospitals to seek medical treatment but
majority of the health information is received from the health center.

CHAPTER 2
2.1 SITUATIONAL ANALYSIS
2.1.1 SETTING OF THE COMMUNITY

Figure 1. Spot Map of Barangay 421, Zone 43, District IV as of July 2011

2.1.2 POPULATION

Total population of the Families Surveyed: 255

Sex ratio: 77.1 , There are 77 males for every 100 females of Barangay
421, zone 43, district IV as of July 2011

2.1.2.1 Age and Sex distribution

TABLE 1.
Age & Sex Distribution of Barangay 421, Zone 43, District IV as of July 2011
Age
Male
Female
Total
f
%
f
%
f
%
<1
3
2.70%
2
1.39%
5
1.96%
1-4
11
9.91%
12
8.33%
23
9.02%
5-9
9
8.11%
14
9.72%
23
9.02%
10-14
7
6.31%
10
6.94%
17
6.67%
15-19
10
9.01%
11
7.64%
21
8.24%
20-24
13
11.71%
17
11.81%
30
11.76%
25-29
13
11.71%
12
8.33%
25
9.80%
30-34
8
7.21%
9
6.25%
17
6.67%
35-39
11
9.91%
23
15.97%
34
13.33%
40-44
9
8.11%
9
6.25%
18
7.06%
45-49
6
5.41%
12
8.33%
18
7.06%
50-54
4
3.60%
5
3.47%
9
3.53%
55-59
3
2.70%
2
1.39%
5
1.96%
60-64
2
1.80%
1
0.69%
3
1.18%
>65
4
3.60%
3
2.08%
7
2.75%
TOTAL
111
100.00%
144
100.00%
255
100.00%

>65
60-64
55-59
50-54
45-49
40-44
35-39
30-34
Age
25-29
20-24
15-19
10 to 14
5 to 9
1 to 4
<1

% male
% female

10

10

Percent
Figure 2. Population Pyramid of Barangay 421, Zone 43, District IV as of July 2011

Analysis: There are more women than men in Barangay 421 zone 43, district IV
as of July 2011. Also, there is a high percentage of individuals aged 35 to 39
years old. In general, population declines at the age of 40. The health program
would most likely target the 20 to 39 y/o group.
2.1.2.2 Civil Status
TABLE 2.
Percentage Distribution showing the Civil Status of Individuals 15 y/o and above.
Barangay 421 , Zone 43 , District IV as of July 2011
Civil Status
f
%
Single
120
57.7%
Married
75
36.1%
Separated
8
3.8%
Widow
5
2.4%
TOTAL
208
100%

4% 2%

36%
58%

Single
Married
Separated
Widow

Figure 3. Civil Status of Individuals 15 y/o and above of Barangay 421, Zone 43,
District IV as of July 2011

Analysis: Majority or 57.7 % of individuals 15 y/o and above of Barangay 421,

Zone 43, District IV are single as of July 2011.
2.1.3 ECONOMIC INDICES:
2.1.3.1 Dependency Ratio
Ever 100 persons of economically productive age groups are supporting 42
dependents.

2.1.3.2 Occupation
TABLE 3.
Percentage Distribution Showing the Types of Occupation of Earning Individuals.
Barangay 421, Zone 43, District IV as of July 2011
Occupation
f
%
Brgy. Tanod
1
1.60%
Dietician
1
1.60%
supervisor
1
1.60%
Virtual asst.
1
1.60%
Law firm
1
1.60%
Driver
5
8.06%
Maid
4
6.45%
Mechanic
1
1.60%
Clerk
3
4.80%
Accountant
2
3.23%
Asst. Admin
1
1.60%
Bussinessman
2
3.23%
Bussinesswoman
5
8.06%
Call center agent
1
1.60%
Engineer
4
6.45%
Data analyst
1
1.60%
Factory worker
3
4.80%
Football coach
1
1.60%
Manager
2
3.23%
Promotizer
5
8.06%
Secretary
1
1.60%
Statistician
1
1.60%
Store owner
7
11.30%
Waiter
2
3.23%
Teacher
1
1.60%
Security guard
1
1.60%
Police
1
1.60%
Cook
1
1.60%
Associate
1
1.60%
Nurse
1
1.60%
TOTAL
62
100%

Analysis: The table shows that occupation of residents of Barangay 421, zone 41,
district IV as of July 2011 has mixed kinds. Having a store is the most common
occcupation in the said barangay. With 30 different occupations found in the
Barangay which includes store owners, nurses, statisticians, etc., 11% of the
population owns their own store in the Barangay while majority are commuters to
their workplaces.
2.1.3.3 Average Income
TABLE 4.
Percentage Distribution showing the Average Income of Earning Individuals. Barangay
421, Zone 43, District IV as of July 2011
Income/Month
f
%
<1,000
0
0%
1,000-2,999
8
13.8%
3,000-4,999
6
10.3%
5,000-6,999
3
5.2%
7,000-8,999
10
17.2%
9,000-10,999
3
5.2%
11,000-12,999
3
5.2%
13,000-14,999
5
8.6%
>15,000
20
34.4%
TOTAL
58
100%

40
35
30
25
20
15
Percentage 10
5
0

Income/Month
Figure 4. Bar Graph showing the Percentage Distribution of the Average Income of
Earning Individuals. Barangay 421, Zone 43, District IV as of July 2011
Analysis: Approximately 29.3 percent of the earning individuals of Barangay
421, zone 43, district IV is not receiving the minimum wage which is 426 pesos
per day (according to Per Wage Order No. NCR-16) and is experiencing poverty
as of July 2011.
2.1.4 SOCIO-CULTURAL INDICES
2.1.4.1 Educational Attainment
TABLE 5.
Percentage Distribution Showing the Educational Attainment of Individuals Surveyed.
Barangay 421, Zone 43, District IV as of July 2011
Educational Attainment
f
%
No formal education
6
4.7%
Elementary Level
18
14.0%
Elementary Graduate
2
1.6%
High School Level
11
8.5%
High School Graduate
19
14.7%

College Level
College Graduate
TOTAL

27
46
129

5%
36%

14%
2%
8%
15%

21%

20.9%
35.7%
100%

No formal education
Elementary Level
Elementary Graduate
High School Level
High School Graduate
College Level
College Graduate

Figure 5. Percentage Distribution Showing the Educational Attainment of Individuals

Surveyed in Barangay 421, Zone 43, District IV as of July 2011
AnalAnalysis: 20.9% of the population of barangay 421, zone 43, district IV did
not finish college, 43% of population are students, while 35.7% graduated college
as of July 2011.
2.1.4.2 Religion
TABLE 6.
Percentage Distribution Showing the Religion of Families Surveyed. Barangay 421, Zone
43, District IV as of July 2011
Religion
f
%
Roman Catholic
117
95.90%
Christian
1
0.80%
Pentecostal
2
1.60%
Born Again
1
0.80%
Protestant
1
0.80%
TOTAL
122
100%

Analysis: Majority or 95.9% of the population of Barangay 421 , zone 43,

district IV, are Roman catholic as of July 2011. Therefore, there would be little or
no problem to traditions of other religion that would affect the acceptance of the
heath program to be planned.
2.1.4.3 Place of Origin:
TABLE 7.
Percentage Distribution Showing Place of Origin of Families Surveyed. Barangay 421,
Zone 43, District IV as of July 2011
Place of Origin
f
%
Luzon
44
54.30%
Visayas
14
17.30%
Mindanao
11
13.60%
NCR
12
14.80%
TOTAL
81
100%

15%
14%
54%

Luzon
Visayas
Mindanao
NCR

17%

Figure 6. Percentage Distribution Showing Place of Origin of Families Surveyed in

Barangay 421, Zone 43, District IV as of July 2011

Analysis: Majority of the population of Barangay 421, zone 43, district IV are
originally from provinces of Luzon. Traditions of one province to another may
contradict and may cause problem. But since their population movement (table
below) says that majority of the residents have lived in the said barangay for more
than ten years already, they must have been used to the traditions of Manila.

2.1.4.4 Population Movement:

TABLE 8.
Percentage Distribution Showing the Length of Residency of Families surveyed.
Barangay 421, Zone 43, District IV as of July 2011
Length of Residency
f
%
<6 months
4
5.5%
6 months- 1 year
0
0.0%
1 years -5 years
11
15.0%
6 years -10years
9
12.3%
10 years and above
49
67.1%
TOTAL
73
100%

80
70
60
50
40
30
Percentage 20
10
0

Length of Residency
Figure 7. Bar Graph Showing Percentage Distribution of the Length of Residency of
Families surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: Majority or 67.10 percent of the population of Barangay 421, zone 43,
district IV lived in their present residence for more than ten years and counting as
of July 2011.
2.1.4.5 Housing:
2.1.4.5.1 Types of Houses
TABLE 9.
Percentage Distribution Showing the Types of Housing of Families Surveyed. Barangay
421, Zone 43, District IV as of July 2011
Type of Housing
f
%
Makeshift
2
3.7%
Light
1
1.9%
Strong
22
40.7%
Mixed
29
53.7%
TOTAL
54
100%

4% 2%

54%

Makeshift
Light
Strong
Mixed

41%

Figure 8. Pie Graph showing the Percentage Distribution of the Types of Houses of
Families Surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: More than half of the population of Barangay 421 , zone 43, district IV,
have houses that are made up of mixed light and strong materials as of July, 2011.
One of the dangers of poor quality of materials of a house may include buildingup of molds and easy deterioration caused by typhoons and this may affect health
conditions like having asthma or other respiratory-related problems.
2.1.4.5.2 Ownership
TABLE 10.
Percentage Distribution Showing Housing Ownership of
421, Zone 43, District IV as of July 2011
Ownership
f
Rent-free
4
Owned
11
Rented
39
TOTAL
54

Families Surveyed. Barangay

%
7.4%
20.4%
72.2%
100%

7%
20%

Rent-free
Owned
Rented

72%

Figure 9. Percentage Distribution Showing Housing Ownership of Families Surveyed.

Barangay 421, Zone 43, District IV as of July 2011

Analysis: 72.2 percent of the population of Barangay 421, zone 43, district IV
rent their houses as of July 2011. Budget in every need of the family is counted
and paying for rents is additional burden to the family every month. The basic
health care requirement of the family may be forgotten or less prioritized.

2.1.4.5.3 Ventilation
TABLE 11.
Percentage Distribution Showing Ventillation of Houses of Families Surveyed. Barangay
421, Zone 43, District IV as of July 2011
Ventilation
f
%
Adequate
40
74.0%
Inadequate
14
25.9%
TOTAL
54
100%

Analysis: Majority of the population of Barangay 421, zone 43, district IV have
adequate ventilation in their houses as of July 2011. This may implicate that most
of them are not crowded in a house. Respiratory-related health problem may arise
if there is inadequate ventilation in a house.
2.1.5 ENVIRONMENTAL INDICES:
2.1.5.1 Water Supply
TABLE 12.
Percentage Distribution Showing Water Supply of families Surveyed. Barangay 421,
Zone 43, District IV as of July 2011
Level
f
%
I. Point Source
6
11.1%
II. Communal Faucet
0
0.0%
System or Standpost
III. Waterworks System
48
88.9%
TOTAL
54
100%

Analysis: Waterworks sytem level III, particulary Maynilad is the major source of
water of Barangay, zone, district as of July 2011. This is a good sign of clean
water circulating in the said area. Hence, water-borne diseases may be avoided.

2.1.5.2 Excreta Disposal

TABLE 13.
Percentage Distribution Showing Excreta Disposal of Families Surveyed. Barangay 421,
Zone 43, District IV as of July 2011
Excreta Disposal
f
%
Level I. Pit Latrines
0
0.0%
Level II. Poor-Flush Toilet
39
72.2%
Level III. Flush Toilets
14
25.9%
Balot System/ Wrap & Throw
0
0.0%

Others, Specify: Shared

TOTAL

1
54

1.9%
100%

Analysis: Majority of the population of Barangay 421, zone 43, district IV have
level II excreta disposal which is poor-flush toilet as of July 2011. This may
imply that proper way of disposing excreta is practiced within the said area.
2.1.5.3 Garbage Disposal
TABLE 14.
Percentage Distribution Showing Garbage Disposal of Families Surveyed. Barangay
421, Zone 43, District IV as of July 2011
Garbage Disposal
f
%
DPS (Collected)
54
100%
Open Dumping
0
0%
Burning
0
0%
Waste Segregation
0
0%
TOTAL
54
100%

Analysis: Garbage disposal is not a problem in Barangay 421, zone 43, district
IV as of July 2011 because garbage is collected in a specific time for them. There
is low risk of environment and health problem that may arise beacuse of garbage.

2.1.6 HEALTH INDICES

2.1.6.1 Food Storage
TABLE 15.
Percentage Distribution Showing Food Storage Practice of Families
Barangay 421, Zone 43, District IV as of July 2011
Food Storage
f
Refrigerated
31

Surveyed.
%
72.1%

Not Refrigerated
a. Covered
b. Exposed
TOTAL

12
0
43

27.9%
0.0%
100%

Analysis: Majority or 72.1 percent of Barangay 421 , zone 43, district IV have
refrigerator where they can store their food as of July 2011. Refrigerator is an
important factor in health for the reason that food spoilage or food contamination
may be avoided if food is inside a refrigerator.
2.1.6.2 Infant Feeding Practice
TABLE 16.
Percentage Distribution Showing Infant Feeding Practice of Families Surveyed
Barangay 421, Zone 43, District IV as of July 2011
Types of Infant Feeding
f
%
breastfeeding
0
0%
bottlefeeding
a. evaporated
b. condensed
c. powdered
5
50%
mixed
a. evaporated
b. condensed
c. powdered
5
50%
total
10
100%

Analysis: Among the infants of less than 1 year in Brangay 421, zone 43, district
IV as of July 2011, 50 percent of them are fed by powdered milk alone and 50
percent of them are fed by both breastfeeing and powdered milk. Suceptibilty to
infection is low since proper milk is being fed to the infants.
2.1.6.3 Immunization Status

TABLE 17.
Percentage Distribution showing Immunization Status of Children <1 year
the families Surveyed. Barangay 421, Zone 43, District IV as of July 2011
Antigen
no. of children
Accomp
BCG
6
5
DPT1
6
3
DPT2
6
3
DPT3
6
3
OPV1
6
2
OPV2
6
2
OPV3
6
2
HEP B 1
6
3
HEP B 2
6
3
HEP B 3
6
3
AMV
6
1

old among
%
83.4
50
50
50
33.3
33.3
33.3
50
50
50
16.7

Analysis: Out of 6 children <1 y/o among families surveyed in Barangay 421,
zone 43, district IV, only one child is fully immunized of all the above antigens as
of July 2011. The reason that the group gathered from the mothers is because the
scheduled date for the next vaccine is yet to come.

2.1.6.4 Health Seeking Behavior

TABLE 18.
Percentage Distribution Showing Health-Seeking Behavior of families Surveyed.
Barangay 421, Zone 43, District IV as of July 2011
Health Facility
f
%
Hospital
77
70.6%
Health Center
8
7.3%
Private Clinic
24
22.0%

Others, Specify
TOTAL

109

100%

22%
Hospital
Health Center
Private Clinic

7%
71%

Figure 10. Pie Graph showing Percentage Distribution of the Health-Seeking Behavior of
families Surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: Barangay 421, zone 43, district IV residents mostly go to a hospital for
medical service as of July 2011 though according to them they were aware of the
health center of their barangay. This implies that more residents are financially
capable of seeking medcal treatment other than the health center.
2.1.6.5 Source of Health Information
TABLE 19.
Percentage Distribution Showing the Source of Health Information of Families surveyed.
Barangay 421, Zone 43, District IV as of July 2011
Source
f
%
Hospital
10
18.5%
Health Center
27
50.0%

Media
Others, Specify
TOTAL

17

31.5%

54

100%

19%
32%
Hospital
Health Center
Media
50%

Figure 11. Pie Graph showing Percentage Distribution of the Source of Health
Information of Families surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: As of July 2011, the Barangay 421, zone 43, district IV residents
majority source of health information is the health center. This implies that they
are aware of the health center and its services.
2.1.7 SUMMARY OF FACTORS AFFECTING HEALTH STATUS/ HEALTH
SERVICES;

INTERRELATIONSHIP

OF

FACTORS

DESCRIBED

IN

SITUATIONAL ANALYSIS
Age is a major factor when comes to acquiring non-communicable diseases. With
the majority of the population ranging between 20 and 39, the community is at greater

risk of acquiring work related illnesses as compared to genetic ones. The people in the
area appear to be earning sufficiently for basic needs as well as proper health care.
Conflict of interest are of little concern when it comes to culture and religion as majority
of the population have been staying in the area for more than 10 years and are Roman
Catholics therefore there should be little problem in implementing projects due to cultural
or religious beliefs. With 53.7% of the houses found in the area made of mixed light and
strong materials while 25.9% show inadequate ventilation, the risk of airborne and
droplet transmitted infections are increased. There should little problems sanitation-wise
as 100% of the garbage are collected daily and disposed properly, water supply is assured
by Maynilad, and all households have toilets. 72% of households have refrigerators while
there are sufficient stores in the Barangay for easy access of food when food storage is
impossible.

2.2 COMMUNITY DIAGNOSIS

2.2.1 DATA AND SOURCES
TABLE 20.
Leading Causes of Morbidity in Paltoc for the month of January 2011 (Source: Paltoc
Health Center)

Disease
HEENT
ANP
ATP
URTI
PTB
Bronchitis
UTI
AGE
Derma
Surgery
Infectious
HPN
Anergy
Malnutrition
Osteoarthritis
Myalgia
Anemia
E.Preg.
U. Acid(increased)
DMType II
TOTAL

MALE
4
5
0
49
6
2
2
1
1
5
6
9
1
1
0
0
0
0
0
0
92

FEMALE
3
12
1
52
7
3
9
2
2
6
4
8
1
3
2
2
2
2
1
1
123

TABLE 21.
Leading Causes of Morbidity in Paltoc for the month of February 2011 (Source: Paltoc
Health Center)

Disease
HEENT
ANP
ATP
URTI
Bronchitis
Pneumonia
PTB
UTI
AGE
Constipation
Gastritis
Derma
Infectious
Surgery
Hypertensio
P. Neuropathy
Anergy
Anemia
Malnutrition
Hypercritiesteanemia
Osteoathritis
Hyperluricemia
Costochondritis
TOTAL

MALE
5
7
5
58
4
1
4
4
5
0
2
3
15
0
6
1
1
0
5
0
1
0
0
127

FEMALE
8
1
1
53
1
0
4
18
3
1
1
5
21
2
7
0
3
1
1
2
0
1
1
135

TABLE 22.
Leading Causes of Morbidity in Paltoc for the month of March 2011 (Source: Paltoc
Health Center)

Disease
HEENT
ANP
ATP
URTI
Pneumonia
PTB/F
Bronchitis
AGE
Derma
UTI
Nephropathy
AGN
Infectious
Malnourished
Myalgia
Hypertension
Allergy
Osteoarthritis
OB
Surgery
Anemia
TOTAL

MALE
3
5
1
35
1
9
5
2
1
0
1
0
10
3
0
6
1
0
0
0
0
83

FEMALE
10
5
0
53
0
8
2
1
1
6
0
1
12
4
2
15
3
1
2
2
2
130

TABLE 23.
Leading Causes of Morbidity in Paltoc for the month of April 2011 (Source: Paltoc
Health Center)

Disease
HEENT
ANP
ATP
URTI
Cong. & OSE
PTB/ T/C PTB
IPT
Bronchitis
AGE
Constipation
APO
UTI / T/C UTI
Derma
Infectious
Surgery
G6PD Def.
Hypertension
Myalgia
DM
Anemia
Osteoarthritis
Vertigo
T. Abortion
Malnutrition
Angina
TOTAL

MALE
3
3
2
15
1
12
1
0
2
0
1
0
3
10
2
0
5
1
1
0
1
1
0
0
1
65

FEMALE
3
1
5
13
0
2
1
5
1
3
1
5
3
13
1
1
8
2
0
4
1
0
1
2
0
76

TABLE 24.
Leading Causes of Morbidity in Paltoc for the month of May 2011 (Source: Paltoc Health
Center)

Disease
HEENT
ANP
ATP
URTI
Bronchial Asthma
UTI
AGE
APD
Derma
Infectious
Surgery
Hypertension
Myalgia
Malnutrition
Osteoarthritis
HPSTY Rxn.
Menorrhagia
PTB
IPT
D. Syndrome
TOTAL

MALE
4
0
1
20
0
0
1
1
7
9
2
3
2
1
0
0
0
4
1
0
56

FEMALE
3
2
2
13
2
1
2
1
7
6
2
8
1
0
1
1
1
3
0
1
57

TABLE 25.
Leading Causes of Morbidity in Paltoc for the month of June 2011 (Source: Paltoc Health
Center)

Disease
HEENT
ANP
ATP
URTI
Pneumonitis
PTB
Bronchitis
Bronchial Asthma
AGE
Constipation
APD
UTI
Derma
Infectious
Surgery
Hypertension
Anemia
E. Pregnancy
Amenorrhea
T. Abortion
Ovarian Cyst
Anergy
Osteoarthritis
Malnutrition
Myalgia
DMII
P. Neuropathy
TOTAL

2.2.2 LIST OF RELEVANT INDICATORS

TABLE 26.

MALE
5
5
2
26
0
2
4
2
2
0
2
2
9
8
3
1
0
0
0
0
0
0
1
1
1
1
0
77

FEMALE
7
3
1
25
1
4
1
0
3
1
1
11
9
9
3
8
2
1
1
1
1
1
2
4
1
0
1
102

Ten Leading Causes of Mobidity in Barangay 421, Zone 43, District IV, January to June
2011
Diseases
No. of cases
1
URTI
412
2
Infectious
123
3
HPN
84
4
PTB
65
5
UTI
58
6
HEENT
58
7
Derma
51
8
ANP
49
9
Surgery
29
10
Bronchitis
27

2.3 PROBLEM ANALYSIS

2.3.1 IDENTIFICATION AND ANALYSIS OF PROBLEMS
The barangays leading causes of morbidity include upper respiratory tract
infections. A factor to this illness that can be seen here includes the inadequacy of
ventilation per household due to the crowding seen. Several households in the community
comprises of college students whom rent apartments in the area most of this boarders
come in groups of more than 5 sharing the space. As well as the students, the adults
commute outside the area to their workplaces due to lack of local jobs. This results to the
increased amount of jeeps that are seen parked around the community. Having to
commute to school or work every day increased stress in the part of the people as well as
human contact which increases susceptibility of the people in transmitting this droplet
and airborne infections. Another possible way of transmitting upper respiratory infections
includes the sharing of food, water, and utensils, and is possibly avoided by using serving
spoons.

The second leading illness in the area is hypertension. This is a noncommunicable disease usually obtained by the elderly. Known as the silent killer,
hypertension should be a community concern as it is a significant risk factor for several
other fatal conditions such as stroke and heart problems. A key factor to hypertension is
age; but with a population of young adults, the more probable factors to cause this illness
are obesity, stress, alcohol intake, and smoking. Obesity is common in well-off
communities due to abundance of food and overindulgence. Stress can easily be
associated to the fact that several adults in the community high stress jobs including
statisticians, businessmen, call center agents, etc. Smoking and alcohol is simply
common vices which can be found in the country especially fitting in the Filipino
lifestyle. Although there are many medicines used to lower a persons blood pressure, the
proper lifestyle change is the most essential part in maintaining a healthy blood pressure.
Awareness of the proper actions and regular consultations with the physician is the best
way of avoiding any complications that are caused by this condition.
Pulmonary tuberculosis is another leading illness in the community. Being a
common disease in third world countries, the Philippines is certainly not an exception to
transmitting the bacteria Mycobacterium tuberculosis. PTB has the same risk factors as
upper respiratory tract infections which include talking, sneezing, coughing, and the
sharing of food. Pulmonary tuberculosis is a more serious case as it is sometimes caused
by a drug resistant strain of bacteria and is very infectious.
TABLE 27.
Decision Matrix of the Problem Prioritization for Barangay 421, Zone 43, District IV
Criteria
URTI
HPN
PTB

Nature of the Problem

Health Status 3
Health Resources 2
Health Related 1
Magnitude of the Problem
75-100% Affected 4
50-74% 3
25-49% 2
<25% 1
Modifiability of the Problem
High 3
Moderate 2
Low 1
Not modifiable 0
Preventive Potential
High 3
Moderate 2
Low 1

(3/3)x1= 1

(3/3)x1= 1

(3/3)x1= 1

(2/4)x3= 1.5

(1/4)x3= 0.75

(1/4)x3= 0.75

(3/3)x4= 4

(2/3)x4= 2.7

(2/3)x4 = 2.7

(3/3)x1= 1

(2/3)x1= 0.67

(2/3)x1= 0.67

Social Concern
Urgent Community Concern 2
Recognized as a problem but not
making urgent attention 1
Not a Community Concern 0
Total

(1/1)x1= 1

(1/1)x1= 1

(2/1)x1= 2

8.5

6.12

7.12