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Copar Book!Final Draft

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Chapter 1 INTRODUCTION TO BARANGAY BATASAN MATANDA

I.

Maps

A. Vicinity Map of San Miguel, Bulacan

1

B. Spot Map

House Trees Sari-Sari Store Brgy. Hall

CHURCH

2

A. Analysis of the Community Situation A.1. Organizational Chart of Municipality of San Miguel, Bulacan

Roderick Tiongson Municipal Mayor

Marciano Cruz Municipal Treasurer

Rafaela D. Puyat Assistant Municipal Treasurer

Carmelita G. Jasinto Clerk

Jesusa D. Ronquillo Market Inspector Luzviminda S. Panaligan Clerk II

Leticia B. Santos Revenue Collection Officer I Marcelino Del Rosario Clerk Eugene B. Dela Cruz Utility Worker

Agnes D. Pascual Revenue Collection Officer II Margie S. Payawal Clerk Rowena S. Francisco Clerk

Grace B. Infantado Revenue Collection Clerk

Eleonor C. Sacdalan Revenue Collection I

Gloria S. Dino Senior Bookkeeper Edgar Simbulan Clerk

Cecille T. Pinerva Clerk I

Rhothesa D. De Leon Clerk

Pablo A. Sarmiento II Clerk

George L. Dela Paz Clerk

Kathlyne Rose D. Leyson Clerk

Jose Adrian D. Roura Clerk

Kenneth Charles F. Leongco Clerk

A. 2. Organizational Chart of Barangay Batasan Matanda, San Miguel, Bulacan
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Amado Manuzon Barangay Captain

Corazon Perez Barangay Secretary

Marissa Parungao Barangay Treasurer

Miguelito Nagulit Barangay Councilor

Eduardo Francisco Barangay Councilor

Concordia Bernabe Barangay Councilor

Jomel Dela Cruz Barangay Councilor

Carlos P. Garcia Barangay Councilor

A.3. Rural Health Unit Organization Chart A.3.1 Municipal Rural Health Unit
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Roderick D.G. Tiongson Municipal Mayor

Emily V. Paulino DOH Representative

Edwin P. Tecson Municipal Health Officer

Evelyn L. Vera Rural Health Physician

Annalisa L. San Andres Rural Health Dentist

Aristeddy B. Dela Cruz Chief Sanitary Inspector Violeta S. Sta. Maria Public Health Nurse Perla T. Domingo Medical Technologist

A.3.2 Barangay Health Station Organizational Structure
Amado Manuzon Barangay Captain

5

Francisco Santiago Barangay Councilor on Health

Gertrudes S.R. De Guzman Rural Health Midwife

Jasmin Bernardo Linkod Lingap sa Nayon, Head

Divina Velario Mother Leader

Jennifer Ariola Mother Leader

Cresencia Ramos Mother Leader

Lorivie Laurente Mother Leader

Marita Sanguyo Mother Leader

Reina Cruz Mother Leader

Jovita Sevilla Mother Leader

B. Developmental Goals and Activities Community Organization Participatory Action Research aims to equip student nurses to gain not only the actual experience serve in community life but also educate

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them to adapt with the realities of life, preparing them to face the challenges of everyday life. Through this program, the student nurses allow to demonstrate the different functions of community health nurse. These will enhance them to exemplify their abilities as a facilitator, supervisor, motivator, advocate, counselor, and an educator. Our main goal is to improve the quality of life of the people through making the community self reliant. This is by empowering them and by realizing them the need of change toward health. It maximizes community participation and involvement in social transformation. Their consciousness for change is our fuel for community mobilization creating programs and activities that will help them to achieve community development.

C. Community History Miguel Pineda in 1763, the first "Captain Municipal" of the place founded it. It was said that Miguel Pineda, a native of Angat, went hunting one day and he happened to

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reach barrio San Bartolome, located at the foot of the Sierra Madre mountains. Finding the place suitable for this chosen by the settlers to be their leader. The barrio improved through his leadership and decides to expand their territory. He then later discovered a progressive community named Sto. Rosario whose leader was Mariano Puno. The two agreed to form a town between Bartolome (now Tartaro) and Sto. Rosario (now Mandile). They chose Miguel Mayumo to be the name of the town, which should be included in the province of Pampanga. Miguel was in honor of Miguel Pineda and Mayumo, a Pampango word for "sweet", stands for the goodwill and generosity of Puno. Years passed by, the people, during a meeting presided over by Pineda, endorsed to give the town a better name. In the course of their meting, an excited man came in and then related an unusual tale. He clamed that one night on his way home after gathering bundles of firewood which he placed on a raft, a big rock blocked his way along the river. He tried to find another way but could not make it. Suddenly, a strong wind lashed at him followed by heavy rains. He hurriedly left the raft and sought shelter inside a cave. He continued that he fell asleep as he waited for the rain to stop. At midnight, a blinding light woke him up. Stunned, he stood up as he sensed something was happening when another dazzling light brightened the cave. He went to another part of the cave and later on he discovered a hallowed winged figure. He was sure, a miracle happened. He went back at the town and narrated the story. Some people led by Captain Miguel went there to see for themselves the miracle. They saw the winged figure, which looked like Saint Michael, the Prince of the Angels. They believed that the discovery of the Angel was God's blessing and a sign of good graces to the inhabitants. In this connection, the people of Miguel Mayumo deemed it proper and timely to add "Sam" to the name of the town in reference and homage to the discovery of the image of Arcangel. Hence, San Miguel de Mayumo became the

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complete name of the town. However, the official name of the town at present is simply San Miguel. The history of Batasan Matanda was deried from the name “Batasan” from the word “Bagtasan” which means “pass through”. The barangay is located adjacent to several barrios in Pampanga. People often used the word fast, the “g” letter was omitted and the word, “Batasan” begun until today the barangay is called such. Batasan is uded to ber large in terms of land area, it was divided by Bagong Silang formerly parua, mandible, formerly Sto. Rosario, sitio Balibago of San Agustin were all Batasan during those times. Because of its vastness in land area, Batasan was divided into several barangays as was mentioned earlier. Batasan was again divided into during the term of then Barangay Captain Cesario Cruz, into Batasan Matanda and Batasan Bata which was then known as Pasong Hari. D. Physical Characteristics a. Boundaries San Miguel, Bulacan, first class municipality located northernmost part of the province of Bulacan (Region III) bounded by flatlands of Gapan City of Nueva Ecija on the North, Swamps of Candaba of the North West; Town of Doña Remedios Trinidad on the Northeast and San Ildelfonso at southeast. Barangay Batasan Matanda is surrounded by Barangay Bagong Silang on the North, Batasan Bata on the East, Mandile on the west and Lourdes and Salapungan of Candaba, Pampanga on the south. b. Land Second largest town next to San Ildelfonso, terrain of San Miguel structured by a combination of flat lands utilized for farming and domestication.

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Mountain used for quarrying and mining land is used to agricultural production of caves particularly barangay Sibul and Biak na bato. c. Physical Features Municipality of San Miguel, Bulacan has a total official land area of twentythousand eight hundred sixty-five (20,865.5) hectares covering all forty-nine (49) barangays of the town. Of these, 11 are considered urban and the rest are rural. Barangay Batasan Matanda has a total land area of 477 hectares. d. Type of Housing Most of the houses in Barangay Batasan Matanda are owned by the residents. The construction of houses is mostly made up of mixed materials from light materials of wood or bamboo to strong materials of bricks and cement. e. House Spacing The spacing between houses in the barangay are considered crowded and congested. The crowding index is 3.5 (7/2). f. Roads The main barangay road of Batasan Matanda is cemented and some roads are soiled and rough. g. Drainage System There is limited drainage system in the barangay. Some households have proper drainage facility and some have none. Their waste water used from their

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kitchen flows directly to the ground. Others who have just provided an open drainage system where they can be used as an open pit or improvised canal. h. Water Supply The source of water supply in Barangay Batasan Matanda comes from NAWASA, a private company, which are distributed in every households. Other sources of water supply are water pumps and deep wells. i. Sanitary Condition Sanitation is fair in the barangay. There is no garbage collection; people utilized burning as their method of garbage disposal. Domesticated animals such as dogs and cats are mostly are astray. The method of excreta disposal is generally sanitary using water-sealed toilet or flush-type toilet. j. Transportation Facility Barangay Batasan Matanda is accessible in terms of any transportation vehicle. From trucks to cars, from jeeps to motorcycles, it is accessible even in hard weather. k. Lighting The source of lighting of households in the barangay is mostly from electricity. However, some households still use gas lamps and candles. l. Community Resources i. Health Center Barangay Batasan Matanda has one health center located at Zone 5 of the Barangay. It serves 7 zones.
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ii.

School The Barangay has one day-care center and one complete elementary school.

iii.

Church The Barangay has a Catholic Church located at zone 5, where other landmarks like the Barangay health center, Barangay Hall and Basketball court are also located.

iv.

Stores There are stores in different sizes that spread over the whole barangay. Most of them sell stocks and basic supplies that are similarly seen in public markets.

v.

Public Market The Public Market is located at the town proper of San Miguel, Bulacan. Complete basic commodities are sold and bought here.

vi.

Barangay Hall The barangay Hall is located at zone 5, where other landmarks like the Barangay health center, Catholic Church and Basketball court are also located.

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vii.

Private Clinics There are no private clinics located within the barangay.

viii.

Recreational Activities The barangay has a basketball court which the residents and the youth play.

A. Demographic Characteristic The total population of San Miguel Bulacan is 123,824 with a population growth of 2% and a population density of 407%/ha. The most populous barangay is Sibul and the least populous is Pacalag. Barangay Batasan Matanda has a total population of 2117 and is currently growing. According to the census made by the barangay, the latest recorded population is 3029 from zone 1 to 7.

Name of Barangay 1. Bagong Pag-asa 2. Bagong Silang 3. Balaong 4. Balite 5. Bantog 6. Bardias 7. Baritan 8. Batasan Bata 9. Batasan Matanda 10. Biak-na-Bato 11. Biclat

Classification Urban Rural Urban Rural Urban Urban Rural Urban Urban Urban Rural
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Population 1306 1746 2665 2608 3336 1541 1015 2117 2735 1192 1495

12. Buga 13. Buliran 14. Bulualto 15. Calumpang 16. Cambio 17. Camias 18. Ilog-Bulo 19. King Kabayo 20. Labne 21. Lambakin 22. Magmarale 23. Malibay 24. Maligaya 25. Mandile 26. Masalipit 27. Pacalag 28. Paliwasan 29. Partida 30. Pinambaran 31. Poblacion 32. Pulong Bayabas 33. Pulong Duhat 34. Sacdalan 35. Salacot 36. Salangan 37. San Agustin 38. San Jose 39. San Juan 40. San Vicente 41. Santa Ines 42. Santa Lucia 43. Santa Rita Bata

Urban Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Urban Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Urban Rural Rural Rural
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1653 4560 2622 3870 1990 6706 1416 1514 1461 2336 2077 2031 1726 1627 2697 891 2404 3162 3671 3386 1187 1132 1745 3010 4300 3743 5310 6749 2955 5135 2745 3036

44. Santa Rita Matanda 45. Sapang 46. Sibul 47. Tartaro 48. Tibagan 49. Tigpalas

Rural Rural Rural Rural Rural Rural

2438 1503 8570 5374 3099 3255

B. Selected Vital Indices

C. Analysis of Health Status Health and medical care in San Miguel Bulacan are implemented by the Municipal Health Office headed by Mayor Roderick Tiongson and different Barangay Health Centers. Barangay Batasan Health Center is supervised by Midwife Gertrudes De Guzman and Linkod Lingap sa Nayon (LNN) members who served as the barangay health workers (BHWs). The Barangay Health Center is open during Tuesdays. The midwife and the LLN members go house to house visit to provide health services to the people. The student nurses considered the following health problems that needs to be addressed: Prevalence of Hypertensive Disease in the barangay is considerably high. The availability and utilization of health services by its people in the health center like Maternal Care- prenatal care should be empowered. D. Economic Indices 1. Political Leaders

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Roderick Tiongson was elected as Municipal Mayor last May 2007 and is currently the mayor of the town. His Vice Mayor is George G. Casteñeda. Barangay Batasan Matanda Council is headed by Barangay Captain Amado Manuzon. 2. Industry Major industries in San Miguel Bulacan are mainly garments, food/ food processing, marble/ marble processing, and metal craft. Most popular products of the town are made from cow’s milk such as, kesong puti, pastillas, yema, ice creams, and other sweets like macapuno. Other products are balot, chicharon, marbles, doormats, stone craft, souvenir making, an fruit/vegetable carving. In Barangay Batasan Matanda, products are mainly rice,

watermelon, melon, sugarcane and cotton. The soil is suitable for production of vegetables and root crops. Mangoes and Mongo are also planted in some parts of the barangay.

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Chapter 2 PRESENTATION OF COMMUNITY HEALTH PROBLEMS 1. Identification and Analysis of the Problem A. Lack of Awareness Regarding Health Programs and Other Health Services Offered by the Barangay Health Center Based on the data gathered during house to house survey, we observed that many residents of the barangay were not aware of the health services offered by the Health Center. The people prefer to consult in private clinics and district hospital in time of illness which can remedied by the resources of the health center. Contributory factors of the health problem are (1.) There are limited health personnel working in the barangay health center. Only the Rural Health Midwife and the volunteer LLN members who serve as Barangay health workers cater a large population of the barangay from zone 1 to 7. (2.) The rural health physician visits rarely and in limited time. (3.) The health center also opens on selected days according to the Midwife’s schedule on her catchment. (4.) No other medical personnel are available when the primary care giver, the midwife, is out. The student nurses proposes the following solutions

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1. Conduct a barangay assembly or a Health education Class to campaign health services available In the health center for the utilization by the community people. 2. Conduct a formal and/or informal information dissemination utilizing different strategies such as poster and fliers. 3. Improvement of Health Center Facilities 4. Provision of Medical Equipments and Supplies 5. Refer to the Municipal Health Level the problem on limited health personnel available in the community 6. Solicit support to the Municipal Health Board and/or to Non-government organizations medical equipments and supplies, and other form of support. A. High prevalence Rate of Hypertensive Disease in the Community According to the survey result we gathered, there is a considerably high prevalence rate of hypertensive disease in the community. Assessment of people’s lifestyle suggests that their food preferences is into fatty and salty foods and mostly are high alcoholic drinkers. The student nurses propose the following solutions: 1. Conduct a Health Campaign on Hypertensive Diseases. 2. Conduct a Blood Pressure taking and monitoring sessions in the barangay. 3. Conduct a Health Education Classes on Hypertensive Diseases taking note its prevention and management. 4. Refer to Municipal Health Board the target clients eligible for appropriate programs about hypertensive diseases of the Department of Health. A. Lack of awareness on the health services particularly Maternal health carePre-Natal Services to Pregnant Women in the Barangay Health Center. In our data gathering and collation, we found out that most pregnant women do not avail the services of the health center particularly the Maternal health programs
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launched by the department of health. We , the student nurses, felt a need to address this health problem and hereby propose the following solutions: 1. Conduct an information dissemination drive to the community people especially particular groups like pregnant women, children of 0-12 months of age, about health services in the health centers available to them. 2. Conduct a Mother’s Class on Health Promotion during Pregnancy 3. Refer to the Midwife, to the Rural health unit, cases that are eligible to the programs of the DOH. And refer high risk cases to the rural health unit for any complications. 1. Prioritization and Ranking of Health Problems A. Lack of Awareness Regarding Health Programs and Other Health Services Offered by the Barangay Health Center

CRITERIA Nature of the Problem Magnitude of the problem

COMPUTATION 3/3*1 3/4*3

ACTUAL SCORE 1 2.25

JUSTIFICATION A health threat A relatively large population of the barangay know less of the programs of the health center There is a high modifiability of this health problem. Knowing and utilizing the services of the health center would promote optimal health and prevent occurrence of diseases. It is a felt need and needs an

Modifiability of the Problem Preventive Potential

3/3*4 3/3*1

4 1

Salience

2/2*1
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1

Total Score

immediate attention 9.25

B. High prevalence Rate of Hypertensive Disease in the Community CRITERIA Nature of the Problem Magnitude of the Problem COMPUTATION 3/3*1 2/4*3 ACTUAL SCORE 1 1.5 JUSTIFICATION It is a health threat

Modifiability of the Problem Preventive Potential Salience Total Score

2/3*4 2/3*1 1/2*1

2.68 0.67 0.5

There is considerably a fair amount of population affected or at risk of this disease. It has a moderate degree of modifiability. It has a moderate preventive potential. A felt need but not needing an urgent attention. 6.35

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C. Lack of awareness on the health services particularly Maternal health carePre-Natal Services to Pregnant Women in the Barangay Health Center. CRITERIA Nature of the Problem Magnitude of the Problem Modifiability of the Problem Preventive Potential 2/3*1 0.67 2/3*4 2.68 COMPUTATION 3/3*1 2/4*3 ACTUAL SCORE 1 1.5 JUSTIFICATION It is a health threat Certain population group is only affected. There is moderate probability of reducing this health problem. Complications during pregnancy could be prevented if this problem is reduced or eradicated. Not a felt need 5.8

Salience

0/2*1 Total Score

0

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Chapter 3 Situational analysis of the barangay

Demographic Data Table 1.1 Frequency and distribution table of Gender of respondents from Brgy. Batasan Matanda

Gend er Male Fema le Total Figure 1.1

Frequency 379 401 780

Percentage 48% 52% 100%

Interpretation and Analysis: The data collected show that majority of our respondents are female. The female population we surveyed is slightly higher than the male population

Table 1.2 Frequency and distribution table of marital status of respondents in Brgy. Batasan Matanda, San Miguel Bulacan Civil Status Single Married Widowed Separated Total Interpretation and Analysis: 22 Frequency 378 352 26 7 763 Percentage 49% 46% 3% 2% 100%

This table shows that most of our respondents are single. Following single in terms of numbers are married people. A small percentage of the population shows that respondents are widowed.

Table 1.3 Frequency and distribution table of Religion of respondents in Brgy. Batasan Matanda, San Miguel Bulacan

Religion Roman Catholic Iglesia ni Cristo Born Again Christian Muslim Aglipay Total Figure 1.3

Frequency 765 7 5 1 1 779

Percentage 98% .9% .7% .2% .2% 100%

Interpretation and Analysis This table shows the religion of the respondents. Roman Catholicism is the dominant religion among the surveyed respondents.

Table 1.4 Frequency and distribution table of educational attainment of respondents in Brgy. Batasan Matanda, San Miguel Bulacan Educational Attainment None Frequency 112 23 Percentage 15%

Elementary High School College Vocational Post Graduate Total Figure 1.4

284 277 71 13 12 769

38% 36% 9% 1% 1% 100%

Interpretation and Analysis This table shows the educational attainment of our respondents. Most of our respondents attained elementary and high school education. Also, the number of respondents who haven’t had any education at all is greater than those who have finished or finishing a collegiate degree.

Table 1.5 Frequency and distribution table of years of stay in the Barangay of respondents in Brgy. Batasan Matanda, San Miguel Bulacan Years of Stay 0-5 Years 6-10 11-15 16-20 21 years above Total Figure 1.5 Frequency 114 98 98 81 305 696 Percentage 16% 14% 14% 11% 43% 100%

Interpretation and Analysis: This table shows the age of the respondents and their families. Majority of the respondents are 21 years above, followed by infants and children 0-5 years old.

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B. Health Status Table 2.1 Frequency and distribution table of present illnesses suffered by respondents Illness Asthma Stroke Hypertension Diabetes Mellitus Kidney Stones Others Total Figure 2.1 Frequency 5 2 20 3 4 8 42 Percentage 12% 5% 48% 7% 10% 1% 100%

Interpretation and Analysis This table shows which illness affect respondents. The table shows that 20 of our respondents are suffering hypertension. Hypertension is prevalent among older respondents which the previous table showed.

Table 2.2 Frequency and distribution table of mortality cases

Illness Pneumonia HPN Vehicular Accident MI Others Total

Frequency 1 2 1 1 3 8

Percentage 13% 25% 13% 13% 36% 100%

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Figure 2.2

Interpretation and Analysis This table shows the number of mortalities over the past years. The table shows that from a total of 8, 3 respondents died from different causes. Hypertension follows with 2 mortalities, and Pneumonia,MI,and Vehicular Accidents had 1 incidence of mortality.

Table 2.3 Frequency and distribution table of health care preference Health care setting Health Center Hospital Private Clinic Faith Healers Others Total Figure 2.3 Frequency 57 81 29 17 2 186 Percentage 31% 44% 16% 9% 1% 100%

Interpretation and Analysis This table shows which health care facility is preferred by respondents. From the choices, majority of the respondents prefer to be treated in a hospital. Others prefer to go to the Brgy. Health Center. A small percentage prefers to be treated in a private clinic. While even a smaller percentage of respondents prefer traditional forms of cure.

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Table 2.4 Frequency and distribution table of time of availing health services of respondents Time of consultation At the start of illness When the illness is worse Regular check-up Even when no illness is felt Total Figure 2.4 Frequency 108 20 6 28 162 Percentage 67% 12% 4% 17% 100%

Interpretation and Analysis This table shows the time at which respondents avail health services. Most of the respondents answered ‘at the start of illness’. This finding shows that health teaching among community members is having an effect since early recognition of diseases are known by the respondents.

Table 2.5 Frequency and distribution table of present illness respondents in Brgy. Batasan Matanda, San Miguel Bulacan Present Illness Body Ache Headache Difficulty of Breathing Others Total Figure 2.5 Frequency 29 10 42 45 126 Percentage 23% 8% 33% 36% 100%

Interpretation and Analysis 27

This table shows the present condition of the respondents. Most respondents had difficulty in breathing and various symptoms. Body ache follows, while headache is the less complained symptom of the respondents.

Table 2.6 Frequency and distribution table of management of illness Management Takes Medicine Rest Nothing Others Total Table 2.6 Interpretation and Analysis This table shows the relief measures respondents do when feeling sick. Majority of the respondents took medicines, others take a rest. While taking a medicine may be good for diagnosed illnesses, self medication among respondents is common making self medication a problem for future diagnoses. Table 2.7 Frequency and distribution table of respondents who wears eye glasses Wears eyeglasses Yes No Total Frequency 61 97 158 Percentage 39% 61% 100% Frequency 74 66 4 18 162 Percentage 46% 41% 2% 11% 100%

Interpretation and Analysis

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This table shows the number of respondents wearing eyeglasses. 97 respondents answered no, while 61 respondents answered yes. This means that although majority of respondents are not wearing glasses, it doesn’t mean that they have normal vision. Table 2.8 Frequency and distribution table of respondents of preferred type of drinks Preferred drinks Softdrinks Alchoholic Drinks Others Total Figure 2.8 Frequency 99 41 54 194 Percentage 51% 21% 28% 100%

Interpretation and Analysis This table shows which type of drinks are preferred by respondents. Majority of respondents preferred drinking softdrinks. Other types of drinks such as tea, coffee, and juices are preferred by many than drinking alcoholic drinks.

Table 2.9 Frequency and distribution table preferred type of foods Preferred type of food Salty foods Spicy foods Sweet foods Others Total Figure 2.9 Interpretation and Analysis Frequency 44 43 63 38 188 Percentage 23% 23% 34% 20% 100%

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This table shows which foods are preferred by respondents. Majority of the respondents preferred sweet foods, followed by salty and spicy foods. Table 2.10 Frequency and distribution table of respondents who believes that their present health status are effects of the foods and drinks they consume Believes that present health status are effects of foods and drinks taken Yes No Others Total Percentage Frequency 126 36 1 163 77% 22% 1% 100%

Figure 2.10

Interpretation and Analysis This table shows whether respondents believe that their present health status is an effect of the foods and drinks they consume. Majority of the respondents believe that their health status is affected by the foods and drinks they take. Table 2.11 Frequency and distribution table of respondents with normal elimination pattern Normal elimination pattern Yes No Total Figure 2.11 Frequency 144 16 160 Percentage 90% 10% 100%

Interpretation and Analysis

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This table shows whether respondents has normal elimination pattern. Majority of the respondents answered yes, they have normal elimination pattern. Table 2.12 Frequency and distribution table of respondents who are experiencing difficulty in urination Difficulty in urination Yes No Total Figure 2.13 Frequency 22 134 156 Percentage 14% 86% 100%

Interpretation and Analysis This table determines if the respondents were having difficulty in urination. Majority of the respondents responded that they had no difficulty urinating. Table 2.13 Frequency and distribution table of respondents who are experiencing difficulty in breathing Difficulty in breathing Yes No Total Frequency 41 114 155 Percentage 26% 74% 100%

Figure 2.13

Interpretation and Analysis This table determines if the respondents were having difficulty in breathing. Majority of the respondents responded that they had no difficulty in breathing. Table 2.14 Frequency and distribution table of respondents of health measures done when experiencing difficulty in breathing Health measures done Takes medicine Rest Ignores symptom Frequency 23 69 3 31 Percentage 20% 60% 2%

Others Total

21 116

18% 100%

Figure 2.14

Interpretation and Analysis This table shows what are the health measures done by respondents when they are experiencing difficulty in breathing. Majority of respondents said that they take a rest until the symptom subsides. Others take medicines.

Table 2.15 Frequency and distribution table of health conditions present in the family Health Conditions High blood pressure Diabetes Mellitus Cancer Asthma Tuberculosis Others Total Frequency 81 28 11 41 13 21 195 Percentage 41% 14% 6% 21% 7% 11% 100%

Figure 2.15 32

Interpretation and Analysis This table shows what health conditions are present in their family. High blood pressure comes in first, followed by Asthma,Diabetes Mellitus, and other health conditions. Table 2.16 Frequency and distribution table of incidence of allergies Response Yes No Total Figure 2.16 Frequency 32 99 121 Percentage 26% 74% 100%

Interpretation and Analysis This table determines whether respondents have any known allergies. 121 respondents answered no,they have no known allergies.

Table 2.17 Frequency and distribution table of vaccines given to children below 1 yr. old Vaccines Given BCG DPT Hepatitis B VIT. A Anti-Measles Total Figure 2.17 Frequency 5 9 10 2 1 27 Percentage 19% 33% 37% 7% 4% 100%

Interpretation and Analysis This table shows the number of children below 1 yr. old who had been given vaccines.

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Table 2.18 Frequency and distribution table of breastfeeding mothers Breastfeeding Yes No Total Figure 2.18 Frequency 21 48 69 Percentage 30% 70% 100%

Interpretation and Analysis This table shows the number of mothers who breastfed. Of the total 69 mothers, 48 responded no, they were not breastfeeding their children. Table 2.19 Frequency and distribution table of milk alternatives Milk alternatives Commercial Infant Milk Formula Carabao’s milk Others Total Frequency 16 1 28 45 Percentage 36% 2% 62% 100%

Figure 2.19

Interpretation and Analysis This table shows the milk alternatives that are utilized by mothers. Majority of mothers used milk alternatives classified under the ‘others’. Next are commercial infant milk formulas that are available in stores. Table 2.20 Frequency and distribution table of other health beliefs practiced by respondents Health Beliefs Not taking a bath every Tuesday and Friday Not taking a bath at the first day of menstruation Jumping 3 times at the first day Frequency 14 25% 20 13 34 16% Percentage 18%

of menstruation Others Total

32 79

40% 100%

Figure 2.20

Interpretation and Analysis This table shows the health beliefs of respondents. Majority of respondents answered ‘others’ while a smaller number of respondents answered ‘jumping 3 times at the first day of menstruation’ as a health belief. Table 2.21 Frequency and distribution table of persons who are using family planning methods Response Yes No Total Frequency 45 40 85 Percentage 53% 47% 100%

Figure 2.21

Interpretation and Analysis 35

This table shows whether respondents are using family planning methods. Out of the 85 respondents, 45 respondents replied yes while 40 respondents replied no. Table 2.22 Frequency and distribution table of family planning method used Family planning method Pills Condom IUD Injectibles Tubal ligation Calendar Method Abstinence Others Total Frequency 8 1 14 4 7 6 9 18 67 Percentage 12% 1% 21% 6% 10% 9% 13% 27% 100%

Figure 2.22

Interpretation and Analysis This table shows which family planning method the respondents use. Majority of the respondents use other forms of family planning method. Artificial family planning methods are used by more respondents than natural family planning methods. Table 2.23 Frequency and distribution table of the reasons why respondents refuse to use family planning methods Reasons Against religion Has underlying condition Unaware of methods Others Total Frequency 0 3 10 36 49 Percentage 0% 6% 20% 74% 100%

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Figure 2.23

Interpretation and Analysis This table shows the reasons why respondents don’t use family planning methods. Majority of the respondents responded with different reasons while 10 respondents are unaware of any planning methods.

Social Factors Table 3.1 Frequency and distribution of language or dialect spoken by respondents Language English Filipino Ilonggo Frequency 34 139 7 37 Percentage 11% 47% 2%

Bisaya Cebuano Bikolano Ilokano Kapampangan Others Total Figure 3.1

3 2 38 32 39 2 296

1% .5% 13% 11% 13% .5% 100%

Interpretation and Analysis This table shows the dialects spoken by respondents. Out of the 296 respondents, 139 respondents answered Filipino as the dialect they speak.

Table 3.2 Frequency and distribution table of forms of socializations used by respondents Activities Eats together Family get together Regular chatting Others Total Figure 3.3 Frequency 121 41 92 8 262 Percentage 46% 16% 35% 3% 100%

Interpretation and Analysis This table shows the forms of socialization used by respondents. 121 respondents eat together during meals, while 92 respondents answered that regular chatting is their form of socialization.

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Table 3.3 Frequency and distribution table of organizations respondents have participated in Organizations Religious groups Youth organizations Women centred organizations Men centred organizations Others Total Figure 3.3 Frequency 18 11 30 13 48 120 Percentage 15% 9% 25% 11% 40% 100%

Interpretation and Analysis This table shows the organizations joined by respondents. Majority of respondents joined other organizations. 30 respondents joined women centered organizations.

Table 3.4 Frequency and distribution table of reasons for participating in organizations Reasons for participating To contribute to betterment of barangay To be popular For leisure Work related reasons Others Total Frequency 37 4 15 25 20 101 39 Percentage 37% 4% 15% 25% 20% 100%

Figure 3.4

Interpretation and Analysis This table shows the reasons why respondents join organizations in their baranggay. Majority of the respondents joined organizations to contribute to the betterment of the baranggay. Table 3.5 Frequency and distribution table of socialization made in the community Socialization in the community Attends meetings Joins projects launched by the community Organizes/Leads projects Being a member of an organization Doesn’t join in projects Others Total Figure 3.5 Frequency 84 31 15 16 40 4 190 Percentage 44% 16% 8% 8% 21% 2% 100%

Interpretation and Analysis This table shows how respondents socialize with their communities. Majority of the respondents attends meetings organized by the baranggay. While 40 respondents doesn’t join in projects held by the baranggay.

Table 3.6 Frequency and distribution table of reasons of not participating in projects Reasons for not participating No time Far from home Doesn’t know the programs Unaware of programs Others Total Frequency 55 10 7 4 29 105 Percentage 52% 10% 7% 4% 28% 100%

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Figure 3.6

Interpretation and Analysis This table shows the reasons why respondents doesn’t participate in projects held by the baranggay. Most of the respondents said they have no time to attend to projects. Table 3.7 Frequency and distribution table of spiritual activities practiced by respondents Spiritual activities Attends Masses Prays the Novena Prays the Rosary Bible studies Attends fellowship Joins in religious groups Others Total Frequency 144 26 41 21 8 11 4 255 Percentage 56% 10% 16% 8% 3% 4% 2% 100%

Figure 3.7

Interpretation and Analysis This table shows the spiritual activities practiced by respondents. 144 respondents attended masses, 26 prays the novena, 41 respondents pray the rosary, 21 respondents do bible studies.

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Table 3.8 Frequency and distribution table of frequency of socializations inside the household Frequency Very frequent Rarely Never Total Frequency 115 42 3 160 Percentage 72% 26% 2% 100%

Figure 3.8

Interpretation and Analysis This table shows the frequency of socializations made by respondents in their household. Majority of the respondents said they have frequent socializations in their household.

Economic Factors Table 4.1 Frequency and distribution table of the source of family income of respondents in brgy. Batasan Matanda, San Miguel Bulacan Source of income Wage Pension/Allowance Business Others Total Frequency 62 14 41 58 175 Percentage 35% 8% 23% 33% 100%

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Figure 4.1

Interpretation and Analysis This table shows the source of income of family income of the respondents. Majority of the respondents get their income from monthly wages. Others get their income from businesses and some from pension. Table 4.2 Frequency and distribution table of sufficiency of income to meet daily needs Sufficient to meet daily needs Yes No Total Interpretation and Analysis Frequency 118 40 158 Percentage 75% 25% 100%

This table shows whether the respondents think if their income is sufficient to meet their daily needs. 118 out of 158 respondents answered that their income is sufficient to meet their daily needs.

Table 4.3 Frequency and distribution table of land ownership of respondents in brgy. Batasan Matanda Land Ownership Yes No Total Figure 4.3 Frequency 122 39 161 Percentage 76% 24% 100%

Interpretation and Analysis

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This table shows whether respondents own the land their living in. 122 out of 161 respondents answered yes, they own the land they live in. Table 4.4 Frequency and distribution table of home appliances of respondents in Brgy. Batasan Matanda Home Appliances TV Radio Ref VCD/DVD/VHS Washing Machine Others Total Figure 4.4 Frequency 146 125 67 94 68 85 585 Percentage 25% 21% 11% 16% 12% 15% 100%

Interpretation and Analysis This table shows the type of appliances each respondent own. Majority of respondents had TV sets, radios, and digital media players. Environmental Aspect Table 5.1 Frequency and distribution table of water source Water source NAWASA Communal Water Pump Communal Well Others Total Frequency 87 59 4 13 163 Percentage 53% 36% 2% 8% 100%

Figure 5.1 44

Interpretation and Analysis This table shows the water source of the respondents. 87 out 163 respondents answered that they get their water from NAWASA. Table 5.2 Frequency and distribution table of ownership of water source Water source Yes No Others Total Figure 5.2 Frequency 96 63 0 159 Percentage 60% 40% 0 100%

Interpretation and Analysis This table shows the number of ownership of water sources. 96 respondents answered yes, that they have their own water source. Table 5.3 Frequency and distribution table of types of water storage Water storage Containers with cover Containers without cover Doesn’t store water Others Total Figure 5.3 Frequency 111 10 30 4 155 Percentage 72% 6% 19% 3% 100%

Interpretation and Analysis This table shows the type of water storage utilized by the respondents. Majority of the respondents store their water in containers with cover.

Table 5.4 Frequency and distribution table of garbage management 45

Garbage Management Collected by the barangay Collected by garbage trucks Thrown in vacant lots Thrown in rivers Compost pit Others Total Figure 5.4

Frequency 0 5 42 14 54 52 167

Percentage 0 3% 25% 8% 32% 31% 100%

Interpretation and Analysis This table shows how garbage is managed in the baranggay. The respondents utilizes compost pits and other forms of garbage management such as burning.

Table 5.7 Frequency and distribution table of respondents who own pets Respondents who own pets Yes No Total Figure 5.7 Frequency 131 24 155 Percentage 84% 16% 100%

Interpretation and Analysis This table shows the number of respondents who own pets. 131 out of 155 respondents said they own pets. Table 5.8 Frequency and distribution table of the kinds of pets owned by respondents Kinds of pets Dog Cat Bird Fish Pig Chicken Others Frequency 108 58 13 2 44 68 31 46 Percentage 33% 18% 4% 1% 13% 20% 10%

Total

324

100%

Figure 5.8

Interpretation and Analysis This table shows the kinds of pets the respondents own. Majority of the respondents own dogs and cats. While some domestic birds and livestock are also available. Table 5.9 Frequency and distribution table of vaccinated pets Vaccinated pets Yes No Total Figure 5.9 Frequenc y 69 51 120 Percenta ge 58% 42% 100%

Interpretation and Analysis This table shows the number of vaccinated pets. More than half of the 120 respondents say that their pets are vaccinated with the proper vaccines. Table 5.10 Frequency and distribution table of programs launched by the barangay Programs by the barangay Placement of garbage bins in every street corner Setting up of lamp posts Cleaning of garbage disposal containers Cleaning of sewers Defogging Others Frequenc y 35 87 31 62 63 15 47 Percenta ge 12% 30% 11% 21% 21% 5%

Total Figure 5.10

293

100%

Interpretation and Analysis This table shows the programs launched by the baranggay. Majority of the respondents say that the baranggay launched programs that concern environmental issues such as setting up of lamp posts, cleaning of sewers, and defogging against mosquitos.

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Chapter 4 ACCOMPLISHMENTS AND RECOMMENDATIONS A. Project Plan Base on the data and information we collated, Barangay Batasan Matanda is qualified as a community laboratory for the conduction of the immersion program of the university. During our pre-entry phase, we set schedule for our activities in order to identify health problems, formulate plans of action, implement program projects and evaluate set activities. These include ocular survey, house-to-house survey and interviews, community integration, collation and tallying. In our entry phase, we, first, have a courtesy visit to the identified key leaders of the barangay who includes the barangay captain and his councilors, the KBB and its members and other identified key leaders in the community. The Ocular survey and household interviews were conducted during the 1st week of the program. Students were oriented by their respective community instructors on the survey tool that will be used for the interview. This will give standardize and acceptable measurement to assess the community in terms of demographic profile, health statistics, environmental sanitation data and social data. The group of 12 is divided into 3 teams, with each team covered a specified zone. Groups 1, 2, 3 and 4 surveyed zone 5. Groups 5, 6, 7, and 8 were in zone 6 while groups 9, 10, 11 and 12. Also, each group assigned members to draw the spot map and the transect walk map taking note the barangay landmarks such as barangay health center, school, and alike. Meanwhile, others are advised to observe the family and the community for existing or possible health problems.

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Each group tallied their collected data and then collated to come up a comprehensive assessment of the community. We, then, arrived to three prevalent health problems existing in the community based on the gathered data. These were lack of awareness of health services in the barangay health center, high prevalence of hypertensive diseases, and Lack of awareness on the health services particularly Maternal health care- Pre-Natal Services to Pregnant Women in the Barangay Health Center. These health problems were ranked and prioritized by the community people in an assembly and we then formulated objectives and activities to be undertaken for the next few weeks by the community and with the student nurses as a facilitator. B. Project Innovation During our assessment phase of the program, Barangay Batasan Matanda, San Miguel Bulacan has a priority problem of Lack of Awareness Regarding Health Programs and Other Health Services Offered by the Barangay Health Center. Through the help of our community instructors, we conducted an Operation Tuli (free circumcision) in the community. We also conducted a health education class with a theme of Oplan Mongo, that gave new cooking recipes and techniques in mongo food preparation to parents which is cheap yet nutritious. This would address nutrition problem which may exist in the community. To add more, we donated medical supplies that will make the barangay health center functional and ready to serve the barangay. With these activities, the barangay health center will become more available, accessible to people. And most especially, our goal is to make the barangay a self-reliant community that is equipped with proper knowledge and right attitude towards health.
C. Limitations and Difficulties Encountered

During our community immersion program, the student nurses faced accidental problems towards reaching our goal in the community. Through our community
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instructors, they held a team building activity to establish friendly and professional relationship within members of the group and among each group. This activity addressed any individual differences and variance among us. Also through this activity, we strengthen relationships, valued solidarity and camaraderie among students and exercised professional conduct. Foster parents and their families welcomed the student nurses with great hospitality and such we return it with at most discretion to immerse ourselves with the daily activities of community life. With integration, there would be adjustment with the new environment and as nurses; we are faced with challenges dealing it with versatility. We adapt ourselves with the warm weather in the area and most especially with community life. With any gathering, there would be heated arguments and discussions; nevertheless, we settled our own disagreements and deliver superb results as needed. But these limitations and difficulties we encountered during our program did not stopped us or even falter, instead made us strong and invigorate us to strive and to do in our at most excellence our calling – to serve the underserved and marginalized areas of our country. D. Implementation, Accomplishment and Evaluation From our data collation and through the prioritization by the community people, we focused our efforts to solve the most felt needs of the community - lack of awareness of health services in the barangay health center. In our implementation, we conducted operation tuli at the health center, alongside a health education class with a title, Oplan Mongo. We also conducted informal health teachings with the people emphasizing the programs and services offered in the health center. We also tapped interlinkages, the midwife and the barangay health staff for our operation tuli, the barangay council, the KBB organization, the rural health unit to
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strengthen health programs of the health center and to continue the programs we started even we disengage out of the community. Our accomplishment is also the accomplishment of the community. New learning are gained by the people and applied to their daily lives. Their change of behavior towards health is our accomplishment. E. Recommendations Barangay Batasan Matanda is rural to urban type of barangay. It is situated in the border of Bulacan. The people receive us with their most welcoming ways. They treated and considered us a family. This exemplified the Filipino virtue of hospitality which we are known internationally. With the 3 weeks of community immersion, we have observed that the barangay has plenty of natural resources that could help them with their socio-economic status. Some of them have a fertile backyard that can be use as vegetable, fruit or flower garden. This will add a resource to the family. Most households have no sanitary waste disposal. We recommend to the local government to provide a regular proper garbage collection management system as this will prevent acquiring certain diseases. Moreover, we recommend an education class on proper garbage disposal focusing on composting, segregation of biodegradable and non-biodegradable and importance of reuse and recycle. In addition, proper waste water management is needed. We recommend construction of communal water waste drainage system and teach every household the importance of blind drainage. The activities and health programs we started to develop the barangay to a healthier and greener community should be continued by its people headed by the barangay council and the inside-organization, KBB tapping the local key leaders such as the teachers and the local church. A resident health care professional is highly

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recommended to continue and formulate appropriate health programs in the service to the people. Health education classes are highly recommended. F. Disengagement Our last day of our community immersion program endorsement is conducted through a small socialization program. This program was attended by the Barangay council, Linkod Lingap sa Nayon Mother Leaders and the people of Barangay Batasan Matanda. Medical supplies for the health center were endorsed properly in this event. This socialization program serves as our thanksgiving for the residents of the barangay. Both the Arellano University Jose Abad Santos Pasay Campus and the residents prepared a intermission that showcase their talents in singing and dancing. Later in the day, small festivity held in the homes of the foster families of students. This community immersion program is indeed educational and worthwhile experience and also a very delightful and pleasant time to students, instructors and the community. G. Feedback The projects that we implemented during our stay in Barangay Batasan Matanda has a significant effect not only to students but also, and most especially to the community. Together, hand-in-hand, we created ways to improve the health of families and the entire community. Health is important for the progress and development. Establishing multisectoral approach for community development is vital. This is feasible through tapping with non-government organizations and strengthens the local government. Prioritizing health in the programs of the local government is another. Arousing the community for health change is also a factor. Creating awareness by health education classes is one way for community participation.

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ANNEXES

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CONSENT FORM FOR OPERATION TULI
ARELLANO UNIVERSITY PASAY College of Nursing COMMUNITY IMMERSION PROGRAM Batch 2 May 18, 2010 Ako po, si _____________________________________, ______________ taong gulang at nakatira sa
Pangalan ng Magulang Edad

Zone _____________, Barangay Batasang Matanda, ay pinapayagang patulian ang aking anak sa inyong project na Oplan Tuli 2010. Maraming salamat po.

____________________________________________ Lagda ng Magulang

ARELLANO UNIVERSITY PASAY College of Nursing COMMUNITY IMMERSION PROGRAM Batch 2 May 18, 2010 Ako po, si _____________________________________, ______________ taong gulang at nakatira sa
Pangalan ng Magulang Edad

Zone _____________, Barangay Batasang Matanda, ay pinapayagang patulian ang aking anak sa inyong project na Oplan Tuli 2010. Maraming salamat po.

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____________________________________________ Lagda ng Magulang

PICTURE DOCUMENTATION

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CLINICAL INSTRUCTORS WITH KBB

Group 1 with Ma’am Abayan

CLINICAL INSTRUCTORS WITH CORE COMMITTEE

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Group 2 with Dr. Taller

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Group 5 wi
Group 6 with Sir Gonzal

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Group 7 with Ma’am Refran

Group 8 with Ma’am Francisco

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Group 9 with Sir Magtanong

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Group 10 with Ma’am Alfonso

Group 12 with Ma’am Barcillano

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Meeting and bonding with our foster families

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Health teaching regarding the right medication, the right dose and the right time time

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