Tally Sheet GROUP 3

AGE 0-11 mos.
1-4 5 to 9 10 to 14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 &above TOTAL
4 9 13 19 30 23 17 12 7 14 10 11 3 8 8 188
AGE 0-11 mos. 1-4 5 to 9 10 to 14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 &above TOTAL
4 15 16 21 14 17 15 10 12 15 14 7 7 7 15 189
CIVIL STATUS
Child Single Married Married but separeted Widow widower Cohabiting
18 33 38 4 1 2 96
RELIGION
TOTAL
Roman Catholic Protestant INC Born again Christian Jehovas witness Muslim Others
321 9 18 33
TOTAL
HIGHEST EDUCATION COMPLETED Pre-elem Elem. Level Elem. Undergrad Elem graduate Highschool Level Highschool undergrad Highschool graduate College Level College undergrad College graduate Post grad Vocational Short Courses None Not yet in age
381
7 39 11 28 34 21 92 20 25 45 17 4 2 32 377
TOTAL
Type of Work Regular full time Regular part time
53 11
Contractual 6 mos. Contractual every week Contractual every day Seasonal Self employed Unemployed Not yet in age to work
TOTAL
15 8 7 10 20 152 86 370
LOCATION Within the community Within the municipality Outside the municipality Outside the country
TOTAL
55 13 46 10 124
PLACE Office Factory Field
TOTAL
32 11 72 115
PLACE OF ORIGIN NCR Central Luzon Northern Luzon Southern Luzon Visayan Region Mindanao Region
TOTAL
LENGTH OF RESIDENCE 0-11 mos. 1-4 9-May 14-Oct 15-19 20-24
26 286 38 11 9 5 336
20 28 43 43 54 33
25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 &above
TOTAL
Membership Nuclear Extended Single Parent Dyad homosexual Cohabiting/common-law TOTAL Authority Matriarchal Patriarchal Egalitarian matricentric Patricentric TOTAL Location Patrilocal Matrilocal Neolocal
28 19 18 28 18 15 6 14 10 377
50 32 7 1 8 98
30 40 25 2 1 98
TOTAL
dominant Father Mother both Family Others
41 36 21 98
TOTAL
32 29 35 1 1 98
conflict
With None
TOTAL
3 95 98
Discusses about it and the father decides on the issue/concern Discusses about it and the mother decides on the issue/concern Both parents discuss and decides on the issue All family members discuss and decides on the issue/concern Involves significant others no discussion at all
19 17 46 13 2 1 95
TOTAL
Monthly income(combined) less than 5,000 5,001 10,000 10,001 15,000 15,001 20,000 20,001 25,000 25,001 30,000 30,001 35,000 35,001 40,000 40,001 45,000 45,001 50,000 50,001 and above
36 34 14 4 4 1 4
TOTAL
1 98
Financial Source Employment Business Pension help from relatives/friends others,
76 13 6 3 98
TOTAL
Monthly family Expenditure less than 5,000 5,001 10,000 10,001 15,000 15,001 20,000 20,001 25,000 25,001 30,000 30,001 35,000 35,001 40,000 40,001 45,000 45,001 50,000 50,001 and above
39 34 11 3 3 4 3
TOTAL
1 98
Priorities and Expenditure Food Clothing Education utilities Health Recreation Savings
86 6 4 1 98
TOTAL
decision maker Father Mother both family others
37 35 24 2 98
TOTAL
Adequacy of family income adequate inadequate
TOTAL
62 36 98
Cultural orientation caused by physiologic factor e.g infections caused by supernatural phenomenon e.gkulam, balis a punishment from God caused by other person caused by change in weather others
48 14 5 5 42 7 121
TOTAL
Cultural belief can be restored by God/ other spiritual faith can be restored by faith healers can be restored by supernatural power e.g Tawas. Hilot, hula can be restored by health personnel e.g doctors, nurses
36 3 13 64 116
TOTAL
Cultural practice always practices local cultural practice about health matters sometimes local cultural practice about health matters never local cultural practice about health matters
46 41 10 97
TOTAL
Community Involvement actively joins fiesta, religious processions, local cultural practices does not actively join
TOTAL
71 27 98
a.
Ownership
owned rented rent- free lease to own
TOTAL
64 8 9 1 79
Construction materials used light mixed strong TOTAL a. Number of rooms used for sleeping: 0 1 2 3 4 5 TOTAL
4 43 32 79
11 40 15 11 2 79
a. adequate inadequate
Adequacy of space
TOTAL
70 9 79
a. electricity kerosene others TOTAL
Lighting facility
77 2 79
a.
Adequacy of lighting
adequate inadequate
total
74 5 79
a. adequate inadequate TOTAL
Ventilation
71 8 79
water supply
a. Ownership
private/own household use Public TOTAL
25 54 79
a. deep well
Source
local water district commercial TOTAL
2 59 18 79
a. yes no
Potability
TOTAL
64 10 74
a.
Storage
none (direct from faucet or pipe) large covered container with faucet
46 19
large uncovered container without faucet TOTAL
14 79
a. refrigerator cabinet basket table TOTAL
Storage
17 9 2 51 79
If table:
covered uncovered TOTAL
51 51
a.
Cooking facility
electric stove gas stove firewood/charcoal TOTAL
41 41 79
1.
Storage
plastic bag None Container TOTAL If container: Open Covered TOTAL
67 1 11 79 6 5 11
1.
Waste Segregation
Practiced not practiced TOTAL
55 24 79
If practiced: method of disposal hog feeding
open dumping burial in pit collected composting TOTAL
1 4 44 6 55
Reason for practicing: environmental friendly barangay ordinance used for business others TOTAL If NOT practiced: method of disposal hog feeding open dumping burial in pit open burning garbage collection Composting TOTAL
20 36
56
1 11 4 7 1 24
Reason for not practicing not aware of effects no time to do it long time practices of family not a barangay ordinance/not strictly monitored
12 9 2 1 24
TOTAL
toilet facilities 1. owned shared/public none TOTAL 1. Location from source of water Ownership
78 1 79
less than 20 ft 20 ft. and beyond TOILET balot open pit close pit overhung latrine antipolo type water sealed bored hole latrine others TOTAL
4 75
75
79
Drainage open drainage blind drainage none
TOTAL
Condition flowing stagnant TOTAL
30 22 27 79
20 13 32
Presence of animals that are rabies carriers with without TOTAL
61 26 87
Kind Dog Cat TOTAL
106 50 156
Where Kept
Inside the yard Free roaming TOTAL
79 77 156
Vaccination With regular vaccination Without vaccination TOTAL
71 85 156
practices to control insect Fumigation Insecticides setting traps cleaning the yard None TOTAL
6 67 7 8 88
presence of breeding sites None With TOTAL
54 34 88
FLIES MOSQUITOES
26 10
TOTAL
35
home Very good Good Poor
TOTAL
18 57 13 88
water Very good Good Poor
TOTAL
food and waste management Very good Good Poor
14 66 8 88
TOTAL
16 60 12 88
PRESENCE OF INDUSTRIAL
yes none TOTAL IF YES: small scale large scale
88 88
KIND OF NEIGHBORHOOD
accommodating approachable Friendly busy refusing not available TOTAL
43 19 27
89
Takes a bath regularly
PRACTICE always sometimes NOT PRACTICE TOTAL
103 4
107
Brushing the teeth
80 27
107
Hand washing before/after eating

Nail Cutting
93 14
107

Use of Hygienic Products
88 19
107

Ear Cleaning
102 5
107
79 28
107
Regular change of clothes
PRACTICE always sometimes
103 4
NOT PRACTICE sleeps 8 hours PRACTICE always sometimes NOT PRACTICE TOTAL
takes nap/ rest period with in the day
54 12 41 107

Perform Regular exercise everyday
55 18 34 107

Performs recreational activities
37 20 50 107
21 48 38 107
Has regular medical checkup (once a year

Has regular dental checkup ( every months
42 14 51 107
PRACTICE
always sometimes NOT PRACTICE TOTAL
8 16 83 107
Use safety devices when necessary
57 35 15 107
smoker yes no
total
If yes, #of smoker
60 47 107
total
76
If yes, age of smoker < 10 years old 10 TO 14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 & above TOTAL
8 12 10 5 8 9 7 7 5 3 2 76
Age started smoking
< 10 years old 10 to 14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 & above TOTAL
5 39 19 7 3 1
1 1 76
Years of smoking
< 1 year 1 to 4 5 to 9 10 to 14 15 -19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 & above TOTAL
2 12 11 8 9 13 8 3 2 1 6
76
Frequency < 5 sticks per day 5-9 sticks per day 10-14 sticks per day 15-19 sticks per day
24 9 20 1
1 pack 2 packs 3 packs 4 packs 5 packs & above TOTAL
22
76
alcohol drinker yes no
total
If yes, #of Alcoholic Beverages drinker
70 37 107
total
102
If yes, age of Alcoholic Beverages drinker < 10 years old 10 to 14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 & above TOTAL
12 18 17 10 12 14 5 5 6 2 1 102
Age started drinking Alcoholic Beverages < 10 years old 10 to 14 15-19 20-24 25-29 30-34 35-39
4 48 38 5 2 3
40-44 45-49 50-54 55-59 60-64 65 & above TOTAL
102
Years of drinking Alcoholic Beverages
< 1 year 1 to 4 5 to 9 10 to 14 15 -19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 & above TOTAL Frequency Everyday Every other day Every week Every month Every year occasionally
6 30 16 9 11 13 5 4 4 1 3
102
3 8 19 10 62 102
TOTAL
Kinds of Alcohol HARD BEER WINE
63 26 13
TOTAL
102
Volume intake/bottle(s) per drinking spree 1 bottle 2-3 bottles 4-5 bottles 6-7 bottles 8-9 bottles 10 bottles & above TOTAL
28 43 18 7 4 2 102
BMI N Normal (within 2SD of median IRS) UW Underweight (< -2SD of median IRS OW overweight (> + 2SD of median IRS TOTAL
25 9
34
First Choice meat only Fish only vegetable only mixed others TOTAL
10 31 22 44 107
Number of Servings: 1 2--3
30 68
4-5 & above TOTAL
9 107
Second choice meat only Fish only vegetable only mixed others TOTAL
12 49 35 11 107
Number of Servings: 1 2--3 4-5 & above TOTAL
43 59 5 107
Reasons for choices think its healthy own preference affordability personal belief/practice health condition TOTAL
45 49 11 2 107
Reason for not choosing other options not healthy own preference not affordable personal belief/practice health condition TOTAL
28 65 9 2 3 107
From above response, how frequent is the intake? everyday every 3 days once a week others TOTAL
66 31 7 3 107
How is food prepared for mealtime? prepared at home bought outside TOTAL
104 3 107
How often? everyday every 3 days once a week others TOTAL
88 14 5 107
If bought outside, is it from a: restaurant/fast food carinderia Food Cart TOTAL
3 3
Reason for above choice convenience cheaper healthy variety of choices others TOTAL
Takes/eat canned preserved food ex. Lucky me, maling Everyday every other day every week Sometimes Never TOTAL
6 14 11 76 107
Takes/ eat fried foods everyday every other day every week sometimes never TOTAL Drinks carbonated drinks occasionally weekly everyday TOTAL
28 24 19 36 107
90 13 4 107
History/Presence of Non Communicable Diseases in the Family Heart dse Hpn Cancer Kidney dse Dm ASTHMA TOTAL
4 32 2 4 2 1 45
History/Presence of Communicable Diseases in the Family
Chicken pox Measles
77 42
TOTAL
119
Blood Pressure Record for ages 35 above
Blood pressure below normal range Blood pressure within normal range Blood pressure above normal range
14 86 8
TOTAL
108
Complete accdg to age Imcompleteaccdg to age Fully immunized child TOTAL
8 4 1 13
Personnel mostly consulted in times of sickness doctor nurse midwife hilot albularyo faith healer elderly TOTAL
73 20 8 1 1 4 107
Measures taken in times of sickness/illness consult a private health worker see a known community healer consult a rural health team self-medicate none TOTAL
31 1 37 37 1 107
Medication/treatment in times of sickness/illness prescribed by doctor over the counter/ self-medication herbals others TOTAL
47 54 6 107
# of pregnant women ASOG
TOTAL
Regular Check-up Not Regular Check up Without Tetanus Check up regular not regular
without
Family Planning acceptor non acceptor TOTAL
86 21 107
Reason for accepting good for health of family personal belief religious belief influenced by others others TOTAL
47 29 6 1 3 86
Reason for NOT accepting good for health of family personal belief religious belief influenced by others others TOTAL
19 1 1 21
Methods used: Natural artificial permanent TOTAL
37 41 8 86
Awareness of health Services offered by the BHC/RHU Aware unaware TOTAL
97 10 107
Recognized leader and any key person Brgy. Captain Kagawad Elderly BHW Influential person Religious Leader Neighbor TOTAL
49 32 4 5 1 16 107
Conditions/events/issues that causes social conflict/upheavels within the community gossip drugs alcohol drinking personal/familial conflict riot TOTAL
15 11 50 21 10 107
Practices/Approachesthat are effective in setting issues and concerns within the community
settelement among involved parties brgy. Hearing endorsed local pulice TOTAL
49 55 16 107
PUROK 2

Tally Sheet GROUP 3

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Tally Sheet GROUP 3

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AGE 0-11 mos.

Child Single Married Married but separeted Widow widower Cohabiting

Type of Work Regular full time Regular part time

PLACE Office Factory Field

25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 &above

Financial Source Employment Business Pension help from relatives/friends others,

decision maker Father Mother both family others

Adequacy of family income adequate inadequate

owned rented rent- free lease to own

a. electricity kerosene others TOTAL

a. adequate inadequate TOTAL

private/own household use Public TOTAL

local water district commercial TOTAL

large uncovered container without faucet TOTAL

a. refrigerator cabinet basket table TOTAL

covered uncovered TOTAL

electric stove gas stove firewood/charcoal TOTAL

plastic bag None Container TOTAL If container: Open Covered TOTAL

Practiced not practiced TOTAL

If practiced: method of disposal hog feeding

open dumping burial in pit collected composting TOTAL

Drainage open drainage blind drainage none

Presence of animals that are rabies carriers with without TOTAL

Kind Dog Cat TOTAL

Inside the yard Free roaming TOTAL

Vaccination With regular vaccination Without vaccination TOTAL

presence of breeding sites None With TOTAL

home Very good Good Poor

water Very good Good Poor

Takes a bath regularly

PRACTICE always sometimes NOT PRACTICE TOTAL

Brushing the teeth

PRACTICE always sometimes NOT PRACTICE TOTAL

Hand washing before/after eating

PRACTICE always sometimes NOT PRACTICE TOTAL

PRACTICE always sometimes NOT PRACTICE TOTAL

PRACTICE always sometimes NOT PRACTICE TOTAL

PRACTICE always sometimes NOT PRACTICE TOTAL

Regular change of clothes

PRACTICE always sometimes

PRACTICE always sometimes NOT PRACTICE TOTAL

PRACTICE always sometimes NOT PRACTICE TOTAL

PRACTICE always sometimes NOT PRACTICE TOTAL

Has regular medical checkup (once a year

PRACTICE always sometimes NOT PRACTICE TOTAL

always sometimes NOT PRACTICE TOTAL

Use safety devices when necessary

PRACTICE always sometimes NOT PRACTICE TOTAL

Age started smoking

1 pack 2 packs 3 packs 4 packs 5 packs & above TOTAL

alcohol drinker yes no

40-44 45-49 50-54 55-59 60-64 65 & above TOTAL

Years of drinking Alcoholic Beverages

Kinds of Alcohol HARD BEER WINE

Number of Servings: 1 2--3

4-5 & above TOTAL

Number of Servings: 1 2--3 4-5 & above TOTAL

How often? everyday every 3 days once a week others TOTAL

If bought outside, is it from a: restaurant/fast food carinderia Food Cart TOTAL

History/Presence of Communicable Diseases in the Family

Chicken pox Measles

Blood Pressure Record for ages 35 above

Complete accdg to age Imcompleteaccdg to age Fully immunized child TOTAL

# of pregnant women ASOG