Virgen Milagrosa University Foundation

College of Medicine
San Carlos City, Pangasinan
Community Medicine
Barangay Guelew, SCCP
March 2!"
Mem#ers$
Acharya, Ram Krishna
Avinash, Appu Jha
Deo, Sulav
Lama, Karjome
Milo, Brendalyn
Tapay, Windy
%ntroduction
1
A community is a social unit here people share some attri!utes o" their lives and
interact ith each other in some ays# $t is a %roup o" people sharin% common %eo%raphic
!oundaries and common values and interest# &ence, community is considered as the primary
client !ecause it has direct in"luence on health o" the people# Most service provision occurs in
the community# $t is also in the community here the need "or health care and protection occur#
'ommunity dia%nosis %enerally re"ers to the identi"ication and (uanti"ication o" health
pro!lems in a community as a hole in terms o" mortality and mor!idity rates and ratios,
identi"ication o" this correlates "or the purpose o" de"inin% those at ris) or those in need o" health
care# $t helps in "indin% the common pro!lems or diseases, hich are trou!lesome to the people
and are easily preventa!le in the community# &ence, it is a process !y hich the health
mana%ement committee mem!ers and health sta"" !e%in to learn a!out the community health
pro!lems, needs and concerns as ell as the determinants o" these pro!lems# $t involves
comprehensive assessment o" physical, social, cultural, economic, environmental and !iolo%ical
status o" community in order to identi"y pro!lems re%ardin% health and set priorities "or pro%ram
development#
&ationale
The !asic rationale "or this study is to alleviate the community*s health pro!lems that can
!e done !y determinin% the current health status o" the community in order "or the people to
achieve the optimum health as directed !y World &ealth +r%ani,ation i#e# -niversal &ealth "or
'are# This aids the people in the community to practive their )noled%e and s)ills ith
discipline, accuracy and in lo%ical manner li)e on contri!utin% to the improvement o" the
condition o" their locality# The community, as the center o" this study provides them to do their
respective role in the "ield o" health care as a responsi!le citi,en#
By such survey, the health concerns o" the community are hi%hli%hted and hence some
help"ul plans or actions can !e made in order to provide necessary in"ormation to prevent the
occurrence o" health pro!lems, to plan "or possi!le solution to aid the e.istin% pro!lems and
maintain a %ood (uality o" li"e#
'ommunity dia%nosis not only help the local people !ut also help the students to %et the
e.posure to the real/li"e situations thus developin% their decision/ma)in% s)ill and learn ho to
deal on di""erent people and situations in a ri%ht and ethical manner# $n short, community
dia%nosis helps to raise the level o" health dissemination on the community# Also it helps the
researchers and the local people to ma.imi,e their potential and to render the services on
educatin% ho to prevent the disease, promote health and or%ani,e and participate on the
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development o" health plans that ill !ene"it the community to attain optimum health to
individuals, "amilies and communities#
'istory
Li)e the history o" some !aran%ays, 0uele could hardly trace !ac) its ori%in# Accordin%
to the "ol)s, they called the said !aran%ay 10uele2, a pan%asinan term "or mi.ture !ecause
durin% that time many people comin% "rom di""erent places li)e $locus, 'a%ayan, 3isayas, etc
mi%rated to this place and esta!lished their residence here so old "ol)s called this place 0uele#
Vision
$t is envisioned in Baran%ay 0uele that every people !ecomes sel"/reliant, hum!ly one,
upri%ht citi,ens, %od/"earin%, peace/livin%, healthy and not dru% de"enders under dynamic and
committed leaders#
Mission
The mission o" !aran%ay 0uele is totally %eared in empoerin% individual to orthy
mem!ers o" the community and the society# To serve and render service, implement rules and
re%ulations and "acilitate the accomplishment o" in"rastructure projects and others "or the
!ene"its, "airness and %oodness o" the constituents o" the !aran%ay#
Setting of the Community
Barangay Profile
Baran%ay 0uele is one o" the !aran%ays o" San 'arlos 'ity, 4an%asinan# $t is situated
southeast "rom ton proper, !ounded !y Tamayo on the West, Anando on the 5orth, 'aoayan/
Kilin% on the 6ast and Mali!on% and Supo on the South# The A%no River is its !oundary ith
A%uilar ton# $t has a land area o" 7#88 s(# )m and a projected population o" 9,:;< as o" 7::=#
The total land area is 7#88 s(#)m# There are pitched/type, ell paved roads# So, the means o"
transportation are jeepney and motorcycled tricycle#
The houses in this !aran%ay are made o" concrete or nipa >4alm?# The distance !eteen
the houses is less than @:: meters# The most common ater source is shallo ell# There is a
day care center, an 6lementary school and a &i%h School# There is a Bas)et!all 'ourt !uilt
ithin the Baran%ay 4la,a# There is a Baran%ay &all here the monthly meetin%s are
conducted# A health station is esta!lished hich is the "irst place "or the consultation o" any
illness# $t also provides other health services li)e $mmuni,ation, 4re/5atal 'hec)/ups,
4ostpartum care, Aamily 4lannin% services, etc#
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() Geogra*hic Profile
The Baran%ay 0uele is @: )ilometers aay "rom 'entoB4o!lacion !ounded !y the
"olloin% !aran%aysC
5orthC Baran%ay Anando
SouthC Baran%ay Supo
6astC Baran%ay 'aoayan/Kilin%
WestC Baran%ay Tamayo
The total land area is =<9#<: hectares
B) Socio+,conomic Profile
+ccupationC Aarmin% >rice, corn, and ve%eta!les?, 4oultry, Aishery
Reli%ionC Roman 'atholic
C) -rans*ortation
Their means o" transportations are jeepneys and motori,ed tricycles#
The Spot map o" Baran%ay 0uele is as "ollosC >on the ne.t pa%e?
4

5
%nde.$
///////5orthC Baran%ay Anando
S//////SouthC Baran%ay Supo
,//////6astC Baran%ay 'aoayan/Kilin%
0//////WestC Baran%ay Tamayo
Children: 1,466
Adults: 1,700
Elderly: 218
%) Po*ulation
Total populationC 9,D;:
5um!er o" malesC @,;::
5um!er o" "emalesC 7,7;:
5um!er o" "amiliesC 8;:
5um!er o" householdsC 8::
5o# o" males
Se. Ratio E ////////////////////////// F @::G
5o# o" "emales
@;::
E ////////////////// F @::G
77;:
E ==#=D H =D
D;@
Se. Ratio o" Adult 4opulation ////////////////// F @::G
<I<
E D<#@ H D<
DD7
Se. Ratio o" 'hildren 4opulation E ////////////////// F @::G
=<I
6
Females,
694
Males, 772
Females,
949
Males, 751
Females,
129
Males, 89
E @@@#7 H @@@
8<
Se. Ratio o" 6lderly 4opulation E////////////////// F @::G
@7<
E =8#< H =<
(nalysis$
Based "rom the computation a!ove, the Baran%ay 0uele has a se. ratio o" =D males to
every @:: "emales in the overall population# As in adult, the ratio is D< males to @:: "emales,
@@@ males to @:: "emales in children and =< males to @:: "emales in elderly#
Ta!le @# 5um!er o" population as to a%e and se. distri!ution
(ge Female Male -otal 1
:/@ @;8 @=7 97: 8#;
7/; @=7 @;< 97@ 8#=
=/@9 9;I II= 8:: 7@#9
@I/I< DD< =97 @I@@ 9D#=
;:/;< 98: 9:: =8: @8#7
=: and a!ove @7< 8< 7@8 ;#8
9,D;: @::#:
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(nalysis$
Based on the data presented a!ove, the majority population "alls in the a%e %roup @I J
I< years old and "emale population is hi%her than male# $n %eneral, it is the Reproductive a%e
%roup#
Ta!le 7# Mortality and mor!idity
2!! 2!2 2!2 3eading Causes
Mortality 7 9 7 &ypertension
'ardiovascular disease
Mor#idity I ; = &ypertension
'ardiovascular disease
%nfant mortality @ 7 :
Maternal mortality : @ :
(nalysis$
Based on the data presented a!ove, mortality and mor!idity cases in 7:@9 are similar as
in 7:@@ and 7:@7# But the in"ant mortality and maternal mortality in 7:@9 has !een decreased to
Kero#
Social Profile
The types o" "amily in Baran%ay 0uele are mostly nuclear type ith "e e.panded
type# Most o" the population is Roman 'atholic# +thers are $%lesia ni 'risto, Born A%ain
'hristian#
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4!1
!1
251
6! list in Barangay Guelew+2!2
5o# o" mem!ers receivin% ''T
5o# o" mem!er not receivin% ''T >lost
cash card?
5o# o" mem!ers on aitin% list
,conomic Profile
A# +ccupationC
The main occupation as a source o" income is A%riculture# i#e# Aarmin% rice, corn, and
ve%eta!les# +ther sources are 4oultry, Aisheries, etc#
B# 5&TS/4R
5um!er o" population !elon%in% to L@C 7:8
o 5um!er o" mem!ers receivin% ''TC @ID
o 5um!er o" mem!er not receivin% >lost cash card?C 7
o 5um!er o" mem!ers on aitin% listC ;<
,ducational (ttainment Profile
There is @ Day 'are, @ 6lementary School and @ &i%h School# The main lan%ua%es
tau%ht in the school are 6n%lish, Ailipino, $locano, 4an%asinan
5o# o" 'hildren in Day careC @II
5o# o" Students in 6lementary LevelC =<@
5o# o" Students in Secondary LevelC 7<@
3evel Male Female -otal
7ay care D9 D@ @II
% =D ;< @7=
%% D8 ;8 @9=
%%% =D =: @7D
%V D: I; @@;
V =; I: @:;
V% I8 9I 87
9
V%% II ;: <I
V%%% 7I 7; I<
2
rd
year 97 9< D9
"
th
year 7; 99 ;8
,nvironmental Profile
A# Water Source
@# Deep ellC M ; "amilies
7# Shallo aterC 9; "amilies
B# 0ar!a%e Disposal
o Burnin%C most commonly used
o 'ompose pitC none
o +pen/dumpin%C
o +thersC
'# 6.creta Disposal
o Water/sealed typeC most commonly used
o Alushed/typedC M @: households
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14
15
13
11
13
13
13
2
0
0
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IMMUNIZATIONS
!C"
#E$%A 1
#E$%A 2
#E$%A 3
#&'(& 1
#&'(& 2
#&'(& 3
)E#A !1
)E#A !2
)E#A !3
A$%(*MEA+'E+
'ealth Profile
A# 4renatal chec)/upC <<
5um!er o" home deliveryC 99
o Assisted !y 1hilots2C 97
o Assisted !y midi"esC @
5um!er o" hospital deliveryC 7D
5um!er o" delivery in clinicC <
5um!er o" a!ortionC @
B# $mmuni,ationsC
Sic) childrenC
@? 'ases o" Diarrhea
AemaleC @:
MaleC 7@
7? 'ases o" 'ou%h and 'olds
AemaleC 7
MaleC 7
'# Aamily 4lannin%
@? 4illsC 99
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V(CC%/, Fre8uency
B'0 @@;
465TA @ @77
465TA 7 @:=
465TA 9 <9
4+L$+ @ @@7
4+L$+ 7 @:=
4+L$+ 9 @:<
&64A B@ @<
&64A B7 @
&64A B9 @
A5T$/
M6ASL6S
;9
7? Lactation Amenorrhea Method >LAM?C @:
9? BTLC9
I? DM4AC 9
D# &er!al Medicines
@? +re%ano
7? 1su!uso!2
9? 1dan%la2
I? 0uava leaves
;? 'amias leaves
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SUMM(&9 (/7 C:/C3US%:/
A 'ommunity is a collection o" people ho share some attri!ute o" their lives and
interact ith each other in some ay# 'ommunity dia%nosis is a method o" interaction
amon% the health o""icials and the local people in the community# $t has !een alays
pro"ita!le method to )no a!out the community, the li"estyle, the !ehavior and the ay o"
livin% o" the people#
This study has revealed that the !aran%ay 0uele has "olloin% pro!lems identi"ied !y
the researchersC
Lo levels o" income
4oor housin% "acilities as most o" the houses ere made o" 5ipa "or the indi%ent
people
-nhy%ienic source o" ater
$%norance a!out the "actors li)e ater treatment, %ar!a%e disposal, e.creta
disposal, etc#
+n the !asis o" the "indin%s o" the study, the "olloin% recommendations are proposedC
@# 'arryout &ealth 4romotion and preventive activities li)e community health education on
o use o" mos(uito nets to prevent den%ue, malaria or other mos(uito/!orne
diseases,
o attendin% antenatal clinics to promote maternal and child health
o educatin% a!out the importance o" vaccinations and immuni,ations
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7# The num!er o" outreaches should also !e increased to create more aareness on the
importance o" clearin% !ushes "rom homes, coverin% the pits, removin% the sta%nant
ater "rom the ditches, increasin% sanitation#
9# The overcrodin% in the houses as caused !y too many children ithin the same
household# There"ore, it can !e recommend that the health sta)e holders educate
people a!out "amily plannin% and child spacin% and their advanta%es, and encoura%e
people to carry them out#
I# Local leaders should ensure proper house construction to promote proper sanitation#
;# &ealth sta)eholders should encoura%e mem!ers to %o "or routine medical chec)ups !y
tellin% them the advanta%es o" the act#
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