TABLE OF CONTENTS

INTRODUCTION

Community health Nursing (CHN) special field of nursing that combines

the skills of nursing, public health and some phases of social assistance and
functions as part of the total public health program for the promotion of
health, the improvement of the conditions in the social and physical
environment, rehabilitation of illness and disability ( WHO Expert Committee
of Nursing ). It’s the integration of nursing process in the community as its
primary client.
Community is a group of people sharing common geographical location
and or common values and interest. It functions within a particular socio-
cultural context which means that no two communities are alike. The
physical environment varies and so with the people’s way of life, as in
behaving and coping with their internal and external problems, concerns and
responsibilities and such other affecting their interest, their associative links
and relation with their surroundings and generally, their existence as a
people.
Florence Nightingale believed that in manipulating the physical
environment, the body could repair itself. Nurses or even clients alone can
nurture the surroundings to create an environment conducive to body’s
reparative processes. Such that, the community people themselves, even in
the absence of nurses can resolve existing and arising community health
problems through genuine cooperation to work together in controlling these
environmental factors affecting and threatening their health.
Virginia Henderson also added that we, nurses, must “assist our
clientele, sick or well, in the performance of activities contributing to health
or its recovery that he/she would perform unaided if that person had the
necessary strength, will or knowledge to gain independence as soon as
possible”. Conversely, we nurses are here to guide the community and fill
the knowledge deficit that prevails to achieve independence. After all, health
education is our primary role according to Nursing Law of 2002 and health
promotion is our focus in the community.
Faye Abdellah, conceptualized nursing as an art of science that mold
the attitude, intellectual competencies and technical skills of the individual
nurse to serve as guiding force and energy of the people in the community,
and with their ability to help people sick or well in coping up with their health
problems and needs. The ultimate goal of the expected efficient and
effective delivery of service is the total improvement of health and quality of
life that would redound to lengthening the lives of our people. So, among
our primary concerns is to prolong life by maintaining healthy environment
and appropriate lifestyle and care. Health is a gift, but we have to work in
keeping it always in a desired good condition.
The RNheals project of the DOH has been assigning nurses to the Rural
Health Unit (RHU) for a period of one year with the sole purpose of achieving
Universal Health Care towards community health enhancement. To which
nurses needed to be creative, resourceful and explore innovative ways to
achieve and maintain high level of community health amidst this economic
difficulties and very limited resources. The DOH requires a Community
Diagnosis for the completion of the training. The focus of this study is the
Barangay Sioron of Gigmoto, Catanduanes.
Community diagnosis or the study and identification of community
problems by studying particularly the causes and effect commonly known as
assessment or situational analysis is designed to collect the required data
about the community in order to know the different factors that directly or
indirectly influence the health condition of the populace, to analyze and
formulate explanation for the occurrence of health nursing diagnosis as then
delivered thereof to be the bases for developing and implementing
community health nursing intervention and strategies.
This study utilized the nursing process, earnest thinking and prudent
communication to client in the community, and the established culturally
competent care for the community recognizing economic and ethnic
characteristics of its members and the demonstrated therapeutic
communication skills.

Rationale
There is a need to conduct such investigation since for the past 5
years, even with the intense effort of the RHU, health indicators in Barangay
Sioron hasn’t changed significantly. What could be the possible reasons for
these and hopefully we can find workable solutions.

Significance of the study

This study will be significant to the following:

 Primarily, to the residents of Barangay Sioron. The information that

will be derived from this community diagnosis includes the graphical
presentations of relevant data gathered and its interpretations to
 identify, prioritize and find possible solution to both health problems
and health risks for the ultimate goal of achieving a high level of
community health.

 The result of this study will also be significant to the LGU, RHU and
other community development organizations. These are agencies
concerned in elevating the level of community health and they have
the capability to change the lives of the people especially if the
suggested solutions to identified problems need a huge sum of money.
They will have the idea where to focus. Hopefully with this, they will
perceive which project must be prioritized so that funds will be spent
effectively and efficiently.
 To other nearby Baranggays; their leaders will have the idea on how to
deal or solve similar existing and arising problems.

Statement Objectives
General Objectives
 By the end of the community assessment on Barangay Sioron the
community will posses adequate knowledge and consciousness to their
present health condition and other health problems, whereupon
providing them necessary actions and solutions to prioritized problems
and subsequently generate a good condition not only on health but
also on the economic and social factors as well, toward the better and
healthy community.

Specific Objectives
 Collects facts and information by the community survey, that is
essential for indentifying the community needs and problems and will
also help on monitoring the improvement of the health situation.
 Determine the problems and needs of the community and identify
what should be the priorities and how it is affecting the whole
community.
 Dissemination of the current health condition of the community and
spreading of knowledge and information regarding the improvement of
health condition, health distribution and its proper utilization
 Formulate helpful suggestions and recommendation solutions,
programs and activities that are needed that will enable the
community to solve the priority problems.
Methodology and tool used
The study used the descriptive, non-experimental both qualitative and
quantitative methods of research.
Gathering of primary data were done through survey using a closed-
ended questionnaire. This made the data gathering smooth, not time
consuming since the client will not be having difficulties in answering the
question and facilitates easy tabulation and interpretation of the data
gathered.
Secondary data where gathered from the Rural Health Unit, especially
the health indicators such as mortality and morbidity rate, etc.
Sloven formula was not used to estimate the sample population size,
but rather according to the RNheals manual to which it states that at least
10% of the total population. According to the data gathered from CBMS
(Community Based Monitoring System), in the year 2012 Sioron has a total
number of 173 households and the researcher used 20 households as its
respondents to represent the entire community. To remove biases and so
that every household will have the chance to be selected, a probability
sampling (lottery) was used to identify the respondents.
Prior to conducting the survey, courtesy call was done to barangay
officials for the researcher’s safety and explained to them the purpose of the
community diagnoses in order to remove confusion. In the interview the
respondents were likewise explained or informed why the survey is to be
conducted and told that their confidentiality and anonymity be secured.

Scope and Limitation of the study

This study is only limited to the Baranggay Sioron and may or may not
apply to the other Baranggays. The margin of error in this study is unknown
since the estimates of population size is not patterned on scientific research
or thesis so inconsistencies may or may not appear and can be attributed to
sample size of respondents per se.
I – COMMUNITY PROFILE
A. Description
Looking back through the years, Gigmoto, situated on the eastern part of
Catanduanes, is 28 kilometers to Baras on the south, and 35 kilometers to
Viga on the north, and could be reached by all passing the circumferential
road. The place was formerly, a forestall area where hunters of wild animals
used to roam and encamp. These hunters made some clearings which
became the nucleus of the early settlement in Gigmoto. Then it became a
sitio of Bato. A few years before the close of the Spanish era, scores of
immigration of people from Baras, Bato and Virac settled in this place. Thus
making Gigmoto the biggest barrio of the municipality of Baras.
Gigmoto has no records of its pre-historic period because it was only
from 1885 to the early part of the American era that the civilization of the
place begun. Gigmoto was later separated from Baras and made an
independent municipality and inaugurated as such on May 15, 1951, to
which land territory was included the barrios or barangays of Dororian and
Biong, which were formerly, the barrios of Baras on the north, and for
Vicente, Sioron and Sicmil which were formerly, the barrios of Viga on the
south. Also added is barangay San Pedro in the hinterland. The poblacion
was divided into three municipal districts: barangay district 1, 2 and
Sioron is a sleepy, windswept and desolate barangay deserted by its
well-off residents who settled elsewhere for better fortune. Sioron is lying
between the coastline and steep mountain ridges always exposed to the fury
of the Pacific Ocean and the hazards of landslide at time stormy weather
occurs. This barangay is around six kilometers or more from the poblacion of
Gigmoto and can be reached by passing the rough dirty road, and by the sea
in motorized boat. The lowly inhabitants live by means of simple farming
and fishing.

Gigmoto continues to soar as the third millennium approaches. But when

several destructive super-typhoons hit the locality in 1995, then in 1998.
And on the succeeding years, the road became hardly passable. At such
critical period of time, the health care service, particularly to the poor and
the needy could be done by providing them free medical assistance. It is
only in this latter part of the year that greater improvements of the road
being undertaken.
II- POPULATION

A. Total Population of the Baranggay

 785 is the total population of Sioron to which it has 173 households
as of July, 2012
B. Total number of household surveyed
 20 households
C. Sex Ratio:
No. of Males
Formula: SR = ----------------------- X 100%
No. of Females
SR = 57 / 51 X 100%
SR = 1.12 X 100%
Sex Ratio = 112

Interpretation:
The sex ratio is 112. This suggests that in every 100 females there are
112 males. The population of males in this baranggay is higher than the
females.

D. Age and Sex Distribution

Table 2.1
Age Bracket Female Male
Frequency % Frequency %
Under 1 3 2.8% 2 2.0%
1-5 7 6.5% 11 10.2%
6-10 9 8.0% 6 5.6%
11-14 5 4.6% 4 3.7%
16-20 4 3.7% 7 6.5%
21-25 4 1.5% 5 4.6%
26-30 3 2.8% 4 3.7%
31-35 3 2.8% 3 2.8%
36-40 2 1.5% 2 1.5%
41-45 2 1.5% 3 2.8%
46-50 2 1.5% 3 2.8%
51-55 2 1.5% 3 2.8%
56-60 1 1.2% 1 1.2%
61-64 1 1.2% 1 1.2%
Above 65 3 2.8% 2 1.5%
Total 51 47.9% 57 53.2%

Interpretation:
The table above shows the number of male and females in each age
bracket. As we can see, early in their lives, the male population is higher
 than the female. As they grow older, the number of males is almost
equivalent to the number of females. Later in their lives, especially in the
age bracket of more than 65 y/o, female population is already higher than
males. This can be attributed to the nature of work and more on the lifestyle
to which more population of males are indulged in unhealthy habits of
smoking and drinking alcohol compared to females.

Graphical Presentation of Age and Sex Distribution

Chart 2.1

12

10

6
9 Male
4 7 Female
5 4 4
2 3 3 3 2 2 2 2 3
0
1 1 Male
Less 6-10 15-20 26-30 36-40 46-50 56-60 65
tha 1 y/o y/o y/o y/o y/o y/o y/o&
y/o above

III- ECONOMIC INDICES

A. Dependency ratio

No. of pop. 0-14 y/o + 65 y/o above

Formula: DR = -------------------------------------------------------- x 100%
No. of population of 15 – 64 y/o

DR = 52 / 56 X 100%

DR = 0.93 X 100%
Dependency Ratio: 93%

Interpretation:
 Dependency ratio reflects the proportion between the dependent
population (those with ages 0-14 y/o and 65 y/o and above) and labor
population which includes ages from 15-64 y/o. A dependency ratio of 95% is
high, meaning the labor population of the Baranggay Sioron must work
harder to earn more for the upbringing of the children, daily finances of the
family and also for the health related expenditures of the aged population.

B. Occupational Status
Table 3.1
Frequency %
Government Employee 1 2.5%
Fisherman 5 12.5%
Farmer 4 10%
Both fishing and farming 10 25%
Laborer 2 5%
Business 1 2.5%
Housewife 7 17.5%
TOTAL 40 100%
Table 3.1 shows the occupation of parents. This study revealed that
most of the households rely in both farming and fishing to earn for a living
which comprises 25% of the total occupational status. Fishing alone
comprises 12.5%, farming alone comprises 10%, laborer is 5%, those
employed in the government and with business establishment each comprise
2.5% and the remaining 17.5% is comprised by plain housewives.

Graphical representation of the Occupational Status

Graph 3.1
3%

23% 17%

Government Employee
Fisherman
Farmer
3% Fishing & Farming
13%
Laborer
7% Business
Housewife

34%
 C. Average Monthly Income
Table 3.2
Average Monthly Income Frequency %
Less than 500 0 0
1,001 – 5,000 12 60%
5,001 – 10,000 6 30%
10,001 – 15,000 1 5%
15,001 Above 1 5%
TOTAL 20 100%
Interpretation and analysis:
The data above (Table 3.2) shows the average monthly income of the
family. To which 60% of the households has an average income that ranges
from 1001-5000 pesos per month. 30% of the sample population earns
monthly income that ranges from 5,001-10,000 pesos. While there are also
households with average monthly income that ranges from 10,001-15,000
pesos and 15,001-20,000 each comprise 5% of the respondents. Having
these data, we can safely assume that most of the families are not capable
of sending their children even to secondary education and more so to
college. This is no surprise, Sioron is more or less 5-6km away from the town
and you need 50pesos for each person to go back and forth. That’s is why
many of them would rather spend their money for purchasing medicines
than go to RHU and will just receive 6 tablets of paracetamol or ATB’s. This
small amount of monthly income may only suffice their most primary needs
like food and shelter.

Graphical representation of the Average Monthly Income

Graph 3.2

60%

50%

40%
< 500Php
1,001-5,000Php
30%
5,001-10,000Php
10,001-15,000Php
20%
15,001-20,000Php

10%

0%
< 500Php 1,001- 5,001- 10,001- 15,001-
5,000Php 10,000Php 15,000Php 20,000Php

D. Providing the family Financially

 Table 3.3
Provider %
Frequency
Father 12 46.2
Mother 0 0
Both Father and Mother 7 26.9
Family Members 5 19.2
Relatives 2 7.7
TOTAL 26 100%

Interpretation and analysis:

The table above gives us the idea that still, it’s the father who provides
most of their daily needs which comprises 46.2%. Family members represent
the big sisters or big brothers of the family comprising 19.2%. There are few
households who belong to an extended type of family, so it’s not surprising
to see that 7.7% is provided by otherrelatives.

Graphical presentation of percentage of Family members that

provide financially
Graph 3.3

50.00%
45.00%
40.00%
35.00%
30.00%
25.00%
20.00% Providers
15.00%
10.00%
5.00%
0.00%
Father Mother Both Family Relatives
Members
IV- SOCIO-CULTURAL INDICES
A. Literacy Rate
No. of pop. 8 y/o above whom can read and
write
Formula: LR = -------------------------------------------------------------------
x 100%
Total No. of pop. 8 years and above

LR = 61/69 X 100%
LR = 0.88 X 100%
Literacy rate is = 88%

Interpretation and analysis:

Literacy rate reflects the capability of the population who can both
read and write. Reading is not only confined in articulating the words but
more especially it about comprehending what you have read. A literacy rate
of 88% is not bad for a far-flung community like Sioron.

B. Educational Attainment

Educational attainment of parents.

Table 4.1
Educational Attainment F %
College Graduate 1 2.5
College Undergraduate 1 2.5
High School Graduate 11 27.5
High School Undergraduate 9 22.5
Elementary Graduate 12 30
Elementary Undergraduate 6 15
TOTAL 40 100%

Table 4.1 shows the educational attainment of parents. This study

revealed that most parents are at least elementary graduate which
comprises 30%, high school graduate 27.5%, high school
undergraduate 22.5%, elementary undergraduate 15% and, college
graduate and college undergraduate 2.5%. Again, the data is not
surprising. Sioron has an elementary school, but the secondary level is
situated in the town of Gigmoto which is more or less 5-6km away from
 Sioron. Most of them would like their children be sent to school, but it
is difficult for the family since their monthly income is just enough for
food. But there are some very dedicated students who are walking just
to go to high school. They don’t care about the burning heat of the sun
or even by the distance that they are going to travel for as long as they
can continue studying.

Graphical presentation of Educational Attainments

Chart 4.1

Elementary Undergrad
Elementary Grad
High School Undergrad
High School Grad
College Undergrad
College Grad

2.50% 2.50%
15%

27.50%

30%

22.50%

C. Religion
Table 4.2
Religious Affiliations %
Frequency
Roman Catholic 20 100
Iglesia ni Cristo 0 0
Born Again 0 0
Protestant 0 0
TOTAL 20 100%

Interpretation and analysis:

As we can see, all of the respondents are Roman Catholic. People in
Sioron are very religious, there is also a small church that is situated near
the Baranggay hall and sometimes serve as their temporary settling area
whenever there is an impending strong typhoon. A mass is also held there
once a week.
D. Housing
1. Ownership
Table 4.3
Type of Ownership f %
Owned 18 90
Rented 0 0
Shared 2 10
Others 0 0
TOTAL 20 100%

2. Type of Built
Table 4.4
f %
Wood 9 45
Bamboo 7 35
Concrete 1 5
Others ( Semi-Concrete) 2 10
TOTAL 20 100%

3. Type
Table 4.5
f %
Strong 4 20
Light 16 80
Make Shift 0 0
TOTAL 20 100%

4. Lighting Facilities
Table 4.6
f %
Electric 14 70%
Kerosene 6 30%
Others 0 O
TOTAL 20 100%

5. Kitchen/ Cooking Facilities

Table 4.7
f %
Electric Stove 0 0%
Gas Stove 2 8.3%
Firewood 19 79.2%
Charcoal 3 12.5%
Others 0 0
TOTAL 24 100%
Interpretations and analysis:

 Table 4.3 shows the ownership. The data revealed that 90% of the
households own their houses, 10% is shared, and rented is 0%.
 Table 4.4 shows type of built. The materials used in building the
house. The data above shows that 45% of the houses are made up
of wood, houses made from bamboo is 35%, semi-concrete 5%, and
concrete is 5% also.
 Table 4.5 shows type of the house. This study revealed that 80% of
the houses can be considered to light and 20% of the houses can be
considered strong.
 Table 4.6 shows the lighting facilities. This revealed that 70% of the
household respondents uses electricity and the remaining 30% uses
kerosene.
 Table 4.7 shows the kitchen. The data show that most of the
respondents uses firewood for cooking which comprises 79.2%,
charcoal 12.5%, gas stove 8.3%, while none of the respondents use
electric stove.

With the following data at hand, most of the respondents don’t spend
much for the construction, maintenance and daily operational expenses of
their house, such that most of the households are owned, 80% of which are
made from light materials (wood and bamboo) and most of the respondents
uses firewood to cook for their food. All of these predominantly existing
housing conditions suggest that the respondents are not likely to invest their
money to strengthen their houses and not likely to have the luxury of using
gas stove for cooking but rather use the money for their primary need, which
is food. They would rather be tired of axing firewood than to use gas stoves.
Sioron is bounded by the Pacific Ocean in East and on its western part
is mountainous. The area is at risks for storm surges, earthquakes, possible
tsunami and landslides. Added to the fact that 80% of the houses are built
from light materials, we can conclude that when any of the above calamities
mentioned happened, the result can be disastrous. Therefore, disaster
management plan is empirical in this area.
6. Kind of Family
Table 4.8
F %
Nuclear Family 18 90
Extended Family 2 10
Single Parent Family 0 0
Blended Family O 0
TOTAL 20 100%

Table 4.8 shows the kind of family. This data revealed that most of the
family is of nuclear type which comprises 90% and the remaining 10%
is an extended type of family.
V- ENVIRONMENTAL INDICES
A. Source of water supply
Table 5.1
Source f %
Piped in 0 0
Communal 14 43.8
River/ Lake 14 43.8
Deep well 3 9.3
Artesian Well 1 3.1
Others 0 0
TOTAL 32 100%

Graphical presentation of sources of water supply

Chart 5.1

14
Piped in
12
Artesian well
10 Deep well

8 lake/river
communal
6

0
Frequency

Interpretation and analysis:

Table 5.1 and graph 5.1 give us the idea with regards to the sources of
water supply for drinking, for cooking, for bathing and other personal use of
water. As we can see most of the respondents get their water supply from
lake/river and communal sources which comprises 43.8% each of them.
Some resorted to deep well, comprising 9.3% while others to artesian well
which is about 3.1% of the total respondents. Categorically speaking,
sources of water supply are predominantly type 1 and type 2, very high risk
for contamination since no water treatment plant exists to protect the
sources and ensure its potability.
B. Type of Toilet
 Table 5.2
Type f %
Open pit privy 0 0
Close pit privy 3 15
Flush Type 0 0
Water-sealed latrine 7 35
Pail System 1 5
None 9 45
TOTAL 20 100%

Graphical presentation of toilet type

Chart 5.2

none
pail system
water sealed latrine
flush type
close pit privy
open pit privy
Percentage

0% 10% 20% 30% 40% 50%

Interpretation and analysis:

Table 5.2 shows the kind of toilet being used. The data collected
revealed that there is a high number families without toilet, comprising
45% of the total respondents. The remaining 55% or those with toilet
are further subdivided or specified into water – sealed latrine which is
35%, close pit privy 15%, pail system 5%, and flush type and open pit
privy 0%. Number of households without toilet here is significant
enough to start an outbreak of diarrheal cases, worsen by the fact that
there is no treatment plant available to maintain the source of drinking
supply.
 C. Waste Disposal
1. Container
Table 5.3
Type of Container f %
Covered 0 0
Open 19 79.1
Others (Sacks) 4 16.7
None 1 4.2
TOTAL 24 100%

2. Method of Disposal
Table 5.4
f %
Collected 0 0
Burial in Pit 0 0
Composting 1 2.7
Burning 17 45.9
Open Dumping 19 51.4
Waste Segregation 0 0
TOTAL 37 100%

D. Domestic Animals
Table 5.5
Animals f %
Dog 13 33.3
Cat 10 25.6
Pig 4 10.3
Chicken 12 30.8
TOTAL 39 100%

Interpretation and analysis:

 Table 5.3 shows the waste disposal using container. This study
revealed that open container 79.1%, using sack 16.7%, without
container 4.2% and covered container 0%.

 Table 5.4 shows the method of waste disposal. This study revealed
that open dumping 51.4%, burning 45.9%, composting 2.7%, water
segregation and collected and burial in pit 0%.
 Table 5.5 shows the kind of animals found in the house. This study
revealed that dog
33.3%, chicken 30.8%, cat 25.6% and pig 10.3%.
 The finding as above stipulated lead the interpretation that the barangay
or community has no proper waste disposal, thus implying that their daily
taken food are open and easily contaminated by vectors or disease- carriers
as flies, cockroaches that use to settle on food and due to contact with
garbage and domestic animals as cat and dog usually frequenting places
open to waste disposal.
VI- HEALTH PROFILE/INDICES
1. Food Storage Practices
Table 6.1
Type of Storage f %
Bag Basket 18 90
Refrigerator 1 5
Cupboard with Screen 1 5
TOTAL 20 100%

2. Infant Feeding Practices

Table 6.2
f %
Breastfeeding 15 75
Bottle Feeding 0 0
Mixed Feeding 5 25
TOTAL 20 100%

3. Immunization Status
Table 6.3
f %
Complete 9 75
Incomplete 3 25
TOTAL 12 100%

Table 6.1 shows how food are kept and stored. This study revealed
that bag basket 90%, refrigerator 5%, and cupboard with screen 5%.

Table 6.2 shows the infant feeding practices. This study revealed that
breastfeeding 75%, mixed feeding 25%.

Table 6.3 shows immunization to their under 10 years old children. This
study revealed that complete immunization 75%, incomplete
immunization 25%.

The finding pertaining to health profile has been interpreted that

the food storage or how food are being kept and stored in the
barangay are not safe from contamination, and also their food
preparation is likewise not safe from contact of disease carriers. That
the lactating mothers and those who are not practicing breastfeeding
 are not fully imparted knowledge on the very significance and
advantages of breastfeeding. That not all mothers submit their children
for immunization due to fear of the slight fever, which is the first effect
of vaccine in the body. That the parents, both father and mother are
working and could not able to attend the monthly immunization in the
barangay, by which resulted on the failure to know or understand the
importance of complete immunization to their children.

4. Health Resources / Facilities

Table 6.4
Health Resources / Facilities f %
District Hospital 4 20%
Health Center 10 50%
Barangay Health Station 6 60%
TOTAL 20 100%

Pie graph of health Resources /Facilities

Chart 6.1
District
Hospital
BHS 20%
30%

Health
Center
50%

Interpretation and Analysis:

According to the data above (table 6.4), 50% of the total respondents
prefer to have their check up in the RHU’s, while 30% prefers to wait until
the health care provider visit the baranggay health stations and the
remaining 20% prefers to visit the District hospital. Factors that affect their
choice of health facility are the availability of the physician and the
availability of free medicines. That’s why, much of the population seek the
services of the RHU.

5. Community Facilities
 Table 6.5
f %
Barangay Health Station 20 25
School 20 25
Market 0 0
Park (Plaza) 20 25
Others (Church) 20 25
TOTAL 80 100%

Interpretation and Analysis:

According to the data above (table 6.4), 50% of the total respondents
prefer to have their check up in the RHU’s, while 30% prefers to wait until
the health care provider visit the baranggay health stations and the
remaining 20% prefers to visit the District hospital. Factors that affect their
choice of health facility are the availability of the physician and the
availability of free medicines. That’s why, much of the population seek the
services of the RHU.

6. Health Seeking Behavior

First person consulted in times of illness
Table 6.6
f %
Doctor 10 50
Nurse 0 0
Midwives 0 0
Hilot 2 10
Albularyo 8 40
TOTAL 20 100%

2. Birth Attendance
Table 6.7
f %
Doctor 5 25
Nurse 0 0
Midwives 0 0
Hilot 15 75
Albularyo 0 0
TOTAL 20 100%

Table 6.6 shows the first person consulted in times of illness. The data
revealed that 50% of the respondents seek the services of physician
first, albularyo is 40%, hilot 10%, nurse and midwives 0%.
 Table 6.7 shows the person attending birth delivery to pregnant
mother. This study revealed that hilot 75%, doctor 25%, nurse 0%,
midwives and hilot 0%.

The finding hinted the interpretation that the people in the barangay
still seek and consult the albularyo due to lack of financial means, they
being always at work and the condition of the road and the distance of
the barangay to available health center or hospital quite far that needs
considerable amount of time and money for medication or uncertainty
available health care provider in the center. That being poor, attendant
to pregnant mothers and birth delivery are still hilot.

3. Frequency of Consultation
Table 6.8
Professional Health Service type Frequency
Worker Public Private Frequent Seldom If Needed
f % f % f % f % f %
Doctor 20 33.3 0 0 0 0 11 84.6 9 19.2
Nurse 20 33.3 0 0 0 0 1 7.7 19 40.4
Midwives 20 33.3 0 0 0 0 1 7.7 19 40.4
TOTAL 60 100 0 0 0 0 13 100 47 100
% % %

Table 6.8 shows the frequency of consultation and service preferences.

This study revealed that the public type doctor, nurse and midwives
100% and private doctor, nurse, and midwives 0%. Public doctor,
nurse, midwives frequent consultation 0%,
public doctor seldom consultation 84.6%, public nurse and midwives
seldom consultation 7.7%. Public doctor if needed for consultation
19.2%, public nurse and midwives if needed consultation 40.4%.

The finding interpreted the frequency of consultation with the doctor is

very rare and as seldom as the check up on health problem. The
albularyo is most preferred on such cases, and only when consultation
is badly needed that they go to for the doctor services.

7. Methods of Family Planning

 1. Awareness in Family Planning
Table 6.9
f %
Yes 9 45
No 11 55
TOTAL 20 100%

2. Favor for Family Planning

Table 6.10
f %
Yes 11 55
No 9 45
TOTAL 20 100%

Method of Family Planning/Contraceptives

Table 6.11
Methods Used f %
IUD 0 0
Vasectomy 0 0
Pills 8 40
Tubal Ligation 0 0
Condom 0 0
Calendar Method 2 10
Withdrawal 5 25
Others (None) 5 25
TOTAL 20 100%

Graphical presentation of Methods of family planning

Chart 6.2

IUD
40% Vasectomy
35% Pills
30% Tubal Ligation
25% Condom
20% Calendar Method
15% Withdrawal
10% none
5%
0%
Percentage
Interpretation and Analysis:
 Table 6.8shows the awareness of family in family planning. This study
revealed 45% of the total respondents are aware of family planning
and 55% are not aware.
 Table 6.10 shows the family who are in favor of family planning. 55%
are in favor of family planning and 45% are not in favor.
 Table 6.11shows the family preferred contraceptives. The data
revealed that the most commonly used family planning in Sioron is
pills, which accounted for 40% of the total respondets, withdrawal
25%, not using contraceptives 25%, (IUD, vasectomy, condom, tubal
ligation) 0%.

It is impossible to attain 100% acceptability of family planning methods,

especially in sitio like Sioron. Primary reason is that, the predominant religion
is Roman Catholic which is the greatest hindering force for the acceptance of
FP. Another, there are many myths surrounding different methods of the
modern FP. I few want to increase awareness and acceptability we must
advocate for FP, intense health education and collaborative efforts must be
done and these myths must be explained to the people and be justified. It’s
not surprising to see that pills is the most common method used in FP since
it’s readily accessible to RHU’s.
8. MORBIDITY DATA OF BRGY. SIORON GIGMOTO, CATANDUANES,
2007-2012

TOP 10 LEADING CAUSES OF MORBIDITY

CAUSES
ARI/AURI
Hypertension
Gastritis
Skin disease
Tuberculosis
Pnuemonia/Cap
Vertigo
Diarrhea
Otitis Media
Rheumatoid Arthritis/Osteoarthritis

9. MORTALITY DATA OF BRGY. SIORON GIGMOTO, CATANDUANES,

2007-2012

TOP 10 LEADING CAUSES OF MORTALITY

CAUSES 2010
NUMBER RATE
CVA 2 50
Hypothermia 1 25
Geriatric Debility 1 25
TOTAL 4 100%
VI CONCLUSION

Based on my personal observation and data gathered during survey. I

was identified the basic primary needs of the community like portable water
supply, proper nutrition of the family, education, hygiene and sanitation,
toilet, proper waste disposal which in its absence, bring about health
problems and disease- carrying insects and water supply might be
contaminated by human excreta, respiratory disease and close-contact
transmitted disease as in the case of the poor with small house but with big
number of members are easily transmitted to each family members. Low
income of the family that is related to their low level of education be
addressed to the concerned authority.

V PROBLEM INDENTIFIED

1. Unsafe water supply

2. Improper waste disposal
3. Numerous family without toilet
4. Low level of education and insufficient income to sustain family needs.
5. Birth attending practice by merely resorting to hilot
6. Hygiene of the family and environmental sanitation

VI RECOMMENDATION

1. Construction of public toilet nearest to those families without toilet, each

compartment to be shared by 2 to 3 families to facilitate management of its
cleanliness and maintenance.

2. Construction of water pump and or deep well to be regularly examined by the

sanitation inspector to ascertain cleanliness and its safe use.

3. Barangay officials need to coordinate other government agency/NGO for

livelihood programs and projects that would generate income of its
constituents in the barangay.

4. To educate the people on segregating the waste materials by which they

could earn additional income and minimize garbage deposit or collection.
5. To stress on the right manner of coughing and frequent hand washing to
prevent spread or contact with transferable diseases.

6. Families with low income should be accordingly persuaded on the importance

and advantages of the family planning scheme.
Sample Questionnaire Used
Registered Nurses for Health Enhancement and Local Service
Gigmoto, Catanduanes

COMMUNITY DIAGNOSIS (Home Visit)

Family Number: _______
Survey By: _______________________________________
Family Head: ___________________________________________________________
Date: ___________________________________________
Address: _______________________________________________________________

I.FAMILY HOUSEHOLD DATA

A. Number of Family Members:______
B. Membership and Characteristics:

NAME
(From Civil Fami Educatio LR
No Parent Ag Stat Se ly nal Occupati Religi
Y N
. to e us x Role Attainme on on
Childre nt
n and
Other
Membe
r)

Remarks:

II. ECONOMICS, ENVIROMENTAL INDICATORS

A. ECONOMIC SITUATION
1. Who provides for the family, financially?
Father Mother
 Both Father and Others pls. specify
Mother
2. What kind of family do you belong
Nuclear Family Single Parent Family
Extended Family Blended Family

3. Monthly Income
Less than P500
P1,001 – P5,000
P5001 – P10,000
P10,001 – P15,000
P15,001 – Above
Others, pls. specify
4. Housing condition
a. Ownership
Owned
Rented
Shared
Others, pls. Specify
 b. Type of Built
Wood
Bamboo
Concrete
Others, pls. specify

c. Type
Strong
Light
Make Shift
Lighting Facilities
Electric
Kerosene
Others, pls. Specify
d. Kitchen/ Cooking facilities
Electric Stove
Gas Stove
Firewood
Charcoal
Other, pls. Specify

B. ENVIROMENTAL INDICATORS
1. Source of water supply
Piped in Deep well
Communal Artesian Well
River/ Lake Others, pls. specify
2. Toilet
Open pit privy Closed pit privy
 Flush Type Balot system
Water-sealed latrine None
Pail system

3. Waste Disposal
3.1 Refuse and Garbage
a. Container:
Covered
Open
Others, pls. Specify ______________________
b. Method of Disposal
Collected Open dumping
Burial in pit Waste Segregation
Composting Others, pls. Specify
Burning

4. Domestic Animals
Dog Chicken
Cat Pig
Pig Others, pls. Specify

C. HEALTH PROFILE
1. Food Storage
Bag Baskets Cupboard with screen
Refrigerator Others, pls. Specify
2. Infant Feeding Practices
a. Breastfeeding
b. Bottle Feeding
Evaporated Powdered
Condensed
c. Mixed Feeding (Breastfeeding and bottle feeding)
 d. Others, pls. Specify
3. Immunization Status of Children
Complete
Incomplete, Reason

4. Health Resources/Facilities
District Hospital
Health Center
Barangay Health station
Others, pls. Specify
5. Community Facilities
Barangay Health Center
School
Market
Park
Others, pls. Specify
6. Health Seeking behaviors
a. First person consulted in times of illness
Doctor Albularyo
Nurse Midwife
Hilot Others, pls. Specify
b. Birth Attendance
Hilot
Albularyo
Nurse
Midwife
Doctor
Other, Pls. Specify
 c. Frequency of Consultation
SERVICE FREQUENCY
Professional Health TYPE
Public Private Frequent Seldom If Needed
Worker

Doctors
Nurses
Midwives
Others, pls.
specify___________

7. Family Planning
a. Are you aware of family planning?
Yes
No
b. Are you in favor of family planning?
Yes
No
c. What contraceptive or method of family planning do you use/prefer?
IUD Condom
Vasectomy Calendar method
Pills Withdrawal
Tubal ligation