COMMUNITY DIAGNOSIS OF HARAN UCCP CENTER

A Community Diagnosis Presented to the

Department of Community Medicine
Davao Medical School Foundation, Inc.
College of Medicine

In Fulfillment of the Requirements in Community Medicine IV

by:

Ganade, Elisha Margrette C.

Gandeza, Gezer
Garay, Claudine May T.
Gaspar, Pauline Leonor B.
Gealon, Nadin Kaye

October 2020
 APPROVAL SHEET FOR COMMUNITY DIAGNOSIS PRESENTATION

This Community Diagnosis entitled :

“COMMUNITY DIAGNOSIS OF HARAN UCCP CENTER”

has been prepared, revised and submitted by ELISHA MARGRETTE C. GANADE,

GEZER GANDEZA, CLAUDINE MAY T. GARAY, PAULINE LEONOR B. GASPAR,

NADIN KAYE GEALON who are recommended to present their final Community

Diagnosis write-up to enable him/her to fulfill the requirements for the degree of Doctor

of Medicine ( MD ).

The schedule of the oral presentation is on__________________________

at _____________________________.

Name and Signature of Mentor: Rodolfo B. Mariano II

Date: October 10, 2020

 TABLE OF CONTENTS

APPROVAL SHEET FOR COMMUNITY DIAGNOSIS PRESENTATION.........................ii

LIST OF FIGURES......................................................................................................................v
LIST OF TABLES.......................................................................................................................vi
BACKGROUND AND SETTING OF THE COMMUNITY................................................1
A. Historical Background....................................................................................................1
B. Physical Description of the Area.....................................................................................1
Chapter 2.......................................................................................................................................3
DEMOGRAPHIC PROFILE..................................................................................................3
A. Population Size and Composition...................................................................................3
B. Family Profile.................................................................................................................7
C. Social Status....................................................................................................................8
D. Economic Status...........................................................................................................10
Chapter 3.....................................................................................................................................12
LIVING ENVIRONMENT....................................................................................................12
A. Physical Environment...................................................................................................12
B. Biological Environment................................................................................................14
C. Psychosocial Environment............................................................................................14
Chapter 4.....................................................................................................................................15
HEALTH PROFILE..............................................................................................................15
A. Dietary/Nutrition...........................................................................................................15
B. Acute Medical Conditions.............................................................................................16
C. Chronic Medical Conditions.........................................................................................17
D. Reproductive Health.....................................................................................................18
E. Immunizations..............................................................................................................20
F. Health Services and Utilization.....................................................................................20
Availability and accessibility................................................................................................20
Chapter 5.....................................................................................................................................22
THE PROBLEM.....................................................................................................................22
A. Problem Identification...................................................................................................22
B. Determination of Priority..............................................................................................26
C. Problem Tree Analysis..................................................................................................28
D. Assessment of Causes...................................................................................................29
 E. Objective Tree...............................................................................................................30
Chapter 6.....................................................................................................................................31
HEALTH ACTION PLAN.....................................................................................................31
APPENDIX A..............................................................................................................................34
 LIST OF FIGURES

Figure 1. Vicinity Map of UCCP HARAN Center.........................................................................5

Figure 2. Population Pyramid of HARAN UCCP Center, Davao City...........................................6

Figure 3. Age Distribution of Respondents in HARAN UCCP Center...........................................7

Figure 4. Sex Distribution of Respondents in HARAN UCCP Center...........................................8

Figure 5. Marital Status of Respondents in HARAN UCCP Center...............................................9

Figure 6. Sex Distribution of Respondents in HARAN UCCP Center...........................................9

Figure 7. Family size of Respondents in HARAN UCCP Center................................................10

Figure 8. Religions of the Respondents in HARAN UCCP Center...............................................11

Figure 9. Ethnicity of the Respondents in HARAN UCCP Center...............................................12

Figure 10. Occupation of respondents in HARAN UCCP Center.................................................12

Figure 11. Number of Appliances owned by the respondents in HARAN UCCP Center.............13

Figure 12. Daily Food of the respondents in HARAN UCCP Center...........................................18

Figure 13. OB Score of 15 mothers in HARAN UCCP Center.....................................................20

Figure 14. Family Planning Method of Women in their reproductive age in HARAN UCCP

Center...........................................................................................................................................21

Figure 15. Immunization History of Children under 5 years of age in HARAN UCCP Center....22

Figure 16. Problem Tree Analysis................................................................................................27

Figure 17. Objective Tree.............................................................................................................29

 LIST OF TABLES

Table 1. Roof Materials of the Houses in HARAN UCCP Center................................................17

Table 2. Acute Medical Conditions in HARAN UCCP Center.....................................................20

Table 3. Chronic Medical Conditions in HARAN UCCP Center.................................................21

Table 4. Number of Mothers who had Post-natal care..................................................................22

Table 5. Problem Identification....................................................................................................25

Table 6. Determination of Priority................................................................................................26

Table 8. Health Action Plan Matrix..............................................................................................33

Table 7 a. Assessment of Causes 1...............................................................................................29

Table 7 b. Assessment of Causes 2...............................................................................................29

 Chapter 1

BACKGROUND AND SETTING OF THE COMMUNITY

A. Historical Background

HARAN was established in the 1980s and offered the houses for people outside Davao

especially families coming from far-flung areas. The Bishop who allowed these people to stay

made it possible for the families to live there free of charge. It was then called HARAN Mission

House. HARAN stands for Home, Altar, Renewal, Reflection; Action, Nurture.

In 1995, HARAN officially served as a sanctuary of peace and refuge. In the same year,

the indigenous Lumads, including Datu Tungig, were forced to leave their homes as a logging

company tried to take their land that they considered their ancestral domain. Some stayed behind

but most of them left and sought refuge at HARAN. Since then, it has become a sanctuary for

indigenous people all over the region that were forced to leave their land because of

militarization, land grabbing, and the plunder of environment. Currently, the sanctuary is home to

almost 500 Lumad evacuees.

B. Physical Description of the Area

The HARAN center is located in a compound of the United Church of Christ in the

Philippines (UCCP) near Brokenshire College in Barangay 8A, Madapo, Davao City that housed

the indigenous Lumad evacuees since 1994. The UCCP Davao City was once located near the

City Hall of Davao.

 Inside the HARAN compound is a health center, a small worship place, and the

bunkhouses with rooms for each family.

It is located near Faith Baptist Church (404 meter), HOLY GROUND FAMILY

FELLOWSHIP (413 m), Iglesia Ni Cristo Malvar Davao City (448 m), Iglesia Ni Cristo Lokal

Ng Davao City (456 m), Foursquare Gospel Church (551 meter).

Figure . Vicinity Map of UCCP HARAN Center

 Chapter 2

DEMOGRAPHIC PROFILE

A. Population Size and Composition

Population Size

HARAN UCCP Center comprises of 80 households with a total of 384

respondents. Our group has surveyed 40 households with 187 respondents.

Figure . Population Pyramid of HARAN UCCP Center, Davao City

Age

Figure 3 represents the age distribution of the respondents in HARAN UCCP

Center. Most belong to the 0 to 10 age group having a number of 75 out of 187

respondents. The age group having the least number of respondents belongs to age 71 to

80, with only 1 respondent.

Age Distribution of Respondents in HARAN UCCP Center

80
70
Number of Respondents

60
50
40
30
20
10
0
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80 No data
on age

Age Bracket

Figure . Age Distribution of Respondents in HARAN UCCP Center

Sex

Figure 4 represents the distribution of the respondents in terms of sex. 86 out of

161 respondents are female and represents 53% of the total population. 75 out of 161

respondents are male and represents 47% of the total population.

Sex Distribution of Respondents in HARAN UCCP Center

50% 50%

MALE FEMALE

Figure . Sex Distribution of Respondents in HARAN UCCP Center

Marital Status

Most of the respondents in HARAN UCCP Center are single and comprises 64%

of the total population. 32% of the respondents are married, 3% are widowed, and 2% are

common law partners.

 Maital Status of Respondents in HARAN UCCP Center
3%

33%

64%

Single Married Widow/Widower

Figure . Marital Status of Respondents in HARAN UCCP Center

Education

Out of 187 respondents, only 100 respondents were able to go to school or are still

in school. Most of them finished elementary or are currently in elementary.

Educational attainment of respondents HARAN UCCP Center

Educational attainnment

Senior High School

Jumior High School

Elementary

Preschool

None
0 10 20 30 40 50 60 70 80 90 100

Number of Respondents

Figure . Sex Distribution of Respondents in HARAN UCCP Center

Age Dependency Ratio

Age dependency ratio is the ratio of persons in the dependent ages under

the age of 15 and over 64 years old to those aged 15-64 years old which is considered

economically productive in the population. Out of 187 respondents of HARAN UCCP

Center, 108 respondents are aged 14 years old and below while 5 respondents are aged 65

years old and above. There are 74 respondents who are aged from 15 to 64 years old. The

total age dependency ratio of HARAN UCCP Center is 60.43%

B. Family Profile

Family Size

The most common family size in UCCP HARAN is 3 respondents per household.

The largest recorded family size is 10 respondents per household while the smallest was 2

respondents per household.

Family size of of respondents in HARAN UCCP Center

12
Number of respondents

10
8
6
4
2
0
2 3 4 5 6 7 8 10

Family size

Figure . Family size of Respondents in HARAN UCCP Center

C. Social Status

Religion
Figure 8 shows the different religions in HARAN UCCP Center. A total of 38 out

of 40 households were Panubaran, 3 households were Diwata, while 1 household was

Roman Catholic.

Religions of the Respondents in HARAN UCCP Center

Roman Catholic
Religion

Diwata

Panubaran

0 5 10 15 20 25 30 35 40
Number of Households

Figure . Religions of the Respondents in HARAN UCCP Center

Ethnicity

Figure 9 shows 39 out of 40 respondents in HARAN UCCP Center are Manobo.

Ethnicity of the Respondents in HARAN UCCP Center

Manobo
Ethnicity

Bisaya

0 5 10 15 20 25 30 35 40 45
Number of Households

Figure . Ethnicity of the Respondents in HARAN UCCP Center

Occupation

Occupation of respondents in HARAN UCCP Center

Construction worker
Abaca
Occupation

Sari sari store

Securty Guard
School worker
Farming

0 0.5 1 1.5 2 2.5 3 3.5

Number of Respondents

Figure 10 shows the different occupations in HARAN UCCP Center. Out of the 132

respondents, only 10 respondents have an occupation. 3 out of 10 respondents were

construction workers.

Figure . Occupation of respondents in HARAN UCCP Center

D. Economic Status

Possessions

Figure 11 shows the different appliances owned by the respondents in HARAN

UCCP Center. The most owned appliance in the community was a light bulb which was

owned by 5 out of 40 households.

Number of appliances owned by the respondents in HARAN UCCP Center

Light bulb

Radio cassette
Appliances

TV

Electric Fan

0 1 2 3 4 5 6
Number of Households

Figure . Number of Appliances owned by the respondents in HARAN UCCP Center

Income

Most households in HARAN UCCP Center have an income of less than 1,000

Pesos with 36 out of 40 households. With 1 household who has the highest income of

10,000 Pesos and up.

 Chapter 3

LIVING ENVIRONMENT

A. Physical Environment

Connectivity

WiFi is not available in the community. They can only connect to the internet

using cellular data.

House Ownership

All residents of HARAN UCCP Center are living for free. They do not own the

houses and they do not pay rent.

House Condition

Each bunkhouse consists of 7 rooms and each room accommodates 1 family.

Each bunkhouse has its own kitchen. They do not have their own bathroom or comfort

room. They only have 12 comfort rooms for the whole community and they take a bath

just outside their bunkhouse.

House Construction

All the houses in HARAN UCCP Center are made of Bamboo floor and walls.

Their roofs are not the same. Most of the roofs are made of leaves with 24 out of 40

households. The rest are made of wood. Their houses are not in Good condition.

Table . Roof Materials of the Houses in HARAN UCCP Center

Roof Material Number of Percentage (%)

households
Leaves 24 60
Wood 16 40

Kitchen

Every household does not have their own kitchen. Each bunkhouse has its own

kitchen. A bunkhouse can accommodate up to 7 households.

Water Supply

The water source of the whole community is a piped water system.

Waste Disposal

The garbage and trashes of the community is collected by CENRO. They use a

sack as their garbage bag and place it in a common dumpsite.

B. Biological Environment

Problems with Pests

The community has a problem with mosquitoes and flies.

C. Psychosocial Environment

Worship Places

They built a worship hall for their babaylan. They gather there every Sunday to

worship and get together. This is also being used as their meeting place.

Recreation

They make bracelets and bags which they can sell for 100 Pesos.

Stressful Situation

According to their leader, one stressful situation is when their community was set

on fire by alleged Police officers last 2015 and seven children acquire burn injuries.
 Chapter 4

HEALTH PROFILE

A. Dietary/Nutrition

Figure 12 shows the Daily Food of the respondents in HARAN UCCP Center.

Rice and vegetables are the most common meal of the respondents. There is low food

variability and the families tend to eat what is readily available in their community such

as the vegetables that they grow themselves and the rice donations. They do not have AM

and PM snacks.

Daily Food of the respondents in HARAN UCCP Center

Rice

Vegetables

Fish
Food

Chicken

None
0 5 10 15 20 25 30 35 40

Number of Respondents

Breakfast Lunch Dinner

Figure . Daily Food of the respondents in HARAN UCCP Center

B. Acute Medical Conditions

An acute medical condition is an illness that is sudden and rapidly progressive but

is of a short course and duration. Acute diseases must be treated as soon as possible to

avoid any complications. The most common acute medical condition in HARAN UCCP

Center is Fever. This is usually alleviated by antipyretics. If this persists, a doctor’s

consultation must be sought.

Table . Acute Medical Conditions in HARAN UCCP Center

Acute Medical Number of Percentage (%)

Condition Respondents
Fever 17 9.09
Cough 11 5.88
URTI 9 4.81
Measles 6 3.21
AGE/ Diarrhea 5 2.67
Pneumonia 3 1.60
Nephrolithiasis 2 1.07
Headache 2 1.07
Rash 2 1.07
Epigastric pain 1 0.53
Dysuria 1 0.53
Sore eyes 1 0.53
Abdominal pain 1 0.53

C. Chronic Medical Conditions

Compared to acute medical conditions, chronic medical conditions are those that

have an expanded duration of more than 6 weeks and lasting for months or years. These

diseases are persistent but are generally slowly progressive. They can be disabling and

cause financial burden to the family. The most common chronic medical condition in
HARAN UCCP Center is Pulmonary Tuberculosis (PTB) with 3 out of the 187

respondents.

Table . Chronic Medical Conditions in HARAN UCCP Center

Chronic Medical Number of Percentage (%)

Condition Respondents
(PTB) 3 1.61
Hypertension 2 1.07
Rheumatism 2 1.07

D. Reproductive Health
OB Profile

OB Score of 15 mothers in HARAN UCCP Center

39%

57%

4%
1%

Term Preterm Abortion Living

Figure 13 shows the OB score of 15 mothers, with a total of 165 pregnancies, in

HARAN UCCP Center. Out of the 165 pregnancies, 94 were Term and 65 are still living.

Figure . OB Score of 15 mothers in HARAN UCCP Center

OB History

Table 4 shows only one mother had post-natal care before giving birth in HARAN

UCCP Center.

Table . Number of Mothers who had Post-natal care

Post-Natal Care Number of Mothers

With 34
Without 35

Family Planning

Figure 14 shows the Family Planning Method of 35 women in HARAN UCCP

Center. Majority of the women, 23 out of 35, do not use Family Planning.
 Family Planning Method of Women in their reproductive age in Haran UCCP Center
BTL

Family Planning Method

Implant
DMPA
Herbal
OCP
None
0 5 10 15 20 25
Number of Respondents

Figure . Family Planning Method of Women in their reproductive age in HARAN UCCP
Center

E. Immunizations

Out of the 40 households, 26 has children under 5 years of age, with a total of 55

children. Only 1 child was able to complete her recommended immunization.

 Immunization History of Children under 5 years of age in Haran UCCP Center

IPV 1,2,3
Hepa B
Measles
OPV3
OPV2
Vaccine

OPV1
DPT3
DPT2
DPT1
BCG
0 5 10 15 20 25 30 35 40

Number of Respondents

Figure . Immunization History of Children under 5 years of age in HARAN UCCP

Center

F. Health Services and Utilization

Availability and accessibility

There is a clinic inside the community. However, according to the leader, only

two health care workers visit twice a week for the whole community. Thus, health

services are still not readily available and accessible.

Utilization of Health Services

The residents of HARAN UCCP Center choose to consult first their babaylan

before seeking professional help. They only visit he clinic or hospitals once their

babaylan can no longer help them with their condition.

 Chapter 5

THE PROBLEM

A. Problem Identification

Table . Problem Identification

23 of 35 women do not use Family Planning Method

2 healthcare workers for 187 residents visit twice a week
34 of 35 mothers do not receive post-natal care
Consultation with healthcare professional is just a second option
Lack of prenatal checkups
122 of 132 respondents are unemployed
29 out of 65 children died
87 out of 187 respondents were not able to go to school
7 families live in 1 bunkhouse
No bathrooms available and only 12 comfort rooms for the whole community
23 of 35 women do not use Family Planning Method

Family Planning is essential to avoid unplanned pregnancies and to have proper

birth spacing. It helps a woman regain her health after delivery. It also gives mothers

enough time and opportunity to take good care of her children. The people of HARAN do

not believe in using contraceptives for family planning because of their culture. They said

that children are gift of God and should not be stopped.

2 healthcare workers for 187 residents visit twice a week

Health professionals are important in improving access to quality healthcare for

the community. The HARAN community has their own clinic, however there are only 2

healthcare workers assigned in the whole community. During the COVID 19 pandemic,

the number of visits per week by the health workers was reduced.

34 of 35 mothers do not receive post-natal care

The postnatal period is the first six weeks after birth which is critical to the health

and survival of a mother and her newborn. The most vulnerable time for both is during

the hours and days after birth. Lack of care in this time period may result in death or

disability as well as missed opportunities to promote healthy behaviors, affecting women,

newborns, and children. The women in HARAN community do not practice post-natal

care. It’s not that they don’t have access to post-natal care but they opted not to visit the

barangay health center and just consulted their elders or parents.

Consultation with healthcare professional is just a second option

Within the community of HARAN, they have their own “babaylan” or shaman

that they consulted for minor ailments like headache and body malaise. When their
shaman cannot treat their ailment, that’s the only time they consult a healthcare

professional.

Lack of prenatal checkups

Pre-Pregnancy and prenatal care can help prevent complications and inform

women about important steps they can take to protect their infant and ensure a healthy

pregnancy. It reduces the risk of pregnancy complications and reduces the fetus' and

infant's risk for complications. Lack of prenatal care is associated with a 40% increase in

the risk of neonatal death overall and a doubling of the risk among women delivering at

or after 36 weeks' gestation. The women in HARAN Community do not inform their

health professionals of their pregnancies. They are only informed after the mother has

already given birth; thus, prenatal check-ups are not done.

122 of 132 respondents are unemployed

Most of the adults in HARAN community lack education. This is a hindrance for

them from securing a stable job. They depend fully on donations from private

organizations for their everyday living.

29 out of 65 children died

In 2015, the world developed the Sustainable Developmental Goals (SDGs). One

of the proposed SDG targets Child mortality. It aims to end preventable deaths of

newborn and children under 5 years of age to 12 deaths per 1,000 live births and 25

deaths per 1,000 live births respectively.

87 out of 187 respondents were not able to go to school

Every Filipino has the right to education. Good education can provide job stability

which in return give financial security. However, the people in HARAN community do
not have the access and resources to have good education. 87 of the adults were not able

to go to school.

7 families live in 1 bunkhouse

The Philippine housing industry believes that every Filipino family has the right

to live with dignity in the comfort of one’s own home regardless of economic status.

Chronic housing shortage is one of the most pressing issues in the Philippines’

construction sector. In a nationwide setting, many families shared a single room.

No bathrooms available and only 12 comfort rooms for the whole community

Slow progress on sanitation and the entrenched practice of open defecation among

millions around the world continue to put children and their communities at risk. Poor

sanitation is linked to transmission of diseases such as cholera, diarrhoea, dysentery,

hepatitis A, typhoid and polio and exacerbates stunting, as well as linked to reduced

human well-being, social and economic development due to impacts such as anxiety, risk

of sexual assault, and lost educational oppor-tunities.

B. Determination of Priority

Table . Determination of Priority

Problem Magnitude Vulnerability Existing Lack of Total

to change health Social
policies concern

23 of 35 10 10 10 10 40
women do not
use Family
Planning
Method

2 healthcare 10 8 10 8 33
workers for
187 residents
visit twice a
week

34 of 35 10 6 5 10 31
mothers do
not receive
post-natal
care

Consultation 10 6 5 10 31
with
healthcare
professional is
just a second
option

Lack of 10 6 5 10 31
prenatal
checkups

122 of 132 10 1 1 6 18
respondents
are
unemployed
29 out of 65 5 5 1 7 18
children died

87 out of 187 10 5 1 1 17
respondents
were not able
to go to school

7 families live 2 4 5 5 16
in 1
bunkhouse

No bathrooms 2 4 5 5 16
available and
only 12
comfort rooms
for the whole
community
C. Problem Tree Analysis
 Figure . Problem Tree Analysis

D. Assessment of Causes

Table 7 . Assessment of Causes 1

Health Sector Other Sectors

Lack of knowledge on family planning
Lack of health care workers
Lack of discussion/counselling on Family
Planning method conducted
Lack of access to family planning services
Insufficient family planning
logistics/commodities
Family planning is perceived as harmful to
them
Insufficient funds
Not a priority for funding in the community
Lack of education
Husband’s disapproval in participating in any
family planning counselling conducted in the
community
Family planning is taboo in their culture
No interest in any of the family planning
methods

Table 7 . Assessment of Causes 2

Immediate Concern Long Term Concern

Lack of knowledge on family planning
Lack of discussion/counselling on Family
Planning method conducted
Lack of health care workers
Lack of access to family planning services
Insufficient family planning
logistics/commodities
Family planning is perceived as harmful to
them
E. Objective Tree

Figure . Objective Tree

 Chapter 6

HEALTH ACTION PLAN

Title: “Gumamit ng proteksyon para sa kinabukasan ng susunod na henerasyon”

Problem
23 of 35 women do not use Family Planning Method

Rationale

Family Planning refers to a program which enables couples and individuals to

decide freely and responsibly the number and spacing of their children and to have the

information and means to carry out their decisions, and to have informed choice and

access to a broad range of medically safe, legal and effective family planning methods,

techniques and devices. Family planning can significantly reduce the risk of maternal,

newborn, infant, and child illness and death by preventing a high-risk pregnancy in

women with certain health conditions or characteristics, or by preventing an unplanned

pregnancy.

General Objective

All women in HARAN UCCP Center will have a Family Planning Method.
Specific Objectives

The proponents aim to address the following:

1. By the end of October 2020, the residents of HARAN UCCP Center will have

adequate knowledge on the importance and benefits of family planning

2. By the end of October 2020, the residents of HARAN UCCP Center will have

adequate counselling regarding various family planning method

 Table . Health Action Plan Matrix

Causes of Core Objectives Activities Target Time Materials Persons Indicators

Problems Frame Responsible
Lack of knowledge on By the end of Distribution Residents October Simplified Medical Attendance
family planning October 2020, of brochures of HARAN 3- brochure of clerks
the residents regarding UCCP October family Community Evaluation
of HARAN family Community 30, planning leader form
UCCP    will planning 2020 method
have adequate method Barangay
knowledge on health
the workers
importance
and benefits Residents of
of family HARAN
planning

Lack of By the end of Conduct Residents October Venue Medical Attendance

discussion/counselling October 2020, series of of HARAN 3 to Clerks
on Family Planning the residents lectures UCCP October Chairs, Evaluation
method conducted of HARAN Community 30, Tables Barangay form
UCCP will Offer free 20202 Officials
have adequate counselling Visual Aids
discussion/ for or Barangay
counselling everyone in Powerpoint health
regarding the Presentations workers
various family community Snacks,
planning Water
method
 APPENDIX A

Age Dependency Ratio Computation: