Economic Indicator Anthropometric

Household Control Family Marital Educational Employment Family Family Family Weight Height BMI
Number Number Member Age Gender Status Religion Attainment Type of Work Place of Work Place of Origin Income Position Income Expenditures (Kg) (m)
1 1 90 F W BAC EL 12,000 Grandmother
2 54 M M BAC CL CL Head 55,000 50,001 >
3 39 F M RC HSG CL Partner 47,000
4 20 M S RC HSL CL Adopted Child
5 19 F C BAC CL Daughter
6 16 F C BAC EG Daughter
7 12 F C BAC HSL Daughter
2 1 41 M M INC HSL E IM CL 12,000 Head 20,001-25, 20,001-25,000 10 0.74 17.3
2 36 F M INC HSG E IM CL 10,000 Partner
3 13 M S INC HSL M Son
4 2F C INC M Daughter
3 1 49 F M RC HSG Partner 10,001-15,000
2 49 M M RC HSG E OM MM 15,000 Head
3 19 F S RC CL Daughter
4 12 M S RC HSL Son
4 1 20 F M A HSG Partner
2 20 M M A HSL E IM CL 15,000 Head 10,000-15,000
3 2F C A M Daughter 13 3.6 11.35
5 1 60 F M RC HSL SE IC CL
2 58 M M RC EL SE IC CL 5,000-10,00 -5000
3 31 F C RC HSL SE IM CL
4 28 M C RC EL SE IC CL
5 18 M C RC EL SE IC CL
 Anthropometric Health Indicators
BMI Waist Hip Waist Hip Mortality Morbidity Admitted Not Admitted CD NCD
Category Circumference Circumference Ratio

Underweig 50 54 1.08

Underweigh 45 47 0.96
0 1
 Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 24 25 TOTAL
TYPE OF FAMILY
A. Compostion

Nuclear 0 1 1 1 1 4

Extended 1 0 0 0 0 1

Dyad 0 0 0 0 0 0

Single Parent 0 0 0 0 0 0

Homosexual/Same Sex 0 0 0 0 0 0

Cohabiting/Communal 1 0 0 0 0 1
B. Focus of Power

Patrifocal/Patriarchal 0 0 1 1 0 2

Matrifocal/Matriarchal 0 0 0 0 0 0

Egalitarian 1 1 0 0 0 2

Matricentric 0 0 0 0 0 0
C. Place of Residence

Patrilocal 0 0 0 0 0 0

Matrilocal 0 0 1 1 0 2

Bilocal 0 0 0 0 0 0

Neolocal 1 1 0 0 0 2

Avunvolocal 0 0 0 0 0 0
D. Descent

Patrilineal 0 0 0 0 0 0

Matrilineal 0 0 0 0 0 0

Bilateral 1 1 1 1 0 4
DIALECT

Hiligaynon (Ilonggo) 0 0 0 0 0 0

Ilocano 0 1 0 0 0 1

Kapampangan 0 0 0 0 0 0

Pangasinan 0 0 0 0 0 0

Tagalog 1 1 1 1 0 4

Waray 0 0 0 0 0 0

Others 0 0 0 0 0 0
Social Indicators

Religious Services 1 1 1 1 1 5

Health Services 0 1 1 1 1 4

Livelihood Services 0 0 1 0 1 1

Garbage collection 0 1 1 1 1 4

Peace and order 0 0 1 1 1 3

B. Institutional Facilities

Brgy. Hall 0 1 1 1 1 4

Health Station 0 1 1 1 1 4

Church 1 1 1 1 1 5

School 1 1 1 1 1 5
C. Organizations

Senior Citizen 0 1 1 1 1 4

Youth 0 1 1 1 1 4
D. Values/ Traditions/Customs

Bayanihan 0 1 1 0 1 3

Palabra De Honor 0 0 0 0 0 0

Pakikisama 1 0 1 0 0 2

Ningas Kugon 0 0 0 0 1 1
 Fiestas 1 1 1 1 1 5

Close Family Ties 1 0 1 0 1 2

Respect for Elderly 1 1 1 0 1 4

E. Recreational Facilities

Volleyball/Basketball Court 1 1 1 1 1 5

Playground 0 1 0 0 0 1

Plaza 0 0 0 0 0 0

Others 0 0 0 0 0 0
F. Mode of Transportation

Tricycle 1 1 1 1 1 5

Jeep 1 1 0 0 1 3

Bicycle 1 1 0 1 1 4

Private Vehicle 1 0 0 0 0 1
G. Mode of Transportation

Postal System 1 0 0 0 0 1

Internet 1 1 1 1 0 4

Telephone 0 0 0 0 0 0

Cell-phone 1 1 0 1 1 4

Two-way Radio 0 0 0 0 0 0

Others 0 0 0 0 0 0
 Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL
ECONOMIC INDICATOR

Financial Source of Family Expenditures

Employment 0 1 1 0 1 3
Business 1 0 0 1 0 2
Pension 0 0 0 0 0 0
Help from Relatives 0 0 0 0 0 0
Others 0 0 0 0 0 0
Priorities and Expenditures
Food 1 1 1 3 2
Clothing 6 5 6 4 6 8
Education 3 2 3 5 1 27
Utilities 5 6 2 1 5 14
Health 2 4 4 2 3 19
Recreation 7 7 7 7 7 35
Savings 4 3 5 6 4 23
Adequacy of Family Income
Adequate 0 0 1 1 0 2
Not Adequate 1 1 0 0 1 3
CULTURAL INDICATOR
A. Cultural Orientation Regarding Illness
Physiologic Factors 1 1 1 1 1 5
Supernatural Phenomenon 0 0 0 0 1 1
Punishment from God 0 0 0 0 0 0
Caused by Other Person 0 0 1 1 0 2
Change in Weather 0 0 0 1 1 2
B. Cultural Belief
GOD/ Other Spiritual Faith 0 1 1 0 1 3
Faith Healers 0 0 0 1 1 2
Supernatural Powers 0 1 0 0 1 2
Health Personnel 1 1 1 1 1 5
C. Cultural Practices
Always Practices 1 1 1 0 0 3
Sometimes Practices 0 0 1 1 1 3
Does not Practice 0 0 0 0 0 0
D. Community Involvement
Actively Join 1 0 1 0 1 3
Does not Actively Join 0 1 0 1 0 3
ENVIRONMENTAL INDICATOR
A. Home
1. Ownership
Owned 1 0 1 0 1 3
Rented 0 0 0 1 0 1
Rent-free 0 1 0 0 0 1
Least to Own 0 0 0 0 0 0
2. Construction Materials Used
Light 0 0 0 0 0 0
Mixed 0 1 0 0 1 2
Strong 1 0 1 1 0 3
3. Number(s) of room used for sleeping
1 0 0 0 1 0 1
2 0 1 1 0 1 3
3 1 0 0 0 0 1
4 0 0 0 0 0 0
5 0 0 0 0 0 0
4. Adequacy of Space
Adequate 1 1 1 1 1 5
Not Adequate 0 0 0 0 0 0
5. Lighting Facility
Electricity 1 1 1 1 1 5
Kerosene 1 0 0 0 0 1
Others 1 0 0 0 0 1
6. Adequacy of Lighting
Adeqaute 1 1 1 1 0 4
Not Adequate 0 0 0 0 1 1
G.7 Ventilation
Adequate 1 1 1 1 0 4
Not Adequate 0 0 0 0 1 1
8. General Sanitary Condition
Generally Clean 0 1 1 1 0 3
Dirty 1 0 0 0 1 2
B. Drinking Water Supply
1. Ownership
Private 0 0 0 0 0 0
Public 1 1 1 1 1 5
2. Source
Deep Well 0 0 0 0 0 0
Local Water District 1 1 1 1 1 5
Commercial 0 0 0 0 0 0
3. Potability
Yes 1 1 1 0 1 4
No 0 0 0 1 0 1
4. Storage
None 1 1 0 1 0 3
Large Covered Cointainer w/ Faucet 0 0 1 0 1 2
Large Unovered Cointainer w/ Faucet 0 0 0 0 0 0
Large Covered Cointainer w/o Faucet 0 0 0 0 0 0
Large Unovered Cointainer w/o Faucet 0 0 0 0 0 0
Others 0 0 0 0 0 0
5. Distance of Source of Water
C. Food Storage/Cooking Facilities
1. Foood Storage
Convered 1 1 1 1 0 4
Unconvered 0 0 0 0 1 1
2. Storage
Refrigerator 1 1 1 0 0 3
Cabinet 1 1 1 1 1 5
Basket 0 0 0 0 0 0
 Table 1 1 1 1 1 5
3. Cooking Facilty
Electric Stove 0 0 1 0 0 1
Gas Stove 1 1 0 1 1 4
Firewood/Charcoal 0 0 0 0 0 0
4. Sanitary Condition
Generally Clean 0 1 1 1 0 3
Dirty 1 0 0 0 1 2
D. Waste Disposal
A. Refuse and Garbage
1. Storage
Container 1 1 1 0 1 4
None 0 0 0 1 0 1
2. Waste Segregation
Practiced 1 0 1 0 0 2
Not Practiced 0 1 0 1 1 3
2.1 If Practiced, Method of Disposal
Hog-feeding 0 0 0 0 0 0
Open Dumping 0 0 0 0 0 0
Burial in Pit 0 0 0 0 0 0
Collected 0 0 1 1 1 3
Composting 0 0 0 0 0 0
Open Burning 1 0 0 0 0 1
2.2 Reason for Practing
Environmentally Friendly 0 0 1 0 0 1
Use for Business 0 0 0 0 0 0
Barangay Ordinance w/c is Stricly Monitored 1 0 0 1 1 3
Others 0 0 0 0 0 0
2.3 If Not Practiced, Methods of Disposal
Hog-feeding 0 0 0 0 0 0
Collected 0 1 0 0 1 2
Open Dumping 0 0 0 0 0 0
Burial in Pit 0 0 0 0 0 0
Composting 0 0 0 0 0 0
Open Burning 1 0 0 0 0 1
2.4 Reasons For Not Practicing
Not Aware of Effects 0 0 0 0 0 0
Long-time Practice of Family 0 0 0 0 1 1
No Time to do it 1 1 0 1 0 3
No Barangay/Municipality Ordinance 0 0 0 0 0 0
B. Toilet Facilities
1. Ownership
Owned 1 1 1 1 1 5
Shared/Public 0 0 0 0 0 0
None 0 0 0 0 0 0
2.Type
Ballot System 0 0 0 0 0 0
Open-pit privy 0 0 0 0 0 0
Closed Pit Privy 0 0 0 0 0 0
Overhung Latrine 0 0 0 0 0 0
Antipolo Type 0 0 0 0 0 0
Water-sealed 1 1 0 0 0 2
Bored-hole Latrine 0 0 0 0 0 0
Flush Type 0 0 1 1 0 2
Pail system 0 0 0 0 1 1
3. Location From Source of Water
Less than 20ft 0 0 1 1 1 3
More than 20ft 1 1 0 0 0 2
4. Sanitary Condition
Generally Clean 1 1 1 1 1 5
Dirty 0 0 0 0 0 0
C. Drainage System
Open Drainage 0 1 1 1 1 4
Blind Drainage 1 0 0 0 0 1
None 0 0 0 0 0 0
1. Condition
Flowing 0 1 1 1 1 4
Stagnant 1 0 0 0 0 1
 Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL
A.Animals that are Rabbies Carriers
Yes 1 1 1 0 0 3
No 0 0 0 1 1 2
B. Practices Done to Control Insects/Vectors of Disease
Fumigation 1 0 0 0 0 1
Insecticides 1 0 1 1 1 4
Setting Traps 1 0 0 0 0 1
Cleaning the Yard 1 1 1 0 0 3
None 0 0 0 0 0 0
C. Presence of Breeding Sites
Yes 1 1 0 0 1 3
No 0 0 1 1 0 2
D. Housing Congestion
Yes 0 0 0 0 0 0
No 1 1 1 1 1 5
E. Presence of Industrial Establishment/ Factories
Yes 0 0 0 0 0 0
No 1 1 1 1 1 5
HEALTH AND ILNESS PATTERN
1. Lifestly Practice
A. Use of Safety Precaution
A.1 Use Safety Devices when necessary
Practice 1 1 1 0 0 3
Not Practiced 0 0 0 1 1 2
B. Cigarette Smoker
Yes 1 0 1 1 1 4
No 0 1 0 0 0 1
C. Use of Prohibited
Drugs
Yes 0 0 0 0 0 0
No 0 1 0 0 1 2
D. Drinks Alcoholic
Beverages
Yes 1 1 0 1 0 3
No 0 0 0 0 1 1
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL

NUTRITIONAL STATUS
A. Food Usually/Most Taken
 Meat Only 0 0 0 0 0 0
Fish Only 0 0 0 0 0 0
Vegetable Only 0 0 0 0 1 1
Mixed 1 1 1 1 0 4
Others 0 0 0 0 0 0
B. Number of Servings
1 0 0 0 0 0 0
2--3 1 1 1 1 1 5
4-5 and Above 0 0 0 0 0 0
C. Second Choice
Meat Only 0 1 0 0 0 1
Fish Only 1 0 0 0 0 0
Vegetable Only 0 0 0 0 0 0
Mixed 0 0 1 0 0 1
Others 0 0 0 1 1 2
D. Number of Servings
1 0 0 0 0 0 0
2--3 1 1 1 1 1 5
4-5 and Above 0 0 0 0 0 0
- Reason for choices
It's healthy 0 0 1 0 1 2
Own preference 1 0 0 1 0 2
Affordable 0 1 0 0 0 1
Personal belief 0 0 0 0 0 0
Health condition 0 0 0 0 0 0
- Reason for not choosing
It's healthy 0 0 0 0 0 0
Own preference 1 0 0 1 0 2
Not affordable 0 0 0 0 1 1
Personal belief 0 0 0 0 0 0
Health condition 0 0 0 0 0 0
- How frequent is the intake
Everyday 1 1 0 1 1 4
Twice a week 0 0 0 0 0 0
Once a week 0 0 0 0 0 0
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL

Prepared at home 1 1 1 1 1 5
Bought outside 0 0 0 0 0 0
- How often
 Everyday 1 1 1 0 1 4
Twice a week 0 0 0 1 0 1
Once a week 0 0 0 0 0 0
- If bought outside, where?
Restaurant/Fast
food 1 0 0 1 0 2
Carinderia 0 1 0 0 1 2
Food cart 0 0 0 0 0 0
- Reason for option
Convenience 1 0 0 1 0 2
Cheaper 0 1 0 0 1 2
Healthy 0 0 1 0 0 1
Variety of questions 0 0 0 0 0 0
- Takes/ eat canned/ preserved food
Everyday 0 0 0 0 0 0
Every other day 1 1 0 0 0 2
Every week 0 0 0 0 0 0
Sometimes 0 0 1 1 1 3
Never 0 0 0 0 0 0
- Takes/eat grilled foods
Everyday 0 0 0 0 0 0
Every other day 0 0 0 0 0 0
Every week 0 0 0 0 0 0
Sometimes 1 1 1 1 1 5
Never 0 0 0 0 0 0
- Drinks carbonated beverages
Everyday 0 0 0 0 0 0
Every other day 1 0 0 0 0 1
Every week 0 0 1 0 0 1
Occasionally 0 0 0 0 0 0
Sometimes 0 1 0 1 1 3
Never 0 0 0 0 0 0
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL

+ Beliefs and Practices

- Personnel mostly consulted in times of illness
Doctor 1 0 1 1 1 3
Nurse 0 0 1 0 0 1
Midwife 0 0 0 0 0 0
 Hilot 0 1 0 0 1 2
Albularyo 0 0 0 0 0 0
Faith Healer 0 0 0 0 0 0
Elderly 0 0 0 0 0 0
- Measures taken in times of sickness/ llness
Consult a private
health worker 0 0 1 1 0 2
Consult a Rural
Health Team 0 0 1 0 0 1
See a known
community healer 0 0 0 0 0 0
Self-Medication 1 1 0 1 1 4
- Medication
Prescribedtaken
by in times of sickness/ illness
doctor 1 0 1 0 0 2
Self-Medication/
Over the counter
drugs 0 1 0 1 1 3
Herbals 0 0 1 0 0 1
+ Community Health Programs
- Health Services available in center
- Immunzation Record
Complete according
to Age 0 1 0 1 0 2
Incomplete
according to age 0 0 0 0 0 0
Fully Immunized
Child 0 0 0 0 0 0
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL
- Antenatal Registration
Check Up
Regular 0 0 0 1 0 1
Not Regular 0 0 0 0 0 0
Without 0 0 0 0 0 0
Tetanus Vaccination
With 0 0 0 1 0 1
Without 0 0 0 0 0 0
- Family Planning
Acceptor 0 1 0 0 1 2
Non-Acceptor 0 0 0 1 0 1
Reason
 Good/ Bad for
health of family 0 0 0 0 0 0
Religious belief 0 0 0 0 0 0
Personal belief 0 1 0 1 1 3

Influenced by others 0 0 0 0 0 0
Methods Used:
Natural 0 0 0 0 0 0
Artificial 0 0 0 0 0 0
Permanent 0 0 0 0 0 0
p
Aware 0 0 0 0 0 0
Unaware 0 0 0 0 0 0