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Sequence of Contents

I: Introduction
II: Acknowledgement
III: Rationale
IV: Statement of Objectives
V: Methodology and tools used
VI: Limitation of the Study
VII: SETTING OF THE STUDY
❖ Description
❖ Spot Map
VIII: POPULATION
❖ Total population of the Barangay
❖ Total population of the family surveyed
❖ Sex ratio
❖ Age and Sex distribution
❖ Civil Status
IX: Economic indices
❖ Dependency Ratio
❖ Occupational Status
❖ Types of Occupation
❖ Average Income
❖ Monthly Family Expenditure
X: SOCIO-CULTURAL INDICES
❖ Literacy rate
❖ Educational Attainment
❖ Religion
❖ Ethnic/Place of Origin
❖ Population movement/ length of residency
❖ Language dialect mainly spoken in the Household
❖ Housing
• Land Ownership
• House Ownership
• Types of house materials

2
• Ventilation

XI: ENVIRONMENTAL INDICES


❖ Lighting facilities
❖ Excreta disposal
❖ Sanitary condition of toilet facility
❖ Garbage disposal
❖ Source of drinking water
❖ Storage of drinking water
❖ Methods of sanitizing drinking water
❖ Presence of vectors and rodents
❖ Ways of controlling vectors and rodents
XII: HEALTH INDICES
❖ Food storage practices
❖ First person consulted in times of illness
❖ Medications taken during illness
❖ Method of family planning
❖ Infant feeding program
❖ Formula used
❖ Immunization status
❖ Morbidity
❖ Mortality
XIII: SUMMARY AND CONCLUSION
XIV: PROBLEMS IDENTIFIED
XV: SUGGESTIONS/ RECOMMENDATIONS
XVI: ACTION PLAN
XVII: JOURNAL
XVIII: APPENDIX
❖ List of families surveyed
❖ Actual survey form
❖ Photos
❖ Family NCPs

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INTRODUCTION

In midwifery profession, they are not only trained with clinical


but in the community also. As part of the midwifery studies, the most
important is to know how to solve the identify health issues of women
from pregnancy up to giving birth, to give the proper advised to prevent
health problem of one sick person and to be able to cope up in the
community setting.

Some midwives are assigned in the area especially in a GIDA


where the place is isolated or away from the main or in a hospital and
Rural Health Unit. A community midwife is a multi-task position. They
were the mini-Doctor of Barangay, but of course with limitation of work.
In community, they have learned lot of things, from a little building a
harmonious relationship with the community people, because in
community everybody has its own individual differences.

This book is all about community diagnosis. You can find out
the brief description and history of the chosen Barangay, the
information of the identified 20 households, the economic indices which
related to the way of living, the occupation of the people in the
community, the means of communication and transportation, the
capacity of the family to buy needs and expenditures thru the
computation of the average family income, the environmental
sanitation which related to the types of toilet used, the sanitary
condition of the toilet facility, the methods of garbage disposal, the
source of drinking water, the way of sanitizing drinking water and prefer
storage of food and sanitize drinking water. The journal of the whole
duration of community diagnosis is also included. And the most
important to find out what are the health problems, the plan of action
and how to implement the action given

4
ACKNOWLEDGEMENT

All throughout the days, weeks and months, as we are complying


this community diagnosis seemed so hard on how we could manage
our time between a Rural Health Midwife and a student. We are grateful
that Bgy. San Juan, Dumaran, Palawan headed by Barangay Captain
Hon. Merlinda Mondragon and the Local Municipality of Dumaran
headed by Mayor Hon. Arnel Caabay, allowed us to conduct
community diagnosis in the area. On the other hand, we are also
thankful to our Municipal Health officers both Municipality of Dumaran-
Araceli by supporting our profession and allowed us to continue studies
even we have to render services in amidst of pandemic Covid-19. And
also, with the community people who participated and gave the
appropriate data that we had collated and never attempt to lie for the
question that was asked.

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RATIONALE

The information we had collected was not only for our goodness
but for the community. It interprets every factor in the community. Even
at least 20 household were surveyed but it could be the baseline in
interpreting the economic, socio-cultural, environmental indices and
the problems that needs to have solution for the improvement of the
community. We were conducting community diagnosis for us to help
the community by making an action plan on how to resolve the
problems observed.

6
STATEMENT OF OBJECTIVES

This whole duration of collecting data for community diagnosis


intend to find the general objectives which to identify problems in
community that need an appropriate action. Second is the specific
objectives which is the realization of community people regarding their
participation in all activities held in Barangay. Lastly is to build a
harmonious relationship between Barangay Officials, and other
responsible person in Barangay with the community people in every
health-related activities, health-related issues that need solution,
parties and other important indoor and outdoor activities in Barangay.

7
METHODOLOGY AND TOOLS USED

In collecting and collating data, there should be techniques to be


use. Establishing rapport with barangay officials is the main thing to
achieve. Their approval in all Barangay activities were necessary.
Next, we have to conduct house to house visit to gather information
needed for the community diagnosis. The interview sheets, ballpen,
pen, manila paper, pliers are tools needed for health education and
conducting interview.

8
LIMITATION OF THE STUDY

As we are studying under pandemic Covid-19 is so challenging


nor hazardous. We should have to walk without knowing if someone
we had to talk is a carrier of this invisible virus. We had to limit our
actions, need to flex schedule every day, if how many households we
had to visit, when and where to conduct health education to observe
social distancing and minimize the number of participants. As a Rural
Health Midwife we had to make an itinerary of activities every day. The
consultation, prenatal, health education, family planning, handling
normal deliveries and even encountering emergency cases. Indeed,
we should have to manage our time to handle all activities every day.

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10
DESCRIPTION

The municipality of Dumaran is divided into mainland and island


barangays. SAN JUAN is a coastal area which is located at Dumaran
island,a boundary of barangay Bacao, Dumaran next barangay after
San Juan. It has a population of 750 with 5 purok (including 2 sitios)
and a total land area of 1,380,772 sqkm.The climate change based on
the seasons. San Juan was surrounded by trees and mountains, so
unfortunately, there is no internet connection unless they have a
capacity to buy wifi or cignal booster for them to access network
connection. By means of communication they prefer to use cellphone
and radio. Then, a boat and motorcycle for the transportation.

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A. SPOT MAP
N

W
E

12
POPULATION

❖ TOTAL POPULATION OF THE BARANGAY

• 750 population

❖ TOTAL POPULATION OF THE FAMILY SURVEYED

• 20 families

❖ SEX RATIO

No. of males /no. of females x 100


66/46x100=1.43

Out of the data collected, there is only 1.43% of the sex ratio in
20 households surveyed.

13
Table 1: POPULATION DISTRIBUTION BY AGE & SEX
BARANGAY SANJUAN, DUMARAN, PALAWAN

MALE FEMALE TOTAL


AGE
QTY. % QTY. % QTY. %

65 and above 1 1.51 1 2.17 2 1.8

50-64 7 10.6 6 13.05 13 11.6

15-49 33 50 21 45.66 54 48.2

7-14 16 24.4 14 30.44 30 26.78

5-6 3 4.5 1 2.17 4 3.6

1-4 6 9.09 2 4.34 8 7.13

0-11 months O 0 1 2.17 1 0.8

TOTAL 66 100 46 100 112 100

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Fig.1 Population Distribution by Age and Sex

65 and
up

50-64

15-49

7-14

5-6

1-4

0-11
months

40 30 20 10 0 0 10 20 30 40

Male Female

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ANALYSIS

The table shows that out of 20 households surveyed has


population of 112 comprising of 66 males and 46 females which
obviously seen that there are more males than females. It also shows
that the reproductive age (15-49 years old) has the largest count of
population in the Barangay. It implies that possible increase of
population in the Barangay by the next years since the higher number
of population is the Reproductive Age group (15-49 yrs.). Teenage
pregnancy will possible to happen since the numbers of children in
population are greater than adult.

RECOMMENDATION
To the Health Workers:
Encourage family members specially those teenager since it was
the higher age group based on age distribution shown above to
sharpen their mind and for their awareness on how to have a good and
healthy family, how to properly engaged in sexually activity with the use
of proper method and to educate teenagers to focus in other lifestyle
activity.

To the Barangay Officials:


To support health programs and projects within the barangay.
To provide enough budgets for BHS and RHU to buy equipment and
other needs of health facilities. Continue to coordinate with LGU
regarding programs, projects and other health related activities that
could help young ones to be keep their life busy and could away from
troops and parties that would lead to early pregnancy

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TABLE 2: CIVIL STATUS

STATUS QUANTITY PERCENTAGE

SINGLE 71 63.39

MARRIED 38 33.93

LIVE-IN 1 0.89

WIDOWED 2 1.79

TOTAL 112 100

17
Figure 2: Civil status

80

70

60

50

40

30

20

10

0
SINGLE MARRIED LIVE-IN WIDOWED

According to the surveyed, there are more singles than married.


The possibility of marrying or having new couples is higher. It will be a
great indicator of increasing population of Barangay in the following
years. It implies that strictly educating those single-group of
population especially young ones who are in reproductive age group
about their great impart of increasing population by next years when
they get married is highly recommended for the health-field workers,
so, family planning is required on focused and well-availability in the
BHS/RHU.

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19
DEPENDENCY RATIO

Formula:
No. of pop.0-14y/o + 65 y/o and above
No. of pop. 15y/o to 64 y/o x 100

45/67x100 = 0.67x100= 67%

There is 67% dependency ratio based on the data collated.

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Table 3: OCCUPATIONAL STATUS
BARANGAY SANJUAN, DUMARAN, PALAWAN

OCCUPATION STATUS QUANTITY PERCENTAGE

LIFETIME 34 30.35
(FARMER,FISHERMAN,
HOUSEWIFE)

CONTRACTUAL 7 6.26

NONE/STUDENT 71 63.39

TOTAL 112 100

21
Figure 3 Occupational Status

80

70

60

50

40

30

20

10

0
LIFETIME CONTRACTUAL NONE

Out of 112 population, there are 71 individuals who are not working
since they are student or under age for work but it could be based
that families are suffering from poverty. It could be the best indicator
for the Barangay officials to coordinate with the LGU for having an
association that could help households gain money or provides job for
the working age-group within the barangay or in the local for them to
earn additional income to be used in buying basic and personal
needs.

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TABLE 4: TYPES OF OCCUPATION
BGY. SANJUAN, DUMARAN, PALAWAN

TYPES QUANTITY

FARMING 5

FISHING 9

LABORER 6

BRGY. OFFICIALS 1

HOUSEWIFE 19

NONE 19

23
Fig.4 TYPES OF OCCUPATION

FARMING FISHING LABORER BRGY. OFFICIAL HOUSEWIFE NONE

It is closely related on the occupational status which is Jobless


are higher than those with. It implies that population is suffering from
poverty which could affect the well- being of family member. But on the
other hand, housewife got high rate also in occupation but being a
housewife there is no pay of money, that’s why it could really affect the
way of living, the insufficiency of basic needs of the family and maybe
the health of family member would be affected to. Even family with
schooled children will turned into unschooled one, because of
insufficient fund for sending child at school.

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Table 5: AVERAGE MONTHLY FAMILY INCOME
BARANGAY SANJUAN, DUMARAN, PALAWAN

AVERAGE MONTHLY FAMILY QUANTITY PERCENTAGE


INCOME

5,001 – 10,000 1 5

1,001 – 5,000 19 95

1,000 and below 0 0

TOTAL 20 100

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Fig. 5 Average Monthly Family Income

It shows that average monthly income is not sufficient to sustain


the basic needs of the family. They maybe adjust their selves just like
for the girls, by creating and providing additional family income thru
livelihood projects like gardening, making flower base and other
creative designs or house décor for them to sale and gain additional
income. And for the boys learn to do household activities, heavy
activities just like to be construction worker because it in demands
within the community and other near Barangays of the Municipality.

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Table 6: MONTHLY FAMILY EXPENDITURES
BARANGAY SANJUAN, DUMARAN, PALAWAN

FAMILY EXPENDITURES QUANTITY

FOOD 20

CLOTHING 20

MEDICAL 20

OTHERS(TRANSPORTATION/TRAVEL) 5

27
Fig. 6 Family Expenditures

25

20

15

10

0
clothing food medical others

It was clearly seen that family members are prioritizing the basic
needs which is the FOOD, MEDICAL and the CLOTHING, which is
good because under the difficulties they knew where to spend money
and how to use it properly. It was followed by the expenses for
transportation and travel with only 5 households who are prioritizing it.

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29
LITERACY RATE

Formula:

Total no. of population 8 y.o and above(who can read and write
Total no. of population 8 y.o and above

85/98x100= 86.7%

86.7% literacy rate based on the data collated, which is good


because most of community people knows how to read and write
properly.

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Table 7: EDUCATIONAL STATUS (5 years and above)
BARANGAY SANJUAN, DUMARAN, PALAWAN

EDUCATIONAL ATTAINMENT QUANTITY PERCENTAGE


1
College Graduate 0.97
8
College Level 7.77
15 14.56
High School Graduate
45 43.69
High School Level
4 3.88
Elementary Graduate
22 21.36
Elementary Level
8 7.77
Unschooled
103 100
TOTAL

31
Fig. 7 Educational Attainment

50

45

40

35

30

25

20

15

10

0
Unschooled Elementary Elementary High School High School College Level College
level Graduate Level Graduate Graduate

It is good that most of the families are sending their children at


school. Based on table and chart, it shows that only 8 out of 112
individuals are unschooled and most of them are literate and
educated. It could be used for finding job easily.

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TABLE 8 RELIGION
BARANGAY SANJUAN, DUMARAN, PALAWAN

NAME OF
QUANTITY PERCENTAGE
RELIGION

CHRISTIAN 2 10

ROMAN
18 90
CATHOLIC

TOTAL 20 100%

Fig. 8 Religion

18

CHRISTIAN ROMAN CATHOLIC

There are more Catholic member than Christian. Catholic is one


of the Religion which not so believing in beliefs that could affect in
one’s life. Allowing member to participate in any association, parties
and activities that may could help for their daily living, may could gain
an extra income for the family.

33
TABLE 9: ETHNIC/ PLACE OF ORIGIN
BARANGAY SAN JUAN, DUMARAN, PALAWAN

PLACE OF ORIGIN QUANTITY PERCENTAGE

CUYO 10 50%

DUMARAN 10 50%

TOTAL 20 100%

FIG.9 ETHNIC/PLACE OF ORIGIN

CUYO
DUMARAN

There are 10 families came from Cuyo, Palawan and 10 families


are already a citizen of Brgy. San Juan, Dumaran.

TABLE 10: POPULATION MOVEMENT/ LENGTH OF RESIDENCY


34
BARANGAY SANJUAN, DUMARAN, PALAWAN

LENGTH OF RESIDENCY QUANTITY

20 years up 10

10-20 years 7

10 years below 3

Fig. 10 Length of Residency

12

10

0
20 years up 10-20 years 10 years below

They had different length of residency. 10 families are 20


years up or since of birth, the rest 10 families are migrated so
they only lived in San Juan for 10 and 10 years below only.

TABLE 11: DIALECT/ LANGUAGES

35
BARANGAY SANJUAN, DUMARAN, PALAWAN

KINDS OF DIALECT QUANTITY PERCENTAGE

CUYONON 20 100%

TOTAL 20 100%

Fig. 11 Dialect/ Languages

20

CUYONON

All speaks Cuyonon, which is great in terms of


communication. The interaction of the family is easily especially
in decision making, they could share their opinion on one another
and can response in difficult situation because of one main
dialects in the house.

36
HOUSING

TABLE 12: LAND OWNERSHIP


BARANGAY SANJUAN, DUMARAN, PALAWAN

STATUS QUANTITY PERCENTAGE

OWNER 20 100%

SHARED 0 0%

RENTED 0 0%

TOTAL 20 100%

37
Fig. 12: Land Ownership

20

OWNER SHARED RENTED

All of the households in Barangay San Juan owned their


land where they were dwelled, because based on the table and
pie, out of 20 households surveyed, all were the land owner.

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TABLE 13 HOUSE OWNERSHIP
BARANGAY SANJUAN, DUMARAN, PALAWAN

STATUS QUANTITY PERCENTAGE

OWNER 20 100%

SHARED 0 0%

RENTED 0 0%

TOTAL 0 100%

39
Fig. 13 House Ownership

OWNER SHARED RENTED

Out of 20 families surveyed, they owned the house. Shared


and rented are not given for them.

40
TABLE 14 TYPES OF HOUSE MATERIALS
BARANGAY SANJUAN, DUMARAN, PALAWAN

TYPES QUANTITY PERCENTAGE

CONCRETE 1 5

MIXED MATERIALS 4 20

LIGHT MATERIALS 15 75

TOTAL 20 100%

41
Fig. 14 House Materials

CONCRETE MIXED LIGHT

Based on the table and pie, there are only 1 household with
concreted materials used, and most are light materials (15
households). Barangay San Juan is near coastal area that is why the
typhoon hazard or any damage caused by disaster has a greater
possibility due to the kind of material used in building their house.

42
VENTILATION

SCALE FREQUENCY PERCENTAGE

WELL-VENTILATED 18 90

FAIR 1 5

BELOW POORLY
1 5
VENTILATED

TOTAL 20 100%

Most households are well-ventilated, while there is 1 that fair and 1


for below poorly ventilated.

43
44
Table 16: LIGHTING FACILITIES
BARANGAY SAN JUAN, DUMARAN, PALAWAN

TYPES QUANTITY TOTAL

SOLAR 0 0%

PALECO 20 100%

TOTAL 20 100%

45
Fig. 16 Lighting Facilities

25

20

15

10

0
PALECO SOLAR

As you can see, there is no problem in lighting condition. All of


households were connected to the PALECO as source of their lighting
facility.

46
TABLE 17: EXCRETA DISPOSAL
BARANGAY SAN JUAN, DUMARAN, PALAWAN

STATUS QUANTITY PERCENTAGE

OWNED 20 100%

SHARED 0 0%

WITHOUT 0 0%

TOTAL 20 100%

47
Fig. 17 Excreta Disposal

OWNED SHARED WITHOUT

Toilet facility is one of the most important area in the house. As


you can see, there are 20 families who owned their toilet facility and
had a proper status of excreta disposal.

48
TABLE 18: SANITARY CONDITION OF TOILET FACILITY

BARANGAY SAN JUAN, DUMARAN, PALAWAN

TYPES QUANTITY PERCENTAGE

WATER SEALED 20 100%

FLUSH 0 0%

PT PRIVY 0 0%

TOTAL 20 100%

49
Fig. 18 Sanitary Condition of Toilet Facility

25

20

15

10

0
WATER SEALED FLUSH PIT PRIVY

On the table and chart, 100% of 20 households are in water


sealed toilet. It is good because the sanitary condition are observed
and one factor that away from vectors and rodents.

50
Table 19: GARBAGE DISPOSAL
BARANGAYSAN JUAN, DUMARAN, PALAWAN

KINDS QUANTITY

COMPOST PIT 18

BURNING 1

GARBAGE COLLECTION 9

51
Fig. 19 Garbage Disposal

BURNING COMPOST PIT GARBAGE COLLECTON

Good to interpret that families are practicing garbage collection


and compost pit as the method of garbage disposal. By collecting
garbage, they can sell bottle, cans, plastic bottles and could earn
additional income. In the way of compost pit they could use as fertilizer
once the garbage are manures and ready to fertilize.

52
Table 20: SOURCE OF DRINKING WATER
BARANGAY SAN JUAN, DUMARAN, PALAWAN

SOURCE QUANTITY PERCENTAGE

BALON 20 100%

POSO 0 0%

TOTAL 20 100%

53
Fig. 20 Source of Drinking Water

BALON POSO

All are getting their drinking water in a Balon or deep well. The
risky to drink polluted water and the risky of having a water-borne
disease or having a diarrhea is expected to happen.

54
Table 21: STORAGE OF DRINKING WATER
BARANGAY SAN JUAN, DUMARAN, PALAWAN

KINDS OF
QUANTITY PERCENTAGE
STORAGE

JUG 10 50%

CONTAINER 10 50%

TOTAL 20 100%

55
Fig. 21 Storage of Drinking Water

JUG ONTAINER

It is good choice for them to store their drinking water in a clean


and covered jug and container. As table and pie above shows that
there are 50% uses jug and 50% uses container as water storage.

56
Table 22: METHODS OF SANITIZING DRINKING WATER
BARANGAY SAN JUAN, DUMARAN, PALAWAN

METHODS QUANTITY PERCENTAGE

BOILING 10 50%

NONE 10 50%

TOTAL 20 100%

57
Fig. 22 Method of Sanitizing Drinking Water

BOILING NONE

There are 50% of families who tried to sanitized there


drinking water like Boiling, but the 50% are not using any method
of sanitizing water before drinking it.

58
Table 23 PRESENCE OF VECTORS AND RODENTS
BARANGAY SAN JUAN, DUMARAN, PALAWAN

VECTORS AND RODENTS

RATS

COCKROACHES

FLIES

MOSQUITO

FIG. 23 PRESENCE OF VECTORS AND RODENTS

3.5

2.5

1.5

0.5

0
0 0.5 1 1.5 2 2.5 3 3.5

There are so many rodents and vectors scattering in every


households so there is no specific counts if how many vectors and
rodents presents.
59
Table 24: WAYS OF CONTROLLING VECTORS AND RODENTS
BARANGAY SAN JUAN, DUMARAN, PALAWAN

WAYS

POISONING

FIG. 24 WAYS OF CONTROLLING VECTORS AND RODENTS

Poisoning is the best way for them to kill and control vectors and
rodents at home.

60
TABLE 25: FOOD STORAGE PRACTICES

61
BARANGAY SAN JUAN, DUMARAN, PALAWAN

STORAGE QUANTITY

REFRIGERATOR 2

COVERED PLATES 5

TUPPERWARE 13

FIG. 25 FOOD STORAGE

62
REFRIGERATOR
COVERED PLATES
TUPPERWARE

It shows that most of the community people prefer to store their


foods in a Tupperware while some are prefer to covered plates and put
in a refrigerator. Possibility of contaminated of foods by insects in a
covered plates because they can easily remove it.

TABLE 26: FIRST PERSON CONSULTED IN TIMES OF ILLNESS

63
BARANGAY SAN JUAN, DUMARAN, PALAWAN

FIRST PERSON QUANTITY


CONSULTED

MIDWIFE 18

ALBULARYO 2

TOTAL 20

FIG. 26 FIRST PERSON CONSULTED

64
MIDWIFE

ALBULARYO

It is good practices in the community to seek first medical


attention in a health professional than in Albularyo. The primary
prevention would be done accurate and prevent from worsening of
illness.

TABLE 27: MEDICATION TAKEN DURING ILLNESS

BARANGAY SAN JUAN, DUMARAN PALAWAN

65
MEDICATION STATUS
(CHECK IF APPLIED)

ANALGESIC AND
ANTIPYRETIC DRUGS

HERBAL MEDICINE

ORESOL/ HOMEMADE
ORESOL FOR DIARRHEA

FIG. 27 MEDICATION TAKEN DURING ILLNESSES

66
ANTIPYRETIC

ORS

HERBAL

The community took only Paracetamol for pain relieve with use
of herbal medicine. Some other times when encountered diarrhea, they
used Oresol or home-made oresol to prevent dehydration.

TABLE 28: METHOD OF FAMILY PLANNING

67
BARANGAY SAN JUAN, DUMARAN, PALAWAN

METHODS USERS

DMPA(INJECTABLES) 4

PILLS 7

IMPLANT 1

NONE(SENIOR CITIZEN) 3

ABSTINENCE 5

FIG. 28 METHOD OF FAMILY PLANNING

68
8

0
DMPA PILLS IMPLANT SENIOR ABSTINENCE

Different methods used by the chosen families. There are 4


prefer to use DMPA, 7 for pills, 1 for implant and 5 for abstinence. For
the abstinence, a health teaching could help for them to decide if what
methods are fit for them.

TABLE 29: INFANT FEEDING PROGRAM

BARANGAY SAN JUAN, DUMARAN, PALAWAN

INFANT FEEDING PROGRAM

69
RUSF

RUTF

There is no feeding program held at barangay, these are only the


ready to used feeding from DOH.

TABLE 30: FORMULA USED

BARANGAY SAN JUAN, DUMARAN, PALAWAN

FORMULA NUMBER OF CHILDREN


UNDER 5

CERELAC 7

70
RICE 9

MIXED RICE AND MONGO 4

FIG. 30 FORMULA USED

MIXED MONGO

RICE

CERELAC

0 1 2 3 4 5 6 7 8 9 10

Less than 5 year old children used rice, cerelac and a mixed rice
and mongo as their formula feeding/supplementary feeding.

TABLE 31: IMMUNIZATION STATUS

BARANGAY SAN JUAN, DUMARAN, PALAWAN

STATUS NUMBER OF PERCENTAGE


CHILDREN UNDER
5

COMPLETED 9 100%

71
INCOMPLETED 0 0

FIG. 31 IMMUNIZATIONALSTATUS

COMPLETED
INCOMPLETED

Out of 9 children below 5 year old, they completed the


immunization from BCG up to MMR. It is good interpretation of
immunizational status because at their age, they are already safe and
away from any diseases because they received vaccine completely.

TABLE 32: MORBIDITY (past 1 year)

BARANGAY SAN JUAN, DUMARAN, PALAWAN

DISEASE NUMBER

DIARRHEA 3

COUGH AND COLDS 20

72
HYPERTENSION 2

ASTHMA 3

URINARY TRACT 5
INFECTION

FIG. 32 MORBIDITY

DIARRHEA
COUGH AND COLDS
HYPERTENSION
ASTHMA
URINARY TRACT INFECTION

73
It shows that cough and colds is the rank 1 case of morbidity in
chosen families, followed by urinary tract infection, followed by asthma
and diarrhea and hypertension for adults.

TABLE 33: MORTALITY (past 1 year)

BARANGAY SAN JUAN, DUMARAN, PALAWAN

CAUSE OF DEATH NUMBER

PNEUMONIA 1

Fig. 33 Mortality

74
There is only 1 case of mortality and pneumonia is the cause of
death. Since the cough and colds is the main cause of morbidity,
therefore there is a chance and possibility that it will lead to
pneumonia.

SUMMARY AND CONCLUSION


Based on information collected, only 20 percent of the population were
surveyed. The main source of income was being a housewife for the mothers
and farmer/fisherman for the father. Chosen barangay is a coastal and has
a wide land area that’s why farming and fishing is the main choice of work.
Unfortunately, based on the data, only 1000-5000 pesos average monthly
income per family, in current time with all prices hike, it is not sufficient if all
expenditures will rely on average monthly income. Next, in the socio- cultural
indices, most of the community people are literate, so meaning, they know
how to read and write, aware of what kind of surrounding they had. Most are
Roman Catholic and stayed for a long period in Barangay San Juan, but
some are migrated from Cuyo, Palawan which cuyunon is the main dialect
even at home. In environmental indices, they had a good lighting facility
within barangay but payable, it is also for the routine maintenance of the

75
lighting facility. They had a good practices in excreta disposal and garbage
disposal. On a drinking water, they should be more aware of what or how
water-borne diseases could distract their health and so with proper storage
of foods. It is also indicated that most of the mothers are using family
planning. Cough and colds is the main cause of morbidity in the community,
typically affected by climate change, hence, once it is not cured, some cases
lead to pneumonia which is notified as the main cause of mortality in
Barangay.

Therefore, we conclude, with regards to health condition, community


has not enough knowledge so barangay health workers, probably need to
conduct health education to provide additional information on how to prevent
main cause of morbidity, main cause of mortality, additional information for
the abstinence women to choose the proper family planning method. On the
other hand, the community is suffering from poverty. No more kinds of works,
no more choice for them where to get additional income to be used in
everyday expenditures, so, to end this kind of shortness, we conclude that
Barangay officials find more ways of earnings, not only for their sake but for
the good of the community. They could expand their community to prevent
poverty by helping people make a choice, consulting in a local and provincial
government to open some businesses or job within barangay, so the
benefactor will be the community people. Even little but a great help.

PROBLEMS IDENTIFIED

Non-safe drinking water

ACTUAL
CRITERIA SCORING JUSTIFICATION
SCORE

It is a health threat
Nature of the problem 2/3X1 2/3 that need immediate
action.

It could lead to some


diseases that might
Magnitude of the problem 2/2x2 2
get well-being to
difficult situation.

76
It could affect a large
Severity of the problem in population if doesn’t
2/2x2 2
terms of population have an appropriate
action.

Resources are
available and
Modifiability of the problem 2/2x2 2
interventions are
feasible.

Occurrence of water-
borne diseases can
Preventive potential 3/3x1 1
be reduced and
minimized.

To help reduced the


rate of occurrence
Social concern 3/3x1 1
water-borne disease
in an area.

Total score 8 2/3

Improper use of family planning method

ACTUAL
CRITERIA SCORING JUSTIFICATION
SCORE

Nature of the problem 1/3X1 1/3 Foreseeable crisis.

It could affect the


financial expenditures
Magnitude of the problem 2/2x2 2 of the family as
increasing number of
children in the family.
It could really affect a
large population if
doesn’t have an
Severity of the problem in
2/2x2 2 appropriate
terms of population
management, health-
teaching and other
interventions

77
Resources are
available and
Modifiability of the problem 2/2x2 2
interventions are
feasible.
The increasing
number of children at
home will be
Preventive potential 3/3x1 1
preventive when
parents has self-
disciplined.
To help decreasing a
Social concern 3/3x1 1 large number of
population.

Total score 8 1/3

Low average monthly income

ACTUAL
CRITERIA SCORING JUSTIFICATION
SCORE

Nature of the problem 1/3X1 1/3 Foreseeable crisis.

It could lead to some


diseases that might
get well-being to
Magnitude of the problem 2/2x2 2
difficult situation
especially to young
children.
It could affect a large
Severity of the problem in population if doesn’t
2/2x2 2
terms of population have an appropriate
action.
Health-teaching
method and other
Modifiability of the problem 2/2x2 2 interventions are
available and
feasible.
The chance of having
an additional income
Preventive potential 2/2x1 1
for the family is
possible if parents
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really want to help
children out of
poverty.

To help family out


from poor of the
Social concern 3/3x1 1 poorest that need
always an attention
from the officials.

Total score 8 1/3

The prioritized health problems ranked according to priorities:

❖ Non-safe drinking water 8 2/3


❖ Low average monthly income 8 1/3
❖ Improper use of family planning method 8 1/3

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SUGGESTIONS AND RECOMMENDATIONS

❖ Non-safe drinking water


Health education conducted by health team in barangay to
disseminate information regarding safe water, proper way of
sanitizing drinking water.

❖ Improper use of family planning method


Conduct health education to reproductive age-group
especially for sexually active for them to know the advantages
and disadvantages of using modern family planning method than
natural method.

❖ Low average monthly income


Supposedly at this point, the decision will rely on the family.
But since they are part of the community, Barangay could open
and offer some job for them to earn additional income especially
for the family head or in any member that has a capability to work.
Request for a workshop to teach community people by making
some flower pots/vase, collecting plastic bottles to sell or make
some designs at home, to cook snacks and other ways for
gaining money.

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GOAL OBJECTIVES STRATEGIES TIME FRAME RESOURCE PERSON
/ NEEDED RESPONSIBLE
ACTIVITIES
1. To have safe At the end of 1. Conduct DAY 1 1. Visual Aids 1. Barangay
potable water community health October 1-5, Council
2. Flip charts
supply to intervention: education 2020
Title of Activity 3. Ball pen and
prevent to the 2. Barangay
COORDINATION notebook
diseases like 1. Plan and community Health Team
WITH THE 4. Chorine-
diarrhea and Preparation about safe -Midwife
BARANGAY dissolve in water
also to protect will be settled drinking COUNCIL
the health of water. 5. Tarpaulin -BHW
DAY 6
the community. 2. Materials 6. Venue
October 6, 2020 -BEANS
are already 2. Conduct 7. Foods
Title of Activity
2. To reduce available activity like COURTESY CALL 8.Transportation -VBSI
the morbidity orientation WITH THE
BARANGAY 3. Purok
and mortality 3. Lecture was and
OFFICIALS President
rate of children successfully teaching on
0-5 years old delivered. how to DAY 10
October 10, 2020
due to water disinfect
Title of Activity
born such as 4. Activity was water.
ATTEND
typhoid fever, already done. BARANGAY
cholera and ASSEMBLY
Hepatitis A. MEETING
DAY 12
October 12-15,
2020 Title of
Activity
COORDINATION
WITH ALL PUROK
PRESIDENT
REGARDING
HEALTH
EDUCATION
DAY 16
October 16-30,
2020 Title of

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Activity PLANNING
THE ACTIVITY WITH
BARANGAY
COUNCIL,
BARANGAY
HEALTH TEAM,
PUROK PRESIDENT
Venue: Barangay
Hall
DAY 31
November 1-10,
2020
Title of Activity
PREPARATION FOR
MATERIAL USE FOR
LECTURE
VENUE,FOODS,TRA
NSPORTATION
ETC…
DAY 41-
November 11-15,
2020
Title of Activity
HEALTH
EDUCATION IN
EVERY PUROK
REGARDING SAFE
DRINKING WATER

DAY 46
November 15-30
Title of Activity
LECTURES AND
SEMINARS ABOUT
WATER
DISINFECTION AND
BOILING OF WATER
CHLORINATION,
AND SODIS.
BOILING OF
WATER- boil water
for atleast 3
minutes from
boiling to kill germs
before using it for
drinking.
SODIS-is a simple
way of killing
germs by heating.

83
Procedure:
1. Clean the
transparent bottle.
2. Fill the bottle
with 1-2 liters
drinking water and
cover.
3. Put on the roof
of the house then
expose in the sun
for up to 6 hours.
4. Let it cool
overnight before
drinking it.
Chlorination-is the
most important
means disinfection.
Making Stock
Solution:
1. Take 1 level
teaspoon of
chlorine and mix
with 1 liter of
water can be used
for 1 week.
2. Take 2
teaspoons from the
stock solution and
mix in 20 liters of
water.
3. Evaporate for 30
minutes before
drinking it.
DAY 61
December 1-10,
2020
Title of Activity
IMPLEMENTATION
IN EVERY PUROK
DAY 71
December 11-20,
2020
Title of Activity
CONDUCT
MONITORING
DAY 81
December 16-29
2020
Title of Activity
EVALUATION

84
85
October 1-5, 2020

At the end of the whole week, the group had been coordinated
with Municipal Council. Introducing self, the purpose of having
community exposure, when and where to conduct such health
education, until when the community exposure end.

October 6, 2020

At the end of the day, we had courtesy to Brgy. Officials of Brgy.


San Juan, Dumaran. The chosen area for community diagnosis.

October 10, 2020

Attended Barangay assembly with the group, to introduce


ourselves, our purposes and goals.

October 12-15, 2020

At the end of the week, we had coordinated with President of


Purok regarding the schedules of health education to be conducted in
Barangay.

October 16-30, 2020 (2 weeks)

At the end of 2 weeks exposure, we had planned the activity with


Barangay council, Barangay Health team and purok president at Brgy.
Hall, San Juan, Dumaran. Fortunately, the employees, responsible
person on target settings knew their obligation and participated well in
all activities.

86
Day 31, 2020 -November 10, 2020

At the end of 10 days, the venue, materials needed for the


lectures, the sound system and the foods are prepared and participants
are already identified.

November 11-15, 2020

Conducted health Education in every purok regarding safe


drinking water. At the end of 5 days duration of health information
dissemination, the identified participants could enumerate the
advantages of having safe drinking water.

November 15-30, 2020

Lectures and seminars regarding proper ways of sanitizing


drinking water. At the end of 2 weeks lectures, the participants would
know about water disinfection, boiling of water, chlorination, and
SODIS. They know how to return demonstration in proper boiling of
water, how to make a SODIS, and proper putting chlorine (the
measures) on the water.

December 1-10, 2020 (IMPLEMENTATION PERIOD)

The group with other responsible person had implemented the


action planned in every purok.

December 11-20, 2020 (MONITORING PHASE)

The group conducted monitoring for the implemented plan of


action, if it is working or not.

December 16-29, 2020 (EVALUATION PERIOD)

This is the most important part of community diagnosis. To


evaluate if the plan of actions met/solved all identified problems in the
whole duration of community diagnosis.

87
88
LIST OF NAMES OF FAMILIES SURVEYED
NAME OF HOUSEHOLD
HEAD MEMBER MALE FEMALE
NOLITO REMOTO 2 1 1
EDELBERTO HERMAN 5 1 4
ASUERO VIGONTE 6 4 2
MERVIN SEY 6 5 1
JESSIE REGALADO 4 1 3
MARWIN YANSON 4 2 2
RECARDO MAMPAY 3 2 1
RODOLFO TABANGAY 5 1 4
EDWARD REMOTO 3 1 2
TOMAS MONDRAGON SR. 6 4 2
CRISTITO MAHINAY 5 4 1
ANTONITO ARTICULO 5 2 3
FRANIE ARTICULO SR. 5 2 3
RAFAEL CABANILLAS SR. 5 2 3
LORETO SADANG 4 1 3
DAVE GAPILANGO SR. 6 4 2
BERNARD AURELLO 4 3 1
RODOLFO OBAT 4 2 2
DANTE BAHERO 4 2 2
CARMELINA HERMAN 6 3 3

ACTUAL SURVEY FORM

89
PAGE 1

90
PAGE 2

91
PAGE 3

92
PAGE 4

93
PHOTOS

“CONDUCTING HOME VISITATION”

94
“MEET-UP WITH CO-BSM STUDENT TO WORK
TOGETHER FOR COMMUNITY DIAGNOSIS”

95
96
97
Non-safe drinking water

INTERVENTION PLAN

FAMILY
HEALTH OBJECTIVES
NURSING GOAL OF CARE
PROBLEM OF CARE
PROBLEM
METHOD OF
INTERVENTION BSM/FAMILY
RESOURCES
MEASURE CONTACT REQUIRED

There is o There is no After the nursing To reduce the o Explain to the Home visit. o Low cost
always: sanitary intervention, the complaints of member of the supplies for
“masakit ang drinking water family will: having family where to procedure
tiyan ko, because family abdominal draw safe water. demonstration.
natatae-tae draws water in o learn the disorder
ako”, as a deep well proper way of inside at O Demonstrate
verbalized by without proper sanitizing home and to the proper way o Time and effort of
the children. chlorination/testi drinking water. have an with the proper the BSM students
ng. accessible, measure on how for health teaching
o know where to affordable to sanitize and home
draw drinking potable drinking water. visitation.
water. water.
o Teach the
member of the o Expenses of the
family regarding BSM`s way of
health threatening transportation.
of unsafe drinking
water.

Low average monthly income


FAMILY
HEALTH OBJECTIVES INTERVENTION PLAN
NURSING GOAL OF CARE
PROBLEM OF CARE
PROBLEM

98
METHOD OF
INTERVENTION BSM/FAMILY
RESOURCES
MEASURE CONTACT REQUIRED

The family’s Unsanitary After the nursing To improve o Teach family Home visit. o Flipchart about
entire income condition of the intervention, the family’s members the nutrition, healthy
is not enough member of the family will: knowledge different strategies young ones and
to meet basic family about the where to get the diseases
necessities observed. o learn where to alternative additional income acquired of having
which makes it get additional sources and how to budget unhealthy body.
difficult for the Inadequate income for the family income to
family to healthy foods foods and other sustain all family o Time and effort of
maintain for the family to basic necessities To improve needs. the BSM students
proper care eat. of the family. family’s and the
and knowledge o Explain to the cooperation of the
environmental about proper member of the family.
sanitation. o learn how to hygiene and family the
maintain the nutrition. advantages of
proper hygiene having personal o Expenses of the
of the family. proper hygiene. BSM`s way of
transportation.
o learn to survive o Teach the
from poverty. member of the
family regarding
proper nutrition,
what food to eat,
what vitamins to
take and the
advantages of
being healthy.

Improper family planning method

INTERVENTION PLAN

FAMILY
HEALTH OBJECTIVES
NURSING GOAL OF CARE
PROBLEM OF CARE
PROBLEM
METHOD OF
INTERVENTION BSM/FAMILY
RESOURCES
MEASURE CONTACT REQUIRED

99
The family Knowledge After the nursing To improve o Teach couple Home visit. o Flipchart about
don’t deficient related intervention, the family’s with family family planning
recognize such to lack of couple: knowledge member in method.
family planning information about reproductive age
method. resource. o will learn different group regarding o Samples of
different methods family the different family planning
of family planning family planning method.
Prefer to be an planning, can method. method. Specify
“abstinence” identify each the natural, o Time and effort of
than with safe method and modern and the BSM students
method. knows the To improve permanent and the
advantages and family’s method. cooperation of the
side effect of knowledge family.
family planning about the o Teach and
methods. advantages advise to use it
of using properly. o Expenses of the
o can decide and family BSM`s way of
select the planning. transportation.
method they are
willing to use.

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