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Community Diagnosis Format F2F VERSION
Community Diagnosis Format F2F VERSION
COMMUNITY DIAGNOSIS
College of Nursing
Bachelor of Science in Nursing
(Times New Roman; Size: 12; Spacing: 1.5; Borders: 1 inch all sides)
Table of Contents
Acknowledgement (give recognition to the people, institutions, etc. that helped you create this
paper)
Definition of Terms
Statement of Objectives (explain what your efforts or actions intend to attain or accomplish; your
purpose, goal or target). Specify your General Objectives and Specific Objectives
Rationale (give the fundamental reason or reasons serving to account for creating this paper)
CHAPTERS:
A. Description
- Location
- Boundaries
- Total population
- Total land area
- Physical features
- Climate
- Medium of communication
- Means of transportation
- Resources availability in the community
- History
B. Spot Map
- Construct a spot map with the following:
- Directions N, W, E, S (similar to a compass)
- North should always be located at the top
- Resources in the community (brgy. Hall, school, market, church, public faucet, public toilet,
etc…)
- Use color legends to indicate household interviewed, health program acceptors/beneficiaries
(FIC, malnourished child, AP, PP, preschooler, TB patient, etc.)
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DO NOT use Google Earth, Google Maps or other similar sites to create your Spot Map. A
sample of the Spot Map is shown below:
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II. POPULATION
A. Total population of the barangay
B. Total population of the families surveyed
C. Sex Ratio
(Formula= Number of Males / Number of Females x 100)
(Then give your analysis)
E. Civil Status
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
A. Dependency Ratio:
(Formula = number of population 0-14 y/o + 65 y/o & above / population 15 y/o to 64 y/o
X 100)
(Then give your analysis and health implication/s)
B. Occupational Status
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
Occupational Status- states the present status of occupation at the time when the survey is
conducted.
a. Employed- a person in the service of another under any contract of hire, expressed or
implied, oral or written, where the employer has the power or right to control and direct the
employee in the material details of how the work is to be performed.
b. Unemployed- refers to a person who doesn’t have a means for income.
c. Self-employed - refers to a person who works for himself instead of as an employee of
another person or organization, drawing income from trade or business.
d. Underemployed - to workers with high skill levels employed in low-wage jobs that do
not require such abilities.
e. Retired - refers to a professional person, who stopped working due to age reasons
C. Types Of Occupation
(Make a table and graph or pie chart)
(fisherman, farmer, soldier, etc.)
(Then give your analysis and health implication/s)
D. Average Income
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
(Formula=number of population 8 y/o & above who can read & write / total number of
population 8 y/o and above x 100)
(Then give your analysis and health implication/s)
B. Educational Attainment
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
Not yet attended school- e.g. babies, children from 7 years old below, regardless it
he/she is a pre-school.
Elementary Undergraduate- a person who was not able to finish his elementary level
in formal education.
High school Graduate- a person who finished high school level in a formal education.
High School Undergraduate- a person who was not able to finish his high school in a
formal education.
College Undergraduate- a person who was not able to finish college and get a degree
from a university or college.
C. Religion (Family)
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
Indicate religion for each family member. Note: in case of children (0-14), they assume
the mother’s religion as articulated in the family code of the Philippines. Indicate religious
sect.
D. Ethnic/Place of Origin
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
G. Housing
1. Land Ownership
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
2. House Ownership
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
Light - refers to such materials as bamboo, nipa, sawali, coconut leaves or card
board.
Strong - refers to a predominantly concrete house.
Mixed - refers to a combination of light materials, wood and/or concrete. Typically
concrete floor or foundation and light walls, or a concrete 1st floor and light 2nd
floor.
Lighting Facilities - artificial means of providing light/ illumination. Facilities used
already reflect adequacy and safety for the family. (Ex. Electricity, kerosene,
candles, or none.)
4. Ventilation
V. ENVIRONMENTAL INDICES
A. Lighting Facilities
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
B. Excreta Disposal
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
Pail System - a pail or box is used to receive the excreta and disposed later when
filled. (Included ballot system where in excreta is wrapped in a piece of
paper/plastic and thrown later.)
Open Pit Privy-consist of a pit covered by a platform with a hole is usually not
covered. The platform may, in its simplest form consist only of 2 pieces of wood
or bamboo.
Closed Pit Privy- a pit privy in which the hole over the platform or toilet floor is
provided with a cover.
Bored-Hole Latrine- consists of a deep (usually more than 10 feet) but relatively
narrow (less than 2 meters in diameter) hole made with boring equipment.
Overhung Latrine- toilet house is constructed over a body of water (stream, fake,
and river) into which excreta is allowed to fall freely
Antipolo Type- toilet house is elevated and the shallow pit is extended upwards
to the platform (toilet floor) by means of a chute or pipe made of metal, clay
aluminum or board.
Water Sealed Latrine- an Antipolo type of toilet, bored- hole latrine or any pit
privy wherein water sealed toilet bowl is placed instead of the simple platform
hole () septic tank.
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Flush Type- a toilet system where waste is disposed by flushing water through
pipes (sewers) into a public sewerage system or into an individual disposal
system like an individual septic tank.
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D. Garbage Disposal
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
Level I (point source)-a protected well or a developed spring with an outlet but
without a distribution system, generally adaptable for rural areas where the
houses are thinly scattered. A level 1 facility normally serves an average of 15
households. The farthest household not more 25Meters.
Level II (Communal faucet system or stand posts) - a system composed of a
source, a reservoir a piped distribution network, and communal faucets. Usually,
one faucet serves 4 to 6 households, generally .suitable for rural and urban fringe
areas where houses are clustered densely to justify a simple pipe system. This
should not be located more than 25 meters from the farthest house.
Level III (waterworks system or individual house connections)-a system with a
source, a reservoir a piped distribution network and household taps. It is
generally suited for densely populated urban areas (Ex. Nawasa, Maynilad)
Commercially prepared water - includes all bottled water that have been treated
with state of an art purification techniques bought usually at supermarkets,
groceries, and convenient stores (mineral water)
Local water system - commonly known as faucet or gripo which is connected
from a water distribution system, Level II (communal faucet) or level III
(waterworks system) of water supply facilities.
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Artesian well- commonly known as the poso, level I (point source) of water
supply facilities.
Deep Well - an artificial excavation or structure put down by any method such as
digging, driving, boring, or drilling for the purposes of withdrawing water from
underground.
Surface Water - derived from streams, rivers, subjects to seasonal availability and
are subjects to contamination if untreated.
Ground Water - walls and springs.
Spring - groundwater seepages which are created when the level of underground
water comes in contact with the surface. Contamination occurs at the point of
seepage.
Rainwater-basically free from impurities. However contamination may occur at
the collection and storage points, and by air pollution (ex., Acid rain)
Boiling - safest and purest way 6.Should be boiled for at least 2 minutes more
after reaching boiling point of 100 C to kill all vegetative bacteria, viruses, fungi.
At least 2 minutes as minimum suitable time of boiling water for low level
locations and an additional 1 minute per 1000 motor additional elevation (water
boils at higher temp at high altitude)
Filtration - done before boiling or disinfecting common household filters used in
the Phils: sand filters, cloth filters, and intermittent water filter.
Sedimentation-impurities in water are allowed to settle at the bottom of the
container for 30 minutes-1 hour and pouring the top part in a new clean
container without creating turbulence.
Chemical Disinfection 1Chlorination-normal dose=1.5mg/L 2Disinfection- use of
tincture of iodine-2drops/L
Buying commercially prepared water
Natural or artificial (read on types of natural and artificial FP methods). Before asking
this, inquire first if they are utilizing FP methods since this question does not necessarily
apply to all. (For families with mother’s age is within the range of 15-45 years).
F. Formula Used
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
G. Immunization Status
(Make a table and graph or pie chart)
(Then give your analysis and health implication/s)
Immunization status to target age group of 0-12 months and 1 year to 8 years
old. Please specify the vaccine and the number of doses (if applicable).
0-12 months- ideal age or schedule to complete the immunization (DOH-EPI)
Note: “Full immunized” vaccination status is only applicable for children at least
9 months old.
“Complete” when the child has completed required vaccinations scheduled in
the EPI(applicable only for children 9 mos and below)
“Incomplete” – when the child has not yet received all required vaccinations as
scheduled in the EPI >1 year-8 years old (since BCG can be administered to a child
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until he reaches 8 years old; DOH allows a child to be fully immunizes until 8)
I. Morbidity
(Ten leading causes of morbidity)
(Make a table and bar graph)
(Then give your analysis and health implication/s)
J. Mortality
(Ten leading causes of mortality)
(Make a table and bar graph)
(Then give your analysis and health implication/s)
VII.PROBLEMS IDENTIFIED
Identify and Prioritize the Problems of the community using the following scoring method. Show
your computations for the problems. Refer to your Maglaya book
Then do an analysis
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Sample
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APPENDIX
a. List of the names of families surveyed with their addresses
b. Actual survey forms
c. Photos (Pictures of your actual community diagnosis endeavor and home visits as part
of your documentary proof/evidence)
d. Family NCPs - Attach your individual family NCPs and computations on how you
prioritized the family problem
Addendum:
COLLEGE OF NURSING
A community Diagnosis
Submitted to the College of Nursing
Lyceum of the Philippines University-Cavite
In Partial Fulfillment of
The Requirements in Related Learning Experience
NCM 104: Community Health Nursing
(Name of the Community and Location)
Month/Year
Academic Year