Sample of Community Needs Assessment Framework/

Design for Urban and Rural Setting

I. INTRODUCTION
A. Statement
B. Objectives
C. Importance

II. METHODOLOGY
A. Time and Place
B. Sampling Procedure
C. Method of Analysis
D. Scope and Limitations

III. RESULTS AND DISCUSSION

A. Geographical Profile
(Data source may come from barangay or city/municipal hall)
1. Physical
a. Location/Boundaries (North, East, West, South)
b. Terrain
c. Facilities (like clinic/hospital, schools, recreation hall, etc.
d. Climate
e. Basic Food
2. Cultural
a. History of Place and People
b. Languages being used
c. Peace and Order Situation
d. (usual community conflict and/or crime rate)
e. Clothing (most applicable to rural setting)
B. Social (Data comes from survey)
1. Total Population
2. Total Number of Household
3. Population distribution by Gender (and Age)
4. Population distribution by Educational Attainment
5. Health and common illnesses
6. Recreation
C. Economic
1. Wage Earners in the Family
2. Employment
3. Household monthly income
D. Life Skills
1. Abilities
2. Interests
E. Spiritual Aspect
1. Number of people with active membership in the church
 F. Socio-political Aspect
1. Known social programs or projects and other related community efforts
(whether existing or planned efforts)
2. Expression of satisfaction/dissatisfaction towards current social
programs
3. Perceived community leaders
4. Recognized community leaders
5. Other Agencies, GOs or NGOs that are in the area or that serve the
community

IV. SUMMARY, CONCLUSION AND RECOMMENDATION

A. Summary
B. Conclusion
C. Recommendation

V. APPENDICES
Integrating Activity:

Make a community needs assessment in the barangay where you live. The needs
assessment questionnaires have different parts where you need to collect data on barangay
officials and residents of the barangay by interviewing them.

Barangay Data

I. Geographical Profile
Address of Barangay:

A. Location/Boundary (Pls. check)

( ) Within City/Poblacion
( ) Coastal
( ) Inland
( ) Upland

B. Topography (pls. check)

( ) Plain
( ) Rolling Terrain
( ) Hilly

C. Number of Puroks or Sitios:

D. Land Areas (sq.km.):

II. Demography
A. Total population:
Female:
Male:

B. Number of infants (0-11 mos.):

Female:
Male:

C. Number of toodlers (1 – 2 years old):

Female:
Male:

D. Number of Pre-schoolers:
(3 -5 years old)
Female:
Male:
E. Number of 5 -14 years old
Female:
Male:

F. Number of Families:
 G. Family Size
No. of family members No. of families corresponding
with size
More than 7
5–7
2–4
Less than 4

III. Agricultural Profile

A. Physical Structures (pls. Check)

1. Rice Mill Existing in the Barangay
a. Cono ( )
b. Kiskisan ( )

2. Irrigation System Existing in the Barangay

a. National (Constructed by NIA):
b. Communal (Constructed by farmers Ass.):
c. Pumps:
d. Mountain Spring

3. Existing Grain Warehouse

a. Government operated ( )
b. Privately operated ( )

4. Existing Cold Storage

a. Government operated ( )
b. Privately operated ( )

B. Major Food Crops Grown

1. Most Common Agri/Fish Products (pls. check)
a. rice ( )
b. corn ( )
c. roots crops ( )
d. vegetables ( )
e. fish ( )
f. crabs, shrimps, etc. ( )
g. seaweeds ( )
h. others (specify) ( )
2. Most Common Livestock/Poultry (pls. check)
a. swine ( )
b. goat ( )
c. chicken ( )
d. ducks ( )
e. Others (specify) ( )
3. Other products
a. rattan ( )
b. bamboos ( )
c. charcoal/firewood ( )
d. others specify) ( )
4. Main Source of Income of the Barangay
(Percentage %)
a. Share from State Tax
b. Share from Development Fund
c. Business and other Taxes
d. Others (specify)
Household Data (Interview)

Name (optional):
Address:

A. Source of Income of the Household’s Main Earners (Pls. Check)

Level of Income (approximate)
( ) Employment in government or
private sector
( ) Farming
( ) Fishing
( ) Self-employment/entrepreneurship
( ) Overseas Contract Workers

B. Other source of income of the family

Father
Mother
Brother
Sister

C. Most Common Typed/Kind of Dwelling units (Pls. check)

( ) concrete ( ) semi-concrete
( ) nipa/bamboo ( ) Wood
( ) Barong-barong ( ) Others (pls. specify)

D. Most common source of drinking water (pls. check)

( ) open dug wells ( ) spring
( ) Artesian wells ( ) deep wells
( ) water works system

E. Most common type of toilet facilities (pls. check)

( ) water sealed ( ) antipolo
( ) open pit ( ) none

F. Electricity and telephone services

% of total household
Electricity
Telephone
Cellphone

G. Presence of School in the barangay (pls. check)

Government Private
Day care ( ) ( )
Pre-school ( ) ( )
Elementary ( ) ( )
High School ( ) ( )
Vocational ( ) ( )
College ( ) ( )
H. Health Facilities in the Barangay (pls. check)
1. Government
( ) Barangay Health Station
( ) Health/Nutrition Center
( ) Community Hospital Clinic
2. Private
( ) Dental Clinic
( ) Medical Clinic
( ) Hospitals

I. Infrastructure (Pls. Check)

Distance from the Barangay
Along Near Far None
National road/highway ( ) ( ) ( ) ( )
Provincial road ( ) ( ) ( ) ( )
Municipal road ( ) ( ) ( ) ( )
Feeder road ( ) ( ) ( ) ( )
Seaport/pier ( ) ( ) ( ) ( )
Airport ( ) ( ) ( ) ( )

J. Most common transport facilities(pls. rank)

( ) Bus ( ) Jeep
( ) Tricycle ( ) Boat
( ) Others (specify)

K. Presence of Cooperatives, NGOs, Pos, etc.

Number operating in the Barangay
Cooperatives
Non-Government Organizations
People’s Organizations

L. Number of Households with at least one member belonging to an Organization

Number of Households
Cooperatives
Non-Government Organizations
People’s Organizations

M. Predominant Religion ( pls. check)

( ) Roman Catholic ( ) Aglipay
( ) Born Again ( ) UCCP
( ) INC ( ) Islam
( ) Jehova’s Witness ( ) Church of Latter Day Saints
( ) Others (pls. Specify)

N. Problems/issues encountered on living in barangay

1.
2.
3.
4.
5.