COMMUNITY CASE STUDY

Local Health Program in Regional

University
Presented by:
Presented by:
Loida O. Crespo MSN, PH.D
Loida O. Crespo MSN, PH.D
Bulacan State University College of Nursing
Bulacan State University College of Nursing

INTRODUCTION

This study has been initiated to carry

This
study hasassessments,
been initiated
to carry
out
community
diagnose
out community
community
needs,assessments,
and evaluatediagnose
the
community
needs,
and
evaluate
effectiveness, accessibility, and the
effectiveness,
and in
quality
of healthaccessibility,
services provided
quality
of health services provided in
the
community.
the community.
It will also help to organize further as
It will
also
help tothe
organize
further as
well
as to
mobilize
community
well as after
to mobilize
the community
assessed
such outcome
and
assessed
after
such
outcome
researches has been done. Thisand
will
researches
has
been
done.
This
help the community people set upwill
help the
community
setofup
within
themselves
the people
potential
within
themselves the
potential
being
self-sufficient
amidst
any of
beingdefeat
self-sufficient
amidst
any
health
that might
overrun
health
defeat that might overrun
their
community.
their community.

Community survey were organized to seven hundred

Community
survey
were organized
to seven
hundred
twenty
two (722)
households
of Barangay
Bagumbayan,
twenty two
(722)gathering
households
of Barangay
Bagumbayan,
Bulakan,
Bulacan
a data
of five hundred
Bulakan,
gatheringinterviewed,
a data of five
hundred
ninety
five Bulacan
(595) household
with
ninety
ninety
five
(595)
household
interviewed,
with
six (96) of refused clients and thirty one (31) of ninety
six (96) ofhouses.
refusedThe
clients
thirty one
of
unmanned
dataand
collected
were(31)
reviewed
unmanned
houses.
The data
collected
were that
reviewed
and
determine
the possible
areas
of concern
may
and
determine
the
possible
areas
of
concern
that
may
influence possible threats to health and environment.
influence possible threats to health and environment.
Evaluation of survey tools were gathered within the
Evaluation certain
of survey
tools were
gathered
within
the
community,
number
of problems
was
and acted
community,
certain
number
of problems
and acted
upon,
which was
reported
to the
Barangay was
Captain
and
upon,
which
was
reported
to
the
Barangay
Captain
and
his officials. A program was developed as a solution for
hispriority
officials.
A program
waswas
developed
asby
a solution
the
problems
which
gathered
the levelfor
priority
problems
was gathered
by the
level
4 the
nursing
student
to thewhich
community.
These were
done
4 nursing
thedental
community.
These were done
thru
health student
teachingtoand
mission.
thru health teaching and dental mission.

STATEMENT OF THE PROBLEM

General Objective:
To recognize the community
health problems seen and
acquired during the
gathering of data and to
create a plan of action that
will promote and raise the
level of health status of
every family in the
barangay.

SPECIFIC OBJECTIVE:
To be able to assess over-all health status
of the community people and identify
community health problems
1.To create a plan and set goals that are
appropriate to the needs of the
community
2.To execute the proper program to resolve
the problem of the community and
evaluate the quality of nursing service to
every individual, family most specially
the community.
3.To integrate with the community people
and encourage them to participate in the
program implementation in achieving the
aims of health services in the community

SIGNIFICANCE OF THE STUDY

It been designed to bring together people and resources from a neighborhood or
community :

1.

To strengthen bonds and a sense of

community for positive change.

2.

To impart leadership that would

manage and guide the community to
towards progress.

3.

To help the community to be selfsufficient during any possible health

threat and health deficit seen in the
community.

4.

To serve as a database for future

reference and for use of other
health workers and community
profiling.

METHODOLOGY
Three types of tool to gather data used
for this study:
1.

community assessment tool

2. Secondary data review was taken to the data

personally collected by the personnel of
Barangay Health Center.
3. Ocular inspection were done to define the
physical aspect and topographical boundaries
and characteristics of the Barangay.

RESULT & DISCUSSION_COMMUNITY DATA

1. DEMOGRAPHIC PROFILE
Head of the family:
Head of the family:
Father_74%
Father_74%
Age: 21-25_10.09%
Age: 21-25_10.09%
Gender: Female_53%
Gender: Female_53%
Civil Status:
Civil Status:
Married_43.27%
Married_43.27%
Religion: Catholic_92.97%
Religion: Catholic_92.97%
Education: HS
Education: HS
graduate_23.28%
graduate_23.28%
Origin: Central
Origin: Central
Luzon_87.25%
Luzon_87.25%

Length of Residency:
Length of Residency:
16 years & above_59%
16 years & above_59%
Type of Work:
Type of Work:
Employed_31%
Employed_31%
Location of Work:
Location of Work:
within the
within the
community_49%
community_49%
Nature of work:
Nature of work:
Field_36%
Field_36%

Type of Family:
Type of Family:
Nuclear_78%
Nuclear_78%
Type of Family Head:
Type of Family Head:
Patriarchal_50%
Patriarchal_50%
Type of Family Center:
Type of Family Center:
Patricentric_59%
Patricentric_59%
Type of Family Locality:
Type of Family Locality:
Matrilocal_57%
Matrilocal_57%

II. SOCIO-ECONOMIC, CULTURAL AND ENVIRONMENT

A. ECONOMIC INDICATOR
Monthly income: Less than
5000Php_46.55%
Financial
source:Employment_71%
Monthly expenditure: Less than
5000Php_44.87%
Decision maker on expenditure:
Father_ 44%
Adequacy of family income_83%

B. CULTURAL INDICATOR

Illness is caused by Physiologic factors_71.43%

Health can be restored by Health personnel_76%

ALWAYS Practiced old tradition _52%

Actively join community festivities_52%

II. SOCIO-ECONOMIC, CULTURAL & ENVIRONMENT

C. ENVIRONMENT INDICATOR

1. HOME
ownership_71%
Construction materials used:
Mixed_56%
Adequacy of Space: Adequate_70%
Cooking facilities used: Electric_89%
Adequacy of lighting: Adequate_82%
. Ventilation:
. Adequate_76%
. Sanitary condition of household:
Fair_50%

2. DRINKING WATER SUPPLY

2. DRINKING WATER SUPPLY
Private/owned_75%
Private/owned_75%
Source of drinking supply: Local water district_49%
Source of drinking supply: Local water district_49%
Potability:yes_71%
Potability:yes_71%
Sanitary condition of community: fair_64%
Sanitary condition of community: fair_64%

II. SOCIO-ECONOMIC, CULTURAL & ENVIRONMENT

4. TOILET FACILITY
4. TOILET FACILITY
3. GARBAGE /WASTE DISPOSAL
3. GARBAGE /WASTE DISPOSAL
Waste segregation: not

Garbage storage: plastic

Waste segregation: not
Garbage storage: plastic
Practiced_55%
bag_68%
Practiced_55%
bag_68%
Open burning_39%
Covered_62%
Open burning_39%
Covered_62%
Practiced waste segregation: Reason for not practicing:
Practiced waste segregation: Reason for not practicing:
Biodegradable collected_57% Long time practice of
Long time practice of
Biodegradable collected_57% family_33%
Non-biodegradable
family_33%
Non-biodegradable
collected_53%
collected_53%
Reason for practicing:
Reason for practicing:
environment friendly_74%
environment friendly_74%

According to ownership_89%
According to ownership_89%
Location from water source:
Location from water source:
less than 20 ft. - 65%
less than 20 ft. - 65%
Sanitary condition of toilet
Sanitary condition of toilet
facilities: Fair_63%
facilities: Fair_63%

II. SOCIO-ECONOMIC, CULTURAL & ENVIRONMENT

5. DRAINAGE SYSTEM
Sanitary condition of
drainage: Open_69%
Drainage condition:
Flowing_71%

6. PRESENCE OF ANIMALS
Dogs_64%
Kept outside/free_70%
Without vaccine_70%

7. BREEDING SITES
Presence of breeding sites:
with_57%
Measures done to control
insects: cleaning of the
yard_43%

8. PRESENCE OF
HOUSE CONGESTION:
None_52%

9. PRESENCE OF INDUSTRIAL
ESTABLISHMENT: None_89%

III.HEALTH & ILLNESS PATTERN

A. LIFESTYLE PRACTICES

2. REST and SLEEP

1. HYGIENE
Taking a
bath_84%
Brushing
teeth_81%
Handwashing_71
%
Nail cutting_75%
Used of hygienic
products_70%
Ear cleaning_73%
Regular change of
clothes_92%

8 hours sleep per

day:
Practiced_74%
Nap/rest period
within the day:
Practiced_68%
3. EXERCISE
NOT
Practiced_72%
4. RECREATIONAL
ACTIVITIES
NOT Practiced_71%

5. HEALTH
PROMOTION
ACTIVITIES:
Dental Check-up
NOT Practiced_86%

6. USE OF SAFETY
PRECAUTION
Practiced_63%

7.SMOKING
YES_76%
Age group:18-30_42.57%
Age started: 18-30_67.61%
Reason for smoking: influence
by others_67.78%
8. DRINKING
No_74%
Current age for alcoholic
drinker:18-30_43.84%
Age started drinking:
18-30_69%
Reason for drinking:
Influence by others_75%

III.HEALTH & ILLNESS PATTERN

B. NUTRITIONAL STATUS

1. FOOD USUALLY
TAKEN
First choice:
Mixed_64%
Second choice:
Fish only_34%
2. REASON FOR
CHOOSING
Healthy_37%
3. REASON FOR NOT
CHOOSING
Own
preference_44.54%

4. PREPARATION
Prepared at home_83.19%
Frequency of preparation of food:Everyday_73.78%
Bought outside: Carinderia_83.19%
Reason: Cheaper_49.92%
Intake of canned and preserved foods:
Sometimes_58.32%
Intake of fried foods:
Every other day_33.28%
Intake of carbonated drinks:weekly_44.54%

III.HEALTH & ILLNESS PATTERN

C. BELIEFS AND
PRACTICES
Personnel mostly
consulted in times of
sickness/illness:
Doctor_76%
Measures taken in
times of sickness:
Rural Health
team_45%
Medication/treatment
taken in times of
sickness/illness:
Prescribed by
Doctors_59%

D. COMMUNITY
PROGRAMS
Immunization Records
Age in months:
10-12_39%
according to sex of 0-12
months old:
Female_57%
according to immunization
of 0-12 months old:
Hepatitis B1_12%
age for completion of
immunization of 0-12
months old: _100%

E. FAMILY PLANNING

Acceptor_74%
Reason for accepting
Family Planning:
Personal belief_50%
Methods used of Family
Planning: Natural_63%
Reasons for not accepting
the family planning:
Personal belief_69%

III.HEALTH & ILLNESS PATTERN

F. PRESENCE OF NON- COMMUNICABLE DISEASE

Hypertension_52%
Asthma (according to age group)_14%
CVA (according to age group)_4%
Diabetes (according to age group)_22%
Kidney Disease (according to age group)_3%
Heart Disease (according to age group)_1%
Other Disease (according to age group)_4%

IDENTIFIED PROBLEMS
NO Exercise

No regular dental check up

Knowledge deficit in use of hygienic

products_7.17

No recreational activities

Smoking

Waste segregation

ACTION PLAN
ACTIVITIES

WHEN

SALT: "Self
January 15, 2012
awareness and
9:00-12:00pm
Leadership
Training Program

WHO

RESOURCES

Potential Leaders Visual aids

of the community Chairs
Sound system
Snacks and drinks
prizes

EXPECTED
OUTCOME

EVALUATION

- Enhance
Goal Met
leadership
capacity &
teamwork.
- Develop the
innate
leadership
skills and
attitude of
potential
leaders in the
community in
order to solve
the possible
health threats.

ACTIVITIES

WHEN

WHO

RESOURCES

Community Diagnosis
Program Presentation and
Health teaching Plan on
Identified
Problems:

February
19, 2013

Residents of
Bagumbayan,
Bulakan, Bulacan

Visual aids
Chairs
Sound system
Snacks and
drinks
prizes

EXPECTED OUTCOME

No regular dental checkup.

- help prevent gum disease

- help prevent embarrassing bad
breath
- cut their risk of heart disease
esp. in pregnant women.

Used of Hygienic
Products.
can cause people to
cut down on the
amount of handwashing they do.
This can lead to an
increase in bacteria
and germs

- Frequent and proper used of

handwashing technique.

19, 2013

Bagumbayan,
Bulakan, Bulacan

Chairs
Sound system
Snacks and
drinks
prizes

Exercise

controls weight
combats health conditions and
diseases
improves mood
boosts energy
promotes better sleep
puts the spark back into your sex life
can be fun

Recreational
activities

Strengthens community image

Supports economic development
Strengthens Safety and Security
Promotes health and wellness
Fosters Human Development
Increases cultural unity
Protects environmental resources
Facilitates Community Problem
Solving
Provides Recreational Experiences

ACTIVITIES

WHEN

WHO

RESOURCES

Health Teachings on:

February 19, 2013

Residents of
Bagumbayan,
Bulakan, Bulacan

Visual aids
Chairs
Sound system
Snacks and drinks
prizes

EXPECTED OUTCOME

Smoking

Awareness on the bad

effects of smoking on
health
compromises the
immune system,
making smokers
more likely to
have respiratory
infections.
affect my heart
and blood vessels

Waste segregation

Reduce , reuse,
recycled materials
implemented.

ACKNOWLEDGEMENT