COMMUNITY

DIAGNOSIS
 OBJECTIVES
1. Describe the community based on the following demographical data:
 Age and Sex
 Civil Status
 Religion
 Civil Status
 Average monthly income
2. Describe health status of the community based on:
 Common cause of morbidity and mortality
 Health services
 Dental Health Services
 PhilHealth membership
 Alternative Medicine Use
 Maternal-Child Care
 Sanitation and Waste Management
 OBJECTIVES
3.Describe cause and effect relationship of a
determined health problem with the use of a
Problem Tree Analysis
4.Determine the social determinants of health in
the community
5.Identify problems and provide
recommendations based on the WHO Building
Blocks of Health
 PANGKALAHATANG IMPORMASYON
Locality Brgy. Libertad, Leyte

Collection method Survey-questionnaire

Date of Data Collection August 16-17, 2021

Total number of household

31 households
surveyed

Total population 146

Total # of Female 76

Total # of Male 70
 AGE-SEX DISTRIBUTION
6
>60 yrs old 7

17
36-59 yrs old 15

12
26-35 yrs old 13

3
18-25 yrs old 8

11
13-17 yrs old 8

17
6-12 yrs old 11

8
1-5 yrs old 8

2
<1 yo
0 2 4 6 8 10 12 14 16 18

Male Female
 CIVIL STATUS

Separated 2

Widow 2

Male
Female
Married 22 22

Single 48 50

0 20 40 60 80 100 120
 RELIGION

Roman Catholic

146
 OCCUPATION
45 42 41
40
35
30
Num

onde

25
resp
ber

nts
of

20 18
15
11
10 7 8
5 4 3 3
2 2 2 1 1 1
0
 FAMILY MONTHLY INCOME

3, 9.68%
4, 12..9%

13, 41.94%

<3000
3000-7000
7100-10000
More than 15,000
11, 35.48%
 SOURCES OF INCOME
Pangunahing Pinagkakakitaan ng Pamilya
1; 3%
4; 13%

12; 39%
Salary/Sweldo
Pagtanim ng Gulay
Maliit na Negosyo (Sari-
6; 19% Sari Store)
Pension
Buy and Sell

8; 26%
 SOURCE OF INFORMATION
30

25
25

20
20

15

10

5
3
2
0
TV Radyo Bali-Balita Internet
 LAND AND PROPERTIES

7,22.58%

Sarili
Walang upa nakikitira lang

24, 77.42%
 BASIC HOUSEHOLD EXPENSES
Tatlong Pangunahing Gastusin ng Pamilya
35
31
30

25
22
20
17
15
10
10
5
5 3 3
0 0 0 0 0 0 1 1
0
Pagkain Kuryente at Pagpapagamot Edukasyon Pamasahe
Tubig

Rank 1 Rank 2 Column1

 COMMON COMMUNITY PROBLEMS
29
30

25

20

15

10

5
2 2 2
1 1
0 0 0 0
0
Walang Trabaho Basura Demolisyon
Problema sa Pagpapagawa ng bahay Militarisasyun Walang sariling bahay
Kriminalidad Droga Prostitusyon
Walang Sagot
 COMMON CAUSE OF MORBIDITY
30

25

20

15

10

0
No. of people No. of household

Cough / common cold Hypertension Flu Asthma

Diabetes Schistosomiasis Dengue
COMMON CAUSE OF MORTALITY
No. of household with & without family / household member who died in 2020-2021
30

25

20

15

10

0
 AWARENESS ON THE
PRESENCE/ABSENCE OF HEALTH
CENTER & HEALTHCARE WORKERS
35

30

25

20

15

10

0
Present Absent

Brgy. Health center Health Center Doctor

Nurse Midwife
 COMMON HEALTH SERVICES
30
28,90.3%
26,83.87%
25,80.65%
25

20

15

11,35.48%
10

5
3,9.68%

0
Vaccination Weight scaling Prenatal Medical Check up Free Medicine
 HEALTH SERVICES

30 28

25

20

15

10

5 3
2
1

0
Hospital Private Clinic Health Center Albolaryo
DENTAL HEALTH PROBLEMS
Common Dental Health Problem

3
Sirang ngipin

15
Sakit sa ngipin

0 2 4 6 8 10 12 14 16
Number of Respondents
 DENTAL HEALTH SERVICES
12

12
10

10
Number of Respondents

4
2

0
Dentist Private Clinic Hindi nagpapa check up
PHILHEALTH MEMBERSHIP
Hindi
16%

Oo
84%
 PHILHEALTH PAYMENT
18

18

16

14

12

10

8 6

4 2

0
Sariling binabayaran 4 PS Sponsor ng LGU
 PHILHEALTH BENEFITS

7 8
Gamot

6 7
Kwarto

15 7
Doctor

0 5 10 15 20 25

Discount Free
HOSPITALIZATIONS

Meron
37%

Wala
63%
 HOSPITAL FEES

15
16

14

12

9
10

4
2

0
Sariling gastos Nangutang Iba pa: Philhealth
 SOURCE OF FINANCIAL
& HEALTH ASSISTANCE
16

14

12

10

0
y t n ) a
D SS SO ga lis io d al
SW M rty t ifie
D PC ran
Pa
d a c W
a un pe
B ay Fo ot
s
ar n (n
W iga O
An ai
b
N
G
K
TYPE OF HEALTH ASSISTANCE
PROVIDED

9%

4%

financial assistance
discount
gamot

87%
COMMON MEDICATIONS UTILIZED

25

20

15

10

0
ol ic illi
n up an
t
fe
n
x in
am am xi
c yr s t o le
e t
en o S g e u pr ef
a
rac e f
Am gh on Ib C
P a M ou ec
C D
SOURCE OF MEDICAL INFORMATION

Wala
3%

Midwife
19%

Doktor
77%
USE OF TRADITIONAL MEDICINE

Hindi
32%

Oo
68%
TYPE OF TRADITIONAL
MEDICINES USED

Hilot
35%

Herbal
65%
 COMMON HERBAL
MEDICATIONS USED
16

14

12

10

0
s a no ia nt o di g si ay
a ba ta
w
b a ar Pl
a
g an u n
bo
n
a n
gg
ay a- ya
M
in re La
g m am n
B w u ba ul /O Sa ca
l al
u
/Ta G er s bo n / / m
s H In on
ta K la k da m
a e
s-
g La l
a
at
G
COMMON COMMUNITY
HEALTH PROBLEMS
14
12
10
8
6
4
2
0
MATERNAL–CHILD CARE
 PLACE OF DELIVERY

30

25

20

15

10

0
OSPITAL HEALTH CENTER CLINIC NO ANSWER
PLACE OF PRE- AND POST
NATAL CHECK UP
NO ANSWER

MIDWIFE

HEALTH CENTER

CLINIC

OSPITAL

0 2 4 6 8 10 12 14 16

Column2
FAMILY PLANNING METHOD

10

0
)
O
N C
P AL N
E
ER
TI O
AW N
O
SW
J EC D
R
AN
H
(IN IT N
O
A W
V ER
O
R
-P
O
EP
D
BREASTFEEDING VS BOTTLE
FEEDING

Formula Milk
3
[PERCENTAGE]

Breastmilk
9
75.00%
CHILDREN VACCINATION
12

10

0
BCG HEP DPT OPV MEASLES OTHERS

1st Dose 2nd Dose 3rd Dose

TYPE OF COMFORT ROOM

May flush
6
19%

De-buhos
25
81%
 WATER SUPPLY
No answer
Balon 2
2 6%
6%
Mineral Water
3
8%

Gripo (sarili)
19
53%
Gripo (pampubliko)
10
28%
 ANIMAL REARING
16
16

14
12
12

10

4
2 2
2 1
0 0 0 0
0
Aso Manok Kambing

Nakatali Nakakulong Nakakawala

SOLID WASTE MANAGEMENT
Walang Sagot
1
3%

Kinukolekta ng basurero
8
26%
Ibinabaon
14
45%

Sinusunog
8
26%
PROBLEM TREE
ANALYSIS
 Self-fulfillment &
Psychological Existence of waste incineration
needs
compromised
CRIMINAL ACTIVITIES
Not quality
Hygiene needs NOT ALL CHILDREN
Education & Health food / cheap but
not a priority COMPLETELY VACCINATED
Basic needs needs compromised unhealthy food

POVERTY compromised
(Physiologic needs,
Safety & Security)

Limited Health problems

opportunity to
employment or
UNEMPLOYMENT STROKE COUGH /
Pandemic Most common
(most common COMMON COLD
dental problem is
cause of mortality) (most common
TOOTHACHE
cause of morbidity)
High demand for basic needs

LACK OF DOCTORS, HOSPITALS

DELIVERY NEEDS, & FREE
MEDICINES IN BRGY. (primary or initial source
MOSTLY ADULTS CHILDREN (1-12 YRS OLD)
HEALTH CENTERS of health services)
(26-50 YRS OLD) 2nd most number

NO FAMILY PLANNING

Debts pile up to pay

for hospital fees
Labor Market Impact At The Onset
Of COVID-19
• Employment estimates corresponding to Q2 2020 or
April 2020, was 17.7%. It is equivalent to about 7.3
million unemployed individuals, a more than threefold
increase from the 2.3 million unemployed in April 2019.
• The labor market impact of COVID-19 pandemic on the
Philippines has already started manifesting through a
spike in the unemployment rate, a fall in labor force
participation rate, a significant reduction in working
hours, and a large swell in the fraction of workers who
are currently employed but are absent from work.
Sector facing high risk Sectors that face Sectors that face low
of job disruption due to medium risk of COVID- risk of COVID-19-
the COVID-19 crisis 19-induced job induced job disruption
are: disruption are: are:

•Manufacturing •Utilities •Agriculture

•Transportation and •Water supply and waste •Forestry and fishing
storage management activities •Public administration
•Accommodation and •Construction and defense including
food service activities •Wholesale and retail compulsory social
•Arts trade security
•Entertainment and •Information and •Education
Recreation communication •Human health and
•Tourism •Financial and insurance social work activities
activities
•Real estate activities
•Professional and
scientific services
 Social Determinants of
Social Determinants
of Health
Health How It Affects Health

Unemploymen  Unemployed people and people with low incomes are

less likely to have access to health care services and are
t more likely to delay medical treatment due to cost.
 If hospitalization is needed, most households have to
borrow funds in order to settle hospital bills.
Poverty  Only few members of the community are knowledgeable
that free medical check-ups and medicines are also
available in the health center.
Healthcare  Most common causes of morbidity in the community are
cough and common cold. Mostly they use traditional
Services medications such (Oregano/Klabo) to alleviate their
symptoms.
 Some members of the community dispose their wastes by
Environment incineration. Burning wastes can increase their risks of
cancer and respiratory symptoms.
 SERVICE DELIVERY
PROBLEM
Due to pandemic, consultations are mostly
limited online or limited schedule of out
patient consultations in Health Care
Centers. Leaving those who are living in far access, partnership with institutions with
areas and have no money for transportation
not being able to access to any health care.
Lack of health campaigns in the community
Lack of Family Planning practices in the
community
RECOMMENDATIONS
Continue regulated face-to-face
consultation limited to those who do not
have means or resources including internet
telemedicine for continuation of care and
consult.
Increase provision of IECs in the
community, Notify community leaders of
upcoming health-related projects or plans in
the community
Increase awareness on family planning
information and methods to women and
men by providing IECs, initiate FP outreach
missions, increase access to and choice of
contraceptive methods in underserved
areas.
 SERVICE DELIVERY
PROBLEM RECOMMENDATIONS
Inadequate environmental sanitations, Initiate a “Limpyo Mo, Libong Mo” projects,
especially in community members with provide clear instructional materials on how
chicken farms to properly dispose animal droppings,
provision of space for disposal of droppings

Poor waste disposal practices in the Encourage community to have a

community harmonized Solid Waste Management
System, initiate information awareness
campaign to educate their constituents
the proper way and importance of waste
segregation and disposal
 SERVICE DELIVERY
PROBLEM RECOMMENDATIONS
Low coverage of oral health care programs Increase awareness of people about
complications of improper health care by
providing IECs, initiate a weekly oral health
clinic
 HEALTH WORKFORCE
PROBLEM
Lacking personnel working on-site or during
the day due to the mandate of social
distancing.
Decreased training opportunities on
implementation of health care programs
RECOMMENDATIONS
Divide the community to certain people in-
charge and have them monitor each
household on a regular basis
Provide training through zoom webinars for
barangay frontliners and look for
stakeholders who are willing to fund for the
necessary training
 HEALTH WORKFORCE

PROBLEM RECOMMENDATIONS
Lack of discipline in following proper Have a committee which functions solely in
protocol in controlling COVID-19 resulting to the monitoring of activities of personnel,
decrease of the workforce because of mass provision of clear guidelines and give
isolation of the workforce warnings to first-time offenders and
necessary strict demerits/punishments to
repeated offenders
 HEALTH INFORMATION SYSTEM
PROBLEM RECOMMENDATIONS
Still a lack of dissemination of Printed infographics and COVID-
information to members of the 19 updates, and other IEC
community who has no access to materials must be shared via
internet and/or television posting in their respective
accounts to 44% as per data Barangay/Purok Bulletin Boards
collected in the survey in order to have an easy access
to health information
4% still relies on word of mouth or Teach and regularly encourage
has no access to any health the community to identify reliable
information system; citizens may sources or instruct to verify health
be exposed to misguided information/s shared to them
information that will later become
a problem in the delivery of health
services (such as vaccination
myths and bogus information)
 ACCESS TO ESSENTIAL MEDICINES
PROBLEM RECOMMENDATIONS
Self-medication (3% of medicine Encourage health information
utilization as per survey) is far from dissemination on the harms of self-
being a completely safe practice, in medicating.
particular in the case of non-
responsible self-medication. Potential Health centers must be accessible to
risks of self-medication practices the community and should have
include: incorrect self-diagnosis, trained health care workers ready to
delays in seeking medical advice address the health needs of the
when needed, infrequent but severe community.
adverse reactions, dangerous drug
interactions, incorrect manner of
administration, incorrect dosage,
incorrect choice of therapy, masking
of a severe disease and risk of
dependence and abuse.
 ACCESS TO ESSENTIAL MEDICINES
PROBLEM
6.45% still does not know the nearest Information dissemination must be done regarding the
pharmacy to them. Knowing the nearest
pharmacy ensures a timely access to
medical care and pharmaceutical
services.
68% of the people in the community
seeks traditional or alternative
medicines where most of them or 65%
utilizes herbal medications and 35%
utilizes “hilot” as a manner of alternative medications as to the approved and studied medicinal
medicine. This is significant because
this can delay a person to seek medical
care and be given appropriate
medications.
RECOMMENDATIONS
nearest pharmacy to their household to ensure a
timely access to medical care and pharmaceutical
services
Herbal medications abound in nature thus readily
available and accessible as compared to synthetic
drugs. Training of health care professionals and the
community regarding the proper use of herbal
plants as per DOH-PITAHC must be conducted to
avoid health problems such as improper use and
dosage.
Ensure that available “hilots” are certified under
PITAHC and a continuous surveillance for the said
practitioners must be done to avoid inappropriate
treatment.
Encourage community people to seek medical help
from available doctors or HCWs and discuss, if
possible, the use of such alternative medicine.
Financial
Problems Recommendations
• Unemployment • To teach them better
and/or lack of job way of handling their
opportunities. finances through:
• Financial literacy
• Inadequate source programs
of income.
• Livelihood programs
Leadership
Problems Recommendations
• Leadership Visibility • Community
& Approachability directory for easier
provision of help to
the community. (e.g.
alleviate medication
and hospital bills)
 SUMMARY
• Majority of the members of the community are from the working
population with most of the respondents having an income of
less than 3,000 php a month to 3,000 – 7,000 php a month.
• The major problems identified by the respondents are
unemployment, lack of health care programs and financial
assistance.
• Most common cause of morbidity are common cough and colds,
followed by flu and hypertension, respectively.
• Majority of the respondents finances came from their wages and
because of the pandemic which resulted to unemployment, most
of them have difficulty attending their family’s daily needs.
 SUMMARY
• Majority of the pathology found in the community
needs intersectoral interventions, such as
unemployment, sanitation, lack of medical supplies,
lack of health care workers and essential medicines
Thank you for listening