MARTINEZ MEMORIAL COLLEGES

198 A. MABINI ST, MAYPAJO, CALOOCAN CITY

COLLEGE OF NURSING

COMMUNITY HEALTH NURSING: BARANGAY 59 ZONE 6 DISTRICT II

In Partial Fulfillment For the Requirements for the Degree in Bachelor of Science in Nursing

Presented to: The Faculty College of Nursing Martinez Memorial Colleges

Presented by:

GROUP 5

Nuez, Joseph Rex Sabili, Janen San Miguel, Zharmine Santos, Norman Alvin Sareno, Ma. Elisa Tan, Rhealene Ting, Kathleen Grace Tolosa, Felix Alden Torres, Amicy Grace Valeriano, Elena Vidal, Monica Villar, Diana Rose

JANUARY 2012

ACKNOWLEDGEMENT With grateful appreciation, we Level IV nursing students, RLE Group 5 would like to express our deepest gratitude to the following that helped us making our community health management successful. Firstly, to our loving parents who persistently there to nurture, love and understand us in every thing and in every ways they can, To our clinical instructor, Mr. Erwin Martinez for his unconditional support, supervision, and helping hand that even on her busy days, he never forget to remind us and be with us just to make the whole clinical rotation and/or community immersion a victorious one, To the unparalleled supervision of Ms. Maria Haydi Medina within the length of the entire weeks of lecture and community immersion, To other clinical instructors in the personhood of Ms. Mary Ann Lim and Mr. Jimbo Zamora, for imparting their time and knowledge that credits all of us students during our case presentation, To the Barangay Officials of Barangay 59 especially Mr. Alfredo C. Diwa, the Barangay Kagawads and other personnels, for hospitably accepting us in your barangay and for helping us throughout the whole period of community immersion, And above all to our ALMIGHTY GOD, through him we did our activities faultless that made each and every one of us stronger and aided us enhances our future profession, Again, thank you to all of the contributors of the success of our community immersion.

TABLE OF CONTENTS

Title Page Acknowledgement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Table of Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

I. II. III. IV. V. VI. VII. VIII. IX. X. XI. XII. XIII.

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 LIST OF BARANGAY OFFICIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HISTORY OF BARANGAY 59 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SPOT MAP OF BARANGAY 59 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BARANGAY PROFILE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEMOGRAPHIC DATA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMMUNITY HEALTH SURVEY FORM . . . . . . . . . . . . . . . . . . . . . INTERPRETATION AND IMPLICATION OF GRAPHS . . . . . . . . . COMMUNITY HEALTH PROBLEMS . . . . . . . . . . . . . . . . . . . . . PROBLEM TREES . . . . . . . . . . . . . . . . . . . . . NURSING CARE PLANS . . . . . . . . . . . . . . . . . . . . . COMMUNITY HEALTH ACTION PLANS . . . . . . . . . . . . . . . . . . . PROGRAM EVALUATION. . . . . . . . . . . . . . . . . . .

XIV. APPENDICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A. COMMUNICATION LETTERS . . . . . . . . . . . . . . . . . . . B. SAMPLE PROGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C. SAMPLE INVITATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D. SAMPLE LEAFLET. .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . E. REGISTRATION FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F. EVALUATION TOOL AND RESULT . . . . . . . . . . . . . . . . . . . . . . . . . . . .

G. FINANCIAL REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

XI. PHOTO GALLERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XII. CURRICULUM VITAE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INTRODUCTION Barangay 59, Caloocan City is one of the many poor urban places in Metro Manila. Such as the case, two groups of students from the Level Four Bachelor of Science in Nursing Program of Martinez Memorial Colleges conducted an activity of the neighborhood which aimed to address some of the most common problems of this particular community. In the following pages, the reader will find the detailed process of the activity performed from the planning phase to its implementation as well the background profile of the community and the analysis of the problem done. The identities of those involved in this study are also included here as well as photo documentation of the events. One may find here the major various issues of our society today such as poverty, lack of jobs, poor education and may wonder why this is not being addressed. The answer to that is because the problems presented here are those that can be addressed in a limited time period as to effect the necessary changes for the communitys welfare. Above all, we, the members of the group who conducted the activity, pray that the reader appreciate or be educated about the certain conditions in our community and imply that societys problems can be solved one step at time.

BARANGAY OFFICIALS Barangay 59 Zone 6 District II Name Alfredo C. Diwa Designation Barangay Chairman 1st Kagawad 2nd Kagawad 3rd Kagawad 4th Kagawad 5th Kagawad 6th Kagawad 7th Kagawad Youth, Sports and Development Fire Fighting Brigade Clean and Green Beautification Peace and Order Address/ Tel. # Committee

Christopher Tiu Michael Mamarid Mario Miranda Wilfredo Panlaque Bonifacio Edos Ernesto Pina Asuncion Caliwag

Spot Map of Barangay 59 Zone 6 District II

A BRIEF HISTORY OF BARANGAY BARANGAY 59 ZONE 6 DISTRICT II In the year 1960s, the leader of the barangay is called Kapitan del Barrio. The first Kapitan del Barrio is Kapitan Pablo Gatman. Barangay Kusutan, its former name, was under the authority of Barangay Chairman Alexandro Tulugan from the year 1970 to 1975. After 5 years, the name of the Barangay was changed to Kabesa de Barangay. People from the barangay called their place as Little Tondo of Caloocan. By the year 2007 and up to the present, Barangay Chairman Alfredo C. Diwa is governing Barangay 59.

BARANGAY PROFILE BARANGAY 59 ZONE 6 DISTRICT II

I.

Barangay Boundaries North: 9th Avenue from railroad to Baltazar St. (Brgy. 17) East: Baltazar St. from 8th Avenue to 9th Avenue (Brgy. 56) West: Railroad from 8th Avenue to 9th Avenue (Brgy. 63) South: 8th Avenue to Baltazar St. (Brgy. 57)

II. III. IV. V. VI. VII. VIII. IX. X.

Land Area: 3 hectares Total Population: 11, 000 as of 2008 Total No. of Household: 500 No. of Registered Voters: 6, 500 voters Location of Barangay Hall: Barangay Fiesta: June 24 No. of Business Establishments: Location of Health Center/s Location of Schools: Grace Park Elementary School, 7th Avenue Elementary School Police Station Covered: PCP6 Depressed Areas: 8th Avenue Daang Bakal St. and M. Hizon St. Location of Church/es: Sacred Heart Church Flood Prone Area: M. Hizon St., 8th Avenue Fire Station: Fire Stations Caloocan Community Projects: Covered Facilities, Plaza Park and Barangay Hall Renovation

XI. XII. XIII. XIV. XV. XVI.

DEMOGRAPHIC FEATURES I. II. III. Population Power Supply Communication Services

PHYSICAL INFRASTRUCTURES I. II. Transportation Water Supply

SOCIAL FEATURES I. Health Status

10 leading causes of mortality 1. Coronary Artery Disease 2. Pneumonia 3. Cancer 4. Accidents 5. Tuberculosis 6. Multi Organ Failure 7. Asthma 8. Hypertensive Vascular Disease 9. Sepsis 10. Renal Failure

10 leading causes of morbidity 1. Bronchitis/ Bronchiolitis 2. Acute Watery Diarrhea 3. Acute Lower Respiratory Infections 4. AURI 5. Pneumonia 6. TB Respiratory 7. Hypertension 8. Influenza 9. Diarrhea, other forms 10. TB, other forms

II.

Health Facilities and Services Location 7th Avenue Caloocan City Services Check-up Pregnancy Check-up Vaccination Sputum Examination Salt Testing Personnel Dra. Marissa dela SernaIsabedra

Health Institution Calaanan Health Center

Percentage Distribution Showing the Gender of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Male Female TOTAL

GENDER Frequency 152 155 307

% 49.51 50.49 100

INTERPRETATION:

The graph shows that out of 307 individuals interviewed, 50.49% are female and 49.51% are male.

IMPLICATION:

This may imply that the almost equal number of males and females can lead to high fertility rate 50. 49% of the individuals belongs to the child bearing age.

Percentage Distribution Showing the Age and Gender of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

AGE MALE
0-11 months 1-4 years old Frequency 6 18 12 % 3.95% 11.84% 7.89% 0-11 months 1-4 years old

FEMALE
Frequency 1 20 % 0.65% 12.90%

TOTAL POPULATION TOTAL PERCENTAGE

7 38 2% 12%

5-9 years old

10-14 years old

22 14.47%
18 19 15 14 5 4
7 8 2 2

5-9 years old

10-14 years old

17
15

10.97%
9.68%

39
27

13%
9%

15-19 years old 20-24 years old 25-29 years old 30-34 years old 35-39 years old 40-44 years old
45-49 years old 50-54 years old 55-59 years old 60 Above

11.84% 12.50% 9.87% 9.21% 3.29% 2.63%

4.61% 5.26% 1.32% 1.32%

15-19 years old 20-24 years old 25-29 years old 30-34 years old 35-39 years old 40-44 years old
45-49 years old 50-54 years old 55-59 years old 60 Above

19 19 16 9 10 7
8 4 6 4

12.26% 12.26% 10.32% 5.81% 6.45% 4.52%

5.16% 2.58% 3.87% 2.58%

37 38 31 23 15 11
15 12 8 6

12% 12% 10% 7% 5% 4%

5% 4% 3% 2%

TOTAL

152

100%

TOTAL

155

100%

307

100%

49. 51%

50.49%

AGE AND GENDER

14%
13% 12%

13%

12%

12%
11% 10%

12%

10%

10%

9%

8%
6% 6% 5%

5%

5%

5%
4%

4%

3% 3%
1%

3%

3%

1%

1%

INTERPRETATION:

The graph shows that out of 307 individuals interviewed, female is 50.49% while male is 49.51%. The table also shows that individuals aged 5 9 years old have the highest number which obtained 13% followed by individuals aged 1-4 years old, 15 -19 years old and 20 -24 years old with a percentage of 12% each.

IMPLICATION:

This may imply that because of the percentage obtained by individuals aged 5 -9 and 1 -4 years old, infant mortality and morbidity may increase. It may also imply that there will be an increase in fertility rate because there is a high percentage of individuals who belongs to the reproductive age or makra. Therefore DOH Programs like Under Five Clinic for the children and Family Planning for the individuals covered by the makra, can be carried out.

Percentage Distribution Showing the Civil Status of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

CIVIL STATUS Frequency %

Below 15 years old (Child)

Single Married Others TOTAL

113
83 108 3 307

37%
27% 35% 1% 100%

INTERPRETATION:

The graph shows that of the 307 people interviewed, 37% is below 15 years old, 27 % is single, 35.18% is married and 1% is either separated or widowed.

IMPLICATION:

This may imply that because 37% of the population belongs to individuals aged 15 and below, infant mortality and morbidity may increase. The Under Five Clinic Program can be addressed.

Percentage Distribution Showing the Religion of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

RELIGION Frequency

Catholic
Iglesia Ni Cristo Others TOTAL

77
39 3 307

65%
33% 2% 100%

RELIGION
OTHERS IGLESIA CATHOLIC 0% Series1 20% CATHOLIC 65% 40% IGLESIA 33% 60% 80% OTHERS 3%

INTERPRETATION:

The graph shows that Catholic is the predominant religion present with 65%, Iglesia ni Cristo with 33% and other religions with 3%.

IMPLICATION:

This may imply that because of the big percentage obtained by the Catholics can contribute to increase fertility rates in relation to their belief against Reproductive Health Bill.

Percentage Distribution Showing the Occupation of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Employed

OCCUPATION Frequency 54

% 18%

Unemployed
Self-employed Child/Student

109
45 99 307

36%
15% 32% 100%

OCCUPATION
36% 18% 15% 32%

Employed

Unemployed

Self-employed

Child/Student

INTERPRETATION:

The graph shows that among 307 individuals 36% is unemployed, 18% is employed, 15%% is self employed and the remaining 32% are child/student.

IMPLICATION:

This may imply that unemployment can lead to increase mortality and morbidity rates due to inability to seek health care and poor nutrition.

Percentage Distribution Showing the Education of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

EDUCATION Not yet studying Elementary Undergraduate Elementary Graduate Highschool Undergraduate Frequency 43 39 43 60 % 14% 13% 14% 20%

Highschool Graduate
College Undergraduate College Graduate Vocational Out of School TOTAL

63
28 15 2 14 307

21%
9% 5% 1% 5% 100%

EDUCATION
70 60 50 40 30 20 10 0 20% 14% 13% 14% 9% 5% 1% 5% 21%

INTERPRETATION:

The graph shows out of 307 individuals interviewed, the highest educational attainment is obtained by high school graduates with the percentage of 21%.

IMPLICATION:

This may imply that the percentage obtained by out of school youth can lead to increase morbidity in relation to lack of knowledge to maintain health condition of family member.

Percentage Distribution Showing the Family income of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Below Php 500 600 - 1500 Php 1600 - 3000 Php 3000 - 5000 Php

FAMILY INCOME Frequency 8 5 7 6

% 14% 8% 12% 10%

5000 - 10 000 Php

10 000 - 15 000 Php 15 000 -20 000 Php Above Php 20 000 TOTAL

20
9 4 0 59

34%
15% 7% 0 100%

BELOW

PHP 600-1500

PHP 1600-3000

PHP 3000 5000

PHP 5000 -10 000

PHP 10 000 -15 000

PHP 15 000 - 20 000

PHP 20 000 ABOVE

INTERPRETATION:

The graph shows that most of their family income ranges from 5,000-10,000 which comprises 33.90% out of 59 families. 15.25% of the population has an average income of 10,000-15,000 while 13.56% of them have an income of 500 and below. Out of 59 families 11.86% receives an income of 1,600-3,000, 10.17% obtains an income of 3,0005,000. Only 8.47% gains an average income of 600-1,500 and the least 6.78% receives an income of 15,000-20,000.

IMPLICATION:

This may imply that low amount of income can lead to increase mortality and morbidity in relation to there inability to satisfy basic human and healthcare needs.

Percentage Distribution Showing the Type of Building of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Strong Light

TYPE OF BUILDING Frequency 14 12

% 24% 20%

Mixed Makeshift
TOTAL

32 1
59

54% 2%
100%

INTERPRETATION:

The graph shows that most of the families in Brgy. 59 lives in a mixed type of building which obtained 54% and only 2% lives in a makeshift type of building.

IMPLICATION

This may imply that the 2% who lives in a makeshift can contribute to increase morbidity and mortality in relation to increase incidence of communicable diseases and respiratory disease like cough and colds.

Percentage Distribution Showing the General Sanitary Condition of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

GENERAL SANITARY CONDITION Frequency % Good 12 20%

Fair Poor
TOTAL

24 23
59

41% 39%
100%

GOOD FAIR POOR

INTERPRETATION:

The graph shows that out 59 families, 41% has a fair general sanitary condition, 39% has good sanitation and 20% has a poor general sanitary condition.

IMPLICATION:

This may imply that poor sanitary condition can lead to increase morbidity and mortality in relation to increase cases of diseases like upper respiratory diseases and dengue. Programs on Environmental Sanitation may be implemented in the community.

Percentage Distribution Showing the Gender of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Sewage Septic Tank Water Sealed

EXCRETA DISPOSAL Frequency 0 2 37

% 0 3% 63%

Public
Others TOTAL

19
1 59

32%
2% 100%

PUBLIC

INTERPRETATION:

The graph shows that the commonly used type of excreta disposal is through water sealed comfort room which obtained 63%, public comfort rooms rank 2nd with 32%, 3% uses septic tank disposal and the 2% uses other type of excreta disposal.

IMPLICATION:

This may imply that with the 32% using public comfort rooms can contribute to increase morbidity and mortality rates in relation to.

Percentage Distribution Showing the Gender of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Private

WATER SOURCE Frequency 28

% 47%

Public
TOTAL

31
59

53%
100%

WATER SOURCE

Public 53%

INTERPRETATION:

The graph shows that out of the 59 families interviewed, 47 % has private water source while the 53% is using a public water source.

IMPLICATION:

This may imply that an increase morbidity and mortality related to water borne diseases like amoebiasis, cholera and diarrhea is existent.

Percentage Distribution Showing the Water Source of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

WATER SOURCE RESERVOIR Frequency %

Pipe
Hose Pail Others

33
4 20 2 59

56%
7% 33% 4% 100%

WATER RESERVOIR
5 4 3 2 1 0 0 0.2 0.4 0.6 0.8 1 7% 56% 1.2 3% 34%

INTERPRETATION:

The graph shows that out of 59 families, 56% is using pipes and 7% is using hose, 34% are using pale and the remaining 3% are using other materials for their water source.

IMPLICATION:

This may imply that water borne diseases can increase mortality and morbidity.

Percentage Distribution Showing the Water Storage of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Covered TOTAL

WATER STORAGE Frequency 58

% 98%

Uncovered

1
59

2%
100%

1.69%

Covered Uncovered 98.31%

INTERPRETATION:

The graph shows that 98% store their drinking water by covering it and 2% of the families leave their drinking water uncovered.

IMPLICATION:

This may imply that the percentage obtained by uncovered water storage can contribute to increase morbidity rates caused by in relation to increase cases of amoebiasis.

Percentage Distribution Showing the Garbage Disposal of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

GARBAGE DISPOSAL Frequency DPS Collection 43

% 73%

Burning Dumping Burying

Recycling TOTAL

5 10 1
0 59

8% 17% 2%
0 100%

INTERPRETATION:

The graph shows that out of 59 families, 73% of the garbage disposal is through DPS collection, 17% is dumping, 8% is burning and 2% is burying.

IMPLICATION:

This may imply that the percentage obtained by dumping can contribute to increase morbidity and mortality in relation to dengue cases. However, the percentage obtained by burning can contribute to increase morbidity and mortality in relation to increase incidence of respiratory diseases.

Percentage Distribution Showing the Source of Healthcare of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

SOURCE OF HEALTH CARE Frequency %

Health Center
Government Hospital Private Hospital

44
6 6

75%
10% 10%

Others
TOTAL

3
59

5%
100%

INTERPRETATION: The graph shows that out of the 59 families interviewed in Brgy. 59, most of the peoples source of Health Care is the Health Center (75%), followed by Government Hospital and Private Hospital with the same rating of 10% while the remaining 5% of the families seek help from manghihilot.

IMPLICATION:

This may imply that the percentage obtained by those who do not seek medical consultation can contribute to increase morbidity and mortality.

Percentage Distribution Showing the Dental Source of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

DENTAL SOURCE Frequency

Health Center
Government Hospital Private Hospital

39
6 7

66%
10% 12%

Others
TOTAL

7
59

12%
100%

80% 60% 40% 20% 0%

INTERPRETATION: The graph shows that out of the 59 families interviewed in Brgy. 59, most families source of Dental Health is at the Health Center with a 66% rating then 12% seek help from private hospitals and 10% seek help from Government Hospital while another 12% seek help from herbs men.

IMPLICATION:

This may imply that the percentage of the subjects who do not seek dental consultation which is 12% can contribute to increase dental morbidity.

Percentage Distribution Showing the Backyard Gardening of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Vegetable Fruit Tree Ornamental

BACKYARD GARDENING Frequency 1 0 22

% 2% 0 37%

Others
TOTAL

36
59

61%
100%

INTERPRETATION: The graph shows that 61% of the total population doesnt have a backyard gardening, then 37% of them has ornamental garden and the remaining 2% is vegetable gardening.

IMPLICATION:

This may imply that the percentage of the families who do not have plants at home can lead to increase morbidity rates in relation to increase respiratory diseases. Plants are responsible for oxygen and carbon dioxide exchange and can help decrease pollution.

Percentage Distribution Showing the Food Storage of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

FOOD STORAGE Covered Frequency 59 % 100%

Uncovered
TOTAL

0
59

0
100%

Uncovered 0%

FOOD STORAGE

Covered 100%

INTERPRETATION:

The graph shows that 100% of the 59 families interviewed stores their food by covering it.

IMPLICATION

This may imply that the percentage obtained by covered food storage can contribute to decrease morbidity caused by food borne disease and food poisoning.

Percentage Distribution Showing the Infant Feeding of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

INFANT FEEDING Frequency %

Breastfeeding
Artificial TOTAL

18
10 28

64%
36% 100%

INTERPRETATION:

The graph shows that 64% make use of breast feeding while 36% utilize artificial infant feeding.

IMPLICATION:

This may imply that the percentage of artificial breastfeed children can contribute to increase infant morbidity in relation to malnutrition of the infants.

Percentage Distribution Showing the Family Planning of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

FAMILY PLANNING Acceptor Frequency 16 % 33%

Non-acceptor
TOTAL

32
48

67%
100%

33%

Acceptor Non-acceptor 67%

FAMILY PLANNING

INTERPRETATION:

The graph shows that out of 48 couples that we have interviewed, 67 % are non acceptors and 33% are acceptors.

IMPLICATION:

This may imply that the percentage obtained by the non-acceptors can lead to increase number of children due to poor compliance to family planning. Thus, a Family Planning Program for individuals who belongs to the reproductive age should be further educated about this.

Percentage Distribution Showing the Family Planning Method of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

FAMILY PLANNING METHOD Frequency Oral Contraceptives 7 Injectables 7

% 44% 44%

Others
TOTAL

2
16

12%
100%

FAMILY PLANNING METHOD

44% 44% 13%
OTHERS INJECTABLES ORAL CONTRACEPTIVES

INTERPRETATION: The graph shows that out of 16 couples, 43% uses oral contraceptives and injectables as their means of family planning, and 12% use other methods such as IUDs.

IMPLICATION: This may imply that noncompliance to family planning methods as evidenced by 67% of non-acceptors can lead to increase fertility rate.

Percentage Distribution Showing the Gender of Families Surveyed, Brgy. 59 Zone 6, District 2, As Of November 2011

Complete TOTAL

IMMUNIZATION STATUS Frequency 47

% 85%

Incomplete

8
55

15%
100%

IMMUNIZATION STATUS
15%

Complete Incomplete 85%

INTERPRETATION: The graph shows that out of the 307 individuals in the area, 55 are children with ages 5 years and below, 85% have complete immunizations and 15% have incomplete immunizations.

IMPLICATION: This may imply that the percentage of incomplete immunization can contribute to increase infant mortality in relation to increase cases of childhood illnesses.

COMMUNITY HEALTH PROBLEMS

PROBLEM TREES

Problem: POOR ENVIRONMENTAL CONDITION IN RELATION TO IMPROPER WASTE DISPOSAL

IMPROPER GARBAGE DISPOSAL

LAZINESS

LACK OF DISCIPLINE

LACK OF KNOWLEDGE

POOR IEC CAMPAIGN

Problem: LOW FAMILY INCOME

Lack of Education

Lack of Stable Job Opportunities

Resorting to unstable jobs

Low Family Income

Inability to meet basic nutritional needs

Increase in morbidity and mortality rate

Problem: POOR MANAGEMENT OF TOILET

poor management of public toilet

more than 1 family using the toilet

inadequate toilet facilities

low income

Problem: INCREASE NUMBER OF CHILDREN IN RELATION TO POOR COMPLAINCE TO FAMILY PLANNING

COMMUNITYHEALTH PROBLEM: ______________________________________________________ ______________________________________________________

CRITERIA SCORE HIGHEST POSSIBL E SCORE 3 WEIGHT ACTUAL SCORE

NATURE OF THE PROBLEM Health status Health resources Health related MAGNITUDE OF THE PROBLEM 75-100% affected 50-74% affected 25-49% affected Less than 25% affected MODIFIABILITY OF THE PROBLEM High Moderate Low Non modifiable Preventive potential High Moderate Low SOCIAL CONCERN Urgent community concern Recognized problem but does not need urgent attention Not a community concern

3 2 1 4 4 3 2 1 3 3 2 1 0 3 3 2 1 2 2 1 0 Final Score 1 1 4 3

Criteria score: ___________score___________ = Score Highest possible score x weigh

COMMUNITYHEALTH PROBLEM: ______________________________________________________ ______________________________________________________

CRITERIA

SCORE

HIGHEST POSSIBL E SCORE 3

WEIGHT

ACTUAL SCORE

NATURE OF THE PROBLEM Health status Health resources Health related MAGNITUDE OF THE PROBLEM 75-100% affected 50-74% affected 25-49% affected Less than 25% affected MODIFIABILITY OF THE PROBLEM High Moderate Low Non modifiable Preventive potential High Moderate Low SOCIAL CONCERN Urgent community concern Recognized problem but does not need urgent attention Not a community concern

3 2 1 4 4 3 2 1 3 3 2 1 0 3 3 2 1 2 2 1 0 Final Score 1 1 4 3

Criteria score: ___________score___________ = Score Highest possible score x weigh

COMMUNITYHEALTH PROBLEM: ______________________________________________________ ______________________________________________________

CRITERIA

SCORE

HIGHEST POSSIBL E SCORE 3

WEIGHT

ACTUAL SCORE

NATURE OF THE PROBLEM Health status Health resources Health related MAGNITUDE OF THE PROBLEM 75-100% affected 50-74% affected 25-49% affected Less than 25% affected MODIFIABILITY OF THE PROBLEM High Moderate Low Non modifiable Preventive potential High Moderate Low SOCIAL CONCERN Urgent community concern Recognized problem but does not need urgent attention Not a community concern

3 2 1 4 4 3 2 1 3 3 2 1 0 3 3 2 1 2 2 1 0 Final Score 1 1 4 3

Criteria score: ___________score___________ = Score Highest possible score x weigh

COMMUNITYHEALTH PROBLEM: ______________________________________________________ ______________________________________________________

CRITERIA

SCORE

HIGHEST POSSIBL E SCORE 3

WEIGHT

ACTUAL SCORE

NATURE OF THE PROBLEM Health status Health resources Health related MAGNITUDE OF THE PROBLEM 75-100% affected 50-74% affected 25-49% affected Less than 25% affected MODIFIABILITY OF THE PROBLEM High Moderate Low Non modifiable Preventive potential High Moderate Low SOCIAL CONCERN Urgent community concern Recognized problem but does not need urgent attention Not a community concern

3 2 1 4 4 3 2 1 3 3 2 1 0 3 3 2 1 2 2 1 0 Final Score 1 1 4 3

Criteria score: ___________score___________ = Score Highest possible score x weigh

Responsible Persons/ Signature IMPOPER LECTURE/ PROPER After 2-3 hours of Group 1 and GARBAGE DISCUSSION GARBAGE lecture/ discussion, Group 5 DISPOSAL DISPOSAL the percentage of improper garbage disposal will be lessen from 27% to 0%

Problems

Solutions

Projects

Goals/Objectives

APPENDICES

DISTRIBUTION LETTER

December 2, 2011

___________________________ ___________________________ ___________________________ ___________________________

Greetings! The undersigned Level IV nursing students of Martinez Memorial Colleges would like to seek permission from your good office on the proposed activity below: Theme: Kalinisan Tungo sa Magandang Kinabukasan: Linis mo, Sagip Buhay Ko Date: December 5, 2011 Time: 8:30 10:00am Venue: Barangay 59 Hall

In view of this, may we also request for the following equipments as stated below: 1. 2. 3. 4. 5. 6. 7. 2 tent (kubol) 120 chairs 3 tables Microphone DVD Player Television Speaker

Thank you very much.

Respectfully yours, Barrientos, Vanessa Sareno, Ma. Elisa

Noted by:

________________________________ Ms. Maria Haydi S. Medina, RN, MAN

________________________________ Mr. Erwin Martinez, RN

SAMPLE PROGRAM

SAMPLE INVITATION

Malugod namin kayong inaanyayahan sa isang pagtitipon na may temang: Ka l in isa n Tu n g o Sa Ma g a n d a n g Ka l u su g a n : Lin is Mo , Sa g ip Bu h a y Ko .
Ano : Pag-aaral at Talakayan Kailan : ika 5 ng Disyembre, 2011 8: 30 10:00 am Saan : Barangay 59 Hall

Malugod namin kayong inaanyayahan sa isang pagtitipon na may temang: Ka l in isa n Tu n g o Sa Ma g a n d a n g Ka l u su g a n : Lin is Mo , Sa g ip Bu h a y Ko .
Ano : Pag-aaral at Talakayan Kailan : ika 5 ng Disyembre, 2011 8: 30 10:00 am Saan : Barangay 59 Hall

Inaasahan namin ang inyong pagdalo. Maraming salamat po.

Inaasahan namin ang inyong pagdalo. Maraming salamat po.

REGISTRATION FORMS

EVALUATION RESULTS

Evaluation Tool

Maraming salamat po sa inyong pagdalo sa pagtitipong ito na may temang Kalinisan tungo sa Magandang Kalusugan: Linis Mo, Sagip Buhay Ko Ikalulugod po namin kung maglalaan kayo ng maikling minuto para sagutan ang pagsisiyasat na ito. Paano mo bibigyan ng grado ang aktibibidad ayon sa mga sumusunod? Lagyan ng check ang patlang ayon sa iyong kasagutan. Pangalan: ______________________________ Petsa: _________________________________ Napakahusay Mahusay Mainam Sapat Lang Hindi Sapat

Pangkalahatang grado ukol sa aktibidad Paksa sa talakayan Pagpili sa tagapagsalita Kaalaman ng tagapagsalita hinggil sa paksa Nilalaman ng pamigay Oras na inilaan sa aktibidad Kooperasyon ng mga dumalo Ayos ng lugar na pinagdausan ng aktibidad Pangagasiwa ng grupo sa aktibidad

1. Pangkalahatang grado ukol sa aktibidad

80% 70% 60% 50% 40% 30% 20% 10% 0%

74%

17% 3% 6% 0

Napakahusay

Mahusay

Mainam

Sapat Lang

Hindi Sapat

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 74% of them graded Pangkalahatang grado ukol sa aktibidad as Napakahusay, 17% for Mahusay, 3% for Mainam and 6% as Sapat Lang.

2. Paksa sa talakayan

70% 60% 50% 40% 30% 20% 10% 0%

63%

29% 6% 6%

0%

Napakahusay

Mahusay

Mainam

Sapat Lang

Hindi Sapat

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 63% of them graded Paksa sa talakayan as Napakahusay, 29% for Mahusay, 6% for Mainam and 6% as Sapat Lang.

3. Pagpili sa tagapagsalita

60% 50% 40% 30% 20% 10% 0%

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 51% of them graded Pagpili sa tagapagsalita as Napakahusay, 29% for Mahusay, 6% for Mainam and 11% as Sapat Lang.

4. Kaalaman ng tagapagsalita

70% 60% 50% 40% 30% 20% 10% 0%

68%

21% 9% 3% 0%

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 68% of them graded Kaalaman ng tagapagsalita as Napakahusay, 21% for Mahusay, 9% for Mainam and 3% as Sapat Lang.

5. Nilalaman ng pamigay

40%
40% 35% 30% 25% 20% 15% 10% 5% 0% Napakahusay

31%

17% 11% 0%

Mahusay Mainam Sapat Lang Hindi Sapat

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 40% of them graded Nilalaman ng pamigay as Napakahusay, 31% for Mahusay, 17% for Mainam and 11% as Sapat Lang.

6. Oras na inilaan sa aktibidad

80% 60% 40% 20% 0%

65%

3%

26% 6% 0%

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 65% of them graded Oras na inilaan sa aktibidad as Napakahusay, 3% for Mahusay, 6% for Mainam and 26% as Sapat Lang.

7. Kooperasyon ng mga dumalo

49% 50% 40% 30% 20% 10% 0% 16% 8% 0% 27%

Napakahusay

Mahusay

Mainam

Sapat Lang

Hindi Sapat

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 49% of them graded Kooperasyon ng mga dumalo as Napakahusay, 27% for Mahusay, 16% for Mainam and 8% as Sapat Lang.

8. Ayos ng lugar na pinagdausan ng aktibidad

57%

20% 11% 14% 3%

Napakahusay Mahusay Mainam Sapat Lang

Hindi Sapat

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 57% of them graded Ayos ng lugar na pinagdausan ng aktibidad as Napakahusay, 20% for Mahusay, 11% for Mainam, 14% as Sapat Langand 3% as Hindi Sapat.

9. Pangagasiwa ng grupo sa aktibidad

60%
60% 50% 40% 30% 20% 10% 0%

31%

3%

6% 0%

INTERPRETATION: The graph shows that out of 37 individuals who attended the activity, 60% of them graded Pangagasiwa ng grupo sa aktibidad as Napakahusay, 31% for Mahusay, 3% for Mainam, and 6% as Sapat Lang.

PHOTO DOCUMENTATION

Interview day at Barangay 59

Tabulation at Rheas house

Preparing for the activity

They are our teachers

. . . our little participants

Lets invite them.. time to start the prgram

Operation BP!!!

And now the program proper

Re-evaluation day

FINANCIAL REPORT

SUMMARY OF FINANCIAL REPORT

CONTRIBUTION/HEAD PHP 150 X 24 STUDENTS PHP 3, 600.00 COMMITTEE ACTUAL EXPENSES

PROGRAM

PHP 150.00

INVITATION and LETTERS

PHP 66.50

PARAPHERNALIA and GIVE AWAYS

PHP 820.00

PHYSICAL ARRANGEMENT

PHP 257.00

ENTERTAINMENT

PHP 50.00

FOOD AND REFRESHMENT DOCUMENTATION ELECTRICITY TOTAL

PHP 1497.00 PHP 300.00 PHP 100.00 PHP 2981.00

PROGRAM COMMITTEE ITEM Print of Leaflets Xerox of leaflets Suklay Cd burn QUANTITY 1 x 2.00 1 x 48.00 10 x 8.00 1 x 120.00 2.00 48.00 80.00 120.00 COST

TOTAL

PHP 150.00

INVITATION AND LETTERS COMMITTEE ITEM Xerox of Invitation Print of Evaluation Tool Xerox of Evaluation Form QUANTITY 26 x 1.00 1 x 3.00 1 x 0.75 26.00 3.00 37.50 COST

TOTAL

PHP 66.50

PARAPHERNALIA AND GIVE AWAYS COMMITTEE ITEM Trash Bag Walis Lollipop Transportation QUANTITY 60 x 20.00 60 x 10.00 2 x 17.50 115.00 120.00 600.00 35.00 115.00 COST

TOTAL

PHP 820.00 ENTERTAINMENT COMMITTEE ITEM QUANTITY 1 x 50.00 50.00 PHP 50.00 COST

Burn and edit of music

TOTAL

FOOD AND REFRESHMENT COMMITTEE ITEM Fuji juice Banana Plastic Sandwich QUANTITY 15 x 32.00 11.14 kilos x 35/kilo 2 x 10.00 13 x 46.00 480.00 399.00 20.00 598.00 COST

TOTAL

PHP 1497.00

DOCUMENTATION COMMITTEE ITEM Book Bind Print TOTAL QUANTITY 1 x 150.00 COST 150.00 150.00 PHP 300.00

ELECTRICITY: PHP100.00

PHYSICAL ARRANGEMENT COMMITTEE ITEM Manila Paper Coloring book Short brown envelop Cartolina Straw Crepe paper Cartolina Paste Scatch tape Crayons Others TOTAL QUANTITY 1 x 5.00 1 x 15.00 1 x 5.00 2 x 7.00 2 x 25.00 8 x 10.00 10 x 6.00 1 x 3.00 1 x 7.00 1 x 18.00 5.00 15.00 5.00 14.00 50.00 80.00 60.00 3.00 7.00 18.00 PHP 257.00 COST

WORKING COMMITEES

Program Committee Members: Vanessa Barrientos Mariz Balagtas Khimberly Baugbog Zharmine San Miguel Invitation Committee Members: Ma. Elisa Sareno Amicy Grace Torres Physical Arrangement Committee Members: Roxan Corsame Arrianne Alcala Food and Refreshment Committee Members: Catherine Bragais Rhealene Tan Janen Sabili Entertainment Committee Members: Felix Alden Tolosa Marichu Cristobal Bernaliza Catoy Elena Valeriano Documentation Committee Members: Rhealene Tan Ma. Elisa Sareno Amicy Grace Torres After Care Committee Members: Norman Alvin Santos Joseph Rex Nuez Kathleen Grace Ting Waste and Means Members: Diana Rose Villar Aiza Marie Sinconiegue Nia Salao Paraphernalia and Give Aways Members: Encar Cajanding Monica Vidal

CURRICULUM VITAE

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Tolosa, Felix Alden Q. : R. Cristina St. Panghulo, Malabon City. : January 31, 1992 : 19years old : Alfie : Roman Catholic : Single : Filipino

EMAIL ADDRESS : alienboy_31@yhaoo.com MOTHERS NAME : Merly Q. Tolosa OCCUPATION : Teacher FATHERS NAME : Alden D. Tolosa OCCUPATION MOTTO : self- employed : The fear of the Lord is the beginning of wisdom and the knowledge of the Holy understands. PICK-UP LINE : Babae ka ba? Kasi mukha kang space ship. BOOM!

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Santos, Norman Alvin H. : 288-A Ugbo st. Tondo, Manila : November 29, 1989 : 22 years old : Alvin : Catholic : Single : Filipino

EMAIL ADDRESS : santosalyiahkym@yahoo.com MOTHERS NAME : Ma. Teresa H. Santos OCCUPATION : OFW FATHERS NAME : Raul C. Santos OCCUPATION PICK-UP LINE : Police : Nakakita ka nab a ng dragon? Dun sa sky! BOOM!

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Valeriano, Elena S. : #45 Celestino st. San Jose, Navotas City : July 19, 1991 : 20 years old : Lhenx : Roman Catholic : Single : Filipino

EMAIL ADDRESS : jhelena30@yahoo.com MOTHERS NAME : Editha Valeriano OCCUPATION : Housewife FATHERS NAME : Senando Valeriano OCCUPATION MOTTO PICK-UP LINE : Deceased : Live your life to the fullest!. : Bagyo ka ba? Kasi da moment u enter da area of my responsibility, u left my heart in state of calamity!

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Sabili, Janen D. : Ph. II Area 2 Blk. 32 Lot 25 Kaunlaran Vill., Navotas City : September 5, 1991 : 20 years old : Nena : Roman Catholic : Single : Filipino

EMAIL ADDRESS : sn_sabili@yahoo.com MOTHERS NAME : Bernardita D. Sabili OCCUPATION : Housewife FATHERS NAME : Cesario M. Sabili OCCUPATION PICK-UP LINE : Seaman :

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Ting, Kathleen Grace D.G. : 101 Damayan st. Maypajo, Caloocan City : August 10, 1991 : 20 years old : Kath : Catholic : Single : Filipino

EMAIL ADDRESS : Kathleen_0810@yahoo.com MOTHERS NAME : Leonora Ting OCCUPATION : Housewife FATHERS NAME : Pedro Ting Jr. OCCUPATION MOTTO PICK-UP LINE : Retired : :

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Vidal, Monica R. : 240 L. Langit st. Maypajo, Caloocan City : October 5, 1990 : 21 years old : Monique : Catholic : Single : Filipino

EMAIL ADDRESS : el_malditha@yahoo.com MOTHERS NAME : Rosemarie R. Vidal OCCUPATION : Housewife FATHERS NAME : Arnel Vidal OCCUPATION MOTTO PICK-UP LINE : Salesman : :

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Nunez, Joseph Rex S. : 507 B Rawis, Tondo Manila : June 6, 1987 : 24 years old : Rex : Catholic : Single : Filipino

EMAIL ADDRESS : rex_nunez@yahoo.com MOTHERS NAME : Ma. Divina S. Nunez OCCUPATION : Housewife FATHERS NAME : Ernesto A. Nunez Jr. OCCUPATION PICK-UP LINE : Fire Officer : Estatwa ka ba? Pwede ba kitang galawin!

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Tan, Rhealene J. : 54 Morong st. Maypajo, Caloocan City : January 24, 1991 : 20 years old : Eyang : Roman Catholic : Single : Filipino

EMAIL ADDRESS : ---MOTHERS NAME : Arlene Jocson OCCUPATION : Housewife FATHERS NAME : Reynaldo Tan OCCUPATION PICK-UP LINE : Company Driver : Kotse ka ba? Kasi ang English ng kotse ay Car!

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Villar, Diana Rose V. : 1392 Heroes Del 96 st. Caloocan, City : March 6, 1992 : 19 years old : Daine : Catholic : Single : Filipino

EMAIL ADDRESS : anne_villar06@yahoo.com MOTHERS NAME : Juldimar Villar OCCUPATION : Housewife FATHERS NAME : Demetrio Villar OCCUPATION PICK-UP LINE : Retired Seaman :

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Torres, Amicy Grace P. : 2313 General Lukban st. Gagalangin, Tondo, Manila : June 27 1992 : 19 years old : Micci : Catholic : Single : Filipino

EMAIL ADDRESS : micci_torres27@yahoo.com MOTHERS NAME : Ma. Hedeliza Torres OCCUPATION : Caregiver FATHERS NAME : Angelito Torres OCCUPATION MOTTO PICK-UP LINE : Driver : :

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: Sareno, Ma. Elisa G. : Block 45 C Lot 23 Phase 3 Kaunlaran Village Malabon City : October 15, 1991 : 20 years old : elisa : Aglipayan : Single : Filipino

EMAIL ADDRESS : majume_15@yahoo.com MOTHERS NAME : Lydia Sareno OCCUPATION : Self Employed FATHERS NAME : Elias Sareno Jr. OCCUPATION MOTTO PICK-UP LINE : Seaman : :

NAME ADDRESS BIRTHDAY AGE NICKNAME RELIGION CIVIL STATUS CITIZENSHIP

: San Miguel, Zharmine : Panghulo Malabon City : September 10, 1991 : 20 years old : mina : Catholic : Single : Filipino

EMAIL ADDRESS : mhina.sanmiguel@yahoo.com MOTHERS NAME : OCCUPATION : FATHERS NAME : OCCUPATION MOTTO PICK-UP LINE : : :

SUMMARY To summarize the entire report, the venue for the COPAR activity was held in a small section of Brgy. 59 District II, Caloocan City. The purpose was to identify and address key problems in that particular community that requires immediate attention. The members of the team who executed the activity where the first two groups of students from the Level 4 Section A from the BSN program of Martinez Memorial Colleges. The first phase in its execution was asking permission from the health center affiliating the target community and with the Baranggay Officials in the community to conduct the activity. The request was later on granted. The second phase was the assessment process where an ocular survey was first performed to familiarize the surroundings and to observe an underlying problem. After which an interview with the locals were performed using a survey form for an in-depth investigation. At the end of the assessment the data gathered were tabulated, analyzed, and the results show that the residents were not disposing their garbage properly which leads to poor environmental sanitation. A solution to conduct a lecture discussion to educate the residents about proper garbage disposal was agreed upon to best address the issue. The third phase was the planning phase where the goals for the outcome of the lecture were set and each member of the two groups was assigned to a specific working committee in charge of a certain task. Other necessities taken into account were the breakdown of expenses and the paraphernalia required in the activity. The fourth phase was the implementation phase where the lecture discussion was conducted inviting all the interviewed residents to participate. At the conclusion of the lecture, evaluation forms were given to the participants to appraise the lecture done which was rated as excellent. Finally, another evaluation was conducted by the two groups to appraise whether the lecture discussion had effected a change in the garbage disposal of the community which had a poor result due to the goals were not met.