COMMUNITY HEALTH NURSING EXAMINATION PART I SITUATION : Epidemiology and Vi al ! a i! i"! i! a #e$y impo$ an ool %a a n&$!e "o&ld &!

e in "on $olling %e !p$ead o' di!ea!e in %e "omm&ni y and a %e !ame ime( !&$#eying %e impa" o' %e di!ea!e on %e pop&la ion and p$e#en i )! '& &$e o""&$$en"e* +* I i! "on"e$ned ,i % %e ! &dy o' 'a" o$! %a in'l&en"e %e o""&$$en"e and di! $i-& ion o' di!ea!e!( de'e" !( di!a-ili y o$ dea % ,%i"% o""&$! in g$o&p! o$ agg$ega ion o' indi#id&al!* A* Epidemiology .* /emog$ap%i"! C* Vi al S a i! i"! /* Heal % S a i! i"! 0* 1%i"% o' %e 'ollo,ing i! %e -a"2-one in di!ea!e p$e#en ion3 A* Epidemiology .* /emog$ap%i"! C* Vi al S a i! i"! /* Heal % S a i! i"! 4* 1%i"% o' %e 'ollo,ing ype o' $e!ea$"% "o&ld !%o, %o, "omm&ni y e5pe" a ion! "an $e!&l in %e a" &al p$o#i!ion o' !e$#i"e!3 A* .a!i" Re!ea$"% .* Ope$a ional Re!ea$"% C* A" ion Re!ea$"% /* Applied Re!ea$"% 6* An o& -$ea2 o' mea!le! %a! -een $epo$ ed in Comm&ni y A* A! a n&$!e( ,%i"% o' %e 'ollo,ing i! yo&$ 'i$! a" ion 'o$ an Epidemiologi"al in#e! iga ion3 A* Cla!!i'y i' %e o& -$ea2 o' mea!le! i! epidemi" o$ 7&! !po$adi" .* Repo$ %e in"iden"e in o %e RHU C* /e e$mine %e 'i$! day ,%en %e o& -$ea2 o""&$$ed /* Iden i'y i' i i! %e di!ea!e ,%i"% i i! $epo$ ed o -e 8* A' e$ %e epidemiologi"al in#e! iga ion p$od&"ed 'inal "on"l&!ion!( ,%i"% o' %e 'ollo,ing i! yo&$ ini ial ! ep in yo&$ ope$a ional p$o"ed&$e d&$ing di!ea!e o& -$ea23 A* Coo$dina e pe$!onnel '$om M&ni"ipal o %e Na ional le#el .* Colle" pe$ inen la-o$a o$y !pe"imen o "on'i$m di!ea!e "a&!a ion C* Imm&ni9e nea$-y "omm&ni ie! ,i % Mea!le! /* Ed&"a e %e "omm&ni y in '& &$e p$e#en ion o' !imila$ o& -$ea2! :* T%e main "on"e$n o' a p&-li" %eal % n&$!e i! %e p$e#en ion o' di!ea!e( p$olonging o' li'e and p$omo ing p%y!i"al %eal % and e''i"ien"y %$o&g% ,%i"% o' %e 'ollo,ing3 A* U!e o' epidemiologi"al ool! and #i al %eal % ! a i! i"! .* /e e$mine %e !p$ead and o""&$$en"e o' %e di!ea!e C* Poli i"al empo,e$men and So"io E"onomi" A!!i! an"e /* O$gani9ed Comm&ni y E''o$ ! ;* In o$de$ o "on $ol a di!ea!e e''e" i#ely( ,%i"% o' %e 'ollo,ing m&! 'i$! -e 2no,n3 +* T%e "ondi ion! !&$$o&nding i ! o""&$$en"e 0* <a" o$! %a do no 'a#o$ i ! de#elopmen 4* T%e "ondi ion %a do no !&$$o&nd i ! o""&$$en"e 6* <a" o$! %a 'a#o$! i ! de#elopmen A* + and 4 .* + and 6 C* 0 and 4 /* 0 and 6 =* All o' %e 'ollo,ing a$e &!e! o' epidemiology e5"ep : A* To ! &dy %e %i! o$y o' %eal % pop&la ion and %e $i!e and 'all o' di!ea!e .* To diagno!e %e %eal % o' %e "omm&ni y and %e "ondi ion o' %e people C* To p$o#ide !&mma$y da a on %eal % !e$#i"e deli#e$y

/* To iden i'y g$o&p! needing !pe"ial a en ion >* .e'o$e $epo$ ing %e 'a" o' p$e!en"e o' an epidemi"( ,%i"% o' %e 'ollo,ing i! o' mo! impo$ an"e o de e$mine3 A* A$e %e 'a" ! "omple e3 .* I! %e di!ea!e $eal3 C* I! %e di!ea!e angi-le3 /* I! i epidemi" o$ endemi"3 +?* An &n2no,n epidemi" %a! 7&! -een $epo$ ed in .a$angay /e2-&de2-&* People !aid %a a''e" ed pe$!on demon! $a e! %emo$$%agi" ype o' 'e#e$* Yo& a$e de!igna ed no, o plan 'o$ epidemiologi"al in#e! iga ion* A$$ange %e !e@&en"e o' e#en ! in a""o$dan"e ,i % %e "o$$e" o& line plan 'o$ epidemiologi"al in#e! iga ion* +* Repo$ %e p$e!en"e o' deng&e 0* S&mma$i9e da a and "on"l&de %e 'inal pi" &$e o' epidemi" 4* Rela e %e o""&$$en"e o %e pop&la ion g$o&p( 'a"ili ie!( 'ood !&pply and "a$$ie$! 6* /e e$mine i' %e di!ea!e i! 'a" &al o$ $eal 8* /e e$mine any &n&!&al p$e#alen"e o' %e di!ea!e and i ! na &$eA i! i epidemi"( !po$adi"( endemi" o$ pandemi"3 :* /e e$mine on!e and %e geog$ap%i"al limi a ion o' %e di!ea!e* A* 6(+(4(8(0(: .* 6(+(8(:(4(0 C* 8(6(:(0(+(4 /* 8(6(:(+(0(4 E* +(0(4(6(8(: ++* In %e o""&$$en"e o' SARS and o %e$ pandemi"!( ,%i"% o' %e 'ollo,ing i! %e mo! #i al $ole o' a n&$!e in epidemiology3 A* Heal % p$omo ion .* /i!ea!e p$e#en ion C* S&$#eillan"e /* Ca!e'inding +0* Mea!le! o& -$ea2 %a! -een $epo$ ed in .a$angay .a%ay To$o( A' e$ "ond&" ing an epidemiologi"al in#e! iga ion yo& %a#e "on'i$med %a %e o& -$ea2 i! 'a" &al* Yo& a$e a!2ed o lead a eam o' medi"al ,o$2e$! 'o$ ope$a ional p$o"ed&$e in di!ea!e o& -$ea2* A$$ange %e "o$$e" !e@&en"e o' e#en ! %a yo& m&! do o e''e" i#ely "on ain %e di!ea!e +* C$ea e a 'inal $epo$ and $e"ommenda ion 0* Pe$'o$m na!op%a$yngeal !,a--ing o in'e" ed indi#id&al! 4* Pe$'o$m ma!! mea!le! imm&ni9a ion o #&lne$a-le g$o&p! 6* Pe$'o$m an en#i$onmen al !ani a ion !&$#ey on %e immedia e en#i$onmen 8* O$gani9e yo&$ eam and Coo$dina e %e pe$!onnel! :* Ed&"a e %e "omm&ni y on di!ea!e $an!mi!!ion A* +(0(4(6(8(: .* :(8(6(4(0(+ C* 8(:(6(0(4(+ /* 8(0(4(6(:(+ +4* All o' %e 'ollo,ing a$e '&n" ion o' N&$!e .&de2 in epidemiology e5"ep A* La-o$a o$y /iagno!i! .* S&$#eillan"e o' di!ea!e o""&$$en"e C* <ollo, &p "a!e! and "on a" ! /* Re'e$ "a!e! o %o!pi al! i' ne"e!!a$y E* I!ola e "a!e! o' "omm&ni"a-le di!ea!e +6* All o' %e 'ollo,ing a$e pe$'o$med in eam o$gani9a ion e5"ep A* O$ien a ion and demon! $a ion o' me %odology o -e employed .* A$ea a!!ignmen ! o' eam mem-e$! C* C%e"2 eam)! e@&ipmen ! and pa$ap%e$nalia /* A" i#e "a!e 'inding and S&$#eillan"e +8* 1%i"% o' %e 'ollo,ing i! %e 'inal o& p& o' da a $epo$ ing in epidemiologi"al ope$a ional p$o"ed&$e3

A* Re"ommenda ion .* E#al&a ion C* <inal Repo$ /* P$elimina$y $epo$ +:* T%e o''i"e in "%a$ge ,i % $egi! e$ing #i al 'a" ! in %e P%ilippine! i! none o %e$ %an %e A* PCSO . PAGCOR C* /OH /* NSO +;* T%e 'ollo,ing a$e po!!i-le !o&$"e! o' /a a e5"ep : A* E5pe$ien"e .* Cen!&! C* S&$#ey! /* Re!ea$"% +=* T%i! $e'e$! o !y! ema i" ! &dy o' #i al e#en ! !&"% a! -i$ %!( illne!!e!( ma$$iage!( di#o$"e! and dea %! A* Epidemiology .* /emog$ap%i"! C* Vi al S a i! i"! /* Heal % S a i! i"! +>* In "a!e o' "le$i"al e$$o$! in yo&$ -i$ % "e$ i'i"a e( 1%e$e !%o&ld yo& go o %a#e i "o$$e" ed3 A* NSO .* Co&$ o' Appeal! C* M&ni"ipal T$ial Co&$ /* Lo"al Ci#il Regi! $a$ 0?* A"a!ia 7&! ga#e -i$ % o Le! a ( A %eal %y -a-y -oy* 1%o a$e going o $epo$ %e -i$ % o' .a-y Le! a 3 A* N&$!e .* Mid,i'e C* O. Gyne /* .i$ % A endan 0+* In $epo$ ing %e -i$ % o' .a-y Le! a ( ,%e$e ,ill %e -e $egi! e$ed3 A* A .* In C* In /* In %e Lo"al Ci#il Regi! $a$ %e Na ional S a i! i"! O''i"e %e Ci y Heal % /epa$ men %e <ield Heal % Se$#i"e! and In'o$ma ion Sy! em Main O''i"e

0:* 1%i"% p$e!iden ial de"$ee o$de$! $epo$ ing o' -i$ %! ,i %in 4? day! a' e$ i ! o""&$$en"e3 A* :8+ .* 86+ C* >>: /* =08 08* T%e!e $a e! a$e $e'e$$ed o %e o al li#ing pop&la ion( I m&! -e p$e!&med %a %e o al pop&la ion ,a! e5po!ed o %e $i!2 o' o""&$$en"e o' %e e#en * A* Ra e .* Ra io C* C$&deCGene$al Ra e! /* Spe"i'i" Ra e 0:* T%e!e a$e &!ed o de!"$i-e %e $ela ion!%ip -e ,een ,o n&me$i"al @&an i ie! o$ mea!&$e! o' e#en ! ,i %o& a2ing pa$ i"&la$ "on!ide$a ion! o %e ime o$ pla"e* A* Ra e .* Ra io! C* C$&deCGene$al Ra e /* Spe"i'i" Ra e 0;* T%i! i! %e mo! !en!i i#e inde5 in de e$mining %e gene$al %eal % "ondi ion o' a "omm&ni y !in"e i $e'le" ! %e "%ange! in %e en#i$onmen and medi"al "ondi ion! o' a "omm&ni y A* C$&de dea % $a e .* In'an mo$ ali y $a e C* Ma e$nal mo$ ali y $a e /* <e al dea % $a e 0=* A""o$ding o %e 1HO( ,%i"% o' %e 'ollo,ing i! %e mo! '$e@&en "a&!e o' dea % in "%ild$en &nde$'i#e ,o$ld,ide in %e 0??4 1HO S&$#ey3 A* Neona al .* Pne&monia C* /ia$$%ea /* HIVCAI/S 0>* In %e P%ilippine!( ,%a i! %e mo! "ommon "a&!e o' dea % o' in'an ! a""o$ding o %e la e! !&$#ey3 A* Pne&monia .* /ia$$%ea C* O %e$ pe$ina al "ondi ion /* Re!pi$a o$y "ondi ion o' 'e &! and ne,-o$n 4?* T%e ma7o$ "a&!e o' mo$ ali y '$om +>>> &p o 0??0 in %e P%ilippine! a$e A* /i!ea!e! o' %e %ea$ .* /i!ea!e! o' %e #a!"&la$ !y! em C* Pne&monia! /* T&-e$"&lo!i! 4+* Ali"ia( a > yea$ old "%ild a!2ed yo& D 1%a i! %e "ommon "a&!e o' dea % in my age g$o&p %e$e in %e P%ilippine!3 D T%e n&$!e i! "o$$e" i' %e ,ill an!,e$ A* Pne&monia i! %e op leading "a&!e o' dea % in "%ild$en age 8 o > .* Malignan neopla!m i' "ommon in yo&$ age g$o&p C* P$o-a-ili y ,i!e( Yo& mig% die d&e o a""iden ! /* /i!ea!e! o' %e $e!pi$a o$y !y! em i! %e mo! "ommon "a&!e o' dea % in "%ild$en 40* In "%ild$en + o 6 yea$! old( ,%i"% i! %e mo! "ommon "a&!e o' dea %3 A* /ia$$%ea .* A""iden ! C* Pne&monia /* /i!ea!e! o' %e %ea$

00* /ee7ay( T%e -i$ % a endan no i"ed %a Le! a %a! lo, !e o' ea$!( Mi"$ogna %ia( Mi"$o"ep%aly and a ypi"al "a li2e "$y* 1%a !%o&ld /ee7ay do3 A* .$ing Le! a immedia ely o %e nea$e! %o!pi al .* A!2 %i! a!!i! an o "all %e nea$-y pedia $i"ian C* .$ing Le! a o %e nea$e! pedia $i" "lini" /* Call a Ta5i and oge %e$ ,i % A"a!ia( .$ing Le! a o %e nea$e! %o!pi al 04* /ee7ay ,o&ld !&!pe" ,%i"% di!o$de$3 A* T$i!omy 0+ .* T&$ne$! Synd$ome C* C$i /& C%a /* Bline'el e$! Synd$ome 06* /ee7ay "o&ld e5pe" ,%i"% o' %e 'ollo,ing "ongeni al anomaly %a ,o&ld a""ompany %i! di!o$de$3 A* AVS/ .* P/A C* TO< /* TOGV

44* 1o$2ing in %e "omm&ni y a! a PHN 'o$ almo! +? yea$!( Aida 2ne, %e 'l&" &a ion in #i al ! a i! i"!* S%e 2ne, %a %e mo! "ommon "a&!e o' mo$-idi y among %e <ilipino! i! A* /i!ea!e! o' %e %ea$ .* /ia$$%ea C* Pne&monia /* Va!"&la$ !y! em di!ea!e! 46* N&$!e Aida al!o 2ne, %a mo! ma e$nal dea %! a$e "a&!ed -y A* Hemo$$%age .* O %e$ Compli"a ion! $ela ed o p$egnan"y o""&$$ing in %e "o&$!e o' la-o$( deli#e$y and p&e$pe$i&m C* Hype$ en!ion "ompli"a ing p$egnan"y( "%ild-i$ % and p&e$pe$i&m /* A-o$ ion SITUATION : .a$angay Pinoy.SN %a! %e 'ollo,ing da a in yea$ 0??: +* E&ly + pop&la ion : 086(4+: 0* Li#e-i$ %! : 0(0=> 4* /ea %! '$om ma e$nal "a&!e : +8 6* /ea % '$om CV/ : 4(?0> 8* /ea %! &nde$ + yea$ o' age : 04 :* <e al dea %! : = ;* /ea %! &nde$ 0= day! : = =* /ea % d&e o $a-ie! : 68 >* Regi! e$ed "a!e! o' $a-ie! : 68 +?* People ,i % pne&monia : ;> ++* People e5po!ed ,i % pne&monia : 0(8>4 +0* To al n&m-e$ o' dea %! '$om all "a&!e! : +?(>>= T%e 'ollo,ing @&e! ion! $e'e$ o %e!e da a 48* 1%a i! %e "$&de -i$ % $a e o' .a$angay Pinoy.SN3 A* >?C+??(??? .* >C+?? C* >?C+??? /* >C+??? 4:* 1%a i! %e "a&!e !pe"i'i" dea % $a e '$om "a$dio#a!"&la$ di!ea!e!3 A* 0;C+?? .* ++>+C+??(??? C* 0;C+??(??? /* +*+C+??? 4;* 1%a i! %e Ma e$nal Mo$ ali y $a e o' %i! -a$angay3 A* :*88C+??? .* 8*=>C+??? C* +*4:C+??? /* 4*:;C+??? 4=* 1%a i! %e 'e al dea % $a e3 A* 4*6>C+??? .* +?*?6C+??? C* 4*+6C+??? /* 4*+6C+??(??? 4>* 1%a i! %e a a"2 $a e o' pne&monia3 A* 4*?6C+??? .* ;*+=C+??? C* 40*=0C+?? /* 4*?6C+?? 6?* /e e$mine %e Ca!e 'a ali y $a io o' $a-ie! in %i! .a$angay A* +C+?? .* +??F C* +F /* +??C+???

6+* T%e 'ollo,ing a$e all '&n" ion! o' %e n&$!e in #i al ! a i! i"!( ,%i"% o' %e 'ollo,ing i! no 3 A* Con!olida e /a a .* Colle" ! /a a C* Analy9e /a a /* Ta-&la e /a a 60* T%e 'ollo,ing a$e No i'ia-le di!ea!e! %a need! o %a#e a ally !%ee in da a $epo$ ing( 1%i"% one i! no 3 A* Hype$ en!ion .* .$on"%ioli i! C* C%emi"al Poi!oning /* A""iden ! 64* 1%i"% o' %e 'ollo,ing $e@&i$e! $epo$ ing ,i %in 06 %o&$!3 A* Neona al e an&! .* Mea!le! C* Hype$ en!ion /* Te an&! 66* 1%i"% A" de"la$ed %a all "omm&ni"a-le di!ea!e -e $epo$ ed o %e nea$e! %eal % ! a ion3 A* +?=0 .* +=>+ C* 48;4 /* ::;8 68* In %e RHU Team( 1%i"% p$o'e!!ional i! di$e" ly $e!pon!i-le in "a$ing a !i"2 pe$!on ,%o i! %ome-o&nd3 A* Mid,i'e .* N&$!e C* .H1 /* P%y!i"ian 6:* /&$ing epidemi"!( ,%i"% o' %e 'ollo,ing epidemiologi"al '&n" ion ,ill yo& %a#e o pe$'o$m 'i$! 3 A* Tea"%ing %e "omm&ni y on di!ea!e p$e#en ion .* A!!e!!men on !&!pe" ed "a!e! C* Moni o$ %e "ondi ion o' people a''e" ed /* /e e$mining %e !o&$"e and na &$e o' %e epidemi" 6;* 1%i"% o' %e 'ollo,ing i! a POINT SOURCE epidemi"3 A* /eng&e H*< .* Mala$ia C* Con amina ed 1a e$ So&$"e /* T&-e$"&lo!i! 6=* All -& one i! a "%a$a" e$i! i" o' a poin !o&$"e epidemi"( ,%i"% one i! no 3 A* T%e !p$ead o' %e di!ea!e i! "a&!ed -y a "ommon #e%i"le .* T%e di!ea!e i! &!&ally "a&!ed -y "on amina ed 'ood C* T%e$e i! a g$ad&al in"$ea!e o' "a!e! /* Epidemi" i! &!&ally !&dden 6>* T%e only Mi"$oo$gani!m moni o$ed in "a!e! o' "on amina ed ,a e$ i! A* Vi-$io C%ole$a .* E!"%e$i"%ia Coli C* En amoe-a Hi! oly i"a /* Coli'o$m Te! 8?* /eng&e in"$ea!e in n&m-e$ d&$ing E&ne( E&ly and A&g&! * T%i! pa e$n i! "alled A* Epidemi" .* Endemi" C* Cy"li"al /* Se"&la$

SITUATION : <ield %eal % !e$#i"e! and in'o$ma ion !y! em p$o#ide! !&mma$y da a on %eal % !e$#i"e deli#e$y and !ele" ed p$og$am '$om %e -a$angay le#el &p o %e na ional le#el* A! a n&$!e( yo& !%o&ld 2no, %e p$o"e!! on %o, %e!e in'o$ma ion -e"ame p$o"e!!ed and "on!olida ed* 8+* All o' %e 'ollo,ing a$e o-7e" i#e! o' <HSIS E5"ep A* To "omple e %e "lini"al pi" &$e o' "%$oni" di!ea!e and de!"$i-e %ei$ na &$al %i! o$y .* To p$o#ide ! anda$di9ed( 'a"ili y le#el da a -a!e ,%i"% "an -e a""e!!ed 'o$ mo$e in dep % ! &die! C* To minimi9e $e"o$ding and $epo$ ing -&$den allo,ing mo$e ime 'o$ pa ien "a$e and p$omo i#e a" i#i ie! /* To en!&$e %a da a $epo$ ed a$e &!e'&l and a""&$a e and a$e di!!emina ed in a imely and ea!y o &!e 'a!%ion 80* 1%a i! %e '&ndamen al -lo"2 o$ 'o&nda ion o' %e 'ield %eal % !e$#i"e in'o$ma ion !y! em3 A* <amily $ea men $e"o$d .* Ta$ge Clien li! C* Repo$ ing 'o$m! /* O& p& $e"o$d 84* 1%a i! %e p$ima$y ad#an age o' %a#ing a a$ge "lien li! 3 A* N&$!e! need no o go -a"2 o <TR o moni o$ $ea men and !e$#i"e! o -ene'i"ia$ie! %&! !a#ing ime and e''o$ .* Help moni o$ !e$#i"e $ende$ed o "lien ! in gene$al C* <a"ili a e moni o$ing and !&pe$#i!ion o' !e$#i"e! /* <a"ili a e! ea!ie$ $epo$ ing 86* 1%i"% o' %e 'ollo,ing i! &!ed o moni o$ pa$ i"&la$ g$o&p! %a a$e @&ali'ied a! eligi-le o a "e$ ain p$og$am o' %e /OH3 A* <amily $ea men $e"o$d .* Ta$ge Clien li! C* Repo$ ing 'o$m! /* O& p& $e"o$d 88* In &!ing %e ally !%ee ( ,%a i! %e $e"ommended '$e@&en"y in allying a" i#i ie! and !e$#i"e!3 A* /aily .* 1ee2ly C* Mon %ly /* G&a$ e$ly 8:* 1%en i! %e "o&n ing o' %e ally !%ee done3 A* A .* A C* A /* A %e end o' %e end o' %e end o' %e end o' %e day %e ,ee2 %e mon % %e yea$

:?* <HSISCGH4 O$ %e $epo$ 'o$ en#i$onmen al %eal % a" i#i ie! i! p$epa$ed %o, '$e@&en ly3 A* /aily .* 1ee2ly C* G&a$ e$ly /* Yea$ly :+* N&$!e .&de2 i! p$epa$ing %e $epo$ ing 'o$m 'o$ ,ee2ly no i'ia-le di!ea!e!* He 2ne, %a %e ,ill "ode %e $epo$ 'o$m a! A* <HSISCEH+ .* <HSISCEH0 C* <HSISCEH4 /* <HSISCMH+ :0* In p$epa$ing %e ma e$nal dea % $epo$ ( ,%i"% o' %e 'ollo,ing "o$$e" ly "ode! %i! o""&$$en"e3 A* <HSISCEH+ .* <HSISCEH0 C* <HSISCEH4 /* <HSISCMH+ :4* 1%e$e !%o&ld N&$!e .&de2 -$ing %e $epo$ ing 'o$m! i' %e i! in %e .HU <a"ili y3 A* R&$al %eal % o''i"e .* <HSIS Main o''i"e C* P$o#in"ial %eal % o''i"e /* Regional %eal % o''i"e :6* A' e$ -$inging %e $epo$ ing 'o$m! in %e $ig% 'a"ili y 'o$ p$o"e!!ing( N&$!e .&de2 2ne, %a %e o& p& $epo$ ! a$e !olely p$od&"ed -y ,%a o''i"e3 A* R&$al %eal % o''i"e .* <HSIS Main o''i"e C* P$o#in"ial %eal % o''i"e /* Regional %eal % o''i"e :8* Mang Ra&l en e$ed %e %eal % "en e$ "omplaining o' 'a ig&e and '$e@&en !yn"ope* Yo& a!!e!!ed Mang Ra&l and 'o&nd o& %a %e i! !e#e$ely malno&$i!%ed and anemi"* 1%a $e"o$d !%o&ld yo& ge 'i$! o do"&men %e!e 'inding!3 A* <amily $ea men $e"o$d .* Ta$ge Clien li! C* Repo$ ing 'o$m! /* O& p& $e"o$d ::* T%e in'o$ma ion a-o& Mang Ra&l)! add$e!!( '&ll name( age( !ymp om! and diagno!i! i! $e"o$ded in A* <amily $ea men $e"o$d .* Ta$ge Clien li! C* Repo$ ing 'o$m! /* O& p& $e"o$d :;* Ano %e$ en $y i! o -e made 'o$ Mang Ra&l -e"a&!e %e i! in %e a$ge "lien )! li! ( In ,%a TCL !%o&ld Mang Ra&l)! en $y -e do"&men ed3 A* TCL Eligi-le Pop&la ion .* TCL <amily Planning C* TCL N& $i ion /* TCL P$e Na al :=* T%e n&$!e &!e! %e <HSIS Re"o$d !y! em in"o$$e" ly ,%en !%e 'o&nd o& %a A* S%e go o %e indi#id&al o$ <TR 'o$ en $y "on'i$ma ion in %e TallyCRepo$ S&mma$y .* S%e $e'e$ o o %e$ !o&$"e! 'o$ "omple ing mon %ly and @&a$ e$ly $epo$ ! C* S%e $e"o$d! dia$$%ea in %e Tally !%ee CRepo$ 'o$m ,i % a "ode <HSISCMH+ /* S%e $e"o$d! a C%ild ,%o %a#e '$e@&en dia$$%ea in TCL : Unde$ <i#e

8;* Ta$ge "lien li! ,ill -e $an!mi ed o %e ne5 'a"ili y in %e 'o$m o' A* <amily $ea men $e"o$d .* Ta$ge Clien li! C* Repo$ ing 'o$m! /* O& p& $e"o$d 8=* All -& one o' %e 'ollo,ing a$e eligi-le a$ge "lien li! A* Lep$o!y "a!e! .* T. "a!e! C* P$ena al "a$e /* /ia$$%ea "a!e! 8>* T%i! i! %e only me"%ani!m %$o&g% ,%i"% da a a$e $o& inely $an!mi ed '$om on"e 'a"ili y o ano %e$ A* <amily $ea men $e"o$d .* Ta$ge Clien li! C* Repo$ ing 'o$m! /* O& p& $e"o$d

:>* T%e .HS I! %e lo,e! le#el o' $epo$ ing &ni in <HSIS* A .HS "an -e "on!ide$ed a $epo$ ing &ni i' all o' %e 'ollo,ing a$e me e5"ep A* I $ende$! !e$#i"e o 4 -a$angay! .* T%e$e i! a mid,i'e %e $eg&la$ly $ende$! !e$#i"e o %e a$ea C* T%e .HS Ha#e no mo %e$ .HS /* I !%o&ld -e a !a elli e .HS ;?* /a a !&-mi ed o %e PHO i! p$o"e!!ed &!ing ,%a ype o' e"%nology3 A* In e$ne .* Mi"$o"omp& e$ C* S&pe$"omp& e$ /* Se$#e$ In e$lin2 Conne" ion! SITUATION : Comm&ni y o$gani9ing i! a p$o"e!! -y ,%i"% people( %eal % !e$#i"e! and agen"ie! o' %e "omm&ni y a$e -$o&g% oge %e$ o a" and !ol#e %ei$ o,n p$o-lem!* ;+* Mang am-o app$oa"%e! yo& 'o$ "o&n!eling* Yo& a$e an e''e" i#e "o&n!elo$ i' yo& A* Gi#e good ad#i"e o Mang Am-o .* Iden i'y Mang Am-o)! p$o-lem! C* Con#in"e Mang Am-o o 'ollo, yo&$ ad#i"e /* Help Mang Am-o iden i'y %i! p$o-lem! ;0* A! a ne,ly appoin ed PHN in! $&" ed o o$gani9e .a$angay .a$i an( 1%i"% o' %e 'ollo,ing i! yo&$ ini ial ! ep in o$gani9ing %e "omm&ni y 'o$ ini ial a" ion3 A* S &dy %e .a$angay Heal % ! a i! i"! and $e"o$d! .* Ma2e a "o&$ e!y "all o %e .a$angay Cap ain C* Mee ,i % %e .a$angay Cap ain o ma2e plan! /* Ma2e a "o&$ e!y "all o %e M&ni"ipal Mayo$ ;4* P$epa$a o$y p%a!e i! %e 'i$! p%a!e in o$gani9ing %e "omm&ni y* 1%i"% o' %e 'ollo,ing i! %e ini ial ! ep in %e p$epa$a o$y p%a!e3 A* A$ea !ele" ion .* Comm&ni y p$o'iling C* En $y in %e "omm&ni y /* In eg$a ion ,i % %e people ;6* %e mo! impo$ an 'a" o$ in de e$mining %e p$ope$ a$ea 'o$ "omm&ni y o$gani9ing i! %a %i! a$ea !%o&ld A* .e al$eady adop ed -y ano %e$ o$gani9a ion .* .e a-le o 'inan"e %e p$o7e" ! C* Ha#e p$o-lem! and need! a!!i! an"e /* Ha#e people ,i % e5pe$ i!e o -e de#eloped a! leade$! ;8* 1%i"% o' %e 'ollo,ing d,elling pla"e !%o&ld %e N&$!e "%oo!e ,%en in eg$a ing ,i % %e people3 A* A !imple %o&!e in %e -o$de$ o' .a$angay .a$i an and San Pa-lo .* A !imple %o&!e ,i % 'en"ing and ga e lo"a ed in %e "en e$ o' .a$angay .a$i an C* A mode! d,elling pla"e ,%e$e people ,ill no %e!i a e o en e$ /* A mode! d,elling pla"e ,%e$e people ,ill no %e!i a e o en e$ lo"a ed in %e "en e$ o' %e "omm&ni y ;:* In "%oo!ing a leade$ in %e "omm&ni y d&$ing %e O$gani9a ional p%a!e( 1%i"% among %e!e people ,ill yo& "%oo!e3 A* Mig&el Io-el( 8? yea$! old( Ri"% and <amo&! .* R&! om( 0; yea$! old( A" o$ C* Mang Am-o( ;?( 1illing o ,o$2 'o$ %e de!i$ed "%ange /* Ri"2y( 4? yea$! old( In'l&en ial and 1illing o ,o$2 'o$ %e de!i$ed "%ange ;;* 1%i"% ype o' leade$!%ip ! yle !%o&ld %e leade$! o' %e "omm&ni y p$a" i"e3 A* A& o"$a i" .* /emo"$a i"

C* Lai!!e9 <ai$e /* Con!&l a i#e ;=* Se ing &p Commi ee on Ed&"a ion and T$aining i! in ,%a p%a!e o' COPAR3 A* P$epa$a o$y .* O$gani9a ional C* Ed&"a ion and T$aining /* In e$!e" o$al Colla-o$a ion E* P%a!e o& ;>* Comm&ni y diagno!i! i! done o "ome &p ,i % a p$o'ile o' lo"al %eal % !i &a ion %a ,ill !e$#e a! -a!i! o' %eal % p$og$am! and !e$#i"e!* T%i! i! done in ,%a p%a!e o' COPAR3 A* P$epa$a o$y .* O$gani9a ional C* Ed&"a ion and T$aining /* In e$!e" o$al Colla-o$a ion E* P%a!e o& =?* T%e people named %e "omm&ni y %eal % ,o$2e$! -a!ed on %e "olle" i#e de"i!ion in a""o$dan"e ,i % %e !e "$i e$ia* .e'o$e %ey "an -e $ained -y %e N&$!e( T%e N&$!e m&! 'i$! A* Ma2e a le!!on plan .* Se lea$ning goal! and o-7e" i#e C* A!!e!! %ei$ lea$ning need! /* Re#ie, ma e$ial! needed 'o$ $aining =+* N&$!e .&de2 ,$o e a le e$ o PCSO a!2ing %em 'o$ a!!i! an"e in %ei$ 'eeding p$og$am! 'o$ %e "omm&ni y)! n& $i ion and %eal % p$o7e" !* PCSO %en app$o#ed %e $e@&e! and ga#e .&de2 8?(??? Pe!o! and a $&"2load o' $i"e( '$&i ! and #ege a-le!* 1%i"% p%a!e o' COPAR did .&de2 & ili9ed3 A* P$epa$a o$y .* O$gani9a ional C* Ed&"a ion and T$aining /* In e$!e" o$al Colla-o$a ion E* P%a!e o& =0* Ideally( Ho, many yea$! !%o&ld %e N&$!e ! ay in %e "omm&ni y -e'o$e %e "an p%a!e o& and -e a!!&$ed o' a Sel' Relian "omm&ni y3 A* 8 yea$! .* +? yea$! C* + yea$ /* : mon %! =4* Ma7o$ di!"&!!ion in "omm&ni y o$gani9a ion a$e made -y A* T%e n&$!e .* T%e leade$! o' ea"% "ommi ee C* T%e en i$e g$o&p /* Colla-o$a ing Agen"ie! =6* T%e n&$!e !%o&ld 2no, %a O$gani9a ional plan -e! !&""eed! ,%en +* People !ee! i ! #al&e! 0* People %in2 i ! an agoni! i" p$o'e!!ionally 4* I i! in"ompa i-le ,i % %ei$ pe$!onal -elie'! 6* I i! "ompa i-le ,i % %ei$ pe$!onal -elie'! A* + and 4 .* 0 and 6 C* + and 0 /* + and 6 =8* N&$!e .&de2 made a p$opo!al %a people !%o&ld &$n %ei$ -a"2ya$d in o !mall 'a$ming lo ! o plan #ege a-le! and '$&i !* He !pe"i'ied %a %e o-7e" i#e i! o !a#e money in -&ying #ege a-le! and '$&i ! %a end o %a#e a 'l&" &a ing and "y"li"al p$i"e* 1%i"% ! ep in Comm&ni y o$gani9ing p$o"e!! did %e & ili9ed3 A* <a" 'inding

.* /e e$mina ion o' need! C* P$og$am 'o$ma ion /* Ed&"a ion and In e$p$e a ion =:* One o' %e "$i i"al ! ep! in COPAR i! -e"oming one ,i % %e people and &nde$! anding %ei$ "&l &$e and li'e! yle* 1%i"% "$i i"al ! ep in COPAR ,ill %e N&$!e $y o imme$!e %im!el' in %e "omm&ni y3 A* In eg$a ion .* So"ial Mo-ili9a ion C* G$o&nd 1o$2 /* Mo-ili9a ion =;* T%e A" &al e5e$"i!e o' people po,e$ o""&$! d&$ing ,%en3 A* In eg$a ion .* So"ial Mo-ili9a ion C* G$o&nd 1o$2 /* Mo-ili9a ion ==* 1%i"% ! ep! in COPAR $ain! indigeno&! and in'o$mal leade$!3 A* G$o&nd 1o$2 .* Mo-ili9a ion C* Co$e G$o&p 'o$ma ion /* In eg$a ion =>* A! a PHN( One o' yo&$ $ole i! o o$gani9e %e "omm&ni y* N&$!e .&de2 2no,! %a %e p&$po!e! o' "omm&ni y o$gani9ing a$e +* Mo#e %e "omm&ni y o a" on %ei$ o,n p$o-lem! 0* Ma2e people a,a$e o' %ei$ o,n p$o-lem! 4* Ena-le %e n&$!e o !ol#e %e "omm&ni y p$o-lem! 6* O''e$ people mean! o' !ol#ing %ei$ o,n p$o-lem! A* +(0(4 .* +(0(4(6 C* +(0 /* +(0(6 >?* T%i! i! "on!ide$ed %e 'i$! a" o' in eg$a ing ,i % %e people* T%i! gi#e! an in dep % pa$ i"ipa ion in "omm&ni y %eal % p$o-lem! and need!* A* Re!iding in %e a$ea o' a!!ignmen .* Li! ing do,n %e name o' pe$!on o "on a" 'o$ "o&$ e!y "all C* Ga %e$ing ini ial in'o$ma ion a-o& %e "omm&ni y /* P$epa$ing Agenda 'o$ %e 'i$! mee ing SITUATION : Heal % ed&"a ion i! %e p$o"e!! ,%e$e-y 2no,ledge( a i &de and p$a" i"e o' people a$e "%anged o imp$o#e indi#id&al( 'amily and "omm&ni y %eal %* >+* 1%i"% o' %e 'ollo,ing i! %e "o$$e" !e@&en"e in %eal % ed&"a ion3 +* In'o$ma ion 0* Comm&ni"a ion 4* Ed&"a ion A* +(0(4 .* 4(0(+ C* +(4(0 /* 4(+(0 >0* T%e %eal % ! a &! o' %e people i! g$ea ly a''e" ed and de e$mined -y ,%i"% o' %e 'ollo,ing3 A* .e%a#io$al 'a" o$! .* So"ioe"onomi" 'a" o$! C* Poli i"al 'a" o$! /* P!y"%ologi"al 'a" o$! >4* N&$!e .&de2 i! "ond&" ing a %eal % ea"%ing o Agne!ia( 8? yea$ old -$ea! "an"e$ !&$#i#o$ needing $e%a-ili a i#e mea!&$e!* He 2no,! %a %eal % ed&"a ion i! e''e" i#e ,%en A* Agne!ia $e"i e! %e p$o"ed&$e and in! $&" ion! pe$'e" ly .* Agne!ia)! -e%a#io$ and o& loo2 in li'e ,a! "%anged po!i i#ely

C* Agne!ia ga#e 'eed-a"2 o .&de2 !aying %a !%e &nde$! ood %e in! $&" ion /* Agne!ia $e@&e! ed a ,$i en in! $&" ion '$om .&de2 >6* 1%i"% o' %e 'ollo,ing i! $&e a-o& %eal % ed&"a ion3 A* I .* I C* I /* I %elp! people a ain %ei$ %eal % %$o&g% %e n&$!e)! !ole e''o$ ! !%o&ld no -e 'le5i-le i! a 'a! and m&!%$oom li2e p$o"e!! i! a !lo, and "on in&o&! p$o"e!!

>8* 1%i"% o' %e 'ollo,ing 'a" o$! lea! in'l&en"e %e lea$ning $eadine!! o' an ad&l lea$ne$3 A* T%e indi#id&al! ! age o' de#elopmen .* A-ili y o "on"en $a e on in'o$ma ion o -e lea$ned C* T%e indi#id&al)! p!y"%o!o"ial adap a ion o %i! illne!! /* T%e in e$nal imp&l!e! %a d$i#e %e pe$!on o a2e a" ion >:* 1%i"% o' %e 'ollo,ing i! %e mo! impo$ an "ondi ion 'o$ dia-e i" pa ien ! o lea$n %o, o "on $ol %ei$ die 3 A* U!e o' pamp%le ! and o %e$ ma e$ial! d&$ing in! $&" ion! .* Mo i#a ion o -e !ymp om '$ee C* A-ili y o' %e pa ien o &nde$! and ea"%ing in! $&" ion /* Lang&age &!ed -y %e n&$!e >;* An impo$ an !2ill %a a p$imig$a#ida %a! o a"@&i$e i! %e a-ili y o -a %e %e$ ne,-o$n -a-y and "lean %e$ -$ea! i' !%e de"ide! o -$ea! 'eed %e$ -a-y( 1%i"% o' %e 'ollo,ing lea$ning domain ,ill yo& "la!!i'y %e a-o#e goal!3 A* P!y"%omo o$ .* Cogni i#e C* A''e" i#e /* A i &dinal >=* 1%en yo& p$epa$e yo&$ ea"%ing plan 'o$ a g$o&p o' %ype$ en!i#e pa ien !( yo& 'i$! 'o$m&la e yo&$ lea$ning o-7e" i#e!* 1%i"% o' %e 'ollo,ing ! ep! in %e n&$!ing p$o"e!! "o$$e!pond! o %e ,$i ing o' %e lea$ning o-7e" i#e!3 A* Planning .* Implemen ing C* E#al&a ion C* A!!e!!men >>* Ro!e( 8? yea$! old and ne,ly diagno!ed dia-e i" pa ien m&! lea$n %o, o in7e" in!&lin* 1%i"% o' %e 'ollo,ing p%y!i"al a $i-& e i! no in any,ay $ela ed o %e$ a-ili y o admini! e$ in!&lin3 A* S $eng % .* Coo$dina ion C* /e5 e$i y /* M&!"le .&il +??* Appea$an"e and di!po!i ion o' "lien ! a$e -e! o-!e$#ed ini ially d&$ing ,%i"% o' %e 'ollo,ing !i &a ion3 A* Ta2ing VCS .* In e$#ie, C* Implemen a ion o' %e ini ial "a$e /* A" &al P%y!i"al e5amina ion