Beruflich Dokumente
Kultur Dokumente
1. Demographic
Table 1.1 Number of Family Members
No. of Family Members
Frequency
1-2
3-4
5-6
7-10
10 and above
Total
Table 1.2 Type of Family
Type of Family
Nuclear
Extended
Cohabitation
Single parent
Dyad
Blended
Total
Table 1.3 Gender of Family Members
Gender of Family Members
Male
Female
Total
Table 1.4 Age of Family Members
Age of Family Members
0-6
7-14
15-49
50-64
>/= 65
Total
Frequency
Frequency
Frequency
Percentage
Percentage
Percentage
Percentage
Percentage
Frequency
Percentage
Percentage
2. Socioeconomic Data
Table 2.1 Ownership of Residential Lots
Residential Lots
Frequency
Owned
Rent
Informal Settler
Rent-free
Tenant
Total
Table 2.2 Type of Materials Used for Housing
Type of House
Number
Cemented
Bamboo
Wood
Mixed
Others
Total
Percentage
Percentage
Frequency
Percentage
Frequency
Percentage
Frequency
Percentage
2501- 5000
>5000
Total
Table 2.6 Ownership and Size of Tilled Land
Ownership of the land
Frequency
Tilled
Owned
Tenant
Rented
Salaried
Sharecropper
Informal Settler
Total
Size of the land tilled (hectares)
hec
1/3 hec
hec
1 hec
1 hec
2 hec
4 hec
5 hec
8 hec
>8 hec
Total
Table 2.7 Amount of 4Ps allowance
Amount of 4ps
Allowance
Frequency
Percentage
Percentage
Total
3. Sanitation
Table 3.1 Presence and Type of Toilet
Toilet
Frequency
Present
Absent
Communal
Total
Type of toilet
Flush
Watersealed
Percentage
Pitprivy
Antipolo
Others
Total
Table 3.2 Waste Disposal, Segregation, and Recycling
Methods of Waste
Frequency
Disposal
Burning
Buried
Throw it anywhere
Collected
Others
Total
Waste Segregation and Recycling
Yes
No
Total
Table 3.4 Presence and Type of Drainage System
Drainage System
Frequency
Present
Absent
Total
Type of Drainage
Open
Closed
Total
Table 3.5 Source of Drinking Water
Source of Drinking Water
Water Pump
Well
Faucet
Fountains
Rain
Surface water
Total
Table 3.6 Cooking Facility
Cooking Facility
Firewood
Gas stove
Mixed
Electric stove
Percentage
Percentage
Frequency
Percentage
Frequency
Percentage
Total
Table 3.7 Food Storage
Food Storage
Refrigerated, covered
Refrigerated, un-covered
Non- refrigerated, covered
Non-refrigerated,
uncovered
Total
Frequency
Percentage
Frequency
Percentage
4. Health Services
Table 4.1 Type of Treatment
Type of Treatment
Traditional (Albularyo,
Medicinal Herbs)
Modern (Doctor, Midwife)
Total
Frequency
Percentage
Percentage
Percentage
Total
5. Maternal Care
Table 5.1 Households with Pregnant Women
Pregnant
Frequrency
Yes
No
Total
Table 5.2 Age of First Pregnancy
Age of 1st pregnancy
<18 years old
19- 25 years old
26-35 years old
>35 years old
Total
Percentage
Frequency
Percentage
Frequency
Percentage
Lying In
German Doctors
Total
Table 5.4Tetanus Toxoid Immunization
Women received TTI
Frequency
Yes
No
Total
Number of TTI Received
TT 1
TT 2
TT 3
TT 4
Percentage
TT 5
TT 6
Total
Table 5.5 Place of Last Delivery
Place
Home
Health Center
Lying-In Clinic
Government Hospital
Private Hospital
Total
Table 5.6Attendant at Birth
Birth Attendants
Midwife
Nurse
Doctor
Trained Hilot
Untrained Hilot
Others
Total
Frequency
Percentage
Frequency
Percentage
Frequency
Percentage
Percentage
Percentage
IUD
Pills
Depo Provera
Condom
Ligation
Vasectomy
Mixed
Natural Family Planning
Traditional
Total
Table 5.10 Households with History of Maternal Death
Maternal Death
Frequency
Yes
No
Total
Percentage
6. Child Care
Table6.1 Infant Feeding
Source of Milk
Breastmilk
Formula milk
Combination feeding
Total
Frequrency
Percentage
Percentage
Percentage
Percentage
Percentage
Table 6.6 De-worming and Vitamin A Administration for Children 2-5 Years Old
Months
Number
Percentage
Yes
No
Total
Table 6.7 Childhood Diseases in Present Year
Childhood Diseases
Frequency
Measles
Pneumonia
Diarrhea
Total
Table 6.8 Child Mortality
Age in years
Below 1
1-4
5-9
10-14
15-18
Total
Reason:
Frequency
Percentage
Percentage
7. Tuberculosis (TB)
Table 7.1 Tuberculosis in Household
TB disease
Frequency
Yes
No
Total
Table 7.2 Tuberculosis Treatment
Percentage
Tb Treatment
Yes
No
Total
Table 7.3 Source of TB Medications
Source of Tb treatment
Health Center
German Doctors
Others
Total
Frequency
Percentage
Frequency
Percentage
8. Chronic Diseases
Table 8.1 Chronic Illnesses in Household
Diseases
Frequency
Hypertension
Diabetes Mellitus
Mental illness
Others
Total
Table 8.2 Source of Medication
Source of medication
RHU
LHC
German Doctors
Self-sustenance
Total
Table 8.3 Medication Compliance
Medication Compliance
Yes
No
Total
Percentage
Frequency
Percentage
Frequency
Percentage
Reason:
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