Documentation 2003

Our Lady of Fatima University
Community Health Nursing
ACKNOWLEDGEMENTS
We would like to extend our sincere appreciation to the people who have contributed their time and effort for the accomplishment of this study.
First and foremost, to Almighty God who gave the skills, guidance and kept us focused in the entire preparation of this study, to our parents who have believed in our abilities and continuously support us financially.
To our Clinical Instructor, Mr. Karlo Pangan RN, for the guidance in conducting this study, as well as the encouragement, comments, valuable suggestions readily provided for us.
To all the staff of Baranggay Calvario Health Center and Meycauayan Health Department, who carefully took time to guide us the necessary procedures we need to know during our stay with them.
To Our Lady of Fatima University for providing us the environment conducive to learning and academic excellence; And also to those whom we failed to mention, this study would not be possible without their support and cooperation.
The Students of Group 3Y2-D

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BARANGGAY OFFICIALS
Wilfredo DS. Macatulad

Brgy Captain
Brgy Councilors
Pablito contreras Benito Montaniel Diosdado David Catherine Abacan Angelito Sta. Ana Elizabeth Aquino Reynaldo Dionisio
John Engelito Avendano SK Chaiman
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ORGANIZATIONAL CHART OF BARANGGAY CALVARIO HEALTH CENTER

Julius V. Bolina Brgy health Nurse
Rizalyn M. Tejas Brgy Health Midwife
Franklin Santos Asst. Pharmacist
Imelda Daug Barangay Health Worker
Josefina Lanozo Barangay Health Worker
Jackie Field Driver
Morris Halasan Driver
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TABLE OF CONTENTS

INTRODUCTION
Troughout the history, Community Health nursing have brought a lot of help for the health of the people in the community. They are the leaders who provide quality health services. They are knowledgeable about new public health technologies and methodoloies. And upon the arrival of the new programs and tcnologies, they are usually the first ones to be trained to implement it in the ommunity. But in oder for the public health nurses to continue the efficient and effective delivery of health care into the people, and for the commnity to receive the proper care that they really needed, it is very vital for the comunity health nurses to have a knowledge and full understanding of the coomunity within their care, knowledge that are up to date and factual. Those established knowledge will be used to diagnose its health threats that could eventually harm the health of the people. We all know that prevention is better than cure, and it is the major role of the community health nurses for the community and in order to prevent the health problems in the community, we need to know first the factors that would possibly cause those problems being familiar with the community and identifying its weaknesses would be the first thing to do. Every community in every corner of the country, even it is small or poor should be taken care like a mother to its child that loves and nurtures untill it can finally stand in its own.
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Statement of Objectives
General objectives
To establish an updated database about the health related informations of the community in Macalinao Street such as population and gender ratio. To asses the health condition/status of the community living in Macalinao street. To know the needs and health related problems of the community. To provide data about the physical features of the community in Macalinao Street including house arrangements. And for nrsing students like us, it is to expose ourselvess and gain experience to dealand understand the community in terms of health related factors thus, enabling us to diagnose its problems, give its remedies and provide health teachings to avoid such problems.
Specific objectives
To conduct an ocular inspection in the community. To provide an accurate spot map of the community. To conduct interviews and surveys while identifying the unhealthy behaviors of the residents of the community. To construct a community health program plan that would solve the health problems of the community.
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Methodology/Tools Used
Instruments are especially prepared tools or device used to collect needed data or information and facilitate obstruction and measurement of research variables, consistent with the purpose of the study. (Tan, Crestita, A Research to Nursing Education, 3rd Edition, page 161). The researchers distributed questionnaires and conducted interviews as data gathering tools. Using method such as this contributed greatly in the outcome of the study.
Limitation of the study
The study is limited to the references used by the researchers such as journals and books and the method of survey used to the respondents. This study is limited only to the residents of Blk. A, B, C, D (based on our spot map) of Macalinao street, Baranggay Calvario, Meycauayan, Bulacan.
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I.
SETTING OF THE COMMUNITY
Meycauayan is politically subdivided into 29 barangays.
1. 2. 3. 4. 5. 6.
Bagbaguin Bahay Pare Bancal Extension Bancal Banga Bayugo
8. Camalig 9. Caingin 10. Hulo 11. Northville 12. Iba 13. Langka 14. Lawa
7. Calvario
16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28.
29.
Liputan Longos Malhacan Pajo Pandayan Pantoc Perez Northville Poblacion Saluysoy St. Francis (Gasak) Tugatog Ubihan Zamora
15.
Libtong
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Research and Development Center
City Government of Meycauayan Meycauayan Health Department HEALTH
The World Health Organization defines health as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
POPULATIONS:
Physical and Socio-Political
Land Area No. of Barangays Population
3,210 has. 27 163,037
Population Growth Rate 3.53% Population Density Average Crime Rate Crime Solution Efficiency 50.79 persons/ha. 10.26% 95.12%
Mayor: Joan Alarilla Vice Mayor: Salvador D. Violago, Sr.

CITY GOVERNMENT OF MEYCAUAYAN
Vision
A peaceful and developed community dedicated to promote its economic standard: Alleviate the plight of the fortunate citizenry and the working class, education for the youth: and concerned with the protection and the conversation of natural resources.
Mission
To attain high level of urbanization and industrialization adhering to existing environmental standards through sustainable development.

MEYCAUAYAN HEALTH DEPARTMENT
Vision
To ensure the provision of effective and efficient delivery of the health services made accessible to the community at an affordable cost of self-reliance and community participation in a comprehensive and coordinate effort.
Mission
To deliver preventive, curative and comprehensive, high quality services is an accessible, affordable, available, efficient and sustainable manner to all constituents

Description of the community This research was conducted in Macalinao Street in Baranggay Calvario, Meycauayan bulacan.
Boundaries
The territory of Baranggay Calvario was bounded by the Meycauayan River to the south and west and by the McArthur High-way to the north. Sarno Street extends to its northern boundary.
Total population Baranggay Calvario mecauayan bulacan has an overall estimation of 6,536 populations with 2,052 Households. In this study, we have taken 24 households and a total of 104 residents.
Total Land area
The total land area of the Baranggay is 41,496 sq.m Density = Area in sq. m = sq. m/ person Population = 41,496 sq. m 6,536

6.35 sq. m/ person
Features The major composition of the baranggay was residential areas. Depressed Areas
Economic Features
Sulok St. Macalinao St.
Fancy making Jewelry making Accessories making Belt making
Cultural Features a. Religion Catholic Iglesia Ni Cristo Born Again Aglipayan Church Saksi Ni Jehova Dating Daan b.Education

HEALTH AND NUTRITION SITUATION OF OTHER RELEVANT INFORMATION
I.
GENERAL INFORMATION
1.Total No. of Purok5
2. Total No. of Infants(0-11mos.)195
3. Total No. of Pregnant Women.225
4. Total No. of Lactating Women.156
5. Total No. of HH w/ Home Garden800
6. Total No. of HH w/ Sanitary Toilet1,280
7. No. HH w/ Potable Water Supply...1,280
8. Most Common OccupationSELF EMPLOYED

Climate
Typical Philippine climate with sunny and rainy seasons. During the sunny seasons, they experience hotter temperature because of overcrowding and lack of proper ventilation. During the rainy season, this community experience flood because their community is situated near the Meycauayan River.
Medium of Communication
The medium of communication available in the said baranggay are person to person talking, telephone communication, texting, mass media (TV, radio, print adds, etc.)They use the Filipino language as their language, dialects like kapangpangan and bisaya was also popular in this community.
Means of transportation
Walking, Tricycle, jeep and pedicab. Resources Available in the Community The resource that is available in the community, specifically in Macalinao Street is human resources.

History
Calvario is one of the Baranggays in Meycauayan City. The word Calvario comes from the word Kabadyo which means submerged. They use this word to address the place mainly because of the reason that this place is always submerged in flood during rainy seasons. In some records, it is written that it is called Calvario because one of its places, named Bisita has a mountainous shape. The baranggay covers 41,496 hectares as its territory. It is composed of 6,536 population and 2,052 households.
II. Population.
1. Total Population of the Baranggay 6,536 2. Total population of the Families Surveyed- 24 3. Sex Ratio
No. of males No of females 46 58
100
100

79.31 or 79% with a ratio of 23 males: 29 females
1.
Age and sex distribution TABLE 1 Age and sex Distribution of Blk. A, B, C, D of Macalinao Street
Age <1 1-4 5-9 10 -14 15 -19 20 -24 25 -29 30 -34 35 -39 40 -44 45 -49 50 -54 55 -59 60 -64 65&above
Male 1 6 1 2 7 2 3 6 3 5 4 1 0 2 3
% 2.2 13.0 2.2 4.3 15.0 4.3 6.5 13.0 6.5 10.9 8.7 2.2 0 4.3 6.5
Femal e 2 6 4 6 4 5 3 8 5 3 2 1 3 4 2
% 3.4 10.3 6.9 10.3 6.9 8.6 5.2 13.8 8.6 5.2 3.4 1.7 5.2 6.9 3.4
Total 3 12 5 8 11 7 6 14 8 8 6 2 3 6 5
% 2.9 11.5 4.8 7.7 10.6 6.7 5.7 13.5 7.7 7.7 5.7 1.9 2.9 5.7 4.9
Total
46
100%
58
100%
104
100%
Analysis
The table represents the total population of our respondents in Blocks A, B, C, D of the community in Macalinao Street. This shows that the major composition belongs to people with age group 1-4(11.53%) and 3034(13.5%). There are more females than males in the population.

Furthermore, knowing that we only have 24 household respondents, this population is considered large.
Implication
It is threathening that the number of peple who belongs to ages 1-4 is big, this means that the community have more mouths to feed and if the population is big, every family in the community will need a bigger budget in order to survive and meet the needs of every member, shortage in budget may arise and their health will suffer. Furthermore, the government will have difficulty in providing and attending to all health needs of the people because they will need a bigger budget.
Figure 1 Age and sex Distribution of Blk. A, B, C, D of Macalinao Street

2. Civil Status
Table 2 Percentage distribution showing the Civil status Of Individuals 15 years old and above of Blk. A, B, C, D of Macalinao Street.
Civil Status Single Married Separated Widow Total

Analysis
Frequency 19 53 1 3 76
% 25.0 69.7 1.3 4.0 100%
The table represents the Percentage distribution of the civil status Of Individuals of Blk. A, B, C, D of Macalinao Street. It indicates that majority of them are married.
Implication

Having a high percent of married individuals in the population would result a great impact to the growth of population in the community. There is a posibility of an increased number of pregnant women. There will be a higher need for a more comprehenssive programs regarding family planning and maternal and child care.
Figure 2 Pie graph of percentage distribution showing the Civil status Of Individuals 15 years old and above of Blk. A, B, C, D of Macalinao Street.
4% 1%
Civil S tatus
25%
Single
Married
70%
Separated
III. Economic Indices

1. Dependency ratio
widdow
DR= No. of population 0-4 yrs old + 65yrs old & above Population 15 yrs. old yo 64 yrs. old
x 100
= 33 x 100 71 =46.5% with a ratio of 33 dependents : 71 nondependents

2. Occupational status
Table 3 Percentage distribution showing the Occupation status Of productive Individuals of Blk. A, B, C, D of Macalinao Street.
Occupational Status
Frequency

Employed Self-employed Retired Unemployed Total

Analysis
17 25 0 33 75
22.7 33.3 0 44.0 100%
The table represents the percentage distribution of the occupational status of the productive individuals of the community. 22.7 percent of them are employed while 33.3 percent are self employed. All in all 60 percent of the productive groups have occupation.44percent of the productive individuals didnt have occupation. There is no retired indvidual in the area that we have surveyed.
Implication
Only 60 percent of the productive groups have occupation,maybe some of them are busy doing something such as studying or maybe some of them didnt work at all. Still, having a high percentage of unemployment rate is no good for a community. These will worsten the experienced poverty that affects the health of the people. 33 percent of the productive individuals are self-employed, its a good implication because it indicates that people in this areaare good in income generating activities, they can think and do some ways to gain income in order to compensate the effect of difficulty in finding jobs. There arer no retired individual in this community maybe because all of them still works untill the eldest age in the occupational bracket. This data may be interpretted in both positive and negative ways. It can be viewed positively inn a way that people, in their old age still can find ways to generate income in order to help and contribute to the budget of the family. It may be viewed negatively in a way that people, even in their old age where they are

supposed to be resting, relaxing and taking care of their health only, still works because of shortage in family budget.
Figure 3 Pie graph of Percentage distribution showing the Occupation status Of productive Individuals of Blk. A, B, C, D of Macalinao Street.
OCCUP ATIONALS ATUS T

Employed 44% 23%
33%
Self-employed Retired Unemployed
0%
3. Occupation
Table 4 Percentage distribution showing the types of Occupation of earning Individuals of Blk. A, B, C, D of Macalinao Street.
Occupation Laborer Vendor Total
Frequency 18 24 42
% 42.85 57.14 100
Analysis

The table represents the percentage distribution of the occupation of earning individuals it states that the major occupation of the respondents are either laborer or vendor, 42.85 percent are belongs to laborers and 57.14 percent are vendors.
Implication
The type of occupation dictates the amount of salary and budget an individual has for his family. Given that the major occupations of the productive individuals in this community are vendors or laborers, this means that sickness will affect their jobs greatly as well as their salary. There is a high posibility that they didt have spared budget in case of health emergencies.
Figure 4 Pie graph of percentage distribution showing the types of Occupation of earning Individuals of Blk. A, B, C, D of Macalinao Street.
Occupation
43% 57%
Laborer
Vendor
4. Average Income

Table 5 Percentage distribution showing the average income of earning Individuals of Blk. A, B, C, D of Macalinao Street.
Income/ Month <1,000 1,000 - 2,999 3,000 - 4,999 5,000 - 6,999 7,000 - 8,999 9,000 - 10,999 11,000 - 12,999 13,000 - 14,999 15,000 & above
Frequency 1 13 7 7 6 2 3 0 3 42
% 2.38 30.95 16.67 16.67 14.28 4.76 7.14 0 7.14 100%
Analysis The table represents the percentage distribution of the average income of earning individuals, it states that the highest percentage belongs to the income of P1,000 to P2,999 per month. Only 7.14 percent of them has an income of P15,000 and above. Implication We all know that income plays a very important role in the life and health of every individual. It is not a good implication that most of the respondents income is only P1,000 to P2,999 a month. It is below the minimum wage and too little to meet the basic needs of the family. A family with this amount of income will surely have difficulties in meeting their needs to live normally and healthy. There will be shortage of budget for food as well as nutrients that would help an individuals body to attain good health and resistance to diseases. And in case of emergency or sickness, surely, there will be no budget for hospitalization and medicine.

Figure 5 Pie graph of percentage distribution showing the average income of earning Individuals of Blk. A, B, C, D of Macalinao Street.
Incomeof earningindividuals
1,000 0% 7% 5% 7% 2% 31% 1,000-2,999 3,000-4,999 5,000-6,999 7,000-8,999 17% 17% 9,000-10,999 11,000-12,999 13,000-14,999
14%
IV. Socio-Cultural Indices

1. Educational Atttainment
15,000 & above
Table 6 Percentage distribution showing the educational attainment of Individuals surveyed.
Educational Attainment No Formal education Elementary Level Elemantary Graduate High School Level High school Graduate College Level College Graduate
Frequency 12 21 10 21 26 3 11 104
% 11.53 20.19 9.61 20.19 25.00 2.88 10.57 100%
Analysis
The table represents the percentage distribution of the educational

attainment of Individuals surveyed. It indicates that the majority of the respondents reached untill high school only. The highest percentage (25 percent) belongs to the

respondents who are high school graduates. Individuals that reached elementary level only and highschool level only have the same percentage (20.19 percent).
The table indicates that only few individuals have attained a good education only, 10.57 percent have graduated from college
Implication
The perception of an individual about health is greatly affected by the level of education an individual has. People with higher education have more understanding about their health and how to manage it. People that have attained a higher level of education can find a more decent job that yields good income, good enough to meet the daily needs to live and to live healthy. It is threatening for the health of the residents of this community because only three, out of them are college graduates.
Figure 6 Bar graph of percentage distribution showing the educational attainment of Individuals surveyed.

2. Religion Table 7 Percentage distribution showing the religion of Individuals surveyed.
Religion Muslim Catholic INC Total
Frequency 0 104 0 104
% 0 100 0 100
Analysis
The table represents the percentage distribution of the religion of individuals surveyed. This shows that all of the respondents in the community are Catholic, the primary religion of most Filipinos.
Implication
Religion is very important in determining the health of the community. It has a very vital role in our everydaylife and health. Others entrust the improvement and maintenance of their good health to prayers, most of the people kneel and pray during times of sickness. Catholic is the prevalent religion in the community, it is a good implication because it respects what medicine can do as well as prayers for the maintenance and improvement of good health.
Figure 7 Muslim Pie graph of percentage distribution showing the religion of Individuals surveyed.
0% 0% Catholic 100% INC
Relig ion

3. Place of Origin
Table 8 Percentage distribution showing the place of origin of families surveyed.
Place of Origin Luzon Visayas Mindanao NCR
% 93.75 6.25 0 100
Analysis The table represents the percentage distribution of the place of origin of the families surveyed. This shows that the respondents came from either some parts of Luzon or Visayas. Most of them came from Luzon, none of them came from Visayas. Implication

Majority of the people from provinces tend to move to areas that are nearer to metropolis where they expect that they can find job easily to support the needs of the family. Figure 8 Pie Graph of percentage distribution showing the place of origin of families surveyed.
Place of Origin Luzon

6% 0% Visayas Mindanao NCR
94%
4. Length of residency
Table 9 Percentage distribution showing the length of residency of families surveyed.
Length of Residency <6 mos 6mos- 1 year 1-5 years 6-10 years 10 years and above Total
Analysis
Frequency 0 4 2 0 42 48
% 0 8.33 4.17 0 87.5 100
The table represents the percentage distribution of the length of residency of families surveyed, it shows that majority of them are already residing in the community for more than ten years. Implication

Being a resident in a community for a long perod of time is a good indication for their health care because they will know the community so well that in times of sickness they arlready know where to go and seek for medical assistance. Figure 9 Pie graph of Percentage distribution showing the length of residency of families surveyed.
Length Of Residency < mos 6

0%8% 4% 0%
6mos year -1 1-5 years 6-10 years 10 years and above
88%
5. Housing
Table 10 Percentage distribution showing the types of housing of families surveyed.
Types of Housing Makeshift Light Strong Mixed Total
% 4.17 8.33 54.17 33.33 100
Analysis The table represents the percentage distribution of the types of housing of families surveyed, it shows that 54 percent of them have strong housing, 33 percent of them have mixed housing while 8 percent of the respondents have light type of housing. Only 4 percent of the families surveyed are staying on a makeshift house.

Implication Based from the data gathered, most of the families have strong housing, its a good implication because they will have a stable and good stronghold in times of calamities and bad weather, and therefore, their health will not be compromised.
V. Environmental Indices 1.Water Supply

Table 11 Percentage distribution showing water supply of families surveyed.
Level I. II. III. Total
Point Source Communal faucet system Standpost Waterworks system
Frequency O 3 21 24
% 0 12.5 87.5 100%
Analysis The table represents the percentage distribution of the water supply source of families surveyed. It shows that their source of water is either from standpost or waterworks System. Most of them get their water from waterworks system.

Implication
Most of them recieves water from waterworks system specifically NAWASA, in that way we can say that they have a reliable water source.But seing that some of their water pipes were submerged in canals,they are prone to water bourne diseases such as amoeba cholera, diarrhea etc. this scenarios will takeplace if one of those pipes became defected and contaminated.
Figure 11 Pie graph of Percentage distribution showing water supply of families surveyed.
Water supply of families surveyed

0% 0% 12% II.Communal faucet system 88% Standpost I. Point Source
Waterworks system
2. Drinking Water Storage

Table 12 Percentage distribution showing drinking water storage of families surveyed
Storage Can Drum Bottle Faucet
% 0 16.67 45.83 37.5 100
Analysis The table represents the percentage distribution of the drinking water storage of families surveyed, this shows that most of them used to store their drinking water in bottles, it is 45.83 percent of the families surveyed. 37.5 percent of them get their drinking water directly from the faucet while 16.67 percent of them store their drinking water in drums.
Implication Based from the data gathered, Most of them stored their drinking water in bottles. Its a good implication because they said that they cover those bottles that contain their drinking water. It is a healthy practice because this will prevent the contamination of their drinking water. In addition to that, they wil have a stored clean drinking water in case of shortage and emergency. Drinking water directly from the faucet is a health threat because there will be a posibility for them to acquire water bourne diseases. Figure 12 Pie graph of Percentage distribution showing drinking water storage of families surveyed
Water S torag e
Can
Drum 0% 17% 37% Bottle 46% Faucet

3. Excreta Disposal
Table 13 Percentage distribution showing Excreta disposal of families surveyed.
Excreta disposal Level I (Pit Latrines) Level II (Pour- Flush Toilets) Level III (Flush Toilets) Balot System/Wrap and Throw Other, specify Total
Analysis
frequency 0 24 0 0 0 24
% 0 100 0 0 0 100%
The table represents the percentage distribution of the Excreta disposal of families surveyed, it shows that all of them have pour- flush toilets. Implication All of the families surveyed in the community are utilizing proper excretal disposal and because of that, there will be a less risk with regards to spreading diseases in relation to this matter.
Pie Graph of Percentage distribution showing Excreta disposal of families surveyed. 0% 0%
ExcretaDisposal of Figure . family13
L evel I (Pit L atrines)

100%
L evel II (Pour Flush Toilets)

4. Refuse Waste Disposal
Table 14 Percentage distribution showing Refuse Waste Disposal of families surveyed.
Refuse Waste Disposal DPS (collected) Open Dumping Burning Waste Segregation Total
% 75.00 16.67 16.67 0 100
Analysis The table represents the percentage distribution of the refuse waste disposal of the families surveyed, 75 percent of them disposes their garbage by DPS collection. Open dumping and burning both gathered 16.67 percent.

Implication Its a good implication that majority of the group disposes the garbage properly. This means that the DPS collection services are reaching them thereby preventing the spread of diseases due to improper garbage disposal.
Figure 14 Pie graph of Percentage distribution showing Refuse Waste Disposal of families surveyed.
Refuse waste disposal of fam ilies surveyed
D (collected) PS 1% 5
80%
Open D ping um 2% 0 Burning

5. Backyard Gardening
Table 15 Percentage distribution showing type of Backyard gardening of families surveyed. Typeof Gardening Vegetable Ornamental Fruit Tree Others None Total Frequency 1 3 0 2 18 24 % 4.67 12.5 0 8.33 75 100
Analysis The table represents the percentage distribution of the type of backyard gardeniong of the families surveyed, this shows that majority of them (75%) have no plants. 4.67 percent of the group have vegetable type of gardening. 12.5 percent of them have ornamental plants while another 8.33 percent for those that have other type of plants, they specified it as herbal plants. Implication
Majority of the group dint have plants or backyard gardening. They said that it is because they didnt have space for it. That reason is very evident and vissible since the community is congested. 0% 8% 20% 80%
T ype of Gardenning
Veg etable 75% Ornamental Fruit Tree Others None

VI. Health Indices 1. Food Storage

Table 16 Percentage distribution showing Food storage practice of families surveyed.
Food storage Refrigerated Not refrigerated a)covered b)not covered Total

Analysis
Frequency 1 23 0 24
% 4.17 95.83 0 100
Only one of the families refrigerates their food as they store it, the rest(95.83%) did not but they cover their food as they store it. Implication
It is better if people in the community store their food in refrigerator to prevent spoilage, but since this community is a depressed area and has low income, it is understandable that they dont have such Covering the food while storing it is a healthy practice because contamination will be prevented.
Pie graph of Percentage distribution showing Food storage 0% % 4 0% practice of families surveyed.
Food storag e Figure Practice 16
R efrig erated 96 % Not refrigerated a)covered

2. Family Planning
Table 17 Percentage distribution showing familyplanning status of married women surveyed.
Family Planning status Acceptor Non- acceptor Total
Frequency 11 13 24
% 45.83 54.17 100
Analysis The Table represents the percentage distribution of the family planning status of the women in the community, it shows that 54.17 percent of them are Nonacceptor while 45.83 percent of them accepts it. Implication In this commmunity, the number of the non-acceptors of family planning exceeds the number of acceptors, some of them said that it is because they dont have enough knowledge about it. Others said that they are old and menopause already thats why theres no need for it. But because of this, theres a risk for sexually transmitted disease and infection. Figure 17 Pie Graph of Percentage distribution showing familyplanning status of married women surveyed.
F amily Planningstatus
0% 46%Accepto r Non accepto r
54%

3. Methods of Family Planning

Table 18 Percentage distribution showing the Family Planning Methods Of Acceptors Surveyed
Method of Family Planning Temporary Method Permanent Method Natural FP Method Total
Analysis
Frequency 8 2 1 11
% 72.72 18.18 9.09 100
The Table represents the percentage distribution of the family planning of acceptors surveyed. It shows that most of them 72.72 percent of them use temporary method of family planning. 18.18 percent of them use permanent method and 9.09 percent of them use natural family planning method. Implication
Majority of the group uses temporary method of family planning, this method is not safe so theres still a risk of being pregnant if they fail to use it properly.
Figure 18 Percentage distribution showing the Family Planning Methods of Acceptors Surveyed
F amily Planning Methods

17%
8%
75%
Temporar y Method Permanen t Method Natural FP M ethod

4. Infant Feeding Practice

Table 19 Percentage distribution showing Infant Feeding Practice of families surveyed.
Type of infant Feeding Breast Feeding Bottle Feeding a. Evaporated b. Condensed c. Powder Mixed Total
Analysis
Frequency 5 1 0 4 3 13
% 38 8 0 31 23 100
The Table represents the percentage distribution of the infant feeding practice of the families surveyed. This shows that 38 percent of them use breast feeding, 8 percent uses evaporated milk on feeding bottle, 31 percent of them uses powder onfeeding bottle while 23 percent uses mixed (Breast Feeding and Bottle feeeding).
Implication
Analyzing the table above, 61 percent uses breast feeding (including the ones who use mixed) while 39 percent of the respondents uses bottle feeding. Its a good implication that there are more respondents who use breast feeding, but still, it is not satisfyintg enough because its better if every infant will be breastfed and receive its benefits for their health. Breastfeeding is very important and helpfull especially to families who dint have spare budget in case that the health of their infant declined due to illness or improper

nutrition. Furthermore, it can help to save the money that would otherwise be spent buying artificial milk.
Figure 19 Pie Graph of Percentage distribution showing Infant Feeding Practice of families surveyed.

5. Immunization Status
Table 20 Percentage distribution showing Immunization Status of children 0-12 months among the families surveyed.
Antigen BCG Hep B DPT
Frequency 5 4 5
% 27.78 22.22 27.78

OPV Total
4 No. of infants = 5
22.22 100
Analysis
The table represents the percentage distribution of children 0-12 months, There are 5 infants that are qualified for this survey. It shows that 5 of them recieves BCG vacine, 4 of them recives Hep. B Vaccine, 5 of them recieves DPT and 4 of them recives OPV Vaccine.
Implication
It is a good implication that all of the infants are immunized. This means that the parents are all aware about the importance of vaccination in preventing diseases. It shows that only one of the infants has not yet received his Hep B and OPV vaccine. The mother asures us that she will bring her child to the health Center to receive these vaccines.
Figure 20 Pie graph of Percentage distribution showing Immunization Status of children 0-12 months among the families surveyed.

6. Health Seeking Behavior

Table 21 Percentage distribution showing Health-Seeking behavior of families surveyed.
Health Facility Hospital Health Center Private Clinic Others (specify) Total
frequency 3 17 4 24
% 12.5 70.83 16.67 100
Analysis

The table represents the percentage distribution of the health-seeking behavior of familes surveyed, this shows that majority of them consider the health center as their health source, they made up the 70.83% of the population.16.67 percent from Private clinics and 12.5 percent from Hospitals. There is no other source of medical health other than the given choices.
Implication Its a good implication that the residents of this community have their own source of health care at their own convinience. Either by clinic or by hospital, its a big healp if they know where to seek health assistance other than the nearest health center. Figure 21 Pie graph of Percentage distribution showing Health-Seeking behavior of families surveyed.
Health seekingBehavior
0% 17% 12% Health Center Hospital
71%
Private Clinic
Others (specify)
7. Source of Health Information

Table 22 Percentage distribution showing the source of health information of families surveyed.
Source of health information
Frequency

Hospital Health Center Media Others (specify) Total
2 18 4 0 24
8.33 75 16.67 0 100
Analysis The table represents the percentage distribution of the source of health information of families surveyed. It shows that 75 percent of them tells that the health center is the primary source of their health information, 16.67 percent from media and 8.33 percent from Hospital Implication Most people in the community get their health information from health centers. Primary reason for this is that health center near the community and its services are free for all. Figure 22 Pie graph of Percentage distribution showing the source of health information of families surveyed.
S ource of Health Information Hospital

0% 8% 17% Media 75% Others (specify) Health Center
8. Source of Dental Care

Table 23 Percentage distribution showing the source of Dental care of families surveyed.
Dental Source Health Center Hospital Private Industrial Total
% 83.33 0 8.33 8.33 100
Analysis
The table represents the percentage distribution of the source of dental care of families surveyed. It shows that 83.33 percent of them get their dental care from the health center, private and industrial sources both get 8.33 percent.
Implication It is a good implication that people in this community maintains their dental care and utilizes the dental sector of their health center, the health center is just a walk away and it is convinient for everyone.
Figure 23 Pie graph of Percentage distribution showing the source of Dental Care of families surveyed.

9. Causes of Morbidity
Table 24 Percentage distribution showing leading causes of morbidity in families surveyed.
Disease URTI Arthritis
Frequency 35 3
% 64.8 5.6

HPN Skin Infections Total

Analysis
8 8 54
14.8 14.8 100
The table represents the percentage distribution of the leading causes of morbidity in families surveyed. It shows that 64.8 percent ofn them experienced Upper Respiratory Tract Infection, 5.6 percent of them experienced arthritis while Hypertension and skin infection both got 14.8 percent.
Implication The data above implies that URTI is the prevailing type of morbidity in the community. It is maybe one of the effects of being a congested community and also from lack of proper hygiene. And because their houses are built very near to one another, they can easily transmit the infection from their neighbors. Table 24 Percentage distribution showing leading causes of morbidity in families surveyed.
Causesof MorbidityInfections Skin

15% 5% Arthritis HPN URTI 15%
65%
VII. Summary and Conclusion
Summary of Findings From the data yielded by the researchers instrument, the researchers summarized the following:

1. The major composition belongs to people with age group 1-4(11.53%) and 30- 34(13.5%). There are more females than males in the population.
2. Majority of the people ages 15 and above are married. 3. 60 percent of the productive groups in the community have occupation. 4. the major occupation of the respondents are either laborer or vendor,
most of them are vendors.

5. Majority of the productive groups of the community has an income of
P1,000 to P2,999 per month.

6. The majority of the respondents reached untill high school only. 7. All of the respondents in the community are Catholic. 8. Majority of the respondents came from either some parts of Luzon or Visayas. Most of them came from Luzon. 9. Majority of them are already residing in the community for more than ten years. 10.Majority of the families surveyed have strong type of houses. 11.The source of water of most of the families is either from standpost or waterworks System. Most of them get their water from waterworks system. 12.Most of the families surveyed, they use to store their drinking water in bottles. 13.All of the respondents have pour- flush toilets. 14.Most of them dispose their garbage by DPS collection. 15.Most of the respondents didnt practice gardenning. 16.Majority of the group did not refrigerate their food but they cover it as they store it. 17.There are more non acceptors of family planning in this community. 18.Most of the respondents that use family planning prefer to use temporary method of family planning.

19. Majority of the group uses breast feeding to feed their infants. 20.People in this communitty are aware of the importance of vaccination for the health of their children. 21.Majority of the rspondents consider the health center as their primary health care source. 22.Majority of the family surveyed said that the health center is the primary source of their health information. 23.Majority of the families surveyed considers the center as their primary source of dental care. 24.Based from the survey, the prevalent cause of morbidity in this community is Upper Respiratory Tract Infection.
Conlusion
After being able to conduct our ocular inspection and interpret and analyze the gathered data, the researchers concluded that the community in Macalinao Street still didnt resemble the picture of an ideal community. We have observed that the number of household and famikly is too big for the size of their land area thus, it is considered as a congested area. Given that their houses are so close to one another, a communicable disese either carried by a vehicle or airbourne can spread easily in their neighborhood and also fire can easily spread and burn the whole community. Their drainage system is not functioning well. It is blocked by garbagethe water in it is so dirty and has afoul smelling odor. The way they built their houses is not planned, some of their houses are blocking the way making it difficult to escape in case of emergency or fire. This community needs the assistance of government because they manifest some health threathening practices with relation to poverty.
VIII. Problems Identified
High Rate of Non-Acceptor of Family Planning in the Community High Rate of Upper Respiratory Tract Infection

Waste disposal and poor sanitation High unemployment rate Low income
IX. Recommendations Conduction of seminar about the different types of family planning and
how to use it.
Discussion of the signs, symprtoms, management of URTI and how to avoid getting it with the community Seminar on waste disposal Coordination with PESO Office or Human resource Dept. to launching job fairs for the jobless residents of macalinao St. Livelihood seminar about recycling waste materials into productive objects to increase income.
X. Action Plans

NARRATIVE REPORT
November 26, 2009, our orientation day in Meycauayan Health Department. Our group came late for about 30 minutes because we did not anticipate that the City Hall was transferred in the middle of somewhere. The inspectors including our Clinical Instructor, Mr. Jose Karlo M. Pangan were very strict when it comes too the uniform especially for the girls. They were very much concerned for the safety of the students. At the City Hall, we knew the mission and vision of Meycauayan Health Department and many more. After the orientation, the different groups finally met their respective Clinical Instructors. Luckily, the CI assigned to us was Sir Karlo who is based in Calvario Health Center. He oriented us about what to expect in that community and the activities that we were about to do. After we had our lunch, we proceeded to the Health Center. Sir Karlo told us that the area of our responsibility will be Macalinao Street. That afternoon, we conducted an ocular inspection and the spot map of that area. For the first time, we met the people of Macalinao. After that, we finished our spot map. Sir Karlo ended the day by telling us the activities for tomorrow. November 27, the Vaccination Day. We arrived early in the morning to the point that the Health Center was still closed. Mothers carrying their cute babies started to come. We listed the names of the babies who came first in line so that there will be no arguments when it comes to who will be served

first. We became busy when the Health Center was opened. Some of us were assigned to the records, some in vital signs taking and the others in vaccination. When all of the patients have been served, we got the time to rest for a while and then we had our lunch. After the lunch, we verified if the spot map we made is correct. We spent some of our time on the seminar conducted by the 105 students. We went home with smiles on our faces. December 3, Surveying Day. We surveyed 24 families in Macalinao Street. From that survey, we were able to know the problems of the community when it comes to their health. We started tallying the data that we have gathered. Although tired, we enjoyed the moment the moment when Sir Karlo conducted a mini game called Ice Breaker. December 4, our last day of community duty in Calvario. We continued the tallying of data. After we had the results, we started analyzing it and we gave the implications that may arise. Then we determined the problems that we saw by observation and by the results of the data gathered. We started to prioritize problems by giving scores to them. Based on the results, we made our individualized Community Health Program Planning. After the making of the CHPP, we had a short quiz and some picture taking ended the day. Many thanks to Sir Karlo for the knowledge and skills he shared to us not only in the profession but the advices and insights that he gave us.

CURRICULUM VITAE
Personal Data Name: Occasion, Beverly P. Address: 423 McArthur Highway, Marulas, Valenzuela City Birthday: March 21, 1991 Contact No: 09063651797 E-mail Address: cheallybevz_21@yahoo.com Religion: Roman Catholic Civil Status: Single
Educational Background College 2007- Present Our Lady of Fatima University Bachelor of Science in Nursing
High School June 2003 March 2007 Elementary Immaculate Heart of Mary School Malabon

June 1997 March 2003
St. John Adoptive Montessori School
CURRICULUM VITAE
Personal Data Name: Palopalo, Diana Rose G. Address: 18 Gumamela St.San Nicolas, Florida Blanca ,Pampanga Birthday: December 19, 1990 Contact No: 091659898145 E-mail Address: dei_ahen019@yahoo.com Religion: Roman Catholic Civil Status: Single
High School June 2003 March 2007 Elementary St. John Agustine Academy of Pampanga

June 1997 March 2003
St. John Agustine Academy of Pampanga
CURRICULUM VITAE
Personal Data Name: Palacio, Lucelle M. Address: 516 Benita Ext. Gagalangin, Tondo, Manila Birthday: November 11, 1990 Contact No: 09074155023 E-mail Address: elli_choi2000@yahoo.co Religion: Roman Catholic Civil Status: Single
High School June 2003 March 2007 Elementary June 1997 March 2003 Librada Avelino Elementary school Lakandula High School

CURRICULUM VITAE
Personal Data Name: Ravas, Anthony Raymond M. Address: Blk 26 L6 Kapalaran, San Roque, Malolos Bulacan Birthday: March 21, 1990 Contact No: 09052424012 E-mail Address: ravasanthony@yahoo.com Religion: Roman Catholic Civil Status: Single
High School June 2003 March 2007 Elementary June 1997 March 2003 Oras East Elementary School Immaculate Heart of Mary School Malabon

CURRICULUM VITAE
Personal Data Name: Relavo, Geraldine C. Address: 2252 Fortune Village 1 Gen. T. De Leon Val City Birthday: August 12, 1988 Contact No: 09264888386 E-mail Address: chloe0923062yahoo.com Religion: Roman Catholic Civil Status: Single
High School June 2003 March 2007 Elementary June 1997 March 2003 Mambangan Elementary School Juan R. Liwag Memorial High School

CURRICULUM VITAE
Personal Data Name: Roxas, Carlo John M. Address: 74 Ibayo Marilao Bulacan Birthday: June 24, 1991 Contact No: 09154089381 E-mail Address: carlojohm_roxas@yahoo.com Religion: Iglesia Ni Cristo Civil Status: Single
High School June 2003 March 2007 Sto.Nino Academy
Elementary June 1997 March 2003 Sto.Nino Academy

CURRICULUM VITAE
Personal Data Name: Samonte, Harvey Dave F. Address: 86 Congressional Avenue Project 8, Quezon City Birthday: January 29, 1992 Contact No: 09062806410 E-mail Address: yevrahdfs@yahoo.com Religion: Roman Catholic Civil Status: Single
High School June 2003 March 2007 Elementary June 1997 March 2003 Lourdes School of Quezon City Quezon City Academy

CURRICULUM VITAE
Personal Data Name: Sanchez, Ellen Grace B. Address: 74 M. Ponce St., Bagong Barrio, Cal. City Birthday: March 5, 1990 Contact No: 09263526558 E-mail Address: heart15s@yahoo.com Religion: Roman Catholic Civil Status: Single
High School June 2003 March 2007 Elementary June 1997 March 2003 Maasin Central School Saint Joseph College

CURRICULUM VITAE
Personal Data Name: Venzon Jeffrey B. Address: Marulas Valenzuela City Birthday: August 19, 1990 Contact No: 09274266871 E-mail Address: jeffrey_venzon@yahoo.com Religion: Roman Catholic Civil Status: Single
High School June 2003 March 2007 Elementary June 1997 March 2003 San Nicolas Central School Holly Cross College

CURRICULUM VITAE
Personal Data Name: Vitug, Andrew T. Address: 7 Amparo St. Poblacion, Pandi, Bulacan Birthday: December 9, 1990 Contact No: 09155221859 E-mail Address: Andrew_azumi@yahoo.com.ph Religion: Iglesia Ni Cristo Civil Status: Single
High School June 2003 March 2007 Elementary June 1997 March 2003 Novaliches Quezon City Bunsuran National High School


SPOT MAP MAKING
Vacc inat ion Day


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Our Lady of Fatima University

Community Health Nursing

The Students of Group 3Y2-D

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Wilfredo DS. Macatulad

John Engelito Avendano SK Chaiman

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ORGANIZATIONAL CHART OF BARANGGAY CALVARIO HEALTH CENTER

Rizalyn M. Tejas Brgy Health Midwife

Franklin Santos Asst. Pharmacist

Imelda Daug Barangay Health Worker

Josefina Lanozo Barangay Health Worker

Jackie Field Driver

Morris Halasan Driver

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Limitation of the study

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SETTING OF THE COMMUNITY

Meycauayan is politically subdivided into 29 barangays.

Bagbaguin Bahay Pare Bancal Extension Bancal Banga Bayugo

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City Government of Meycauayan Meycauayan Health Department HEALTH

Physical and Socio-Political

Land Area No. of Barangays Population

3,210 has. 27 163,037

Mayor: Joan Alarilla Vice Mayor: Salvador D. Violago, Sr.

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CITY GOVERNMENT OF MEYCAUAYAN

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MEYCAUAYAN HEALTH DEPARTMENT

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Total Land area

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6.35 sq. m/ person

Sulok St. Macalinao St.

Fancy making Jewelry making Accessories making Belt making

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HEALTH AND NUTRITION SITUATION OF OTHER RELEVANT INFORMATION

1.Total No. of Purok5

2. Total No. of Infants(0-11mos.)195

3. Total No. of Pregnant Women.225

4. Total No. of Lactating Women.156

5. Total No. of HH w/ Home Garden800

6. Total No. of HH w/ Sanitary Toilet1,280

7. No. HH w/ Potable Water Supply...1,280

8. Most Common OccupationSELF EMPLOYED

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No. of males No of females 46 58

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79.31 or 79% with a ratio of 23 males: 29 females

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Figure 1 Age and sex Distribution of Blk. A, B, C, D of Macalinao Street

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Civil Status Single Married Separated Widow Total

% 25.0 69.7 1.3 4.0 100%

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III. Economic Indices

= 33 x 100 71 =46.5% with a ratio of 33 dependents : 71 nondependents

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