ARELLANO UNIVERSITY

Jose Abad Santos Campus

3058 Taft Avenue Pasay City

College of Nursing

Comprehensive Assessment of Zone 5, 6 and 7

Barangay Batasan Matanda

San Miguel,Bulacan

A Partial Fulfilment

for the Course Requirement

In NCM Related Learning Experience

Community Immersion Program

Summer 2010

Submitted by

BATCH 2 - Year 2011

Community Immersion

Community Immersion

Batch 2

CENTRAL COMMITTEE

PRESIDENT: Quiroga, Gladys

VICE PRESIDENT: Libao, Ramil

SECRETARY: Sarmiento, Vohn Andrae

ASSISTANT SECERETARY: Torrecampo, Jennifer

TREASURER: Delalamon, Mark Nikolai

ASSISTANT TREASURER: Cariño, Germaine

TEAM LEADERS:

Team1: Abkilan, Franz

Team2: Ikan, Beniie

Team3: Saldivar, Gere Ivan

Team4: Lacson, Christopher

Group 1 Community Instructor: Prof. Elizabeth AbayanGroup Leader: Aguilus, Alexander Assistant Group Leader: Bachar, Vanessa Marie

Members:1. Aguilus, ALexander2. Andola, Cannea Leah3. Añedez, Bernadeth4. Bachar, Vanessa Marie5. Banta, Chessa Mae6. Barrios, Klander7. Batiquin, Sheenalou8. Bato, Gerald Anthony9. Boa, Donna May10.Cali, Indira11.Campos, Ma. Hilda12.Carballo, John Mart13.Dela cruz, Catherine Cris14.Delalamon, Marc Nikolai15.Dionaldo, Josephine16.Dipad, Rachell

Group 2Community Instructor: Dr. Mario TallerGroup Leader: Lao, Jerriyco Assistant Group Leader: Medrano, Aldheja

Members:1. Dizon, Rodnnie2. Donaire, Alister3. Etabis, Evelyn4. Fua, Fabian5. Frias, Reynante6. Gallardo, Ronald7. Garma, Willietah 8. Lao, Jerriyco9. Lacson, Christopher John10.Lescano, Lenny Apple11.Latiph, Hasma12.Matutina, Francis Erik13.Medrano, Aldheja14.Mercado, Ma. Carina15.Montemayor, Reymark16.Padua, Alvene Moore

Group 3Community Instructor: Dr. Lucille ReyesLeader: Villanueva, Mark Jhuden Assistant Leader: Siar, Karlos Jourdan

Members:1. Andallo, Charles Micheal2. Baldevino, clarrise Ann3. Busquillos, Errol4. Calendao, Almira5. Corro, Cathleen Loiz6. Cartin, Abigail7. Daganio Beverly8. Reonal, Jeremy9. Sarmiento, Vohn Andrae10.San Juan, Bernadette11.Siar, Karlos Jourdan12.Tagnipez, Divina13.Ugalde, June14.Villanueva, Mark Jhuden15.Vargas, Ma. France

Group 4Community Instructor: Prof. Josephine UyLeader: Ikan, BenjieAssistant Leader: Dangcalan, Jonie

Members:1. Diancin Maricel2. Esteban, Ma. Kristina3. Gido, Marites4. Gimpaya, Sharmeen5. Destras, Jed6. Dangcalan, Jonie7. Ikan, Benjie8. Kingking, Rachelle9. Lumabas, Jesus Moises10.Lariza, Onnah Mae11.Marcos, Margie12.Maraño, Ann Lynette Riza13.Mendoza, Felicito14.Menodiado, Danica15.Metante, Ma. Christina16.Molo, Michelle Grace

Group 5Community Instructor: Prof. Conrad CantimbangLeader: San Valentin, MelodyAssistant Leader: Ordinario, Kathryn Joy

Members:1. Murillo, Catherine2. Ordinario, Kathryn Joy 3. Pahila, Gianne Cacerez4. Paredes, Eula Brissa5. Pascual, Christian6. Portiles, Jayrel7. Ramos, Mart Teody8. Raquid, Maria Erica9. Reyes, Leonora10.San Valentin, Melody11.Suarez, Ma. Michaela Angeli12.Tagum, Glazel13.Tamega, Miguel14.Tonga, Leizel15.Trinidad, Irish Camille16.Quiroga, Gladys

Group 6Community Instructor: Prof. Monchito GonzalLeader: Abkilan, FranzAssistant Leader: Dalisay, Herbert

Members:1. Abecendario, Abegail2. Abecendario, Owen3. Abkilan, Franz4. Aguilar, Sheena5. Aloguin, Joanne6. Andag, Mark7. Aquino, Maja8. Balais, Chiquita9. Bando, Bernadette10.Belardo, Krishel11.CAsalmir, Jessica12.Cariño, Germaine13.Celeste, Jaycel Apple14.Dalisay, Herbert15.De Guzman, Ckushelle16.De Guzman, Reichelle

Group 7Community Instructor: Prof. Anchelie RefranLeader: Medina, Jemima LinaAssistant Leader: Hofelina, Josephine

Members:1. De Mesa, Duke Lawrence2. Dibabao, Angeli3. Duyanan, Pauline Grace4. Garcia, Melissa5. Gargantos, Sheryl Joy6. Halamani, Russel7. Hofelina, Josephine8. Ichon, Edralyn9. Jumawan, Karen10.Kalim, Zenaida11.Loverez, Mary Joy12.Martinez, Kerly13. Mascardo, Lean14.Medina, Jemima Lina15.Natalicio, Liwliwa

Group 8Community Instructor: Prof. Milagros FranciscoLeader: Saldivar, Gere IvanAssistant Leader: Carolino, Marysia

Members:1. Aurelio, Raymond2. Basha, Maritess3. Bernados, Jeellen Arra4. Cordova, ALlaine Mitchelle5. Conjurado, Kristine Joy6. Dalawampo, Josie7. Pantasan, Zsa Mae8. Paulino, Lorris Mae9. Quilata, Ernesto10.Saldivar, Gere Ivan11.Serquina, Ingrid Kaye12.Turner, Clarasita Lynn13.Usman, Nur-haina14.Villela, Hannah

Group 9Community Instructor: Prof. Jed MagtanongLeader: Elba, Anna AliciaAssistant Leader: Labanar, Venus

Members:1. Conjurado, Al Denny2. Delos Reyes, Precious3. Donguines, Marilyn 4. Dumanjog, Grace 5. Elba, Anna Alicia6. Espocia, Rafael7. Evangelista, Niña Vanessa8. Julian, Maria Virginia9. Labanar, Venus 10.Lastima, Ryan Jan11.La-llaban, Melanie12.Libao, Ramil13.Litonjua, Anorea Lynn14.Lelina, Janelle15.Macaraig, Angelo

Group 10Community Instructor: Prof. Analiza AlfonsoLeader: Sison, Fevora LynAssistant Leader: Navarro, Aiza

Members:1. Meracap, Analiza2. Ocate, Fanny3. Navarro, Aiza4. Petrola, Jennyross5. Poblete, Cindee6. Resureccion, Rosselle7. Ricafort, Marie8. Salazar, John Calvin9. San Juan, Brenda10.San Juan, Harold Jedd KArlo11.Sarong Ainie12.Sison, Fevora Lyn13.Soriano, Peter Jordan14.Tupas, Arlene15.Torrecampo, Jennifer16.Traboc, Joseth

Group 11Community Instructor: Prof. Karen PascuaLeader: Caranzo, Valerie MaeAssistant Leader: Bramaje, Krischene

Members:1. Abuan, Adrian2. Aguilar, Pearl3. Baltazar, Gretchen4. Banoy, Salvacion5. Bramaje, Krischene6. Bondoc, Joey Ann7. Constantino, Christian8. Clemente, Kenneth9. Doñgor, Jim10.Eusebio, Clarissa11.Flores, Arnold12.Gabunada, Almardjierich13.Gonzales, Irene14. IbañeZ, Mary Ann15.Jamisola, Roselle

Group 12Community Instructor: Prof. Melba BarcillanoLeader: Mingo, Sarah Erika Esther Assistant Leader: Malabanan, Hener

Members:1. Mingo, Sarah Erika Esther2. Malabanan, Hener3. Rabisanto, Jasel Ann4. Ricaplaza, Russel Neil5. Sanchez, Maria Abegail6. Orodio, Billy Joe7. Oduho, Martinez8. Olis, Luisa9. Peralta, Anne Loraine10.Madlangbayan, Jeden11. Ignacio, Zarlo Ronald12.Mocorro, Bart

ACKNOWLEDGEMENT

The Arellano University-Jose Abad Santos Campus College of Nursing 2nd Batch,

year 2011 would like to extend their deepest gratitude and appreciation to the following

individuals for their significant contribution for the accomplishment of this requirement.

To Dr. Arlene blaise t. Cortez,Dean, College of Nursing, for integrating the

community health nursing program in our curriculum.

To Dr. Yolanda A. Ortiz, Level III Chairman, for visualizing the community

immersion program.

To Prof. Elizabeth Abayan, head of the community immersion program, for her

continuous support and entrusting us to exhibit our abilities in this program. To

Prof. Analiza Alfonso, Prof. Melba Barcillano, Prof. Conrad Catimbang. Prof. Milagros

Francisco, Prof. Monchito Gonzal, Prof. Jed Magtanong Prof. Karen Pascua, Dr. Lucille

Reyes, Prof. Anchellie Refran, and Dr. Mario Taller Jr, for their guidance and

encouragement during the whole process of the immersion program.

To our foster parents and their families for their warm accommodation and their

unwavering support. To the Barangay Council headed by Amado Manuzon, to the KBB

headed by Cleotilde Manuzon, for their acceptance and hospitality, and their assistance

to the accomplishment of our activities during the community immersion.

To our fellow nursing students for their cooperation and industry. To our parents

and guardians for supporting us in all our needs for the completion of our requirements.

And most specially, to the Lord God Almighty who gave us strength and faith to

complete these requirements.

TABLE OF CONTENTS

Preliminaries

Title Page

Central Committee

Acknowledgements

Table of Contents

Page

Chapter 1 INTRODUCTION TO BARANGAY BATASAN MATANDA

Vacinity Map

Spot Map

Organization Structures

Developmental Goals and Activities

Community History

Physical Characteristics

Demographic Characteristics

Selected Vital Indices

Analysis of Health Status

Economic Indices

Chapter 2

Chapter 3

Chapter 4

Annexes

PRESENTATION OF COMMUNITY HEALTH PROBLEMS

Identification and Analysis of Problems

Criteria for Ranking Community Problems

Choosing the Barangay for the Project

SITUTATIONAL ANALYSIS OF THE BARANGAY

Demographic Data

Health Data

Socio-economic data

Environmental data

Social data

ACCOMPLISHMENTS AND RECOMMENDATIONS

Project Plan

Project Innovation

Limitation and Difficulties Encountered

Implementation

Recommendations

Disengagement

Feedback of Results

Documentation

Chapter 1

INTRODUCTION TO BARANGAY BATASAN MATANDA

I. Maps

A. Vicinity Map of San Miguel, Bulacan

B. Spot Map

House

Trees

Sari-Sari Store

Brgy. Hall

CHURCH

A. Analysis of the Community Situation

A.1. Organizational Chart of Municipality of San Miguel, Bulacan

Jose Adrian D. RouraClerk

Kenneth Charles F. Leongco

Clerk

Edgar Simbulan

Clerk

Pablo A. Sarmiento II

Clerk

Eugene B. Dela Cruz

Utility Worker

Rowena S. Francisco

Clerk

Kathlyne Rose D. Leyson

Clerk

George L. Dela Paz

Clerk

Marcelino Del Rosario

Clerk

Margie S. Payawal

Clerk

Cecille T. PinervaClerk I

Rhothesa D. De Leon

Clerk

Luzviminda S. Panaligan

Clerk II

Gloria S. Dino

Senior Bookkeeper

Carmelita G. Jasinto

Clerk

Jesusa D. Ronquillo

Market Inspector

Leticia B. Santos

Revenue Collection Officer I

Agnes D. PascualRevenue

Collection Officer II

Grace B. InfantadoRevenue

Collection Clerk

Eleonor C. SacdalanRevenue

Collection I

Rafaela D. PuyatAssistant Municipal

Treasurer

Marciano CruzMunicipal Treasurer

Roderick TiongsonMunicipal Mayor

A. 2. Organizational Chart of Barangay Batasan Matanda, San Miguel, Bulacan

Amado ManuzonBarangay Captain

Corazon PerezBarangay Secretary

Marissa ParungaoBarangay Treasurer

Miguelito NagulitBarangay Councilor

Carlos P. GarciaBarangay Councilor

Concordia BernabeBarangay Councilor

Jomel Dela CruzBarangay Councilor

Eduardo FranciscoBarangay Councilor

A.3. Rural Health Unit Organization Chart

A.3.1 Municipal Rural Health Unit

Roderick D.G. TiongsonMunicipal Mayor

Emily V. PaulinoDOH Representative

Edwin P. TecsonMunicipal Health Officer

Evelyn L. VeraRural Health Physician

Annalisa L. San AndresRural Health Dentist

Aristeddy B. Dela CruzChief Sanitary Inspector

Violeta S. Sta. MariaPublic Health Nurse

Perla T. DomingoMedical Technologist

A.3.2 Barangay Health Station Organizational Structure

Amado ManuzonBarangay Captain

Francisco SantiagoBarangay Councilor on Health

Gertrudes S.R. De GuzmanRural Health Midwife

Jasmin BernardoLinkod Lingap sa Nayon, Head

Divina VelarioMother Leader

Jennifer AriolaMother Leader

Cresencia RamosMother Leader

Lorivie LaurenteMother Leader

Marita SanguyoMother Leader

Reina CruzMother Leader

Jovita SevillaMother Leader

B. Developmental Goals and Activities

Community Organization Participatory Action Research aims to equip student

nurses to gain not only the actual experience serve in community life but also educate

them to adapt with the realities of life, preparing them to face the challenges of

everyday life.

Through this program, the student nurses allow to demonstrate the different

functions of community health nurse. These will enhance them to exemplify their

abilities as a facilitator, supervisor, motivator, advocate, counselor, and an educator.

Our main goal is to improve the quality of life of the people through making the

community self reliant. This is by empowering them and by realizing them the need of

change toward health. It maximizes community participation and involvement in social

transformation.

Their consciousness for change is our fuel for community mobilization creating

programs and activities that will help them to achieve community development.

C. Community History

Miguel Pineda in 1763, the first "Captain Municipal" of the place founded it. It was

said that Miguel Pineda, a native of Angat, went hunting one day and he happened to

reach barrio San Bartolome, located at the foot of the Sierra Madre mountains. Finding

the place suitable for this chosen by the settlers to be their leader.

The barrio improved through his leadership and decides to expand their territory.

He then later discovered a progressive community named Sto. Rosario whose leader

was Mariano Puno. The two agreed to form a town between Bartolome (now Tartaro)

and Sto. Rosario (now Mandile). They chose Miguel Mayumo to be the name of the

town, which should be included in the province of Pampanga. Miguel was in honor of

Miguel Pineda and Mayumo, a Pampango word for "sweet", stands for the goodwill and

generosity of Puno.

Years passed by, the people, during a meeting presided over by Pineda,

endorsed to give the town a better name. In the course of their meting, an excited man

came in and then related an unusual tale.

He clamed that one night on his way home after gathering bundles of firewood

which he placed on a raft, a big rock blocked his way along the river. He tried to find

another way but could not make it. Suddenly, a strong wind lashed at him followed by

heavy rains. He hurriedly left the raft and sought shelter inside a cave. He continued

that he fell asleep as he waited for the rain to stop.

At midnight, a blinding light woke him up. Stunned, he stood up as he sensed

something was happening when another dazzling light brightened the cave. He went to

another part of the cave and later on he discovered a hallowed winged figure. He was

sure, a miracle happened. He went back at the town and narrated the story. Some

people led by Captain Miguel went there to see for themselves the miracle. They saw

the winged figure, which looked like Saint Michael, the Prince of the Angels. They

believed that the discovery of the Angel was God's blessing and a sign of good graces

to the inhabitants. In this connection, the people of Miguel Mayumo deemed it proper

and timely to add "Sam" to the name of the town in reference and homage to the

discovery of the image of Arcangel. Hence, San Miguel de Mayumo became the

complete name of the town. However, the official name of the town at present is simply

San Miguel.

The history of Batasan Matanda was deried from the name “Batasan” from the

word “Bagtasan” which means “pass through”. The barangay is located adjacent to

several barrios in Pampanga. People often used the word fast, the “g” letter was

omitted and the word, “Batasan” begun until today the barangay is called such.

Batasan is uded to ber large in terms of land area, it was divided by Bagong

Silang formerly parua, mandible, formerly Sto. Rosario, sitio Balibago of San Agustin

were all Batasan during those times. Because of its vastness in land area, Batasan was

divided into several barangays as was mentioned earlier. Batasan was again divided

into during the term of then Barangay Captain Cesario Cruz, into Batasan Matanda and

Batasan Bata which was then known as Pasong Hari.

D. Physical Characteristics

a. Boundaries

San Miguel, Bulacan, first class municipality located northernmost part of

the province of Bulacan (Region III) bounded by flatlands of Gapan City of Nueva

Ecija on the North, Swamps of Candaba of the North West; Town of Doña

Remedios Trinidad on the Northeast and San Ildelfonso at southeast.

Barangay Batasan Matanda is surrounded by Barangay Bagong Silang on

the North, Batasan Bata on the East, Mandile on the west and Lourdes and

Salapungan of Candaba, Pampanga on the south.

b. Land

Second largest town next to San Ildelfonso, terrain of San Miguel

structured by a combination of flat lands utilized for farming and domestication.

Mountain used for quarrying and mining land is used to agricultural production of

caves particularly barangay Sibul and Biak na bato.

c. Physical Features

Municipality of San Miguel, Bulacan has a total official land area of twenty-

thousand eight hundred sixty-five (20,865.5) hectares covering all forty-nine (49)

barangays of the town. Of these, 11 are considered urban and the rest are rural.

Barangay Batasan Matanda has a total land area of 477 hectares.

d. Type of Housing

Most of the houses in Barangay Batasan Matanda are owned by the

residents. The construction of houses is mostly made up of mixed materials from

light materials of wood or bamboo to strong materials of bricks and cement.

e. House Spacing

The spacing between houses in the barangay are considered crowded

and congested. The crowding index is 3.5 (7/2).

f. Roads

The main barangay road of Batasan Matanda is cemented and some

roads are soiled and rough.

g. Drainage System

There is limited drainage system in the barangay. Some households have

proper drainage facility and some have none. Their waste water used from their

kitchen flows directly to the ground. Others who have just provided an open

drainage system where they can be used as an open pit or improvised canal.

h. Water Supply

The source of water supply in Barangay Batasan Matanda comes from

NAWASA, a private company, which are distributed in every households. Other

sources of water supply are water pumps and deep wells.

i. Sanitary Condition

Sanitation is fair in the barangay. There is no garbage collection; people

utilized burning as their method of garbage disposal. Domesticated animals such

as dogs and cats are mostly are astray. The method of excreta disposal is

generally sanitary using water-sealed toilet or flush-type toilet.

j. Transportation Facility

Barangay Batasan Matanda is accessible in terms of any transportation

vehicle. From trucks to cars, from jeeps to motorcycles, it is accessible even in

hard weather.

k. Lighting

The source of lighting of households in the barangay is mostly from

electricity. However, some households still use gas lamps and candles.

l. Community Resources

i. Health Center

Barangay Batasan Matanda has one health center located at

Zone 5 of the Barangay. It serves 7 zones.

ii. School

The Barangay has one day-care center and one complete

elementary school.

iii. Church

The Barangay has a Catholic Church located at zone 5, where

other landmarks like the Barangay health center, Barangay Hall

and Basketball court are also located.

iv. Stores

There are stores in different sizes that spread over the whole

barangay. Most of them sell stocks and basic supplies that are

similarly seen in public markets.

v. Public Market

The Public Market is located at the town proper of San

Miguel, Bulacan. Complete basic commodities are sold and bought

here.

vi. Barangay Hall

The barangay Hall is located at zone 5, where other

landmarks like the Barangay health center, Catholic Church and

Basketball court are also located.

vii. Private Clinics

There are no private clinics located within the barangay.

viii. Recreational Activities

The barangay has a basketball court which the residents and

the youth play.

E. Demographic Characteristic

The total population of San Miguel Bulacan is 123,824 with a population growth of

2% and a population density of 407%/ha. The most populous barangay is Sibul and the

least populous is Pacalag.

Barangay Batasan Matanda has a total population of 2117 and is currently growing.

According to the census made by the barangay, the latest recorded population is 3029

from zone 1 to 7.

Name of Barangay Classification Population

1. Bagong Pag-asa

2. Bagong Silang

3. Balaong

4. Balite

Urban

Rural

Urban

Rural

1306

1746

2665

2608

5. Bantog

6. Bardias

7. Baritan

8. Batasan Bata

9. Batasan Matanda

10. Biak-na-Bato

11. Biclat

12. Buga

13. Buliran

14. Bulualto

15. Calumpang

16. Cambio

17. Camias

18. Ilog-Bulo

19. King Kabayo

20. Labne

21. Lambakin

22. Magmarale

23. Malibay

24. Maligaya

25. Mandile

26. Masalipit

27. Pacalag

28. Paliwasan

29. Partida

30. Pinambaran

31. Poblacion

32. Pulong Bayabas

33. Pulong Duhat

34. Sacdalan

35. Salacot

Urban

Urban

Rural

Urban

Urban

Urban

Rural

Urban

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Urban

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

3336

1541

1015

2117

2735

1192

1495

1653

4560

2622

3870

1990

6706

1416

1514

1461

2336

2077

2031

1726

1627

2697

891

2404

3162

3671

3386

1187

1132

1745

3010

36. Salangan

37. San Agustin

38. San Jose

39. San Juan

40. San Vicente

41. Santa Ines

42. Santa Lucia

43. Santa Rita Bata

44. Santa Rita Matanda

45. Sapang

46. Sibul

47. Tartaro

48. Tibagan

49. Tigpalas

Rural

Rural

Rural

Rural

Urban

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

Rural

4300

3743

5310

6749

2955

5135

2745

3036

2438

1503

8570

5374

3099

3255

F. Selected Vital Indices

Asthma Fever Pneumonia Hypertension Cough and Colds0

5

10

15

20

25

30

35

40

7.54

31.51

8.21

17.81

34.93

G. Analysis of Health Status

Health and medical care in San Miguel Bulacan are implemented by the

Municipal Health Office headed by Mayor Roderick Tiongson and different Barangay

Health Centers. Barangay Batasan Health Center is supervised by Midwife Gertrudes

De Guzman and Linkod Lingap sa Nayon (LNN) members who served as the barangay

health workers (BHWs). The Barangay Health Center is open during Tuesdays. The

midwife and the LLN members go house to house visit to provide health services to the

people.

The student nurses considered the following health problems that needs to be

addressed: Prevalence of Hypertensive Disease in the barangay is considerably high.

The availability and utilization of health services by its people in the health center like

Maternal Care- prenatal care should be empowered.

H. Economic Indices

1. Political Leaders

Roderick Tiongson was elected as Municipal Mayor last May 2007

and is currently the mayor of the town. His Vice Mayor is George G.

Casteñeda.

Barangay Batasan Matanda Council is headed by Barangay

Captain Amado Manuzon.

2. Industry

Major industries in San Miguel Bulacan are mainly garments, food/

food processing, marble/ marble processing, and metal craft. Most popular

products of the town are made from cow’s milk such as, kesong puti,

pastillas, yema, ice creams, and other sweets like macapuno. Other

products are balot, chicharon, marbles, doormats, stone craft, souvenir

making, an fruit/vegetable carving.

In Barangay Batasan Matanda, products are mainly rice,

watermelon, melon, sugarcane and cotton. The soil is suitable for

production of vegetables and root crops. Mangoes and Mongo are also

planted in some parts of the barangay.

Chapter 2

PRESENTATION OF COMMUNITY HEALTH PROBLEMS

1. Identification and Analysis of the Problem

A. Lack of Awareness Regarding Health Programs and Other Health Services

Offered by the Barangay Health Center

Based on the data gathered during house to house survey, we observed that

many residents of the barangay were not aware of the health services offered by the

Health Center. The people prefer to consult in private clinics and district hospital in time

of illness which can remedied by the resources of the health center. Contributory factors

of the health problem are (1.) There are limited health personnel working in the

barangay health center. Only the Rural Health Midwife and the volunteer LLN members

who serve as Barangay health workers cater a large population of the barangay from

zone 1 to 7. (2.) The rural health physician visits rarely and in limited time. (3.) The

health center also opens on selected days according to the Midwife’s schedule on her

catchment. (4.) No other medical personnel are available when the primary care giver,

the midwife, is out.

The student nurses proposes the following solutions

1. Conduct a barangay assembly or a Health education Class to campaign health

services available In the health center for the utilization by the community people.

2. Conduct a formal and/or informal information dissemination utilizing different

strategies such as poster and fliers.

3. Improvement of Health Center Facilities

4. Provision of Medical Equipments and Supplies

5. Refer to the Municipal Health Level the problem on limited health personnel

available in the community

6. Solicit support to the Municipal Health Board and/or to Non-government

organizations medical equipments and supplies, and other form of support.

B. High prevalence Rate of Hypertensive Disease in the Community

According to the survey result we gathered, there is a considerably high

prevalence rate of hypertensive disease in the community. Assessment of people’s

lifestyle suggests that their food preferences is into fatty and salty foods and mostly are

high alcoholic drinkers.

The student nurses propose the following solutions:

1. Conduct a Health Campaign on Hypertensive Diseases.

2. Conduct a Blood Pressure taking and monitoring sessions in the barangay.

3. Conduct a Health Education Classes on Hypertensive Diseases taking note its

prevention and management.

4. Refer to Municipal Health Board the target clients eligible for appropriate

programs about hypertensive diseases of the Department of Health.

C. Lack of awareness on the health services particularly Maternal health care-

Pre-Natal Services to Pregnant Women in the Barangay Health Center.

In our data gathering and collation, we found out that most pregnant women do

not avail the services of the health center particularly the Maternal health programs

launched by the department of health. We , the student nurses, felt a need to address

this health problem and hereby propose the following solutions:

1. Conduct an information dissemination drive to the community people

especially particular groups like pregnant women, children of 0-12 months of

age, about health services in the health centers available to them.

2. Conduct a Mother’s Class on Health Promotion during Pregnancy

3. Refer to the Midwife, to the Rural health unit, cases that are eligible to the

programs of the DOH. And refer high risk cases to the rural health unit for any

complications.

2. Prioritization and Ranking of Health Problems

A. Lack of Awareness Regarding Health Programs and Other Health Services

Offered by the Barangay Health Center

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Nature of the

Problem

3/3*1 1 A health threat

Magnitude of the

problem

3/4*3 2.25 A relatively large population of the

barangay know less of the programs of the health center

Modifiability of the

Problem

3/3*4 4 There is a high modifiability of this

health problem.Preventive

Potential

3/3*1 1 Knowing and utilizing the

services of the health center would

promote optimal health and prevent

occurrence of diseases.

Salience 2/2*1 1 It is a felt need and needs an

immediate attentionTotal Score 9.25

B. High prevalence Rate of Hypertensive Disease in the Community

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Nature of the

Problem

3/3*1 1 It is a health threat

Magnitude of the

Problem

2/4*3 1.5 There is considerably a fair

amount of population affected

or at risk of this disease.

Modifiability of the

Problem

2/3*4 2.68 It has a moderate degree of

modifiability.Preventive

Potential

2/3*1 0.67 It has a moderate preventive potential.

Salience 1/2*1 0.5 A felt need but not needing an urgent

attention.Total Score 6.35

C. Lack of awareness on the health services particularly Maternal health care-

Pre-Natal Services to Pregnant Women in the Barangay Health Center.

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Nature of the

Problem

3/3*1 1 It is a health threat

Magnitude of the

Problem

2/4*3 1.5 Certain population group is only

affected.Modifiability of the

Problem

2/3*4 2.68 There is moderate probability of

reducing this health problem.

Preventive

Potential

2/3*1 0.67 Complications during pregnancy

could be prevented if this problem is

reduced or eradicated.

Salience 0/2*1 0 Not a felt need

Total Score 5.8

Chapter 3

SITUATIONAL ANALYSIS OF THE BARANGAY

Chapter 4

ACCOMPLISHMENTS AND RECOMMENDATIONS

A. Project Plan

Base on the data and information we collated, Barangay Batasan Matanda is

qualified as a community laboratory for the conduction of the immersion program of the

university. During our pre-entry phase, we set schedule for our activities in order to

identify health problems, formulate plans of action, implement program projects and

evaluate set activities. These include ocular survey, house-to-house survey and

interviews, community integration, collation and tallying.

In our entry phase, we, first, have a courtesy visit to the identified key leaders of

the barangay who includes the barangay captain and his councilors, the KBB and its

members and other identified key leaders in the community. The Ocular survey and

household interviews were conducted during the 1st week of the program. Students

were oriented by their respective community instructors on the survey tool that will be

used for the interview. This will give standardize and acceptable measurement to

assess the community in terms of demographic profile, health statistics, environmental

sanitation data and social data. The group of 12 is divided into 3 teams, with each team

covered a specified zone. Groups 1, 2, 3 and 4 surveyed zone 5. Groups 5, 6, 7, and 8

were in zone 6 while groups 9, 10, 11 and 12. Also, each group assigned members to

draw the spot map and the transect walk map taking note the barangay landmarks such

as barangay health center, school, and alike. Meanwhile, others are advised to observe

the family and the community for existing or possible health problems.

Each group tallied their collected data and then collated to come up a

comprehensive assessment of the community. We, then, arrived to three prevalent

health problems existing in the community based on the gathered data. These were lack

of awareness of health services in the barangay health center, high prevalence of

hypertensive diseases, and Lack of awareness on the health services particularly

Maternal health care- Pre-Natal Services to Pregnant Women in the Barangay Health

Center.

These health problems were ranked and prioritized by the community people in

an assembly and we then formulated objectives and activities to be undertaken for the

next few weeks by the community and with the student nurses as a facilitator.

B. Project Innovation

During our assessment phase of the program, Barangay Batasan Matanda, San

Miguel Bulacan has a priority problem of Lack of Awareness Regarding Health

Programs and Other Health Services Offered by the Barangay Health Center. Through

the help of our community instructors, we conducted an Operation Tuli (free

circumcision) in the community. We also conducted a health education class with a

theme of Oplan Mongo, that gave new cooking recipes and techniques in mongo food

preparation to parents which is cheap yet nutritious. This would address nutrition

problem which may exist in the community. To add more, we donated medical supplies

that will make the barangay health center functional and ready to serve the barangay.

With these activities, the barangay health center will become more available, accessible

to people. And most especially, our goal is to make the barangay a self-reliant

community that is equipped with proper knowledge and right attitude towards health.

C. Limitations and Difficulties Encountered

During our community immersion program, the student nurses faced accidental

problems towards reaching our goal in the community. Through our community

instructors, they held a team building activity to establish friendly and professional

relationship within members of the group and among each group. This activity

addressed any individual differences and variance among us. Also through this activity,

we strengthen relationships, valued solidarity and camaraderie among students and

exercised professional conduct.

Foster parents and their families welcomed the student nurses with great

hospitality and such we return it with at most discretion to immerse ourselves with the

daily activities of community life. With integration, there would be adjustment with the

new environment and as nurses; we are faced with challenges dealing it with versatility.

We adapt ourselves with the warm weather in the area and most especially with

community life.

With any gathering, there would be heated arguments and discussions;

nevertheless, we settled our own disagreements and deliver superb results as needed.

But these limitations and difficulties we encountered during our program did not stopped

us or even falter, instead made us strong and invigorate us to strive and to do in our at

most excellence our calling – to serve the underserved and marginalized areas of our

country.

D. Implementation, Accomplishment and Evaluation

From our data collation and through the prioritization by the community people,

we focused our efforts to solve the most felt needs of the community - lack of

awareness of health services in the barangay health center.

In our implementation, we conducted operation tuli at the health center,

alongside a health education class with a title, Oplan Mongo. We also conducted

informal health teachings with the people emphasizing the programs and services

offered in the health center.

We also tapped interlinkages, the midwife and the barangay health staff for our

operation tuli, the barangay council, the KBB organization, the rural health unit to

strengthen health programs of the health center and to continue the programs we

started even we disengage out of the community.

Our accomplishment is also the accomplishment of the community. New learning

are gained by the people and applied to their daily lives. Their change of behavior

towards health is our accomplishment.

E. Recommendations

Barangay Batasan Matanda is rural to urban type of barangay. It is situated in the

border of Bulacan. The people receive us with their most welcoming ways. They treated

and considered us a family. This exemplified the Filipino virtue of hospitality which we

are known internationally.

With the 3 weeks of community immersion, we have observed that the barangay

has plenty of natural resources that could help them with their socio-economic status.

Some of them have a fertile backyard that can be use as vegetable, fruit or flower

garden. This will add a resource to the family.

Most households have no sanitary waste disposal. We recommend to the local

government to provide a regular proper garbage collection management system as this

will prevent acquiring certain diseases. Moreover, we recommend an education class on

proper garbage disposal focusing on composting, segregation of biodegradable and

non-biodegradable and importance of reuse and recycle. In addition, proper waste

water management is needed. We recommend construction of communal water waste

drainage system and teach every household the importance of blind drainage.

The activities and health programs we started to develop the barangay to a

healthier and greener community should be continued by its people headed by the

barangay council and the inside-organization, KBB tapping the local key leaders such

as the teachers and the local church. A resident health care professional is highly

recommended to continue and formulate appropriate health programs in the service to

the people. Health education classes are highly recommended.

F. Disengagement

Our last day of our community immersion program endorsement is conducted

through a small socialization program. This program was attended by the Barangay

council, Linkod Lingap sa Nayon Mother Leaders and the people of Barangay Batasan

Matanda. Medical supplies for the health center were endorsed properly in this event.

This socialization program serves as our thanksgiving for the residents of the

barangay. Both the Arellano University Jose Abad Santos Pasay Campus and the

residents prepared a intermission that showcase their talents in singing and dancing.

Later in the day, small festivity held in the homes of the foster families of students.

This community immersion program is indeed educational and worthwhile

experience and also a very delightful and pleasant time to students, instructors and the

community.

G. Feedback

The projects that we implemented during our stay in Barangay Batasan Matanda

has a significant effect not only to students but also, and most especially to the

community. Together, hand-in-hand, we created ways to improve the health of families

and the entire community. Health is important for the progress and development.

Establishing multisectoral approach for community development is vital. This is feasible

through tapping with non-government organizations and strengthens the local

government. Prioritizing health in the programs of the local government is another.

Arousing the community for health change is also a factor. Creating awareness by

health education classes is one way for community participation.

ANNEXES

CONSENT FORM FOR OPERATION TULI

ARELLANO UNIVERSITY PASAYCollege of Nursing

COMMUNITY IMMERSION PROGRAMBatch 2

May 18, 2010

Ako po, si _____________________________________, ______________ taong gulang at nakatira sa

Pangalan ng Magulang Edad

Zone _____________, Barangay Batasang Matanda, ay pinapayagang patulian ang aking anak sa inyong project na

Oplan Tuli 2010.

Maraming salamat po.

____________________________________________Lagda ng Magulang

ARELLANO UNIVERSITY PASAYCollege of Nursing

COMMUNITY IMMERSION PROGRAMBatch 2

May 18, 2010

Ako po, si _____________________________________, ______________ taong gulang at nakatira sa

Pangalan ng Magulang Edad

Zone _____________, Barangay Batasang Matanda, ay pinapayagang patulian ang aking anak sa inyong project na

Oplan Tuli 2010.

Maraming salamat po.

____________________________________________Lagda ng Magulang

PICTURE DOCUMENTATION

CLINICAL INSTRUCTORS WITH KBB

CLINICAL INSTRUCTORS WITH CORE COMMITTEE

Group 1 with Ma’am Abayan

Group 2 with Dr. Taller

Group 5 with Sir Catimbang

Group 7 with Ma’am Refran

Group 6 with Sir Gonzal

Group 8 with Ma’am Francisco

Group 9 with Sir Magtanong

Meeting and bonding with our foster families

Group 10 with Ma’am Alfonso

Group 12 with Ma’am Barcillano

Health teaching regarding the right

medication, the right dose and the right time time