Chap Xi Fncp

A. Problem Prioritization

Social Indicators

Problem: OCCUPATIONAL STATUS: Unemployment

Criteria Weight ComputationActual

ScoreJustification

1. Nature of the problem

Scale: Health Status

Health Resources

Health Related

3

2

1

1 2/3 x 1 2/3

Occupational

status contributes

to the wellness of

the community.

2. Magnitude of the

problem

Scale: 75 %-100% affected

50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 ½

35.34% of the

total populations

of the

community are

unemployed.

3. Modifiability of the

condition or problem

Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 1/3 x 4 1/3

It is low in

modifiability

because the

family and

community

resources are

inadequate.

4. Preventive Potential

Scale: High

Moderate

3

2

1 2/3 x 1 2/3 It is low because

the educational

attainment of the

people in the

106

Low 1 community can

not satisfy their

employment

needs.

5. Social Concern

Scale: Urgent community

concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 ½

The community

recognizes it as a

problem but

failed to carry

out proper

intervention.

This is may be

due to the lack of

the knowledge in

terms of the

possible

alternative(s) that

can be done to

have a source of

income.

TOTAL SCORE 3 1/3

Problem: CLASS OF WORKER (Seasonal Workers)

107


ScoreJustification



Health Resources

Health Related

3

2

1

1 2/3 x 1 2/3

The class of

worker is a

source of health

that affects the

health status of

community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 3/4 x 3 2 ¼ 4.97% works in

seasonal basis



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 0/3 x 4 0

It is not

modifiable since,

the community

and family

resources are not

adequate to solve

the problem.


Scale: High

Moderate

Low

3

2

1

1 2/3 x 1 2/3 Having a regular

job is important

because it

provides regular

salary for the

family which can

support their

basic needs such

108

as foods, shelter,

etc., which can

contribute to the

health of the

family.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 ½

The community

recognizes it as a

problem;

however,

community folks

for now are

contented with it,

provided that it

can support their

needs.

TOTAL SCORE 4 1/12

Problem: EDUCATIONAL ATTAINMENT


ScoreJustification



Health Resources

Health Related

3

2

1

1

2/3 x 1 2/3 Having a low

educational

background will

not be able to

find them a more

financially

profitable job

that can help

them have a

healthy lifestyle (

109

in terms of food

or nutrition)

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 ½

43.97% attained

elementary

education



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 0/3 x 4 0

It is not

modifiable, due

to several factors

such as personal

beliefs and

choice, and

inadequate

family resources.


Scale: High

Moderate

Low

3

2

11 2/3 x 1 2/3

If the people will

finish their

education, they

can find a better

job where it can

sustain their

needs especially

in regards to their

health

maintenance.

110

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 0/2 x 1 0

The community

does have a

facility for this

(elementary

school);

however, it’s not

considered a

community

concern.

TOTAL SCORE 2 5/6

Problem: TYPE OF COMMUNICATION NETWORK FOR HEALTH

INFORMATION DISSEMINATION


ScoreJustification



Health Resources

Health Related

3

2

1

1

2/3 x 1 2/3

Communication

provides easier

information

dissemination of

things pertinent

to health (e.g

health programs,

health

announcements)

2. Magnitude of the

problem


50%-74% affected

4

3

3 2/4 x 3 1 ½ 70.48% of the

population in the

community uses

verbal

111

24%-49% affected

<24% affected

2

1announcements.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 1/3 x 4 1 1/3

It is low in

modifiability

because the

community

resources are

inadequate.


Scale: High

Moderate

Low

3

2

1 1 2/3 x 1 2/3

It moderately

preventive because

it is impossible to

encourage each

family to have

cellphone they

lack financial

resources instead

encourage the use

of word of mouth.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 1

The community

recognized the

problem, but no

intervention is

done to solve it.

TOTAL SCORE 4 4/6

Problem: TRANSPORTATION SYSTEM PRESENT IN THE COMMUNITY FOR

112

ACCESSIBILITY TO HEALTH CARE DELIVERY SYSTEM


ScoreJustification



Health Resources

Health Related

3

2

1

1 2/3 x 1 2/3

Transportation

system is a health

resource because

it affects the

community in

meeting their

needs.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 ¾

7.62% of the

population

perceived

transportation

service as a

problem that may

affect their health

status.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 1/3 x 4 1 1/3

It is low in

modifiability

because of the

inadequate

financial

resources of the

nurse and the

family.


Scale: High

Moderate

3

2

1 /3 x 1 2/3 Having enough

transportation

system in a

community is

important to have

113

Low 1 an easy

accessible to the

health delivery

system.

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 ½

The community

perceived it as a

problem but

cannot do

anything to solve

it.

TOTAL SCORE 3 11/12

Problem: HOUSING CONDITION (Fire Hazard)


ScoreJustification



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

It is a health

related problem

because it is an

environmental

factor that can

contribute to the

illness- inducing

situations in the

community.

114

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 ½

34.28% of the

house in the

community

suggests fire

hazards.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 2/3

It is moderately

modifiable

because health

teaching on fire

safety measures

can be given.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

If proper fire

safety measures

will be taught, the

incidence of fire

will be prevented.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 1/2

The family

perceives this as

a problem but

gives less

attention.

TOTAL SCORE 6

115

Problem: HOUSING CONDITION (Congestion)


ScoreJustification



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

Housing

condition

(congestion) is a

health related

problem because

it may affect the

health of the

community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 3/4

20% of the total

surveyed

population has

congested houses



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 1/3 x 4 1 1/3 It has a low

modifiability,

since the

problem is about

housing

condition, the

housing materials

are expensive,

and it is difficult

to manage;

however, health

116

teaching (such as

removal of

unnecessary

things that could

eat space) can be

employed.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

If appropriate

interventions are

done, the

incidence of fire

can be reduced/

lessened.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 1/2

The community

recognizes the

existence of the

problem but they

failed to carry

out any

intervention;

their houses are

still congested.

TOTAL SCORE 3 11/12

Environmental Indicators

Problem: Physical/Geographical/Topographical Characteristics of the Community-

Land area is very dry and dusty

Criteria Weight Computation Actual Justification

117

Score



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

Dry and dusty

area may

aggravate pre-

existing diseases

particularly

respiratory

diseases such as

asthma, allergies.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 ½

48.57 % of the

total number of

families lives on

an area where

land is dry and

dusty.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 ¼ x 4 1

It is low in

modifiability

because the

family’s financial

resources are

inadequate.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

If the problem

will be reduced,

conditions that

aggravate

respiratory

diseases can be

minimized.

5. Social Concern 1 0/2 x 1 0 The families do

118


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

not recognize it

as a problem.

TOTAL SCORE 3 5/6

Problem: Physical/Geographical/Topographical Characteristics of the Community-

Land area has some parts that are slopy


ScoreJustification



Health Resources

Health Related

3

2

1

1

1/3 x 1 1/3

It is a health-

related-problem

because it can

contribute to

accident hazards.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

4

3

2

3 2/4 x 3 1 ½ 29.52% of the

surveyed

households,

recognized that

their land area has

some parts that are

slopy.

119

<24% affected 1



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 1/3 x 4 1/3

Having the

geographical set

up, the family

could do

something about

it such as

shovelling the

slopy part.


Scale: High

Moderate

Low

3

2

1

11/3 x 1 1/3

If appropriate

interventions are

done, accident

hazards can be

reduced.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 1/2

The family

identify this as a

problem but

gives less

attention due to

lack of

knowledge of the

possible

accidents that it

may cause.

TOTAL SCORE 3

Problem: Toilet Facility (Inadequate Distance of Toilet To Kitchen)


ScoreJustification

120



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

Inadequate

distance of toilet

kitchen is a

health problem

because this will

affect the health

status of the

family.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 ¾ x 3 2 ¼

53.33% of the

total surveyed

population

deviates from the

standard distance

of toilet to

kitchen.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 1/3 x 4 1 1/3

It is low in

modifiability due

to lack of

resources;

however health

teachings will

prevent problem

that may occur.


Scale: High

Moderate

Low

3

2

11 3/3 x 1 1

If problem will

be solved,

transmission of

pathogenic

disease like Hepa

A, Diarrhea and

Amoebiasis can

be prevented.

121

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 0/2 x 1 0

Not a community

concern because

of lack in

available space,

financial

resources and

man power.

TOTAL SCORE 4 11/12

Problem: Storage of Drinking Water (Without Cover)


ScoreJustification



Health Resources

Health Related

3

2

1

1

1/3 x 1 1/3

The problem is

health-related

because it affects

the health of the

community folks.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 ¾ x 3 2 ¼

25.71% of the

surveyed

population has

storage of

drinking water

without cover.

122



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4

3/3 x 4

1

It is highly

modifiable,

through health

teachings about

the proper

storage of

drinking water

and state benefits

of proper storage

of water.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

It may prevent

other diseases

such as dengue,

amoebiasis, and

diarrhea.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 1/2

The community

recognizes the

presence of the

problem but they

failed to do

proper

intervention.

TOTAL SCORE 5 1/12

Problem: Storage of Drinking Water (Inadequate Water Sources)


123

Score



Health Resources

Health Related

3

2

1

1 1/3 x 1 1/3

It is a health

related problem

because it

contributes to the

health problems

of the

community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

32/4 x 3 1 1/2

34.29 % has

inadequate water

resource.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 2/3

It is moderately

modifiable

because nurses

can provide

health teachings

on its importance

on how to store

water properly

for future use.


Scale: High

Moderate

Low

3

2

1

13/3 x 1 1

It promotes

proper hygiene

and prevents the

thirst of the

family and

dehydration later

on.

124

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1

½ x 1 ½

The community

recognizes the

existence of the

problem but they

failed to do

proper

interventions.

TOTAL SCORE 6

Problem: Food Storage (Absence of Food Storage)


ScoreJustification



Health Resources

Health Related

3

2

1

1

1/3 x 1 1/3

Absence of food

storage is a

health threat,

since it may

affects the health

of the

community by

easy

contamination of

food through

flies and

cockroaches.

125

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 3/4

22.86% of the

total surveyed

population has

absence of food

storage.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 2/3

Through proper

education,

families may use

other ways on

proper storing of

foods such as

using of

containers or

covering of

foods.


Scale: High

Moderate

Low

3

2

1

1 2/3 x 1 2/3

Solution of the

problem can

prevent diseases

such as diarrhea,

and other

intestinal

diseases.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

2

1

1 1/3 x 1 1/3 The community

perceived it as a

problem but they

do not do

anything to solve

the problem.

126

needing

urgent attention

Not a community

concern

0

TOTAL SCORE 4 3/4

Problem: General Home Sanitation (Dirty Home Sanitation)


ScoreJustification



Health Resources

Health Related

3

2

1

1 1/3 x 1 1/3

Dirty home

sanitation is a

health threat that

can contribute to

health problems

of the

community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 1/235.24% has dirty

home sanitation.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 3/3 x 4 4 Through proper

health teachings,

reinforcement,

follow-ups and

the availability of

family and

community

resources, the

127

community can

manage proper

home sanitation.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

If adequate home

sanitation be

properly

implemented and

maintained, the

recurrence of

microorganisms/

infection -related

health problems

will be reduced

and prevented.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/3 x 1 1/3

The community

perceived it as a

problem but no

solution is

implemented to

address the

problem on dirty

home sanitation

due to some

factors like

laziness and no

time for cleaning.

TOTAL SCORE 7 1/6

Problem: Garbage Disposal (Burning)


128

Score



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

Burning as a

mean of garbage

disposal is a

health problems

to the

community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 1/2

48.57% of the

total respondents

uses burning as

ways of garbage

disposal



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 3/3 x 4 4

Through proper

health teachings,

reinforcements

and follow ups,

the community

can manage

proper garbage

disposal.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1 If adequate

properly garbage

disposal will be

implemented and

maintained,

possible

recurrence of

respiratory

problems such as

129

asthma,

emphysema will

be prevented.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/3 x 1 1/3

The community

perceive it as a

problem but

some of the

community

people are still

burning theor

garbages.

TOTAL SCORE 7 1/6

Problem: Garbage Disposal (Open Dumping)


ScoreJustification



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

Open dumping

on garbage

disposal is a

health threat

which may

contribute health

problems to the

community.

130

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 1/2

4.76 % uses open

dumping system

as their way of

garbage disposal.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 3/3 x 4 4

It is moderately

modifiable, since

proper health

teaching,

reinforcement

and follow-ups

and manage

proper waste

disposal such as

recycling,

segregation etc.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

If adequate

properly garbage

disposal will

implement and

maintained,

possible

recurrence of

infection –related

problems will be

reduced and

prevented.

5. Social Concern 1 1/3 x 1 1/3 The community

perceived it as a

131


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

problem but

some of the

community

people are still

dumping garbage

in an open field.

TOTAL SCORE 71/6

Problem: Type of Drainage System (Absence of Drainage System)


ScoreJustification



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

Absence of

drainage system

is a health threat

that may

contribute to the

health problems

of the

community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 3/4

12.38% have

absence of

drainage system.

132



Scale: High

Moderate

Low

Not Modifiable

3

2

1

04 3/3 x 4 4

Through the

available nurse

and family

resources such as

manpower,

knowledge of the

nurse and the

materials used in

making a

drainage, the

problem can be

modified.


Scale: High

Moderate

Low

3

2

1

1 2/3 x 1 2/3

If adequate

drainage system

be properly

implemented and

maintained the

possible

occurence of

infection like

diarrhea, cholera,

etc. will be

reduced and

prevented.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

2

1

1 0/3 x 1 0 The community

does not

perceived it as a

problem as

evidenced by not

doing any

solution to

133

needing

urgent attention

Not a community

concern

0

address the

problem on

drainage system.

TOTAL SCORE 5 3/4

Problem: General Backyard Sanitation (Dirty Sanitation)


ScoreJustification



Health Resources

Health Related

3

2

1

1 1/3 x 1 1/3

Dirty sanitation

is a health threat

that can

contribute to

health problems

of the

community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 1/246.67% has dirty

home sanitation.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 3/3 x 4 4

The community can manage proper home sanitation, through proper health teachings, reinforcement, follow-ups and family and community resources.

134


Scale: High

Moderate

Low

3

2

1 1 3/3 x 1 1

If adequate home sanitation be properly implemented and maintained, the recurrence of microorganisms/ infection –related like skin infections etc. health problems will be reduced and prevented.

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/3 x 1 1/3

The community perceived it as a problem but no solution is implemented to address the problem on dirty home sanitation due some factors like laziness, no time for cleaning etc.

TOTAL SCORE 7 1/6

Problem: Ventilation (Poor)


ScoreJustification



Health Resources

Health Related

3

2

1

11/3 x 1 1/3

Poor ventilation

is a health threat

that may affect

the health of the

community.

135

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 1/239 % has poor

ventilation.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 2/3

Moderately

modifiable since

the problem is

ventilation the

families financial

resources is

limited and the

nurse can

educate them

about poor

ventilation and

how they will

prevent possible

complications

related to the

problem such as

easy transmission

of airborne

diseases(colds,

measles, etc.)


Scale: High

Moderate

3

2

1 3/3 x 1 1 Transmission of

respiratory

diseases will be

prevented.

136

Low 1

5. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 0/3 x 1 0

Not a community

concern because

for them it is

enough to have

houses whether

the ventillation is

adequate or poor.

TOTAL SCORE 5 1/2

Problem: Health and Illness Variables (Cough)


ScoreJustification

1. Nature of the

problem


Health Resources

Health Related

3

2

1

1 3/3 x 1 1

Cough is a health

problem that

reduces the

capability of

wellness.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 ¼ x 3 3/4

20% of the 405

surveyed

population of

Sapang Maragul

experiences

cough.

137



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 ¼

Through health

teaching

concerning the

proper use of

medicinal plants

like lagundi, the

presence of

cough will be

reduced.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

If intervention is

done properly,

threat from

diseases

particularly

pneumonia and

Chronic

Obstructive

Pulmonary

Disease can be

prevented.

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 ½

The community

recognizes it as a

problem but

failed to carry

out proper

intervention.

TOTAL SCORE 5 ½

138

Problem: Health and Illness Variables (Asthma)


ScoreJustification

1. Nature of the

problem


Health Resources

Health Related

3

2

1

1 3/3 x 1 1

Asthma is a

health deficit that

requires

immediate

action.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 ¼ x 3 3/46.23% out of 405

respondents has

asthma.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 ¼ It is moderately

modifiable

because the

resources are

inadequate such as

the financial

resources of the

family although

the problem can be

alleviated through

health teachings

with regards to

different kinds of

herbal medicines

such as the use of

139

the lagundi plant.


Scale: High

Moderate

Low

3

2

1

1 1/3 x 1 1/3

Problems such as

difficulty of

breathing, poor

oxygenation and

other respiratory

complication can

be prevented if

proper

interventions are

done.

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 2/2 x 1 1

The community

recognizes it as a

problem but

failed to carry

out proper

intervention.

TOTAL SCORE 5 1/3

Problem: Health and Illness Variables (Skin Disease)


ScoreJustification

140



Health Resources

Health Related

3

2

1

1 3/3 x 1 1

Skin disease is a

health deficit

because it

reduces wellness.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 3/4

20 out of 405

respondents or

4.94%

experienced skin

disease.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 1/3

It is moderately modifiable because the financial resources are inadequate although it can be prevented through proper nursing interventions and health teachings.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

The problem is highly preventive because complications such as infection can be prevented if the problem will be solved properly.

141

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 ½

The community recognized it as a problem but they do not do any intervention to solve/lessen the problem.

TOTAL SCORE 5 7/12

Problem: Health and Illness Variables (Kidney Problem)


ScoreJustification



Health Resources

Health Related

3

2

1

13/3 x 1 1

Kidney problems

such as UTI,

AGN, are health

deficit

considering that

it reduces the

wellness of the

individual.

2. Magnitude of the

problem

3 1/4 x 3 3/4 0.74% of the

surveyed

population has

142


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

this problem.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 1/3

Proper hygiene,

choice of foods,

and healthy

lifestyle (e.g.

exercise, etc.) as

health teachings

may reduce the

occurrence of

these diseases.


Scale: High

Moderate

Low

3

2

1 1 3/3 x 1 1

It is highly

preventable and

can also reduce

the occurrence of

other

complications

such as renal

scarring and

kidney damage.

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

2

1

1 1/2 x 1 ½ The community

does not perceive

it as a problem or

concern.

143

Not a community

concern

0

TOTAL SCORE 5 7/12

Problem: Health and Illness Variables (Cyst)


ScoreJustification



Health Resources

Health Related

3

2

1

1 3/3 x 1 1

Cyst is health

deficit that

reduces wellness

of an individual.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 3/4

0.99% of the

respondents in

the community

have this

problem.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 2/3 Removal of these

cysts may require

surgery. Proper

hygiene, choice

of foods, and

healthy lifestyle

(e.g. exercise,

etc.) as health

teachings may

reduce the

occurrence of

144

these diseases.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1

If managed

properly,

malignancy of

these cyst can be

prevented that

can prelude to

cancer, etc.

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

1 1/2 x 1 1/2

The community

does perceive it

as a problem or

concern but

failed to do

appropriate

actions due to

lack of

knowledge and

financial

resources.

TOTAL SCORE 5 11/12

Problem: Health and Illness Variables (Abdominal Pain)


ScoreJustification



Health Resources

Health Related

3

2

1

1 3/3 x 1 1

Abdominal pain

is a health deficit

that reduces

wellness.

2. Magnitude of the 3 1/4 x 3 3/4 4.94% of the

145

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

surveyed

population has

abdominal pain.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

04 3/3 x 4 3

It is highly

modifiable

because through

health teachings

and proper

interventions

such as proper

positioning and

using medicinal

plants can lessen

the existence of

the problem.


Scale: High

Moderate

Low

3

2

1

1 1/3 x 1 1/3

The severity of

pain and

discomfort will

be reduced if

proper

interventions

were done.

4. Social Concern


concern; expressed

readiness

Recognized as a

2

1 2/2 x 1 1 There is an

urgent

community

concern the

community

expressed

146

problem but not

needing

urgent attention

Not a community

concern

1

0

readiness on how

to cure and elicit

the problem on

abdominal pain.

TOTAL SCORE 6 1/12

Problem: Health and Illness Variables (Rheumatism)


ScoreJustification



Health Resources

Health Related

3

2

1

1 3/3 x 1 1

Rheumatism is a

health deficit that

needs to be

addressed.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 3/4

3.95% of the 405

respondents have

rheumatism.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 2/3 x 4 2 2/3 It is moderately

modifiable since

the ulasimang

bato, which can

alleviate the

symptoms of

rheumatism is

present in the

147

community


Scale: High

Moderate

Low

3

2

11 2/3 x 1 2/3

The initial

treatment for the

alleviation of

symptoms of

rheumatism

could prevent the

severity of the

problem.

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

11/2 x 1

1/2

The communiy

percieved the

presence of the

problem, but they

do not carry out

the proper

interventions that

could address the

problem.

TOTAL SCORE 5 7/12

Problem: Health and Illness Variables (Diarrhea)


ScoreJustification

148



Health Resources

Health Related

3

2

1

1 3/3 x 1 1

This is a health

deficit that

reduces the

capability for

wellness.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 2/4 x 3 1 1/2

7.65% of the

total surveyed

respondents are

having diarrhea.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 3/3 x 4 1

The availability

of the nurses like

health teachings

and community

resources (herbal

plants) will

control further

complication

such as

dehydration that

may occur.


Scale: High

Moderate

Low

3

2

1

1 3/3 x 1 1 Through health

teaching and

with the use of

community

resources

complications

such as

149

dehydration and

fluid and

electrolyte

imblances can be

controlled.

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

11/2 x 1

1/2

The communiy

percieved this as

a problem but

failed to carry

out proper

management.

TOTAL SCORE 5

Problem: Health and Illness Variables (Fever)


ScoreJustification



Health Resources

3

2

1 3/3 x 1 1 It is a health

deficit that

contributes to the

health problems

of the

150

Health Related 1 community.

2. Magnitude of the

problem


50%-74% affected

24%-49% affected

<24% affected

4

3

2

1

3 1/4 x 3 3/4

18.67% of the

surveyed

respondents have

fever.



Scale: High

Moderate

Low

Not Modifiable

3

2

1

0

4 3/3 x 4 1

High in

modifiability

since the

knowledge of the

nurse and the

resources of the

community are

available like

herbal plant such

as lagundi, health

teachings like

tepid sponge bath

and the

preparation of

the lagundi.


Scale: High

Moderate

Low

3

2

11 3/3 x 1 1

High in

preventive

potential since of

the possibilities

of convulsions

and

complications are

prevented

151

4. Social Concern


concern; expressed

readiness

Recognized as a

problem but not

needing

urgent attention

Not a community

concern

2

1

0

12/2 x 1

1

It is an urgent

community

concern when an

individual in the

community

knows that he

has a fever,

interventions are

done.

TOTAL SCORE 7 ¾

152

RANKING AND PRIORITIZATION

RANK PROBLEM SCORE1 Fever 7 ¾1 Malnutrition 7 ¾2 Storage of Drinking Water (without cover) 7 1/33 Colds 7 ¼4 Improper Garbage Disposal (Burning/ Open Dump) 7 1/64 Dirty Home Sanitation 7 1/64 General Backyard Sanitation 7 1/65 Abdominal Pain 6 11/126 Fire Hazard 66 Inadequate Water Resources 67 Absence of Drainage System 5 ¾8 Cough 5 ½9 Cyst 5 11/1210 Skin Disease 5 7/1210 Kidney Problem 5 7/12

155

B. Community Health Care Plan

Health Problem

Community Nursing Problem

Goal of CareObjectives of

CareNursing

Interventions

Method of Nurse-

Community Contact

Resources Required Evaluation

Fever as Health Deficit

Cues:

18.67% has a fever, body temperature higher than 37.50C.

Inability to provide adeqaute nursing care to a member suffering from fever due to lack of knowledge about the condtition.

Within five days of community visits the members of the commuity will be able to gain informationon how to manage the existing condition by implementing correct actions regarding to the problem.

Within three hours of sitio class, the community will:a. gain knowleege and understand about fever, proper; interventionsb. enumerate and demonsrate proper intervention to treat feve;c. decide and implement propewr interventions enumearated to them.

a.1. Assesed community awareness of the existing problem. (To know the problem and proper intervention for it.)a.2. Discussed the occurence of fever. (To increase clinets’ awareness.)

b.1. Taught the community people the way of lagundi reservation as a mean of ftreating fever. (For them to learn alternative other than the over-the-counter drugs.)b.2. Demostrated the correct way of rendering tepid sponge bath. (To impart knowledge on how to give primary intervetion to patient with fever.)

1. Community contact/ visit

2.Community assembly

3. Sitio Class

Material resources: visual aids

Human resources: time and effort of the community folks.

Goal was met.

156

c.1. Corrected the wrong notions of the people about fever such as covering the patient with blanket, etc. (To increase the clienta’ knowledge.)c.2. Taught administration of antipyretic drugs such as paracetamol, if lagundi is not available. (To widen clients’ knowledge in proper drug administration.)c.3. Informed the client that if fever lasted longer than three days, significant other with fever ahoulf already be brought to the hospital. (To determine if more complicated disease is prevented.)

Justification: The goal was met since the community members understand and gain knowledge from the class sitio done as manifested by the community folks that they can enumerate the proper ways in preventing and doing the proper action about fever.

157

Health ProblemCommunity

Nursing ProblemGoal of Care Objectives of Care

Nursing Interventions

Method of Nurse-

Community Contact

Resources Required

Evaluation

Malnutrition as a health status.

Cues: 7 ¾ most of the community folks specially children has a low weight for thier age.

Inability to provide adequate nursing care to a member suffering from malnutrition due to lack of knowledge about the condition.

Within eight days of community visits the community members will be able to gain information on how to manage the existing condition by implementing correct actions regarding to the problem.

Within eight days of community, the community people will be able to:a. Gain and understand knowledge about Malnutrition, the proper intervention and prevention

b. Enumerate and demonstrate some of the cheap but highly nutritious menu such as dinengdeng na malunggay w/ dried shrimp, adobong kangkong w/ tofu, etc.

c. Develop initiative in planning and cooking menus that are nutritious even after the visits and health teaching

a.1. Assessed community awareness of the problem (To widen their knowledge about the problem.)a.2. Discussed the nature of the problem to the community.(To widen their knowledge about the problem)a.3. Enumerated to the community folks the complications that may occur if unsolved.(To increase obedience with the health teaching)

b.1. The members of the community were educated about the signs and symptoms of malnutrition such as weight loss, weakness, and slow wound healing.(To heighten awareness with the signs of the problem)b.2. Instructed parents

1.Community contact: visit

2. Community assembly

Material resources: visual aids.


Goal was partially met.

158

to provide nutritious foods available in the community resources.(To made an initial solution to the problem)b.3. Encouraged community to avail medications provided by the health and related agencies for malnourished children.(To facilitate resolution of malnutrition)

c.1. Discussed with the parents or the significant others some cheap and nutritious.

Justification: The goal was partially met because there is an improvement in the weight of the children based on the data given to us by the DSWD, but since the program is still on the process, the full effect of the program is not yet seen.

159

Health ProblemCommunity

Nursing ProblemGoal of Care

Objectives of Care

Nursing Interventions

Method of Nurse-Community

Contact

Resources Required

Evaluation

Storage of drinking water without cover(Health threat)

Cues:>There is no cover in the storage of drinking water by the community people with a score of 7 1/3.

Inability to recognize the presence of the condition of the problem due to lack of or inadequate knowledge.

Within three weeks of community visits, the community members will be able to understand the importance of having a clean stored drinking water

Within three hours of sitio class with community folks will:

a. learn the importance of the correct way of storing their drinking water, that is it should be coveredb. apply correct methods of storing water, that is it should be covered

a.1 Assessed community awareness of the problem(To broaden their knowledge about storing their water)a.2 Discussed to them the different methods of storing water.(To provide alternatives that they may use in storing of their water)a.3 To encouraged to use the different methods of storing water, such as placing water in a jar with cover. (To provude easier understanding on proper water storage of drinking water)

b.1 Demonstrated the proper storing of water to promote the health

1.Community contact/ visit

2. Community assembly

3. Sitio class



The goal was partially met.

160

and well-being of each individual.(To promote health and well being of each individual.)b.2 Assisted the community in performing the discussed actions.( To support and guide them appropriately)

c.1 Educated the community on the practice of having a storage of water with cover.(To broaden their knowledge about the problem)

Justification: The goal was partially met because there are still some people in the community who do not practice; as manifested by some community folks do not covers thier drinking water.

161

Health Problem



CareNursing

Interventions

Method of Nurse-

Community Contact

Resources Required

Evaluation

Colds as a Health deficit

Cues:>10.24 % of the surveyed population has colds with a score of 7 1/4

Inability to provide adequate nursing care to the sick at risk member of the family in the community due to:

a. lack of inadequate knowledge about the disease or health condition.

Within three weeks of community visits and nursing intervention, the community will have the knowledge about the nature of the disease as well as its complications and treatment.

Within three hours of sitio class regarding the use of 10 DOH the community will be able to: a. have enough knowledge about the nature of the problem its possible complication and its severity.b. know the proper management and treatment of colds and be able to apply them later on

a.1 Assessed the awareness of the comminyt about the existing problem (To broaden their knowledge about the disease.)a.2. Explored with the community the factors that increase the risk of occurrence of colds.( To increase their knowledge about the disease.)

b.1. Explored the community the different ways of treating and managing colds based on the resources of the community. (To provide proper interventions that may be use in their everyday lives)b.2 Demonstrated procedures of proper


2. Community assembly 3. Sitio Class



The goal was partially met

162

management of colds such as proper blowing of nose, and encouraging fluid intake.(To facilitate the curing of colds)

Justification: The goal was partially met because correct health practices pertaining to cold management were still not applied by some of the community folks. The occurrence of colds in the community was not totally dissolved, in spite of the rendered health teachings and nursing intervention.

163

Health Problem



CareNursing

Interventions

Method of Nurse-

Community Contact

Resources Required

Evaluation

Improper garbage disposal (Open dumping and burning )as health threat.

Cues:Community folks dump their wastes and ans burned thier garbages on the open fields with a score of 7 ¼.

Inability to make decisions with respect to taking appropriate health action due to low salience of the problem.

Within three weeks of community visits, the community members will learn the correct ways of garbage disposal and will implement it.

Within three hours of sitio class regarding health and environmental sanitation, the community will:a. Gain knowledge of possible effects of improper garbage disposal in health and environmental sanitationb. Increase awareness of method of prevention and control about improper garbage disposal.

a.1 Assessed community awareness of the existing problem (To know the problem and proper intervention for it)a.2 Enumerated possible recurrence of infection related to improper garbage disposal.(For the community to be aware on possible disease they may encounter)

b.1 Encouraged to use different ways of disposing the garbage such as use of compost pit and segregation.( To provide easier


2.Community assembly

3. Sitio Class



Goal was partially met.

164

c. Decide and implement necessary action about management of improper garbage disposal.

understanding on p[roper garbage disposal)b.2 Instructed the community various methods in preventing possible infection.( To prevent the further complication of the problem)b.3 Demonstrated proper disposing of garbage such as segregating. (To provide easier understanding on how to carry out specific intervention)

c.1 Assisted community on segregating.( To know proper ways of segregating.)c.2 Helped community to decide appropriate action to be taken.(To prevent and manage improper garbage disposal in relation to the

165

availability of the resource)c.3 Reinforced the community in performing the discussed actions.(To ensure long-term compliance)

Justification: The goal was partially met due to the non-compliance of the few members of the community with regards to the proper disposal of garbages, despite of the health teachings the group has given as manifested by some garbage were still seen in the backyards of the community folks and despite of the health teachings and the different interventions rendered, there were people in the community who were still doing their old way of disposing their garbage which is burning as manifested by the one of the family’s verbalization of, “naiipon kasi yung mga basura kaya hindi pa rin naming maiwasang sunugin ang mga basura namin.

166

Health Problem


Goal of Care Objectives of Care Nursing InterventionsMethod of Nurse-

Community Contact

Resources Required

Evaluation

General Backyard Sanitation (Dirty) as a Health Threat

a. Inability to make decisions with respect to taking appropriate health action due to low salience of the problem.

b. Inability to provide a home environment conducive to health maintenance and personal development due to inadequate knowledge of importance of hygiene and sanitation.

Within five days of community visit, the community folks will learn the proper general backyard sanitation and be able to put them into practice.

Within three hours of sitio class, the community will:

a. have adequate knowledge on keeping their backyard sanitation clean through the health teaching of the students

b. be able to apply the teaching that will be provided to them.

c. maintain the cleanliness of general backyard sanitation application of the health teachings given to them.

a.1. Assessed knowledge community folks about the existing problem. (To know the existing problem.)a.2. Informed and explained the importance of having a clean backyard. (To give them an idea of good effects of keeping their backyard clean)a.3. Enumerated to them the possible diseases that may be acquired if general sanitation is not practice such as diarrhea, cholera, and skin diseases. (To educate them about the consequence of non-compliance)

b.1 Assessed uinderstanding of patients or the teachings that the researchers provided to them. (To facilitate learning.)b.2. Then let the community choose for the various ways presented to them. (For the Application of the given ways)

c. Establish reinforcement with compliance through baranggay authorities by

1.Community contact/ visit

2. Community assembly.



Partially Met

167

making a policy or that there will be a punishment of non-compliance. (To maintain the general backyard sanitation)

Justification: Goal was partially met because though all of the above interventions were applied, there were still few who were not complying with the health teaching given to them.

Health problemCommunity

nursing ProblemGoal of care Objectives of care

Intervention Measures

Method of Nurse Community

contactEvaluation

Abdominal Pain as a health deficit

Cues: 4.94% of the community folks experience this kind of problem with a score of 6 11/12.

1. Inability to provide adequate nursing care to the sick member of the family due to lack of knowledge about disease/health condition and inadequate Community Resources-financial constraints

Within 3 weeks community visits the community will take the necessary measures to prevent or properly manage abdominal pain.

Within 3 hours of Sitio class, the community will:a. Have broader knowledge about abdominal pain.b. Ensure that the children or the whole family in the community will have a check up.c. Select and implement method appropriate to manage condition and prevent possible complications that may develop d. Properly utilize the recommended

a.1. Assessed the awareness of of the community about abdominal pain. (To know problem existing.) a.2. Explore with the community their health practices and behaviors which can be contributing factors in developing abdominal pain.(To determine contributing factors and be able to offer health teachings concerning these factors).a.3. Discuss to the community the cause and nature of

1.Community visit

2.Health Teachings

3.Sitio class

Goal was met.

168

DOH Herbal Plants for abdominal pain.

abdominal pain.a. Clinical Manifestations of abdominal pain.b. Explain to the community the cause possible complications that may develop.c. Proper management and treatment of abdominal pain.(To increase the community’s knowledge on the condition)a.3. Demonstrate alternative ways in managing and treating abdominal pain. (preparing a yerba Buena decoction)To provide the community alternatives for proper decision making.

b.1. Discuss the advantages of availing check ups to prevent further complications of the condition(To gain the community’s cooperation in having a check up if necessary).

169

b.2. Guide the community when to seek medical attention for check-up.(To prevent any possible complications and for proper treatment of the condition.)

c.1. Assist the community in deciding the actions agreed upon.(To facilitate proper decision making).c.2. Ensure the community that the decisions made will benefit the residents.(To enforce the decisions made and to gain the cooperation of the community in implementing these decisions)

Justification: The goal was met because the community verbalized the importance of treating and managing abdominal pain because of possible complications as well as the importance of having a regular check-up. They agreed upon the alternatives presented and said that they will implement these things.

170

C. Recommendations

The researchers identified, ranked, and implemented nursing care plans to the

problems in Bagong Barrio Resettlement, Sapang Maragul and through this, the group

formulated the following recommendations that would help the community inprove their

health.

These recommendations are based on the top five community problems and these

include:

1.A. FEVER

a. He should be in bed rest and should increase fluid intake.

b. Eat foods rich in Vitamin C such as fruits and vegetables like kalamansi,

dalandan, and cauliflower.

c. Use herbal plants such as lagundi to relieve the condition.

1.B. MALNUTRITION

a. Parents, especially the mothers must give adequate amount of nutritious foods

at three meals every day.

b. Mothers should breastfedd their infants exclusively during their first six months

of life and should be continue until their two years of age.

c. Complete immunizations must be obtained to boost the child’s immune system

and help prevent further complications of the problem.

d. Parents should monitor their child’s food intake.

e. Parents of the malnourished children found should participate in the feeding

program of the DSWD.

2. STORAGE OF DRINKING WATER

a. Family should use covered-containers such as jags and pitchers.

b. Place their water containers in a clean and safe surface area in the house to

ensure that the water will be kept clean.

172

c. Be sure that the containers of water are always tightly sealed to prevent rodents

from contaminating the water.

d. Be sure to clean the containers before storing the water.

3. COLDS

a. If an individual has a cold, he should be in bed rest and should increase fluid

intake.

b. Eat foods rich in Vitamin C such as fruits and vegetables like kalamansi,

dalandan, and cauliflower.

c. Facial towel or handkerchiefs should be used when the child sneezes or when

wiping away nasal secretions. Soils tissues need to be discarded promptly to

minimize the spread of the organisms to others in the home.

d. Regular hand washing following sneezing or nose blowing also deters the

spread of the infection.

4.A. IMPROPER GARBAGE DISPOSAL (BURNING/ OPEN DUMPING)

a. Garbage should be segregated according to its properties.

b. Prevent burning of wastes that contains plastics.

4.B. DIRTY HOME SANITATION

a. Regular cleaning of the house should be established.

b. Proper placement of their furniture/ appliances.

c. Dispose things that are not useful anymore.

4.C. GENERAL BACKYARD SANITATION (DIRTY)

a. Porper solid and liquid waste management (e.g. compost pit, segregation)

b. Remove potential breeding sites for vectors of diseases (e.g. stagnant water,

damp and dark places)

c. Regular trimming of plants and trees and maintain a dry and dust-free

backyard.

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5. ABDOMINAL PAIN

a. Encourage family to use specific home remedies to relieve the pain of faily

member and to reduce the family’s financial onstraints. (e.g. heating pad,

herbal remedies such as yerba buena)

b. Advise family on proper dosage, route and action of pain medications

prescribed by a physician.

c. Teach the family when to refer to a medical professional.

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Chap Xi Fncp