Community Nursing Diagnosis

Lyceum - St. Cabrini College of Allied Medicine, Inc.

Maharlika Highway, Sto.Tomas, Batangas 4234

Community Organizing Participatory Action Research

Barangay Altura South, Tanauan City, Batangas

A Compilation Presented to the

Faculty of School of Nursing

As Partial Fulfillment of the

Requirements in Primary Health Care II

Prepared By:

BSN 2-10

Instructors:

Ms. Geraldine Barbosa

Ms. Lourdes Cuevas

Ms. Alicia Plata

Date of Exposure:

February 7, 2008 – March 8, 2008

Table of Contents

I. Acknowledgement

II. Introduction

III. Rationale

IV. Statement of Objectives

V. Methodology

VI. Scope and Delimitation of the study

VII. Setting of the Community

A. Spot map B. Barangay Organizational Chart

C. Health Center Organizational Chart

VIII. Community Profile

A. History B. Physical Features

1. Location and Boundaries 2. Climate

3. Means of Transportation 4. Medium of Communication 5. Resources Available in the Community

a. Physical Characteristic b. Facilities in the Barangay

c. Water and Electricity d. Managing the Garbage e. Peace and Order

f. Health and Nutrition

IX. Population

A. Total Population of the Barangay B. Total Population of the Families Surveyed

C. Age and Gender Distribution (Table 1) D. Pyramid- age Interval Distribution (< 1, 1-4, 5-9, etc.)

X. Civil Status

A. Civil Status of Residents Surveyed (Table 2)

XI. Families

A. Family Structure of Families Surveyed (Table 3)

XII. Economic Indices

A. Type of Occupation (Table 4) B. Average income (Table 5)

XIII. Socio-cultural Indices

A. Educational Attainment (Table 6) B. Religion (Table 7)

C. Place of Origin (Table 8) D. Housing

1. Type of Houses (Table 9)

2. Ownership (Table10)

XIV. Environmental Indices

A. Water Supply (Table 11) B. Garbage Disposal (Table12)

XV. Health Indices

A. Infant Feeding Practices (Table 13) B. Immunization Status (Table 14) C. Family Planning (Table 15)

XVI. Nursing Care Plan

XVII. Problem Identified

XVIII. Suggestion/ Recommendation

XIX. Action Plan

XX. Conclusion

XXI. Picture Gallery

XXII. Appendices

A. Health Teaching

B. Sample Leaflets C. The Programme

D. Registration

XXIII. References

Acknowledgement

The Class of BSN 2-10 students of Lyceum – St. Cabrini College of Allied

Medicine would like to extend their sincerest gratitude for the support, encouragement and

patience to the following people who made this community nursing diagnosis possible:

To Mr. Dario G. Noprada, Barangay Chairman of Barangay Altura South, Tanauan

City, Batangas for the warmest welcome, outmost cooperation, understanding and patience

for allowing our group to render our community service and other activities in their

Barangay.

To the residents of Barangay Altura South, for their participation in the activities

done during our community service in Baranggay Altura South.

To our adviser Mrs. Alicia Plata and to our clinical instructors Mrs. Lourdes Cuevas

and Mrs. Geraldine Barbosa in Primary Health Care II for the educational experience,

outmost patience, understanding, guidance and support in making this community diagnosis

possible. Thank you for motivating us to do our best which in return was a real success.

To Dean Janet Calupitan for giving us this memorable experience by letting our

group immerse in a community where we learned how to communicate and understand the

lives of the people in a community.

To our beloved families who gave their moral and financial support in order to

finish this requirement for our Primary Health Care II subject.

To our friends, classmates and mentors who willingly helped and supported our

group through out the course of making this family assessment and for a job well done in

making this community nursing diagnosis and for the cooperation during the community

service done in Barangay Altura South, Tanauan City, Batangas.

And lastly, to Almighty God for the continuous knowledge, guidance and strength he

provided us despite adverse difficulties.

I. Introduction

Community Diagnosis is a process in which a team of students works with a

designated community to identify its strengths, weaknesses, overall needs, and future

directions for promoting health and well-being (Eng and Blanchard, 1991). In doing this

process, clinical instructors accompanied these students for initial introduction to the

community and help them in gathering information about its surroundings and social

environment.

The students conducted a survey and family nursing diagnosis among eighty seven

families of Barangay Altura South, reviewed various data sets and evaluated resources to

identify the areas of concern that affects the health of the residents. Community members

are highly involved throughout the process and collaboration is a way of implementing a

better solution for their problems.

As soon as health problems were identified from the data sources, the students made

certain interventions and prioritized its effectiveness. This document provides a description

on community diagnosis process and outcomes for Barangay Altura South.

This town has been observed of having strict compliance on waste segregation and

waste collection has already been eliminated for a year. The data are shown in the form of

tables and graphs summarizing the findings and local interventions of the students.

II. Rationale

The rationale of the community service was made to be accessible to individuals and

families. By means of full participation, members of the community can successfully attain

good health. Gaining more knowledge on health and practicing them can best lead to a

healthy lifestyle.

The community service would include all the interventions needed by the chosen

family and the community based on their current health status and needs in order for them

to attain the best possible health care service.

Through those preventive measures and health teachings, face to face discussion and

interaction among the community members was done. The researchers were able to bring

out the community of Barangay Altura South’s greater concerns and responsibility for

individuals, for the family and especially for community health resources.

Finally, the most important is, we were able to help the community, gain more and

necessary knowledge, attitudes and skills through this learning experience in order for them

to carry out activities to attain better and healthy lifestyle.

III. Statement of Objectives

General Objective:

To maximize community participation and involvement and mobilize community

through developmental activities and health teaching strategies

Specific Objectives:

1. To assess the consciousness of Barangay Altura South in terms of different ways in

maintaining a healthy environment.

2. To initiate possible actions in solving various community social and health

problems.

3. To conduct and document a holistic nursing assessment based on the knowledge of

system’s theory for a family, group, and community

4. To apply the steps in the research process in supporting therapeutic care for the

promotion, protection and restoration of health within the people in the community.

IV. Methodology

The researchers conducted a survey regarding the family data in Barangay Altura

South. Upon conducting the said survey, the class of BSN 2-10 has identified 87 families out

of 155 to answer the prepared questionnaires.

Each questionnaire were composed of closed-type of questions which focused mainly

on the family structure, characteristics and dynamics, socio- economic and cultural

characteristics , home and environment, health status and values, practice on health

promotion/maintenance and disease prevention. Each group was assigned to choose a family

for the Implementation of family nursing care based on the needs and current situation of the

selected family.

At the end of the community service, the class of BSN 2-10 conducted a lecture for

the adults on herbal medicines which was done through discussions on its preparation, health

benefits and importance. The group also presented a role play about personal hygiene and

games for the children of Barangay Altura South.

V. Scope and Delimitation of the Study

This community service started from February 7, 2008 to March 8, 2008. The

researchers conducted a survey on 87 families which comprises of 56% out of 155 total

number of families of the said barangay.

The clinical instructors divided the class of BSN 2-10 into 3 groups. Each student

per group were required to choose 2 families for the first week. After identifying the

possible needs of each families assessed, each group must chose 1 family with the most

number of health needs and nursing care. Later on, upon giving family nursing care to the

chosen family per group, the class has already identified the current situation and health

needs of Barangay Altura South.

This study aimed to understand the health related problems of the residents of

Barangay Altura South and implement certain interventions for the improvement of their

daily lives. The people learned to resolve their problems through health teachings.

To Altura

Bata

To

B

rg

y.

Ca

le

Le

ge

nd

:

-Z

on

e 1

-Z

on

e 2

-Z

on

e 3

-

Zo

ne

4

-B

rgy.

Ha

ll

-

Ch

ap

el

-B

orn

Ag

ain

Ch

ris

tia

n C

hu

rch

-

Pig

ge

ry

-

Brg

y.

He

alt

h C

en

ter

& D

ay C

are

Ce

nte

rB

ara

ng

ay

He

alt

h

Ce

nte

r

Da

y C

are

Ce

nte

r

Fem

ale

CR

Male

CR

To M. Pulo

Ta

na

ua

nC

ity,

Ba

tan

ga

s

To M. Pulo

Bara

ng

ay

Healt

h

Cen

ter

Day C

are

Cen

ter

Fe

ma

le

CR

Male

CR

VII. Community Profile

A. History

At the time of the Spanish regime the people in the community especially the men,

decided to conduct “Ronda” (securing the whole town for a whole night) to protect their

place against thieves and criminals. This was continuously implemented in attaining their

goal of having a safe and criminal free area.

One night, one of the members of the safety team, mentioned the place “Tura” and

said “Alto” (Spanish term which means stop). The Spaniards stopped and repeatedly said

“Alto” and “Tura” until the so called name “Altura” was made.

Altura experienced vast floods that lead to three passages around three parts of

Altura. This results to celebration of feasts on each division because people cannot pass

through this flood. Having this separation, the three Teniente del Barrrios, Severino, Juan

Landicho and Emilio de Castro decided to subdivide Altura into three Barangays: Altura

South, Altura Bata (West) and Altura Matanda (North).

B. Physical features

1. Location and boundaries

Barangay Altura South is located on the Southern part of Tanauan that has range of

8 kilometers from the city. It is 179 hectares wide beyond the valley of Mount Suplang. The

flood that passes within Altura North (most commonly known as Altura Matanda) flows on

Barangay Altura South,. Vehicles going to Calamba, Midland Tagaytay and Tagaytay City

pass the main road of Barangay Altura South.

2. Climate

Barangay Altura South has a tropical climate; the people cultivate their farms as

soon as the rainy season starts. Mornings are cold due to the cold mist coming from

Tagaytay Highlands. The heat of the sun is most felt at daylight and at noon.

3. Means of Transportation

Most of the residents in Barangay Altura South use tricycle as their means of

transportation. Approximately, 75% of the population uses tricycle instead of jeepneys; it is

because the availability of tricycle is much higher than the availability of the jeepneys. In

addition, 25% of the total population use jeepneys instead of tricycle and the remaining 2%

have their own vehicle to use.

Transportation is a necessity for the community. It has many uses such as to deliver

foods in the community, go to different places such as market, school, work place, hospital

and as their as their source of income.

4. Medium of Communication

The residents of Barangay Altura South uses Tagalog dialect / Filipino language

which makes the residents understand one another easily. Feelings can be expressed and

interact with one another freely.

Communication serves different functions:

1. For expressions and feelings.

2. For understanding one another.

3. To have a better interaction between two or more individual.

5. Resources available in the community

a. Physical characteristic:

The Barangay Altura South is located at Tanauan City at the distance of eight

kilometers from the town and it is almost 179 hectares. The road is cemented and

some of the public utility jeep going to Calamba, Midland, Tagaytay are all passing

through its main roads.

Most of the people living in this place are planting vegetables for their daily living.

b. Facilities in the Barangay:

At present, Barangay South Altura has its own church, Day Care Center,

Health Center and a Barangay Hall.

c. Water and Electricity:

The Tanauan Water District (TWD) supplies water for the whole Barangay.

155 houses were supplied by TWD while Batangas Electric Company (BATELEC)

supplies electricity for Barangay Altura South.

d. Managing the Garbage:

All the residents of Barangay Altura South usually burn or decompose their

garbage. They make a pit at the back of their houses where they decompose

biodegradable wastes. At the month of March 2008, the Barangay officials had

implemented the separation of garbage from biodegradable to non-biodegradable

ones; this intervention was continued up to this time.

e. Peace and Order:

Barangay “tanods “of Barangay Altura South organize a meeting every month

for the maintenance of peace and order on its vicinity. Men roam around the

Barangay every night to check for any criminals and implements check points in

front of the Barangay hall at day.

f. Health and Nutrition:

Children ages 0-5 are given proper nutrition by their parents; the Barangay has

never been noted of having a malnourished child from the year 2005 until 2007. The

only leading cause of morbidity in the children of Barangay Altura South is cough

and colds while adults only experience hypertension. Mortality in Barangay Altura

South is usually caused old age and only a maximum of five persons die in this

Barangay every year. Pills are the only ones used by mothers for Family Planning and

all men didn’t undergo vasectomy.

VIII. Population

A. Total population of the Barangay

According to the 2007 survey, Barangay Altura South has 1,191 families and

increased by 3% by the year 2008 to 1,219 residents.

B. Total Population of the Families Surveyed

The researchers conducted a survey on a total of 87 families who participated on

answering the questionnaires.

C. Age and Gender Distribution

Table 1: Age and Gender Interval Distribution (<1, 1-4, 5-9, etc.) of the Families

Surveyed in Barangay Altura South, Tanauan City, Batangas

Age Male % Female % Total Male % Female % Total %

< 1 y/o 0 0% 2 0.96% 2 0% 0.48% 0.48%

1-4 y/o 11 5.29% 3 1.44% 14 2.64% 0.72% 3.37%

5-9 y/o 12 5.77% 15 7.21% 27 2.88% 3.61% 6.49%

10-14 y/o 16 7.69% 19 9.13% 35 3.85% 4.57% 8.41%

15-29 y/o 55 26.44% 56 26.92% 111 13.22% 13.46% 26.68%

30-34 y/o 21 10.10% 11 5.29% 32 5.05% 2.64% 7.69%

35-49 y/o 51 24.52% 51 24.52% 102 12.26% 12.26% 24.52%

50-54 y/o 15 7.21% 23 11.06% 38 3.61% 5.53% 9.13%

55-59 y/o 6 2.88% 7 3.37% 13 1.44% 1.68% 3.13%

> 60 y/o 21 10.10% 21 10.10% 42 5.05% 5.05% 10.10%

Total 208 100% 208 100% 416 50% 50% 100%

Gender Distribution Chart of the Families Surveyed in


Male, 50%Female, 50%

Interpretation and Data Analysis

A community is a social group of organisms sharing an environment, normally with

shared interests. In human communities, intent, belief, resources, preferences, needs, risks

and a number of other conditions may be present and common, affecting the identity of the

participants and their degree of cohesiveness.

It shows that the population of the surveyed community is equal in terms of gender.

It is good for the community to have a balanced ratio of gender and role for both sexes in

terms of responsibility in the family and community.

Based on the graph and table, the highest number of frequency and percentage

belongs to females ages 15 to 29 with frequency of 56 at a percentage of 26.92%, next is for

males at the age of 15 to 29 with frequency of 55 males at a percentage of 26.44%.

Males and females ages 35 to 49 years old have a frequency of 51 and having a

percentage of 24.52 %. The last belong to both males and females at age of 60 and above

with a frequency of 21 both males and females at a percentage of 10.10%.

Most people in Barangay Altura South are able to work and earn income for their

families because of having a legal age.

http://en.wikipedia.org/wiki/Organism

http://en.wikipedia.org/wiki/Social_environment

http://en.wikipedia.org/wiki/Human

http://en.wikipedia.org/wiki/Intention

http://en.wikipedia.org/wiki/Belief

http://en.wikipedia.org/wiki/Natural_resource

http://en.wikipedia.org/wiki/Preference

http://en.wikipedia.org/wiki/Need_assessment

http://en.wikipedia.org/wiki/Risk

http://en.wikipedia.org/wiki/Identity_%28social_science%29

IX. Civil Status

Table 2: Civil Status Percentage Distribution of the Families Surveyed in Barangay

Altura South, Tanauan City, Batangas

Status Frequency %

Single 221 53.13%

Married 192 46.15%

Widowed 2 0.48%

Separated 1 0.24%

Total 416 100%

Interpretation and Analysis of Data

Civil status determines the amount of type of resources that will be required to meet

the needs of daily living and the amount of labor required for their acquisition. The civil

description of an individual as either a single individual or as a married individual has an

impact to their function for the recognition of the socio-economy in many areas of concern

were he or she may be attached with.

The priorities of individuals in terms of their socio-economic of married or single

individuals are completely different. Married individuals tend to concentrate on their

maximum amount of earnings that can be made to ensure that it will meet the entire family

needs. On the other hand, single individuals tend to look at labor as means to support and

Civil Status Distribution Chart of the Families Surveyed in


53.13%

46.15%

0.48% 0.24%0%

10%

20%

30%

40%

50%

60%

Single Married Widowed Separated

satisfy their personal needs and wants. Their focus is to gain experiences that will challenge

their ability and potentials.

Table 2 shows that most of the members of the families surveyed were married with

a frequency of 221 or 53.13%, most were ages 18 and above the remaining percent of 46.15

with frequency of 192 were single.

X. Families

Table 3: Family Structure Percentage Distribution of the Families Surveyed in


Category Frequency %

Nuclear 47 54.02%

Extended 40 45.98%

Total 87 100%


The nuclear families are composed of immediate family members such as the

mother, father and children. It is good that the community has a greater number of nuclear

families; this means that the families are trying to do something on their own. They have a

better chance for satisfying their basic needs for it is given that there are smaller numbers of

family members compared to that of extended families

Family Structure Distribution Chart of the Families Surveyed in


Nuclear

54.02%

Extended

45.98%

In the Filipino culture, family solidarity is given emphasis. Families are close and

intact, relatives reside in the vicinity reaching out to each other to aid and assist. But, there

are cases that conflicts arise. The priorities of satisfying the basic needs of the members of

the family become a problem. The income cannot satisfy the needs or when the distribution

of resources tends to become small in amount that is left for each of the members of the

family.

Table 3 is based on the findings that nuclear families comprise the majority with the

total of 44 or 57.89% and the extended families with a frequency of 32 or 42.11%.

XI. Economic Indices

A. Types of Occupation

Table 4: Types of Occupation Percentage Distribution of the Families Surveyed in



Blue Collared Jobs 188 85.07%

White Collared Jobs 33 14.93%

Total 221 100%

Interpretation and Analysis

White-collar worker is referred to as salaried professional or a person whose job is

clerical in nature, as opposed to a blue-collar worker whose job is more in line with manual

Types of Occupation Distribution Chart of the Families Surveyed

in Barangay Altura South, Tanauan City, Batangas

White Collared

Jobs

14.93%

Blue Collared

Jobs

85.07%

http://en.wikipedia.org/wiki/Blue-collar_worker

labor. Resident’s educational attainment affects their occupation status because most of

them does not have a decent job and prefers to stay home. Most of the women of Barangay

Altura South are married in an earlier age and accepts manual labor.

The table shows that there are 188 or 85% of persons with blue collared job and

some are employed to a white collared job which comprises 33 or 15 % of the total 100% or

221 employees of Altura South.

B. Average Monthly Income

Monthly Income Distribution Chart

4,000-6,000

16.67%

7,000-9,000

34.26%1000-3000

29.63%

13,000-15,000

12.04%

10,000-12,000

7.41%

1000-3000 4,000-6,000 7,000-9,000 10,000-12,000 13,000-15,000


Income is the money that is received in exchanged from services or labor of an

individual and the larger income you have, the greater expenses you spend and afford to

buy goods for a daily living.

Based o n the graph and table, most of the families in Barangay Altura South has an

income of 7,000 to 9,000 peer month at a percentage of 34.26% on 37 families out of 108

respondents, the second belongs to 1000-3000 and has a percentage of 29.63% based on 32

families, the highest which is 13000-15000 has a percentage of 12.04 on 13 families. The

Educational Attainment Distribution Chart

Elementary

Graduate

33.71%Highschool

Graduate

59.47%

College

Graduate

6.82%

Elementary Graduate Highschool Graduate College Graduate

residents belong to an average class and earn enough income for their family, they can

afford to buy their needs and provide good health for their families.

Table 5: Percentage Distribution on the Monthly income of the families surveyed in

Barangay Altura South

X11. Socio-cultural Indices

A. Educational Attainment


1000-3000 32 29.63%

4,000-6,000 18 16.67%

7,000-9,000 37 34.26%

10,000-12,000 8 7.41%

13,000-15,000 13 12.04%

Total 108 100%


Education encompasses teaching and learning specific by imparting knowledge and

well-developed wisdom. Changes in educational attainment affect the competence of an

individual because this will judge them on how literate or illiterate they are in life.

Based on table 6 there are total of 264 (100%) are literate. Educational attainment is

low. Elementary is only 89 (33.71%) and the majority only reached high school graduate

which is 157 (59.47%). Those who finished college 4-year courses are only 18(6.82%).

This indicates that the community has an average of educational competence that are

classified also as competitive, have better opportunities and better quality of life.

Table 6: Percentage distribution showing the educational attainment of families

surveyed in Barangay Altura South

B. Religion

Table 7: Percentage distribution showing the religion of individuals in Barangay

Altura South

Religious Sectors Frequency %

Catholic 185 100%

Iglesia Ni Cristo - -

Born Again - -

Others - -

Total 185 100%

- The total percentage of the Roman Catholic Religion was (185)


Religion is a set of belief that practices often organized around supernatural and

moral claims, and often codified as prayer, ritual and religions law. Faith influences


Elementary Graduate 89 33.71%

High School Graduate 157 59.47%

College Graduate 18 6.82%

Total 264 100%

http://en.wikipedia.org/wiki/List_of_education_topics

http://en.wikipedia.org/wiki/Teaching

http://en.wikipedia.org/wiki/Learning

http://en.wikipedia.org/wiki/Wisdom

lifestyle, health attitude, practices and one’s general outlook in life. People who are

response to healthcare is determined by their religious belief.

The Roman Catholic Church considers superstition to be sinful in the sense that it

denotes the lack of trust in the divine providence of God and is such a violation of the first

of the Ten Commandments. Superstition is a deviation of religious feeling and of the

practices this feeling imposes. It can even affect the worship we offer the true God.

Religion may not always operate favorably in human intervention especially when the

scientific method is applied. Based on the table, the people o f that community have the

same set of beliefs as evidence of 185 (100%) of the people living in that Barangay are all

Roman Catholics.

C. Place of Origin

Place of Origin Distribution Chart

Altura

70.19%

Visayas

4.09%

Batangas

8.89%

Tanauan

8.17%

Laguna

1.68%Manila

5.05%

Quezon

1.92%

Altura Quezon Manila Laguna Tanauan Batangas Visayas


Place of origin is the birthplace of one civilization and this is a social factor in the

everyday routine in community health. People having the same place of origin will have the

easier way of communicating because they have the same set of beliefs and values.

According to the graph, most of the people in Barangay Altura South came from

Altura itself where they grew up and adapted to its surroundings, thus affecting their culture

and tradition for the past years. Many of them are born with the other parts of Batangas

having a percentage of 8.89 with a frequency of 37.

Table 8: Percentage Distribution showing the Place of Origin of families surveyed in


D. Housing

1. Type of Houses

House Structure Distribution Chart

Shanty

3.45%

Bungalow

88.51%

Apartment

3.45%

Nipa hut

4.60%

Bungalow Apartment Nipa hut Shanty


Altura 292 70.19%

Quezon 8 1.92%

Manila 21 5.05%

Laguna 7 1.68%

Tanauan 34 8.17%

Batangas 37 8.89%

Visayas 17 4.09%

Total 416 100%


House is a structure or building that provides cover, shelter and, refuge against

weather and danger. It is a place where safety and security are most met and where family

ties are strengthened.

The data indicates that most of the houses in the community are made of bungalows

which 77 houses (89%) comprise the highest percentage which is out of 129 families.

Followed by nipa hut 4(5%) and lastly those with apartment and shanty house both having a

3(3%).

The data indicates that most of the families in the community can afford mixed type

of houses which are made of bungalows. This type of house is stronger, durable and can

endure to any type of weather but prone to fire hazard.

Therefore, people must be educated about safety precaution about fire prevention

and ways of safeguarding their houses against calamities to ensure safety and security in

their homes.

But the data also states that families with nipa hut houses got the second place in

ranking stating that people cannot afford better structured houses. Therefore it can be stated

that the economic stability of each family is one of the determination of a convenient life.

Table 9: Percentage distribution showing the house structures of families surveyed in



Bungalow 77 89%

Apartment 3 3%

Nipa hut 4 4%

Shanty 3 3%

Total 87 100%

2. House Ownership

House Ownership Distribution Chart

Self - Owned

70%

Renting

22%

Inherited

8%

Self - Owned Renting Inherited

Interpretation and Analysis

House generally refers to a shelter or building that is single family detached dwelling

or place for habitation by human beings. House ownership provides a common measure of

prosperity in economics. Most of the people in Altura South chose to buy their own homes

not just because they are capable enough of buying their own but because it will be a big

challenge for them to live their own lives and be independent when it comes to decision –

making. Having an owned house has a lot of benefit on having privacy than those being

rented.

The graph shows that 70% of the houses are self owned by the residents and 22%

are being rented, people preferred to have their own abode to stay as soon as they got

married to be independent from their parents and learn more about starting a family life.

Table 10: Percentage distribution of the house ownership of the families surveyed in


XIV. Environmental Indices

A. Water Supply

Table 11: Percentage Distribution of the Water Supply of the families surveyed in



Water is a common that is essential for the survival of all known forms of life. Water

can dissolve many different substances, giving it different tastes and odors. In fact, humans

and other animals have developed senses to be able to evaluate the potability of water.

Because of the importance of precipitation to agriculture, and to mankind in general,

water’s potability must be maintained to prevent certain diseases being caused by unclean

drinking water.

The Water District is the main source of water in Barangay Altura South, Tanauan.

It is the main source of water in the community because it is safe to use and safe to drink.

Deep wells are seldom used these days because one cannot be sure of the potability of the

water and it can cause water-borne diseases.


Self - Owned 61 70.11%

Renting 19 21.84%

Inherited 7 8.05%

Total 87 100%

Category Frequency Percentage

Water District 87 100%

Deep Well 0 0

Total 87 100%

http://en.wikipedia.org/wiki/Life

http://en.wikipedia.org/wiki/Drinking_water

http://en.wikipedia.org/wiki/Agriculture

http://en.wikipedia.org/wiki/Mankind

B. Garbage Disposal


Garbage refers to waste that attracts pests and that can be a source of contamination.

Proper garbage disposal begins with keeping garbage away from food and food-contact

surfaces, it also helps in the cleanliness of an environment and lessens vector sites when it

is practiced by the whole community.

Based on the graph, 63% of residents living in Barangay Altura South burn their

garbage and the other 18% of the families practice segregation of waste between

biodegradable and non-biodegradable. 19% of the families practice decomposition and no

one collected the garbage by dump truck.

Before the community service ends, the Barangay officials of Barangay Altura South

have already been implementing the proper segregation of waste for the whole community.

This is a good indication that the Barangay is participating in the maintenance of their

resident’s health.

Garbage Disposal

63%18%

19%

Burning

Segregation

Decomposition

XV. Health Indices

A. Infant Feeding Practices


Lactating mothers believe that breastfeeding is cheaper and also convenient because

they don’t have to clean baby bottles every now and then. Bonding for the mother and the

child also promoted. Breastfeeding is well recognized because it strengthens the baby’s

immune system and shows that it is the best way for the infant to acquire nutrients.

69% of the mothers chose to breastfeed their babies for the main reason that it is

cheaper and convenient, while 31% of the total mothers have given their children infant

formula milk.

Table 13: Percentage Distribution on Infant Feeding Practices of the mothers


Category Frequency Percentage

Breast Feeding 59 69%

Bottle Feeding 26 31%

Total 85 100%

Infant Feeding Practice Distribution Chart

Bottle

Feeding

31%0%

Breast

Feeding

62%

Breastfeeding Bottle Feeding

Immunization Distribution Chart

Complete

57%Incomplete

35%

None

8%

Complete Incomplete None

B. Immunization Status


Immunization is the process by which an individual's immune system becomes

fortified against an agent known as the immunogen. When the human immune system is

exposed to molecules that are foreign to the body, it will orchestrate an immune response,

but it can also develop the ability to quickly respond to a subsequent encounter. It helps the

body boost up antibodies to protect one person from certain diseases and infections.

Based on the table, 15(57%) of the respondents have a complete immunization

while 9(35%) are incomplete. There are still 2(8%) of the respondents who didn’t

experience being immunized at all. Most of the respondents have complete immunization

and therefore keeps them from infections.

Table 14: Percentage Distribution on the Immunization Status of the families



Complete 15 57%

Incomplete 9 35%

None 2 8%

Total 26 100%

http://en.wikipedia.org/wiki/Immune_system

http://en.wikipedia.org/wiki/Antigen

http://en.wikipedia.org/wiki/Molecule

Family Planning Distribution Chart

Artificial

Family

Planning

34.21%

Natural

Family

Planning

52.63%

None

13.16%

Natural Family Planning Artificial Family Planning

None

C. Family Planning


The campaign of the Department of Health for family planning with the use of

contraceptives has been received with mixed feelings by the people and criticizes heavily by

the church. However, Department of Health maintained that it does not contradict the

teaching of the church but merely gives people the freedom of choice of whether to use it or

not, according to their beliefs and conscience. Promotion of family planning will result in

better life for the people, financially, and spiritually.

Proper dissemination of information regarding the various methods of family

planning should be made available to the area. Providing them with adequate information

will help them understand and appreciated better.

There are ways on how to provide awareness to the people. First discuss the

decription and use of methods available to them to avoid an unwanted pregnancy. Another

is letting them know that effectiveness depends on how well follow the instruction use.

They should also be informed of its advantages and disadvantages and possible side effects

so they would know what to expect and not get alarmed when an easiness and unusual

condition is considered.

Based on the data gathered by the researchers, 52.63% of the parents are using

natural family planning and 34.21% uses an artificial family planning.

Table 15: Percentage distribution showing the Methods used on Family Planning of

families surveyed in Barangay Altura South


Natural Family Planning 20 52.63%

Artificial Family Planning 13 34.21%

None 5 13.16%

Total 38 100%

XVII. Problem Identified

The Barangay Altura, South was observed to have environmental problems such as

having inadequate structures of open canals for the passage of overt lowing waters and

prevent stagnant water being stored on the deep holes of the street. These stored waters may

be breeding sites for vectors. Lack of knowledge on alternative medicines and poor

personal hygiene on children were also identified to be a problem.

The Community has no own Elementary School, this lead the students aging from six

to twelve years old to travel at a far distance in order to reach the nearest town.

XVII. Suggestion/ Recommendation

Since this study was conducted by limited time and resources, it is recommended that

more working time should be allotted on the study of the population which would

encompass other factors that may contribute to the health beliefs and practices of the said

population. A study which has more time to work for and a community which would yield

numbers of representatives in order to upgrade the formulation of better health plans and

policies to attain a more desirable community that would be more effective on the part of

the students and the community residents as well.

XVIII. Action Plan

Barangay Officials must use their available resources to finish the build ing of open

canals and for having their own Elementary School and ask help from higher Officials.

Health Teachings about herbal medicines accredited by DOH must be taught to the

residents for them to acquire knowledge and not to be dependent on generic drugs,

demonstration on hand washing was also done for the promotion of personal hygiene.

XIX. Conclusion

Barangay Altura, South is the community where the BSN 2-10 performed their

community service. When w first saw the community, we taught that the peop le there will

not participate to us for our health teachings, because they are busy. But upon introducing

ourselves to them and told them why we are there, we found out that are reachable and

needs our help and attention.

Barangay Altura South had different health problems which are mentioned in our

nursing care plans.

During our long stay in Altura South, we noticed that they have a lot of potentials to

development totally from their current situation. It is not easy to achieve a quality health if

the environment is not conducive, because the researchers observed that the garbage are not

properly segregate so the barangay captain implement segregation of garbage waste from

non-biodegradable and biodegradable. It wouldn’t be more complicated if the community

members will be motivated to change their wrong practices.

As a whole, we believe that there is always an improvement to be a better

community. Our goals were met and we implemented successfully by the help of the

residents of Altura South.

XX. Picture Gallery

This is composed of the researchers’ pictures during the seminar on March 8, 2008

Appendices

The Programme

Pambansang Awit: Kristine Balakit

Panalangin: Renelle Duarte

Pambungad na pananalita : Donna Fe Sable

Mga turong pangkalusugan:

Ampalaya: Marvie Joy Ruiz

Adrian Domingo

Pansit- pansitan: June Gloria

Rose Ann Catapang

Bawang: Cristina Empleo

Shiela de Guia

Sambong: Kristine Balakit

Jenelyn Bernacer

Yerba Buena: Charisse Tagalog

Joan Malveda

Tsaang – gubat: Jackie Navarro

Donna Villa

Bayabas: Angelica Lat

Shella Mendoza

Lagundi: Jade Malabuyoc

Rose Ann Erasga

Oregano: Grace Malabrigo

Ivy Micua

Role play:

Si Damulag at ang mga Bulate

Nanay- Stephanie velasquez

Tatay- Bryan Mundra

Shizuka:Precious Landicho

Damulag:Marcelius Carreon

Novita:Nikki Armada

Soneo:Adrian Domingo

Tom:Russel Almendra

Mga Anghel :Jewel Carmona ,Lianne

Morales,Renelle Duarte

Mga Bulate:Rommel Lat,Quirico,Don de

Leon

Narrator: Marge

Palaro:Blessy at Janine

Demo in handwashing

Puzzle

Trip to Jerusalem

Pangwakas na pananalita: Kapitan Dario Noprada

Pagbibigay ng Certificate kay Gg. Dario Noprada

Meryenda

Registration

Participants Total number of Participants Percentage

Children 41 54%

Adult 35 46%

Total 76 100%

XXII. References

Concepts and Guidelines in COPAR 1st Ed. 2005; Untalan, Aaron “CY” Tuesca

Nursing Practice in the Community 4th Ed.; Maglayi, Araceli

www.wikipedia.com

www.dictionary.com

http://www.wikipedia.com/

http://www.dictionary.com/

Documents

Community Nursing Diagnosis