Community Public Health

University of San AgustinCollege of Pharmacy and Medical Laboratory

ScienceIloilo City, Philippines

Brgy. Bacan Cabatuan, Iloilo

Chosen Community

A Project Presented to

Miss Vicenta Montehermoso

Faculty of the College of Pharmacy and Medical Technology

Community Public Health Instructor

Cawagas, Fedelene Joy

Celiz, Irene Jan

Deleste, Krisha Nicole

Escares, Asher Clover

Eclarinal, Maria Radella Eliza

Flor, Mayramarie

Gaitan, Aurora Demi Doreen

MLS 2-F

1



Acknowledgement

The surveyors would like to express their deepest and sincerest appreciation to Ms. Vicenta Montehermoso, RMT the surveyors’ mentor and teacher in the subject Community and Public Health Laboratory for all the guidance, support and understanding she has given the group through the entire duration of doing the project. Indeed, her expertise has greatly helped the group.

The group would also like to express their gratitude to Brgy. Captain Nestor F. Clementir the Kagawad of Bacan, Cabatuan for warmly welcoming the group in their community when they visited and conducted the survey and by giving them access with all the possible data the Barangay office could provide which helped the group a lot. The Barangay Officials headed by Brgy. Captain Nestor F. Clementir was indeed of great help to the surveyors in the process of their gathering of data from the community. Without their office’s utmost support, the surveyors couldn’t have had finished their study.

During the course of this work, the constant association with all the members of the group spearheaded by Ms. Fedelene Joy Cawagas has been most pleasurable. Without the accumulative and group effort of the surveyors, the completion of this work would have been immeasurably more difficult.

Most importantly, the group would really like to thank the Lord God, Almighty for all the strength, patience and guidance he has blessed the group the entire time of doing the said activity. Indeed, it has been of great value, a special debt of gratitude is due.

Lastly, the group would like to extend their gratitude to everyone who was a part of this activity’s success. Without all your love and support, this activity wouldn’t even be possible.

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Introduction

In order for a community or a society to be better and progressive, it needs to empower the literacy of health in every household or so much more in every individual. It is not an option for one to be ignorant about the new and prevalent problems in their community. Health is greatly affected by someone’s ignorance and only through knowledge and proper practices can we correct them and avoid the negative things it has been associated with.

Through a number of efforts the government and the health care centers has made, the indifference to social and community health problems have somehow decremented. The number of inevitable households for instance is still not aware of the threats of current health issues. Through symposiums, flyers and advertisements, information dissemination is achieved.

Surveying a community and knowing their strength and weaknesses could lead one to decipher the needed changes for the benefit of everyone in the community.

Two basic assumptions are made by national disaster planners and policy makers: public health workers are prepared to render public health care and population based health care services during any natural or man-made disaster, and individuals and their families are aware of and engaged in personal preparedness and response planning. In response to this need, both public health, along with health care providers and first responders, have acted to ensure preparedness and response competence among workers in the health fields. The 2006 Pandemic and All-Hazards Preparedness Act, the Association of Schools of Public Health (ASPH), in cooperation with the Centers for Disease Control and Prevention (CDC), has developed a preliminary model of core competencies for the public health preparedness and response work force.

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Table of Contents

Title Page

AcknowledgementIntroductionCommunity ProfileVicinity MapSpot mapBarangay organizational ChartHealth Center Organizational ChartI. Family Structure A. Total Population B. Sex C. Civil status D. Type of Family E. Family Size F. Female Reproduction AgeII. Socioeconomic and Cultural A. Employment B. Occupation C. Monthly Income per Household D. Monthly Expense per Household E. Education F. ReligionIII. Home and Environment A. Residency (Length of Stay) B. Home Ownership C. Land Ownership D. Type of Houses E. Electricity Availability F. Means of Cooking G. Water Source H. Water Source I. Storage of Drinking Water J. Garbage Disposal System K. Type of ToiletIV. Knowledge on the Concept of Health Care A. Graph of the Concepts Measuring the Knowledge of Residents B. Interpretation DataV. Health Care A. Birth Attendant B. Place of Delivery C. Infant Feeding D. Weight of the Children

4



E. Height of the Children F. Immunization of the ChildrenVI. Responsible Parenthood A. Methods Used in Family Planning B. Mortality DistributionVII. Data on Community Development A. Health Problems o the Community B. Causes and Possible Solutions C. Other need of the Community D. Solutions to the needs of the Community VIII. Community Problems and Recommendations A. Problem Prioritization B. Community Health Care PlanIX. Appendices

5



Community Profile

Barangay Bacan, Cabatuan, Iloilo has a total population of one thousand three hundred forty-nine (1,349) consisting of six hundred fifty seven male and six hundred ninety three female.

The total land area of the barangay is one hundred twenty five hectares (125 HT) which sums up the number of households to three hundred five (305) while the number of families to three hundred twelve (312).

As of the year 2014, the number of total deaths is thirteen; 7 of which is male and 6 are female.

Vicinity Map

6



Spot Map

7



8



9



10



Barangay Organizational Chart

11



Health Organizational Chart

12

Nestor F. ClementirPunong Barangay

Nova R. OntanillasTreasurer

Vicente A Begayo Ma. Merly C. De

Guia Raymundo P. Clarito Salvacion C. Navarra Jennyl L. Laguihon Dilailah

R. Maranon Raul T. Señeres

Kagawad

Gemila S. NavarraSecretary

Ofelia Caomidwife

Rebecca Barbosa Carmen CictoSusan ClamanoRose BugadorEmelda MiadoBarangay Health Worker

Catalina CabreraBarangay Nutrition



I. Family Structure

A. Total Population in Brgy. Bacan, Cabatuan is 1,349.

B. Sex

Male65749%

Female69351%

Male Female

C. Civil Status

Single12

27%

Married28

62%

Separated5

11%

Single Married Separated

13



D. Type of Family

Nuclear29

64%

Extended16

36%

Nuclear Extended

E. Family Size

1-3 members12

27%

4-6 members21

47%

6 and above12

27%

1-3 members 4-6 members 6 and above

14



F. Female Reproductive Age

20-24years old

25-29 years old

30-34years old

35-39 years old

II. Socioeconomic and Cultural

15



A. Employment

Unemployed10

22%

Employed19

42%

Self-Employed16

36%

Unemployed Employed Self-Employed

B. Occupation

Teacher7

16%

OFW10

22%

Local Gov-ernment Of-

ficial4

9%

Construction Worker

1227%

Tyangge Vendor12

27%

Teacher OFWLocal Government Official Construction WorkerTyangge Vendor

16



C. Monthly Income per Household

Less than 10, 000.0021

47%

Greater than 10,000 but

less than 30, 00014

31%

30, 000 and above10

22%

Less than 10, 000.00 Greater than 10,000 but less than 30, 00030, 000 and above

D. Monthly expense per Household

1,000 - 5, 00019

42%

5, 000 - 8, 00015

33%

8, 000 and above11

24%

1,000 - 5, 000 5, 000 - 8, 000 8, 000 and above

17



E. Education

511%

920%

3067%

12%

Elementary HighSchool College Vocational

F. Religion

III. Home and Environment

18

613%

3680%

37%

Fundamental Baptist Roman Catholic Born Again



A. Residency (length of stay)

B. Home/ Land Ownership

B. Land/Home Ownership

Rented Owned Rented free0

5

10

15

20

25

30

35

40

45

50

0

43

2

Types of Land Ownership

19

Less than 1 Year 1-5 Years 6-10 Years 12 Years and above0

5

10

15

20

25

30

35

40

0 1

6

38

Length of Residency



C. Type of Houses

Concrete Light Mixed (Concrete & Light) Make Shift0

5

10

15

20

25

22

4

19

0

Types of Houses

D. Electricity Availability

0

5

10

15

20

25

30

35

40

45

50

44

0 0 01 0 0 00 0 0 0

avaialble Not available

20



E. Means of cooking

Electric Wood Kerosine LPG0

5

10

15

20

25

30

5

25

0

15

Types of Cooking

F. Water source

Leve

l 1: P

oint s

ourc

e/ P

rote

cted

well

/ Bub

on

Leve

l 2: F

auce

t/ St

and

Post

Leve

l 3: W

ater

wor

k sys

tem

/ Ind

ividu

al ho

use

Conne

ction

0

10

20

30 31

3

11

Water Sources

21



G. Storage of Drinking Water

0

5

10

15

20

25

30

35

40

45

With Cover Without Cover

H. Garbage Disposal System

Compost Pit Collection Open Dumping Burning0

2

4

6

8

10

12

14

16

18

20

1314

0

18

Garbage Disposal System

I. Type of toilet

22



Flush Pail System Pit Latr ine0

5

10

15

20

25

30

21

24

0

Types of Toilet

IV. Knowledge on the concept of health care

23



A. Graph of the concepts measuring knowledge of residence

Unknowledgable

Knowledgable

0 5 10 15 20 25 30 35 40 45

Column2

Figure 1: Knowledge of Harmful Effects of Burning Plastics to the Environment

Unknowledgable

Knowledgable

0 5 10 15 20 25 30 35 40 45

Column2

Figure 2: Knowledge about the Spread of Disease in the Community

Figure 3: Knowledge of Causative Agent of Tuberculosis

B. Interpretation of the Graph

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The graphs contribute to the systematic answers of the sample

population towards their knowledge about the effects of burning, Spread of disease and knowledge of the cause of Tuberculosis.

Figure 1 show that most of the individuals in the sample population are knowledgeable that burning of waste products especially those made of plastics can harm the environment. The knowledge of the sample population can contribute to the environmental progress of their community.

Figure 2 shows that most of the individuals in the sample population are knowledgeable that the spread of diseases could be in different media such as water sources, people to people and surroundings. Their knowledge about this can benefit not only themselves but also help the community by increasing the health literacy and minimizing the spread of health threats thus improving their health practices.

Figure 3 shows that 70% of sample population answered that the causative agent for tuberculosis is virus, while 23% of the sample population answered Bacteria, 5% of the sample population answered worms and 2% of the sample population answered alcohol and drugs. Thus, only 5% of the sample population is aware that the spread of Tuberculosis is because of bacteria while the rest of the same population thinks that it is caused by other biological and physical agents.

V. Health Care

25

23%

70%

2% 5%

BacteriaVirusWormOthers



A. Birth Attendant

Midwife

Trained Hilot

Health Professional

0 5 10 15 20 25

mothers undergone birth

B. Place of Delivery

Home Private Hospital Lying in Clinics District Hopital 0

2

4

6

8

10

12

14

16

18

20

C. Infant Feeding

26



Breast Feeding

Bottle

Mixed

0 5 10 15 20 25 30 35 40

6

4

35

Infant feeding

D. weight of the children

Below 1 year od

1- 5 years old

6-10 years old

11-15 years old

0 20 40 60 80 100 120 140

20.8

40.5

70.5

115

19.9

39.5

70.5

123

Female weight in pounds Male weight in pounds

E. Height of the children

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below 1 year old 1-5 years old 6-10 years old 11-15 years old0

10

20

30

40

50

60

70

80

Male height in inches Female Height in inchesColumn1

F. Immunization of the children

General immunization was available during a scheduled immunization. Brgy. Bacan health center immunized children with different age group and kind of vaccination. Only the BCG immunization was given at birth. Health center were to advise new mothers about free BCG Immunization on the nest schedule. At 6 Weeks a Pentavalent Vaccine was given (Penta1), this covers Diptheria, Pertussis, Tetanus, Haemophilus influenza B and Hepatitis B.

The program was new and subject to constraints in supply and logistics but wherever appropriate, vaccines were given according to the schedule. There may be delays so an allowance of more or less than 2months with 4 months apart per vaccine dose may still be in sync with the EPI schedule. An Oral Polio Vaccine was given (OPV1). At 10 Weeks was given Penta2 and OPV2. At 14 weeks Penta3 was given with OPV3. An additional doses for Pentavalent and OPV are subject to the community's needs (e.g. in an epidemic) and was assessed by the barangay doctor or barangay health officer. At 9 months, only the Measles Vaccine was given. At 12-15 months an MMR dose is given.

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VI. Responsible Parenthood

A. Methods of Family Planning

Natural

Artificial

None

0 2 4 6 8 10 12 14 16 18 20

18

8

19

Methods Used In Family Planning

B. Mortality Distribution

VII. Data on Community Development

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Seasonal DengueTwo female children died last July 2014caused by severe flu and poor immune system

Hypertension

One female and Two male died last March and May 2014 respectively caused by severe heat in the surrounding turned out to be the reason for the heat stroke

Others

Eight members of the community died last yearcaused by other complications like old age, crime and accidents



A. Health problems of the community

Seasonal Dengue Fever Hypertension among the Old Population Diarrhea among the Young Population

B. Causes ad possible solutions

Causes Solutions

Poor Sanitation Implement proper health care and sanitation especially among children.

Unhealthy Lifestyle Disseminate information and educate the people of the proper diet to stay fit and healthy

Unsanitary Waste Disposal Provide and Invest for garbage trucks to collect the household wastes of each home.

C. Other needs of the community

Other Needs1. Protection of the Environment and its resources

2. Rehabilitation of Canals and Drainage System

3. Need for Multi-purpose Vehicle4. Improvement and Maintenance of Street Lighting System5. Education Program for the Public

D. Solutions to the needs of the community

Inform and educate the community of the different effects of human actions to the environment. For example, the burning of garbage can cause air pollution, improper biological disposal directed to the bodies of water can cause air pollution. These things must be known by the public in order to attain the proper protection and maintenance of the environment.

The Brgy. Office can possibly use a part of their fund to cover this problem since the ignorance to this can cause flood during the rainy season.

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The Brgy. Office can possibly communicate with vehicle regulating companies and allocate some of its budget to address this problem so that the people living in the area will not have so many problems in regards to transportation

The Brgy. Office can possibly allocate some of their budget to address this problem since it will be very beneficial to the people living in the community especially during the night when the streets are so dark and most especially, to avoid crimes and accidents within the area and community

The Brgy. Office hand in hand with the parents of the young population should be working together to have this project done. The Brgy. Office with the help of the local government units shall provide funds for the educational needs of the young children in public places and parents must also do their part in taking their children to school and by allowing them to learn and be of use to the community.

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VII. Community Problems and Recommendations

A. Problem Prioritization

1. Dengue

Strength Weaknesses Opportunities Threats Knowledge of

the community about dengue and the causes of it.

Availability of signage around the post and barangay hall bulletin board about “Do’s & don’ts“

Different understanding of people in the community

Cultures and beliefs which harm them in their surroundings.

Availability of Barangay Health workers to give out information

Non- government organizations sponsor symposium, and seminars.

New cases of dengue occur near barangays.

Non availability of medical services near public hospital when there’s an increase of dengue cases.

2. Waste Segregation

Strength Weaknesses Opportunities Threats Distribution of

different types of garbage container for each household.

Collection of garbage especially recyclables every week.

Failure of collection of garbage every week

Less strategy in their community when it comes to waste disposal

Recruitment of Barangay Kagawad in each Purok is well disseminated for the giving out of schedules for garbage collection

District Official give out seminars for contribution on how to make organic fertilizers.

Continue activities of burning due to the unsynchronized schedule of collection.

Lack of material for organic fertilizing in every household

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3. Hypertension

Strength Weaknesses Opportunities Threats

Knowledge for the residence about hypertension and its effects is properly disseminated.

Availability of organic remedy like garlic is available mostly in backyards.

Different beliefs and culture were mostly accepted as the cause of Hypertension

Due to old age hypertension made them incapable of working.

Barangay office disseminated proper health nutrition facts.

Health worker are assigned by the District health office to survey and give advice to those who have hypertension

Too much fatty food intake during occasions like fiestas, birthday, baptism.

Lifestyle changes

B. Community Health Care Plan

Goal/ Objectives Intervention/ Rationale Brgy. Bacan Cabatuan Iloilo, Shall help facilitate setting up of

people-managed health care system at the community level and ensure mechanisms of access for all levels and type of health care.

Shall contribute to building people’s health movement that will maintain and strengthen the gains of a people-managed health care system and that of the broader movement for social change.

Budget for 2014 focuses more on Health and Malnutrition for the children in the barangay. About about Php 75,600.00 was distributed.

We Conducted a Health and Environmental Program under the provision of DOH and private health organization, the Rotary Club Iloilo, last August 22,2014 for the prevalence of Dengue and other Medical needs.

Sanitation for the community is given focus by the decision of

33



Barangay health officers for the Rehabilitation of Canals and Drainage system. Budget from the local government unit was allotted Php 56,780.00

IX. Appendices

34



Meeting with Kagawad Ma. Merly C. De Guia

Ms. Gaitan and Ms. Cawagas Survey with this family

Mr. Escares Surveyed the owner of this Sari-Sari Store

35



Ms. Radela Interviewed Mrs. Salvacion Clavejo

36

Group discussion for Survey Forms



Ms. Flor interviewed the “Suman Vendor” Mrs. Nemia

37

Group Picture with Kagawad Ma. Merly C. De Guia

Documents

Community Public Health