Virgen Milagrosa University Foundation

College of Medicine
San Carlos City, Pangasinan

Community Medicine
Barangay Guelew, SCCP
March 2014

Members:
Acharya, Ram Krishna
Avinash, Appu Jha
Deo, Sulav
Lama, Karjome
Milo, Brendalyn
Tapay, Windy

Introduction
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A community is a social unit where people share some attributes of their lives
and interact with each other in some ways. It is a group of people sharing common
geographic boundaries and common values and interest. Hence, community is
considered as the primary client because it has direct influence on health of the
people. Most service provision occurs in the community. It is also in the community
where the need for health care and protection occur.
Community diagnosis generally refers to the identification and quantification
of health problems in a community as a whole in terms of mortality and morbidity
rates and ratios, identification of this correlates for the purpose of defining those at
risk or those in need of health care. It helps in finding the common problems or
diseases, which are troublesome to the people and are easily preventable in the
community. Hence, it is a process by which the health management committee
members and health staff begin to learn about the community health problems,
needs and concerns as well as the determinants of these problems. It involves
comprehensive assessment of physical, social, cultural, economic, environmental
and biological status of community in order to identify problems regarding health
and set priorities for program development.
Rationale
The basic rationale for this study is to alleviate the communitys health
problems that can be done by determining the current health status of the
community in order for the people to achieve the optimum health as directed by
World Health Organization i.e. Universal Health for Care. This aids the people in the
community to practive their knowledge and skills with discipline, accuracy and in
logical manner like on contributing to the improvement of the condition of their
locality. The community, as the center of this study provides them to do their
respective role in the field of health care as a responsible citizen.
By such survey, the health concerns of the community are highlighted and
hence some helpful plans or actions can be made in order to provide necessary
information to prevent the occurrence of health problems, to plan for possible
solution to aid the existing problems and maintain a good quality of life.
Community diagnosis not only help the local people but also help the
students to get the exposure to the real-life situations thus developing their
decision-making skill and learn how to deal on different people and situations in a
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right and ethical manner. In short, community diagnosis helps to raise the level of
health dissemination on the community. Also it helps the researchers and the local
people to maximize their potential and to render the services on educating how to
prevent the disease, promote health and organize and participate on the
development of health plans that will benefit the community to attain optimum
health to individuals, families and communities.
History
Like the history of some barangays, Guelew could hardly trace back its origin.
According to the folks, they called the said barangay Guelew, a pangasinan term
for mixture because during that time many people coming from different places like
Ilocus, Cagayan, Visayas, etc migrated to this place and established their residence
here so old folks called this place Guelew.
Vision
It is envisioned in Barangay Guelew that every people becomes self-reliant,
humbly one, upright citizens, god-fearing, peace-living, healthy and not drug
defenders under dynamic and committed leaders.
Mission
The mission of barangay Guelew is totally geared in empowering individual to
worthy members of the community and the society. To serve and render service,
implement rules and regulations and facilitate the accomplishment of infrastructure
projects and others for the benefits, fairness and goodness of the constituents of
the barangay.
Setting of the Community
Barangay Profile
Barangay Guelew is one of the barangays of San Carlos City, Pangasinan. It is
situated southeast from town proper, bounded by Tamayo on the West, Anando on
the North, Caoayan-Kiling on the East and Malibong and Supo on the South. The
Agno River is its boundary with Aguilar town. It has a land area of 2.88 sq. km and a
projected population of 3,059 as of 2006. The total land area is 2.88 sq.km. There
are pitched-type, well paved roads. So, the means of transportation are jeepney and
motorcycled tricycle.
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The houses in this barangay are made of concrete or nipa (Palm). The
distance between the houses is less than 100 meters. The most common water
source is shallow well. There is a day care center, an Elementary school and a High
School. There is a Basketball Court built within the Barangay Plaza. There is a
Barangay Hall where the monthly meetings are conducted. A health station is
established which is the first place for the consultation of any illness. It also
provides other health services like Immunization, Pre-Natal Check-ups, Postpartum
care, Family Planning services, etc.
A. Geographic Profile
The Barangay Guelew is 10 kilometers away from Cento/Poblacion bounded
by the following barangays:

North: Barangay Anando

South: Barangay Supo
East: Barangay Caoayan-Kiling
West: Barangay Tamayo
The total land area is 693.90 hectares

B. Socio-Economic Profile
Occupation: Farming (rice, corn, and vegetables), Poultry, Fishery
Religion: Roman Catholic
C. Transportation
Their means of transportations are jeepneys and motorized tricycles.

The Spot map of Barangay Guelew is as follows: (on the next page)

Index:
N------North: Barangay Anando
S------South: Barangay Supo
E------East: Barangay Caoayan-Kiling
W------West: Barangay Tamayo

I.

Population
Total population: 3,750
Number of males: 1,500
Number of females: 2,250
Number of families: 850
Number of households: 800

Sex Ratio

No. of males
= -------------------------- X 100%
No. of females
1500
= ------------------ X 100%
2250
= 66.67 ~ 67

Sex Ratio of Adult Population

751
------------------ X 100%
949

= 79.1 ~ 79
772
Sex Ratio of Children Population = ------------------ X 100%
694
= 111.2 ~ 111
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Sex Ratio of Elderly Population

89
=------------------ X 100%
129
= 68.9 ~ 69

Analysis:
Based from the computation above, the Barangay Guelew has a sex ratio of
67 males to every 100 females in the overall population. As in adult, the ratio is 79
males to 100 females, 111 males to 100 females in children and 69 males to 100
females in elderly.
Table 1. Number of population as to age and sex distribution
Age
0-1
2-5
6-13
14-49
50-59
60 and above

Female
158
162
354
779
380
129

Male
162
159
446
632
300
89

Total
320
321
800
1411
680
218
3,750

%
8.5
8.6
21.3
37.6
18.2
5.8
100.0

Analysis:
Based on the data presented above, the majority population falls in the age
group 14 49 years old and female population is higher than male. In general, it is
the Reproductive age group.
Table 2. Mortality and morbidity
Mortality

2011
2

2012
3

2013
2

Morbidity

Infant mortality
Maternal mortality

1
0

2
1

0
0

Leading Causes
Hypertension
Cardiovascular disease
Hypertension
Cardiovascular disease

Analysis:
Based on the data presented above, mortality and morbidity cases in 2013
are similar as in 2011 and 2012. But the infant mortality and maternal mortality in
2013 has been decreased to Zero.
Social Profile
The types of family in Barangay Guelew are mostly nuclear type with few
expanded type. Most of the population is Roman Catholic. Others are Iglesia ni
Cristo, Born Again Christian.
Economic Profile
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A. Occupation:
The main occupation as a source of income is Agriculture. i.e. Farming rice,
corn, and vegetables. Other sources are Poultry, Fisheries, etc.
B. NHTS-PR
Number of population belonging to Q1: 208
o Number of members receiving CCT: 147
o Number of member not receiving (lost cash card): 2
o Number of members on waiting list: 59

Educational Attainment Profile

There is 1 Day Care, 1 Elementary School and 1 High School. The main
languages taught in the school are English, Filipino, Ilocano, Pangasinan

No. of Children in Day care: 144

No. of Students in Elementary Level: 691
No. of Students in Secondary Level: 291
Level
Day
care
I
II
III
IV
V
VI
VII
VIII
3rd year
4th year

Mal
e
73

Femal
e
71

Tota
l
144

67
78
67
70
65
48
44
24
32
25

59
58
60
45
40
34
50
25
39
33

126
136
127
115
105
82
94
49
73
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Environmental Profile
A. Water Source
1. Deep well: < 5 families
2. Shallow water: 35 families
B. Garbage Disposal
o Burning: most commonly used
o Compose pit: none
o Open-dumping:
o Others:
C. Excreta Disposal
o Water-sealed type: most commonly used
o Flushed-typed: < 10 households

Health Profile
A. Prenatal check-up: 99
Number of home delivery: 33
o Assisted by hilots: 32
o Assisted by midwifes: 1
Number of hospital delivery: 27
Number of delivery in clinic: 9
Number of abortion: 1
B. Immunizations:
VACCINE
BCG
1)PENTA 1
PENTA 2
PENTA 3
2)POLIO 1
POLIO 2
POLIO 3
C. HEPA B1
1)HEPA B2
2)HEPA B3
3)ANTIMEASLES

Frequenc
y
115
122
106
93
112
106
109
19
1
1
53

Sick children:
Cases of Diarrhea
Female: 10
Male: 21
Cases of Cough and Colds
Female: 2
Male: 2
Family Planning
Pills: 33
Lactation Amenorrhea Method (LAM): 10
BTL:3
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4) DMPA: 3
D. Herbal Medicines
1) Oregano
2) subusob
3) dangla
4) Guava leaves
5) Camias leaves

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SUMMARY AND CONCLUSION

A Community is a collection of people who share some attribute of their lives
and interact with each other in some way. Community diagnosis is a method of
interaction among the health officials and the local people in the community. It
has been always profitable method to know about the community, the lifestyle,
the behavior and the way of living of the people.
This study has revealed that the barangay Guelew has following problems
identified by the researchers:

Low levels of income

Poor housing facilities as most of the houses were made of Nipa for the
indigent people

Unhygienic source of water

Ignorance about the factors like water treatment, garbage disposal,

excreta disposal, etc.

On the basis of the findings of the study, the following recommendations are
proposed:
1. Carryout Health Promotion and preventive activities like community health
education on
o

use of mosquito nets to prevent dengue, malaria or other mosquitoborne diseases,

attending antenatal clinics to promote maternal and child health

educating about the importance of vaccinations and immunizations

2. The number of outreaches should also be increased to create more

awareness on the importance of clearing bushes from homes, covering the
pits, removing the stagnant water from the ditches, increasing sanitation.
3. The overcrowding in the houses was caused by too many children within the
same household. Therefore, it can be recommend that the health stake
holders educate people about family planning and child spacing and their
advantages, and encourage people to carry them out.
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4. Local leaders should ensure proper house construction to promote proper

sanitation.
5. Health stakeholders should encourage members to go for routine medical
checkups by telling them the advantages of the act.

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