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Introduction:

Family Planning is a national mandated priority public health program to attain the country's national health development: a health intervention program and an important tool for the improvement of the health and welfare of mothers, children and other members of the family. It also provides information and services for the couples of reproductive age to plan their family according to their beliefs and circumstances through legally and medically acceptable family planning methods (DOH). This program is one of the most cost-effective health interventions used by many developed and developing countries. For decades, research has shown that for a relatively modest investment, family planning saves lives and improves maternal and child health. Although it seems intuitive that investing in family planning would also lift families out of poverty by helping poor women have fewer children, there have been relatively few studies to shed light on this relationship. The World Health Organization (WHO) said it is important for the Philippines to have a legislated policy on family planning to make the program sustainable, because the Philippines will not maximize or will not achieve its potential in socio-economic development without having a very clear policy on reproductive health. In the seemingly never-ending discussions and debates whether or not the Reproductive Health (RH) Bill should be passed in Congress, the side shows became more entertaining than the main feature, making it HEALTHbeats Top Health News of 2011. Many stood and are still standing for what they truly believe in on the controversial issue, while many others are in the issue just for the pleasure of grandstanding. The researchers think that in a society such as ours, where many men and women opt for professional careers or must work for economic reasons, Family Planning and Birth Control or contraception is seen as a necessity. Ideally, with the practice of effective family planning, users may have successfully avoided unwanted pregnancies, spaced their pregnancies or births and, thus, had only as many children as they thought they could afford. This study was done last September 18-21, 2012 by conducting a survey among 12 families in Barangay Manggahan, Pasig City by the level III section 1 students of Arellano University- Pasig. This research aims to: Assess the degree of understanding and acceptance of a specific community on matters that are associated with Family Planning and/or RH Bill; Determine the status and effectivity of Family Planning Programs, Know if there is a need for further teaching regarding natural, artificial and permanent contraceptive methods Suggest a cost effective program that will benefit the whole community from thereafter.
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Organizational Chart Baranggay Manggahan, Public Health Center- Main

Dr. Jose Bowen C Poblete, RHP

* *

Dentists: M.T. Decano, DMD Alma Bejarin

Nurse: Rosemarie Arciga

Midwives: Emelda Nade, RM Lorna Tabermejo, RM Judith Candelaria Renato Gonzales Jane Mendenilla Estela Fullente Rosalia Javillo

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Data or Status of Family Planning:

The National Statistics Office (NSO) has noted that the unmet needs of married women regarding family planning (FP) remain high. Fortunately for Barangay Manggahan, according to Barangay Captain Hon. Bobby Bobis and as well as maam Lorna Tabermejo, RM; Implementation of Health Care Programs has been and will always be among their top priorities, that as a result, with the exception of 1-out-of-10 clients whose interest for family planning and use of contraceptives are lacking, and those who does not heed the advice given by health care providers due to non-evidence based/traditional hearsays; the Family Planning Program in their Barangay, due to their efforts was quite effective because the barangay health team is ready to teach, family planning kits and supplies are readily available and, more and more persons are informed about the program and are given the chance to freely choose such methods that they prefer, in fact, the previous birth rate decreased by 0.007%; though there were no previous data has been shown as a baseline for us to compare the recent statistics with. Having all of these in mind the administration of Barangay Manggahan especially the public health care providers emphasized that they will strive to improve their strategies for a more effective family planning program, along with their efforts to keep the peace and order of the place, for the benefit of their constituents, to live by its theme: True Public Service.

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Results, Data Tabulation and Analysis: Table 1.0 Shows the number of male and female respondents for the survey done in Brgy. Manggahan:

Sex Female Male Total:

Number 9 3 12

Percentage 87.5 12.5 100%

no. of interviewees
males 13%

females 87%

Analysis: This result only proves the fact that although there are a number of fathers who are willing to participate in handling matters with regards to family, Still, traditionally speaking, mothers are still those whom you can run to, when it comes to getting information about family matters, because most of them, having been left to care for their children know what goes and comes back around inside the household; furthermore this result also gives us an overview that much of the burden for family planning and birth control has fallen on womens shoulders.

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Table 1.1 Shows the respondents concept of understanding with regards to the definition of Family Planning: (Respondents were asked to write all that applies)

Concept Responsible Parenthood Use of Contraceptives Total:

Number of Response 9 3 12

Percentage 100 12.5 100%

Concept

Responsible parenthood 89%

Other 11%

use of contraceptives 11%

Analysis: The above results that the degree of understanding on Family Planning of most Respondents is positive, meaning Responsible Parenthood and use of contraceptives has been the definitions they commonly associate with Family Planning; When asked on how and where do they get information about family planning, respondents would often point hospitals, public health centers and media.

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Table 1.2 Shows the readiness/openness of the respondents to family planning:

Willing Unwilling Total:

Number 11 1 12

Percentage 95.8 4.2 100%

Analysis: this shows that, nowadays more and more couples are informed that there is a need for control of population growth therefore they are open to the idea of family planning.

Table 1.3 Shows the side taken by the respondents with regards to RH Bill:

Pro Anti Neutral Total:

Number 10 1 1 12
neutral, 4.2 anti, 4.2

Percentage 91.6 4.2 4.2 100%

Pro, 91.6

Analysis: This result shows that although there are a lot of people who are in favor of the RH bill, there are still individuals who are not in favor/neutral about the bill.
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Table 1.4 Shows the respondents concept of understanding about the RH Bill:

Concept Law that provides comprehensive policies for responsible parenting, reproductive health, and popln. and devt. Abortion No idea Total:

Number

Percentage

10

91.6

1 1 12

4.2 4.2 100%

Analysis: the results provided above support the data presented on table 1.3 because it shows that though more people understand the whole concept of the bill there are still individuals who are either misinformed or does not have any idea at all. Table 1.5 Shows the average number of children each of the 12 respondents families has:

Number of Children/Family 1 2 3 6 9 Total:

Number 3 4 3 1 1 12

Percentage 12.5 66.6 12.5 4.2 4.2 100%

Analysis: The above results show that the average number of children per family is 2. Table 1.6 Shows the average range of the number of children preferred by the respondents:

Range 2-3 3-4 Total:

Number 10 2 12

Percentage 91.7 8.4 100%

Analysis: the results above, show that the average number of children preferred by most respondents is 2-3 children, furthermore it shows that there is an unmet need for birth spacing and for limiting births.

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Table 1.7 Shows the number of respondents who chose to use contraceptives vs. number of those who do not use any:

Choice Yes No Total:

Number 10 2 12

Percentage 91.7 8.4 100%

Analysis: the table above expresses that there is a great difference between those who prefer the use contraceptives and those who does not. Table 1.8 Shows the Preferred Method of Contraception: Method Natural
(calendar method, withdrawal) Artificial (condoms, pills, IUD) Permanent (tubal ligation)

Number 3 5 2 10

Percentage 12.5 70.8 8.4 91.7%

Total:

Analysis: The results above show that more couples opt for artificial contraceptives with 70.8%, and having the use of birth control pills as the most common method chosen, though there are a lot of birth control products in the market, this only proves that much burden for the birth control is shouldered by women.

Table 1.9 Shows the average length of time, since the preferred method was used by the respondents:

Time <1 year 1-2 years 3-4 years 5 or more years Total

No. 1 3 1 5 10

Percentage 4.2 12.5 4.2 70.8 91.7%

Analysis: The results above signifies that more couples are using their preferred method of contraception for the past few years.

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Table 1.11 Shows the respondents answers with regards to the suitability of their chosen family Program: Answers Yes No (due to side effects such as headache, nausea and vomiting, weight gain etc.) Total No. 8 2 10 Percentage 83.3% 8.4% 91.7%

Analysis: The results signify that though most respondents find their method of choice as suitable, there is still a number of those who are not satisfied with their method therefore causing them to stop, without consulting their primary care provider.

Table 1.12 Shows the number of wives or husbands or both who has decided for their chosen family planning method: Wife Husband Both Total No. 1 1 8 10 Percentage 4.2 4.2 83.3 91.7%

Analysis: the table shows that more couples decide on and get involved in family planning.

Table 1.13 Shows the satisfaction the respondents are experiencing with regards to their chosen method:

Answer Yes No Total

No 8 2 10

Percentage 83.3% 8.4% 91.7%

Analysis: the results above shows that though specific methods may not please everybody, theres still a great number of those who are satisfied with the outcome of their chosen methods.

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To ease the main problem that 1-out-of-10 clients whose interest for family planning and use of contraceptives are lacking, and those who does not heed the advice given by health care providers due to non-evidence based/traditional hearsays; the researchers have thought of a simple program:

Costing For a Seminar towards an Enhanced Family Planning Program

Venue: Brgy. Manggahan Main Health Center Parking Lot No. of Participants: 100 (50 fathers, 50 mothers) Activities: health teaching (1 hr). break parlor games (15 minutes) continuation (35 minutes) break refreshment/snack (15 minutes) continuation Q & A (25 minutes) closing program distribution of free condoms and pills (30 minutes)

Facilitators/Lecturer: 4 (2 ladies, and 2 gentlemen) Time Frame: 3 hrs Costs: jeepney fare to and from: 8.50 min x 4 x 2 fare: Php 138.00 tent rental & LCD Projector rental: 800 table: 50 each x 4= 200 Php monobloc chair: 20 each x 104= 2,080 Php food and beverages: Php8320 at 80 pesos each for 104 pax condoms: 25.00 x 50= 1250 pills: 45 x 50 = 2250 Total= Php 15,036.00

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Appendix II: Time Table: Below are the Researchers Schedule of Activities: Courtesy Call and giving of Communication Letter to Brgy. Chairman: September 18, 2012 Distribution of Questionnaires/Interview with respondents/Survey Proper/ Taking Pictures of the community: Sept. 18-21 2012 Interview with Brgy Chairman: September 21,2012 Interview with Brgy. Chairman and Public Health Center Family Planning Program in charge: September 21,2012 Tabulation and Analysis: Sept. 22-23, 2012 Distribution of Tasks: Communication Letter: Ramos, Kimberly G. Formulation of Survey Questionnaire: Barraza, Andrew & Pion Leonardo Survey Interviewers: Barraza, Andrew; Belaro, Esthefany & Pion Leonardo Interview with Brgy. Chairman & Midwife: Barraza, Andrew & Ramos, Kimberly G Costing: Barraza, Andrew & Ramos, Kimberly G Tabulation: Ramos, Kimberly G. Photography: Ramos, Kimberly G.

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Appendix I: Communication Letters

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