Professional Documents
Culture Documents
DEPARTMENT OF HEALTH
Center for Health Development V
Legazpi City
COMMUNITY DIAGNOSIS
Submitted by:
2011 - 2012
I.
Introduction:
A. Rationale
B. Purpose
C. Objectives
1.
General Objectives
2.
Specific Objectives
D. Methodology
E. Scope and Limitations
II.
Historical Background
2.
Spot Map
B. Population Profile
1.
2.
3.
4.
Civil Status
5.
Religious Distribution
Educational Attainment
2.
Illiteracy Rate
a. Children who are Not Attending Elementary
b. Children who are Not Attending High School
3.
Occupational Status
a. Type of Occupation
b. Type of Business/ Industry
c. Nature of Employment
4.
5.
Housing
a. Type of Housing Structure
b. Households Who are Informal Settlers
D. Environmental Indicators
1.
2.
E. Health profile
1.
Nutritional Status
a. Malnourished Children 0 5yrs old
III.
Analysis of data
A. Identification of health problems
B. Prioritized problem identified
IV.
V.
Conclusion
VI.
Recommendation
VII.
Appendices:
A. Spot map
B. Survey questionnaire
C. Definition of terms
D. Letters
1.
Barangay officials
2.
Health center
3.
School
E. Organizational chart
1.
Barangay officials
2.
Health centers
Introduction
Community is defined as a group of people with common characteristics of
goals and shared interest living together within a geographical boundary, has a
population and environmental resources. Community is somehow divided into
different sectors like political sector in which they are considered as the leaders of
the community. Another sector is that cultural sector they are the ones responsible
for the cultural profile of their community, environmental sector they are for the
restoration of our forest and most importantly the health sector these are composed
of doctors and mostly nurses, they are the ones who can gave so much contribution
to reduce the mortality and morbidity rates. The health sector in the community
that intervenes for the improvement of the health of the community is known as the
Community Health Nursing.
According to the WHO CHN is a special field of Nursing that combines skills
of Public Health and some phases of social assistance and function as a part of the
total health program. For the promotion of health improvement in the conditions of
social and physical environment, rehabilitation of illness and disabilities.
According to the Department of Health, Community Health Nursing is a
unique blend of nursing and public health practice woven into human serviceIt is
not just all about caring and curing the sick but it is more on developing the
individual as part of the community. It is unique in such a way that the client has a
role in developing his own self. There is an open communication between the nurse
and the client thus, creating an atmosphere of interaction and understanding
between them. This is a big task for a nurse because it takes for a long period of
time for the preparations of intervention, equipments to use, the budget available,
the resources available and the most important of all the participation of the
community people in such activities that are planned to perform. The community
health nurses emphasize the possible disturbance of certain environmental factors
in the maintenance of a healthy living. The promotion and observance of different
health values may be affected by the social status of the community. Starting from
the health beliefs up to the dreaded health problems, all are being reflected by the
kind of community an area has. With that in mind, community diagnosis is being
held.
Community diagnosis, as part of Community Health Nursing that provides
basis for the health condition of the community. It is an overview of what possible
health problems affect the community as shown by certain factors and variables. It
imparts knowledge on the community health nurses on what aspect of health the
community is in crisis. Community diagnosis assesses the communitys health
status, thus providing hints on what and where the community health nurse must
focus to promote and further maintain health.
RATIONALE
PURPOSE
Survey and analyze the socio demographic profile, health needs and
concerns/ problems of the community including the sources of problems
identified.
To serve as data reference for the health care providers and as basis of
setting indicators for evaluation of health care.
Identify and evaluate the health resources, services and health care delivery
system available in the community and indicate the priorities for resource
allocation.
Analyze the cultural beliefs and practices of the community towards health,
and the attitude and probability of acceptance of the community towards the
implementation of the health programs.
OBJECTIVES
General Objectives
After six (6) months of community immersion, the community health nurses
deployed by the DOH should have assessed and acquired the essential
demographic, socio-economic-cultural, environmental, and health resources of the
municipality of Tiwi, Albay.
Specific Objectives
1. To establish rapport with the families in the community.
2. To obtain the communitys socio-demographic profile including its total
population, geographical distribution, and topography.
3. To observe and evaluate the environmental variables in the study
including water supply, garbage and excreta disposal, air supply/
ventilation, food storage, and structural housing that plays an important
role with the communitys health and wellness and detection of possible
sources of contamination and spread of infection.
4.
5. To identify the communitys health problems and needs, set the health
priorities and offer feasible solutions.
6. To identify the sources in the community that provides health services and
meet their health related needs, including the health care providers (i.e.
doctor/s, nurses, midwives, and BHWs) and the health care delivery
system available.
7. To recognize the communitys political and leadership that plays an
important role in community organization and assists and participates in
mobilization of health care delivery and services, and maintenance of
peace and order in the community.
8. To make people aware of social realities toward the development of local
initiative, optimal use of human, technical, and material resources, and
strengthening of peoples capacities through health empowerment.
METHODOLOGY
To formally start the Community Diagnosis, the group of nurses deployed by
the DOH in the municipality of Tiwi, Albay paid courtesy call with the Barangay
Captain and Officials of Brgy. Tigbi, the barangay chosen as the area of the study, to
ask permission from the barangay officials headed by Brgy. Chairman Nelson C.
Villanueva and to inform them about the purpose and objective of the community
survey.
Afterwards, the community nurses had an ocular observation to assess the
barangays environmental conditions and interview a total of 616 families as mere
representatives of Barangay Tigbi. This was done through convenient sampling
based on the availability of the household members. A survey questionnaire was
utilized to gather pertinent data about the socio-economic, cultural-demographic,
and environmental profile of the barangay. The data gathered were carefully tallied,
thoroughly analyzed, and were clearly interpreted in the construction of the
community diagnosis.
Due to time constraint, only the pertinent data were gathered and this will
merely serve as a basis to determine the health needs and problems of Barangay
TIGBI.
ZEPEDA,
PELAGIA S.
Brgy. Kagawad
RODRIGUEZ,
MARISTE T.
Brgy. Treasurer
MONFORTE,
ZANDRA A. Brgy.
Kagawad
CARULLA, JOSE C.
Brgy. Kagawad
TEMPLADO, LEE
DEMPSEY C.
Brgy. Kagawad
DACIR, ROLANDO C.
Brgy. Kagawad
TRINIDAD, FELIX
C.
Brgy. Kagawad
DA, RICHARD B.
Brgy. Kagawad
CLAUDIO,
BERNADETH A.
SK Chairman
CLUTARIO, ABEGAIL
SK Kagawad
CONSULTA, CRISTINA
R.
SK Kagawad
RODRIGUEZ,
CLARENCE
SK Kagawad
CARREON, ANNE
MARIE
SK Kagawad
LOSITAO, MARVIN
JOHN C.
SK Kagawad
COLIPANO, ROGELIO
JR.
SK Kagawad
Fig. 2 Organizational
Chart of Brgy. Tigbi
GEOGRAPHICAL IDENTIFIERS
Historical Background
During the Spanish Times, the place where the town proper is located was referred
to as EL Pueblo. This was so until the 1900s.In 1960 R.A. No. 2370 was enacted
into law authorizing the creation of Barrios headed by a barrio lieutenant to be
elected. El Pueblo became a barrio and Mr. Cipriano Competente was the first
barrio lieutenant to be elected. However, the name El Pueblo has been replaced
by TIGBI as the official name of the barangay through the efforts of the late OIC
Mayor Jose Templado and the late Mayor Oriel Clutario. TIGBI is the old legendary
name of the municipality.
Physical Characteristics
BARANGAY TIGBI is located at the main commercial district of the town or it
is the heart of the town, having only .55km or 54.8 hectares of the total land area
of the municipality of Tiwi, province of Albay. Surrounded by brgy. Libjo at the north,
brgy Libtong at the west, brgy Oyama at the southwest, brgy. Gajo at the south,
brgy Baybay at the east and brgy Bolo with a small portion located at the north
east. 100% flat land occupied mainly by commercial establishments at the near
center of the Municipal plaza where the municipal building and other government
offices located, and residential houses divided by puroks including a subdivision,
theres also a creek on the north side and at the south that cross the national road.
including pre-schools and kindergarten. Theres only one private school here in
barangay Tigbi that offers secondary school, other high school students had to find
their choice other barangay which mostly public school.
Here also located the Municipal Rural health center under LGU, Headed by a
Municipal Health Physician, and medical staffs that treats all kinds of non serious
illness, conduct medical checkups including pregnant women, they also had here a
maternity rooms for child deliveries, a laboratory for medical examination, other
services given was issuance of medical clearances, referrals and papers that
pertains medical status.
Waste Management
There was a project created by the barangay council for waste management
several years ago, but due to limited fund it was put aside to give way to priority
projects.
including the presence of the PNP personnel. The situation is quite peaceful except
during public celebrations, that needs the utmost cautions.
POPULATION PROFILE
This socio-economic Profile is Copyright from Community Based Management
System 2011; Municipal Planning & Development Office, LGU- Tiwi , Albay
POPULATION
PUROK
Total
Percentage
Male
Percentage
Female
Percentage
640
22.68
314
22.43
326
22.92
Sex
Ratio
96.31
361
12.79
177
12.64
184
12.94
96.19
226
8.01
114
8.14
112
7.88
101.78
123
4.36
60
4.29
63
4.43
95.23
118
4.18
59
4.21
59
4.15
100
312
11.06
149
10.64
163
11.46
91.41
203
7.19
101
7.21
102
7.17
99.01
546
19.35
269
19.21
277
19.48
97.11
293
10.38
157
11.21
136
9.56
115.44
Total
2822
100
1400
99.98
1422
99.99
98.45
PUROK
1
2
3
4
5
6
7
8
9
TOTAL
Total
136
70
57
27
34
64
43
125
60
616
HOUSEHOLD
Percentage (%)
22.07
11.36
9.25
4.38
5.51
10.38
6.98
20.29
9.74
100
AVERAGE
HOUSEHOLD SIZE
5
5
4
5
3
5
5
4
5
5
Sex Dependency
Sex dependency ratio compares the number of economically dependent (0
14 years old) with the economically productive group (15 64 years old) in the
population in relation to sex.
The sex dependency ratio for 0 14 years old totaled to 917 (32.51%),
consisting of 473 males and 444 females. For 15 64 years old, it totaled to 1,748
(61.96%), consisting of 865 males and 883 females. Finally, for the ages 65 and
above, it totaled to 156 (5.53%), which consist of 62 males and 94 females.
According to the data shown on the tables and figures below, the ages 15
64 years old, which consists of the economically productive age group, composed
the bulk of the population. This is followed by the less productive age group of 0
14 years old, which composes more or less half the number of age group 15 64
years old. The least number belonged to the ages 65 and above, who composes the
elderly/ senior citizens. Which means that there are more productive people than
children and elderly.
Of all the members of the age-group 15 64 years old, the females
outnumbered the males, which means there are more productive females than
males.
This data suggests that those who are within their productive years (15 64
years old) are busy people who put greater priority on their occupation. Since there
are more productive women than men, and with the low number of dependents
(ages 0 14 years old) this suggests that they maintain their number of
dependents to a minimum, primarily because of the difficulty of working while
taking care of their children.
0 - 14yrs
old
SEX
TOTAL
PERCENTA
GE
(%)
MALE
PERCENTA
GE
(%)
FEMAL
E
PERCENTA
GE
(%)
917
32.51
473
33.79
444
31.25
15 - 64yrs
old
1748
61.96
865
61.79
883
62.14
65 above
156
5.53
62
4.43
94
6.61
2821
100
1400
100.01
1421
100
TOTAL
Civil Status
There are 1665 (59.04%) singles, composed of 866 males and 799 females;
962 (34.11%) are married, composed of 472 males and 490 females; 123 (4.36%)
are widow/widower, composed of 29 males and 94 females; 24 (0.85%) are
divorced/ separated, composed of 8 males and 16 females; 36 (1.3%) are commonlaw/ live-in, composed of 18 males and 18 females; and 10 (0.35%) are unknown in
status, composed of 10 males and 4 females.
CIVIL
STATU
S
SEX
TOT
AL
PERCENT
AGE
MA
LE
PERCENT
AGE
FEMA
LE
PERCENTAGE
1665
59.04
866
61.9
799
56.2
Married
962
34.11
472
33.7
490
34.5
Widow/
er
123
4.36
29
2.1
94
6.61
Divorce
d/
Separat
ed
24
0.85
0.57
16
1.12
Commo
n Law/
Live-in
36
1.3
18
1.28
18
1.26
Unknow
n
10
0.35
0.43
0.28
TOTAL
282
0
100.01
139
9
99.98
1421
99.97
Single
Table 4. Civil
Status by Sex
Fig. 6a.
Civil Status
by Sex
Fig. 6b.
Civil
Status
Percentag
e
Religion
There are a total of 2,777 (98.5%) Roman Catholics, composed of 1,374
males and 1,403 females; 9 (0.3%) Protestants, composed of 7 males and 2
females; 9 (0.3%) members of Iglesia ni Cristo, composed of 5 males and 4 females;
11 (0.4%) Muslims, composed of 5 males and 6 females; and 14 (0.5%) belonging to
other sects, composed of 8 males and 6 females.
SEX
TOT
AL
PERCENT
AGE
MA
LE
PERCENT
AGE
FEMA
LE
PERCENT
AGE
Roman
Catholic
2777
98.5
137
4
98.2
1403
98.7
Protesta
nt
0.3
0.5
0.1
Iglesia
ni Cristo
0.3
0.35
0.3
Islam
11
0.4
0.35
0.4
Others
14
0.5
0.6
0.4
282
0
100
139
9
100
1421
99.9
Aglipay
None
TOTAL
SOCIO-ECONOMIC INDICATORS
Educational Attainment
There are 467 (17.6%) College Graduates; 437 (16.5%) Elementary
Undergraduates; 382 (14.4%) High School graduates; 358 (13.5%) College
Undergraduates; 325 (12.3%) High School Undergraduates; 253 (9.6%) Elementary
graduates; 195 (7.4%) unschooled/ uneducated; 91 (3.4%) PS graduates; 62 (2.3%)
finished Nursery/Kinder/Preparatory school; 37 (1.4%); 31 (1.2%) are PS
undergraduates; and the remaining few consist of 2 individuals who have reached
Post Graduate studies, and 5 individuals graduated with Masters/Doctoral degree.
Educational
Total
Attainment
Percent
a
g
e
No Grade
195
7.4
Day Care
37
1.4
Nursery/Kinder/Prepar 62
atory
2.3
Elementary
437
Undergraduate
16.5
9.6
HS Undergraduate
325
12.3
HS Graduate
382
14.4
PS Undergraduate
31
1.2
PS Graduate
91
3.4
College
358
Undergraduate
13.5
College Graduate
17.6
467
With Units in
2
Masters/Doctor
al
Masters/Doctoral
Degree
TOTAL
0.2
2645
99.8
Illiteracy Rate
Distribution
Purok
Number of Persons 10
yrs old and Above
Total
Male
2215
1078
Magnitude
FemaleTotal
1137
Male
24
Proportion
Female
10
14
Total
1.08
Male
0.93
Female
1.23
504
243
261
0.79
0.82
0.77
275
131
144
1.09
0.76
1.39
176
91
85
3.41
3.3
3.53
94
42
52
4.26
2.38
5.77
97
45
52
253
124
129
0.79
1.55
160
79
81
425
203
222
0.71
0.49
0.9
230
120
111
0.87
1.67
Table 8. Children 6-12 yrs old who are Not Attending Elementary School by Sex, by
Purok
Purok
Number of Children
6-12 yrs old
Magnitude
Proportion
Total
Male
Femal
e
Total
Male
Femal
e
439
236
203
71
34
86
46
40
16
70
38
32
28
11
29
Total
Male
Female
37
16.1
7
14.1
4
18.23
11
18.6
23.91
12.5
12.86
13.16
12.5
17
14.29
9.09
17.65
18
11
10.34
27.27
14
7.14
11.11
40
23
17
10
25
17.39
35.29
33
15
18
6.06
11.11
88
48
40
13
14.77
8.33
22.5
51
28
23
13
25.49
28.57
21.74
Occupational Status
Type of Occupation
From a total of 766 employed persons (462 males and 304 females), a total
magnitude of 30 (20 males and 10 females) or equivalent to a total proportion of
3.92 (4.33 males and3.29 females) are employed as officials of government and
special-interest organizations, corporate executives, managers, managing
proprietors and supervisors; a total magnitude of 105 (41 males and 64 females) or
equivalent to a total proportion of 13.71 (8.87 males and 21.05 females) are
employed as physical, mathematical and engineering science professionals; a total
magnitude of 52 (48 males and 4 females) or equivalent to a total proportion of
6.79 (10.39 males and 1.32 females) are employed as technician and associate
professionals ; a total magnitude of 61 (25 males and 36 females) or equivalent to a
total proportion of 7.96 (5.41 males and 11.84 females) are employed as clerks; a
total magnitude of 108 (61 males and 47 females) or equivalent to a total
proportion of 14.1 (13.2 males and 15.46 females) are employed as service workers
and shop and market sales workers ; a total magnitude of 22 (22 males and 0
female) or equivalent to a total proportion of 2.87 (4.76 males and 0 female) are
employed as farmers, forestry workers and fishermen; a total magnitude of 147 (67
males and 80 females) or equivalent to a total proportion of 19.19 (14.5 males and
26.32 females) are employed as trades and related workers; a total magnitude of 27
(22 males and 5 females) or equivalent to a total proportion of 3.52 (4.76 males and
1.64 females) are employed as plant and machine operators and assemblers; a total
magnitude of 181 (134 males and 47 females) or equivalent to a total proportion of
23.63 (29.00 males and 15.46 females) are employed as laborers and unskilled
workers; and lastly, a total magnitude of 33 (22 males and 11 females) or
equivalent to a total proportion of 4.31 (4.76 males and 3.62 females) are employed
as having special occupations.
Nature of Employment
From a total of 766 employed members of the labor force (462 males and 304
females), a total magnitude of 556 (307 males and 249 females) or equivalent to a
total proportion of 72.58 (66.45 males and 81.91 females) are employed as
permanent employees; a total magnitude of 182 (132 males and 50 females) or
equivalent to a total proportion of 23.76 (28.57 males and 16.45 females) are
employed as short-term, seasonal or casual employees; and a total magnitude of 28
(23 males and 5 females) or equivalent to a total proportion of 3.66 (4.98 males and
1.64 females) worked on different jobs on day-to-day or week-to-week basis.
Nature of
Employme
nt
Number of
Employed
Members of the
Labor Force
Total Male
Femal
Total
e
Magnitude
Male
Femal
Total
e
Proportion
Male
Female
766
462
304
Permanent
556
307
249 72.58
66.45
81.91
Short-term,
seasonal or
casual
182
132
50 23.76
28.57
16.45
Worked on
different
jobs on day
to day or
week to
week
28
23
4.98
1.64
3.66
Table 21. Employed Members of the Labor Force and Their Nature of Employment
This data shows that the largest number of households in Barangay Tigbi are
located within Purok 1 and 8, which also have the most number of households with
a family income below poverty threshold.
Purok
Number
of
Househ
olds
616
Households with
Income Below
Poverty Threshold
Magnit Proporti
u
on
d
e
261
42.37
136
55
40.44
70
44
62.86
57
20
35.09
27
29.63
34
13
38.24
64
28
43.75
43
18.6
125
57
45.6
60
28
16.57
a
a
a
a
a
a
Number
of
Househol
ds
Households with
Income Below Food
Threshold
Magnitud
e
Proportio
n
166
26.95
616
136
37
27.21
70
34
48.57
57
10
17.54
27
18.52
34
23.53
64
15
23.44
43
11.63
125
33
26.4
60
19
31.67
Purok
Number
of
Househ
olds
Households who
Experienced
Food Shortage
Magnit
u
d
e
Proport
io
n
45
7.31
616
136
10
7.35
70
14
20
57
5.26
27
34
12
35.29
64
7.81
43
125
0.8
60
Housing
Type of Housing Structure
The data shows that there are 437 houses made entirely of full concrete, 113
houses made of half-wood and half-concrete, 57 houses made of bamboo/nipa, and
10 households made of makeshift housing.
Type of Housing
Structure
Makeshift Housing
Bamboo/ Nipa hut
Number of
Households
10
57
Half-wood,
HalfConcrete
113
Full Concrete
437
TOTAL
617
136
Settlers
(By
Purok)
1
70
57
27
34
64
43
125
ld
TOTAL
60
0
Table 17. Number of
616who are 10
Households
ENVIRONMENTAL INDICATORS
Source of Drinking
Water
Total
Percentage
Level 3
597
92.56
Level 2
37
5.74
Level 1
11
1.70
TOTAL
645
*Level 3:
Community water system
(owned)
*Level 2:
100
*Level 1:
Shallow/Deep Well
136
Households
Without Access
to Safe Sanitary
Toilet Facility
1
70
57
27
34
64
43
125
60
Purok
TOTAL
Number of
Household
616
16
Fig. 21. Number of Households without Access to Safe Sanitary Toilet Facility by Purok
HEALTH PROFILE
Nutritional Status
Malnourished Children 0 5 yrs old
There is a total magnitude of 20 (11 male and 9 female) out of 358 children
(183 males and 175 females) aged 0 5 years old, with a total proportion of 5.59
(6.01 males and 5.14 females) who are malnourished throughout Barangay Tigbi.
Out of this number, a total magnitude of 6 (3 males and 3 females) out of 87
children (45 males and 42 females) aged 0 5 years old, with a total proportion of
6.9 (6.67 males and 7.14 females) from Purok 1; a total magnitude of 9 (4 males
and 5 females) out of 50 children (24 males and 26 females) aged 0 5 years old,
with a total proportion of 18.00 (16.67 males and 19.23 females) from Purok 2; a
Number of Children
0-5yrs old
Purok
Magnitude
FemaleTotal
Male
Proportion
Total
Male
FemaleTotal
Male
Female
87
45
42
6.9
6.67
7.14
50
24
26
18
16.67
19.23
36
19
17
14
11
9.09
16.67
33
10
23
25
16
6.25
11.11
63
37
26
3.17
5.41
39
20
19
TOTAL
358
183
175
20
11
5.59
6.01
5.14
Number of
Maternal Mortality
Child Births
(Pregnancy-related
Fig. 22. Malnourished Children
0 than
5yrs old
Percentage
(Less
1yr
MORBIDITY
AND
Puro
deaths)
Distribution
old)
MORTALITY DATA
k
Pregnancy-related
Deaths
There is a total of 64
births which included the
following: 21 (0.33%) from
Purok 1; 10 (0.16%) from
Purok 2; 8 (0.125%) from
Purok 3; 2 (0.03%) from
Purok 4; 4 (0.06%) from
Purok 6; 3 (0.05%) from
Purok 7; and 10 (0.16%)
from Purok 8; and 6 (0.09%)
from Purok 9. Among these
births, there has been no
reports of maternal/
pregnancy and birth-related
deaths of women.
Percenta
ge
Tota
l
Magnitud
e
Proportio
n
0.33
21
0.16
10
0.125
0.03
0.06
0.05
0.16
10
0.09
TOTA
L
1.005
64