DR. JOSE R.

REYES MEMORIAL MEDICAL CENTER

Manila Health Department

COMMUNITY DIAGNOSIS
Barangay 443, Zone 44, District IV

September – October 2017

In partial fulfillment of the Requirements for

Post Graduate Medical Internship

Community & Family Medicine Rotation

September – October 2017

F. Legarda Health Center, District IV, Sampaloc, Manila

Ralph Kevin S. Dimalanta, MD

Post Graduate Medical Intern

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 TABLE OF CONTENTS

Acknowledgements………………………………………………………....…….3

Introduction………………………………………………………………..…….....4

Rationale……………….…..…………………………………………..………..….5

Objectives……………….…..……………………………………..……………….5

Methodology …………………………………………………………...…..…...…6

Limitations of the Study……………………………………………….......…….6

Discussion……………………………………………………………………..…..7-23

Summary & Conclusion………………………………………………..………..23

Problems Identified………………………………………...…………...………..23

Recommendations…………………………..………………………..…………23-24

Action Plan Matrix …………………………………………………………..…..24-25

2
 ACKNOWLEDGEMENT

This research becomes a reality with the kind support and help of many
individuals. I would like to extend my sincere gratitude to all of them.

First and foremost, I want to offer this endeavor to our Lord Almighty for
the wisdom he bestowed upon me, he strength, peace of mind and good health
in order to finish this research. I would also want to thank the Lord for giving me
this great opportunity of serving His people; this experience has awakened my
desire and realize more the value and the need to serve our fellow countryman
especially those in need.

I would also like to give recognition to Dr. Belinda C. Laya, F. Legarda

Health Center Physician-in-charge for sharing her knowledge and expertise in
this study. I would not have done this study without her utmost guidance and
trust.

I would also like to acknowledge the staff of F. Legarda Health Center: Dr.
Antonio P. Perez – Dentist III, Ms. Maria Lourdes N. Elanie, RN – Nurse-in-
charge, Ms. Rianna Rose L. Cruz, RN – Nurse III and to the Barangay Health
Workers: Ms. Nora P. Erispe, Ms. Rebecca Sta. Maria and Ms. Roselyn Osorio
for their steadfast help and support during my stay at the health center.

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 INTRODUCTION

A community, as described, is a group of people living in the same place

or having a particular characteristic in common. It may also pertain to a feeling of
fellowship with others, as a result of sharing common attitudes, interests, and
goals. A community also means a group of interdependent organisms of different
species growing or living together in a specified habitat. It is also define as a
social group of any size whose members reside in a specific locality, share
government, and often have a common cultural and historical heritage. In the
Philippines, the smallest administrative division of the local government is called
Barangay. The basic political unit, the barangay serves as the primary planning
and implementing unit of government policies, plans, programs, projects and
activities in the community and as the forum wherein the collective and the
collective views of the people may be expressed, crystallized and given due
course and when contending claims may be amicably settled.

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, and identification of their correlates for the
purpose of defining those at risk or those in need of health care. It is also a
means of examining aggregate and social statistics in addition to the knowledge
of the local situation, in order to determine the health needs of the community.

This study is designed to aid with the assessment and to help address the
primary health care needs within the community. This study will also help to
identify and quantify the barangays different problems through different
parameters and with this tool, will improve present programs and create better
ones to properly address problems within the community.

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 RATIONALE

The purpose of this community diagnosis is to define existing problems,

determine available resources and set priorities for planning, implementing and
evaluating health action, by and for the community.

OBJECTIVES

I. General Objective:
The general objective of this study is to be able to gather significant
data that affects community health and assess the health problems present in
the community and to be able to devise plans and programs to improve
community health care and resolve the health problems of the community and
improve the quality of health.

II. Specific Objectives:

1. To analyze the health status of the community
2. To evaluate the health resources, services, and systems of care within
the community
3. To assess attitudes toward community health services and issues
4. To identify priorities, establish goals, and determine courses of action
to improve the health status of the community
5. To establish an epidemiologic baseline for measuring improvement
over time

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 METHODOLOGY AND TOOL USED

An ocular assessment was done upon immersion at the community. With

this assessment, the study was done by conducting a house to house visit of
Barangay 443, Zone 44, District IV, Sampaloc, Manila done last September and
October, 2017. The interview was initiated by a Medical Doctor Post Graduate
Intern together with the aid of a Barangay Health Worker and a Barangay official
of the community. The study was conducted by interviewing an available
matriarch or patriarch of a household, which was randomly chosen within
Barangay 443, Zone 44, District IV, Sampaloc, Manila to complete 25 family
households. Population Census and statistical data such as population size, sex
and age structure, health services, health information, public health, social
services, education, housing, etc. were gathered.

To be able to derive with a descriptive study, tools given and provided by

the Manila Health Department were used in this study which includes the
Community Health Survey Form. Data gathered in this study was analyzed and
then included in this community diagnosis.

LIMITATIONS OF THE STUDY

The results of the study are limited with the status of 106 residents only,
out of the 1,716 total population. The result of the survey does not include the
remaining 1,608 residents of Barangay 443, Zone 44, District IV, Sampaloc,
Manila. Survey forms where accomplished through a one-on-one interview
session with the participants giving combined objective and subjective answers.

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I. SETTING OF THE COMMUNITY
1. DESCRIPTION
The study is conducted in Barangay 443, Zone 44, District IV,
Sampaloc, Manila bounded by Quintos Street (North), Antipolo Street
(South), Honradez Street (West) and G Tuazon Street (East). The
Barangay Chairman is Mr. Alipio Morabe Jr. and this barangay is catered
by F. Legarda Health Center.

The area is densely populated with a current population of 1, 716

as of 2017. Houses are built close to each other, most of which were
made by light materials. The roads are quite narrow and some roads are
under construction. The barangay has a barangay hall, with surrounding
canteens or carinderia and drugstores around the vicinity. It is a five
minute walk away from the health center, three to five minute walk from
the market and five minute ride from the Ospital ng Sampaloc.

F. Legarda Health Center is a one story building facility located at

477 Quintos Street, Sampaloc Manila. The personnel of F. Legarda Health
Center consist of a physician, a dentist, 2 nurses from Manila health
department and 3 Barangay health workers and 1 visiting medical
technologist. At present the F. Legarda Health Center caters a total of 20
barangays with a total population of 23,342 as of 2017.

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2. SPOT MAP

8
II. POPULATION
2.1 TOTAL POPULATION OF THE BARANGAY
The total population of the Barangay 443 Zone 44 of Sampaloc,
Manila is 1,716 as of 2017.
2.2 TOTAL POPULATION OF FAMILIES SURVEYED
The total population of families surveyed in Barangay 443 Zone 44,
District IV, Sampaloc, Manila is 25 with a sample population of 106
individuals.
2.3 SEX RATIO
Formula:
𝑁𝑢𝑚𝑏𝑒𝑟 𝑜𝑓 𝑀𝑎𝑙𝑒𝑠
𝑆𝑒𝑥 𝑅𝑎𝑡𝑖𝑜 = 𝑁𝑢𝑚𝑏𝑒𝑟 𝑜𝑓 𝐹𝑒𝑚𝑎𝑙𝑒𝑠 × 100

55
𝑆𝑒𝑥 𝑅𝑎𝑡𝑖𝑜 = × 100 = 107.84% = 𝟏𝟎𝟖%
51
Analysis: There is approximately 1 male for every 1 female in the
Barangay 443 Zone 44 Sampaloc, Manila within the sample population.

2.4 AGE & SEX DISTRIBUTION

TABLE 1 - Distribution of Sample Population according to Age and Sex:
Barangay 443, Zone 44, District 4, Sampaloc Manila, September –
October 2017

% % %
AGE MALE FEMALE TOTAL
MALE FEMALE TOTAL
<1 2 1.9 2 1.9 4 3.8
1-4 5 4.7 3 2.8 8 7.5
5-9 5 4.7 3 2.8 8 7.5
10-14 3 2.8 5 4.7 8 7.5
15-19 7 6.6 7 6.6 14 13.2
20-24 2 1.9 10 9.4 12 11.3
25-29 7 6.6 2 1.9 9 8.5
30-34 8 7.5 4 3.8 12 11.3
35-39 5 4.7 3 2.8 8 7.5
40-44 1 0.9 2 1.9 3 2.8
45-49 6 5.7 4 3.8 10 9.4
50-54 0 0 2 1.9 2 1.9
55-59 1 0.9 4 3.8 5 4.7
>60 3 2.8 0 0 3 2.8
TOTAL 55 51.9 51 48.1 106 100.00

9
Analysis: The above table shows that majority of the population comes
from ages 15-19 years old comprising 13.2% of the sample population,
followed by the age group of 20-24 and 30-34 years old with 11.3% of
the sample population. Programs should be focused on those age group
for improvement of quality of health.

Barangay 443, September - October 2017

>60

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

5-9

1-4

<1

-10 -5 0 5 10

Male Female

Figure 1 - Distribution of Sample Population according to Age and Sex:

Barangay 443, Zone 44, District 4, Sampaloc Manila, September – October
2017

10
 2.5 CIVIL STATUS
TABLE 2 – Percentage Distribution Showing the Civil Status of
Individuals 15 Years Old & Above: Barangay 443, Zone 44,
District 4, Sampaloc Manila, September – October 2017

Civil Status No. %

Single 28 35.9
Married 44 56.4
Live-In 4 5.1
Separated 0 0
Widowed 2 2.6
TOTAL 78 100

Analysis: The table shows that in Barangay 441, Zone 44 of Sampaloc,

Manila, most of the residents of the community are married which
consists of 56.4%, followed by those who are single which consists of
35.9%. Future programs can be directed towards the single and married
population.

III. ECONOMIC INDICES

3.1 DEPENDENCY RATIO
Formula:
𝑵𝒐.𝒐𝒇 𝑷𝒐𝒑𝒖𝒍𝒂𝒕𝒊𝒐𝒏 𝟎−𝟏𝟒 𝒚𝒆𝒂𝒓𝒔 𝒐𝒍𝒅 + 𝑵𝒐.𝒐𝒇 𝑷𝒐𝒑𝒖𝒍𝒂𝒕𝒊𝒐𝒏 ≥𝟔𝟓 𝒚𝒆𝒂𝒓𝒔 𝒐𝒍𝒅
𝑫𝒆𝒑𝒆𝒏𝒅𝒆𝒏𝒄𝒚 𝑹𝒂𝒕𝒊𝒐 = × 𝟏𝟎𝟎
𝑵𝒐.𝒐𝒇 𝑷𝒐𝒑𝒖𝒍𝒂𝒕𝒊𝒐𝒏 𝟏𝟓−𝟔𝟒 𝒚𝒆𝒂𝒓𝒔 𝒐𝒍𝒅

28 + 3 26
𝑫𝒆𝒑𝒆𝒏𝒅𝒆𝒏𝒄𝒚 𝑹𝒂𝒕𝒊𝒐 = × 100 = × 100 = 𝟒𝟏. 𝟑%
75 73

Analysis: The total dependency ratio tells us the proportion of the

population not in the work-force who are ‘dependent’ on those of
working-age, it’s a calculation which groups those aged under 15 with
those over 65 years as the ‘dependants’ and classifying those aged 15-
64 years as the working-age population. It’s a simplistic calculation
which is used across the world to understand societies and get a sense
of potential pressures the economy may face in supporting an
economically dependent population. The lower the dependency ratio
meaning there are more working than non-working. In this community,

11
 there is a low dependency ratio meaning that there are more people who
are in the working age or are working.

3.2 AVERAGE INCOME

TABLE 3 – Percentage Distribution showing the Average Income of
Earning Individuals: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Income/Month No. %
<1000 0 0
1000-2999 1 2
3000-4999 6 12
5000-6999 4 8
7000-8999 5 10
9000-10999 5 10
11000-12999 3 6
13000-14999 2 4
≥15000 24 48
TOTAL 50 100

Barangay 443, September - October 2017

02
12

48

10

10

6
4

<1000 1000-2999 3000-4999 5000-6999 7000-8999

9000-10999 11000-12999 13000-14999 ≥15000

12
 FIGURE 2 – Percentage Distribution showing the Average Income of
Earning Individuals: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Analysis: In the Philippines, 21.6% of the population lives below the

national poverty line. The country also has a poverty threshold of P9,064
average monthly income to meet both basic food and non-food needs of
a family of 5 members according to the latest report of National
Economic Development Authority (NEDA) and Philippine Statistics
Authority (PSA). In the table above 68% of the families interviewed can
afford the basic needs if they have a family of 5, but can still have
financial constraints if their family size is more than 5. The 32% of the
families interviewed would have difficulty maintaining the needs of daily
living hence less prioritization for health care.

3.3 OCCUPATION
TABLE 4 – Percentage Distribution Showing the Types of Occupation of
Earning Individuals: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Occupation No. %
Engineer 3 7.1
Business/Vendor 10 23.8
Medical Staff 3 7.1
House Helper 5 11.9
Construction Worker 5 11.9
Cook 1 2.4
General Manager 3 7.1
Driver 2 4.7
Call Center Agent 1 2.4
Accounting/Clerk 3 7.1
Seaman 1 2.4
Nurse 1 2.4
Streetsweeper 2 4.7
Factory Worker 1 2.4
OFW 1 2.4
TOTAL 42 100

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 Analysis: The above table shows there are large number of workers
working as businessman or vendor who owns a sari-sari store followed
by construction workers and house helpers. Majority of the occupation
listed above has health exam related requirements prior to starting
working in their respective line of work thus ensuring that these
individuals are fit and able to work.

IV. SOCIO-CULTURAL INDICES

4.1 LITERACY RATE
Formula:
𝑵𝒐. 𝒐𝒇 ≥ 𝟖 𝒚𝒆𝒂𝒓𝒔 𝒐𝒍𝒅 𝒕𝒉𝒂𝒕 𝒄𝒂𝒏 𝒓𝒆𝒂𝒅 𝒂𝒏𝒅 𝒘𝒓𝒊𝒕𝒆
𝑳𝒊𝒕𝒆𝒓𝒂𝒄𝒚 𝑹𝒂𝒕𝒆 = × 𝟏𝟎𝟎
𝑻𝒐𝒕𝒂𝒍 𝑵𝒐. 𝒐𝒇 ≥ 𝟖 𝒚𝒆𝒂𝒓𝒔 𝒐𝒍𝒅
𝟖𝟖
𝑳𝒊𝒕𝒆𝒓𝒂𝒄𝒚 𝑹𝒂𝒕𝒆 = × 𝟏𝟎𝟎 = 𝟏𝟎𝟎%
𝟖𝟖

Analysis: All of the interviewed household family with >8 years old
knows how to read and write within the sample population.

4.2 EDUCATIONAL ATTAINMENT

TABLE 5 – Percentage Distribution Showing the Educational Attainment
of Individuals Surveyed: Barangay 443, Zone 44, District 4,
Sampaloc Manila, September – October 2017

Educational Attainment No. %

No Formal Education 0 0
Elementary Level 7 8
Elementary Graduate 1 1.1
High School Level 15 17
High School Graduate 27 30.7
College Level 15 17
College Graduate 33 37.5
TOTAL 88 100.00

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 Analysis: The above table shows that 90% of the sample population
was able to reach tertiary level. Thus topics and programs regarding
health promotion should be adjusted and considered accordingly.

4.3 RELIGION
TABLE 6 – Percentage Distribution Showing the Religion of Families
Surveyed: Barangay 443, Zone 44, District 4, Sampaloc Manila,
September – October 2017

Religion Father Mother Total %

Roman Catholic 23 23 46 92
Christian 1 1 2 4
Iglesia ni Cristo 1 1 2 4
TOTAL 25 25 50 100

Analysis: Majority of the population are Roman Catholic, future

programs should take into consideration for different Religion.

4.4 PLACE OF ORIGIN

TABLE 7 – Percentage Distribution Showing Place of Origin of Families
Surveyed: Barangay 443, Zone 44, District 4, Sampaloc Manila,
September – October 2017

Place of Origin Father Mother Total %

Luzon 5 10 15 30
Visayas 0 1 1 2
Mindanao 1 0 1 2
NCR 19 14 33 66
TOTAL 25 25 50 100

Analysis: A large majority of the surveyed individuals are from NCR,

comprising 66% of the population followed by individual from other parts
of Luzon comprising of 30%. Only 4% are from Visayas and Mindanao.
The place of origin of the residents affects their acceptance of health
practices and programs due to the influences of their principles and
superstitious beliefs.

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4.5 POPULATION MOVEMENT
TABLE 8 – Percentage Distribution Showing the Length of Residency of
Families Surveyed: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Length of Residency No. %

< 6 months 0 0
6 months - 1 year 1 2
1-5 years 1 2
6-10 years 6 12
> 10 years 42 84
TOTAL 50 100

Analysis: The above table shows that most of the residents of the
community have stayed for more than ten years in the community.
Familiarity regarding the previous programs and location of sources such
as hospitals and health center would be vital for health quality.

4.6 HOUSING
a. Types of House
TABLE 9 – Percentage Distribution Showing the Types of Housing of
Families Surveyed: Barangay 443, Zone 44, District 4,
Sampaloc Manila, September – October 2017

Type of Housing No. %

Strong 3 12
Mixed 18 72
Light 4 16
Makeshift 0 0
TOTAL 25 100

Analysis: The table shows that majority or 72 percent of the family

interviewed has mixed type of house quality, while only 12 percent of
the interviewed family has strong house quality. Materials regarding
type of housing may affect health. Living conditions such as
conditions that are not conducive to health, inadequate lighting and

16
 ventilation; and may also be a cause of injury during times of
calamity.

b. Ownership
TABLE 10 – Percentage Distribution showing Housing Ownership of
Families Surveyed: Barangay 551, Zone 54, District 4,
Sampaloc Manila, September – October 2017

Ownership No. %
Owned 15 60
Rented 2 8
Rent free 8 32
TOTAL 25 100

Analysis: The above table shows that 92% (own and rent free) will
not pay rent monthly, their financial savings can be used for food and
non-food commodities and can be used for health and improving the
quality of life while 8% of the interviewed family pays rent monthly,
this could mean less budget for food and non-food commodities
including health related.

c. Ventilation
TABLE 11 – Percentage Distribution showing Ventilation of Houses of
Families Surveyed: Barangay 443, Zone 44, District 4,
Sampaloc Manila, September – October 2017

Ventilation No. %
Adequate 23 92
Inadequate 2 8
TOTAL 25 100

Analysis: The above table shows that majority (92%) has adequate
ventilation in their household. Adequate ventilation can decrease the
chances of having respiratory illnesses.

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V. ENVIRONMENTAL INDICES
5.1 WATER SUPPLY
TABLE 12 – Percentage Distribution Showing Water Supply of Families
Surveyed: Barangay 443, Zone 44, District 4, Sampaloc Manila,
September – October 2017

Level No. %
Level I - Point Source 0 0
Level II - Communal Faucet
2 8
System or Standpost
Level III - Waterworks System 23 92
TOTAL 25 100

Analysis: The above table shows that 92% of the community has level
III Water Works System. Using clean water can lessen the chance of
getting illnesses such as viral illness, diarrhea and parasites.

5.2 EXCRETA DISPOSAL

TABLE 13 – Percentage Distribution Showing Excreta Disposal of
Families Surveyed: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Excreta Disposal No. %

Level I - Pit Latrines 0 0
Level II - Pour Flush Toilets 9 36
Level III - Flush Toilets 16 64
Balot System/Wrap and Throw System 0 0
Others 0 0
TOTAL 25 100

Analysis: Flushed Type toilets are the most common excreta disposal
followed by Pour Flush Type toilets. This means that there is less
chance of acquiring diseases from Fecal-Oral Route and Water-Borne
Diseases due to good excreta disposal.

18
 5.3 GARBAGE DISPOSAL
TABLE 14 – Percentage Distribution Showing Garbage Disposal of
Families Surveyed: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Garbage Disposal No. %

DPS (Collected) 25 100
Open Dumping 0 0
Burning 0 0
Waste Segregation 0 0
TOTAL 25 100

Analysis: All of the interviewed family has DPS type or Collected Type
of Garbage Disposal. According to them, garbage is collected on daily
basis. Proper waste segregation could lessen the chances of acquiring
illnesses such as diarrhea and parasites.

VI. HEALTH INDICES

6.1 FOOD STORAGE
TABLE 15 – Percentage Distribution Showing Food Storage Practice of
Families Surveyed: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Food Storage No. %

Refrigerated 22 88
Not Refrigerated
Covered 3 12
Exposed 0 0
TOTAL 25 100

Analysis: The above table shows that majority or 88% of the

interviewed family household has refrigerator, making food shelf life
longer and less chance of spoilage, while 12% have no refrigerator
system which may hasten food spoilage increasing diarrheal disease
and food borne diseases which can affect quality of life.

19
6.2 INFANT FEEDING PRACTICE
TABLE 16 – Percentage Distribution Showing Infant Feeding Practice of
Families Surveyed: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

Infant Feeding Practices No %

Breastfeeding 1 25
Bottle feeding
Evaporated 0 0
Condensed 0 0
Powdered 0 0
Mixed
Evaporated 0 0
Condensed 0 0
Powdered 2 75
TOTAL 4 100

Analysis: One of the three infants is on pure breastfeeding which

comprises 25%, while 75% practice mixed feeding. More programs and
enforcement for exclusive breastfeeding should be done for the
betterment of quality of infants within the community. Breast feeding
reduces many morbidity and mortality and it is very economical.

6.3 IMMUNIZATION STATUS

TABLE 17 – Percentage Distribution Showing Immunization Status of
Children <1 year old Among Families Surveyed: Barangay 443,
Zone 44, District 4, Sampaloc Manila, September – October 2017

No. of Targeted
Antigen Accomplished %
Children
BCG 4 4 0
Penta HiB 1 4 4 0
Penta HiB 2 3 3 0
Penta HiB 3 2 2 0
OPV 1 4 4 0
OPV 2 3 3 0
OPV 3 2 2 0
AMV 2 2 0

20
 Analysis: There are four eligible candidates for immunization in the
surveyed population, they are 2 month old, 3 month old, 5 month old and
11 month old. All received their vaccination on time. This means less
chance of acquiring diseases such as tuberculosis, polio, pneumonia,
diphtheria and pertussis.

6.4 HEALTH SEEKING BEHAVIOR

TABLE 18 – Percentage Distribution Showing Health Seeking Behavior of
Families Surveyed: Barangay 443, Zone 44, District 4, Sampaloc
Manila, September – October 2017

No. %
Hospital 3 12
Private MD 6 24
Health Center 16 64
Others 0 0
TOTAL 25 100

Analysis: Majority of the residents utilize the health center due to the
proximity of their houses to the health center but they still almost always
seek medical care in hospitals, the government has placed a great effort
in developing health centers and established new ones with the goal of
bringing health care closer to the people. Primary health care facilities
such as health centers prove to be successful in changing the mindset of
people on the willingness to seek health care and educating people
about health concerns.

6.5 SOURCE OF HEALTH INFORMATION

TABLE 19 – Percentage Distribution Showing the Source of Health
Information of Families Surveyed: Barangay 443, Zone 44, District
4, Sampaloc Manila, September – October 2017

Source of Health Information No. %

Hospital 7 28
Health Center 5 20
Media 13 52
Others 0 0
TOTAL 25 100

21
 Analysis: More than half of the residents acquire health information
through social media, while 28% goes to the health center and 20%
goes to the hospital for health information. This could mean we could
allot more lectures and programs in health center to attract the residents
for proper dissemination of health information. Misconceptions learned
from the social media, newspaper and other media are lessened and
clarifications can be made during lectures in the health center.

6.6 COMPARATIVE ANALYSIS OF THE 10 CAUSES OF MORBIDITY AT

THE HEALTH CENTER DURING THE RECENT 2 YEARS
TABLE 20 – Ten Leading Causes of Morbidity: Barangay 443, Zone 44,
District 4, Sampaloc Manila, September – October 2016 and 2017

Disease 2016
1.URTI 218
2. Dermatologic Diseases 82
3. Hypertension 56
4. ATP 34
5. Musculoskeletal Diseases 22
6. Eye Conditions 18
7. UTI 17
8. AGE 17
9. DM Type II 8
10. PTB 5

Disease 2017
1.URTI 256
2. Hypertension 174
3. DM Type II 86
4. ATP 65
5. Dermatological Diseases 64
6. Musculoskeletal Diseases 34
7. UTI 25
8. PTB 24
9. AGE 12
10. Eye Conditions 8

22
 Ten Leading Cause of Morbidity
300

250

200

150

100

50

September - October 2016 September - October 2017

FIGURE 3 – Ten Leading Causes of Morbidity: Barangay 443, Zone 44,

District 4, Sampaloc Manila, September – October 2017

Analysis: The leading cause of morbidity in the community for

September and October 2017 is Upper Respiratory Tract Infection,
followed by Hypertension and Diabetes Mellitus Type II. In general there
are more cases this year compared to last year. Only dermatological
diseases, eye conditions such as hordeolum, and acute gastroenteritis
without signs of dehydration slipped down in numbers. Due to the
utilization of the health center services more diseases are being
diagnosed.

VII. SUMMARY AND CONCLUSION

In summary, Barangay 443, Zone 44 District IV, Sampaloc, Manila
has a total population of 1,716. Sex ratio is 108% wherein there is 1 male in
approximately 1 female. Age group 15-19 years dominated the population.

23
 The barangay has a low dependency ratio. The literacy rate of the community
is 100%. Majority of the population are college graduates. Majority of the
families interviewed lived in a mixed type housing facility, with well ventilation.
Water supply mainly comes from the water district system. Garbage are
disposed daily. Flush toilet are mostly utilized in the community which lowers
the risk of communicable diseases. On morbidity, there is increased number
of people diagnosed with hypertension and diabetes mellitus type II compared
to last year. It is also important to note the increasing number of residents
having upper respiratory tract infections.

VIII. PROBLEMS IDENTIFIED

1. Seeking behavior of health information
2. Increasing cases of upper respiratory tract infection
3. Number of people with hypertension and diabetes mellitus continues to
rise

IX. RECOMMENDATIONS & SUGGESTIONS

The tool used for the community diagnosis lacks some important
data such as nutrition status especially of the children, sanitation and other
health practices. It is also very alarming that residents seek information on
mass media and other hearsays rather than seeking information from the
hospitals, health centers and private doctors. It would be highly suggested for
the health center to host more lectures and programs in the community.

X. ACTION PLAN MATRIX

TITLE: “In na in sa inpormasyon”
General Objective: To improve the awareness of Barangay 443, Zone 44,
District IV, Sampaloc, Manila regarding health
information

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 Time Locus of
Specific Objective Strategies/Activities Resources Evaluation
Frame Responsibility
 To educate the  Lectures and 12 months Residents of Barangay Speakers Question and
community what are discussions 443, Zone 44, District (Doctors and Answer
the reliable sources of regarding proper IV, Sampaloc, Manila Nurses)
health information health information Physicians Post test
Nurses Visual aids such
 To educate the  Lectures on mass Health Workers as powerpoint Cooking
community what are media AND health Barangay Officials lectures demonstration by
the advantages and personnels AND the residents
disadvantages of hearsays Medical
seeking proper health nutritionist for the
information cooking demo
 Lectures regarding
upper respiratory Posters and
 To give lectures on tract infection, flyers
upper respiratory tract hypertension and
infection, hypertension diabetes mellitus
and diabetes mellitus Medical books

 Cooking demo and Clinical practice

diet lectures guidelines
regarding
hypertension and
diabetes mellitus

 Question and
Answer Segment

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