UNIVERSIDAD DE MANILA

One Mehan Garden, Ermita, Manila

COLLEGE OF HEALTH SCIENCES

DEPARTMENT OF NURSING

Community Diagnosis of Block 1 Gasangan St.

Baseco Barangay 649, Zone 68

Port Area Manila

In Partial Fulfillment of the Requirements

In Community Health Nursing

Submitted by:

NR-31 & NR-32

Batch 2019
 Submitted to:

Emmy D. Macaraeg, RN, RM, LPT, MAN

• Description

Block 1 Gasangan St. Baseco Barangay 649, Zone 68 Port Area is located at

Southern Manila along Pasig River, District V and has a population of 40, 065

individuals from total population of 59, 847. A health center and a high school

named after Corazon C. Aquino are also located in Baseco. The transportation

system includes tricycles, bicycles and pedi cabs, which are sources of income.

Some infrastructures are well established but not fully accomplished. Littered

alleys connect the houses. Channels necessary to disseminate health

information includes cellular phones, internet and barangay health workers’

house-to-house announcements.
• Spot map

Block 1 Gasangan St. Baseco, Barangay 649, Zone 68

Port Area Manila Spot Map

Location Map
Legend:

- Health Center - Market

- School - Tricycle Terminal

- Pedicabs - Police Station

- Gymnasium - Playground

- Barangay Hall

1.3 Resources of the Community

 Starting from north heading towards east, there is a public market and

police station. From east heading towards south, there is a barangay hall,

playground, gymnasium and tricycle terminal. From south heading towards

west, there is Pres. Corazon C. Aquino High school, public toilet, community

library, gulayan ni Villar, Baptist Church and Sto. Nino Learning Center. From

west heading to north, there is a health center (CALIC) and elementary

school (Benigno Aquino Elementary School.

• POPULATION

• Total Population of the Barangay

The total population of barangay 649 Zone 68 Baseco, Port Area,

Manila is about 40,065 and about 10,085 is from the Gasangan Area.

• Total Population of the Families Surveyed

There are four hundred three (403) families surveyed in Barangay

649, Zone 68 Block 1-Gasangan, Baseco Port Area, Manila with a total

population of 1827 individuals.

• Sex Ratio
 SR = 105.05

Analysis:

In the population of 153 families surveyed, there are 936 males and

891 females with a total population of 1827 individuals. The ratio

shows that in every male there is 1 female which indicates that they

have equal attention to any health promotions and activities that will be

implemented in the Barangay or community.

 • Age and Sex Distribution

TABLE 1: Age & Sex Distribution of Barangay 649, Zone 68 Block

1-Gasangan, Baseco Port Area Manila District V as of September

2017.

F % F % Total %

Age (Male) (Female)

<1 21 3.45 21 3.60 42 3.52

1-4 40 6.58 43 7.37 83 6.97

5-9 77 12.68 77 12.20 154 12.94

10-14 78 12.85 73 12.52 151 12.68

15-19 62 10.21 67 11.49 129 10.84

20-24 51 8.40 51 8.74 102 8.57

25-29 64 10.54 61 10.46 125 10.50

30-34 54 8.89 35 6.00 89 7.47

 35-39 53 8.73 38 6.51 91 7.64

40-44 28 4.61 43 7.37 71 5.96

45-49 28 4.61 24 4.11 52 4.36

50-54 29 4.77 14 2.40 43 3.61

55-59 8 1.31 25 4.28 33 2.77

60> 14 2.30 11 1.88 25 2.77

Total 607 100 583 100 1190 100

Analysis: The data presented in Table 1 signifies that there are more males than

females in Barangay 649 Zone 68 Block 1-Gasangan Baseco, Port Area Manila. The

data also shows that within the age bracket of 5-9, 10-14, 15-19, 20-24, and 25-29 y/o.

This indicates that the health care team will be more focus in the promotion of health

towards children age, adolescent age and mid 20s with the highest percentage.
AGE DISTRIBUTION
• Civil Status

TABLE 2. Percentage Distribution Showing the Civil Status

of Individuals 15 y/o & above Block 1 Gasangan St. Baseco

Barangay 649, Zone 68 Port Area, Manila District V, September

2017

Civil Status Frequency %

Single 386 40.33

Married 267 27.89

 Live-in 247 25.80

Separated 35 3.65

Widow 22 2.29

TOTAL 957 99.93

Analysis: The data shown in Table 2 Percentage Distribution

Showing the Civil Status of Individuals 15 y/o & above means that most

individual in Block 1 Gasangan St. Baseco Barangay 386 are single. This

may imply that most of the population may be part of the dependent

population.

• ECONOMIC INDICES

• Dependency Ratio

Analysis:

The dependency ratio of Block 1 Gasangan St. Baseco Barangay 649

shows that the population of the dependent individuals is 60. 26% of the total
population of 15 years old and above, this simply indicates that the dependent

individuals are nearly equal to the employed individual.

• Average Income

TABLE 3. Percentage Distribution Showing the Average Income of

Earning Individuals. Barangay 649 Baseco, Block 1, Gasangan Zone 68

Port Area, District V, September 2017

Income Average Frequency Percentage

<1000 69 17.38

1000-2999 66 16.62

3000-4999 84 21.15
 5000-6999 40 10.07

7000-8999 50 12.59

9000-10999 39 9.82

11000-12999 25 6.29

13000-14999 6 1.51

>15000 18 4.53

TOTAL 397 100

Analysis: As presented in Table 3 most of them could earn as much as Php 5000-6999

per month. It signifies that the families surveyed are not able to meet the poverty

threshold according NEDA (National Economic and Development Authority). “Under the

current conditions, a simple and comfortable life would entail having a gross monthly

income of P120, 000 per family per month (P100, 000 for a family of four members per

month), according to NEDA data” (Cabuenas, J.V. 2016. GMA news).

• Occupation

TABLE 4. Percentage Distribution Showing the Types of Occupation of

Earning Individuals. Block 1 Gasangan St. Baseco Barangay 649, Zone 68

Port Area, Manila, District V, September 2017

Occupation Frequency Percentage

Construction Worker 54 10.24

Laborer 18 3.41

Armored Van Escort 2 0.37

Kitchen Helper 4 0.75

Security Guard 12 2.27

Driver 46 8.72

Technician 2 0.37

Self-employed 11 2.08

Vendor 225 42.69

Sales Lady 8 1.51

Tour Guide 1 0.18

Call Center Agent 1 0.18

Sweeper 3 0.56

Canteen Helper 1 0.18

Garlic Manufacturer 94 17.83

Seamstress 1 0.18
 Chef 2 0.37

Midwife 1 0.18

Sped Caretaker 1 0.18

Electrical Engineer 1 0.18

Seaman 2 0.37

Karera 1 0.18

Janitor 1 0.18

Tile Setter 1 0.18

Rewinder 2 0.37

Pahinante 1 0.18

IPM 1 0.18

OFW 13 2.46

Fishermen 1 0.18

Kargador 1 0.18

Delivery Boy 4 0.75

Manicurist 1 0.18
 Carpenter 3 0.56

Buy & Sell 7 1.32

TOTAL 527 100

Analysis: Table 4 Percentage Distribution Showing the Types of

Occupation of Earning Individuals shows that employed individuals in Block 1

Gasangan St. Baseco Barangay 649 are earning from blue-collar jobs that can cause

occupational hazards to health.

• SOCIO-CULTURAL INDICES

• Literacy Rate:

LR= 100%

Analysis

Out of 721 individuals who are 8 years old and above, 621 are literate,

implying that these individuals have a potent ability to understand the basic

health teachings and programs to be conducted. In addition, such high result

 may be a key factor for the development of the community as a whole in the

near future.

• Educational Attainment

TABLE 5. Percentage Distribution Showing the Educational Attainment

of Individuals Surveyed. Block 1 Gasangan St. Baseco Barangay 649,

Zone 68 Port Area, Manila, District V, September 2017

Educational Attainment F %

No formal Education 14 1.27

Elementary Level 392 35.76

Elementary Graduate 99 9.03

High School Level 342 31.20

High School Graduate 141 12.86

College Level 81 7.39

College Graduate 24 2.18

TOTAL 1096 100

 Analysis: Based on Table 5, higher portion of the population attained

Elementary level of education, thus, implying that the majority of the population are

quite incapable of understanding complex health teachings about the development of

life and their state of health. Therefore, adjustments are mandatory for the nurses in

order for them to be understood. This will lead to a successful health education that will

eventually benefit the families surveyed within the premises of Gasangan in Baseco.

• Religion

TABLE 6. Percentage Distribution Showing the Religion of Families

Surveyed. Barangay 649 Baseco, Block 1 Gasangan Zone 68 Port Area,

District V. September 2017

Religion Frequency Percentage

Catholic 907 90.2

Iglesia Ni Cristo 41 4.07

Islam 16 1.52

Hindu 1 0.09

Muslim 2 0.19

Born Again Christian 33 3.28

 Aglipayan 1 0.09

7th Day Adventist 2 0.19

Pentecostal 2 0.19

TOTAL 1005 100

Analysis: Based on Table 6, health program developments must adhere to the

diversity of the present religions in the area.

• Place of Origin

TABLE 7. Percentage Distribution Showing the Place of Origin of

Families Surveyed. Barangay 649 Baseco, Block 1 Gasangan Zone 68

Port Area, Dirstrict V, September 2017

Place of Origin Frequency Percentage

Luzon 191 26.71

Visayas 307 42.93

Mindanao 127 17.76

NCR 90 12.58

TOTAL 715 99.98

 Analysis: The data shown in Table 7 is significant in considering culture and

ethnicity of the population in developing and implementing health care programs.

• Population Movement

TABLE 8. Percentage Distribution showing the length of Residency of

Families Surveyed. Barangay 649, Zone 68, District V, September 2017.

Length of Residency F %

< 6 months 65 8.56

6 months – 1 year 60 7.90

1 year – 5 years 154 20.28

6 years – 10 years 147 19.36

10 years and above 333 43.87

TOTAL: 759 100

Analysis: Table 8 shows that the families are well oriented and adjusted to their

environment as evidenced by the number of residing years in Baseco. This can also

become a data for tracking communicability of specific diseases caused by migration.

• Housing
 • Types of Housing

TABLE 9. Percentage Distribution showing the types of Housing of

Families Surveyed. Barangay 649, Zone 68, District V, September 2017.

Type of housing F %

Makeshift 50 12.95

Light 122 31.60

Strong 59 15.28

Mixed 155 40.15

Total 386 99.98

Analysis: Based on Table 9 Types of Housing of the Surveyed Families are

mostly mixed, which give the families privacy but it is not sturdy enough in times of

disasters.

• Ownership

TABLE 10. Percentage Distribution showing the Housing ownership of Families

Surveyed. Barangay 649, Zone 68, District V, September 2017.

Ownership F %
 Rent-free 29 8.07

Owned 259 72.14

Rented 71 19.77

TOTAL 359 99.98

Analysis: Table 10 shows that most of the families surveyed owned their houses,

meaning they can save the money intended for rent bills and use it for basic needs and

health expenses.

c. Ventilation

Table11. Percentage Distribution Showing Ventilation of Houses of Families

Surveyed, Barangay 649 Zone 68, District V, Month of September, Year 2017

Ventilation F %

Adequate 206 65.18

Inadequate 110 34.81

TOTAL 316 99.99

Analysis: Based on Table 11 it shows that most of the families’ houses is

adequate in ventilation. It implicates that the families are at low risk of disease and

illness due to poor ventilation.

• ENVIRONMENTAL INDICES
 5.1 Water Supply

TABLE 12. Percentage Distribution Showing Water Supply of Families Surveyed,

Barangay 649, Zone 68, District V, Month of September, Year 2017

Level F %

I. Point Source 83 30.18

II. Communal Faucet 102 37.09

System or Standpost 16 5.81

III. Waterworks System 74 26.90

TOTAL 275 99.98

Analysis: Based on Table 12 it shows that their water source comes from

communal faucet. It implicates that it has a lower chances of spread of the

communicable disease if the water source is not totally covered and secure.

5.2 Excreta Disposal

TABLE 13. Percentage Distribution Showing Excreta Disposal of Families

Surveyed, Barangay 649, Zone 68, District V, Month of September, Year 2017

Excreta Disposal F %

Level I. Pit Latrines 38 10.73

 Level II. Pour-Flush Toilet 204 57.62

Level III. Flush Toilets 56 15.81

Balot System/ Wrap & 56 15.81

Throw

Others. Specify - -

TOTAL: 354 99.97

Analysis: Based on Table 13 it shows that their way of is Pour-Flush Toilet. In

this way it has higher chances of acquiring disease that is related to improper excreta

disposal.

• Garbage Disposal

TABLE 14. Percentage of Distribution Showing the Garbage Disposal of Families

Surveyed. Block 1 Gasangan St. Baseco Barangay 649, Zone 68 Port Area, Manila,

District V. September 2017

Garbage Disposal Frequency Percentage

DPS (Collected) 373 98.67

Open Dumping 5 1.32

Burning - -

Waste Segregation Yes (2) No (72)

 TOTAL 378 99.99

Analysis: Table 14 shows that most are doing DPS waste collection, which can

prevent occurrence of improper waste management- related diseases. Educating the

people about Waste Segregation benefits and importance is recommended.

• HEALTH INDICES

• Food Storage

TABLE 15. Percentage of Distribution Showing Food Storage of Families

Surveyed. Block 1 Gasangan St. Baseco Barangay 649, Zone 68 Port Area,

Manila, District V. September 2017

Food Storage Frequency Percentage

Refrigerated 30 9.37

Not Refrigerated - -
 • Covered 250 78.12

• Exposed 40 12.5

TOTAL 320 100

Analysis: Table 15 shows that most of the families cover their leftover food,

which can be a cause of several food-borne diseases.

• Infant Feeding Practice

TABLE 16. Percentage Distribution Showing Infant Feeding Practice of

Families Surveyed. Barangay 649, Block 1 Gasangan, Zone 68 Port Area,

Manila, District V September, 2017

Type of Infant Feeding F %

Breastfeeding 86 50

Bottlefeeding 42 24.41
 a. Evaporated - -

b. Condensed - -

c. Powdered 44 25.58

Mixed - -

a. Evaporated - -

b. Condensed - -

c. Powdered - -

TOTAL: 172 99.99

Analysis: According to the WHO and UNICEF, infants ages 0-6months are

required to only drink breastmilk because it offers right amount of nutrients that can help

the infants grow stronger and healthier than the milk use in the bottlefeeding.

Breastfeeding also gives benefits to the mother and the baby because it is free, it

creates bonding for the mother and infant, can give to the baby anytime, and many

more. This implicates that mothers in the community are aware of the benefits of

breastfeeding their babies.

• Immunization Status

TABLE 17. Percentage Distribution Showing Immunization Status of

Children <1 year old Among the Families Surveyed. Barangay 649, Block 1

Gasangan, Zone 68 Port Area, Manila, District V September 2017

 No. of Targetted
Antigen Accomplish %
Children

BCG 90 90 26.08

Penta HiB 1 65 65 18.84

Penta HiB 2 14 14 4.05

Penta HiB 3 14 14 4.05

OPV 1 68 68 19.71

OPV 2 9 9 2.69

OPV 3 9 9 2.69

AMV 76 76 22.02

TOTAL: 345 345 100

Analysis: Based on Table 17 it shows that the families are adhering to the

immunization to prevent diseases.

• Health Seeking Behavior

TABLE 18. Percentage Distribution Showing Health Seeking Behavior of

Families Surveyed, Barangay 649, Zone 68 Port Area District V, September

2017

Health Facility F %
 Hospital 55 18.03

Health Center 238 78.03

Private Clinic 11 3.60

Others, Specify 1 0.32

TOTAL: 305 99.98

Analysis: Table 18 shows that families surveyed usually goes to the health

center to address their health related needs. It implicates that the families are aware of

the western health care facilities within the area.

• Source of Health Information

TABLE 19. Percentage Distribution Showing Source of Health

Information of Families Surveyed, Barangay 649, Zone 68, District V,

September 2017

Health Facility F %

Hospital 55 18.03

Health Center 238 78.03

 Private Clinic 11 3.60

Others, Specify 1 0.32

TOTAL: 305 99.98

Analysis: Table 19 shows that the families getting health information from

reliable health care providers.

• Comparative Analysis of the 10 Leading Cause of Morbidity at the

Health Center during the recent six (6) months

TABLE 20. Ten leading Cause of Morbidity in

Block 1 Gasangan St. Baseco Barangay 649, Zone 68, District V.

September 2017
 Diseases Number of Cases Percentage

1. AURI 7098 45.9

2. TB Respiratory 3744 24.2

3. Pneumonia 1433 9.2

4. Hypertension 941 6.1

5. Diarrhea 595 4.7

6. Dog Bite 448 2.8

7. UTI 346 2.2

8. Diabetes Mellitus 309 1.9

9. Bronchitis 294 1.9

10. Bronchial Asthma 253 1.6

TOTAL 15461 100

Analysis: This table presents the TOP 10 MORBIDITY CASES of the whole

District V Health Center that includes the Corazon Aquino Lying-in Clinic and Health

Center. It shows that different respiratory diseases like TB respiratory, Pneumonia,

Bronchitis etc. are the main causes of morbidity in District V.

• SUMMARY AND CONCLUSION

Community health nursing views the community as its primary client and

family as its basic unit. Community plays an important role in influencing the

different individuals, population group and families within an area that may

affect their health, wellness and awareness, thus making it a great opportunity

to make an action in health promotion and program implementation for illness

prevention in the aspect of nursing care. As part of the adopted community of

Universidad de Manila, we visited Block 1 Gasangan St. Baseco Barangay

649, Zone 68 Port Area, Manila District V to find out several health problems

which has something to do with the health practices such as hygiene, lack of

knowledge, culture, environment and economical sources that is present

around the area. In conclusion, after observing, conducting the survey and

evaluating the results from the four hundred four (404) families that we have

visited, we are able to identify problems such as Food handling and storage,

Presence of flies/rodents and mosquitoes, Livelihood for women and Proper

waste disposal. And with these findings, we are implementing a Program

action plan to have a successful and sustainable activities for the betterment

of the whole community. Providing an effective and sustainable action plan for

the community can help lessen if not, prevent the identified problems within

the area.

• PROBLEMS IDENTIFIED
The following are the problems identified in the Block 1 Gasangan St. Baseco Barangay

649, Zone 68 Port Area, and Manila:

• Improper Food Handling and Storage

• Improper Waste Management

• Improper Excreta Disposal

Prioritizing Health Problems

1. Improper Food Handling and Storage

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 or .6 Improper food

Problem handling and

storage may

cause food-borne

diseases.

Modifiability of the 2/2 x 2 2 Heath education

Problem paraphernalia are

mostly available.

Preventive 3/3 x 1 1 The problem can

Potential be address

through effective

health teachings
 and family

participation.

Salience of the 2/2 x 1 1 This can be a

Problem cause of food

borne diseases.

Total Score 4 2/3 or 4.6

2. Improper Waste Management

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 or .6 It can cause

Problem diseases related

to unsanitary

environment.

Modifiability of the 2/2 x 2 2 It can be resolve

Problem through full

participation and

efforts of the

families.

Preventive 3/3 x 1 1 Through proper

Potential management of
 waste, it can be

reduced, reused

or recycled.

Salience of the 2/2 x 1 1 To provide a

Problem more clean

environment.

Total Score 2/3 or 4.6

3. Improper Excreta Disposal

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 or 0.6 Improper excreta

Problem disposal can

cause diseases.

Modifiability of the 1/2 x 2 1 It is partially

Problem modifiable

because the

families can’t

provide their own

toilets for their

families.
Preventive 1/3 x 1 1/3 or It has low

Potential preventive

potential because

even using public

toilets may cause

diseases.

Salience of the 2/2 x 1 1 It needs

Problem immediate

attention because

not having own

decent toilet can

be invasive in a

person’s privacy

and can cause

spread of

diseases.

Total Score 2.9

 • SUGGESTIONS/RECOMMENDATION

From the following problems identified in the community I therefore, recommend the

following:

• The community must learn on proper food handling and storage, as well

as the diseases that can occur due to mishandling food.

• The community leaders must implement strict adherence to waste

segregation.

• The community leaders must provide a good amount of public toilets and

must implement strict maintenance of its cleanliness.

• ACTION PLAN

Program Action Plan for: “Ok ka ba Tiyan? Ligtas na Pagkain, Para sa Ligtas

na Kalusugan”

General Objectives:

This program aims to educate families about food-borne diseases, how to

avoid it and proper food handling/ storage.

Specific Strategies Time Locus of Resources Evaluatio

Objectives / Activities Frame Responsibilit n

 y

Educate the Actual 5 days Block 1 • Projector-

family with proper Gasangan rent

the proper hand • White cloth-

hand hygiene washing 150 php

to demo • Tarpaulin-

• Sound

System- rent
Show
• Merienda-
videos
15 php each
about
registered
proper
individual
hand

hygiene

Present Provide 1 week Block 1 • Projector-

related an Gasangan rent

discussions interactive • White Cloth

about food discussio • Sound

borne n system-rent

diseases and • Prizes- 30

its causes php each

. registered

family

Teach clients Provide 1 week Block 1 • Projector-

about proper an Gasangan rent

food handling interactive • White Cloth

and storage discussio • Sound

in relation to n system- rent

previous • Prizes- 30

health php each

teachings registered

(hand family

hygiene and • Merienda-

course of 15 php

food borne each

diseases) registered

individual

Evaluate the Facilitate 1 month Block 1 • Projector-

clients’ interactive Gasangan rent

(includin
understandin and fun • White Cloth
g follow-
g evaluation • Sound
ups)
; Do system-rent

follow-up • Visual aids

visits for games-

 100 php

• Prizes- 30

php each

registered

family

• Merienda-

15 php each

registered

individual