I.

INTRODUCTION

Community Health and Nursing Services has long been in the forefront in educating the Filipino on basic health care and in providing access to health services for vulnerable groups and communities. The beneficiaries of the program include children, the elderly, pregnant and breastfeeding mothers and persons with disabilities. The main purpose of Community Health and Nursing Services is the improvement and sustainability of the health situation of the most vulnerable individuals and communities eventually making them self-sufficient in health care through cooperation with LGUs and community members themselves. A community is a social unit wherein we find transactions as a common life among the people who compose the unit. It is a group of people sharing common geographic boundaries and common values and interest. 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.

PURPOSE

The RN HEALS Trainee considered Barangay. Salawad Cabucgayan, Biliran as their primary client in community diagnosis. The purpose of the researchers is to alleviate the communitys health problems. This can be done by determining the current health status of the community in order for the people to achieve optimum health. With the use of survey tools, the researchers were able to collect both qualitative and quantitative data of the Barangay which serve as the guide of the researchers in conducting a situational analysis of the locality and its people. The researchers were very optimistic that through this study they will be able to assist the community in determining and developing measures that will enable the local residents to overcome the various impediments to their achievement of good health and general wellbeing in the community.

STATEMENT OF OBJECTIVES GENERAL OBJECTIVE

After conducting a community diagnosis at Brgy. Salawad, we will be able to identify and inform the community people about the existing health problems in their community and proposed health programs so that the local residents will become responsible for their own health well-being and attain an optimum health which every individual rightfully deserves as well as the nature and causes of the diagnosed problem.

SPECIFIC OBJECTIVE

To be able to determine pre-existing and existing health problems of the community. To be able to help the people use their potential resources to alleviate their health status.

To be able to give recommendations regarding the identified problems of the community. To be able to identify management and interventions that will solve the problems on health.

METHODOLOGY AND TOOL USED During the entire exposure to Brgy. Salawad, a survey tool was used to select the actual respondents. The researchers used saturation method, wherein several groups was deployed to conduct house to house survey. the researchers used a modified survey form for a one on- one interview in the said community. The current health problem of the community and families was identified with the use of evaluation tool.

SIGNIFICANCE OF THE STUDY

The findings of the study will be of great significance to the residents of Barangay Salawad Cabucgayan, Biliran. This is because data to be gathered in this study will help establish baseline data of the health status of the same barangay. The information derived from the community diagnosis includes the interpretations, analyses, and presentations of the corresponding health implications of all the relevant data gathered and information about the interacting elements existing in their community which can either directly or indirectly affect their health. Thus, this study will elevate the residents awareness to their current health conditions and ultimately further enhance their knowledge about health, for them to adopt necessary adjustments in solving and coping up with their health problems for their attainment of a generally desirable health and well-being as a people.

II. TARGET COMMUNITY PROFILE Brgy . Salawad

Brgy. Salawad is one of the thirteen barangays of the municipality of Cabucgayan, Biliran Province. Having a total land area of 120 hectares with a population of 709 inhabitants, it is a little far away distance from the sea shore.The barangay site is located at the upper plane top side, atop of the hill and more than 200 feet above sea level. To reach the place, we have to go up; hence it was called Salawad in the vernacular dialect. Barangay Salawad is 9.5 kilometers away from the municipality of Cabucgayan and going to this place, we have to pass the national highway on elevated higher route. We could see many coconut trees and banana plantation which are the principal products of the place. This barangay was created by the folks in June 24, 1948 and celebrating its patron saint, Saint John the Baptist every June 24. It was legalized as registered charter barangay in 1960 by the first officials.

ORGANIZATIONAL STRUCTURE
GEOGRAPHICAL LOCATION AND DISTRIBUTION

Total Land Area:`189.222 square meters Distance From : o o Municipality of Cabucgayan : 9.5 km. Sea Shore : 200 ft. above sea level

Terrain Characteristics: Plateau Road Network : Rough road

Bridge : Wood

III.DATA PRESENTATION

1. DEMOGRAPHIC PROFILE
Table 1.1 Total populations Criteria Male Female Total Population Actual 348 361 709 Percentage 49% 51% 100%

Total Population

49% 51%

Male Female

The figure above shows the total population of Barangay Salawad. 51% are female while 49% are males.

Table 1.2 POPULATION BY AGE GROUP

AGE GROUP < 1 YR OLD 1- 4 YEARS OLD 5-9 YEARS OLD 10-14 YEARS OLD 15-19 YEARS OLD 20-24 YEARS OLD 25-29 YEARS OLD 30-34 YEARS OLD 35-39 YEARS OLD 40-44 YEARS OLD 45-49 YEARS OLD 50-54 YEARS OLD 55-59 YEARS OLD 60-64 YEARS OLD 65-69 YEARS OLD 70 YEARS OLD AND ABOVE

MALE 14 54 54 42 37 29 26 15 17 16 11 10 8 7 3 5

FEMALE 16 52 54 46 38 32 24 26 17 12 12 9 8 5 5 5

BOTH SEXES 30 106 108 88 75 61 50 41 34 28 23 19 16 12 8 10

3% 3% 5% 5% 4%

1% 1% 2% 2%

4% < 1 YR OLD 16% 1- 4 YEARS OLD 5-9 YEARS OLD 10-14 YEARS OLD 15-19 YEARS OLD 20-24 YEARS OLD 16% 25-29 YEARS OLD 30-34 YEARS OLD 35-39 YEARS OLD 40-44 YEARS OLD

7%

8% 12% 11%

45-49 YEARS OLD 50-54 YEARS OLD

The figure above shows that 16% of the total population of Barangay Salawad belongs to 5-9 years old age group and 1-4 years old age group.

2. SOCIO ECONOMIC PROFILE

TABLE 2.1 TYPE OF FAMILY STRUCTURE EXTENDED NUCLEAR MATRIARCHAL PATRIARCHAL 5 88 5 3

5%

3% 5%

EXTENDED NUCLEAR MATRIARCHAL 87% PATRIARCHAL

The figure above shows that 87% of the residents in Barangay Salawad have nuclear type of family structure.5% is are extended and matriarchal while 3% are extended type of family structure.

TABLE 2.2 RELIGION RELIGION ROMAN CATHOLIC OTHERS (SDA,BORN AGAIN CHRISTIAN ACTUAL NO. 97 4 PERCENTAGE 96% 4%

RELIGION
4%

ROMAN CATHOLIC OTHERS (SDA,BORN AGAIN CHRISTIAN

96%

Most of the residents of Barangay Salawad are Christians. The Religion in this barangay is dominated by Roman Catholic there are 96% and on the other hand other religion has 4% which is composed of Seventh Day Adventist and Born Again Christian. This clearly establishes the fact that a great majority of Filipinos are Roman Catholics. Their siblings will most likely be also remaining Christians. The Philippines was colonized by Spaniards and this is the reason why majority of the people in our country are Roman Catholics.

TABLE 2.3 OCCUPATIONAL STATUS / SOURCE OF INCOME OCCUPATION NO OCCUPATION DRIVER LABORER (CARPENTER,HELPER) OFW (SEAMAN,DH) GOVERNMENT EMPLOYEE FARMER ACTUAL NO. 26 5 20 5 15 30 PERCENTAGE 25.74% 4.95% 19.80% 4.95% 14.85% 29.70%

OCCUPATIONAL STATUS
NO OCCUPATION DRIVER LABORER OFW GOVERNMENT EMPLOYEE FARMER

25.74% 29.70%

4.95%

14.85% 19.80% 4.95%

The figure above shows that the main livelihood and source of income is farming and some others are working as laborer, OFWs, Govt. Employee, drivers. It also shows that 25.74% of the populations are unemployed.

TABLE 2.4 MONTHLY FAMILY INCOMES INCOME PHP BELOW 5,000 PHP 5,000-10,000 PHP 10,000-20,000 PHP 20,000 ABOVE NO FIX INCOME ACTUAL NO. 30 25 15 5 26 PERCENTAGE 29.70% 24.75% 14.85% 4.95% 25.74%

29.7% 30 25 20 15 10 5 0 PHP BELOW 5,000 PHP 5,000-10,000 4.95% 14.85% 24.75% 25.74%

PHP 10,00020,000

PHP 20,000 ABOVE

NO FIX INCOME

Most of the families that were surveyed have only the income ranging from five thousand below, which is 29.7 percent. There are only few families that have an income of twenty thousand which is 4.95 percent while 25.74 percent have no fix incomes.

3.ENVIRONMENTAL PROFILE
TABLE 3.1 SOURCE OF WATER SUPPLY LEVEL 1 LEVEL 2 LEVEL 3 *LEVEL 1 from the source *LEVEL 2 communal *LEVEL 3 owned 1 17 83

1% 17%

LEVEL 1 LEVEL 2 LEVEL 3

82%

The figure above shows that 82 percent of the total number of household has level 3 source of water supply. 17 percent are level 2 and 1 percent are those water from the source.

TABLE 3.2 CONTAINERS USED BOTTLES JARS,WATER JAG PAILS,DRUMS PLASTIC PITCHER,PLASTIC CONTAINER The table shows that most of the families used plastic pitcher for water storage. 20 30 15 36 and plastic container

TABLE 3.3 ELECTRICAL SUPPLY KEROSENE 10 ELECTRIC POWER 91 The table shows that almost all of the household have electric power while the others use kerosene to light their house during the night.

TABLE 3.4 GARBAGE DISPOSAL BURNED COMPOST PIT OPEN DUMPING 10 6 85

10% 6%

BURNED COMPOST PIT OPEN DUMPING

84%

Figure 3.4 above shows that 84% of the residents of Barangay Salawad disposes their garbage by open dumping while 10% of the residents prefer to burn their garbage and the rest 6% make a compost pit

TABLE 3.5 TOILET FACILITIES

HOUSEHOLD WITH TOILET HOUSEHOLD WITHOUT TOILET

90 11

89.11%

90 80 70 60 50 40 30 20 10 0 HOUSEHOLD WITH TOILET

10.89%

HOUSEHOLD WITHOUT TOILET

The figure above shows that the number of household with toilet has 89.11% and number of household without toilet has 10.89%.

COMMUNITY FACILITIES AND RESOURCES TRANSPORT FACILITIES MOTORCYCLE VAN OTHERS (BUS, JEEP) 10 2 2

The community of Brgy. Salawad mostly utilizes motorcycle as a means of transportation, while vans, buses and jeepneys are rarely utilized. HEALTH AND SOCIAL FACILITIES BHS ELEMENTARY SCHOOL ROMAN CATHOLIC CHAPEL BASKETBALL COURT SARI-SARI STORE 1 1 1 1 9

The community are aware of these different health and social facilities available in their community.

4. HEALTH INDICATORS
4.1 IMMUNIZATION STATUS ELIGIBLE POPULATION : 19 INDICATORS NUMBER OF CHILDREN GIVEN BCG 4 OPV1 8 OPV2 9 OPV3 9 DPT1 8 DPT2 9 DPT3 9 HEPA1 7 HEPA2 9 HEPA3 11 MEASLES 10 Out of 19 eligible populations, there are only 10 children who were fully immunized.

EPI AND BREASTFEEDING REPORT

11 10.5 10 10 9.5

11

11

10

FULLY IMMUNIZED CHILDREN 9-11 INFANT GIVEN 3RD DOSE OF HEPA B MOS

INFANTS SEEN AT 4TH MONTH

INFANTS EXCLUSIVELY BREASTFEED UP TO 4TH MONTH

The figure above shows that there are 10 children aged 9-11 months who were fully immunized, and there are 10 infants who are exclusively breastfeed up to 4th month. There are 11 infants given 3rd dose of HEPA B, and 11 infants seen at 4th month.

HEALTH NUTRITIONAL PROFILE AS OF YEAR 2010 TOTAL NO. OF ENROLLED SCHOOL CHILDREN B 72 24 NORMAL G 31 TOTAL 55 B 7 BELOW NORMAL G 9 TOTAL 16 ABOVE NORMAL B 1 G 0 TOTAL 1

The table above shows that out of 72 total population of school children, 55 has normal weights, 16 are underweight and 1 is overweight.

HEALTH NUTRITIONAL PROFILE AS OF YEAR 2011 TOTAL NO. OF PRESCHOOL CHILDREN B 117 21 NORMAL G 26 TOTAL 47 B 5 BELOW NORMAL G 1 TOTAL 6 ABOVE NORMAL B 0 G 0 TOTAL 0

The table above shows that out of 117 total population of preschool children, 47 has normal weight, 6 are underweight, 0 overweight. It shows that the number of underweight children has reduced by the year 2011, which means that there is an improvement on the health nutritional status among the children in Barangay Salawad.

VITAMIN A SUPPLEMENTATION IN THE YEAR 2011 AGE NUMBER GIVEN % 6-11 MONTHS 6 60% 12-59 MONTHS 60 78% 12-71 MONTHS 75 78% Table above shows that there were 6 (60%) children aged 6-11 months, 60 (78%) aged 12-59 months, and 75 (78%) aged 12-71 months who were given Vitamin A supplementation.

TABLE 4.2 FAMILY PLANNING CURRENT USERS AS OF 2010 METHOD NUMBER OF USERS CONDOM 0 INJECTABLE 2 IUD 2 LAM 2 PILLS 1 The data shows that injectable, IUD and LAM method of family planning has the same number of users and there were only 1 user of pills.
0% 14% 28% CONDOM INJECTABLE IUD 29% LAM PILLS

29%

The figure above shows that there are same number of current users of IUD, LAM, and injectable while there is no current user of condom.

TABLE 4.3 MATERNAL CARE

A. DELIVERIES ATTENDED BY: DOCTOR NURSE MIDWIFE 0 0 7

The table shows that all deliveries as of the year 2010 were attended by midwife.

B. BY TYPE OF PREGNANCY: NORMAL PREGNANCY 3 RISK PREGNANCY 4 The table shows that there were 3 normal pregnancies and 4 numbers of risk pregnancies as of year 2010.

C. PLACE AND TYPE OF DELIVERIES NORMAL DELIVERY HOME 1 HOSPITAL 0 RHU 5 BHS 1 The table shows that there is 1 home delivery, 5 in the RHU, and 1 in the BHS.

14%

14%

0%

72%

HOME

HOSPITAL

RHU

BHS

The figure above shows that 72% have normal deliveries at RHU while 14% of deliveries are at BHS and home.

DENTAL CHECK-UP ONCE A YEAR TWICE A YEAR WHEN THERE IS DECAY NEVER 11 10 50 30

11%

30%

10% ONCE A YEAR TWICE A YEAR WHEN THERE IS DECAY NEVER

49%

The figure above shows that most families in Barangay Salawad have dental checkup when there is decay. 30% said that they never have dental check-up, 10% twice a year and 11% once a year.

LEADING CAUSE OF MORBIDITY AS OF JAN-JUL 2011 (DAILY SERVICE RECORD) 1.AURTI 2.PUNCTURED WOUND 3.PNEUMONIA 4.INFECTIOUS DIARRHEA 5.HPN 6.LACERATED WOUND 7.DM 8.BRONCHIAL ASTHMA 9.ANEMIA 10.IMPETIGO NUMBER 17 5 4 3 2 1 1 1 1 1 RATE 2397.74 705.22 564.17 423.13 282.09 141.04 141.04 141.04 141.04 141.04

The table above shows that the number one cause of morbidity in Barangay Salawad is AURTI with the rate of 2397.74

LEADING CAUSE OF MORTALITY AS OF YEAR 2010 1.PNEUMONIA 1 2.STAB WOUND 1 The tables above shows that pneumonia and stab wound are the reported causes of mortality in Barangay Salawad as of year 2011.

RANKING OF HEALTH PROBLEMS IN BARANGAY SALAWAD

PRIORITY 1 2 3 PROBLEMS

URTI UNEMPLOYMENT LOW FULLY IMMUNIZED CHILDREN STATUS 11% OF MALNOURISHED CHILDREN
POOR ENVIRONMENTAL SANITATION A. HOUSEHOLD WITH NO TOILET B. UNSAFE WATER SUPPLY C. POOR GARBAGE DISPOSAL

NATURE OF PROBLEM HEALTH DEFICIT HEALTH THREAT HEALTH DEFICIT

HEALTH DEFICIT

HEALTH THREAT

COMMUNITY DIAGNOSIS IN

commundiagnosis