COMMUNITY DIAGNOSIS

CHN II RLE – Skills Lab

Thursday and Friday Groups

Learning Objectives :

At the end of 3 days of Related Learning Experience on Community Health Nursing 2 (RLE-CHN2), the students will be
able to know the dynamics of various variables in Community Health Nursing based on your review of the given
Community Diagnosis. Specifically:

a. Describe the community as Place.

b. Determine the population distribution and describe the community as People.
c. Analyze the various determinants of health and know the community as a Social System.
d. Illustrate the Problem Tree, specifying the cause and effects of the identified problem.
e. Conclusion and Recommendation. Submission of portfolio (word/pdf format)

COMMUNITY:: KAPAI, LANAO DEL SUR

• Bangsamoro Autonomous Region in Muslim Mindanao (BARMM)
• Coordinates: 8° 4' North, 124° 22' East (8.0738, 124.3638)
Describe Kapai, Lanao del Sur ‘community as a Place’
Kapai has 20 barangays, with a land area of 398.50 square kilometers. Total population is 20,581. Focus only
on Barangay Pindolonan for this CDX:
Total Population, Families and Families Surveyed
• 382 families out of 977 families
• 1,801 out of 4,414 individuals were interviewed in Barangay Pindolonan, Kapai.

Create a demographic profile

Barangay Pindolonan 150 belongs to the thirteenth zone and in the first district of Kapai. The Barangay has a
total land area of approximately 4.04 hectares. As of midyear 2009, according to the statistical report of
Kapai City hall, there are 6,335 individuals living in the community. The surveyed total population of the
Nursing students who conducted a Community Health Nursing in Baranagay Pindolonan 150 as of August
2021 are 1,801 Individuals which is composed of 382 households, 925 Males and 886 Females. This is caused
by the increase in population size. The Large numbers of households are dominantly Patriarchal in type. The
total voting age population of the barangay is 3,050. For the civil status matter, singles are in large number
than married, widowed, separated, and common law. Seventy percent (70%) of the whole community is
Roman Catholic, Twenty percent (20%) is Iglesia ni Cristo, 4 % are Protestant and 3 % are Seventh-day
Adventist, means that the majority of the population are catholic. Baranagay Pindolonan 150 falls under 1
type of the Philippine Climate Classification. The two distinct seasons recognized are the dry high pressure
season, which comes in the months of November till April and the west season, which starts from May and
lasts up to October. The dry season corresponds with the northeast monsoon (October to January) and the
wet season with the southwest monsoon (June to September). Between these two well-defined monsoon
periods, the southeast trade winds blow from February to May. The public transportation services of
Baranagay Pindolonan 150 are provided by bus, jeepney, tricycle, and taxi, while rail-based services such as
LRT are more significant as the rest.
VARIABLES FREQUENCY
Number of Family notSurveyed
595
Number of FamilySurveyed
382
TOTAL 977

Develop a population pyramid. Interpret and analyze.

Males Age Group (years) Females

40 (65+) 44

20 (60-64) 34

30 (55-59) 42

49 (50-54) 50

51 (45-49) 44

53 (40-44) 54

79 (35-39) 61

69 (30-34) 76

77 (25-29) 88

84 (20-24) 77

74 (15-19) 90

91 (11-15) 69

97 (5-9) 75

101 (0-4) 82

915 TOTAL 886

Compute and interpret and analyze :

1. Sex ratio
2. Median age
3. Dependency ratio
Describe Barangay Pindolonan, Kapai ‘community as Social System’
Analyze the variables based on 5 tables and illustrate a graphical presentation related to social system

Educational Attainment of Surveyed Population

Frequency Percentage (%)
Elementary Graduate 323 17.93%
High School Graduate 672 37.31%
College Graduate 281 15.60%
Vocational 74 4.11%
No Formal Education 201 11.16%
None 250 13.88%
Total 1801 100%

Frequency and Percentage Distribution of Out-of-School Youth(OSY)

EDUCATIONAL STATUS FREQUENCY PERCENTAGE

Male who stoppedstudying 100

Female who stopped studying 56
Male presentlystudying 69
Female presently studying 300
Total 525 100%

Length of Residency
Length of Residency Frequency Percentage
Transient (less than 6 34 9%
months)
Permanent (more than 6 348 91%
months)
TOTAL 382 100%

Perceived Adequacy of VentilationSurveyed in Brgy. 150 Bagong Barrio, Caloocan City

Adequacy of ventilation Frequency Percentage

Well ventilation 291
Poor ventilation 91
Total 382 100.00%

Waste Disposal Types utilized

Variable Frequency Percentage

ACCEPTED
Garbage Collection 8 2.09%
 Animal Feed 371 97.12%
Composting 1 0.26%
NOT ACCEPTED
Open Dumping 2 0.52%
Total 382 100%

Identify at least 5 community health problems.

Prioritize the identified community health problems based on the standard criteria.

Awareness andUtilization of the Health programs for Family Health

Health Not Aware Aware Effectiveness
program aware % but not % and % 2 % 1 % 0 %
utilizing utilizing
Safe
Motherhood
and 262 73 47 30
Women's 68.6 19.1 12.3 63.8 11 23.4 0 0
Health
Family 143 142 97 70
Planning 37.4 37.2 25.4 72.2 27 27.8 0 0
Garantisadong 318 41 23 16
Pambata 83.2 10.7 6.0 69.6 7 30.4 0 0
Expanded
Program on 97 105 180 144
25.4 27.5 47.1 80.0 35 19.4 1 0.6
Immunization

National
Cardiovascul
ar Disease
242 63.4 123 32.2 17 4.5 6 35.3 11 64.7 0 0
Prevention
and Control
Program
Rabies
Control 122 157 103 87
31.9 41.1 27.0 16 0
Program
84.5 15.5 0
Nutrition 108 160 114 94
28.3 41.9 29.8 82.5 19 16.7 1 0.9
Health
Development
Program for
Older 245 115 22 15
64.1 30.1 5.8 68.2 7 31.8 0 0.0
Persons
(Elderly
Health)
Dental 118 151 123 88
30.9 39.5 32.2 71.5 33 26.8 2 1.6
Health
 Program

Botika
70 18.3 107 28.0 205 53.7 117 57.1 88 42.9 0 0
Ng
Barangay

Lepros 339 88.7 32 11 8

8.4 2.9 72.7 3 27.3 0 0
y

Contro

l
Program
Pnuemonia
and Other
Acute
231 122 29 16
Respiratory 60.5 31.9 7.6 55.2 13 44.8 0 0

Infections
(ARI's)

Immunizations Status of Children (0-9 Months)

IMMUNIZATION STATUS FREQUENCY PERCENTAGE
Complete Immunization 10 37%
Incomplete Immunization 11 41%
Fully Immunized 4 15%
No immunization 2 7%
TOTAL 27 100%

Family Planning Method

FAMILY PLANNING FREQUENCY PERCENTAGE
METHOD
Natural
1. Calendar method 11 11%
Artificial
2. Condoms 21 20%
3. IUD 4 3%
4. Pills 54 53%
Permanent
5. Tubal Ligation 13 13%
TOTAL 103 100%
Frequency distribution of couples who are using family planningmethod surveyed

Couples who are using familyplanning method 8%

Couples who are not using familyplanning method 92%

Infant Feeding Program as surveyed

VARIABLE FREQUENCY
Formula milk and other 83
Breast milk 28
Mixed: ( Breastmilk and Formula) 12
Others 2
Total 120

Leading Causes of Morbidity

Top five leading Frequenc Population at Incidence rate

causes of morbidity y Risk
Flu 32 109 2.92% for every 100
7 person at risk gets ill
ofFlu ( Influenza)
Hypertension 16 127 1.26% for every 100
2 person at risk gets ill
ofHypertension
Stroke 7 127 5.5% for every 1000
2 person at risk gets ill
ofStroke
Asthma 7 109 5.5% for every 1000
7 person at risk gets ill
ofAsthma
TB (Tuberculosis) 6 601 9.9% for every 1000
person at risk gets ill
ofTB (Tuberculosis)
Total CST population 1801

Proportionate Mortality Rate

Cause of Number of Total Percentage
Mortality Deaths
Cancer 3 17 17.65 %
Vascular Diseases (stroke, 2 17 11.76 %
 etc.)
Heart Diseases/Heart 8 17 47.7 %
Failure
Complications ofDiabetes 1 17 5.88 %
Mellitus
Hepatitis 1 17 5.88 %
Motor Accident 1 17 5.88 %
Old Age 1 17 5.88 %

Presentation of Problem Tree, Conclusion and Recommendations, Submission of Portfolio

ANNEX: OPERATIONAL DEFINITION OF TERMS

FAMILY: a group of persons usually together and composed of the head and other
persons related to the need by blood, marriage or adoption. It includes the nuclear and
extended family. Moreover, they are sharing same resources (such as food, utilities,
money and alike), social responsibilities and privilege. Two families sharing one
household but 1 decision maker considered as 1 family if both have a decision- maker
they are considered as 2 families.
Household - A social unit consisting of a person living alone or a group of persons who
sleep in the same house. A household may consist of several families.

A.Demographic Data

Age-age as of last birthday

Sex- male or female

Civil status-enter any of the following:

a. Single (S)-person is not and has never been married

b. Married (M)-person living with another person bound by legal rites.
c. Common law (CL)-person living with another person without the benefitof
 a legal marriage
d. Widowed (W)- person whose spouse has died, and has not remarried.
Widow or female, widower for male.
e. Separated/Annulled-, a person whose bond of marriage has beendissolved
and can therefore remarry.

Religion- Indicate religion for each family member. Note: in case of children (0-14),
they assume the mother’s religion as articulated in the family code of the Philippines.
Indicate religious sect.
Head of the Family- The primary decision-maker in the family; or he/she could be the
recognized head by the family.

Educational Status- (7 and above) indicate status for each member of the family.
Indicate whether he/she is:
a.degree holder/college graduate
b.presently studying and highest completed level
c.had stopped studying and highest completed level
d.no formal education
For collation purposes, further break it down into:
Degree holders/ college graduate-also include graduates of vocational courses
Currently studying- elementary, high school, and college level
Had stopped studying- elementary graduate/undergraduate
High school graduate/undergraduate
College/vocational courses undergraduate
Type of the family- indicates structure as to nuclear or extended type. In terms of
decision-making, we use matriarchal or patriarchal type

Literacy Rate- in the Philippines, a person aged 15 years old and above who are
unable to read and write is considered illiterate.
# people 15 y/o and above who can read and write
Literacy rate = x 100
# of people of aged 15 and above

Ethnic Background- Refers to selected cultural and sometimes physical

characteristics used to easily divide people into groups or categories, considered to
be significantly different from others. These people may be considered as indigents or
having special needs.
Race-is a biological subspecies, or variety of subspecies consisting of a more or less
distinct population with anatomical traits that distinguish it clearly from other species

Regional origin – could be Luzon, Visayas, Mindanao, or per region if you want to be
specific

Primary dialect spoken – primary dialect used by the family

Patterns of migration – determine whether there is a large number of in-migration or

out-migration in the community as well as the reasons behind the trends. Determine
if Transient: below 6 months; Permanent: 6 mounts above.

Disadvantage people – these are people or groups of people who have special needs
in terms of basic needs and services, and not necessarily financial in nature
(ostracized groups like refugees, tribes, OSY, etc.)
-Individuals or group of individuals who are considered economically, physically
and socially disadvantaged. These include needy family heads and other
needy adults, indigent children, out-of-school youths, physically and
mentally disabled persons, distressed individuals and families, and
disadvantaged children.
Land area (sq. km)
Population density: x 100
Total populations
Compute population density per purok if barangay has puroks.

Population projection – important in establishing what services and health programs

to implement and strengthen. For example, in the event that current trends in birth and
death rates would lead to a dramatic increase in the population, the community can
strengthen their program on maternal and child care, and immunization
programs to cater to the young population, at the same time launching programs on
family planning to control the growth of population.

Urban- rural Index (if applicable) – determine as to what percent of the community
can be considered urban or rural.
Urban barangay: definition includes the criteria on the economic and social functions
of barrios, poblaciones, and central districts as follows:
1. In their entirely, all municipal jurisdictions which, whether designated as chartered

cities, provincial, capital or not, have a population density of at least 1,000 persons
per square kilometer.
2. Poblaciones or central districts of municipalities and cities which have a population

a density of at least 500 persons per square kilometer.

3. Poblaciones or central districts (not included in nos. 1 and 2) regardless of

population size which have the following:

a.Street pattern, i.e., network of street in either at parallel or right angle
orientation;
b.At least six establishments (commercial, manufacturing, recreational
and/or personal service); and
c.At least three of the following:
i.A town hall, church or chapel with religious services at least
once a month;
ii.A public plaza, park or cemetery;
iii.A market place or building where trading activities are carried
on at least once a week; and
iv.A public building like school, hospital, puericulture and health
center or library.
4. Barrios/barangay having at least 1,000 inhabitants which met the conditions set

forth in no. 3 above, and in which the occupation of the inhabitants is

predominantly non-farming/fishing.
 a. If a barangay has a population size of 5,000 or more, then a barangay is

considered urban, or
b. If a barangay has at least one establishment with a minimum of 100

employees
c. If a barangay has 5 or more establishments with a minimum or 10

employees, and 5 or more facilities within the 2 km radius from the

barangay hall
Rural Barangay – an area outside any area classified as urban

Under-employment – underemployment is present if one of the following is present; if

there is under utilizations of skills

Dependency ratio – the ratio of the economically dependent part of the population to
the productive part. The economically dependent part is recognized to be children who
are too young to work, and individuals that are too old, that is, generally, individuals
under the age of 15 and over the age of 65. The productive part makesup the gap
in between (ages 15-64).

A. Community as a People
Family structure, Characteristics, and Dynamics

TABLE & LEGENDS

No.- refers to the number assigned to each family members with The number 1 to
the head of the family, 2 to the spouse, 3 to the first child, and so on to the rest of
the members. In case there are members in the family who are relatives from either
side, continue the numbering according to the pattern grandparents, uncles, aunties,
and cousins. In case there are members of the family who are not related to it, continue
numbering according to the pattern below:
a. Head of the family
b. Immediate family

c. In-laws
d. Relatives
e. Non-relatives / kasambahay

Name of the household members- write the names of all the members of the
household, surname first and then the given name. In the case of the wife, indicate her
maiden name. If several members with the same surname are listed in order, the
surname needs not to be written for those following after the head.
Relationship to the head of the family- indicates the relationship of members to the head

of the household.

Highest Educational Attainment- refers to the highest level completed in the regular
and formal system of education. Enter only the last level of education completed and
not the one the person is in at the time of assessment.
Indicate whether:
a. Not yet attended school- e.g. babies, children from 7 years old below, regardless it
he/she is a pre-school.
b. Elementary Graduate- a person who finished elementary level in a formal education.
c. Elementary Undergraduate- a person who was not able to finish his elementary level
in formal education. (specify: EU - 1, EU - 2)
d. High school Graduate- a person who finished high school level in a formal education.
e. High School Undergraduate- a person who was not able to finish his high school in a
formal education. (specify: HU - 1, HU - 2, etc)
f. College Graduate- a person who has been awarded a degree by a university or a
college. Write the degree (e.g. BSN)
g. College Undergraduate- a person who was not able to finish college and geta degree
from a university or college. Write the last level he attained. (CU - 1, CU - 2, etc)
 h. Vocational Graduate- courses practically to enhance skills. Schools and there
curricula were accredited and approved by TESDA. Upon graduation of these courses,
students take a licensure examination from TESDA to obtain a certificate or diploma.
i. Post Graduate- education involves studying for degrees or other qualifications for
which a first or bachelor’s degree is required and is normally considered to be part of
tertiary or higher education.
J. No Formal Education- e.g. those persons who are 7 yrs. Older not yet attending
school.
Occupational Status- states the present status of occupation at the time when the survey

is conducted.

a. Employed- a person in the service of another under any contract of hire, expressed
or implied, oral or written, where the employer has the power or right to control and
direct the employee in the material details of how the work is to be performed.
b. Unemployed- refers to a person who doesn’t have a means for income.
c. Self-employed - refers to a person who works for himself instead of as an employee
of another person or organization, drawing income from trade or business.
d. Underemployed - to workers with high skill levels employed in low-wage jobs that
do not require such abilities.
e. Retired - refers to a professional person, who stopped working due to age reasons.

COMMUNITY AS A SOCIAL SYSTEM

A. Economic Aspect
Combined Family Monthly income- the total combined monthly income of the family.
This includes all the incomes which are used by the family for its expenses. An
income exclusively of use by only one member of the family for personal purpose
and allocation is not included in this category.
Monthly family expenditure - the totality of the monthly expenses of the family. It

show’s here where the income of the family is allocated.

Livelihood- examples are sari-sari store, hog raising etc.

Priority expenditure - refers to the aspects that the family is giving more attention to
than any other. The priority setting of the family to their needs.

B. Political/Leadership aspect

Barangay officials - refer to the set of persons in authority to implement policies and
organize the community in all aspects. This includes the barangay captain or
chairman, and his subordinates.
Religious leaders - refer to the persons commonly seen and observed in religious rites
and practices.
Elders - refer to the community’s senior constituents who have lived in the community
for almost the rest of their lives.
- recognized informal leaders

C. Environmental Aspect

Ownership of land and house

Owned - this refers to a property of a family, either a land property or a house property
in which they have a power over it.
Rented - the family is taking or holding a land under an agreement to pay a certain
amount for the rent. This rent refers to the money or the amount of money paid or
due at intervals for the use of another’s property.
Lease to own - lease refers to a contract renting a land, buildings, etc., to another, a
contract or instrument conveying property to another for a specified period or for a
period determinable at the will of either lessor or lessee in consideration of rent or
other compensation. The lessee will have a property as soon as he has already paid
the amount of the property.
Rent free - the family is not paying anything to the property that they are using.

Type of materials used for house

Light - refers to such materials as bamboo, nipa, sawali, coconut leaves or card
board.
Strong - refers to a predominantly concrete house.
Mixed - refers to a combination of light materials, wood and/or concrete. Typically
concrete floor or foundation and light walls, or a concrete 1st floor and light 2nd floor.

Lighting Facilities - artificial means of providing light/ illumination. Facilities used

already reflect adequacy and safety for the family. (Ex. Electricity, kerosene, candles,
or none.)

Types of Excreta Disposal

Pail System - a pail or box is used to receive the excreta and disposed later when filled.
(Included ballot system where in excreta is wrapped in a piece of paper/plastic and
thrown later.)
Open Pit Privy-consist of a pit covered by a platform with a hole is usually not covered.
The platform may, in its simplest form consist only of 2 pieces of wood or bamboo.
Closed Pit Privy- a pit privy in which the hole over the platform or toilet floor is provided
with a cover.
Bored-Hole Latrine- consists of a deep (usually more than 10 feet) but relatively narrow
(less than 2 meters in diameter) hole made with boring equipment.
Overhung Latrine- toilet house is constructed over a body of water (stream, fake, and
river) into which excreta is allowed to fall freely.
Antipolo Type- toilet house is elevated and the shallow pit is extended upwards to the
platform (toilet floor) by means of a chute or pipe made of metal, clay aluminumor
board.
Water Sealed Latrine- an Antipolo type of toilet, bored- hole latrine or any pit privy
wherein water sealed toilet bowl is placed instead of the simple platform hole(+)septic
tank.
Flush Type- a toilet system where waste is disposed by flushing water through pipes
(sewers) into a public sewerage system or into an individual disposal system like an
individual septic tank.
Approved types of water supply facilities

Level I (point source)-a protected well or a developed spring with an outlet but without
a distribution system, generally adaptable for rural areas where the houses are thinly
scattered. A level 1 facility normally serves an average of 15 households. The farthest
household not more 25Meters.

Level II (Communal faucet system or stand posts) - a system composed of a source,

a reservoir a piped distribution network, and communal faucets. Usually, one faucet
serves 4 to 6 households, generally .suitable for rural and urban fringe areas where
houses are clustered densely to justify a simple pipe system. This should not be
located more than 25 meters from the farthest house.
Level III (waterworks system or individual house connections)-a system with a source,

a reservoir a piped distribution network and household taps. It is generally suited for densely
populated urban areas (Ex. Nawasa, Maynilad)

Sewerage system- provides necessary facilities for the collection of wastewater within
the household institution or commercial establishment into a treatment plant for final
disposition making sure that the receiving water is not polluted.
4. Advantage excellent health benefits and convenience.
 5. Disadvantage requires large amounts of water and very high constructionand
maintenance cost

Sewerage System
Blind drainage - waste water flows through a system, of closed pipes to an
underground pit or covered canal.
Open drainage - waste water flows through a system of pipes (could be improvised
from bamboo) to an open pit canal.
None - when no drainage system or container used for garbage. Waste water from the
kitchen flows directly to the ground, oftentimes forming a nearly permanent pool.
Garbage is not put in a container when disposed.

Types of waste disposal

Hog feeding - garbage is used as hog feed and also to chicken and other livestock.
Open Dumping- refuse and/or garbage piled in a dumping place (with or without pit)
with no soil covering.
Open Burning- regularly piles refused/garbage and later burned in open air. This is
uncontrolled burning which is usually done for yard and street sweeping. It may be
allowed in rural areas where it will not worsen already existing air pollution.
Burial Pit - refuse/garbage placed in a pit and covered when failed up. There is no
intention to dig it up later for use as fertilizer. This should be located 25 meters away
from any well used for water supply.
Composting- involved buying or stacking of alternating layers of organic based
refuse/garbage and ’treated soil’ arranged as to hasted rapid decay and
decomposition into compost. This organic mixture can later be used as fertilizer.
Garbage Collection - refuse/garbage collected by garbage truck or any type of garbage
collection in the community.
Types of waste management
Recycling - ‘converting’ waste material for reuse in the future.
Reusing - to use something again, often for a different purpose and usually as an alternative to
throwing it out

Source of drinking water

Commercially prepared water - includes all bottled water that have been treated with
state of a art purification techniques bought usually at supermarkets, groceries, and
convenient stores (mineral water)
Local water system - commonly known as faucet or gripo which is connected from a
water distribution system, Level II (communal faucet) or level III (waterworks system)
of water supply facilities.
Artesian well- commonly known as the poso, level I (point source) of water supply facilities.

Deep Well - an artificial excavation or structure put down by any method such as
digging, driving, boring, or drilling for the purposes of withdrawing water from
underground.
Surface Water - derived from streams, rivers, subjects to seasonal availability and are
subjects to contamination if untreated.
Ground Water - walls and springs.

Spring - groundwater seepages which are created when the level of underground
water comes in contact with the surface. Contamination occurs at the point of
seepage.
Rainwater-basically free from impurities. However contamination may occur at the
collection and storage points, and by air pollution (ex., Acid rain)

Method of sanitizing water

Boiling - safest and purest way

6. Should be boiled for at least 2 minutes more after reaching boiling point of100 C
to kill all vegetative bacteria, viruses, fungi.
 7. At least 2 minutes as minimum suitable time of boiling water for low level locations

and an additional 1 minute per 1000 motor additional elevation (water boils at
higher temp at high altitude)

Filtration - done before boiling or disinfecting common household filters used in the
Phils: sand filters, cloth filters, intermittent water filter.
Sedimentation-impurities in water are allowed to settle at the bottom of the container
for 30 minutes-1 hr and pouring the top part in a new clean container without creating
turbulence.
Chemical Disinfection
1Chlorination-normal dose=1.5mg/L

2Disinfection- use of tincture of iodine-2drops/L

Buying commercially prepared water

Food Preparation
8refers to usual method of preparation of food (fried, steamed, grilled, boiled,
souteed, etc.

Health management
Authority consulted during illness
Authority- those who had a formal or informal training regarding health and health
managements that are recognized by the people (i.e. doctors, albularyo, hilot, etc) this
is to establish if the disease or illness had been properly diagnosed. Before assessing
this, ask first about the illness or disease suffered in the family for the year up to the
present and if the family have had done anything about it.

How to decide on medication taken during illness - during the course of illness (for the
past year). If the family has taken any medication, (self-prescription; prescribedby
the doctor, or prescribed by others, e.g nurse, midwife, pharmacist, family members.
Perception on what is a healthy person- self explanatory. If they think a child that is
malusog, walang sakit, mataba, masigla is considered healthy. Somewhat affectsthe
concept of health promotion and disease prevention within the community.

Perception on what causes illness- yields their knowledge, perception or any

misconception about what causes disease or illness. (maligno, duwende, engkanto etc)

E. Community health programs and services

Presence, Awareness and utilization of community health programs-Description of

existing health and health related programs that the community has or are
implementing. Awareness and utilization of community people regarding these
programs (asses using CST), FGD should be done to inquire why they are not availing
certain programs or following certain policies even if they are aware of it.

Method of family planning used-Natural or Artificial (read on types of natural and

artificial FP methods). Before asking this, inquire first if they are utilizing FP methods
since this question does not necessarily apply to all. (for families with mother’s age
is within the range of 15-45 years.)

Nutritional Status of target age group(0-6 years old)-weigh children from 0-6 years oldand

identify presence of malnutrition with their respective categories (refer to DOH book; table
for assessing malnutrition in children will be handed out.

Immunization status to target age group of 0-12 months and 1 year to 8 years old..
Please specify the vaccine and the number of doses (if applicable).

0-12 months- ideal age or schedule to complete the immunization (DOH-EPI)

Name Age BCG DPT OPV Hepa B Measles Remarks

Complete?

Incomplete?

Fully?

Immunized?

Note: “Full immunized” vaccination status is only applicable for children at least 9
months old.

“Complete” when the child has completed required vaccinations scheduled in the
EPI(applicable only for children 9 mos and below)

“Incomplete” – when the child has not yet received all required vaccinations as
scheduled in the EPI

>1 year-8 years old (since BCG can be administered to a child until he reaches 8
years old; DOH allows a child to be fully immunizes until 8)

Name Age BCG DPT OPV Hepa B Measles Remarks

Complete?

Incomplete?

Fully?

Immunized?

Note: DOH requires all children to have complete immunization by 8 years old. This
is because some children fail to follow the suggested schedule due to some reason
i.e. some sickness, unavailability etc.
 Maternal care- for women who are 1.presently pregnant and 2.6 weeks post partum

Pre-natal checkups: at least 4 times during entire pregnancy (1 for 1 sttri, 1 for 2nd tri,
and twice for 3rd tri.)

28 weeks/1st trimester 29-35 weeks/2nd trimester 36-40 weeks/3rd trimester

Once a month Every 2 weeks Once a week

Ante-partum- labor attendant present (doctor, nurse, hilot, albularyo etc.)

Location of delivery (home, hospital, etc)

Infant mortality (for the past year only)

Immunization status- please read book regarding the number and the time of tetanus
toxoid immunization mothers should have. Refer to the table below the suggested
format.

1st pregnancy 2nd pregnancy 3rd pregnancy 4th pregnancy

Complete? Complete? Complete? Complete?

Incomplete? Incomplete? Incomplete? Incomplete?

*Take note that the DPT vaccine given to the mother during infancy may be
considered as TT1 and TT2

Post- partum check up for home deliveries: (refer to DOH book pg. 104)

1st visit: within 24 hours post delivery

2nd visit: at least one week after delivery

3rd visit: 2-4 weeks after the 2nd visit

Manpower resources

a.Categories of health manpower available - health manpower refers to number

of nurses; doctors, midwife, dentist, medical technician, BNS(Barangay
Nutrition Scholar)/ BHWs and trained hilots (mga nagpapaanak) who are
serving the community and their corresponding time of availability/
b.Geographical distribution of health manpower - how health manpower is
distributed within the community/
c.Manpower-population ratio - nurse-population ratio, doctor-population ratio
(Refer to DOH book for their recommendations)

Rural health Physician = 1:20,000

Public health Nurse = 1:20,000
Rural health Midwife = 1:5,000
Rural health Inspector = 1:20,000
Rural health Dentist = 1:50,000

d.Distribution of health manpower according to health facilities – how health

manpower is distributed to various community health facilities (barangay
health center, hospital, Rural Health Units etc.)
e.Distribution of health manpower according to type of organizations (government,
non-government, health units, private)
f.Quality of health manpower – description or background information (training,
seminars attended, extent of experience etc.) of all available health
manpower the community has.
g.Existing manpower development/ policies – trainings, seminars that are
conducted for manpower development. Manpower related policies
 implemented in the community (tasks, rules, and regulations etc.)

Material resources of the community

a.Health budget and expenditures (% allotted, budgeting)
b.Sources of health funding (Government, NGOs, private agencies)
c.Categories of health institutions (Health centers, RHU, hospital, daycare center,
clinics, lying-in)
d.Categories of health services available (health programs)
e.Hospital bed-population ratio

Vital indicators: Crude birth rate (could be extracted from demographic data,
records review) and crude death rate (Refer to Maglaya for the formulas for vital
statistics)

Infant feeding (0 to 2 years old)

Breastfeed – if from 0 to 6 months, child was on pure breast milk
Bottlefed
Mixed

Political/ leadership patterns

1. Power structure (formal and informal)
Formal- with officially delegated and/or elected leaders
Informal- leaders considered out of legal mechanism

2. Attitudes of people towards authority

3. Conditions/events/issues that cause social conflict/upheavals or that lead tosocial

bonding or unification
4. Perceived problems of community people and barangay officials
5. Practices approaches which are effective in setting issues and concerns withinthe

community this includes perceived solution/s for the problems (per purok)
RISK FACTOR ASSESSMENT

Height, weight, food intake, BMI, BP, history of diseases, smoking, alcohol drinking,sedentary lifestyle,
diagnosed and if with medications