Community Diagnosis
Community Diagnosis
Community Diagnosis
DIAGNOSIS
Barangay Dimagiba,
TARLAC
Presented by:
BSN II-II, Group 3-4
INTRODUCTION
• In 1999, the American Nurses Association (ANA) defined community health nursing as
“public health nursing is the practice of promoting and protecting the health of populations
using knowledge from nursing, social and public health sciences." (Waldorf, 1999). This
viewpoint noted that a community health nurse directs care to individuals, families, or
groups; this care uses knowledge from nursing, social and public health sciences, in turn,
contributes to the health of the total population.
• The primary goal of community health nursing is to help a community protect and preserve
the health of its members, while the secondary goal is to promote self-care among
individuals and families. Community health nursing involves the identification of high-risk
aggregates in the community, and the development of appropriate and workable policies
and interventions to ensure accessible services for all groups of the population. (World
Health Organization, 2010, pg.8).
• Community was defined as “a collection of people who interact with one another and
whose common interests or characteristics form the basis for a sense of or belonging”
(Rector, 2017, p. 6) and “a group of people who share something in common and interact
with one another, who may exhibit a commitment with one another and may share a
geographic boundary” (Lundy & Janes, 2016, p. 13) while Maurer and Smith (2013) further
addressed the concept of community and identified three defining attributes: people; place;
and social interaction or common characteristics, interests, or goals. Combining ideas and
concepts, community is seen as a group or collection of individuals interacting in social
units and sharing common interests, characteristics, values, and goals
• Community Diagnosis or community assessment is the foundation for improving and
promoting the health of community members. The role of community assessment is to
identify factors that affect the health of a population and determine the availability of
resources within the community to adequately address these factors. (Wilson, 2021) while
according to WHO, the
• definition of Community Diagnosis is "a quantitative
and qualitative description of the health of citizens
and the factors which influence their health. It
identifies problems, proposes areas for improvement
and stimulates action".
• Barangay Dimagiba is a small Barangay in Tarlac.
The total land area is 3.8 hectares and most of it is
rice fields. The total population is 123 with 24
households. Most of the residents are Catholic and
the most common dialect used is Tagalog and
Ilokano. Farming has the highest percentage of the
population's source of income next is transportation
work. Barangay Dimagiba is our adopted community
and this study will mainly benefit the people of the
Barangay. This Community Diagnosis will assist the
community in developing measures that will enable
the local residents to identify their current problems
that they need to improve. We will work with them to
manage their own health related problems so that
they will be able to achieve and maintain a good
health.
GENERAL OBJECTIVES
• At the end of the rotation, the group will
be able to identify the health status of the
chosen community, analyze the factors
that may affecting the health status of the
community and help a community protect
and preserve the health of its members,
while the other goal is to promote self-
care among individuals and families. It
also able to give a proper nursing
interventions to help the community to
develop their awareness for the possible
health problem outcome.
SPECIFIC OBJECTIVES
To increase the capability of community to deal with their own
health problem.
To strengthen community resources.
To conduct researches.
The group conducts survey questionnaires, structured interviews & observations, physical
examination and records review. The numerical data collected were presented into graphs and
table.
Each member is designated to different families and each member will do all the assessment to
the family that they are assigned. The group is also divided into their assigned work and
committee.
Community Survey Committee- these are the one who is responsible for doing the survey
around the community and making Tally Sheets when all of the families around the
community is done with survey. A tally sheet is the compilation of the data’s collected
that will be used for the entire study.
Records Review Committee -they are the one who is gathering essential data’s such as
the Barangay’s History and Status in the Community’s Health Center and data’s from the
City Hall.
Spot Map Committee - they are the one who is responsible for sketching the
community’s maps and knowing the Landmarks that are needed for the documentation.
They are responsible for assigning and keeping tracks of our group members roaming
and surveying around the community.
SCOPE AND
DELIMITATION
• This community diagnosis was conducted
at Barangay Dimagiba, Tarlac from April
to May 2021. The total number of families
being surveyed is 24 consisting of 123
individuals. 100% of the total households
of Barangay Dimagiba were surveyed by
the student nurses.
REASON FOR
CHOOSING BARANGAY
DIMAGIBA
• We chose Barangay Dimagiba because
we've seen a variety of issues that
need to be addressed, including
environmental sanitation, poor
drainage system, insufficient garbage
disposal, a rise in the number of
unvaccinated stray dogs, and so on.
We've also seen people's desire to
work together for the betterment of
their society. Officials from the
barangay worked with us and believed
in our ability to implement effective
interventions that would reduce, if not
eliminate, the community's current
problem.
COMMUNITY
HEALTH
ASESSMENT
Total Total
Population: Household:
123 24
SPOT MAP
DEMOGRAPHIC
VARIABLES
AGE DISTRIBUTION
Table 1 shows the graph of age distribution in the community of Brgy.
Dimagiba, Tarlac by surveying as of April to May 2021.
Age Frequency Percentage
Analysis: The range of 36 and above has the highest percentage followed by 13-18 yrs. old. The lowest
percentage is in the range of 0-5 and 6-12 months. Thus, a population that has experienced a recent decline
in fertility tends to have relatively small numbers both of children and of aged persons and a large
proportion of adults in the middle ages. It is under density dependent factor because of their potential for
maintaining population density within narrow ranges of values.
SEX DISTRIBUTION
Table 2 shows the sex distribution in the community of Brgy.
Dimagiba, Tarlac by surveying as of April to May 2021.
Category Frequency Percentage
Female 58 47.15%
Male 65 52.85%
Analysis: The number of Male is greater than the number of Female with a difference of
7(5.70%). Meaning male are responsible for financially supports to his family while female
should perform domestic activities as part of their upbringing and participate cooking
activity.
CIVIL STATUS
DISTRIBUTION
Table 3 shows the civil status in the community of Brgy.
Dimagiba, Tarlac by surveying as of April to May 2021.
Civil Status Frequency Percentage
Single 24 19.51%
Married 51 41.46%
Widow 2 1.63%
Separated 2 1.63%
Child 41 33.33%
• Analysis :Based on the surveyed population, the highest rate was married, followed by the child
and the lowest was separated and widow with equal rate. Based on the graph those individuals
who are separated and widow has the lowest score because here in the Philippines it is hard to
get a divorce and the marriage is he highest in the graph because of the teenage pregnancy they
forced to get married.
NUMBER OF
REGISTERED LIVE
BIRTHS
Table 4: The table and graph below represent the number of
registered live births in the community of Brgy. Dimagiba,
Tarlac through the survey results collected as of April to May 2021.
Registered live births Frequency Percentage
Analysis: In the community, 123 (100%) of the total population has been registered for live births. In conclusion,
timely registration of live births was well enforced in the community, as evidenced by population registration.
YEARS OF STAY
Table 5 shows the years of residency in the community of
Brgy. Dimagiba, Tarlac by surveying as of April to May 2021.
Years of residency Frequency Percentage
Total 24 100%
Norms: The length of residency (LOR) is the indicator of the period of time an
individual has resided at their present address. It can provide insights into life events
and, in conjunction with other information; it is used to help predict purchasing and
potential residency value. It is referenced at both an individual level and at a
household level. The household measurement indicates the longest length of residency
of all individuals currently at the household. (Maglaya, 2004. “Nursing Practice in the
Community”)
Analysis :Both ranges 4-6 years and 7-12 years of residency were considered as the
lowest percentage, in which they only have 4.16%, and the 36 and above years of
residency has the highest percentage, in which it has 41.67%. Most of them live in the
same community since they were born and became married.
RELIGIOUS AFFILIATION
Table 6 shows the Religion in the community of Brgy.
Dimagiba, Tarlac by surveying as of April to May 2021.
Religion Frequency Percentage
Catholic 75 61%
Inc 32 26%
Born Again 5 4%
OTHERS: Crusaders 5 4%
Baptist 5 4%
Rizalista 1 1%
Tagalog 41 33.33%
Ilokano 41 33.33%
Kapampangan 31 25.20%
Bisaya 10 8.13%
ALS 1 0.81%
Analysis: Most people in the community only attained High school level maybe because, they lack of financial
support. Most of them prioritize food and electric bills instead of pursuing tertiary education. Additionally,
majority of the people in the barangay did not go after college because of the availability of College school
around their community. They also prioritize their younger children or siblings who are elementary to study
because they do not pay that much money for their education, mostly because they are studying in a public
school. Since the highest percentage of the highest educational attainment in the community came from the
currently studying sector, we are hoping that they will purse high school and tertiary education.
TYPE OF SCHOOL
Table 9 shows the Type of school in the community of Brgy.
Dimagiba, Tarlac by surveying as of April to May 2021.
Type of School Frequency Percentage
Private 3 2.44%
NA 12 9.76%
• Analysis
• Public school is the most preferred type of school rather than
private school. Majority of the population prefer to enroll in a
public school with no other fees and payment because they
lack of financial support.
CAN READ CAN WRITE
Table 10 shows the population who can read and write in the
community of Brgy. Dimagiba, Tarlac by surveying as of
April to May 2021.
Age Frequency Percentage
6-12 1 0.81%
1-3 7 5.15%
4-6 13 10.57%
7-12 14 11.38%
13-18 19 15.45%
19-24 8 6.50%
25-35 14 11.39%
36 above 47 38.21%
Frequency Percentage
Can 112 91.06%
Can not 11 8.94%
Total 123 100%
Norms: Reading and writing are important to help function in school, on the job, and in society. In school,
children with communication disorders are more likely to struggle with literacy skills. They often perform
poorly in school, have problems reading, and have difficulty understanding and expressing language. Evidence
suggests that children who read for enjoyment every day not only perform better in reading tests than those who
don’t, but also develop a broader vocabulary, increased general knowledge and a better understanding of other
cultures. (Potts, 2011. “Pediatric Nursing, Caring for Children and Their Families”.)
Analysis: Most of the population was able to read and write. Due to the pandemic 8.95% of the population are
not able to read and write.
TYPE OF FAMILY
STRUCTURE
Table 11 shows the Type of Family Structure in the
community of Brgy. Dimagiba, Tarlac by surveying as of
April to May 2021.
Type of Family Structure Frequency Percentage
Nuclea 62.5%
15
Extended 20.83%
5
Single-parent 12.5%
3
Blended 4.16%
1
Total 100%
24
Norms: Family is considered to be the foundation of social life for most Filipinos.
The nuclear family is the core family unit, however in a Filipino household, it is
common to find three generations living together; grandparents, parents, and
children. Often, grandparents play a large role in raising their grandchildren. (IES
(2021). The Cultural Atlas. Retrieved from: https://culturalatlas.sbs.com.au.)
Analysis: The nuclear family, wherein only the parents and children lives in a single
household, widely dominated the barangay, with a percentage of 62.5%, compared
with single-parent, extended and blended family, with a combined percentage of
37.5%. Filipino society has widely adapted to the change in family structure as time
passes by from the original Filipino culture to the core family unit globally, the
nuclear family.
SOCIO ECONOMIC
VARIABLES
MODE OF
COMMUNICATION
Table 12 shows the Mode of communication in the
community of Brgy. Dimagiba, Tarlac by surveying as of
April to May 2021.
Mode of communication Frequency Percentage
Telephone 1 4.16%
Internet 1 4.16%
Total 24 100%
Norms: Communication is the process of transmitting knowledges, ideas, attitudes, feelings
and information of one person, place or group to another and people to express their ideas
and at the same time, helps us to understand emotion and thoughts of the others.
Communication is an indispensable thing. People communicate to persuade, amuse, inspire
and incite others to action. (https://leverageedu.com/blog/modes-of-communication)
Analysis: The usage of cellular phone as their mode of communication has the highest
percentage while the lowest percentage is the telephone and internet. The cellular phone is
easier to use to connect with your loved ones and friends. It is very fast, wide range
information, data and it can be used for long distance communication.
TYPE OF
TRANSPORTATION
Table 13 shows the type of transportation in the community
of Brgy. Dimagiba, Tarlac by surveying as of April to May
2021.
Type of Transportation Frequency Percentage
Tricycle 11 45.83%
Bicycle 5 20.83%
Motorcycle 7 29.17%
Total 24 100%
Norms: Transportation plays a major role in the daily life of human beings. It is necessary for things to
be moved around and as transportation systems have developed over time, the speed and efficiency of
these systems have improved drastically. The importance of transportation is showcased in how
individuals, businesses, and governments rely on it to access resources. From movement to work to
travel around the world, being able to arrive at various places or deliver different items on time is vital
for overall productivity and sustainable development. People, resources, jobs, and economies all need
seamless movement to keep the entire world moving forward. (
Importance of Transportation and Role of The Economic Development (impoff.com) 2021)
Analysis: Most common type of transportation they used is tricycle and least used vehicle was car with
4.17%. In every barangay in the Philippines you would find the tricycles as the regular mode of
transportation. It has many uses such us to deliver foods in the community, go to different places such
us market, school, workplace, hospital and as their source of income.
MONTHLY
INCOME
Table 14 shows the overall monthly income of every household that we interviewed
in the community of Brgy. Dimagiba, Tarlac by surveying as of April to May 2021.
1,000-5,000 7 29.17%
5,000-10,000 13 54.17%
10,000-15,000 3 12.5%
15,000-20,000 1 4.16%
Total 24 100%
Norms : Families were grouped and ranked into per capital income deciles. The richest decile
represents families belonging to the highest ten percent in terms of per capita income, while the
poorest decile represents families in the lowest ten percent. In 2018, Filipino families earned Php
313 thousand, on average. In comparison, their expenditure for the same year was Php 239
thousand, on average. These figures translate to an average annual savings of Php 75 thousand.
These estimates are based on the results of the 2018 Family Income and Expenditure Survey
(FIES).
Analysis: The highest percentage of monthly income in the community is in the range of 5,000-
10,000 and the lowest range of monthly income is in 15,000-20,000 and really low percentage for
the 2018 survey so the community will fall on the poorest decile of families.
SOURCE OF
INCOME
Table 15 shows the source of Source of income Frequency Percentage
Others:
Salesman 1 2.70%
Pension 1 2.70%
Tailoring 2 5.41%
Allowance 1 2.70%
Total 37 100%
Norms : The most important sources of income growth are nonfarm wage work, foreign remittances, and
domestic remittances indicating that nonfarm work and migration are important pathways out of poverty.
Households in remote areas remain engaged in agricultural wage work and in the production of high- value
agricultural products. Regression results also show that electricity and roads as well as secondary and tertiary
schooling have significant positive impacts on nonfarm wage income and remittances. Overall, this study
emphasizes the utmost importance of infrastructure and human capital in facilitating movements out of poverty
through nonfarm wage work and migration (Quimba & Estudillo, 2017).
Analysis : It can be concluded that the primary source of income in Brgy. Dimagiba is farming while the least
is aircraft mechanic. Since Brgy. Dimagiba is a community with wide rice fields and farming areas, most of the
people utilize these as primary source of income.
HEALTHCARE RESOURCES
Table 16. This table Show the Resources allotted for health
care in the community per household of Brgy. Dimagiba,
Tarlac by surveying as of April to May 2021.
Health Care Resources Frequency Percentage
SSS 6 25%
Philhealth 13 54.17%
NA 5 20.84%
TOTAL 24 100
Norms : The Philippine Health Insurance Corporation (PhilHealth), together with the
Government Service Insurance System (GSIS) and Social Security System (SSS) to
provides guidance on essential environmental health standards required for health
care and promote adequate health care resources for the family of the community. “A
Critical Analysis of Purchasing of Health Services in the Philippines: A Case Study of
PhilHealth”
Elders 2 8.33%
Total 24 100%
• Norms: The political and leadership pattern is a vital element in achieving the goal of high-level wellness among the
people. It reflects the action potential of the state and its people to address the health needs and problems of the
community it also mirrors the sensitivity of the government to the people's struggles for better lives. (Araceli S.
Maglaya, Nursing Practice in the Community 5th ed.)
• In a study conducted to evaluate performance of leaders in the community, they found out that majority of the
Barangay Chairpersons were able to deliver very satisfactory public services in their barangays which also indicated
that the core values of governance namely fairness, transparency and accountability were strengthened by them
during their term of office. The Local Government Code of 1991 paved the way for greater local autonomy to bring
government closer to the doorsteps of the people. (Sheena L. Boysillo, MPA, 2017)
• Analysis: In terms of political and leadership, the majority of the households in the community favored barangay
officials, while religious leaders received the lowest percentage. As a result, we can conclude that barangay officials
have had an impact on the community in terms of actions taken to resolve community concerns and issues,
especially when it comes to health needs and problems. 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.
ENVIRONMENTAL
VARIABLES
LAND OWNERSHIP
Table 18 shows the land ownership in the community of Brgy.
Dimagiba, Tarlac by surveying as of April to May 2020.
House ownership Frequency Percentage
Owned 21 87.5%
Rented 1 4.17%
TOTAL 24 100%
Norms: In general, only Filipino citizens and corporations or partnerships with
least 60% of the shares are owned by Filipinos are entitled to own or acquire
land in the Philippines. Foreigners or non-Philippine nationals may however
purchase condominiums, buildings, and enter a long-term land lease. (Kittelson
& Carpo, 2019. “Land Ownership and Property Acquisition in the Philippines
for Foreigners and Former Filipino Citizens”)
Analysis: According to the table, the residents of Barangay Dimagiba have the
highest percentage of owned property, followed by informal settlers, and rented
land has the lowest percentage. Meaning that many families in the community
own land in Barangay Dimagiba, and a few lands in the Barangay Dimagiba are
informal settlers and rented land.
TYPE OF MATERIAL
USED FOR HOUSE
Table 19 shows the material used for house in the community
of Brgy. Dimagiba, Tarlac by surveying as of April to May
2021.
Material used for house Frequency Percentage
Mixed 14 58.33%
TOTAL 24 100%
Analysis: Most of the houses in the community
Norms: Type of house material used for house is
were made up of mixed materials. Since they live in
being used to determine if they have used light
barrio and they have a lot of resources, mostly, they
bamboo, mixed, strong or concrete, and makeshift in
use these in building their houses and mixing up
making their houses. In the Philippines, the most
some concrete or strong materials to make their
used material for their house is the strong (concrete).
house durable than the light (bamboo). Most of them
They use this as the actual foundation of their
used mixed materials because some or other
houses because of its durability and strength.
members of the community couldn’t afford buying
(Segovia, 2018. “Homify”)
pure concrete materials.
ELECTRICITY
Table 20 shows the electricity usage in the community of Brgy.
Dimagiba, Tarlac by surveying as of April to May 2021.
Usage of electricity Frequency Percentage
Available 22 91.67%
Total 24 100%
Norms: Based on the results of the 2015 Household Energy
Consumption Survey (HECS), electricity remains as the most common
source of energy used by households in the Philippines. About 87
percent of 21.0 million households used electricity from March to
August 2015. (Philippines Statistical Authority, 2015. “Household
Energy Consumption Survey”)
Owned 22 91.67%
Shared 2 8.33%
Total 24 100%
Norms: Safe disposal of excreta, so that it does not contaminate the environment, water,
food or hands, is essential for ensuring a healthy environment and for protecting personal
health. This can be accomplished in many ways, some requiring water, others requiring
little or none. Regardless of method, the safe disposal of human faeces is one of the
principal ways of breaking the faecal-oral disease transmission cycle. Sanitation is
therefore a critical barrier to disease transmission. (WHO-World Health Organization)
Analysis: Owned toilet range form 22 (91.67%) and the shared toilet range from 2
(8.33%). Based on the norms and our graph most of the population have their own toilet
facility so that they have safe disposal of excreta not like shared toilet they can
contaminate the other by not having proper sanitation.
DRAINAGE SYSTEM
Table 22.1 shows the percentage of Type of Drainage in the
community of Brgy. Dimagiba, Tarlac by surveying as of
April to May 2021.
Type of drainage Frequency Percentage
Total 24 100%
Table 22.2 shows the type of drainage used in the by
surveying as of April to May 2021.
Type of Drainage used Frequency Percentage
Stagnant 4 16.67%
Total 24 100%
Norms: Drainage is the disposal of excess water on land (either used or in form of storm water). It must be
distinguished from flood control which is the prevention of damage because of overflow from river. For an open
drainage, a storm water system with open channels for the discharge of rainwater exists in most urbanized area. The
channels usually drain off water into rivers or sometimes into agricultural irrigation canals. Unauthorized discharge of
domestic wastewater into the system leads to surface water pollution and spreading of pathogens. Solid waste is also
commonly disposed of in these open channels. An open channel or drain system generally consist of a secondary
drainage system, with a network of small drains attached (micro-drainage). Each serves a small catchment area that
ranges from a single property to several blocks of houses. (Maglaya, 2004. “Nursing Practice in the Community”)
Analysis: Open drainage is a common type of drainage with free-flowing water. It is important to have a proper
drainage system in the community to avoid water pollution, spreading of pathogens that could affect the population
and proper drainage system helps in sanitation to reduce mortality and morbidity.
WASTE DISPOSAL
Table 23 shows the garbage management in the community of
Brgy. Dimagiba, Tarlac by surveying as of April to
May 2021.
Garbage Management Frequency Percentage
Burning 10 41.67%
Total 24 100%
Table 23.2 shows the material used in garbage management
in the community of Brgy. Dimagiba by surveying as of April
to May 2021.
Material used in the Garbage Management Frequency Percentage
Sack 15 62.5%
None 5 20.83%
Total 24 100%
Norms: Disposal of solid waste is most commonly conducted
in landfills, but incineration, recycling, composting and
conversion to biofuels are also avenues. The importance of
daily cover lies in the reduction of vector contact and
spreading of pathogens. Daily cover also minimizes odor
Analysis: Garbage collection is the most common method
emissions and reduces windblown litter. For incineration
based in the data. While 41.67% of the population practices
options, the release of air pollutants, including certain toxic
burning of garbage that can affect the environmental status and
components is an attendant adverse outcome. Recycling and
individual health because of the smoke it produce.
biofuel conversion are the sustainable options that generally
have superior life cycle costs, particularly when total
ecological consequences are considered. Composting value
will ultimately be limited by the market demand for compost
product. (ADB. 2016. “Integrated Solid Waste Management”)
SOURCES OF
DRINKING WATER
Table 24 shows the Source of drinking water in the
community of Brgy. Dimagiba, Tarlac by surveying as April
to May 2021.
Sources of Drinking water Frequency Percentage
Total 24 100%
Norms: Water supply is the process of providing water in a systematic way through installed pumps and
pipe lines. Before water is provided to a specific area, it undergoes a process called sanitation to ensure
that the quality of water received is safe for human consumption. Deep well may refer to: A water well,
an excavation or structure created to access groundwater in underground aquifers. Deep well drilling, the
process of drilling a well to a depth of 10,000 feet or more. Artesian well, if water reaches the ground
surface under the natural pressure of the aquifer. (Wikipedia, “Water Supply and Sanitation in the
Philippines”)
Analysis: 25% of the households uses deep well as their source of drinking water, 25% of the population
uses a commercialized drinking water, 20.33% for local water system and 29.17% most of the population
use artesian well. Since the highest percentage is the use of artesian well it must undergo a process of
sanitation to ensure the quality of the water is safe for human consumption.
DOMESTIC ANIMALS
Table 25 shows the percentage of Presence of Domestic
Animals in the community of Brgy.Dimagiba, Tarlac by
surveying as of April to May 2021.
Domestic Animals Frequency Percentage
Dog 20 83.33%
Cat 1 4.17%
None 3 12.5%
Total 24 100%
• Norms:Republic Act No. 9482 is a law that mandates the prevention and eradication of human and
animal rabies, prescribing penalties for violation thereof and appropriating funds therefore. Every pet
owner must get their dogs vaccinated against rabies on a regular basis and keep a registry card that
contains all of their dog's vaccines, for reliable record keeping, registrate their dogs, which is a legal
requirement, maintain control of their dog and do not let it run loose on the streets or in any public place
without a leash, be a responsible Dog Owner by grooming, feeding, and providing shelter to their dog
properly, report any Dog biting incident to the Concerned Officials for investigation or appropriate
action within twenty-four (24) hours, and put the dog under the supervision of a government or private
veterinarian. The Department of Health must Ensure the availability and adequate supply of DOH pre-
qualified human AntiRabies vaccine in animal bite treatment centers at all times and shall coordinate
with other implementing agencies and concerned NGOs for this purpose. (De Venecia, 2007. “The
Animal Welfare Act of 1998”)
• Analysis: The community has many dogs with a total percentage of 83.33% than cats that has 4.17%. In
Republic Act. No. 9482, all dogs should be vaccinated anti-rabies, has registry card and should provide
a food and shelter. 13 out of 20 dogs are unvaccinated that could be a threat in the community.
PRESENCE OF BREEDING
SITES OF VECTORS AND
RODENTS
Table 26 shows the percentage of Presence of breeding site of
Vectors and rodents in the community of Brgy. Dimagiba,
Tarlac by surveying as of April to May 2021.
Vectors and rodents Frequency Percentage
Rats 13 16.88%
Total 77 100%
Norms: The proportion of positive containers that are not in the WHO list of recognized containers
(i.e., unrecognized) is 2.5 times that of positive recognized containers. Of the recognized
containers, only 3.9% were positive for Aedes mosquito larvae, in contrast with 9.9% of the
unrecognized containers. This demonstrates that the problem created by the presence of
unrecognized containers that serve as mosquito breeding sites may be as important as that from
recognized containers. (World Health Organization, 2009. “Dengue Guidelines for Diagnosis,
Treatment, Prevention and Control.)
Analysis: Presence of mosquito is the most common vectors based on the data while the least is the
presence of termites. There are more containers and other breeding sites of mosquito that caused
higher presence of mosquito in the community.
HEALTH VARIABLES
AWARENESS IN
COMMUNITY
HEALTH
PROGRAMS
Table 27 shows the graph of Community FREQUENCY PERCENTAGE
Lighting
System 20 4 15 9 83.33% 16.67% 62.50% 37.50%
Clean and
Green 19 5 11 13 79.17% 20.83% 45.83% 54.17%
Project
Burning of
Garbage 20 4 11 13 83.33% 16.67% 45.83% 54.17%
Proper
Segregat 20 4 12 12 83.33% 16.67% 50% 50%
ion
Program
Norms: The basic objectives of community health programs are to provide health
education and health promotion activities to address health problems and to promote
overall wellbeing in a community. Effective programs are responsive to the health
needs of a community and engage community members. People being informed about
the different programs with regards to health will increase the frequency of people
who utilize the program. (American University, 2021. “Community Health
Programs”)
Analysis: Majority of the families in the barangay are aware of the programs. This is
because they are able to receive information about the barangay health programs
through announcements and megaphones yet some of them do not utilize programs
that can help to maintain a safe, clean and sanitary environment. Unutilization of
community health programs could pose a health threat to the members of the
community.
CURRENT COMMON
ILLNESS AND DISEASE
Table 28 shows the common illness and diseases in the community
of Brgy. Dimagiba, Tarlac by surveying as of April to May 2021.
Common Illness and Diseases Frequency Percentage
Asthma 9 16.98%
Hypertension 16 30.19%
Total 53 100%
Norms: The leading causes of morbidity in the Philippines are first is the Acute Respiratory
Infections, followed by Hypertension, Pneumonia, Urinary Tract infection, Influenza,
Bronchitis, Acute Watery Diarrhea, TB Respiratory, Acute Bloody Diarrhea, and Dengue. The
demographic variables (age, sex, race, ethnicity), Socio-psychological variables (personality,
social class, peer, and reference group pressure, etc.), and Structural variables (knowledge
about the disease, prior contact with the disease etc.) are the modifying factors that affects
health.
Doctor 11 45.83%
Nurse 1 4.17%
Health personnel
Total 24 100%
Norms : The healthcare system in the Philippines can be considered to be of a good standard, despite the fact
that the facilities may not be as impressive as those found in high-end US or European hospitals. The
healthcare system in Philippines is a mixed public-private system. Public health care is organized in 2 tiers:
Primary care is delivered through public health and primary health care centers linked to peripheral barangay
health centers (BHCs) or health outposts. Private healthcare services are well-established and growing in
Philippines through specialist clinics and private hospitals. The private sector is much larger than the public
sector in terms of human, financial and technological resources and caters to 30% of the population
(Reyala,2008).
Analysis: It can be concluded that the availability of health systems in the community is covered mostly by
doctors and barangay health workers. The gathered data also implies that in the community, barangay health
workers are the support system of doctors rather than nurses. Furthermore, there are people who still believe
in quack doctors as per their cultural beliefs
METHODS OF FAMILY
PLANNING
Table 30 shows the types of family planning used in the community of
Brgy. Dimagiba, Tarlac by surveying as of April to May 2021.
Types of Family 13- 19- 25- 36 Frequency Percentage
Planning 18 24 35 above
M- M- M- F M-F
F F
Natural 4 3.25%
Artificial 12 9.76%
Pills 0 0 0 0 0 1 0 8 9 7.32
Condom 0 0 0 0 1 0 2 0 3 2.44
Permanent 4 3.25%
Ligation 0 0 0 0 0 0 0 4 4 3.25
None 1 1 1 1 0 0 9 9 22 17.89%
Total 1 1 1 1 5 1 11 21 42 34.15
Norms: Family Planning (FP) is a program that enables parents to deliberately and responsibly decide the
number and spacing of their children, by avoiding for the time being, or even for an indefinite period, a
birth. Or it is having the desired number of children and when you want to have them by using safe and
effective modern methods. It is not a prognosis imposed on the parents but an expression of responsible
parenting based on informed choices and decisions of couples to achieve their desired family size based
on their social and economic capacity. Proper birth spacing is having children 3 to 5 years apart, which is
best for the health of the mother, her child, and the family. (Department of Health)
Analysis: 34.15% of the population answered the survey about family planning and 17.89% of the them
are not using any methods while those who are using a family planning, artificial method is the most
performed method. The least method being used is permanent and natural method with a 9.52% of the
total population. A lot of individual are not using any family planning because they do not have
knowledge about it, they are not aware about any of the method and they are too young to understand and
use it. The lack of interest in performing family planning and the availability of the supply and budget to
buy any of the methods effects the decision of an individual in utilizing a family planning.
IMMUNIZATION STATUS
Table 31 shows the Immunization status in the community of
Brgy. Dimagiba, Tarlac by surveying as of April to May 2021.
Age Frequency Percentage
0-5 3 2.44%
6-12 1 0.81%
1-3 6 4.88%
4-6 11 8.94%
7-12 14 11.38%
13-18 19 15.45%
19-24 6 4.88%
25-35 17 13.82%
36 above 46 37.40%
According to the Department of health, higher rate of complete immunization status especially in infant in urban
and rural areas was being established in order to increase immunity status.
Analysis: Complete immunization has a higher frequency compared to the incomplete immunized individual.
With this we can conclude that DOH's programs regarding vaccination are effective and well implemented within
the community. Most of the individual that is not completely immunized are infants that still complying for the
scheduled vaccine that is appropriate to their age and the remaining individuals stated that they are not aware
about the vaccination.
COMMUNITY HEALTH CARE
PLANNING
TOP 10
COMMUNITY
NEEDS
IDENTIFICATION
PROBLEM
• Presence of Breeding Sites of Vectors and Rodents
• Improper Garbage Disposal
• Presence of Cough and Colds
• Air Pollution
• Polluted Water Supply
• Lack of Knowledge about Utilization of Community Health Programs
• Improper Drainage System
• Presence of Unvaccinated Stray Dogs
• Poor Home Structure
• Not using Family Planning
COMMUNITY
HEALTH
PRIORITIZATION
PRESENCE OF BREEDING
SITES OF VECTORS AND
RODENTS
Criteria Computation Actual Score Justification
Magnitude of the problem 2/4x3 1.5 This problem has the highest percentage among
the common illness and diseases in the
community, 43.49% of the total population are
affected.
Modifiability of the problem 2/3x4 2.67 The modifiability of the problem is classified as
moderate for the reason of, it will need a
participation among the people of the
community to engage on enhancing and
improving their health condition to eradicate the
health problem.
Preventive potential 3/3x1 1 The preventive potential of the problem is
considered “high” because it can be prevented if
health teaching is imparted with the cooperation
and participation of the people around the
community to manage the problem.
Social concern 2/2x1 1 The community recognized the problem but did
not give a urgent attention.
Total 7.17
AIR POLLUTION
CRITERIA COMPUTATION ACTUAL JUSTIFICATION
SCORE
Total 6.59
IMPROPER
DRAINAGE
SYSTEM
CRITERIA COMPUTATION ACTUAL JUSTIFICATION
SCORE
Total 5.75
PRESENCE OF
UNVACCINATED
STRAY DOGS
CRITERIA COMPUTATION ACTUAL JUSTIFICATION
SCORE
Nature of the problem 1/3x1 0.33 It is a health related problem that might
affect the health status of the people in
the community.
Magnitude of the problem 4/4x3 3 80 % of the population of the
community is affected.
Modifiability of the 1/3x4 0.75 The problem is low modifiable if the
problem people in the community will
understand how important vaccinating
dogs is.
Preventive potential 2/3x1 0.67 The problem can be prevented and
lessen if the people in the community
is aware on the disadvantages of
having unvaccinated stray dogs.
Social concern 1/2x1 0.5 It is recognized as a problem by the
community but they don’t take actions.
Total 5.25
POOR HOME
STRUCTURE
Criteria Computation Actual Score Justification
Total 4.9
TOP 5 IDENTIFIED
COMMUNITY
PROBLEMS
COMMUNITY PROBLEMS SCORE RANK
8 1
Presence of Breeding Sites of Vectors and Rodents
7.49 2
Improper Garbage Disposal
7.17 3
Presence of Cough and Colds
7.16 4
Air Pollution
7 5
Polluted Water Supply
IMPLEMENTATION
PRESENCE OF BREEDING
SITES OF VECTORS AND
RODENTS
SHORT TERM GOAL LONG TERM GOAL
After providing health teachings and home visits, the community will be able to recognize the causes of After conducting a seminar, the community will be able to demonstrate how to
breeding factors, understand that there are possible risks that they might encounter if there are any presence reduce the problem in the community and improve environmental sanitation.
of breeding sites in their area, and learn how to manage or prevent this problem.
Make sure to clean the possible breeding sites like drainage, old
tires, uncovered drums or barrels, discarded containers, trash cans
and others to prevent the vectors
IMPROPER
GARBAGE DISPOSAL
SHORT TERM GOAL LONG TERM GOAL
-After giving health teachings and providing - After conducting a home visits, health teachings,
demonstration and information, the people in demonstrations, seminar, and collaborating with
the barangay will have an enough knowledge the barangay officials, the people in the barangay
about the presence of the problem and there will be aware of the effect of the problem, and will
will be changes about disposing their garbage properly demonstrate the 3'rs (reduce, re-use,
recycle) the use of compost pit, and proper
separation of their garbage and will not burn it.
PROBLEM STRATEGIES ACTIVITY
Inability to provide a home environment conducive to health 1.Health teachings Demonstrate the proper garbage disposal
maintenance and personal development due to:
-Lack of knowledge about the importance of proper disposal Encourage the people in barangay to separate biodegradable
of garbage. 2.Collaborate to the barangay officials about the problem of and non-biodegradable garbage (Proper segregation)
-lack of knowledge how to segregate biodegradable and non- garbage disposal
biodegradable Collaborate to the barangay to establish a ‘’Tapat ko, linis ko”
-inadequate information about the effect it may cause to the ordinance
people in the community and in our environment
3.Home visits
-Lack of knowledge about the importance of proper hygiene Encourage the officials in the barangay to collaborate with the
and sanitation authorized people in the Municipality and request to have at
least twice a week garbage collection in the purok.
5.Provide trashcans in the Purok labeled biodegradable and Collaborate with the barangay officials to provide at least 4
non-biodegradable. trash can in the purok.
After providing a health teachings and providing After conducting a seminar and collaborating with the
demonstration and information, the people in the barangay officials, the residents of the barangay will
barangay will have enough awareness of their health be aware of their health and will have a regular check
conditions about the effect of the problem in our up in the Rural Health Unit.
health.
PROBLEM STRATEGY ACTIVITY
Lack of knowledge and attention to their 1.Health Teachings - Give heath teachings on how to avoid
health conditions cough and cold.
2.Conduct a seminar about the causes,
Lack of knowledge about the danger it effects and complications of cough and -Home visit
may cause to their health if this problem cold.
is neglected -Provide information on health centers
3. Provide adequate knowledge on the in the vicinity for immediate care
Lack of knowledge on how they can various ways of maintaining cleanliness assisstance
prevent it at home in their surroundings
After providing information and discussing the initial After conducting a seminar and collaborating with the
interventions about the problem,the people in the barangay officials the people in the barangay will have
barangay will gain enough knowledge about the knowledge and awareness of their health and their
importance of having fresh air in the community. environment, they will regularly apply the community
health programs in their community.
PROBLEM STRATEGY ACTIVITY
Not enough supply of fresh air due to air Home visit To conduct a seminar or meeting with the
pollution community
Provide health teachings
Lack of knowledge about the possible Collaborate with the barangay officials
risks that they might encounter Conduct a program that may inform
them the importance of having fresh Encourage the community to avoid burning
Possible increase of level of cases of air in the community things specially the garbage
respiratory infection or problem
Collaboration with the barangay Encourage the community to do the “Tabon
People in the community might get high officials Basura Project” or covering the garbage with
cases of asthma soil
Ask the community to cooperate
Living in communities with higher with the activities Conduct a program “Planting Trees” together
pollution levels can cause lung damage with the barangay officials and people of the
community
Inadequate knowledge about other
preventive measures Give the people in the barangay an adequate
information about the effects or importance
of fresh air in the community
POLLUTED WATER
SUPPLY
SHORT TERM GOAL LONG TERM GOAL
After providing a health teachings and providing After conducting a seminar and collaborating with the
demonstration and information, the people in the barangay barangay officials, the residents of the barangay will be
will have enough awareness of their health conditions aware of their health and will have a regular check up in
about the effect of the problem in our health. the Rural Health Unit.
PROBLEM STRATEGY ACTIVITY
-Lack of knowledge about the possible -Provide health teachings in the Give health teaching and encourage
disease from the polluted water supply community. the people in the community to clean
in their community. their water supply to avoid the
possible disease from the polluted
-Lack of knowledge and attention to -Conduct a seminar to clean the water supply in their community.
clean their polluted water supply in polluted water supply in their
their community. community. -Instructed the people in the
community to provide adequete
information about the effect of
polluted water supply in the
-Lack of knowledge about the danger communtity.
it may cause to their health and -Collaborate with the barangay
sorroundings. officials to conduct a cleaning in their -Instructed the barangay officials to
polluted water supply in their encourage the people in their
community. community to clean their polluted
water supply and discuss the
importance of cleaning the polluted
water supply in the community and
provide information about the effect of
health of this problem
EVALUATION
• After the entire exposure, We were able to classify and
validate some of the community key important needs that
should be given priority by the authorities based on the
observations and information gathered during the survey.
These problems are the ones that have slowed the growth of
the community. Some problems served as health threats to
people and to the community itself. A good example of
such issues that the community faces is improper garbage
disposal, air pollution and polluted water supply. As a result
the community could be at risk of contracting illnesses. The
community now has a better understanding of their health
status and the issues that have been found in relation to
their health and the environment. They became aware of
the various health risks and issues that aggravate the
community illness-inducing circumstances. Also the
residence in the community learned the importance of
eliminating vector breeding sites, vaccinating their pets,
proper garbage disposal, reduce air pollution and they are
now aware about how to prevent water pollution. Also
alternative and other herbal medicines were recognized by
the community to give concern for the problem of having
cough and colds.
• After the home visits, collaboration with barangay officials
and barangay health staff, and a seminar, the community
families followed the student nurses health teachings and
were able to perform various ways in promoting and
strengthening the community health status.
SUMMARY,
CONCLUSION AND
RECOMMENDATION
SUMMARY
• The student nurses of BSN 2-2, group 3 and 4 of Tarlac State University, was able to
analyze and understand the overall health status of the Barangay Dimagiba, Tarlac by the
utilization of Community Health Nursing process. With total population of 123 in 24
household, they were all included in the assessment to identify the healthcare needs and
problems of the community using interviews and survey questionnaires provided by the
student nurses. Survey questionnaires were given to every household and interpreted for
the community health assessment including demographic variables, socio-economic
variables, political aspects, environmental variables, and health variables.
• The barangay is located at the southern end of Tarlac and most of its lands are wide rice
fields. There are more males than females with majority of the population belonging to 36
and above age group. Of the 24 household, majority of them are nuclear type of family
compared to extended family. In the barangay, the commonly used dialect is Tagalog and
Ilokano. Most of the households earn 5,000php to 10,000php monthly and the common
primary source of income is farming since the barangay has a wide range of rice fields.
Most families live in an owned mixed-type structure of material house. The type of
drainage in the community is open and free flowing, but there is still stagnant drainage
systems present in other household. For waste disposal, most of the families utilize
garbage collection and some are burning to manage their garbage. Artesian well is
commonly used in the barangay as their water supply for drinking. Most of the household
have their own domestic animals and most of them are unvaccinated. Presence of breeding
sites of rodents and vectors is widely spread in the community. When it comes to the
utilization of community health programs, most of them are aware but doesn’t utilize it
and some of them are not totally aware. Cough and cold is the common illness in the
community.
• With all the information gathered in the barangay, the student nurses were able to identify
community health problems and prioritized them accordingly. The identified community
health problems are presence of breeding sites of vectors and rodents, improper garbage
disposal, presence of cough and colds, air pollution, and polluted water supply. After
identifying the community problems, the student nurses planned alternative course of
action for each problem that will help the barangay to solve their healthcare needs. The
participation of every individual, including the community leaders and barangay officials
is essential for the improvement of the community’s health status.
CONCLUSION
In conclusion, since of most of the families are unaware and does not utilize the community
health programs and lack of resources, the community’s environment is at stake. Therefore,
the presence of breeding sites of vectors and rodents, improper garbage disposal, polluted
water supply and air are common environmental problems of the barangay that can affect
every resident’s health. Also, presence of cough and colds is the most common illness in the
community and they choose to ignore it since they only perceived it as a simple health
problem.
The student nurses were able to conduct initial health assessment of each member of the
household in the community and were able to help in sanitation of the environment to lessen
the risk of obtaining disease or illnesses. The student nurses also provided health teachings to
the head of each household to maintain good health of each member of the family, how to
reach optimum health, and how to improve quality life.
RECOMMENDATION
FAMILIES
• To all the families in Barangay Dimagiba, the
student nurses recommends to exert more effort and
time in participating different community health
programs. The families should maintain the
cleanliness on their homes and to their
surroundings. They should know the proper
segregation and disposal of garbage, and know how
to eliminate the breeding sites vectors and rodents
present in their household to prevent any
occurrence of diseases. Each family member must
be aware in proper cleaning of drainage system to
avoid the stagnant of water. The family should
know to save resources for health. Families should
open to accept and participate in any health
programs provided in the barangay. The family
should continue to practice what they learned from
the student nurses.
COMMUNITY
• To the whole community, they must know the importance of utilizing the health programs of
the barangay such as the proper waste disposal and cleaning of drainage system to prevent
the presence of breeding sites that could affect each members of the community. Participation
of the community in every programs and activities organized by the barangay officials and
other healthcare professionals is essential to achieve overall improvement of health status of
the community.
BARANGAY OFFICIALS
• To the barangay officials, they should be informing the all residents about the different health
programs that the barangay offers. The barangay should emphasize waste management by
having regular collection of garbage, health awareness program, clean and green project, Tapat
Ko, Linis Ko project, and free vaccines for domestic animals. The barangay should allot
resources for different projects such as proper drainage system, mosquito fogging, and
community health services. The barangay official must monitor the programs if properly
implemented. The barangay officials should also collaborate with other community leaders and
healthcare professionals to identify what the community needs and resolve it to achieve better
health.
STUDENT NURSES
• For the student nurses, this community diagnosis is strongly
recommended for them to identify and prioritize health needs
of the community. The student nurses can be able to improve
their skills, knowledge, and understanding that are necessary in
executing a better plan and appropriate course of action that
can help in achieving overall good health status of the
community. The student nurses must be able to maintain the
good nurse-patient relationship and collaboration not only with
their group members but also to the barangay officials and
other healthcare teams. For us student nurses, we should keep
ourselves open for new learnings that can contribute to our
future as registered nurses.
APPENDICES
COMMUNITY PROFILE
BARANGAY
OFFICIALS
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