Lyceum - St. Cabrini College of Allied Medicine, Inc. Maharlika Highway, Sto.Tomas, Batangas 4234 Community Organizing Participatory Action Research Barangay Altura South, Tanauan City, Batangas A Compilation Presented to the Faculty of School of Nursing As Partial Fulfillment of the Requirements in Primary Health Care II Prepared By: BSN 2-10 Instructors: Ms. Geraldine Barbosa Ms. Lourdes Cuevas Ms. Alicia Plata Date of Exposure: February 7, 2008 – March 8, 2008
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Lyceum - St. Cabrini College of Allied Medicine, Inc.
Maharlika Highway, Sto.Tomas, Batangas 4234
Community Organizing Participatory Action Research
Barangay Altura South, Tanauan City, Batangas
A Compilation Presented to the
Faculty of School of Nursing
As Partial Fulfillment of the
Requirements in Primary Health Care II
Prepared By:
BSN 2-10
Instructors:
Ms. Geraldine Barbosa
Ms. Lourdes Cuevas
Ms. Alicia Plata
Date of Exposure:
February 7, 2008 – March 8, 2008
Table of Contents
I. Acknowledgement
II. Introduction
III. Rationale
IV. Statement of Objectives
V. Methodology
VI. Scope and Delimitation of the study
VII. Setting of the Community
A. Spot map B. Barangay Organizational Chart
C. Health Center Organizational Chart
VIII. Community Profile
A. History B. Physical Features
1. Location and Boundaries 2. Climate
3. Means of Transportation 4. Medium of Communication 5. Resources Available in the Community
a. Physical Characteristic b. Facilities in the Barangay
c. Water and Electricity d. Managing the Garbage e. Peace and Order
f. Health and Nutrition
IX. Population
A. Total Population of the Barangay B. Total Population of the Families Surveyed
C. Age and Gender Distribution (Table 1) D. Pyramid- age Interval Distribution (< 1, 1-4, 5-9, etc.)
X. Civil Status
A. Civil Status of Residents Surveyed (Table 2)
XI. Families
A. Family Structure of Families Surveyed (Table 3)
XII. Economic Indices
A. Type of Occupation (Table 4) B. Average income (Table 5)
XIII. Socio-cultural Indices
A. Educational Attainment (Table 6) B. Religion (Table 7)
C. Place of Origin (Table 8) D. Housing
1. Type of Houses (Table 9)
2. Ownership (Table10)
XIV. Environmental Indices
A. Water Supply (Table 11) B. Garbage Disposal (Table12)
XV. Health Indices
A. Infant Feeding Practices (Table 13) B. Immunization Status (Table 14) C. Family Planning (Table 15)
XVI. Nursing Care Plan
XVII. Problem Identified
XVIII. Suggestion/ Recommendation
XIX. Action Plan
XX. Conclusion
XXI. Picture Gallery
XXII. Appendices
A. Health Teaching
B. Sample Leaflets C. The Programme
D. Registration
XXIII. References
Acknowledgement
The Class of BSN 2-10 students of Lyceum – St. Cabrini College of Allied
Medicine would like to extend their sincerest gratitude for the support, encouragement and
patience to the following people who made this community nursing diagnosis possible:
To Mr. Dario G. Noprada, Barangay Chairman of Barangay Altura South, Tanauan
City, Batangas for the warmest welcome, outmost cooperation, understanding and patience
for allowing our group to render our community service and other activities in their
Barangay.
To the residents of Barangay Altura South, for their participation in the activities
done during our community service in Baranggay Altura South.
To our adviser Mrs. Alicia Plata and to our clinical instructors Mrs. Lourdes Cuevas
and Mrs. Geraldine Barbosa in Primary Health Care II for the educational experience,
outmost patience, understanding, guidance and support in making this community diagnosis
possible. Thank you for motivating us to do our best which in return was a real success.
To Dean Janet Calupitan for giving us this memorable experience by letting our
group immerse in a community where we learned how to communicate and understand the
lives of the people in a community.
To our beloved families who gave their moral and financial support in order to
finish this requirement for our Primary Health Care II subject.
To our friends, classmates and mentors who willingly helped and supported our
group through out the course of making this family assessment and for a job well done in
making this community nursing diagnosis and for the cooperation during the community
service done in Barangay Altura South, Tanauan City, Batangas.
And lastly, to Almighty God for the continuous knowledge, guidance and strength he
provided us despite adverse difficulties.
I. Introduction
Community Diagnosis is a process in which a team of students works with a
designated community to identify its strengths, weaknesses, overall needs, and future
directions for promoting health and well-being (Eng and Blanchard, 1991). In doing this
process, clinical instructors accompanied these students for initial introduction to the
community and help them in gathering information about its surroundings and social
environment.
The students conducted a survey and family nursing diagnosis among eighty seven
families of Barangay Altura South, reviewed various data sets and evaluated resources to
identify the areas of concern that affects the health of the residents. Community members
are highly involved throughout the process and collaboration is a way of implementing a
better solution for their problems.
As soon as health problems were identified from the data sources, the students made
certain interventions and prioritized its effectiveness. This document provides a description
on community diagnosis process and outcomes for Barangay Altura South.
This town has been observed of having strict compliance on waste segregation and
waste collection has already been eliminated for a year. The data are shown in the form of
tables and graphs summarizing the findings and local interventions of the students.
II. Rationale
The rationale of the community service was made to be accessible to individuals and
families. By means of full participation, members of the community can successfully attain
good health. Gaining more knowledge on health and practicing them can best lead to a
healthy lifestyle.
The community service would include all the interventions needed by the chosen
family and the community based on their current health status and needs in order for them
to attain the best possible health care service.
Through those preventive measures and health teachings, face to face discussion and
interaction among the community members was done. The researchers were able to bring
out the community of Barangay Altura South’s greater concerns and responsibility for
individuals, for the family and especially for community health resources.
Finally, the most important is, we were able to help the community, gain more and
necessary knowledge, attitudes and skills through this learning experience in order for them
to carry out activities to attain better and healthy lifestyle.
III. Statement of Objectives
General Objective:
To maximize community participation and involvement and mobilize community
through developmental activities and health teaching strategies
Specific Objectives:
1. To assess the consciousness of Barangay Altura South in terms of different ways in
maintaining a healthy environment.
2. To initiate possible actions in solving various community social and health
problems.
3. To conduct and document a holistic nursing assessment based on the knowledge of
system’s theory for a family, group, and community
4. To apply the steps in the research process in supporting therapeutic care for the
promotion, protection and restoration of health within the people in the community.
IV. Methodology
The researchers conducted a survey regarding the family data in Barangay Altura
South. Upon conducting the said survey, the class of BSN 2-10 has identified 87 families out
of 155 to answer the prepared questionnaires.
Each questionnaire were composed of closed-type of questions which focused mainly
on the family structure, characteristics and dynamics, socio- economic and cultural
characteristics , home and environment, health status and values, practice on health
promotion/maintenance and disease prevention. Each group was assigned to choose a family
for the Implementation of family nursing care based on the needs and current situation of the
selected family.
At the end of the community service, the class of BSN 2-10 conducted a lecture for
the adults on herbal medicines which was done through discussions on its preparation, health
benefits and importance. The group also presented a role play about personal hygiene and
games for the children of Barangay Altura South.
V. Scope and Delimitation of the Study
This community service started from February 7, 2008 to March 8, 2008. The
researchers conducted a survey on 87 families which comprises of 56% out of 155 total
number of families of the said barangay.
The clinical instructors divided the class of BSN 2-10 into 3 groups. Each student
per group were required to choose 2 families for the first week. After identifying the
possible needs of each families assessed, each group must chose 1 family with the most
number of health needs and nursing care. Later on, upon giving family nursing care to the
chosen family per group, the class has already identified the current situation and health
needs of Barangay Altura South.
This study aimed to understand the health related problems of the residents of
Barangay Altura South and implement certain interventions for the improvement of their
daily lives. The people learned to resolve their problems through health teachings.
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VII. Community Profile
A. History
At the time of the Spanish regime the people in the community especially the men,
decided to conduct “Ronda” (securing the whole town for a whole night) to protect their
place against thieves and criminals. This was continuously implemented in attaining their
goal of having a safe and criminal free area.
One night, one of the members of the safety team, mentioned the place “Tura” and
said “Alto” (Spanish term which means stop). The Spaniards stopped and repeatedly said
“Alto” and “Tura” until the so called name “Altura” was made.
Altura experienced vast floods that lead to three passages around three parts of
Altura. This results to celebration of feasts on each division because people cannot pass
through this flood. Having this separation, the three Teniente del Barrrios, Severino, Juan
Landicho and Emilio de Castro decided to subdivide Altura into three Barangays: Altura
South, Altura Bata (West) and Altura Matanda (North).
B. Physical features
1. Location and boundaries
Barangay Altura South is located on the Southern part of Tanauan that has range of
8 kilometers from the city. It is 179 hectares wide beyond the valley of Mount Suplang. The
flood that passes within Altura North (most commonly known as Altura Matanda) flows on
Barangay Altura South,. Vehicles going to Calamba, Midland Tagaytay and Tagaytay City
pass the main road of Barangay Altura South.
2. Climate
Barangay Altura South has a tropical climate; the people cultivate their farms as
soon as the rainy season starts. Mornings are cold due to the cold mist coming from
Tagaytay Highlands. The heat of the sun is most felt at daylight and at noon.
3. Means of Transportation
Most of the residents in Barangay Altura South use tricycle as their means of
transportation. Approximately, 75% of the population uses tricycle instead of jeepneys; it is
because the availability of tricycle is much higher than the availability of the jeepneys. In
addition, 25% of the total population use jeepneys instead of tricycle and the remaining 2%
have their own vehicle to use.
Transportation is a necessity for the community. It has many uses such as to deliver
foods in the community, go to different places such as market, school, work place, hospital
and as their as their source of income.
4. Medium of Communication
The residents of Barangay Altura South uses Tagalog dialect / Filipino language
which makes the residents understand one another easily. Feelings can be expressed and
interact with one another freely.
Communication serves different functions:
1. For expressions and feelings.
2. For understanding one another.
3. To have a better interaction between two or more individual.
5. Resources available in the community
a. Physical characteristic:
The Barangay Altura South is located at Tanauan City at the distance of eight
kilometers from the town and it is almost 179 hectares. The road is cemented and
some of the public utility jeep going to Calamba, Midland, Tagaytay are all passing
through its main roads.
Most of the people living in this place are planting vegetables for their daily living.
b. Facilities in the Barangay:
At present, Barangay South Altura has its own church, Day Care Center,
Health Center and a Barangay Hall.
c. Water and Electricity:
The Tanauan Water District (TWD) supplies water for the whole Barangay.
155 houses were supplied by TWD while Batangas Electric Company (BATELEC)
supplies electricity for Barangay Altura South.
d. Managing the Garbage:
All the residents of Barangay Altura South usually burn or decompose their
garbage. They make a pit at the back of their houses where they decompose
biodegradable wastes. At the month of March 2008, the Barangay officials had
implemented the separation of garbage from biodegradable to non-biodegradable
ones; this intervention was continued up to this time.
e. Peace and Order:
Barangay “tanods “of Barangay Altura South organize a meeting every month
for the maintenance of peace and order on its vicinity. Men roam around the
Barangay every night to check for any criminals and implements check points in
front of the Barangay hall at day.
f. Health and Nutrition:
Children ages 0-5 are given proper nutrition by their parents; the Barangay has
never been noted of having a malnourished child from the year 2005 until 2007. The
only leading cause of morbidity in the children of Barangay Altura South is cough
and colds while adults only experience hypertension. Mortality in Barangay Altura
South is usually caused old age and only a maximum of five persons die in this
Barangay every year. Pills are the only ones used by mothers for Family Planning and
all men didn’t undergo vasectomy.
VIII. Population
A. Total population of the Barangay
According to the 2007 survey, Barangay Altura South has 1,191 families and
increased by 3% by the year 2008 to 1,219 residents.
B. Total Population of the Families Surveyed
The researchers conducted a survey on a total of 87 families who participated on
answering the questionnaires.
C. Age and Gender Distribution
Table 1: Age and Gender Interval Distribution (<1, 1-4, 5-9, etc.) of the Families
Surveyed in Barangay Altura South, Tanauan City, Batangas