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COMMUNITY ORGANIZINGPARTICIPATORY
ACTION RESEARCHCOMMUNITY HEALTH
MANAGEMENT
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Introduction to
Community HealthNursing
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Community health nursing practice takes place in non acute caresettings. It is a synthesis of nursing and public health theoriesapplied to the health promotion and preservation of specificcommunities. This first lesson provides an overview of thisnursing specialty. It will begin with basic information on thefunctions of the Public health (PH) system and the role of PH
nursing. It will also differentiate between community-basednursing practice and community-oriented nursing, and analyzethe historical influences on community health (CH) nursing. Inconjunction with this, the lesson will discuss the differencesamong primary care, PH, PHC, and community-oriented practice.It will then investigate the governments responsibilities in PHand consider its ethical foundations and practice theories.Finally, it discusses cultural factors in health and illness.
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GENERAL OBJECTIVES
Work with the community inassessing its health problems.
Plan, implement and evaluatecommunity health programstogether with the Community toaddress the problems identified.
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SPECIFIC OBJECTIVES:
Establish a good relationship together withthe community.
Identify key community officials by listingdown their names and their designations.
Conduct / facilitate community organizationalmeetings.
Prepare a community spot map
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SPECIFIC OBJECTIVES:
Relate the history of the barangay Construct/ consolidate community
profile Gather community demographic
data Present vital statistics and
epidemiology data
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Identify community health problems Analyze problems and determine
resources needed Identify priority community health
problems Prepare community health action
plan
SPECIFIC OBJECTIVES:
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Workout details of the plan together withthe community action group
Perform health education and training/information communication campaign
Initiate community mobilization Evaluation them projects/ program
implemented in the community healthaction plan
SPECIFIC OBJECTIVES:
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Scopeand
Limitation
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Our community immersion was conducted at brgy 28 zone 3, dis.2 . Weaimed to identify and put some inter action for the community development of the barangay which benefits the residents of the barangay. Furthermore thetargets respondents of this study are those family who live in congested areasspecially those families who live near the creek along the community within thetarget population of 40 families as a respondents.
Our group was exposed last august 17, 2011. the respondentdemographic profile such as name, age, religion, educational attainment and
monthly income are the initial information gathered support the study.
The survey was based on the initiative and cooperation of therepresentative of each of the family as we determine the one main of thecommunity. The problem that will be identified will be interpreted and prioritized
based on the need and threat to the health of every individual and to thecommunity and in order to make a community health plan and implement it.
This study will benefit the residence of brgy 28 zone 3, dis 2 to have aresponsible parenthood specially in guiding their family and their offspring. Italso serves as an eye opener for all the residence of the said community for them to become aware to the problem that already existing in the community.
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BARANGAY OFFICIALS
BRGY. 28ZONE 3 DIS.2
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MAP LOCATION
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Populationand
Frequency
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Percentage distribution showing the age and sexof families surveyed, Brgy 28 zone 3 district 2, as
of august 17, 2011MALE
AGE GROUPFEMALE
FREQUENCY PERCENTAGE FREQUENCY PERCENTAGE
5 4.5 46 50 7 6.7
8 7.2 51 55 7 6.7
2 1.8 56 60 2 1.91 0.9 61 65 2 1.9
1 0.9 66 70 3 2.9
3 2.7 71 - 75 4 3.8
110 99.4 TOTAL 103 99.1
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AGE AND SEX DISTRIBUTION
0
2
4
6
8
10
12
14
MALE
FEMALE
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Percentage Distribution Showing The Sex Of FamiliesSurveyed, Barangay 28 Zone 3 District 2, As Of August
17, 2011
CATEGORY NO. OF RESIDENTS PERCENTAGE
MALE 110 51. 6
FEMALE 103 48.4
TOTAL 213 100%
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Percentage Distribution Showing The Sex DistributionOf Families Surveyed, Barangay 28 Zone 3 District 2, As
Of August 17, 2011 INTERPRETATION AND IMPLICATION:Majority of the population that had been interviewed at Brgy.28 Zone 3 Dist. 2 are
males with a total no. of 110 or 51.6%. While the females with a total no. of 103 or48.3 % . According to the data gathered the above information are surveyed to 40respondents at the said Barangay Location.
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Percentage Distribution Showing The SexDistribution Of Families Surveyed, Barangay 28
Zone 3 District 2, As Of August 17, 2011
51.6%48.4%
Sales
MALE
FEMALE
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Percentage Distribution Showing The Types Of HousingOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
42.5%
42.5%
10% 5%
Sales
STRONG
LIGHT
MIXED
MAKESHIFT
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INTERPRETATION AND IMPLICATIONThe graph shows an equal percentage between strong and mixed type of housesinterviewed at Brgy. 28 Zone 3 Dist. 2 . Light structure has 10% or a quantity of 4houses, and the least percentage with only 5% is the makeshift type.
Percentage Distribution Showing The Types Of HousingOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
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CATEGORY FREQUENCY PERCENTAGE
STRONG 17 42.5MIXED 17 42.5
LIGHT 4 10
MAKESHIFT 2 5
TOTAL 40 100%
Percentage Distribution Showing The Types Of HousingOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
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35%
55%
10%
Sales
Good
Fair
Poor
Percentage Distribution Showing The General SanitaryCondition Of Families Surveyed, Brgy 28 Zone 3 District
2, As Of August 17 2011
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INTERPRETATION AND IMPLICATIONThe graph shows that the fair got the highest percentage with 55% or 22 out of 40
respondents surveyed. The least is the Poor Sanitation with only 4%
It signifies that despite of the hazard outside their community. Theyre still able tomanage to clean their place inside.
Percentage Distribution Showing The General SanitaryCondition Of Families Surveyed, Brgy 28 Zone 3 District
2, As Of August 17 2011
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CATEGORY FREQUENCY PRECENTAGE
Good 14 35
Fair 22 55
Poor 4 10
TOTAL 40 100
Percentage Distribution Showing The General SanitaryCondition Of Families Surveyed, Brgy 28 Zone 3 District
2, As Of August 17 2011
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7%
80%
5%8%
Sales
Sewage
Septic Tank
Water Sealed
Public CR
Percentage Distribution Showing The Excreta DisposalOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
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Percentage Distribution Showing The ExcretaDisposal Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011
CATEGORY FREQUENCY PERCENTAGESewage 3 7.5
Septic Tank 32 80
Water Sealed 2 5
Public CR 3 7.5
TOTAL 40 100
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Percentage Distribution Showing The WaterSource Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011
77.5%
22.5%
Sales
Private
Public
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INTERPRETATION AND IMPLICATIONAccording to the graph shows out of 40 respondents at Brgy.28 Zone 3 Dist. 2 .77.5%
of them are using Private Water supply who are to be paid monthly; meaning thewater is piped by MWSS.
Percentage Distribution Showing The WaterSource Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011
b h h
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CATEGORY FREQUENCY PERCENTAGE
Private 31 77.5%
Public 9 22.5%
TOTAL 40 100%
Percentage Distribution Showing The WaterSource Of Families Surveyed, Brgy 28 Zone 3District 2, As Of August 17 2011
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P t g Di t ib ti Sh i g Th T Of
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CATEGORY FREQUENCY PERCENTAGE
PIPE 35 87.5HOSE 1 2.5
PAIL 4 10
TOTAL 40 100
Percentage Distribution Showing The Type Of Water Source Of Families Surveyed, Brgy 28Zone 3 District 2, As Of August 17 2011
P Di ib i Sh i Th S Of
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95%
5%
Sales
Covered
Uncovered
Percentage Distribution Showing The Storage Of Drinking Water Of Families Surveyed, Brgy 28Zone 3 District 2, As Of August 17 2011
P Di ib i Sh i Th S Of
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Percentage Distribution Showing The Storage Of Drinking Water Of Families Surveyed, Brgy 28
Zone 3 District 2, As Of August 17 2011 Interpretation and implicationThe graph shows that out of 40 respondents 95% of those who had been interviewed
at Brgy.28 Zone 3 Dist. 2 has Covered Water. While 5% are Uncovered, it isimportant to become aware of having a safe water supply to avoid disease and tomaintained good health.
As you can see 5% of the 40 respondents have an uncovered water it means that theyneed more further health education to become aware of what can it caused totheir health.
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P t Di t ib ti Sh i Th G b
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Percentage Distribution Showing The GarbageDisposal Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011
DPSCOLLECTION
BURNING DUMPING BURYING RECYCLING
40
0 0 0 0
P t g Di t ib ti Sh i g Th G b g
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Percentage Distribution Showing The GarbageDisposal Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011 INTERPRETATION AND IMPLICATION100% of the surveyed families said that their garbage is collected by DPS. But
despite of what they have told us, we found out that sometimes they still throwtheir garbage in the creek beside their houses.
P t g Di t ib ti Sh i g Th G b g
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Percentage Distribution Showing The GarbageDisposal Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011
CATERGORY FREQUENCY PERCENTAGE
DPS Collection 40 100
Burning 0 0
Dumping 0 0
Burying 0 0
Recycling 0 0
TOTAL 40 100%
Percentage Distrib tion Sho ing The So rce Of
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Percentage Distribution Showing The Source Of Health Care Of Families Surveyed, Brgy 28 Zone
3 District 2, As Of August 17 2011
85%
10%5%
Health center
Government Hospital
Private Hospital
Percentage Distribution Showing The Source Of
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Percentage Distribution Showing The Source Of Health Care Of Families Surveyed, Brgy 28 Zone
3 District 2, As Of August 17 2011 Interpretation and implementation
Percentage Distribution Showing The Source Of
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Percentage Distribution Showing The Source Of Health Care Of Families Surveyed, Brgy 28 Zone
3 District 2, As Of August 17 2011
CATEGORY FREQUENCY PERCENTAGE
Health Center 34 85
Government Hospital 4 10
Private Hospital 2 5
TOTAL 40 100%
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Percentage Distribution Showing The Dental
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Percentage Distribution Showing The DentalSource Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011 Interpretation and implication:
P t Di t ib ti Sh i Th D t l S Of
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Percentage Distribution Showing The Dental Source Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
CATEGORY FREQUENCY PERCENTAGE
Health Center 36 90Government
Hospital4 10
Private Hospital 0 0Total 40 100%
P t g Di t ib ti Sh i g Th C i bl
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Percentage Distribution Showing The CommunicableDisease Of Families Surveyed, Brgy 28 Zone 3 District 2,
As Of August 17 2011
7%0%
93%
Sales
TB
Leprosy
Not under treatment
Percentage Distrib tion Sho ing The Comm nicable
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Percentage Distribution Showing The CommunicableDisease Of Families Surveyed, Brgy 28 Zone 3 District 2,
As Of August 17 2011 Interpretation and implication
Percentage Distribution Showing The Communicable
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Percentage Distribution Showing The CommunicableDisease Of Families Surveyed, Brgy 28 Zone 3 District 2,
As Of August 17 2011
CATEGORY FREQUENCY PERCENTAGETB 3 7.5
Leprosy 0 0
Not underTreatment
37 92.5
TOTAL 40 100%
Percentage Distribution Showing The Backyard
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Percentage Distribution Showing The BackyardGardening Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011
0% 0%
20%
80%
Sales
Vegetable
Fruit
Ornamental
Others
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Percentage Distribution Showing The Backyard
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Percentage Distribution Showing The BackyardGardening Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011
CATAGORY FREQUENCY PERCENTAGE
Vegetable 0 0Fruits 0 0
Ornamental 8 20
Others 32 80
TOTAL 40 100%
Percentage Distribution Showing The Food
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Percentage Distribution Showing The FoodStorage Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011
100%
0%
Sales
Covered
Uncovered
Percentage Distribution Showing The Food
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Percentage Distribution Showing The FoodStorage Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011 Interpretation And Implication
Percentage Distribution Showing The Food Storage Of
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Percentage Distribution Showing The Food Storage Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
CATEGORY FREQUENCY PERCENTAGE
COVERED 40 100
UNCOVERED 0 0
TOTAL 40 100%
Percentage Distribution Showing The Infant Feeding Of
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Percentage Distribution Showing The Infant Feeding Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
62%
38%
Sales
Breast Feeding
Artificial
Percentage Distribution Showing The Infant Feeding Of
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Percentage Distribution Showing The Infant Feeding Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
Interpretation and Implication
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Percentage Distribution Showing The Family Planning
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Percentage Distribution Showing The Family PlanningOf Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
40%
60%
Sales
Acceptor
Non Acceptor
Percentage Distribution Showing The Source Of
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Percentage Distribution Showing The Source Of Information Of Families Surveyed, Brgy 28 Zone 3
District 2, As Of August 17 2011
HealthCenter
Hospital Neighbor Mass Media Other
27
2 0 2
9
Series 1
Percentage Distribution Showing The Immunization Of
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Percentage Distribution Showing The Immunization Of Families Surveyed, Brgy 28 Zone 3 District 2, As Of
August 17 2011
82%
18%
Sales
Complete
Incomplete
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Community health problems1. Health Status Problems- such as an increased
Morbidity, Mortality or Fertility.2. Health Resources Problems- such as lack or
absence of manpower, money or materials,institutions necessary to solve the existing healthproblems; and
3. Health Related Problems- such as the presence of
social, economic, environmental, or potentialfactors that aggravate illness, which may causepotential health situation in the community.
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HEALTH RELATED PROBLEMSPOOR ENVIRONMENTAL SANITATION
LACK OF AWARENESSLACK OF KNOWLEDGE
-About proper disposalof garbage
Focuses on other socio economicproblem
Lack of concern
Dumping of garbage
Throwing of garbage onthe creek
Increase morbility rate
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HEALTH RESOURCE PROGRAMLack of financial support
Unemployment
Unavailability of Work
Over population Lack of Education
Lack of Financialsupport
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HEALTH STATUS PROBLEMRisk for increase no. of TB cases
Lack of awarenessabout health education
Poor compliance tohealth center/hospital
Unhealthylifestyle
Lack of Financialresources (money)
Focuses on othersocio economicproblem
Increase morbilityrate
Increase no. of TB cases
Community Nursing Care Plan
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y g
CommunityHealth
ProblemsFactor Implication Objectives
Health
ProgramTarget
PoorSanitation
Lack Of Knowledge
Lack Of Concern
UnhealthyLifestyle
Floods
Increase BreedingSites Of Insects AndRodents
Increase MorbidityRate
Increase Mortality
Rate
After 4 Weeks Of Nsg InterventionsMost Of TheFamilies Will BeAble To Know TheImportance Of Cleanliness, TheyWill Be Able ToBecome AwareAbout Proper
EnvironmentalSanitation AndHealth Will BeTheir Main Concern
Tapat Ko,Linis Ko
Food AndWater BorneDiseasesPrevtion AndControlProgram
DenguePreventionProgram
Community nursing care plan
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y g pEligible
populationTime
AlottedFrequency Activities Logistic Locus of reponsibilities Evaluation
40 families
Aug. 17
Aug. 17
Aug. 17
Aug. 17
Aug. 17
Aug. 17
Aug. 23
Once
Once
Once
Once
Once
Twice
twice
Orientation Courtesy all tocaloocanhealthdepartment
Courtesy callto barangay 28 Courtesy callto Ana healthcenter Actual homeinterview Tabulation of data
Man power
Money
Materials:Surveyforms,Module,Pencils,Computer,Camera
4 th yr, BSNstudentMMC groupII Brgy.Chairman Brgy.Officials Mrs LualhatiH. Angel RN,MAN
After 4weeks of nursinginterventionmost of thefamiliesknows theimportanceof cleanliness
Community Nursing Care Plan
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y gEligible
PopulationTime
Alloted Frequency Activities LogisticsLocus of
Responsibilities Evaluation
40 Families
Aug 17
Aug 17
Aug 17
Aug 17
Aug 17
Aug 17
Aug 23
Once
Once
Once
Once
Once
Twice
Twice
Orientation Courtesy callto caloocanhealthdepartment Courtesy callto barangay28 Courtesy callto Ana healthcenter Actual home
interview Survey Communityassembly w/the family Filmshowing
Manpower
Money
Materials:Surveyforms,Module,Pencils,Computer,Camera
4 th yr, BSNstudentMMC groupII
Brgy.Chairman Brgy.Officials MrsLualhati H.
Angel RN,MAN
After 4weeks of nursinginterventio
n most of the familiesknows theimportanceof cleanliness
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