I.

INTRODUCTION The community is seen as the primary client of the nurses for two important reasons: this has a direct influence on the health of the individual and it is at this level that the most health services provision occurs. It has been a tradition in the nursing curriculum to exposed student nurses in the community, not only to help them enhance their skills and knowledge of the nursing practice and to help them aware of the realities in life, but also to preserve and promote the health of the individuals in the community. This is why a special subject called COMMUNITY HEALTH NURSING is included in their course. The Community Health Nursing is one of the major broad areas on the field of Nursing. Under this is the Rural Health Nursing which main focus is to promote and establish a progressive and healthy people in the community. Nurses in the community give quality health service and emphasize nursing practices outside the hospitals. Since community health nursing is a specialized field, basically the knowledge and skills are anchored with theories and different concepts which give emphasis on greatest good for the greatest number, assessing the health needs, planning, implementing and evaluating the impact of health services rendered by the community health care providers. Moreover, community health nursing attributes are the greatest control for both the nurse and the client in making decisions related to identifying the existing or possible health problems in the family and in the community as a whole. The collaboration between the nurse and the client and the recognition of the impact of different factors on health are very important for these make the nurse and the client have greater awareness of the health situation. The underlying principle of this study is to have accurate, valid, timely and relevant information on the community profile and health problems that are essential so that the communitys (Sitio Patpat, Lumbia) limited resources can be maximized. And because of inherent differences among communities in the city, relevant data can best be gathered thru community- based approach. However, this study is extremely limited since it only encompasses the Sitio of Patpat which is barely a very small area of

Barangay Lumbia. This then cannot be used in generalizing or taking a broad view of the health condition of the whole area. Student nurses conducted their assessment and gathered data on the families assigned to them. Information and data collected for each family were then tallied and properly recorded. Data recorded were then analyzed, interpreted, and documented. Through the first and second level assessments (assessment tools) which were done in the form of interview, through keen observation, through record review, and through ocular survey, we were able to gather and ensure quality assessment data. After documentation, the different problems indentified were tallied, categorized and ranked according to the gravity of the problem for the formulation of community diagnoses in the area. The data were then organized and synthesized into tallies and graphical presentations in order to identify trends and patterns so as to analyze and interpret each to determine the health status and health needs of the community, the problems are then prioritized based on the criteria on prioritizing community health needs. Furthermore, we conducted this study for us to analyze the data in order to develop responsive intervention strategies that address the root cause of the identified problems, whether existing or still a possibility. But more importantly, we carried out this research to promote and preserve the health of the populace. Finally, nurses are truly one of the key components in delivering communitybased health services. Nurse practitioners are sent to the community to manage and impart knowledge regarding the communitys health status using the assessment skills and the nursing processes to come up with an intervention suitable to the identified problem. And also, nurses or health care providers assist in the treatment process in the community prior to the recognition of the different varieties of health related problems which needs immediate attention or interventions.

I.

COMMUNITY PROFILE
A. GENERAL PROFILE OF LUMBIA 2

I. PHYSICAL PROFILE LOCATION Barangay is located at the southernmost portion of Cagayan

de Oro City. It is 11 kilometers away from the city. It is bounded in the North, by Barangay Carmen, Pagatpat, and Canitoan. On the East by Barangay Balulang and Cagayan River, on the South of Barangay Bayanga, and on the west of Barangay Pagalungan and Tagpangi. It consists of 20 zones/sitios namely: Zone 1-3 (centro), Sitio Pahiron, Baluarte, Upper Dulawon, Lower Dulawon, Impaumbo, Upper Kiam-is, Lower Kiam-is, Patpat, San Isidro, Cabula, Mabuhay, Airport, Narulang, Upper Palalan, Lower Palalan, Malubog, Sta. Cruz, and San Isidro. CLIMATE - Typical of the Municipalities environment, Barangay Lumbia belongs to the third type of climate which is relatively dry from March to April and wet from May to December. SOIL Results of the soil survey conducted by the Bureau of Soil and Water Management showed that Barangay Lumbia has two (2) soil classifications, namely the Adyuton and the Bulinao Clay. Both soil classifications are suited for agriculture production such as rice, banana, vegetables, cacao, pineapples, fruit trees, root crops and cassava. The terrain us upland and rolling. LAND AREA It has a total land area of 332,178 hectares. It is commonly LAND USE Based on the land use survey conducted, Barangay Lumbia described as scattered Barangay Centro to its respective Sitios. has a total built-up area of 332,178 hectares, which 50% of it belongs to the agricultural lands and the rest is non farming zone (residential). DRAINAGE SYSTEM drainage facilities of Barangay drain into the major tributary creek of Barangay Lumbia and finally flow to Cagayan River. II. DEMOGRAPHIC PROFILE
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POPULATION Per 2007 SRA-MBN Survey, Barangay Lumbia has an approximate population of 12,168. HOUSEHOLDS Per participatory Rural Appraisal, Barangay Lumbia has a number of 1,527 households excluding those coming from Gran Europa Subdivisions and Vista Grande Subdivision. Homes are mostly makeshifts and some are concrete

LANGUAGE Major Dialect spoken are Visual/Cebuano. Can speak and understand Tagalog and English. ETHNIC GROUP Most of the residents came from Higaonon tribe. Some residents that are coming from other ethnic group were able to live in this Barangay either by marrying a locale of deciding to move and live in Barangay Lumbia.

III. SOCIAL PROFILE A. HEALTH Barangay Lumbia has one (1) Health Center. It has three (3) Health Personnel, eleven (11) Barangay Health Workers (BHW) and five (5) Barangay Nutrition Scholars (BNS). There are 1,527 total number of Households 616 of them has no sanitary toilets. People of Barangay Lumbia is not suffering any malignant diseases, but only those primary like cough and colds and fever. B. EDUCATION The Barangay has three (3) elementary namely, Lumbia Central School, Baluarte Elementary School and Upper Kiam-is Elementary School; and one (1) secondary school, Lumbia National High School. It has five (5) Day Care Centers located at Airport, Cabula, Palalan, Patpat and Centro under the supervision of CSWD.

The Alternative Leaning System (ALS) program is currently present here in Barangay Lumbia reaching the farthest of the Sitios to teaching the out of school youth, less privileged, and elders for accreditation and equivalency for them to have a diploma and or a certificate.

C. SPORTS The Barangay has completed the construction of the Covered Court, Phase 1. The construction of tits second phase is yet to be finished. Basketball, Volleyball, and Sepak Takraw are the major sports that the youth are playing here in our barangay. Almost every Sitio has basketball tournaments.

D. EMPLOYMENT AND LIVELIHOOD Major occupations are farming, driving, construction working. Major livelihoods are sari-sari stores, cashew nuts production,

banana chips production and handicraft making. IV. INFRASTRUCTURE WATER SYSTEM sourced from Rio Verde Water Corp. but uses ELECTRICITY POWER SUPPLY Sourced from CEPALCO. TRANSPORTATION FACILITIES Barangay Lumbia is primarily ROADS most of the cadastral roads are well maintained. Only GOVERNMENT AGENCIES BJMP Regional Office-X, CSWDthe old and existing pipes laid down before Rio Verde entered.

serviced by jeepneys, motorcycle (Habal-habal) going to the city. Delima Street (Barangay Road) is concreted. Boys Town, Civil Avaition Authority of the Philippines (CAAP) Tactical Operation Group- X. B. SPECIFIC PROFILE OF PATPAT LUMBIA A. FAMILY INITIAL DATA BASE
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No. of families: 214 Type of Family Type of Family Extended Nuclear Cohabitation Dyad Single Parent Blended Communal Foster Others Analysis: In the community nuclear type of family is most observed composed of mother, father and children holding 53%. There is also extended family where their grandparents are living with them and some relatives as it hold 29% believing that we Filipinos are family oriented and about 7% for single parent. For blended, cohabitation dyad and other type of families have 5%, 4%, 2% and 1% respectively. Total Number 61 113 8 5 14 11 0 0 2 Percentage 29% 53% 4% 2% 7% 5% 0% 0% 1%

Gender Sex Male Female Analysis: Total Number 412 391 Percentage 52% 48%

There is no significant difference between the number of female and male population in the families covered by the students.

Civil Status Status Married Single Widow Separated Analysis: Married adults comprise 49% in 150 out of 307, the single adults compose 48% as it is 147 out of 307, and there are cases of widowed holds for the 2.6% of the population, and two separated ones comprise 0.6% of adults in the community. Educational Attainment Level No School Elementary Level High School Level College Level Analysis: On the given data, most of the people definitely reached elementary and high school with 42% and 38% respectively, some reached even college level for it consist 12% and only 7% has not reached any education level. Total Number 32 190 174 56 Percentage 7% 42% 38% 12% Total Number 150 147 8 2 Percentage 49% 48% 2.6% 0.6%

Religion Religion Roman Catholic Non Roman Catholic Analysis:

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Total Number 564 60

Percentage 90% 10%

Almost all the people of the community are Roman Catholic with 564 out of 624 equivalents to 90%. For the remaining 10%, it corresponds to 60 non Catholic members of the community.

Occupation Occupation Professional Non-professional (Farmer, Driver, Cashew cutter/laborer and seller, Waiter, Beautician) Analysis: Most the people in the community has non-professional occupation as it holds 95% of the total population who have job and only 5% have professional jobs. Total Number 9 172 Percentage 5% 95%

Family Income per Month Income (Php) 50 -100 101 -200 201 -500 501- 1,500 1,501 -2,500 2,501 5000 More than 5,000 Analysis: The family with an income per month of Php201-500 has the highest percentage in the community with 23%. Next are families with an income more than 5000 holds
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Total Number 4 3 42 34 31 30 39

Percentage 2% 1.6% 23% 19% 17% 16% 21%

21%. Followed by income of 501-1500, 1501-2500, 2501-5000 with 19%, 17%, 16% respectively. The remaining percentage composed families with an income lower than Php200.

Decision Making Pattern Decision made by Husband Wife Children Shared Analysis: Total Number 74 27 5 62 Percentage 44% 16% 3% 40%

Patriarchal decision making is really common as it holds 44%, followed by shared decision making in the family as it holds 40%. Some mothers also did do decision making equivalent for 16% and the remaining percentage compose the children who are responsible for the decisions at 3%.

Family Participation in the Community frequency Frequent Always Seldom, Often times Never Analysis: Total number 16 55 57 41 23 percentage 8% 29% 30% 21% 12%

Most of the families seldom participate in different programs in the community because they fail to see the benefits of the action with 30%. There are families who actively participate equivalent for 29%. Often times, never and frequent holds 21%, 12% and 8% respectively.

B. Family Structure, Socio-economic and Cultural Characteristics Housing a. ownership Type Owned Rented Rent Free Analysis: For about 86% families in the community own their houses. There are rent free ownership also that holds 11% and the remaining percentage are rented houses. Total Number 162 6 21 Percentage 86% 3% 11%

b. construction materials Materials Used Light Mixed Strong Total Number 71 97 18 Percentage 36% 49% 9%

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Makeshift Analysis:

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6%

Most of the houses of the families are made up of mixed materials like bamboo and nipa with cemented parts of their houses with 49%. Some houses also constructed with light materials equivalent for 36%. Strong and make shift construction materials used in building the houses holds 9% and 6% respectively

a. Adequacy of Living Space Type Crowded Not-Crowded Analysis: In the community the houses can accommodate the members of the family as most of them are nuclear families for about 52%. Not far behind there are houses that are crowded for the number of members they have with 48%. Total Number 78 83 Percentage 48% 52%

b. Lighting Facilities Lighting Used Electricity Kerosene Others Total Number 172 21 3 Percentage 88% 11% 2%
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Analysis: About 88% families have electricity as their lighting facilities used and only 11% uses kerosene.

c. Water Supply Resources Source Rio Verde Atabay COWD Sapa Poso Others Total Number 15 14 102 14 12 50 Percentage 7% 7% 49% 7% 6% 24%

Analysis:For about 49% of the families get their water from Cagayan de Oro Water District for safe water. d. Level of Water Supply Point Source Level 1 Level 2 Level 3 Analysis: Most of the families prefer communal faucet where expenses is shared and they can save more money with 67%. But there are families who want to have their own faucet for accessibility purposes that holds 27%. Total Number 12 134 54 Percentage 6% 67% 27%

e. Storage of Water Type Large Covered Container Total Number 70 Percentage 37%
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Large Uncovered Container None Others Analysis:

91 21 5

49% 11% 3%

As to the fact that they used a communal faucet as their water supply level they store their water in a large uncovered container with49% for a cut off time that with the water flow. Only few are practicing storing their water in a large covered container using this kind of container with 37%. Some dont store water since they have their own faucets equivalent for 11%.

f. Food Storage and Cooking Facility Cooking Facility Electric Stove Gas Stove Firewood/Charcoal Others Analysis: Most of the families use firewood or charcoal to cook their foods which account for 88%. This to save money as well as that there are those who cannot afford to buy gas stove or electric stove as a cooking facility. Total Number 5 19 178 0 Percentage 2% 9% 88% 0%

i.1.. Food Storage

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Type Refrigerated Non-refrigerated(covered) Non-refrigerated(uncovered) Others Analysis:

Total Number 34 85 88 0

Percentage 16% 41% 43% 0%

Most of the families dont have refrigerator so they store there foods on uncovered food containers this in high percentage of 43%. Some do have refrigerator where they can store their foods about 16%. And the remaining percentage which is 42% for those who practice storing their foods in covered containers.

g. Toilet Facility (Type) Type None Water sealed Flush Antipolo Others Analysis: Total number 32 127 12 9 10 percentage 17% 67% 6% 5% 5%

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The type of their toilet facility is water sealed with 67% and 17% is families who dont have their toilet. Followed by flush type of toilet facility holds 6%. Antipolo and other type of toilet holds 5% respectively.

k. Toilet Facility Ownership Type Owned Communal None Total Number 25 84 76 Percentage 14% 45% 41%

Analysis: In the community most families used communal toilet facility which holds 45% of the total population covered, that is they shared toilet. 41% do not even have toilet. The remaining percentage composed of families with toilet facilities.

L. Garbage Disposal L.1 . Garbage Container Type of Container covered Uncovered None others Analysis:
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Total Number 50 94 17 7

Percentage 30% 56% 10% 4%

Most of the families place their garbage in uncovered containers with 56%. Followed by 30% that place their garbage in a covered container L.2. Method of Disposal Method Open Dumping Burial in pit Composting Open-burning Garbage Collection others Analysis: Almost have of the population practice open burning of their garbage, followed by open dumping with 23% Total Number 56 23 9 114 43 1 Percentage 23% 9% 4% 46% 17% 0.4%

L.3. Practice of Segregation and Recycling Practice Yes No Analysis: Most of the families are not practicing segregation and recycling of their garbage and depends on garbage collection with 54% and some do practice with 46%. Total Number 76 89 Percentage 46% 54%

M. Drainage System Type Total Number Percentage

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Open Canal Covered Canal None

83 8 77

50% 5% 45%

Analysis: Some families have an open canal as drainage system with 50%. Unfortunately some dont have a drainage system with 45%. Followed by covered canal that holds 5%.

N. Vectors and Nesting Sites N.1. Presence of Sites for Vectors Yes/No Yes No Analysis: Yes there is presence of breeding sites or vectors in the community like stagnant water and garbage that are not properly disposed with 67% and some say that there are no sites for breeding or resting sites of vectors. N.2 Method of Controlling, Breeding or Resting Sites of Vectors Method Total Number Percentage
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Total Number 143 72

Percentage 67% 33%

Mosquito Nets Katol Insecticides None Open burning others Analysis:

110 9 30 1 74 2

49% 4% 13% 0.6% 33% 0.8%

The families use mosquito nets as a control method from vectors with 49%. Followed by open-burning that holds 33%.

O. Domestic Animals Kind Goat Pig Dog Chicken Cat Cow Carabao Fishes Duck Bird Horse Analysis:
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Total Number 45 68 152 381 65 19 8 73 2 1 3

Percentage 5% 8% 18% 48% 8% 2% 1% 9% .3% .1% .5%

The most common domestic animal that they possess are chicken with 48%, some have dogs that holds 18%.

P. Is there a place where it is kept? Yes No Analysis: Though they have animals they dont have a place to keep their animals with 55% and the remaining percent is for those who have a place to keep it. Communication and Transportation Q. Mode of Communication Means Cell Phones Telephone Others Analysis: In the community still most of the families use other means of communicating with 66% and the remaining percentage which is equal to 34% for those who have cell phones. Total Number 50 0 98 Percentage 34% 0% 66% 78 96 45% 55%

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C. Health Status C.1. Current Diseases and Illnesses Disease/Illnesses Diarrhea Bronchial Asthma Ulcer Hypertension Cough Colds Fever Skin Allergies Total Number 10 3 2 38 28 42 31 34 Percentage 5% 0.2% 0.1% 19% 14% 21% 16% 17%

Analysis: In the community the most common disease is colds with 21% followed by hypertension and skin allergies with 19%and 17% respectively. With 16% they experienced fever. Some also experienced diarrheal diseases.

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D. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention D.1. Immunization (children 2 years and below) Immunization Status Not fully Immunized Fully Immunized Never Analysis: Among the infants in the community most of them are fully immunized or completed the immunizations required and not far from this percentage are not fully immunized with 41% this is because some infants wait for the right age that they can get the immunization such as measles at nine months. D.2. Infant feeding practice (Families with Infants only) Method Breast feeding Bottle-feeding Mixed Analysis: Most of the infants are breastfed which has 63%, while bottle feeding and mixed feeding holds the same percentage of 19%. Total Number 17 5 5 Percentage 63% 19% 19% Total Number 62 90 0 Percentage 41% 59% 0%

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D.3. Vitamin A Supplement Vitamin A Supplement Yes No Analysis: Most families dont have vitamin A supplement with 71% and only 21% have vitamin A supplement. D.4. Salt Used Iodized or Non-Iodized Iodized Non-Iodized Analysis: 58% of the families use iodized salt since they know the benefit of using one. And 42% are not using iodized salt. Total Number 66 47 Percentage 58% 42% Total Number 28 107 Percentage 21% 79%

D.6 Health Seeking Behavior of the Family Type Total Number Percentage
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Hospital Health Center Private Clinic Albularyo Hilot Others Analysis:

100 137 24 56 10 4

30% 41% 8% 17% 3% 1%

The families in the community went to health center hold 41%, they prefer also to go to hospital with 30%. Some also go to albularyo and private clinic with 17% and8 % respectively. D.7. Health Source of Information Type Hospital Health Center Media Others Analysis: Most of the family went to health center to seek for health information as it holds 51%. Some gets their information from hospital and media with 26% and 20% respectively. D.8. Family Planning Practice Type Practicing Not Practicing Analysis:
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Total Number 54 108 41 7

Percentage 26% 51% 20% 3%

Total Number 83 98

Percentage 46% 54%

Most of the families do practice family planning with 54% and 46% for those who are not practicing it. D.11. Health Insurance Possess Yes No Analysis: Talking about health insurance, all families who have their own health insurance specially PhilHealth. Total Number 205 0 Percentage 100% 0%

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B. SPOT MAP

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II.

COMMUNITY HEALTH NEEDS/DIAGNOSIS A. PRIORITIZATION OF THE PROBLEM B. SCORING C. COMMUNITY DIAGNOSIS

III.

COMMUNITY CARE PLANS

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