List of Problems Identified

List of Problems Identified
Problem No.
1
2 3.5 3.5 6 7
Problem
INADEQUATE IMMUNIZATION STATUS UNEMPLOYMENT FAMILY SIZE BEYOND WHAT FAMILY CAN ADEQUATELY PROVIDE INADEQUATE TOILET FACILITY IMPROPER GARBAGE DISPOSAL
Score
7.42 7.09 6.92 6.92 6.35 6.08
NON-ACCEPTANCE OF FAMILY PLANNING
Problem No. 1 INADEQUATE IMMUNIZATION STATUS First-Level Assessment: Health Resources Cues: Incomplete Immunization 24.35%; Never been immunized 3.48%
CRITERIA COMPUTATION SCORE JUSTIFICATION It is considered as health resources problem. Inadequate immunization would predispose children to acquire different communicable diseases. Being at risk of acquiring diseases alters the chances of attaining optimum health. The problem has a magnitude of 1. 24.35% of the infants have incomplete immunization, where as 3.48% have never been immunized. Adding the two would yield a sum of 27.83%. Current Knowledge of the community and/or families ()The families are aware of the benefits that the children can receive through immunization. However, some of the families are non-compliant to their immunization schedule, and others fail to bring their children to the health center because they are busy with
1. Nature of the problem Health Status (3) Health Resources (2) Health Related (1)
2/3x1
0.67
2. Magnitude of the problem 75%-100% 50%-74% 25%-49% <24% (4) (3) (2) (1) 1/4x3 0.75
3. Modifiability of the problem Current Knowledge Resources in the Community Resources of the Family Resources of the Student Nurses
3/3x4
work and chores. Poor compliance is also brought about by families false beliefs that immunizations require payment. Resources of the community ()The health center provides free immunization to all eligible children. They are implementing the Expanded Program on Immunization (EPI) advocated by the government. Resources of the family ()The only resources needed by the family are their time, cooperation and their willingness to go the health centre. Resources of the Student Nurses ()The student nurses can provide health teachings that would invoke awareness among the families regarding the importance and benefits of their children being fully immunized. Gravity or severity ()=() PPThe problem is not severe since the number of children with incomplete immunization is relatively low compared to the number of children with complete immunization. Aside from that, communicable diseases are not prevalent in the community. They are not among the Top 10 causes of morbidity. Duration ()=() PP-
4. Preventive Potential Gravity or Severity Duration Current Management Presence of High Risk Group
3/3x1
The problem had only been existing for a short time since all children assessed are 1-year old and below. In such case, they may still be provided with vaccines needed for their age after health teachings are adequately provided. Receiving the necessary vaccines would decrease the risk of acquiring communicable diseases.
Current Management ()=() PPThe barangay health center promotes and encourages completion of immunization just as they have the schedule for immunization during Wednesdays of the week. Presence of High risk group ()=() PPInfants are the primary population group involved with this problem. Since they have weaker immune system, They may easily catch certain diseases especially communicable ones. The community doesnt need an immediate action because they knew that having a complete immunization would have a good effect on their health. They knew that when they need to be immunized they will pay for the said vaccine, but they dont know the side effects of each vaccine that will make the community worried about.
5. Social Concern Urgent Community Concern Recognize as a problem but not needing urgent attention Not a community concern
1/2x1
TOTAL
7.42
Immunization has been an important factor to the life of Filipinos. There are children who are said to be immunized once they are born; however, due to some reasons, they are not continued and followed up. One of these reasons is the lack of information that the parents or guardians of the children acquire when they have their children brought to the health center. They are not able to follow the schedules provided for the second and if ever third doses. Because of this problem, there are some children that would easily acquire diseases quicker than those who were immunized. Immunization is one of the most important and cost-effective interventions that the governments health system can provide to the poor and most vulnerable populations. Routine immunization of children and women leads to the control and eventual eradication of preventable diseases. http://www.unicef.org/philippines/8889_8920.html
Problem No. 2 UNEMPLOYMENT First-Level Assessment: Health Resources Cues: Unemployed Male: 12.38 %; Unemployed Female: 27.22%
CRITERIA COMPUTATION SCORE JUSTIFICATION The problem is considered as a health resources problem because it is an economic indicator necessary to solve health problem and could affect significantly the health of the people. Lack of financial support in the absence of employment will consequently result in lack of support and acquisition of health needs in the promotion of health and prevention of illness.
2/3x1
0.67
39.6% of the working population is unemployed.
The problem is moderately modifiable. Current Knowledge of the community and/or families ()The families are aware of the problem and have the knowledge and initiative to intervene. Resources of the community ()The participation of the health center could help provide available resources like a free venue for the conduction of livelihood seminars. Resources of the family ()Some families try to find ways in order to earn a living. These families could participate in livelihood programs to help them gain ideas and self-reliance in finding a living. Resources of the Student Nurses ()The student nurses can
3/3x4
provide health teachings that would invoke awareness among the families regarding possible livelihood programs to earn a living. Gravity or severity ()=() PP% of the surveyed population was affected. Duration ()=() PPThe problem had only been existing for only a yea 4. Preventive Potential Gravity or Severity Duration Current Management Presence of High Risk Group Current Management ()=() PPSome individuals try to earn a living by being selfemployed. The income generated is not high but it may help in budgeting other expenses. Presence of High risk group ()=() PPThe children and all age groups are affected because families dont earn enough money to sustain their basic needs. The problem is considered as a recognized problem by the community but not needing urgent attention since this problem existed for a long time (trending).
2/3x1
0.67
5. Social Concern Urgent Community Concern Recognize as a problem but not needing urgent attention Not a community concern TOTAL
1/2x1
7.09
Problem No. 3.5 FAMILY SIZE BEYOND WHAT FAMILY CAN ADEQUATELY PROVIDE First-level Assessment: Health Resources Cues: Low Income: Poor (64.41%); Low Educational Attainment: Not going to school (78.84%)
CRITERIA 1. Nature of the problem Health Status (3) Health Resources (2) Health Related (1) 2. Magnitude of the problem 75%-100% 50%-74% 25%-49% <24% COMPUTATION SCORE JUSTIFICATION It is a health resources problem because the family cannot provide the material resources that the each family member needed in order to maintain a healthy lifestyle due to financial insufficiency. The problem has a magnitude of 3 because family with low income, specifically the poor families comprise 64.41% of the surveyed families.
2/3x1
0.67
3/4x3
2.25
The problem is moderately modifiable based from the following criteria: Current Knowledge of the community and/or families ()The families do have knowledge on how to manage their needed resources through proper budgetting of their monthly income. Also, the educational attainment is low making them less attentive to their problem. Resources of the community ()The community provides livelihood projects which help people meet their demands. Resources of the family (x)The family does not have financial resources to provide all the needs of each family
3. Modifiability of the problem Current Knowledge Resources in the Community Resources of the Family Resources of the Student
3/3x4
member. As shown in Table 9, 69.43% of the families surveyed are under the poor category. Resources of the Student Nurses ()The student nurses can teach the community people some livelihood programs like ebun buru making and kakanin. Gravity or severity ()=() PPMore than half of the families in the community with a percentage of 69.43% belong to the poor category. This decreases the preventive potential of alleviating the problem. Duration ()=() PPIn table 6, it shows that 55.09% of the families live in the community for more than 10 years. This indicates that the problem has been present for a long period of time. This decreases the preventive potential of alleviating the problem. Current Management ()=() PP The health center has managements or programs to help raise the level of the people from being poor like family planning seminars, livelihood programs and others. Presence of High risk group ()=() PP The percentage of the people in poor category is more than half of the surveyed population. This means that it is difficult to erradicate poverty in the community. The community people are aware of their economic status and see it as a problem needing urgent attention.
Preventive Potential Gravity or Severity Duration Current Management Presence of High Risk Group
1/3x1
0.33
5.Social Concern Urgent Community Concern Recognize as a 2/2x1 1
problem but not needing urgent attention Not a community concern TOTAL
8.25
The size of each family matters on both the head of the familys part and the governments part as well. It is because the family would have to be able to support all the members of the family with their corresponding needs to living. For the government, it would have to manage a greater population if the number of members in a family keeps increasing. Most people take into consideration finances, lifestyle, vehicle, personal preference, place where they live (city wise), home, how old their other children are etc. Some consider ecological and emotional beliefs when planning their families. http://pregnancy.about.com/b/2009/02/14/family-size.htm Family size is related to the health of both the children and the parents in the family. Children in larger families have higher morbidity and mortality levels and slower growth and maturation rates than children from small families. Intelligence of children is positively correlated with smaller families http://www.popline.org/docs/0207/760196.html
***halos nakared to kasi di ko gets bat kasama yung low income sa usapang to. :)))
Problem No. 3.5 INADEQUATE TOILET FACILITY First-level Assessment: Health Resources Cues: Toilet without water carriage (66%); Low Income: Poor (64.41%) CRITERIA COMPUTATION SCORE JUSTIFICATION 1. Nature of the It is a health resources problem problem because the family lacks financial Health Status resources and there are (3) insufficient materials needed to 2/3x1 0.67 Health Resources provide proper toilet facility. (2) Health Related (1) 2. Magnitude of the The problem has a magnitude of problem 3 because family with low 75%-100% (4) income, specifically the poor 3/4x3 2.25 50%-74% (3) families comprises 64.41% of the 25%-49% (2) surveyed families <24% (1)
The problem is moderately modifiable based from the following criteria: Current Knowledge of the community and/or families ()The families do have knowledge on how to manage their needed resources through proper budgeting of their monthly income. Also, the educational attainment is low, making them less attentive to their problem. 3. Modifiability of the problem Current Knowledge Resources in the Community Resources of the Family Resources of the Student Resources of the community ()The community health center has family planning programs in order to help families to plan their desired number of members and to avoid unexpected pregnancies. Resources of the family (x)The family does not have financial resources to provide all the needs of each family member. As shown in Table 9, 64.41% of the families surveyed are under the poor category. Resources of the Student Nurses ()The student nurses have the knowledge and skills to share with the community people through rendering health teachings regarding ways on how to maximize resources. Gravity or severity ()=() PPMore than half of the families in the community with a percentage of 64.41% belong to the poor category. This decreases the preventive potential of alleviating the problem. Duration ()=() PPIn table 6, it shows that 73% of the families live in the community for more than 10 years. This indicates that the problem has been present for a long period of time. This decreases the
2/3x4
2.67
Preventive Potential Gravity or Severity Duration Current Management Presence of High Risk Group
1/3x1
0.33
preventive potential of alleviating the problem. Current Management ()=() PP The health center has managements or programs to help raise the level of the people from being poor like family planning seminars, livelihood programs and others. Presence of High risk group ()=() PP The percentage of the people in poor category is more than half of the surveyed population. This means that it is difficult to eradicate poverty in the community. The community people are aware of their economic status and see it as a problem needing urgent attention. 2/2x1 1
5.Social Concern Urgent Community Concern Recognize as a problem but not needing urgent attention Not a community concern TOTAL
6.92
***halos nakared to kasi alam ko puro Collection yung garbage disposal nila..so, just in case kailangan, kaya sinama ko na. :)
Problem No. 6 IMPROPER GARBAGE DISPOSAL First-Level Assessment: Health Related Problems Cues: Dumping 38.45%; Burning 5.73%; Burying 2.02%
CRITERIA 1. Nature of the problem Health Status (3) Health Resources (2) Health Related COMPUTATION 1/3 x 1 SCORE 0.3 JUSTIFICATION Improper garbage disposal falls under the health related problems which may be conducive to the health of the
(1) 2. Magnitude of the problem 75%-100% 50%-74% 25%-49% <24% (4) (3) (2) (1) 3/4x3 2.25
families of the households. The problem has a magnitude of 3. 38.45% of the households use dumping as their garbage disposal; 5.73% use burning as their garbage disposal; and 2.02% use burying as their garbage disposal. Adding the three would yield a sum of 46.2%. Current Knowledge of the community and/or families ()The families are aware of the proper manners of garbage disposal; however, they are non-compliant due to the fact that they are not within the boundary of the communitys service of garbage collection. Resources of the community ()Although 53.79% of the households make use of collection as a way of disposing their garbage, not all areas of Barangay Sapalibutad are covered by the service of the community. Resources of the family (x)The families do not have sufficient income to move to a location wherein they would be in the boundary of the garbage collectors. Resources of the Student Nurses ()The student nurses can provide health teachings that may persuade the families to segregate their garbage in certain ways to protect themselves and the environment as well. Gravity or severity ()=() PPThe problem is not severe since it does not wholly
2/3 x 4
2.64
4. Preventive Potential Gravity or Severity Duration 2/3 x 1 0.66
Current Management Presence of High Risk Group
cause severe illnesses to the population of the community. Duration ()=() PPThe problem has been existing for a while already and this shows that the community lacks the initiative to help prevent the problem. Current Management ()=() PPBarangay Sapalibutad has a service that provides collection of garbage in some parts of the community. Presence of High risk group ()=() PPThe children of the community are the portion of the population which gets affected by the possible consequences of improper garbage disposal due to their weak immune system and exposure to the outside environment. The members of the community perceive this matter as a problem which does not need urgent attention because like stated previously, though the surveyed population knows about the problem, they do not show concern about the said issue.
1/2 x1
0.5
6.35
Improper garbage disposal is one of the major problems, not only in Pulung Bulu but in the entire country. There are several ways on disposing garbage. In the Pulung Bulu community, there is a service that is provided to a number of households which collects the garbage for the families. Aside from this, there are also some households that are not able to avail of this service so they result in either dumping, burning or burying their garbage. The unsanitary environment contributes significantly to the degraded health situation. It has been 90 percent of diseases come from filth. People are unaware that improper garbage/waste disposal system which clogs canals and breeds flies, endangers their lives when they inhale the polluted air and eat the food where a mosquito or a fly had landed. http://dirp3.pids.gov.ph/ris/drn/pidsdrn88-6.pdf
Problem No. 7 Non-acceptance of Family Planning First-Level Assessment: Health Related Cues: Religion: (Catholic) 92.92%, Unemployment:39.6%, Low income: 64.41%, Nonacceptor: 54.35% CRITERIA COMPUTATION SCORE JUSTIFICATION The problem is considered as a health related problem because it precipitate larger family size beyond what family resources could provide which possess a threat that inadequate health needs maybe provided for each member.
1/3x1
0.33
54.35% of the surveyed families are non-acceptor which is shown in table 22. Some of the contribution factors that led to this result include Roman Catholic religion, unemployment and low income (poor).
The problem is moderately modifiable. Current Knowledge of the community and/or families ()The families are aware of the problem and have the knowledge and initiative to intervene.
2/3x4
2.67
4. Preventive Potential Gravity or Severity Duration Current Management Presence of High Risk Group
1/3x1
0.33
Resources of the community ()The Barangay Health Center gives information regarding the different types of family planning method. Supplies are also given as well. Such supplies are condom and depo-provera. Resources of the family (x)The couples lack cooperation and adequate knowledge with regards to different types of family planning that they could utilize. Most of them were not knowledgeable of the pros and cons of the different methods used which makes them difficult to decide. During the assessment some families would say they are scared of the side effects and they find them costly where in fact, there are methods that are affordable such as condoms and calendar method. Resources of the Student Nurses ()The student nurses can provide health teachings with regards to other forms of family planning to expand their knowledge. Gravity or severity ()=() PPNon-acceptance of family planning is prevalent in the community such that 54.35% of the surveyed population was affected. Duration ()=() PPThe problem existed even before the student nurses affiliated in the community. Current Management
()=() PPThere is current management through the health services by the Barangay Health Center wherein they offer information dissemination regarding natural family planning and even provide supplies of artificial methods. Presence of High risk group ()=() PPMore than half of the surveyed families are risk of having number of children which is beyond what their income could provide. The community recognize the problem but does not need immediate attention. 1/2x1 0.50
6.08

List of Problems Identified

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List of Problems Identified

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List of Problems Identified

NON-ACCEPTANCE OF FAMILY PLANNING

39.6% of the working population is unemployed.

5.Social Concern Urgent Community Concern Recognize as a 2/2x1 1

4. Preventive Potential Gravity or Severity Duration 2/3 x 1 0.66

Current Management Presence of High Risk Group

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