ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

COMMUNITY DIAGNOSIS

Prepared by:
3 BSN G Group 2
Gayares, Janessa D.
Hinojales, Keith John E.
Lamela, Keyla P.
Lecobu-an, Christy Lou L.
Lopez, Recca D.
Lucas, Pamela Reign I.
Ly, Skipper D.
Malifero, June Therese L.
Mandario, Chlomen V.
Mantiquilla, Anthonette Kaye P.
Nanagad, Wrenzie L.
Samodal, Ma.Niña
Villanueva, Jonna Erosa E.

As a partial requirement in
Related Learning Experience (RLE) Related Learning Experience (RLE) NCM 112 Community Health Nursing
2

Presented and Submitted to:

Prof. Helna Eulalio, RN
Clinical Instructor
 I. INTRODUCTION
A community diagnosis is a comprehensive assessment of health status of the community in relation to
its social, physical and biological environment. The purpose of community diagnosis is to define existing
problems, determine available resources and set priorities for planning, implementing and evaluating health
action, by and for the community.
It generally refers to the identification and quantification of health problems in a community as a
whole in terms of mortality and morbidity rates and ratios, and identification of their correlates for the
purpose of defining those at risk or those in need of health care. “A means of examining aggregate and social
statistics in addition to the knowledge of the local situation, in order to determine the health needs of the
community”.
A community is a cluster of people with at least one common characteristic (geographic location,
occupation, ethnicity, housing condition, etc.). A group of people with a common characteristic or interest
living together within a larger society comprises a community.
Society is faced with different problems. Most of them in society do not actually know the causes of ill
health and death amongst them. They badly desire to be free from these problems but do not know how to go
about it. They will appreciate anyone who will come into the community and put a stop to all their problems.
When health care professionals start making investigations about these problems, they are glad to be of help
to the healthcare team.

Why Community Diagnosis is important?

• It helps to find the common problems or diseases, which are troublesome to the people and are
easily preventable in the community.
• It can be a pioneering step for the betterment of rural community health.
• It is a tool to disclose the hidden problems that are not visible to the community people but are
being affected by them.
• It helps to access the group of underprivileged people who are unable to use the available
facilities due to poverty, prevailing discrimination, or other reasons.
• It helps to find the real problems of the community people which might not have been
perceived by them as problems.
• It helps to impart knowledge and attitudes to turn over people’s problems towards the light of
solution.

When planning or implementing programs at a community level effectively, the community/public

health nurse must understand how the community works, how it is organized, who its key leaders are, how
the community has approached similar problems, and how other programs have been introduced in the past.
The health care professional who is facilitating the community organization process with regard to a specific
health need or problem must work with the community members. To be an effective change agent in applying
the nursing process, the nurse must be aware not only of the community and how it works, but also of
methods of community organization that facilitate change.
Florence Nightingale and Lillian Wald pioneered health planning based on an assessment of the health
needs of the communities they served. Additionally, nurses have long been involved in implementing
programs planned by other disciplines. Both the American Nurses Association (ANA) (2007) and the American
Public Health Association (APHA) (1996) state that the primary responsibility of community/public

health nurses is to the community or population as a whole and that nurses must acknowledge the need for
comprehensive health planning to implement this responsibility. Both professional organizations identify
program planning as a primary function of the community/public health nurse.
 In addition, nurses should be involved in program planning for several reasons. U.S. Nurses, for
example, make up more than one-third of all healthcare workers and implement the majority of healthcare
programs. Our involvement in numerous and diverse health programs has given us experience in seeing what
works and what does not. This experience helps identify difficulties that can be avoided in the future.
Nurses spend a greater amount of time in direct contact with their clients than any other health care
professionals. We are with the clients in the community, gaining first-hand information about their health,
their lifestyles, their needs, and what it is like to be a member of that community. This exposure to the
community places us in the unique position of possessing valuable information that is useful to the planning
and implementation of successful health programs.
This case presentation is all about Barangay Maniwangtiwang, one of the barangays in the Municipality
of Masinadyahon. It is located 10 kilometers from the town proper. The place is mostly rice fields and most of
the residents depend on their source of income, farming. They have a small plaza, a small chapel, a basketball
court, and a barangay health station that is manned by a midwife. Some of the residents would get their drink
water from a communal artesian well and other chooses to buy purified drinking water from the town proper.
The place has no drainage system as observed because they throw their water waste anywhere. Some of the
houses are built using light materials and the risk of fire is high. Some of the residents are engaged in vices
such as "tong its" and some on drinking liquor alcohol. Children were seen playing without wearing slippers.
Some of the residents still consult to a local albularyo, a Filipino term for a witch doctor, folk healer or
medicine men. They practice folk medicine and use medicinal plants in their trade. During the survey of
student nurses assigned in that area, they gathered certain information or data and we are tasked to present
using this presentation. Brgy. Maniwangtiwang has a total population of 527 and total number of households
was 116. Further data will be shown later on.

This case presentation has five parts; Introduction, Objectives (a. General Objective, b. Specific
Objective), Community Health profile (a. Demography, b. Socio-Economic, c. Home and Environment, d.
Health Situation, e. Maternal and Child Health; 1. Nutritional Status, 2. Family planning, 3. Immunization
Status), Key Health Problems and our Recommendations.

As we go through each topic later on, we foresee that this community diagnosis is really a process that
it requires participation from the three main actors: community, technical and professional resources—people
who are directly related to the population on a daily basis and who manage services, programs, and benefits
(educational, social, sanitation, economic, etc.); and citizens, involving social organizations (associations and
formal or informal groups) and other actors who are active participants in the whole process, through their
daily active participation in public life
II. GENERAL AND SPECIFIC OBJECTIVES
A. GENERAL OBJECTIVE
 This study aims to obtain the proper knowledge, skills and attitude necessary for effective nursing
management for the citizens in the community of Barangay Maniwangtiwang and identify their
community’s health concerns and make actions towards acquiring of health resources and services.

B. SPECIFIC OBJECTIVES
Knowledge

 Discuss what is community diagnosis.

 Discuss nursing care plan for every health problem in community of Brgy. Maniwangtiwang.
 Explain the collected data regarding the community’s health status, then evaluate the gathered
data in Demography, Socio-Economic, Home and Environment, Health Situation, Maternal and
Child Health.
 Incorporate knowledge of the community with the nursing care plan.
Skills

 Assess the health condition and needs of the community and identify existing health programs and
resources available.
 Establish nursing care plan for every health problem in community.
 Encourages open, effective communication, when possible, between multi-disciplinary team and
the residents of Brgy. Maniwangtiwang.
 Establish a plan with the barangay officials and health care personnel a program that will help
resolve the health concerns and needs of the barangay.
 Document appropriately the condition, nursing interventions and evaluation of the community
diagnosis.
Attitude

 Promotes care in a safe and effective manner among the residents of community.
 Show confidence in handling and assessing community health status to the multi-disciplinary team
and the residents of Brgy. Maniwangtiwang.
 Recognize feedbacks and development on health status of the residents in community.

III. COMMUNITY HEALTH PROFILE

A. DEMOGRAPHY
DEMOGRAPHIC DATA
Total Population: 527
No. of Households: 116
Sex Distribution:
Male: 279
Female: 248
Age Distribution:
0-12 months:
Sex Distribution

Male (279)
47% Female (248)
53%
 Chart 1.0
Sex Distribution
Male: 279, Female: 248
Chart 1.0 shows the total percentage of each sex distribution in Barangay Maniwangtiwang where the highest
percentage is composed of male which is 53%, and the remaining is composed of female with 47%. The result
shows that 279 are male and 248 are female. It concludes that the total population of the respondents is 527
and the majority is male.

Age distribution
2%

8%
17%
0-12 mos. (8)
13% 1-6 y.o (89)
7-14 y.o (74)
15-45 y.o (243)
14% 46-60 y.o (70)
Above 60 y.o (43)

46%

Chart 2.0
Age distribution
0-12 mos.: 8;1-6 y.o – 89; 7-14 y.o; 74, 15-45 y.o: 243,46-60 y.o: 70, Above 60 y.o: 43
Chart 2.0 shows that the total percentage of the Age Distribution in Barangay Maniwangtiwang. Majority of
the population is composed of people aged between 15-25 yrs old accruing 243 residents which is 46%. The
second highest is the age distribution of 1-6 years old accumulating 89 residents which is 17%. The third
highest is the age distribution of 7-14 years old which is 14% age distribution among the people of Barangay
Maniwangtiwang.
The fourth highest is the age distribution of 40-60 years old which is 13%. Eight out of 527 residents are ages
0-12 months. Eight percent or forty-three of them were above 60 years old while the least age distribution
was 0-12 months old which is only 2% of the total population.

Cooking Facilities

17%

Charcoal (20)
Gas Stove (20)
Electric (5)
Wood (71)
17%
Others (0)
61%

4%

Chart 3.0
Cooking Facilities:
Charcoal: 20; Gas Stove: 20; Electric: 5; Wood: 71; Others: 0
Chart 3.0 shows the Cooking Facilities of the surveyed respondents. The majority of them use wood to cook
their food which is 71 or 68% of the total respondents. Twenty out of 106 residents stated that they used Gas
Stove as mode of cooking in addition to that 20 residents use Charcoal for cooking. A minority of the
surveyed residents answered Electric as a cooking facility which is 5% or 5 out of 106.
 Civil Status
1%
3%

Children (0-15 y.o) (182)

35% Single (16up) (125)
Married (200)
38% Widow (18)
Separated (2)

24%

Chart 4.0
Civil Status
Children (0-15 y.o): 182; Single (16up): 125; Married: 200; Widow: 18; Separated: 2
Chart 4.0 shows the percentage base on Civil Status of the population of Barangay Maniwangtiwang. Thirty-
eight percent or 200 is composed of married, followed by the children which is 35% or 182 of the residents,
third is 24% or 125 of the residents surveyed. Three percent or 18 of the total residents are Widow and 1% or
2 are separated.

Religion
0%
1%1%

Roman Catholic (514)

Baptist (7)
Born Again (1)
Jehovas Witness (5)

98%

Chart 5.0
Religion
Roman Catholic: 514; Baptist: 7; Born Again: 1; Jehovah’s Witness: 5
Chart 5.0 the chart shows the total percentage based on the religion in Barangay Maniwangtiwang in terms of
Religion. Majority of them were Roman Catholic which is 514 out of 527 or 98% surveyed while there are 5 for
Jehovah’s Witness, Baptist is 7 or 1% , and 1 for Born Again.

Educational Attainment

2%

13%
16% 0-3 years old schooling (11)
Chart 6.0 Elementary level (85)
Elementary graduate (46)
Highschool level (89)
19% 9% Highschool graduate (63)
College level (66)
College graduate (99)
None(68)

17%
13%

12%
Educational Attainment
0-3 years old schooling: 11; Elementary level: 85; Elementary graduate: 46; Highschool level: 89; Highschool
graduate: 63; College level: 66; College graduate: 99; None: 68
Chart 6.0 shows the total percentage of the Educational Attainment of the residents of Barangay
Maniwangtiwang. Children 0-3 years old that are schooling are 11, 85 for the Elementary level, and 46 for
Elementary Graduates. Eighty-nine of them are on High School Level while 63 of them are High School
Graduates. Sixty-six of the total respondents are on College Level, 99 for College Graduate and 68 for None.

Schooling Population

20% 18%

Presently Schooling(92)
Schooling Population 6-25 (325)
Non-Schooling (106)

62%

Chart 7.0
Schooling Population
Presently Schooling: 92; Schooling Population 6-25: 325; non-Schooling: 106;
Chart 7.0 shows the total percentage of the Schooling Population of Barangay Maniwangtiwang. Majority of
the population are Schooling population which is 325 out of 529 surveyed residents or 62%. Ninety-two of
them are presently schooling or 20% while 106 are non-Schooling or 18% of the total population.

Family Structure
2%

8%

9%
Nuclear (69) Extended (26)

Cohabilitating (10) Single Family (9)

22% 59%
Siingle Parent (2)

Chart 8.0
Family Structure
Nuclear: 69; Extended: 26; Cohabiting: 10
Chart 8.0 shows the total percentage of the Family Structure of the residents of Barangay Maniwangtiwang.
Sixty-nine of 59% of the total respondents have Nuclear Family structure, 26 or 22% have Extended Family
Structure, 10 out of 116 families are Cohabiting or 9%. Nine out of 116 families or 8% have Single Family while
2 of the Family Structure are Single Parent or 2% of the total population.
 Chart 9.0
Dominant Family Member in Decision-Making
Father: 70; Mother: 23; Both: 13; Others: 10

Chart 9.0 shows the percentage of the residents in Barangay Maniwangtiwang in terms of Dominant Family
Member in Decision Making. Majority of the surveyed residents state that the father is the decision-maker of
the family which is 70 out of 116 or 60%. Twenty-three out of 116 are the mothers or 20%, 13 for Both or 11%
and 10 or 9% for Others.

General Family Relationship

1%

30%
Open Communication(80)
Family Cooperation (35)
Conflict (1)

69%

Chart 10.0
General Family Relationship
Open Communication: 80; Family Cooperation: 35; Conflict: 1
Chart 10.0 shows the total percentage of General Family Relationship of the residents of Barangay
Maniwangtiwang. Majority of them have Open Communication which is 69% of the total population surveyed,
35 or 30% have Family Cooperation and 1 for Conflict.
 Sex Distribution Educational Attainment
2%

13%
16% 0-3 years old schooling (11)
Elementary level (85)
Elementary graduate (46)
Male (279) Highschool level (89)
47% Female (248) 19% 9% Highschool graduate (63)
College level (66)
53%
College graduate (99)
None(68)

17%
13%

12%
 Schooling Population
Age distribution
2%
20% 18%
8%
17%
0-12 mos. (8)
13% 1-6 y.o (89) Presently Schooling(92)
7-14 y.o (74) Schooling Population 6-25 (325)
15-45 y.o (243) Non-Schooling (106)

14% 46-60 y.o (70)

Above 60 y.o (43)

46% 62%

Family Structure
Cooking Facilities
2%

17% 8%

9%
Charcoal (20) Nuclear (69) Extended (26)
Gas Stove (20)
Electric (5)
Wood (71)
17% Cohabilitating (10) Single Family (9)
Others (0)
61% 22% 59%
Siingle Parent (2)
4%

Civil Status General Family Relationship

1% 1%

3%

Children (0-15 y.o) (182) 30%

Open Communication(80)
35% Single (16up) (125) Family Cooperation (35)
Married (200) Conflict (1)
38% Widow (18)
Separated (2)

69%

24%
 Religion
0%
1%1%

Roman Catholic (514)

Baptist (7)
Born Again (1)
Jehovas Witness (5)

98%

C. HOME AND ENVIRONMENT

Housing

13%

Owned (101)
Rented (15)

87%

Chart 11.0
Housing
Owned: 101; Rented: 15
Chart 11.0 shows the percentage of housing that is either owned or rented in Barangay Maniwangtiwang. The
result shows that 101 or 87% of the houses are owned and 15 houses or 13% are rented. It concludes that the
majority of the houses are owned by the residents.

Types of Housing

5%
Light Materials (39)

22% 34% Bamboo/cement (26)

Bamboo/cement/GI(Galvanized Iron) (29)

Cement/GI (26)

Others (6)
25% 14%

Chart 12.0
Types of Housing
Light Materials: 39; Bamboo/cement: 16; Bamboo/cement/GI (Galvanized Iron): 29; Cement/GI: 26; Others:
6
Chart 12.0 shows the percentage of Different Types of Housing in Barangay Maniwangtiwang. The result
shows that 39 or 34% of the houses have Light materials, , 29 or 25% of the houses are made of
Bamboo/Cement/ GI (galvanized iron), 26 or 22% of the houses are made of Cement/GI (galvanized iron)
houses, 14% or 16 are made of Bamboo/Cement and five percent or 6 of the houses are made of other
material.

Chart 13.0
Lighting Facilities
With Electricity: 99; Without Electricity: 19
Chart 13.0 shows the percentage of the lighting facilities in Baranggay Maniwangtiwang. The results show that
99 or 84% of the facilities have electricity while 19 of 16% of the facilities don’t have electricity. It concludes
that most of the lighting facilities have electricity.

Food Storage

8% 6%
Cabinet without Screen (7)

Refrigerator (38)

33% Food basket (13)

33%

Cabinet with Screen (11)

Table Food Cover (38)

9% 11% Other (9)

Chart 14.0
Food Storage
Cabinet without Screen: 7; Refrigerator: 38; Food basket: 13; Cabinet with Screen: 11; Table Food Cover: 38;
Other: 9
Chart 14.0 shows percentage of the different kinds of food storage owned by the residents in Barangay
Maniwangtiwang. The results show that the most used food storage used are the Refrigerator and Table food
cover which has the same result of having 38 or 33%. It is then followed by the Food basket, 13 pieces or 11%,
then followed by Cabinet w/screen 11 pieces or 9%, Others have 9 pieces or 8% and lastly, Cabinet w/o screen
with only 7 pieces or 6%.

Unacceptable Refuse Disposal Habits

31%

Throw anywhere

Others

69%
 Chart 15.0
Unacceptable Refuse Disposal Habits
Throw anywhere: 7; Others: 1
Chart 15.0 shows the percentage of unacceptable refuse disposal habit of residents of Barangay
Maniwangtiwang with regards to their used water from there. The result shows the 87% (7) of the people
throw their used water are being thrown anywhere while 13% (1) of the people throw their used water in
other places

Drainage System

15%

With drainage/free flowing (sanitary) (66)

By land/stagnant (unsanitary) (33)

28% 57%

Open Cannal (unsanitary) (17)

Chart 16.0
Drainage System
With drainage system/free flowing (sanitary): 66; By land/stagnant (unsanitary):33; Open Cannal
(unsanitray); 17
Chart 16.0 shows the percentage of the different drainage systems in Barangay Maniwangtiwang. The results
show that the most number drainage system is having drainage/free-flowing is 57% or 66 (sanitary), then by
land/stagnant (unsanitary) which is 28% or 33 and the least number is Open Canal (unsanitary) having 17 or
15%.

Vector Control

14%
22%

Chemical (26) Mechanical (34)

Physical (40) None (16)

34%

29%

Chart 17.0
Vector Control
Chemical: 26; Mechanical: 34; Physical: 40; None: 16
Chart 17.0 shows the percentage of different methods of vector control in Barangay Maniwangtiwang. The
results show that the highest number of vector control is using Physical method (40) or 35%, then the
Mechanical method (34) or 29%. It is followed by Chemical method (26) or 22% and lastly, doing nothing or
None (16) which is 14%.
 Areas where insects could thrive

5%

41%
34% Canals (48) Tires (23)

Cans/Bottles (39) Storage Areas (6)

Chart 18.0
20%

Areas where insects could thrive

Canals: 48; Tires:23; Cans/Bottles:39; Storage Areas:6
Chart 18.0 shows the different areas where insects could thrive namely: Canals, Tire, Cans/bottles and Storage
areas in Barangay Maniwangtiwang. The results shows that Canal (48) or 41% is the highest risk and prone to
insects to thrive. Secondly, the Cans/bottles 39 or 34% then followed by Tires 23 20% and lastly, the Storage
areas which is 5% or 6 of the total results.

Neighborhood

22%

Non-Congested (90)
Congested (26)

78%

Chart 19.0
Neighborhood
Non-Congested: 90; Congested: 26
Chart 19.0 shows the percentage of the neighborhood in Barangay Maniwangtiwang this would either be
congested or non-congested. The result shows that 90 or 78% were non-congested and 26 or 22% were
congested in the community. It concludes that the most neighborhoods in the community is non-congested.

Communication Facilities

5% 9%

Telephone (10) Radio (36)

28%
Cellphone (31)
31% Television (33)

Others (6)

27%

Chart 20
Communication Facilities
Telephone: 10; Radio: 36; Cellphone: 31; Television: 33; Others: 6
Chart 20. shows the percentage of the different communication facilities used in Barangay Maniwangtiwang
such as Telephone, Radio, Cellphone, television and others are being used in the community. The results show
that the highest number is the Radio which is 36 or 31%, and then the Television which is or 28%. It is then
followed by Telephone which is 10 or 9% and lastly, the least number was the Others which is 6 or 5%.

Transporation Facilities
0% 2%

26%
PUJ/PUV (132) Trisikad (45)

Tricycle (309) Bicycle (29)

Others (12)
9%
62%

Chart 21
Transportation Facilities
PUJ/PUV: 132; Trisikad: 45; Tricycle: 309; Bicycle: 29; and Others: 12
Chart 21.0 shows the percentage of the different transportation facilities used in barangay Maniwangtiwang
such as PUJ/PUV, Trisikad, Tricycle, Bicycle, and Others in the barangay. The result shows that the most used
transportation was the Tricycle (309 pieces) which is 62%. It is then followed by PUJ/ PUV (132 pieces) or 27%
and then the Trisikad (45 pieces) or 9% and lastly, Others (12 pieces) or 2%, which is the least number mode of
transportation.

Housing Lighting Facilities

13% 16%

With Electricity (99)

Owned (101) Rented (15) Without Electricity (19)

84%
87%
 Unacceptable Refuse Disposal Habits Drainage System

15%

31%
With drainage/free flowing (sanitary) (66)

By land/stagnant (unsanitary) (33)

Throw anywhere Others 28% 57%

69% Open Cannal (unsanitary) (17)

Vector Control Areas where insects could thrive

5%
14%
22%

Chemical (26) Mechanical (34) 41%

34% Canals (48) Tires (23) Cans/Bottles (39)

Physical (40) None (16)

34% Storage Areas (6)

29%

20%

Communication Facilities Neighborhood

5% 9% 22%

Telephone (10) Radio (36) Non-Congested (90)

28% Congested (26)
31%Cellphone (31) Television (33)

Others (6)

78%

27%

Food Storage

8% 6%

Cabinet without Screen (7)

Refrigerator (38)
33%
33% Food basket (13)

Cabinet with Screen (11)

Table Food Cover (38)

9% 11%
Other (9)
 Transporation Facilities
0% 2%

26%
PUJ/PUV (132) Trisikad (45)

Tricycle (309) Bicycle (29)

Others (12)
9%
62%

B. SOCIO-ECONOMIC AND CULTURAL PRACTICES

The socio-economic and cultural practices of the families in barangay Maniwangtiwang was surveyed
by the third-year nursing students based on the number of households present in the barangay. The
survey includes the number of working and non-working population, and the monthly income and
expenses of the barangay. The data gathered was as follows:

Working and Non-Working Population

Working Population (15-

64) (177)
47% Non-Working Population
(154)
53%

Chart 22.0
Working and Non-Working Population
Working Population: 177, Non-Working Population: 154
Chart 22.0 shows the total percentage of working and non-working population of the residents in barangay
Maniwangtiwang. The chart shows that 177 were recognized as working population, accounting for 53% of the
entire population (15-64 yrs old), and 154 were defined as non-working, accounting for another 47% of on the
total population (15–64 yrs old).

MONTHLY INCOME

5%
Below 1,000 (6)
21%
15%
1,001- 2,000 (17)

2,001 – 3,000 (25)

3,001 – 4,000 (8)

4,001 – 5,000 (10)

22%
22% 5,001 – 10,000 (26)

Above 10, 000 (24)

9% 7%

Chart 23.0
Monthly Income
Below 1,000: 6, 1,001-2,000: 17, 2,001-3,000:25, 3,001-4,000: 8, 4,001 – 5,000: 10, 5,001-10,000: 26, Above
10,000: 24
Chart 23.0 shows the total percentage of the monthly income of each household in the barangay
Maniwangtiwang. 26 out of 116 households had an accumulated monthly income of 5,001-10,000 (22%), 25
out of 116 households had 2,001-3,000 (21%), 24 out of 116 households had 10,000 and above (21%), 17 out
of 116 households had 1,000-2,000 (15%), 10 out of 116 had 4,001-5,000 (9%), 8 out of 116 had 3,001-4,000
(7%), and lastly, 6 out of 116 household had a monthly income of less than 1,000 (5%). The statistics of each
family's monthly income in the barangay show that some of them were below the anticipated average
monthly income of a household.

Monthly Expenses on Food

3% 2%

21% Below 200 (0)

23% 200 – 500 (24)

501 – 1,000 (28)

1,001 – 1,500 (32)

1,501 – 2,000 (27)

24% 2,001 – 5,000 (3)

Above 5, 000 (2)

28%

Chart 24.0
Monthly Food Expenses
Below 200: 0, 200-500: 24, 501-1,000: 28, 1,001-1,500: 32, 1,501-2,000: 27, 2,001-5,000: 3, Above 5,000: 2
Chart 24.0 illustrates the total percentage of the monthly food expenses of each household in the barangay
Maniwangtiwang. Approximately 32 families (27%) spent about 1001-1,500 for the expenses on food, 28
families (24%) spent about 501 – 1,500, 27 families (23%) out of the total no. of household spent about 1,501-
2,000, and 24 families (21%) spent about 200-500 on monthly food bills. The chart also shows that a little
spends about 2,001 till above 5,000, and no household spends less than 200 for their monthly meal.

Monthly Expenses on Education

1%

Below 200 (1)

27% 23%
200 – 500 (27)

501 – 1,000 (20)

1,001 – 1,500 (6)

1,501 – 2,000 (18)

1%
2,001 – 5,000 (12)
10% 17%
Above 5, 000 (1)

None (31)
16% 5%

Chart 25.0
Monthly Educational Expenses
Below 200: 1, 200-500: 27, 501-1,000: 20, 1,001-1,500: 6, 1,501-2,000: 18, 2,001-5,000: 12, Above 5,000: 1,
None: 31
Chart 25.0 shows the total percentage of the monthly expenses on education of each family in the barangay
Maniwangtiwang. Only one household spends below 200 and above 5,000 to education. On the other hand,
around 27 households spent between 200 and 500; 20 out of 116 total no. of household spent between 501
and 1,000; 18 spent between 1,501 and 2,000; 12 spent between 2,001 and 5,000; and 6 households spent
between 1,001 and 1,500. The survey also revealed that the majority of the families spend nothing on
education expenses.
 Monthly Expenses on Clothing

21% 22%
Below 200 (25)

200 – 500 (31)

2% 501 – 1,000 (20)

1,001 – 1,500 (5)

8% 1,501 – 2,000 (9)

2,001 – 5,000 (1)

4%
Above 5, 000 (0)
27%
None (25)

17%

Chart 26.0
Monthly Clothing Expenses
Below 200: 25, 200-500: 31, 501-1,000: 20, 1,001-1,500: 5, 1,501-2,000: 9, 2,001-5,000: 1, Above 5,000: 0,
None: 25
Chart 26.0 shows the total percentage of the expenses on clothing of each family in the barangay
Maniwangtiwang. In terms of monthly garment bills, roughly 31 households (27%) spend between 200 and
500 on their clothes, and there is a tie in data that reveals 25 households spend less than 200 on clothes, and
the other 25 stated they do not spend on clothes, accounting for the 21% of the total no. of households. The
survey also indicated that no household spends more than 5,000 per month on clothing.

Monthly Expenses on Light Monthly Expenses on Medical/Dental

4% 3%
14%

29% Below 200 (4)

Below 200 (5) 200 – 500 (49)
7%
200 – 500 (37)
32%
501 – 1,000 (38) 1,001 – 1,500 (8) 501 – 1,000 (20)

42% 1,001 – 1,500 (9)

1,501 – 2,000 (0) 2,001 – 5,000 (0) 1,501 – 2,000 (8)
1% 3% 2,001 – 5,000 (3)
Above 5, 000 (0) None (16)
33% 7% Above 5, 000 (1)

None (34)
8% 17%

Chart 27. 0 Chart 28.0

Monthly Light Expenses
Below 200: 5, 200-500: 49, 501-1,000: 38, 1,001-1,500: 8, 1,501-2,000: 0, 2,001-5,000:0, Above 5,000: 0,
None: 16
Monthly Medical/Dental Expenses
Below 200: 4, 200-500: 37, 501-1,000: 20, 1,001-1,500: 9, 1,501-2,000: 8, 2,001-5,000:3, Above 5,000: 1,
None: 34
Chart 27.0 & 28.0 shows total percentage of the monthly expenses on light and medical/dental of each
household in barangay Maniwangtiwang. For the monthly light and medical/dental expenses, the majority of
the households spent between 200-500 which accumulated for about 42% of the total no. of households for
light expenses and about 37 out of 116 households for medical/dental expenses. But in terms of
medical/dental expenses, the second highest data shows that almost 34 households (29%) spend nothing in
terms of seeking healthcare assistance. This part of the data on the monthly medical/dental expenses reveals
how some residents prefer to choose going to the albularyo over seeking professional help because of
poverty.
 Monthly Expenses on Rent
2%
3%

Below 200 (0)

200 – 500 (4)

501 – 1,000 (2)

1,001 – 1,500 (0)

1,501 – 2,000 (0)

2,001 – 5,000 (0)

Above 5, 000 (0)

None (110)

95%
Chart 29.0
Monthly Rent Expenses
Below 200: 0, 200-500: 4, 501-1,000: 2, 1,001-1,500: 0, 1,501-2,000: 0, 2,001-5,000:0, Above 5,000: 0, None:
110
Chart 29.0 shows the total percentage of the monthly expenses on rent of each household in the barangay
Maniwangtiwang. The data gathered shows that the majority of the families answered "none" on the survey,
which translates to a 95% or about 110 out of 116 no. of households who were not paying any bills in regards
to rent. However, about 3% (4 out of 116 households) pay 200-500 every month and about 2% of the total
households pay 501-1,000 on their monthly rent.

Monthly Expenses on Water

12%

Below 200 (14)

200 – 500 (18)
501 – 1,000 (11)
16%
1,001 – 1,500 (1)
1,501 – 2,000 (0)
2,001 – 5,000 (0)

62% Above 5, 000 (0)

9%
None (72)

1%

Chart 30.0
Monthly Water Expenses
Below 200: 14, 200-500: 18, 501-1,000: 11, 1,001-1,500: 1, 1,501-2,000: 0, 2,001-5,000:0, Above 5,000: 0,
None: 72
Chart 30.0 shows the total percentage of the expenses on water for each family in the barangay
Maniwangtiwang. A majority of the families are not spending any money on the monthly water bill, accounting
for 62% of the total number of households. The survey revealed that there are no families who spend 1,501
above the monthly expenses on water.

Support System

5%
9%

Relatives (90)
9%

Barangay Captain (10)

Priest (10)

Others (6)

78%

Chart 31.0
Support System
Relatives: 90, Barangay Captain: 10, Priest: 10, Others: 6
Chart 31.0 shows the total percentage of the support system in the barangay Maniwangtiwang. According to
the graphic data, 90 were depending on financial support via their relatives, accounting for 90% of the overall
number, with a tie between the barangay captain and priest accounting for 9% of the remaining data and
others contributing for roughly 5%.
Working and Non-Working Population

Working Population (15-

64) (177)
47% Non-Working Population
(154)
53%

MONTHLY INCOME

5%
Below 1,000 (6)
21%
15%
1,001- 2,000 (17)

2,001 – 3,000 (25)

3,001 – 4,000 (8)

4,001 – 5,000 (10)

22%
22% 5,001 – 10,000 (26)

Above 10, 000 (24)

9% 7%

Monthly Expenses on Food

3% 2%

21% Below 200 (0)

23% 200 – 500 (24)

501 – 1,000 (28)

1,001 – 1,500 (32)

1,501 – 2,000 (27)

24% 2,001 – 5,000 (3)

Above 5, 000 (2)

28%

Monthly Expenses on Education

1%

Below 200 (1)

27% 23%
200 – 500 (27)

501 – 1,000 (20)

1,001 – 1,500 (6)

1,501 – 2,000 (18)

1%
2,001 – 5,000 (12)
10% 17%
Above 5, 000 (1)

None (31)
16% 5%
 Monthly Expenses on Clothing

21% 22%
Below 200 (25)

200 – 500 (31)

2% 501 – 1,000 (20)

1,001 – 1,500 (5)

8% 1,501 – 2,000 (9)

2,001 – 5,000 (1)

4%
Above 5, 000 (0)
27%
None (25)

17%

Monthly Expenses on Light

4%
14%

Below 200 (5) 200 – 500 (49)

7%

501 – 1,000 (38) 1,001 – 1,500 (8)

42%
1,501 – 2,000 (0) 2,001 – 5,000 (0)

Above 5, 000 (0) None (16)

33%

Monthly Expenses on Medical/Dental

3%

Below 200 (4)

29% 200 – 500 (37)

32% 501 – 1,000 (20)

1,001 – 1,500 (9)

1,501 – 2,000 (8)

2,001 – 5,000 (3)

1% 3%
Above 5, 000 (1)
7%
None (34)
8% 17%

Support System

5%
9%

Relatives (90)
9%

Barangay Captain (10)

Priest (10)

Others (6)

78%
D. HEALTH SITUATION

Causes of Morbidity
2%
7%
Fever (18)
6% Flu (5)
Cough (3)
4% Asthma (6)
2% 33%
Miscarraige (1)
2% Over Fatigue (1)
Hypertension (4)
4% Amoebiasis (2)
UTI (2)
4% Goiter (1)
Epilepsy (1)
7% Headache (2)
Tonsilitis (3)
9% Mumps (1)
2%
2% 11% 6%

Causes of Morbidity
Fever: 18; Asthma:6; Flu:5; Hypertension: 4, Cough: 4; Tonsilitis: 3; Headache: 2, UTI: 2; Amoebiasis: 2:
Goiter: 1, Over Fatigue: 1, Miscarraige:1, Epilepsy: 1
Chart 32. Shows the percentage of the Health Situation of Barangay Maniwangtiwang. The result shows that
the highest cause of morbidity in the barangay is fever which is 18 or 33%, followed by asthma which is 6 or
11%. It is then followed by flu which is total number of 5 or 9%, hypertension and cough have a total number
of 4 or 7%. Tonsilitis is 3 or 6%. Headache, UTI and amoebiasis which has a total of 2 persons each or 4% and
goiter, over fatigue, miscarriage and epilepsy which has a total number of 1 person each or 2%.

Where Did They Go When They Got Sick

11%
19%

BHW (10)
15%
Private Doctor (10)
RHU (20)
19%
Hilot/Herbularyo (8)
Others (6)
Where did they go when they got sick
RHU: 20; BHW: 10; Private Doctor: 10, Hilot/HErbularyo:8; Others: 6
Chart 33.0 shows the result from the survey question “Where did they seek help during the time of illnesses?”
in Brgy. Maniwangtiwang. The data shows that the total number of persons who consult in RHU is 20 or 37%,
the total number of persons going to the Doctor is 10 which is 19% and the persons going to Hilot/Herbularyo
are 8 or 15% and BHW has a total of 18% and others has a total number of 6 or 11%.
As gathered, data shows that the mortality was a total of three, 1 of which is caused by hypertension and
there are 2 which is caused by Covid.

Mortality

33%

COVID (2)
Hypertension (1)

67%

Mortality
COVID: 2; Hypertension: 1
Chart 34.0 shows the percentage of Mortality of the residents of Barangay Maniwangtiwang. Two died due to
COVID which is 67% of the total and 1 died or 33% due to Hypertension.

Causes of Morbidity
2%
7%
Fever (18)
6% Flu (5)
Cough (3)
4% Asthma (6)
2% 33%
Miscarraige (1)
2% Over Fatigue (1)
Hypertension (4)
4% Amoebiasis (2)
UTI (2)
4% Goiter (1)
Epilepsy (1)
7% Headache (2)
Tonsilitis (3)
9% Mumps (1)
2%
2% 11% 6%
E. MATERNAL AND CHILD HEALTH
(Present Pregnancy)

Pregnant Women

14%

Prenatal (6)

No Prenatal (1)

86%

Pregnant Women
Prenatal: 6, No Prenatal: 1
Chart 35.0 shows the percentage of the total number of pregnant women in Barangay Maniwangtiwang.
Survey results showed that 6 of the seven women or 86% have prenatal check-ups while 1 or 14% does not
have prenatal check-up.

Obstetrical History

8%

42% Home Delivery (5) Hospital (6)

Lying-in (1) Others (0)

50%

Obstetrical History
Home delivery: 5; Hospital: 6; Lying-in: 1; Others: 0
Chart 36.0 shows the Obstetrical history of the mothers of Barangay Maniwangtiwang. Six or 50% of them
gave birth to the Hospital, five or 42% of the surveyed residents had home delivery, eight percent or 1 was in
the Lying-in while Others are 0.
Married Couple of Reproductive Age

Family Planning Method Used

13%
25%
Natural (6)
Withdrawal (2)
Condom (5)
IUD (8)
33% 8% Injectable (3)
None (26)

21%
Family Planning Method Used
Natural: 6; Withdrawal: 2; Condom: 5; IUD: 8; Injectable: 3; None: 26
Chart 37.0 illustrates the Family Planning Method used in barangay Maniwangtiwang. The majority of the
respondents do not use contraception method that reaches up to 26 respondents or 33%. Twenty-one percent
of MCRA stated that they use IUD as a Family Planning Method. Six MCRA uses the natural method which
comprises 25% of the total respondents. Five or 21% respondents uses condom, two or 8% of the respondents
answered withdrawal method as family Planning method and three or 25% respondents for Injectables.

Nutritional Status (0-6 years old)

5%

23%
Normal weight (70)
Under weight (22)
Overweight(5)

72%

Nutritional Status
Normal Weight: 70; Underweight: 22; Overweight: 5
Chart 38.0 illustrates the percentage of the nutritional status of 97 children in the community ages 0-6 years
old. Majority of the surveyed children have Normal Weight which is seventy out of the 97 or 72% , twenty-two
children are underweight or 23% and five percent (5%) out of one hundred percent (100%) are overweight.

Immunization Status

25%

Fully Immunized (6)

Not Fully Immunized (2)

75%

Chart 5.5

Chart 39.0 shows the percentage of the immunization status (from 0-12 months old) of the barangay
Maniwangtiwang. The total babies who are immunized are eight. Six or 75% of them are fully immunized and
there are only two or 25% who are not fully Immunized.
 Pregnant Women Nutritional Status (0-6 years old)
14%
5%

Normal weight (70)

23%
Under weight (22)

Prenatal (6) No Prenatal (1) Overweight(5)

72%
86%

Obstetrical History Immunization Status

8%
25%

42% Home Delivery (5) Hospital (6)

Fully Immunized (6)

Lying-in (1) Others (0)

50% Not Fully Immunized (2)
75%

Family Planning Method Used

13%
25%

Natural (6) Withdrawal (2)

Condom (5) IUD (8)

33% 8%
Injectable (3) None (26)

21%
IV. KEY HEALTH PROBLEMS
1. The lack of functional drainage system that expose residents’ health risk to bacteria, fungi, viruses and
other diseases.
2. Houses are built using light materials which can cause fire
3. Children playing in streets wearing no slippers
4. Residence doesn’t have the sufficient knowledge in managing their health
5. Due to straitened circumstances, the families do not have the sufficient money to afford proper health
care and leads them to settle for folk doctors and misuses.

COMMUNITY GOAL SPECIFIC NURSING RATIONALE EVALUATION

DIAGNOSIS/ OBJECTIVES INTERVENTION
STATEMENT OF
THE PROBLEM

Playing barefoot After After nursing Assess the To obtain baseline Goal met after
as health threat performing the interventions, the degree of assessment each nursing
related to nursing community will be awareness of the regarding the interventions
unhealthy interventions, able to: community knowledge of the the community
personal the community  Identify the regarding the community about is able to
habit/practices will be able to risks of not existing problem. the problem. practice proper
as evidenced by take action wearing proper health care
children playing about the footwear. To enlighten the habits and
in the streets unhealthy habit  Advice their Discuss the community about safety
with no slippers. of the children children to importance of the benefits of measures as
in order to change their wearing proper wearing proper evidenced by
minimize the behavior footwear. footwear and also children
risk for regarding their the risk of not wearing proper
acquiring health. wearing it. footwear.
diseases.  Recognize the
importance of Proper hygiene
wearing Teach the and washing
footwear. community in prevents the
 Gain performing spread of bacteria
understanding hygienic and
about the measures such as microorganisms.
importance of washing the feet, Cutting the nails
proper hygiene cutting nails etc. can prevent the
in activities of infestation of
daily living. microorganisms
thar could
potentially be
ingested.
 COMMUNITY GOAL SPECIFIC NURSING RATIONALE EVALUATION
DIAGNOSIS/ OBJECTIVES INTERVENTION
STATEMENT OF
THE PROBLEM

Fire hazard as a After performing After nursing Advice family to Throw Goal met after
health threat each nursing interventions, the store combustible combustible each nursing
related to the interventions, community will materials and material interventions
type of housing the community be able to: other waste in properly that the community
as evidenced by will be able to  Perform proper storage in could easily is able to know
houses built take precautions preventive an area away catch fire. and take safety
using light about fire measures from fire. precautions to
materials that hazards and  Practice prevent fire in
could decrease the minimizing Advice family to Candles may the community.
potentially risks of incident. fire hazards, avoid using be a threat
cause fire. safety and candles and when it could
precaution. leaving them cause fires.
 Verbalize and unattended.
address
concerns for
the problem.
V. RECOMMENDATIONS
Demography
In sex distribution, there is no problem between the male-female ratio. Ages 15-45 years are included
in the age bracket of 30-40 where productivity is at its peak level. The best way to establish family
planning to control population growth. The recommendations are; Coordinate employment, food
rationing, salaries, bonuses, health treatment, age and condition of retirement, preschool care and
education with family planning programs, maintain the elderly's living standard, and give preference to
childless and single child families; Educate people about family planning and incorporate population
growth and family planning into political and economics courses in high school and college; Establish a
permanent population committee to plan, develop. Encourage the community build schools with the
assistance from the government to increase literacy rate of the population. In family structure, it is
favorable to have a nuclear family as long as the parents are able sustain the basic needs of their
children. Include the mother as well as the female members of the family in decision-making to
promote gender equality and open communication.
Socio-economic
In this setting, the community will be able to increase their income in order to provide the basic needs
of their family like food, shelter, clothing, and education. Collaborate with the community leaders to
conduct workshop seminars and livelihood programs to generate more jobs for the community.
The recommendations are; Community leaders should state the problem of the community like
housing and efficient water system in government to take action. Conduct medical/dental missions
with help of doctors, nurses, and dentists to provide free checkups and medications for the
community.
Home and Environment
The recommendations for community are; Educate residents to not to throw away trash or waste
materials almost anywhere in and around your house. Residents must try to dispose off biodegradable
as well as non-biodegradable wastes in a proper way and avoid littering it all over your home
environment. Any excess air or water pollution can negatively affect you and your family’s health while
destroying the entire environment globally. Use primary disposal practices and teach them how to
dispose their garbage properly by explaining the simple waste management which is the reduce, reuse
and recycle.
Health Situation
Our health is most determined by where we live, including whether we have access to healthy foods,
opportunities to safely be active outside, and a network that encourages us to be healthy. The
recommendations in the community are: Avoid unnecessary things that may harm their health situation
regarding with their environment that causes the highest rate of fever morbidity in their community.
Encourage them to always clean their surroundings and teach them proper self-treatment at home such as
identifying the symptoms of fever and what remedies to do such as giving paracetamol to lower down their
fever and have a proper meal and also to have a good sleep and bed rest in order to restore energy and relieve
from fever. For the safety precautions of the community from Covid-19 positive residents, the
recommendations are: Recommend them to Stay home until 14 days after last exposure and maintain social
distance (at least 6 feet) from others at all times. The best way to protect yourself and others is to stay home
for 14 days if you think you’ve been exposed to someone who has COVID-19. Check your local health
department’s website for information about options in your area to possibly shorten this quarantine period.
Self-monitor for symptoms, check temperature twice a day and watch for fever, cough, or shortness of breath,
or other symptoms of COVID-19.
Maternal and Child Health
The recommendations are: Encourage each family of the community to POPCOM that help couples / parents
exercise responsible parenting to achieve their desired number, timing and spacing of their children, and to
contribute in improving the maternal, neonatal and child health, and nutrition (MNCHN). For pregnant
parents, the maternal care program in the Philippines recommends that every pregnant woman have four care
visits during pregnancy. The system of giving information about the service of the health Center can affect the
pregnant women to utilize the benefits of the health center like the prenatal check-up. The barangay health
workers, midwife, and nurses should do the house-to-house visits. These visits are helpful not only for the
check-up but to understand what we are allowed or not allowed to eat as well as the importance of getting
vaccination for tetanus. This is beneficial not just for the mother but also for the baby. The community needs
to request of help of the IEC materials – leaflets, flipcharts given by WHO and DOH it could able to help the
pregnant women have better knowledge about their pregnancy.