Manuscript Group 2 CPH

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CHAPTER 1 INTRODUCTION Barangay 421, zone 43, district IV is a community located at the heart of urban Manila. It is a few blocks away from the LRT 2 station. The barangay is led by Francisco Manahan and regularly receives health services from the Manila health department which  provi des basi c vaccines. The Mani la Heal th Department ha s al so es tabl is hed a community health center for the residents of the barangay. The community is in an urban setting and is surrounded by industrial establishments like the San Miguel warehouse, and the CLYK commercial office building. The Philippine National Railway and the LRT 2 are located a few blocks away from the community. The primary method of transportation in the community is by tricycles and jeepneys. Some families have their own private vehicles. Squalor and pollution is evident because of the community’s urban and industrial settings. There are a few private preschools found in the area. There is also a basketball ring used by residents for entertainment but it is placed in the middle of a street. On Jul y, 2011, the Uni ver sit y of Santo Tomas Medica l Tec hnol ogy Int erns conducted an interview in the area. The interview was done to gather essential data about the community. As of July 2011 there are 77 males for every 100 females in the said community, there is also a high number of middle aged people in the barangay. Most of the working age people who live in the area are single and earns more than 19,000 pesos  per month. The occupations are generally mixed, but most occupations generally fall into the blue collar bracket. The education background of the community is poor as more than hal f of the popula ti on did not fin ish col leg e. Maj ori ty of the popula ti on is Roman

Transcript of Manuscript Group 2 CPH

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CHAPTER 1

INTRODUCTION

Barangay 421, zone 43, district IV is a community located at the heart of urban

Manila. It is a few blocks away from the LRT 2 station. The barangay is led by Francisco

Manahan and regularly receives health services from the Manila health department which

  provides basic vaccines. The Manila Health Department has also established a

community health center for the residents of the barangay. The community is in an urban

setting and is surrounded by industrial establishments like the San Miguel warehouse,

and the CLYK commercial office building. The Philippine National Railway and the

LRT 2 are located a few blocks away from the community. The primary method of 

transportation in the community is by tricycles and jeepneys. Some families have their 

own private vehicles. Squalor and pollution is evident because of the community’s urban

and industrial settings. There are a few private preschools found in the area. There is also

a basketball ring used by residents for entertainment but it is placed in the middle of a

street.

On July, 2011, the University of Santo Tomas Medical Technology Interns

conducted an interview in the area. The interview was done to gather essential data about

the community. As of July 2011 there are 77 males for every 100 females in the said

community, there is also a high number of middle aged people in the barangay. Most of 

the working age people who live in the area are single and earns more than 19,000 pesos

 per month. The occupations are generally mixed, but most occupations generally fall into

the blue collar bracket. The education background of the community is poor as more than

half of the population did not finish college. Majority of the population is Roman

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Catholic. The survey also shows that most of the population has lived in the barangay for 

more than 10 years and their province of origin is generally from the island of Luzon.

The materials used to build the houses in barangay 421 are generally mixed of 

light and strong materials but ventilation is quite adequate; also, most of the people who

live in the community say that they are renting the house that they live in. Water supply is

not much of a problem; Maynilad is in charge of water distribution in the area. Garbage

collection is managed by the City government and occurs every week.

The community generally has a level II excreta disposal system. Majority of the

families in the community has refrigerators used for food storage. Mothers were also

interviewed in their practice of infant feeding, majority of the babies were not breastfed

 but were given powdered milk. Six children below 1 year old were involved in the survey

and out of the six children in the survey only one was fully immunized by the community

health center.

Most residents of barangay 421 go to hospitals to seek medical treatment but

majority of the health information is received from the health center.

CHAPTER 2

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2.1 SITUATIONAL ANALYSIS

2.1.1 SETTING OF THE COMMUNITY

 Figure 1. Spot Map of Barangay 421, Zone 43, District IV as of July 2011

2.1.2 POPULATION

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• Total population of the Families Surveyed:  255

• Sex ratio: 77.1 , There are 77 males for every 100 females of Barangay

421, zone 43, district IV as of July 2011

2.1.2.1 Age and Sex distribution

TABLE 1. Age & Sex Distribution of Barangay 421, Zone 43, District IV as of July 2011

Age Male Female Total

f % f % f %

<1 3 2.70% 2 1.39% 5 1.96%

1-4 11 9.91% 12 8.33% 23 9.02%

5-9 9 8.11% 14 9.72% 23 9.02%

10-14 7 6.31% 10 6.94% 17 6.67%

15-19 10 9.01% 11 7.64% 21 8.24%

20-24 13 11.71% 17 11.81% 30 11.76%

25-29 13 11.71% 12 8.33% 25 9.80%

30-34 8 7.21% 9 6.25% 17 6.67%

35-39 11 9.91% 23 15.97% 34 13.33%

40-44 9 8.11% 9 6.25% 18 7.06%

45-49 6 5.41% 12 8.33% 18 7.06%

50-54 4 3.60% 5 3.47% 9 3.53%

55-59 3 2.70% 2 1.39% 5 1.96%

60-64 2 1.80% 1 0.69% 3 1.18%

>65 4 3.60% 3 2.08% 7 2.75%TOTAL 111 100.00% 144 100.00% 255 100.00%

 Figure 2. Population Pyramid of Barangay 421, Zone 43, District IV as of July 2011

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Analysis: There are more women than men in Barangay 421 zone 43, district IV

as of July 2011. Also, there is a high percentage of individuals aged 35 to 39

years old. In general, population declines at the age of 40. The health program

would most likely target the 20 to 39 y/o group.

2.1.2.2 Civil Status

TABLE 2. Percentage Distribution showing the Civil Status of Individuals 15 y/o and above.

 Barangay 421 , Zone 43 , District IV as of July 2011

 Figure 3. Civil Status of Individuals 15 y/o and above of Barangay 421, Zone 43,District IV as of July 2011

Analysis: Majority or 57.7 % of individuals 15 y/o and above of Barangay 421,

Zone 43, District IV are single as of July 2011.

2.1.3 ECONOMIC INDICES:

2.1.3.1 Dependency Ratio

Ever 100 persons of economically productive age groups are supporting 42

dependents.

Civil Status f %Single 120 57.7%

Married 75 36.1%

Separated 8 3.8%Widow 5 2.4%TOTAL 208 100%

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2.1.3.2 Occupation

TABLE 3. Percentage Distribution Showing the Types of Occupation of Earning Individuals. Barangay 421, Zone 43, District IV as of July 2011

Occupation f %

Brgy. Tanod 1 1.60%Dietician 1 1.60%supervisor 1 1.60%

Virtual asst. 1 1.60%Law firm 1 1.60%Driver 5 8.06%Maid 4 6.45%Mechanic 1 1.60%Clerk 3 4.80%Accountant 2 3.23%Asst. Admin 1 1.60%Bussinessman 2 3.23%Bussinesswoman 5 8.06%Call center agent 1 1.60%Engineer 4 6.45%Data analyst 1 1.60%Factory worker 3 4.80%Football coach 1 1.60%Manager 2 3.23%Promotizer 5 8.06%Secretary 1 1.60%Statistician 1 1.60%Store owner 7 11.30%Waiter 2 3.23%Teacher 1 1.60%Security guard 1 1.60%

Police 1 1.60%Cook 1 1.60%Associate 1 1.60% Nurse 1 1.60%TOTAL 62 100%

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Analysis: The table shows that occupation of residents of Barangay 421, zone 41,

district IV as of July 2011 has mixed kinds. Having a store is the most common

occcupation in the said barangay. With 30 different occupations found in the

Barangay which includes store owners, nurses, statisticians, etc., 11% of the

 population owns their own store in the Barangay while majority are commuters to

their workplaces.

2.1.3.3 Average Income

TABLE 4. Percentage Distribution showing the Average Income of Earning Individuals. Barangay421, Zone 43, District IV as of July 2011

Income/Month f %<1,000 0 0%

1,000-2,999 8 13.8%3,000-4,999 6 10.3%5,000-6,999 3 5.2%7,000-8,999 10 17.2%9,000-10,999 3 5.2%

11,000-12,999 3 5.2%13,000-14,999 5 8.6%

>15,000 20 34.4%TOTAL 58 100%

 Figure 4. Bar Graph showing the Percentage Distribution of the Average Income of Earning Individuals. Barangay 421, Zone 43, District IV as of July 2011

Analysis: Approximately 29.3 percent of the earning individuals of Barangay

421, zone 43, district IV is not receiving the minimum wage which is 426 pesos

 per day (according to Per Wage Order No. NCR-16) and is experiencing poverty

as of July 2011.

2.1.4 SOCIO-CULTURAL INDICES

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2.1.4.1 Educational Attainment

TABLE 5. Percentage Distribution Showing the Educational Attainment of Individuals Surveyed. Barangay 421, Zone 43, District IV as of July 2011

Educational Attainment f %

 No formal education 6 4.7%

Elementary Level 18 14.0%

Elementary Graduate 2 1.6%

High School Level 11 8.5%

High School Graduate 19 14.7%

College Level 27 20.9%

College Graduate 46 35.7%

TOTAL 129 100%

 Figure 5. Percentage Distribution Showing the Educational Attainment of IndividualsSurveyed in Barangay 421, Zone 43, District IV as of July 2011

AnalAnalysis: 20.9% of the population of barangay 421, zone 43, district IV did

not finish college, 43% of population are students, while 35.7% graduated college

as of July 2011.

2.1.4.2 Religion

TABLE 6. Percentage Distribution Showing the Religion of Families Surveyed. Barangay 421, Zone43, District IV as of July 2011

Religion f %

Roman Catholic 117 95.90%Christian 1 0.80%

Pentecostal 2 1.60%

Born Again 1 0.80%

Protestant 1 0.80%

TOTAL 122 100%

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Analysis: Majority or 95.9% of the population of Barangay 421 , zone 43,

district IV, are Roman catholic as of July 2011. Therefore, there would be little or 

no problem to traditions of other religion that would affect the acceptance of the

heath program to be planned.

2.1.4.3 Place of Origin:

TABLE 7. Percentage Distribution Showing Place of Origin of Families Surveyed. Barangay 421, Zone 43, District IV as of July 2011

Place of Origin f %

Luzon 44 54.30%

Visayas 14 17.30%

Mindanao 11 13.60%

 NCR 12 14.80%

TOTAL 81 100%

  Figure 6. Percentage Distribution Showing Place of Origin of Families Surveyed inBarangay 421, Zone 43, District IV as of July 2011

Analysis: Majority of the population of Barangay 421, zone 43, district IV are

originally from provinces of Luzon. Traditions of one province to another may

contradict and may cause problem. But since their population movement (table

 below) says that majority of the residents have lived in the said barangay for more

than ten years already, they must have been used to the traditions of Manila.

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2.1.4.4 Population Movement:

TABLE 8. Percentage Distribution Showing the Length of Residency of Families surveyed. Barangay 421, Zone 43, District IV as of July 2011

Length of Residency f %

<6 months 4 5.5%

6 months- 1 year 0 0.0%

1 years -5 years 11 15.0%

6 years -10years 9 12.3%

10 years and above 49 67.1%

TOTAL 73 100%

 Figure 7 . Bar Graph Showing Percentage Distribution of the Length of Residency of Families surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: Majority or 67.10 percent of the population of Barangay 421, zone 43,

district IV lived in their present residence for more than ten years and counting as

of July 2011.

2.1.4.5 Housing:

2.1.4.5.1 Types of Houses

TABLE 9. Percentage Distribution Showing the Types of Housing of Families Surveyed. Barangay421, Zone 43, District IV as of July 2011

Type of Housing f %

Makeshift 2 3.7%

Light 1 1.9%

Strong 22 40.7%

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Mixed 29 53.7%

TOTAL 54 100%

 Figure 8. Pie Graph showing the Percentage Distribution of the Types of Houses of 

Families Surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: More than half of the population of Barangay 421 , zone 43, district

IV, have houses that are made up of mixed light and strong materials as of July,

2011. One of the dangers of poor quality of materials of a house may include

 building-up of molds and easy deterioration caused by typhoons and this may

affect health conditions like having asthma or other respiratory-related problems.

2.1.4.5.2 Ownership

TABLE 10. Percentage Distribution Showing Housing Ownership of Families Surveyed. Barangay

421, Zone 43, District IV as of July 2011

 Figure 9. Percentage Distribution Showing Housing Ownership of Families Surveyed.Barangay 421, Zone 43, District IV as of July 2011

Analysis: 72.2 percent of the population of Barangay 421, zone 43, district IV

rent their houses as of July 2011. Budget in every need of the family is counted

Ownership f %

Rent-free 4 7.4%Owned 11 20.4%

Rented 39 72.2%TOTAL 54 100%

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and paying for rents is additional burden to the family every month. The basic

health care requirement of the family may be forgotten or less prioritized.

2.1.4.5.3 Ventilation

TABLE 11. Percentage Distribution Showing Ventillation of Houses of Families Surveyed. Barangay421, Zone 43, District IV as of July 2011

Ventilation f %

Adequate 40 74.0%Inadequate 14 25.9%

TOTAL 54 100%

Analysis: Majority of the population of Barangay 421, zone 43, district IV have

adequate ventilation in their houses as of July 2011. This may implicate that most

of them are not crowded in a house. Respiratory-related health problem may arise

if there is inadequate ventilation in a house.

2.1.5 ENVIRONMENTAL INDICES:

2.1.5.1 Water Supply

TABLE 12. Percentage Distribution Showing Water Supply of families Surveyed. Barangay 421,

 Zone 43, District IV as of July 2011

Level f %

I. Point Source 6 11.1%II. Communal Faucet 0 0.0%

System or StandpostIII. Waterworks System 48 88.9%

TOTAL 54 100%

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Analysis: Waterworks sytem level III, particulary Maynilad is the major source of 

water of Barangay, zone, district as of July 2011. This is a good sign of clean

water circulating in the said area. Hence, water-borne diseases may be avoided.

2.1.5.2 Excreta Disposal

TABLE 13. Percentage Distribution Showing Excreta Disposal of Families Surveyed. Barangay 421, Zone 43, District IV as of July 2011

Excreta Disposal f %

Level I. Pit Latrines 0 0.0%

Level II. Poor-Flush Toilet 39 72.2%Level III. Flush Toilets 14 25.9%Balot System/ Wrap & Throw 0 0.0%Others, Specify: Shared 1 1.9%TOTAL 54 100%

Analysis: Majority of the population of Barangay 421, zone 43, district IV have

level II excreta disposal which is poor-flush toilet as of July 2011. This may

imply that proper way of disposing excreta is practiced within the said area.

2.1.5.3 Garbage Disposal

TABLE 14. Percentage Distribution Showing Garbage Disposal of Families Surveyed. Barangay

421, Zone 43, District IV as of July 2011

Garbage Disposal f %

DPS (Collected) 54 100%

Open Dumping 0 0%Burning 0 0%

Waste Segregation 0 0%

TOTAL 54 100%

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Analysis: Garbage disposal is not a problem in Barangay 421, zone 43, district

IV as of July 2011 because garbage is collected in a specific time for them. There

is low risk of environment and health problem that may arise beacuse of garbage.

2.1.6 HEALTH INDICES

2.1.6.1 Food Storage

TABLE 15. Percentage Distribution Showing Food Storage Practice of Families Surveyed.

 Barangay 421, Zone 43, District IV as of July 2011Food Storage f %

Refrigerated 31 72.1% Not Refrigerated

a. Covered 12 27.9%b. Exposed 0 0.0%

TOTAL 43 100%

Analysis: Majority or 72.1 percent of Barangay 421 , zone 43, district IV have

refrigerator where they can store their food as of July 2011. Refrigerator is an

important factor in health for the reason that food spoilage or food contamination

may be avoided if food is inside a refrigerator.

2.1.6.2 Infant Feeding Practice

TABLE 16. Percentage Distribution Showing Infant Feeding Practice of Families Surveyed  Barangay 421, Zone 43, District IV as of July 2011

Types of Infant Feeding f %

 breastfeeding 0 0%

 bottlefeeding

a. evaporated

 b. condensed

c. powdered 5 50%

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mixed

a. evaporated

 b. condensed

c. powdered 5 50%

total 10 100%

Analysis: Among the infants of less than 1 year in Brangay 421, zone 43, district

IV as of July 2011, 50 percent of them are fed by powdered milk alone and 50

 percent of them are fed by both breastfeeing and powdered milk. Suceptibilty to

infection is low since proper milk is being fed to the infants.

2.1.6.3 Immunization Status

TABLE 17. Percentage Distribution showing Immunization Status of Children <1 year old among the families Surveyed. Barangay 421, Zone 43, District IV as of July 2011

Antigen no. of children Accomp %

BCG 6 5 83.4

DPT1 6 3 50

DPT2 6 3 50

DPT3 6 3 50

OPV1 6 2 33.3

OPV2 6 2 33.3

OPV3 6 2 33.3

HEP B 1 6 3 50

HEP B 2 6 3 50

HEP B 3 6 3 50

AMV 6 1 16.7

Analysis: Out of 6 children <1 y/o among families surveyed in Barangay 421,

zone 43, district IV, only one child is fully immunized of all the above antigens as

of July 2011. The reason that the group gathered from the mothers is because the

scheduled date for the next vaccine is yet to come.

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2.1.6.4 Health Seeking Behavior

TABLE 18. Percentage Distribution Showing Health-Seeking Behavior of families Surveyed.

 Barangay 421, Zone 43, District IV as of July 2011

 Figure 10. Pie Graph showing Percentage Distribution of the Health-Seeking Behavior of 

families Surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: Barangay 421, zone 43, district IV residents mostly go to a hospital for 

medical service as of July 2011 though according to them they were aware of the

health center of their barangay. This implies that more residents are financially

capable of seeking medcal treatment other than the health center.

2.1.6.5 Source of Health Information

TABLE 19. Percentage Distribution Showing the Source of Health Information of Families surveyed. Barangay 421, Zone 43, District IV as of July 2011

Source f %

Hospital 10 18.5%

Health Facility f %

Hospital 77 70.6%

Health Center 8 7.3%

Private Clinic 24 22.0%

Others, Specify

TOTAL 109 100%

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Health Center 27 50.0%Media 17 31.5%

Others, SpecifyTOTAL 54 100%

 Figure 11. Pie Graph showing Percentage Distribution of the Source of HealthInformation of Families surveyed in Barangay 421, Zone 43, District IV as of July 2011

Analysis: As of July 2011, the  Barangay 421, zone 43, district IV resident’s

majority source of health information is the health center. This implies that they

are aware of the health center and it’s services.

2.1.7 SUMMARY OF FACTORS AFFECTING HEALTH STATUS/ HEALTH

SERVICES; INTERRELATIONSHIP OF FACTORS DESCRIBED IN

SITUATIONAL ANALYSIS

Age is a major factor when comes to acquiring non-communicable diseases. With

the majority of the population ranging between 20 and 39, the community is at greater 

risk of acquiring work related illnesses as compared to genetic ones. The people in the

area appear to be earning sufficiently for basic needs as well as proper health care.

Conflict of interest are of little concern when it comes to culture and religion as majority

of the population have been staying in the area for more than 10 years and are Roman

Catholics therefore there should be little problem in implementing projects due to cultural

or religious beliefs. With 53.7% of the houses found in the area made of mixed light and

strong materials while 25.9% show inadequate ventilation, the risk of airborne and

droplet transmitted infections are increased. There should little problems sanitation-wise

as 100% of the garbage are collected daily and disposed properly, water supply is assured

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 by Maynilad, and all households have toilets. 72% of households have refrigerators while

there are sufficient stores in the Barangay for easy access of food when food storage is

impossible.

2.2 COMMUNITY DIAGNOSIS

2.2.1 DATA AND SOURCES

TABLE 20. Leading Causes of Morbidity in Paltoc for the month of January 2011 (Source: PaltocHealth Center)

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Disease MALE FEMALE

HEENT 4 3

ANP 5 12

ATP 0 1

URTI 49 52

PTB 6 7

Bronchitis 2 3

UTI 2 9

AGE 1 2

Derma 1 2

Surgery 5 6

Infectious 6 4

HPN 9 8

Anergy 1 1

Malnutrition 1 3

Osteoarthritis 0 2

Myalgia 0 2Anemia 0 2

E.Preg. 0 2

U. Acid(increased) 0 1

DMType II 0 1

TOTAL 92 123

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TABLE 21. Leading Causes of Morbidity in Paltoc for the month of February 2011 (Source: PaltocHealth Center)

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Disease MALE FEMALE

HEENT 5 8

ANP 7 1

ATP 5 1

URTI 58 53

Bronchitis 4 1

Pneumonia 1 0

PTB 4 4

UTI 4 18

AGE 5 3

Constipation 0 1

Gastritis 2 1

Derma 3 5

Infectious 15 21

Surgery 0 2

Hypertensio 6 7

P. Neuropathy 1 0Anergy 1 3

Anemia 0 1

Malnutrition 5 1

Hypercritiesteanemia 0 2

Osteoathritis 1 0

Hyperluricemia 0 1

Costochondritis 0 1

TOTAL 127 135

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TABLE 22. Leading Causes of Morbidity in Paltoc for the month of March 2011 (Source: PaltocHealth Center)

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Disease MALE FEMALE

HEENT 3 10

ANP 5 5

ATP 1 0

URTI 35 53

Pneumonia 1 0

PTB/F 9 8

Bronchitis 5 2

AGE 2 1

Derma 1 1

UTI 0 6

 Nephropathy 1 0

AGN 0 1

Infectious 10 12

Malnourished 3 4

Myalgia 0 2

Hypertension 6 15Allergy 1 3

Osteoarthritis 0 1

OB 0 2

Surgery 0 2

Anemia 0 2

TOTAL 83 130

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TABLE 23. Leading Causes of Morbidity in Paltoc for the month of April 2011 (Source: PaltocHealth Center)Disease MALE FEMALE

HEENT 3 3

ANP 3 1ATP 2 5

URTI 15 13

Cong. & OSE 1 0

PTB/ T/C PTB 12 2

IPT 1 1

Bronchitis 0 5

AGE 2 1

Constipation 0 3

APO 1 1

UTI / T/C UTI 0 5

Derma 3 3

Infectious 10 13

Surgery 2 1

G6PD Def. 0 1

Hypertension 5 8

Myalgia 1 2

DM 1 0

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Anemia 0 4

Osteoarthritis 1 1

Vertigo 1 0

T. Abortion 0 1

Malnutrition 0 2

Angina 1 0

TOTAL 65 76

TABLE 24. Leading Causes of Morbidity in Paltoc for the month of May 2011 (Source: Paltoc HealthCenter)Disease MALE FEMALE

HEENT 4 3

ANP 0 2

ATP 1 2

URTI 20 13

Bronchial Asthma 0 2

UTI 0 1

AGE 1 2

APD 1 1

Derma 7 7

Infectious 9 6

Surgery 2 2

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Hypertension 3 8

Myalgia 2 1

Malnutrition 1 0

Osteoarthritis 0 1

HPSTY Rxn. 0 1

Menorrhagia 0 1

PTB 4 3

IPT 1 0

D. Syndrome 0 1

TOTAL 56 57

TABLE 25. Leading Causes of Morbidity in Paltoc for the month of June 2011 (Source: Paltoc Health

Center)Disease MALE FEMALE

HEENT 5 7

ANP 5 3

ATP 2 1

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URTI 26 25

Pneumonitis 0 1

PTB 2 4

Bronchitis 4 1

Bronchial Asthma 2 0

AGE 2 3

Constipation 0 1

APD 2 1

UTI 2 11

Derma 9 9

Infectious 8 9

Surgery 3 3

Hypertension 1 8

Anemia 0 2

E. Pregnancy 0 1

Amenorrhea 0 1

T. Abortion 0 1

Ovarian Cyst 0 1

Anergy 0 1

Osteoarthritis 1 2

Malnutrition 1 4

Myalgia 1 1

DMII 1 0

P. Neuropathy 0 1

TOTAL 77 102

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2.2.2 LIST OF RELEVANT INDICATORS

TABLE 26.Ten Leading Causes of Mobidity in Barangay 421, Zone 43, District IV, January to June2011

Diseases No. of cases

1 URTI 412

2 Infectious 123

3 HPN 844 PTB 65

5 UTI 58

6 HEENT 58

7 Derma 51

8 ANP 49

9 Surgery 29

10 Bronchitis 27

2.3 PROBLEM ANALYSIS

2.3.1 IDENTIFICATION AND ANALYSIS OF PROBLEMS

The barangay’s leading causes of morbidity include upper respiratory tract

infections. A factor to this illness that can be seen here includes the inadequacy of 

ventilation per household due to the crowding seen. Several households in the community

comprises of college students whom rent apartments in the area most of this boarders

come in groups of more than 5 sharing the space. As well as the students, the adults

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commute outside the area to their workplaces due to lack of local jobs. This results to the

increased amount of jeeps that are seen parked around the community. Having to

commute to school or work every day increased stress in the part of the people as well as

human contact which increases susceptibility of the people in transmitting this droplet

and airborne infections. Another possible way of transmitting upper respiratory infections

includes the sharing of food, water, and utensils, and is possibly avoided by using serving

spoons.

The second leading illness in the area is hypertension. This is a non-

communicable disease usually obtained by the elderly. Known as the “silent killer,”

hypertension should be a community concern as it is a significant risk factor for several

other fatal conditions such as stroke and heart problems. A key factor to hypertension is

age; but with a population of young adults, the more probable factors to cause this illness

are obesity, stress, alcohol intake, and smoking. Obesity is common in well-off 

communities due to abundance of food and overindulgence. Stress can easily be

associated to the fact that several adults in the community high stress jobs including

statisticians, businessmen, call center agents, etc. Smoking and alcohol is simply

common vices which can be found in the country especially fitting in the Filipino

lifestyle. Although there are many medicines used to lower a person’s blood pressure, the

 proper lifestyle change is the most essential part in maintaining a healthy blood pressure.

Awareness of the proper actions and regular consultations with the physician is the best

way of avoiding any complications that are caused by this condition.

Pulmonary tuberculosis is another leading illness in the community. Being a

common disease in third world countries, the Philippines is certainly not an exception to

transmitting the bacteria Mycobacterium tuberculosis. PTB has the same risk factors as

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upper respiratory tract infections which include talking, sneezing, coughing, and the

sharing of food. Pulmonary tuberculosis is a more serious case as it is sometimes caused

 by a drug resistant strain of bacteria and is very infectious.

TABLE 27. Decision Matrix of the Problem Prioritization for Barangay 421, Zone 43, District IV 

Criteria URTI HPN PTB

 Nature of the ProblemHealth Status 3Health Resources 2Health Related 1

(3/3)x1= 1 (3/3)x1= 1 (3/3)x1= 1

Magnitude of the Problem75-100% Affected 4

50-74% 325-49% 2<25% 1

(2/4)x3= 1.5 (1/4)x3= 0.75 (1/4)x3= 0.75

Modifiability of the ProblemHigh 3Moderate 2Low 1 Not modifiable 0

(3/3)x4= 4 (2/3)x4= 2.7 (2/3)x4 = 2.7

Preventive PotentialHigh 3Moderate 2Low 1

(3/3)x1= 1 (2/3)x1= 0.67 (2/3)x1= 0.67

Social ConcernUrgent Community Concern 2Recognized as a problem but notmaking urgent attention 1 Not a Community Concern 0

(1/1)x1= 1 (1/1)x1= 1 (2/1)x1= 2

Total 8.5 6.12 7.12