COPC PGI DMSF
COPC PGI DMSF
Inc. Hospital
COMMUNITY
Department of Family and
Community Medicine
ORIENTED
PRIMARY CARE
PGI Araneta
PGI Pama
PGI Tamondong
PGI Uy
PGI Vergara
2
OUTLINE:
⊗ Background and Setting of
the Study
⊗ Demographic Profile
⊗ Socioecomic Profile
⊗ Health Profile
⊗ The Problem
⊗ Health Action Plan
1.
BACKGROUND
AND SETTING OF
THE STUDY
4
HISTORY
1st
District
Talomo
Brgy.
Bucana
5
HISTORY
Brgy. Bucana
⊗ “voca” meaning mouth
Purok 23
⊗ 1980 - less than 10 households
⊗ 1990 - “Nagkahiusang Pundok” - registered
officially on 2002
6
PHYSICAL DESCRIPTION OF
THE AREA
⊗ East: Davao Gulf
⊗ North: Brgy.21
⊗ Northwest: Brgy. 37-D
Terrain
⊗ mangroves and nipa palms
⊗ planted with coconuts
⊗ San Miguel clay loam, Matina clay
loam and Cabantian clay loam
9
7 13 17 16 14
6 24 21 9
5 7 23 18 12
4 26 20 10
3 14 16 23 7
11 19 24 6
1 15 15 29 1
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Axis Title
Male Female
FAMILY PROFILE
Family Type
Joint
15%
Extended
20%
Nuclear
65%
3.
SOCIOECONOMIC
PROFILE
16
SOCIAL STATUS:
Ethnicity
Ethnicity
4%3%
16%
78%
93%
50
40
30
20
10
0
Catholic Baptist Muslim Protestant
19
SOCIAL STATUS: Marital
Status
MARITAL STATUS
Cohabitant 16
Widowed 6
Separated 10
Single 232
Married 171
100
80
60
40
20
0
Preschool Elementary Elementary HS Level HS Graduate College College Vocational
Level Graduate Level Graduate Course
21
Sports
Socio-culture
Religious
Politics
0 5 10 15 20 25 30
23
SOCIAL STATUS:
Employment
Number of
Occupation
Respondents
Student 176
Housewife 76
Unemployed 49
Driver 29
Salesman/ 17
Saleswoman
Laborer 12
Store owner 9
24
ECONOMIC STATUS
Women in workforce
⊗ 38 out of 134 women ages 15 and up
are in the labor force
25
ECONOMIC STATUS
Sufficiency of Needs
Sufficient
26%
Insufficient
35%
ECONOMIC STATUS
Job Availability
13%
Yes
No
88%
27
ECONOMIC STATUS
Monthly Expenses
Utility Bills
15%
House
Rental
13%
Food
Education
63%
10%
28
ECONOMIC STATUS
Monthly Income
Above P25,000
P20,000 - P24,999
P15,000 - P19,999
P10,000 - P14,999
P5,000 - P9,999
Below P5,000
0 5 10 15 20 25 30 35 40
29
ECONOMIC STATUS
Appliances
79
76
40
36
21
N N T
R ER FA EN
SO O N
VI AT IO IC P M
LE ER D
IT TR U
I
TE IG N EC EQ
EF
R
C
O EL IO
R R D
AI /A
U
IO
AD
R
30
ECONOMIC STATUS
Vehicles
Multicab
Motorcycle
0 5 10 15 20 25 30 35
31
ECONOMIC STATUS
Electricity
4%
With
Without
96%
32
LIVING ENVIRONMENT
Living Environment
9%
Congested
Not Congested
91%
33
LIVING ENVIRONMENT
House Tenure
Free
4%
Rented
20%
Owned
76%
34
LIVING ENVIRONMENT
Ventilation
11%
Sufficient
Insufficient
89%
35
LIVING ENVIRONMENT
Construction: Roof
33%
Strong Light
53% Both
15%
36
LIVING ENVIRONMENT
Construction: Floor
Dirt
8%
Wood
31%
Cement
61%
37
LIVING ENVIRONMENT
Construction: Walls
Cement
43%
Wood
57%
38
LIVING ENVIRONMENT
Fuel
5%
18%
Butane stove
LPG
Wood/Charcoal
Electric stove
16% 61%
39
LIVING ENVIRONMENT
Drainage
Closed sewer
30%
Open sewer
70%
40
LIVING ENVIRONMENT
Water Source
⊗ Majority of the households get their
water supply from the Davao City
Water District with individual
household connection.
Water Sufficiency
⊗ All of the respondents claimed that
their water source is sufficient.
41
LIVING ENVIRONMENT
Waste
⊗ Almost all of the households do not
segregate their garbage.
⊗ Their wastes are directly collected by
CENRO on scheduled days, although
not regularly due to difficulty in
accessing the area.
42
LIVING ENVIRONMENT
Toilet
Unsanitary
6%
Sanitary
94%
43
BIOLOGICAL ENVIRONMENT
Pests
80
70
60
50
40
30
20
10
0
Mosquitoes Flies Rats Cockroaches
44
BIOLOGICAL ENVIRONMENT
Animals
Dogs
30%
None
50%
Cats
20%
45
PSYCHOSOCIAL
ENVIRONMENT
Stressful Situation
⊗ Financial matters - most common
stressor
⊗ Other minor stressors are:
⊚ Illnesses
⊚ neighbor-related conflicts
⊚ dirty surroundings
4. HEALTH
PROFILE
ADULT HEALTH
Table 4.1 Blood pressure of residents 40 years old and above in Purok 23-C
53 180/100
AGE BP
51 150/90
44 180/90
45 130/90
45 130/100 78 130/80
57 130/70 69 130/70
46 140/90 77 140/90
61 150/80 49 120/90
41 130/70
58 140/100
44 130/90
46 130/90
55 130/90
59 140/100
47 130/80
66 130/90
67 140/90
70 140/90
69 140/80
ADULT HEALTH: Morbidity
Causes of Morbidity Number of Individuals
Hypertension 50
Diabetes Mellitus 15
Tuberculosis 10
Asthma 5
49
Complete 25
Incomplete 5
CHILD HEALTH:
Breastfeeding
Table 4.3 Breastfeeding Method of the residents of Purok 23-C
Pure 20
Mixed 10
CHILD HEALTH: Vitamin A
supplementation
Table 4.4 Vitamin A status of the residents of Purok 23-C
Vitamin A Number of Children (Under 5 y.o)
Received 28
Total 30
CHILD HEALTH: Deworming
Table 4.5 Deworming status of the residents of Purok 23-C
Received 30
Total 30
WOMEN’S HEALTH:
Obstetrical Data
Menstrual Flow
Regular 28
Irregular 11
0 5 10 15 20 25 30
WOMEN’S HEALTH: Obstetrical
Data
Duration
3-5 DAYS 29
6-8 DAYS 9
0 5 10 15 20 25 30 35
WOMEN’S HEALTH:
Obstetrical Data
Age at first Birth
2%
7%
15%
21-25 y.o.
16-20 y.o.
26-30 y.o.
12%
> 30 y.o.
< 15 y.o.
19%
WOMEN’S HEALTH:
Obstetrical Data
Place of Delivery
Home; 9%
Hospital; 40%
Maternity Clinic;
51%
WOMEN’S HEALTH:
Obstetrical Data
Health Care Providers
12%
Midwife
Doctor
50% Hilot
38%
WOMEN’S HEALTH: Fertility
Desired number of children
5%
10%
25%
1 child
2-3 children
4-5 children
> 5 children
56%
WOMEN’S HEALTH: Fertility
1 child
31% 2-3 children
50%
4-5 children
> 5 children
WOMEN’S HEALTH: Fertility
Actual Pregnancy Interval
9%
12%
1 Year
2 Years
38% 3 Years
41%
> 4 Years
WOMEN’S HEALTH: Fertility
Age of Coitarche
7% 10%
<15 y.o.
35% 15-20 y.o.
21-25 y.o.
25-30 y.o.
48%
DIETARY ASSESSMENT: Meal Pattern
Meal Households
Breakfast 80
Lunch 80
Dinner 80
Snacks 25
DIETARY ASSESSMENT
Meal Recall
⊗ All households serve rice for
every meal.
⊗ Majority serve vegetables and
fish during meals.
⊗ Pork and beef are consumed
less.
HEALTH RISK FACTORS
Health Risk Factors Frequency
Smoking 40
Alcoholism 46
Substance Abuse 0
Marijuana 0
TREATMENT SEEKING
PRIORITY
Treatment Seeking Priority
Self Medication
Health Center
Home Remedies
Hospital
Private Clinic
Healer
Traditional
0 5 10 15 20 25 30 35 40 45 50
GOVERNMENT HEALTH
BENEFITS
Government Health Benefits
Philheath
CCT/ 4Ps
Barangay Kagawad:
Arturo Ponteras
Antonietta Apa
Alexander Locsin
Nancy Cortes
Silvestre Sepe
Christian Olan-Olan
Barangay Health Center
Assessment
⊗ Times Beach Health Center is situated
in Purok 24 near Times Beach Resort.
⊗ Basic facilities for its health programs
include refrigerator for vaccines, blood
pressure apparatus for their CVD
program, weighing scale, delivery
table, and glucometer for blood sugar.
Human Resource
Assessment
⊗ The health center is under the
supervision of Ma’am Rosita D.
Melicor, a midwife.
⊗ There are 14 barangay health workers
regularly scheduled from Mondays-
Fridays.
⊗ They are all supervised by the
assigned doctor, Dr. Braganza.
5. THE PROBLEM
Problem Identification
⊗ Mosquitoes and flies
⊗ Inadequacy of medical supplies
⊗ Increased risk for fire
⊗ Difficult road access
⊗ Improper waste disposal
⊗ Poor health seeking behaviors
⊗ Low income
⊗ Flooding
⊗ Poor hygiene practices
⊗ Ineffective family planning
Problem Prioritization
Problem Magnitude of the Vulnerability to Existing Social Total Rank
Problem Change Health Concern
Policies
1. Mosquitoes and flies 7 9 8 7 31 2
2. Inadequacy of 6 5 7 5 23 4
medical supplies
3. Increased risk for fire 5 2 2 10 19 6
4. Difficult road access 3 3 3 6 15 9
5. Improper waste 8 10 10 9 37 1
disposal
6. Poor health-seeking 4 6 4 4 18 7
behaviors
7. Low income 10 1 1 2 14 10
8. Flooding 9 4 5 8 26 3
9. Poor hygiene 1 7 6 3 17 8
practices
10. Ineffective family 2 8 9 1 20 5
planning
Problem Tree Analysis
Analysis of Cause
Analysis of Cause
Objective Tree
6. HEALTH ACTION
PLAN
Title
⊗ “Segregate Para
Kalusugan ay
Great”
The Problem
⊗ Improper Waste Disposal
Rationale
⊚ Improperly disposed waste
materials often clog drains and
cause water stagnation which
facilitates breeding of disease-
carrying mosquitoes.
⊚ Waste materials contaminate
water bodies by penetrating the
soil and contaminating ground
water from which the population
General Objective
⊗ By the end of May 2019, the
residents of Purok 23-A, Brgy. 76-A,
Bucana, Talomo District, Davao City
will have improved knowledge of the
importance of proper waste
segregation and disposal.
Specific Objectives
⊗ By the end of May 2019, the
residents will be able to participate
actively in Purok meetings to ensure
appropriate information on the
community’s welfare especially on
health related issues.
Specific Objectives
⊗ By the end of May 2019, the residents will have
increased knowledge on:
⊚ How to classify a waste material as recyclables,
residuals, or food waste
⊚ The disposal of recyclables, residuals, and food
waste by socially and legally acceptable means
⊚ The negative effects of improper waste disposal
on health and quality of life
⊚ The benefits of maintaining a waste-free
environment
⊚ The legal consequences of improper waste
disposal
Specific Objectives
⊗ By the end of May 2019, the
residents will have increased
compliance on:
⊚ Proper waste disposal
⊚ Proper cleaning habits
Cause of the Objectives Activities Materials needed Time frame Persons Objectively
Problem Responsible verifiable
indicators
Lack of Residents will Flyers as visual May 31, 2019 Medical Interns Lecture was
Knowledge have increased House-to-house aids conducted in
knowledge on: lecture BHW majority of
participant
1) How to Purok Leader households
classify a waste Game: Prizes
material as Quiz Bee Residents of Purok Majority of
recyclables, household
residuals, or food members
waste participated in the
quiz bee
2) The disposal of
recyclables, All questions were
residuals, and answered correctly
food waste by
socially and
legally acceptable
means
Cause of the Objectives Activities Materials needed Time frame Persons Objectively
Problem Responsible verifiable
indicators
Lack of Residents will Flyers as visual May 31, 2019 Medical Interns Lecture was
Knowledge have increased House-to-house aids conducted in
knowledge on: lecture BHW majority of
3) The negative participant
effects of Purok Leader households
improper waste Games: Prizes
disposal on health Quiz Bee Residents of Purok Majority of
and quality of life household
members
4) The benefits of participated in the
maintaining a quiz bee
waste-free
environment All questions were
answered correctly
5) The legal
consequences of
improper waste
disposal
88
89