0% found this document useful (0 votes)
804 views93 pages

CHN 2 Module 4

The document outlines the process of community assessment in health nursing, emphasizing the collection of data on community health determinants such as people, place, and social systems. It details various data sources and methods for assessment, including demographic, economic, and environmental aspects, as well as family structures and decision-making authority. Additionally, it highlights the importance of understanding community needs to inform health planning and program implementation.

Uploaded by

jamesignacio787
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
804 views93 pages

CHN 2 Module 4

The document outlines the process of community assessment in health nursing, emphasizing the collection of data on community health determinants such as people, place, and social systems. It details various data sources and methods for assessment, including demographic, economic, and environmental aspects, as well as family structures and decision-making authority. Additionally, it highlights the importance of understanding community needs to inform health planning and program implementation.

Uploaded by

jamesignacio787
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 93

COMMUNITY

ASSESSMENT
Nursing Lecture

Regie De Jesus, MAN


College of Health Sciences
COMMUNITY HEALTH NURSING II
Community Assessment
• the data needed to be collected depend on
the objectives of community assessment.
• In general, the nurse needs to collect data on
three categories of community health.
• Determinants:
• people,
• place and
• social system.
DATA COLLECTED WILL BE
USED FOR THE HEALTH
P.A.T.C.H
(Planed Approach To Community
Health)
PROCESS FOR HEALTH
PLANING
1. Community Profile: demographic
educational and economic data
2. Morbidity and Mortality data, including
unique health events(e.g., completion of
barangay health station, a typhoon that
caused flooding of residential areas)
PROCESS FOR HEALTH
PLANING
3. Behavioral Data focusing on behavioral
risk factors, such as smoking, drinking
and leading a sedentary life style, and
prevailing good health practices in the
community, such as breast feeding and
getting regular exercise
4. Opinion data from community leaders,
such as what they think about the main
health problems of the community their
causes, measures that may alleviate or
correct them
PROCESS FOR HEALTH
PLANING
3. Behavioral Data focusing on behavioral
risk factors, such as smoking, drinking
and leading a sedentary life style, and
prevailing good health practices in the
community, such as breast feeding and
getting regular exercise
4. Opinion data from community leaders,
such as what they think about the main
health problems of the community their
causes, measures that may alleviate or
correct them
*Problem-Oriented Assessment
is focused on a particular aspect of
health: focusing on what’s problem
the community have in mind
TOOLS IN COMMUNITY
ASSESSMENT
PRIMARY DATA SOURCE
• Observation
• ocular survey/ windshield survey
• Survey
• Informant interview
• talks to the community people
• key informants: consist of formal and informal
community leaders or persons of position and
influence
• Community forum
• pulong – pulong sa barangay
• Focus group
TOOLS IN COMMUNITY
ASSESSMENT
• SECONDARY DATA SOURCE
• health records and reports
• Field Health Service Information System
(FHSIS) recording and reporting tools
• FHSIS is as basis for
• 1.priority setting by local goverments
• 2. planning and decision making at different
levels(barangay, municipality, district,
provincial, and national)
• 3. monitoring and evaluating health program
implementation
FAMILY AS THE UNIT OF SERVICE

• FAMILY: a group of persons usually


together and composed of the head and
other persons related to the need by
blood, marriage or adoption.
• Moreover, they are sharing same resources
(such as food, utilities, money and alike),
social responsibilities and privilege.
FAMILY AS THE UNIT OF SERVICE

• Two families sharing one household but 1


decision maker considered as 1 family if
both have a decision- maker they are
considered as 2 families.
• Household - A social unit consisting of a
person living alone or a group of persons
who sleep in the same house. A household
may consist of several families.
DEMOGRAPHIC DATA
• Age-age as of last birthday
• Sex- male or female
• Civil status-enter any of the following:
• a. Single (S)-person is not and has never been married
• b. Married (M)-person living with another person
bound by legal rites.
• c. Common law (CL)-person living with another person
without the benefit of a legal marriage
• d. Widowed (W)- person whose spouse has died, and
has not remarried. Widow or female, widower for
male.
• e. Separated/Annulled- a person whose bond of
marriage has been dissolved and can therefore
remarry.
DEMOGRAPHIC DATA
• Religion- Indicate religion for each family
member.
• Note: in case of children (0-14), they assume the
mother’s religion as articulated in the family
code of the Philippines. Indicate religious sect.
• Head of the Family- The primary decision-
maker in the family; or he/she could be the
recognized head by the family.
FAMILY TYPE BASED ON WHO
MAKE DECISIONS (AUTHORITY)
• PATRIARCHAL - full authority on the father
or any male member of the family e.g.
eldest son, grandfather
• MATRIARCHAL - full authority of the
mother or any female member of the
family, e.g. eldest sister, grandmother
• EGALITARIAN- husband and wife exercise a
more or less amount of authority, father
and mother decides
FAMILY TYPE BASED ON WHO
MAKE DECISIONS (AUTHORITY)
• DEMOCRATIC - everybody is involved in
decision making
• AUTHOCRATIC-
• LAISSEZ-FAIRE- "full autonomy"
• MATRICENTRIC- the mother decides/takes
charge in absence of the father (e.g. father is
working overseas)
• PATRICENTIC- the father decides/ takes charge
in absence of the mother
FAMILY TYPE BASED ON
RESIDENCE
• PATRILOCAL – family resides / stays with /
near domicile of the parents of the
husband

• MATRILOCAL – live near the domicile of the


parents of the wife
TYPES OF FAMILY IN THE
COMMUNITY
• Nuclear Family – consists of father, mother and
children (either adopted or biological)
• Extended – consists of father, mother, and
children with other relatives
• Single-Parent – single with children
• Binuclear/Blended/Reconsituted – extended family
consisting of 2 or more separate household from
separated or divorced parents with children
• Step Family –remarriage of a widowed person
with children
TYPES OF FAMILY IN THE
COMMUNITY
• Compound – one man/woman with several
spouses
• Cohabiting family – lived-in unmarried couple
• Dyad – husband and wife without children
• Homosexual family – female-female or male/male,
gay/lesbian with or without children
• Communal family – e.g. bahay-ampunan, Home for
the aged, Kumbento
• No-Kin - have no legal or blood tie to each other
DEMOGRAPHIC DATA
•Educational Status- indicate status for
each member of the family. Indicate
whether he/she is:
•a. degree holder/college graduate
•b. presently studying and highest
completed level
•c. had stopped studying and highest
completed level
•d. no formal education

DEMOGRAPHIC DATA
• Educational Status-
• For collation purposes, further break it
down into:
• Degree holders/ college graduate - also
include graduates of vocational courses
• Currently studying- elementary, high school,
and college level
Had stopped studying- elementary
graduate/undergraduate
• High school graduate/undergraduate
• College/vocational courses undergraduate
DEMOGRAPHIC DATA
•Educational Status-
• Literacy Rate- in the Philippines, a person aged
15 years old and above who are unable to read
and write is considered illiterate.
• # people 15 y/o and above who can read and write x 100
# of people of aged 15 and above
DEMOGRAPHIC DATA
• Ethnic Background - Refers to selected cultural
and sometimes physical characteristics used to
easily divide people into groups or categories,
considered to be significantly different from
others.
• These people may be considered as indigents
or having special needs.
DEMOGRAPHIC DATA
• Primary dialect spoken – primary dialect used
by the family
• Patterns of migration – determine whether
there is a large number of in-migration or out-
migration in the community as well as the
reasons behind the trends.
• Determine if
• Transient: below 6 months;
• Permanent: 6 mounts above.
DEMOGRAPHIC DATA
• Disadvantage people – these are people or
groups of people who have special needs in
terms of basic needs and services, and not
necessarily financial in nature
• Individuals or group of individuals who are
considered economically, physically and
socially disadvantaged.
• E.g. indigent children, out-of-school youths,
physically and mentally disabled persons,
distressed individuals and families, and
disadvantaged children, refugees, tribes
Population Density
Population Density – determines congestion
of the place

Land area (sq. km) x 100


Total population

• Compute population density per purok if


barangay has puroks
DEMOGRAPHIC DATA
• Population projection – important in
establishing what services and health
programs to implement and strengthen.
• For example, in the event that current trends
in birth and death rates would lead to a
dramatic increase in the population, the
community can strengthen their program on
maternal and child care, and immunization
programs to cater to the young population, at
the same time launching programs on family
planning to control the growth of population.
DEMOGRAPHIC DATA
• Urban- Rural Index (if applicable) – determine
as to what percent of the community can be
considered urban or rural.
Urban Barangay
• includes the criteria on the economic and
social functions of barrios, poblaciones, and
central districts as follows:
• 1. In their entirely, all municipal jurisdictions
which, whether designated as chartered cities,
provincial, capital or not, have a population
density of at least 1,000 persons per square
kilometer.
• 2.Poblaciones or central districts of municipalities
and cities which have a population a density of at
least 500 persons per square kilometer.
Urban Barangay
3. Poblaciones or central districts (not
included in nos. 1 and 2) regardless of
population size which have the following:
• a. Street pattern, i.e., network of street in
either at parallel or right angle orientation;
• b. At least six establishments (commercial,
manufacturing, recreational and/or
personal service); and
• c. At least three of the following:
Urban Barangay
• c. At least three of the following:
• i. A town hall, church or chapel with
religious services at least once a month;
ii. A public plaza, park or cemetery;
• iii. A market place or building where
trading activities are carried on at least
once a week; and
• iv. A public building like school, hospital,
puericulture and health center or library.
Urban Barangay
4. Barrios/barangay having at least 1,000
inhabitants which met the conditions set forth
in no. 3 above, and in which the occupation of
the inhabitants is predominantly non-
farming/fishing.
• a. If a barangay has a population size of 5,000
or more, then a barangay is considered urban,
or
• b. If a barangay has at least one establishment
with a minimum of 100 employees
• c. If a barangay has 5 or more establishments
with a minimum or 10 employees, and 5 or
more facilities within the 2 km radius from the
barangay hall
Rural Barangay

• Rural Barangay – an area outside any area


classified as urban
DEMOGRAPHIC DATA
• Occupational Status- states the present status of
occupation at the time when the survey is conducted.
• a. Employed- a person in the service of another under any
contract of hire
• b. Unemployed- refers to a person who doesn’t have a
means for income.
• c. Self-employed - refers to a person who works for himself
instead of as an employee of another person or
organization, drawing income from trade or business.
• d. Underemployed - to workers with high skill levels
employed in low-wage jobs that do not require such
abilities.
• e. Retired - refers to a professional person, who stopped
working due to age reasons.
COMMUNITY AS A SOCIAL SYSTEM
A. ECONOMIC ASPECT
• Combined Family Monthly income
• the total combined monthly income of the
family.
• This includes all the incomes which are used
by the family for its expenses.
• An income exclusively of use by only one
member of the family for personal purpose
and allocation is not included in this category.
COMMUNITY AS A SOCIAL SYSTEM
A. ECONOMIC ASPECT
• Monthly family expenditure - the totality of
the monthly expenses of the family. It show’s
here where the income of the family is
allocated.
• Livelihood- examples are sari-sari store, hog
raising etc.
• Priority expenditure - refers to the aspects
that the family is giving more attention to
than any other. The priority setting of the
family to their needs.
COMMUNITY AS A SOCIAL SYSTEM
B. Political/Leadership Aspect
• Barangay officials - refer to the set of persons in
authority to implement policies and organize the
community in all aspects. This includes the
barangay captain or chairman, and his
subordinates.
• Religious leaders - refer to the persons commonly
seen and observed in religious rites and practices.
• Elders - refer to the community’s senior
constituents who have lived in the community for
almost the rest of their lives.
• recognized informal leaders
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• OWNERSHIP OF THE HOUSE
• Owned - this refers to a property of a family,
either a land property or a house property in
which they have a power over it.
• Rented - the family is taking or holding a land
under an agreement to pay a certain amount
for the rent. This rent refers to the money or
the amount of money paid or due at intervals
for the use of another’s property.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• OWNERSHIP OF THE HOUSE
• Lease to own - lease refers to a contract
renting a land, buildings, etc., to another, for a
specified period or for a period determinable
at the will of either lessor or lessee in
consideration of rent or other compensation.
The lessee will have a property as soon as he
has already paid the amount of the property.
• Rent free - the family is not paying anything
to the property that they are using.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• TYPES OF MATERIALS USED FOR HOUSE
• Light - refers to such materials as bamboo,
nipa, sawali, coconut leaves or card board.
• Strong - refers to a predominantly concrete
house.
• Mixed - refers to a combination of light
materials, wood and/or concrete. Typically
concrete floor or foundation and light walls,
or a concrete 1st floor and light 2nd floor.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• LIGHTING FACILITIES
• artificial means of providing light/
illumination. Facilities used already reflect
adequacy and safety for the family. (Ex.
Electricity, kerosene, candles, or none.)
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• TYPES OF EXCRETA DISPOSAL
Level I
• Non-water carriage toilet facility – no water
necessary to wash the waste into receiving
space e.g. pit latrines, bored-hole latrine
• Toilet facilities requiring small amount of
water to wash the waste into the receiving
space e.g. pour flush toilet & aqua privies
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• TYPES OF EXCRETA DISPOSAL (Level I)
• Pail System - a pail or box is used to receive the
excreta and disposed later when filled. (Included
ballot system where in excreta is wrapped in a
piece of paper/plastic and thrown later.)
• Open Pit Privy/Latrine - consist of a pit covered by
a platform with a hole is usually not covered. The
platform may, in its simplest form consist only of 2
pieces of wood or bamboo.
• Closed Pit Privy/ Latrine- a pit privy in which the
hole over the platform or toilet floor is provided
with a cover
Pail System
Pit Privy / Pit Latrine
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Types of pit include
• Ventilated Improved Pit
or VIP, pit with a vent
pipe
• Reed Odorless Earth
Closet or ROEC, a pit
completely displaced
from the superstructure
and connected to the
squatting plate by a
curved chute.
Reed Odorless Earth Closet or ROEC
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• TYPES OF EXCRETA
DISPOSAL
Level I
• Antipolo Type- toilet
house is elevated and the
shallow pit is extended
upwards to the platform
(toilet floor) by means of
a chute or pipe made of
metal, clay aluminum or
board.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
TYPES OF EXCRETA DISPOSAL
Level I
• Bored-Hole Latrine- consists of a deep (usually
more than 10 feet) but relatively narrow (less
than 2 meters in diameter) hole made with
boring equipment.
• Overhung Latrine- toilet house is constructed
over a body of water (stream, fake, and river)
into which excreta is allowed to fall freely.
Overhung Latrine
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
TYPES OF EXCRETA
DISPOSAL
Level II
• On site toilet facilities
of the water carriage
type with water-sealed
and flush type with
septic vault/tank
disposal.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• TYPES OF EXCRETA DISPOSAL
• Flush Type- a toilet system where waste is
disposed by flushing water through pipes
(sewers) into a public sewerage system or into
an individual disposal system like an individual
septic tank.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• TYPES OF EXCRETA DISPOSAL
Level II
• Water Sealed Latrine- an Antipolo type of
toilet, bored- hole latrine or any pit privy
wherein water sealed toilet bowl is placed
instead of the simple platform hole(+)septic
tank.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
TYPES OF EXCRETA
DISPOSAL
Level II
• On site toilet
facilities of the
water carriage type
with water-sealed
and flush type with
septic vault/tank
disposal.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
TYPES OF EXCRETA DISPOSAL
Level III
• Water carriage types of toilet facilities
connected to septic tanks and/or to sewerage
system to treatment plant
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
TYPE OF WATER FACILITIES
Level 1 (Point Source)
• a protected well or a developed
spring with an outlet but without
a distribution system
• indicated for rural areas where
houses are scattered
• serves 15-25 households; its
outreach is not more than 250 m
from the farthest user
• yields 40-140 L/ min
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
TYPE OF WATER FACILITIES
Level II (Communal Faucet or Stand
Posts)
• With a source, reservoir, piped
distribution network and communal
faucets
• Located at not more than 25 m from
the farthest house
• Delivers 40-80 L of water per capital
per day to an average of 100
households
• Serves 4 to 6 households per faucet
• Fit for rural areas where houses are
densely clustered
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
TYPE OF WATER FACILITIES
Level III (Individual House Connections or
Waterworks System)
• With a source, reservoir, piped distributor
network and household taps
• One or more faucets per household
• Fit for densely populated urban communities
• E.g. Nawasa, Maynilad
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Sewerage System
• Blind drainage - waste water flows through a
system, of closed pipes to an underground pit or
covered canal.
Open drainage - waste water flows through a
system of pipes (could be improvised from
bamboo) to an open pit canal.
• None - when no drainage system or container
used for garbage. Waste water from the kitchen
flows directly to the ground, oftentimes forming
a nearly permanent pool. Garbage is not put in a
container when disposed.
Open Drainage
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Types of Waste Disposal
• Hog feeding - garbage is
used as hog feed and
also to chicken and other
livestock.

• Open Dumping- refuse


and/or garbage piled in a
dumping place (with or
without pit) with no soil
covering.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Types of Waste Disposal
• Open Burning- regularly
piles refused/garbage and
later burned in open air.
This is uncontrolled
burning which is usually
done for yard and street
sweeping. It may be
allowed in rural areas
where it will not worsen
already existing air
pollution.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Types of Waste Disposal
• Burial Pit - refuse/garbage
placed in a pit and
covered when filled up.
There is no intention to
dig it up later for use as
fertilizer. This should be
located 25 meters away
from any well used for
water supply.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Types of Waste Disposal
• Composting- involved
buying or stacking of
alternating layers of
organic based
refuse/garbage and
’treated soil’ arranged as
to hasted rapid decay and
decomposition into
compost. This organic
mixture can later be used
as fertilizer.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Types of Waste Disposal
• Garbage Collection -
refuse/garbage
collected by garbage
truck or any type of
garbage collection in
the community.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Types of Waste Management
• Recycling - ‘converting’ waste material for
reuse in the future.

• Reusing - to use something again, often for a


different purpose and usually as an
alternative to throwing it out
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Source of Drinking Water
• Commercially prepared water - includes all
bottled water that have been treated with
state of a art purification techniques bought
usually at supermarkets, groceries, and
convenient stores (mineral water)
• Local water system - commonly known as
faucet or gripo which is connected from a
water distribution system, Level II (communal
faucet) or level III (waterworks system) of
water supply facilities.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Source of Drinking Water
• Artesian well- commonly known as the
poso, level I (point source) of water
supply facilities.

• Deep Well - an artificial excavation or


structure put down by any method such
as digging, driving, boring, or drilling for
the purposes of withdrawing water from
underground.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Source of Drinking Water
• Surface Water - derived from streams,
rivers, subjects to seasonal availability
and are subjects to contamination if
untreated.

• Ground Water - walls and springs.


COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Source of Drinking Water
• Spring - groundwater seepages which are
created when the level of underground
water comes in contact with the surface.
Contamination occurs at the point of
seepage.

• Rainwater-basically free from impurities.


However contamination may occur at the
collection and storage points, and by air
pollution (ex., Acid rain)
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Method of sanitizing water
• Boiling - safest and purest way
• Should be boiled for at least 3 minutes after
reaching boiling point of 100 C to kill all
vegetative bacteria, viruses, fungi.
• minimum of 3 minutes to maximum of 10
minutes for drinking
• Sterilization: 30 minutes after the water starts
to boil
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Method of sanitizing water
• Filtration
• done before boiling or disinfecting common
household filters used in the Philippines to
separate solid particle from liquid if water
comes from river;
• cloth filters, intermittent water filter.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Method of sanitizing water
• Sedimentation
• impurities in water are allowed to settle at the
bottom of the container for 30 minutes-1 hr and
pouring the top part in a new clean container
without creating turbulence.
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Method of sanitizing water
• Coagulation/Flocculation
• uses aluminum crystal (tawas) that collects or
absorbs particles from liquid part & becomes
slimy
• In 1 gallon of water, drop tawas (the size of
maggi cubes) & allow to stand for 6-8 hours
• Initially, water appears to be cloudy then after
6-8 hours of standing, the water becomes clear

•.
Flocculation
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Method of sanitizing water
• Chlorination
• uses 100% pure concentrated chlorine bought
from botika or given free by health centers
• To prepare stock solution (SS): in 1 liter drinking
water, add 1 tablespoon of concentrated chlorine
which is potent for 3-4 months
• To prepare the chlorinated water: in 2 ½ gallons of
drinking water (10,000 ml=10 liters), add 1
tablespoon from the prepared stock solution & let
it stand for 30 minutes to react with water
COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Method of sanitizing water
• Aeration
• exposing drinking water in air to
strengthen taste within 24 hours which is
usually used in uphill areas where there’s
less or no pollution

•Buying commercially prepared water


COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Method of sanitizing water
• Aeration
• exposing drinking water in air to
strengthen taste within 24 hours which is
usually used in uphill areas where there’s
less or no pollution

•Buying commercially prepared water


COMMUNITY AS A SOCIAL SYSTEM
C. Environmental Aspect
• Food Preparation
• refers to usual method of preparation of
food (fried, steamed, grilled, boiled,
sauteed, etc.
COMMUNITY HEALTH MANAGEMENT
• Authority consulted during illness
• Authority- those who had a formal or informal
training regarding health and health
managements that are recognized by the
people (i.e. doctors, albularyo, hilot, etc)
• this is to establish if the disease or illness had
been properly diagnosed. Before assessing this,
ask first about the illness or disease suffered in
the family for the year up to the present and if
the family have had done anything about it.
COMMUNITY HEALTH MANAGEMENT
• Authority Consulted during Illness
• Perception on what is a healthy person
• self explanatory. If they think a child that is
malusog, walang sakit, mataba, masigla is
considered healthy.
• Somewhat affects the concept of health
promotion and disease prevention within the
community.
COMMUNITY HEALTH MANAGEMENT
• Authority Consulted during Illness
• Perception on what causes illness
• yields their knowledge, perception or any
misconception about what causes disease or
illness. (maligno, duwende, engkanto etc)
Community Health Programs
and Services
• Presence, Awareness and utilization of
community health programs
• Description of existing health and health
related programs that the community has or
are implementing.
• Awareness and utilization of community
people regarding these programs
• FGD should be done to inquire why they are
not availing certain programs or following
certain policies even if they are aware of it.
Community Health Programs
and Services
• Method of family planning used
• Natural or Artificial (read on types of natural
and artificial FP methods).
• Before asking this, inquire first if they are
utilizing FP methods since this question does
not necessarily apply to all. (for families with
mother’s age is within the range of 15-45
years.)
Community Health Programs
and Services
• Nutritional Status of target age group (0-6
years old)
• weigh children from 0-6 years old and identify
presence of malnutrition with their respective
categories
• (refer to DOH book; table for assessing
malnutrition in children will be handed out.
Community Health Programs
and Services
• Immunization status
• Immunization status to target age group of 0-
12 months and 1 year to 5 years old.
• Please specify the vaccine and the number of
doses (if applicable).
Manpower Resources
• a. Categories of health manpower available
- health manpower
• refers to number of nurses; doctors, midwife,
dentist, medical technician, BNS (Barangay
Nutrition Scholar)/ BHWs and trained hilots
(mga nagpapaanak) who are serving the
community and their corresponding time of
availability
• b. Geographical distribution of health manpower
• how health manpower is distributed within
the community/
Manpower Resources
• c. Manpower-population ratio –
• nurse-population ratio, doctor-population
ratio
• Rural health Physician = 1:20,000
• Public health Nurse = 1:20,000
• Rural health Midwife = 1:5,000
• Rural health Inspector = 1:20,000
• Rural health Dentist = 1:50,000
Material Resources of the
Community
• a. Health budget and expenditures (% allotted,
budgeting)
• b. Sources of health funding (Government,
NGOs, private agencies)
• c. Categories of health institutions (Health
centers, RHU, hospital, daycare center, clinics,
lying-in)
• d. Categories of health services available (health
programs)
• e. Hospital bed-population ratio
Manpower Resources
• d. Distribution of health manpower
according to health facilities
• – how health manpower is distributed to
various community health facilities
(barangay health center, hospital, Rural
Health Units etc.)
• e. Distribution of health manpower
according to type of organizations
• (government, non-government, health
units, private)

You might also like