Community Health Nursing II (Population Groups and

Community as Clients)

Module #9 Teacher’s Guide

Lesson Title: GUIDELINES IN MAKING OF THE COPAR Materials:

DOCUMENTATION AND COMMUNITY HEALTH SURVEY FORM
Pen, paper, index card, book, and class List
Learning Targets:
At the end of the module, students will be able to:
1. Identify the different parts of COPAR documentation; References:
2. Demonstrate how to do the COPAR documentation;
3. Identify the different parts of the community health survey form; Famorca, Z., Nies, M., McEwen, M. (2013).
and, Nursing Care of the Community. Singapore:
4. Demonstrate how to use the community health survey form Elsevier
properly. Other References:

Cuevas, F. P., (2007). Public Health Nursing

in the Philippines (10th edition). Manila,
Philippines.
De Belen, R. & De Belen, D. V., (2008). A
Praxis in Community Health Nursing. 1672
Quezon Avenue South Triangle, Quezon City.

Maglaya, A., (2004). Nursing Practice in the

Community (4th edition). Philippines

A. LESSON PREVIEW/REVIEW

Instruction: Identify the following phases of community organizing.

1. This is the stage where the organizer gets to know the community likewise gets to know the organizer.
Answer: Entry into the Community

2. This is the process of gathering, collating and analyzing data to gain extensive understanding of community conditions,
help in the identification of problems of the community and determine the root cause of these problems.
Answer: Social Analysis

3. Through various means of information dissemination, the core group, with the assistance of the organizer, instills
awareness of common concerns among other members of the community.
Answer: Community Organization

B. MAIN LESSON
The instructor should discuss the following topics. Instruct students to take down notes.

The suggested parts of the COPAR documentation are as follows:

1. Title Page
a. Title: All uppercase, centered at the top of the page. COMMUNITY ORGANIZING PARTICIPATORY ACTION
RESEARCH\
b. Authors: Uppercase and lowercase, centered on the page. Enumerate name in alphabetical order (Surname,
First Name/s, Middle Initial); immediately followed on the next line by the authors’ affiliation (Level, Block, and
Group Number).
c. Submission Date: Month and year, with no comma in between. Uppercase and lowercase, centered on the
line of the page.
d. Pagination: While no pagination appears on the title page, this is considered as page i (lowercase of letter i)
and mentioned in the Table of Contents as such.

[Note: Pagination for the preliminary pages uses Roman Numerals in lowercase letters.]

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 Community Health Nursing II (Population Groups and
Community as Clients)

Module #9 Teacher’s Guide

2. Acknowledgement
a. Pagination: This document serves as page iii (depending on the number of Table of Contents’ pages) placed
at the bottom on the right edge of the paper.
b. Heading: “Acknowledgement” (Uppercase and lowercase, centered on the first line below the running head).
c. Content: Briefly state names of mentors and other people with significant contribution to the research study.

3. Table of Contents
a. Pagination: The table of contents follows the Dedication, with the corresponding lowercase Roman numeral
page numbering (and onwards) placed at the bottom on the right edge of the paper.
b. Heading: “Table of Contents” (Uppercase and lowercase, centered on the first line below the running head).
c. Order of Subheadings: Starts on the second line after the main heading, flush left, and sequentially on the
succeeding lines. Across each is the corresponding page of it location on the manuscript.
d. Preliminaries – Title page, Acknowledgement, Table of Contents, List of Tables, and List of Figures.
e. Headings and subheadings (as they appear in chronological order in the body).
f. References, Appendices, and Curriculum Vitae.

4. Introduction
a. What is the study all about?
b. How it is related to Nursing?
c. Rationale of Community Health Nursing
d. Rationale of Community Organizing

5. Community Profile

A. Geographic identifiers
a. Historical Background – includes description of past population, location or proximity to
metropolitan area, organizational chart of barangay, relationship to surrounding communities and
other pertinent data.
b. Describe the location, boundaries, total population, physical features, climate (seasonal
change), medium of communication, and means of transportation and resource (e.g. Hospital,
market. School, health centers etc.) available in the community.
c. Create spot map with the following directions

Note: The North always is located on the top. Legends and color coding are used to indicate
houses interviewed, and resources of the community such as Markets, Barangay hall, church,
communal water source, public toilets, health centers, stores and other landmarks.

d. Barangay Organizational Chart

e. Health Center Organizational Chart

B. Population Profile
a. Total Estimated Population of Barangay (based on NSO)

b. Population Density (PD)

PD= Total No. of Population X 1000

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 Community Health Nursing II (Population Groups and
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Module #9 Teacher’s Guide

Total No. of Sq. meters

c. Total population of the area surveyed

d. Total of families surveyed
e. Total number of households surveyed

C. Socio-demographic Profile
a. Total Population of Families Surveyed
b. Total Population Surveyed
c. Total number of Households Surveyed
d. Age and Sex Distribution
e. Sex Ratio (SR)

SR= No. of Males x 100

No. of Females

f. Dependency of Ratio (DR)

DR= No. of pop. 0-14+ 65y.o and above

Population 15-64-year-old

g. Civil Status
h. Types of Families
i. Religious Distribution
j. Place of Origin
k. Length of Residency

D. Socio Economic Indicators

a. Educational Attainment
b. Literacy Rate
No. of population 8 years above whom can read and write
Literacy Rate=

Total No. of Population 8 years old and above

c. Occupation
d. Income
e. Housing Condition
f. Ventilation

E. Environmental Indicators
a. Water Supply
b. Excreta Disposal
c. Garbage Disposal
d. Others: Pet Ownership
Domestic Animals (Pig, Dog, Birds, Cats) per Family Surveyed

F. Health Profile
a. Food storage
b. Infant feeding practices
c. Immunization Status of Children (0-12 months old)

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 Community Health Nursing II (Population Groups and
Community as Clients)

Module #9 Teacher’s Guide

d. Community Facilities and Resources
e. Health seeking behaviours / Awareness of medical /
dental Utilized commonly used by the co munity
people.

G. Communication resource
a. Source of Information
b. Family Planning

H. Morbidity and Mortality Data

a. Leading cause of Morbidity
b. Leading cause of Mortality
c. Leading cause of maternal Mortality

I. Analysis of Data
a. identification of health problems
b. Prioritized problems identified

J. Data on Community Development

K. Conclusion
L. Recommendations
Action Plan based on from the prioritized problem identified
a. Interventional Strategies
b. Review of related literature, if any regarding possible solutions to the health problems.
c. Specific activities to be done.
d. Gantt chart of activities to be done
e. Budget

6. References
7. Appendices

Steps in Community Health Survey

1. Preparation
a. Identify the barangay to survey or required by the health center.
b. Ocular survey
1. Courtesy call on the barangay captain; kagawad for health
2. Identification key to leaders and barangay health workers;
3. Conduct ocular survey of a few households.
4. Start preparing the spot map.

c. Community assembly
1. Inform people of purpose of presence in the barangay.
2. Disseminate initial findings specially presence of infectious disease in the area: explaining its
mode of transmission; sign and symptoms.

2. Conduct of survey using the format/ survey form.

a. Random Sampling or saturation
- Random sampling, 10% of population; employ one group
- Saturation-house to house survey; to check total population and determine true picture of barangay;
employ several groups.
b. Guidelines in filling survey form.
1. Use pencil during the actual survey
2. Clean and clear documentation

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 Community Health Nursing II (Population Groups and
Community as Clients)

Module #9 Teacher’s Guide

3. Families are not allowed to write on the health assessment form.
4. There are items that can be answered through ocular survey.

COMMUNITY HEALTH ASSESSMENT FORM

Respondent: Age:
Sex:

Relation to Head (If not the Head of the Family)

I. Family Data
A. Head of the family: Age:
B. Name of Spouse: Age:

C. Address: Tel No.:

D. Educational Attainment
i. Husband:
ii. Wife:

E. Length of Residency:
F. Ethnic Origin :
G. Family:
Nuclear ( ) Extended ( )
H. Religion:
I. No. of Children:
J. Members of the Household:
Name Age Sex Status Education Occupation

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

II. Socio Economic Data

A. Source of Income
Occupation:
Husband:
Wife:
Employed () Unemployed () Self–employed ()

Monthly Income
Below ₱ 2,000 () ₱ 2,000 - ₱ 5,000 ()
₱ 5,001 - ₱ 8,000 () more than ₱ 8,000 ()
B. Family Expenditures

1. Food
Below ₱ 50 () ₱ 50 – 75 ()
More than ₱ 70 ()

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 Community Health Nursing II (Population Groups and
Community as Clients)

Module #9 Teacher’s Guide

2. Clothing number of times of buying

Once a year () Twice ()
Thrice a year ()

3. Housing
Water () Electricity ()
Telephone ()

4. Schooling
Public () Private ()

5. Others

C. Housing and Environmental Condition

A. Home
Type

Concrete () Wood ()

Mixed () Makeshift () Others

Ventilation:

Poor () Good ()

Lighting:

Adequate () Inadequate ()

Surroundings:

Clean () Dirty ()

B. Source of Water Supply

Artesian well () Deep well ()

NAWASA () Others:

C. Storage of Drinking Water

Refrigerated () Covered ()

Uncovered ()

Containers used:

Plastic () Clay jars ()

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 Community Health Nursing II (Population Groups and
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Module #9 Teacher’s Guide

Bottles () Others:

D. Toilet
Facilities
Sanitary
:
Flush () Pit privy ()

Others Owned () Shared

Unsanitary:

“Ballot” system () Others

E. Garbage Disposal
Collection () Burning ()

Burying () Open dumping ()

Garbage cans () Others

F. Food Storage
Covered () Uncovered ()

Refrigerated ()

G. Presence of Animals
Dogs () Cats ()

Pigs () Others

H. Backyard Gardening ()
Vegetables Herbal (
Fruit-bearing () Others

D. Community Resources
A. Health and Other Facilities Health
center () Barangay hall ()
School () Church ()
Park () Market ()
Health center () Private clinic ()
Public hospital () Private hospital ()

B. Indigenous health workers Trained

“hilot ” () BHW ()
“Herbularyo” () Untrained “hilot” ()
Others:

C. Sources of health funds:

Government () Private ()
NGOs/POs () Others:

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 Community Health Nursing II (Population Groups and
Community as Clients)

Module #9 Teacher’s Guide

E. Nutrition
A. Food preference
Fish () Fruits/ vegetables () (
Meat () Mixed () (

B. Common
Rice and egg () Rice and sardines ()
Rice and noodles () Others:

C. Presence of Nutritional Disorder

1. Goiter
Enlargement of the neck () Dysphagia ()
Hoarseness () Others:

2. Anemia
Pallor () Easy fatigability

Body weakness ()

3. Vitamin A deficiency
() “Pilak sa mata”
Night blindness
Others

4. Others:

F. Knowledge, Attitude and Practice

A. Do you utilize the health center: Yes () No ()

If no, why?
B. Reason:
Illness () Prenatal ()
Family planning () Postnatal ()

Dental () Nutrition ()

C. First Person consulted in times of illness:

M.D. () Nurse ()

Midwife () “Hilot” ()

“Herbularyo” () BHW ()

Others

D. Usual illness in the family

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 Community Health Nursing II (Population Groups and
Community as Clients)

Module #9 Teacher’s Guide

What do you do for this condition?

Self- medication () Consultation ()

Hospital () Private clinics ()

Nursing () Others:

E. Other’s diseases
TB () Leprosy ()

Skin disease () Hepatitis () Others

F. Do you submit your children (0-12 months) for immunization?

Name of Child Birthday Immunization

BCG DPT OPV AM

G. Do you practice family planning? Yes ( ) No ()

Method: If no, why?

H. Method of infant feeding:

Breast () bottle ()

Mixed ()

I. Subjects you want to learn in health education:

Drug abuse () Nutrition ()

Family planning () Herbal plants ()

First aid measure () Others

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 Community Health Nursing II (Population Groups and
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Module #9 Teacher’s Guide

Interviewed by:

CHECK FOR UNDERSTANDING

The instructor will prepare 10 questions that can enhance critical thinking skills. Students will work by themselves to
answer these questions and write the rationale for each question.

1. Which among the following is included in the Title Page? (select all that apply)
A. Name of the authors
B. Name of the adviser
C. Submission date
D. Page
Answer: A and C
Rationale: Option A and C are included in the title page. Option B, name of adviser is not included. Option D, no
pagination appears on the title page although it is considered as page i.

2. This page briefly explains what the paper is all about?

A. Acknowledgement
B. Introduction
C. Table of Contents
D. Title page
Answer: B
Rationale: Option B, Introduction talks about what is the paper all about. Option A, acknowledgement contains brief
statements about mentors or people who made contribution to the research study. Option C, Table of Contents will guide
the readers regarding the content and its corresponding page.

3. Briefly state names of mentors and other people with significant contribution to the research study:
A. Acknowledgement
B. Introduction
C. Table of Contents
D. Title page
Answer: A
Rationale: Option B, Introduction talks about what is the paper all about. Option C, Table of Contents will guide the
readers regarding the content and its corresponding page. Option D, pertains to the title of the study

4. It contains pictures and documents that are related to the study:

A. Reference
B. Appendices
C. Community profile
D. Recommendations
Answer: B
Rationale: Option B, Appendices contain pictures, letters and other documents related to the study. Option A, books and
other related materials cited in the study will be documented in the reference. Option C, community profile contains data
about the community. Option D, recommendations are the proposal plans to solve the problems and concerns of the
community.

5. Geographic identifiers include: (select all that apply)

A. Historical background
B. Spot map
C. Vicinity map
D. Organizational chart
Answer: A, B. C and D
Rationale: All options will help in determining the geographical identity of the community.

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 Community Health Nursing II (Population Groups and
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Module #9 Teacher’s Guide

6. Who are included in determining the literacy rate of a community:
A. 8 years old and above
B. 8 years old and below
C. 14 years old and below
D. None of the above
Answer: A
Rationale: Only 8 years old and above are included in determining the literacy rate. It is being considered that 8 years old
can read and write. The literacy rate is computed by dividing the total number of 8 years old and above who can read and
write over total number of population of 8 years old and above.

7. It is a record of names of authors cited in the study

A. Reference
B. Appendices
C. Community profile
D. Recommendations
Answer: A
Rationale: Option A, books and other related materials cited in the study will be documented in the reference. Option B,
Appendices contain pictures, letters and other documents related to the study. Option C, community profile contains data
about the community. Option D, recommendations are the proposal plans to solve the problems and concerns of the
community.

8. The health profile of the community is reflected by: (select all that apply)
A. Excreta Disposal
B. Food storage
C. Infant feeding practices
D. Community Facilities and Resources
Answer: B, C and D
Rationale: Option A, excreta disposal reflects the environmental profile of the community. Options B, C and D depict the
community’s health profile.

9. Who are not included in computing the dependency rate of the community?
A. 60 years old and above
B. 18 years old and below
C. 14 years old and below
D. None of the above
Answer: D
Rationale: In computing the dependency rate, the population of 0-14 years old and 65 years old above is divided to the
total population of 15-64 years old.

10. Population density is computed by dividing the total population to the:

A. Total lot area in cubic meter
B. Total lot area in square meter
C. Total community area in meters
D. Total number of houses
Answer: B
Rationale: The formula in computing PD is equals to total number of population divided by total area in square meters
multiply to 1000.

C. LESSON WRAP-UP

AL Activity: CAT: 3-2-1 This strategy provides a structure for students to record their own comprehension and
summarize their learning. It also gives the teacher an opportunity to identify areas that need re-teaching, and areas of
student interest

Instructions:

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 Community Health Nursing II (Population Groups and
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Module #9 Teacher’s Guide

1. As an exit ticket at the end of the class period
2. After the lesson, have each student record three things he or she learned from the lesson.
3. Next, have them record two things that they found interesting and that they’d like to learn more about.
4. Then, have students record one question they still have about the material.
5. Review the students’ responses. You can use this information to help develop future lessons and determine if some
of the material needs to be taught again.

Three things you learned: One question you still have:

1. ______________________________________ 1. ______________________________________

2 ______________________________________

3. _____________________________________

Two things that you’d like to learn more about:

1. ______________________________________

2. _____________________________________

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