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Community assessment


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Community assessment

  1. 1. Community Assessment in AlabelSarangani ProvinceSubmitted to: Mrs. Azucena QuitoSubmitted by: Aura Mae C. Lalisan ChristelleG. Agustin Alemar Allecer October 12, 2012Alemar Allecer
  2. 2. Introduction Community assessment is one of the methods or strategies that help to measure where ourcommunity is now. This process uses a combination of methods, tools, and procedures to gatherinformation about what is happening in the community at a specific moment in time. It also givesthe people in the community an idea if the leaders are doing their jobs in maintaining theenvironmental health and sanitation as one of their priority. It can also identify the priority itemsof concern for community members. In this assessment that we conducted in our own locality AlabelSarangani Province, weinterviewed some people in the community. We formulated questions in order to get informationabout the existing programs and services, the desires and opinions of the community members,the concerns of key community leaders and to collect data about health status and healthoutcomes in the community. The primarily goal of this paper is to measure where our community is now.Community core data Alabel is a 1st class municipality in the province of Sarangani, Philippines. It is thecapital municipality of Sarangani. According to the latest census, it has a population of 71,872people in 12, 312 households and it is politically divided into 12 barangays. These are Alegria,Bagacay, Baluntay, DatalAnggas, Domolok, Kawas, Maribulan, Pag-Asa, Paraiso, Poblacion(Alabel), Spring, Tokawal, Poblacion (Ladol). Alabel is largely based on agriculture with a high level production of dried coconut meat.Animal husbandry is the second biggest income earner, notably cattle farming. Other agriculturalproducts areAlemar Allecer
  3. 3. coconuts, maize, sugarcane, bananas, pineapples, cotton, mangoes, goat farming, pork,eggs, beef, fish, charcoal, coconut weaving. It is adjacent to the highly urbanized sea port city ofGeneral Santos. Each barangay have their own Health Center and their main Health Center is located atbarangay Poblacion(Alabel) together with Dr. Honorato Fabio their Health Head Officer. Banana Dole is also Located in Alabel were they export their product that they produced.The Sarangani Agricultural Company Inc. (SACI) where they produced fish like Bangus andTilapia is also found there.Health Care Services Alabel has 12 barangays and each of it has their own Health Center. The services and theprograms that they offer in their Health Center are Maternal Health Care Services, Nationaltuberculosis Program, Environmental Health and Sanitation Program, Dental Health Services,andClinical Laboratory Services. Under the Maternal Health Care Services it includes:-Maternal and New Born Screening for free they also givefree vaccines for infants minimumchildren less than 1 year old.first, the BCG (BacilleCalmetGuirine),DTP(Dipththeria Tetanusand Pertussis) which is given in 3 doses, Hepa B also in 3 doses and last but not the leastMeasles Vaccines. In smaller target meaning not all children are qualified for immunization arealso given antiviral vaccines, rotaro vaccines for rotavirus which is the causes of diarrheadiseases among young children. As a result the child resistance will increase and if they have a high resistance in a certaindisease they have a big chance that they won’t able acquire the disease again.Alemar Allecer
  4. 4. -Nutrition Program were they give the parents tips on how to produce nutritious foods for just acheaper cost, they also encourage having each family their own vegetable garden and conductweight surveys of children in different areas. In this parents will be able to have an idea on how to produce food that is less in cost andcontains all the nutrients that a child need.- Family Planningwere they introduce using of pills, condoms, bilateral ligations, lactationamenorrhea method, promoting breast feeding , natural family planning and etc. This will ensure that every family will know their responsibility as parents. It will alsotakes into account planning your child’s birth for specific times (possibly by spacing births a fewyears apart from one another) and planning for a child when you have challenges conceiving one.Since parents are responsible for providing education, shelter, clothing and food for theirchildren, family planning has an impact in the financial situation of any family.-In Dental Health Servicesthey are giving free extractions for young children especially for thestudents in elementary and for the adults they just collecting a small amount of money for theAnastasia and medicine that is to be used. They are also offering free check up and fillings forthe poor ones. The children would be more safe in an infection because there is a dentist who will guidehim/her to a proper protection towards bacteria or plaque.-In Clinical Laboratory Servicesthey preformed Urinalysis, Fecalysis, Direct Sputum SmearMicroscopy, blood typing, pregnancy test, platelet count, bleeding time, BSMTP (Blood smearfor malaria parasites), and etc. These examinations are not for free it has legislative fees youneed to pay before you can avail the services.Alemar Allecer
  5. 5. The people in the community will not be wasting money to go to the city just to have alaboratory examination because it is available in our own Health Center. In the Health Center they are not selling medicines because they don’t have the authorityto collect fees instead they are giving it for free and for those medicines that are not available inthe center they are just giving some medications. And most of the patients in the Health Centerare children accompanied by their mother. They have also build 5 BahayPaanakan (Birthing home) scattered in the municipalityof Alabelbut in terms of functionality only one is going to open this October 2012 located atPoblacionAlabel near the Health Center. In this program they made the pregnant woman will be able to deliver their child safelyand efficiently. The Main Health Center located at PoblacionAlabel have 1 permanent nurse, 5 job orderand 7 national paid nurses, they also have 7 permanent midwives and 6 job orders. They havealso 1 job ordered Medical technologist, 1 Dentist and1 permanent Doctor. This could help the community to accommodate the people’s problem based on theirhealth, because they have lots of medical workers they can easily respond to the people needs. They are also doing ministerial and clinical missions in far flung areas in the form of freemedical and dental check up, feeding program and basic health sanitation together with thenurses and midwives. But because of they have only one Doctor he preferred to stay in the MainHealth Center. The Health Center is open from 8:00 am to 12:00 noon until 1:00 pm to 5:00 pm Mondayto Friday.Alemar Allecer
  6. 6. Common non-communicable disease - Iron deficiency for pregnant woman and farmers. - CVD (cardiovascular disease) The above enumerated common non-communicable diseases have been observed in the community. The community has a high population of a pregnant woman that’s why it is one of the common non-communicable diseases in the community and the reason that iron deficiency is so common in pregnancy is that woman require about twice as much iron as when they are not pregnant. During pregnancy, the blood volume increase by about fifty percent, which can result in an iron deficiency. This often occurs in the second trimester, as the blood volume increases and the baby begin to demand more iron. As a respond, the Health Workers give medicines that help the mother to produce more hemoglobin to prevent the mother to become anemic. And also as a prevention the pregnant woman can eat food that is rich in iron like red meat; poultry; eggs; fruits such as apricots, peaches, raisins and prunes; dark green leafy vegetables; beans and nuts such as peanut butter, lentils, baked beans, red beans and almonds; some foods such as cereals, pasta and bread are also fortified with iron. Cardiovascular disease is one also of the common non-communicable disease that the people in the community are suffering due to the inadvertency to their own health. Lack of knowledge about the disease also increases the possibilities that they can acquire the disease. In this, the health workers must do their job by doing Health Education to the people in the community; they must give information among the people who are at a high risk of acquiring the said disease.Alemar Allecer
  7. 7. Common communicable disease - Acute respiratory infection Acute respiratory infection is said to be the leading causes of morbidity in thecommunity. It is classified based on the site of infection as Acute Respiratory Infections (AURI)and Acute Lower Respiratory Infections (ALRI). It is most common in childhood. With this thehealth workers must give attention on how to lessen this disease. They should educate the parentson how to prevent their children from acquiring this disease. They must do proper measures onhow to handle cases like this in order to lessen the morbidity rate of it.Response of people in the community towards the services offered in the Health Center According to the people we interviewed in the community about the services in theHealth Center is that, there is free check up but they are just giving medications and you are theone who will buy medicine for it.And in terms of immunization they are giving it by group sothey are giving schedules on what day you will be back to immunized your infant. -Vaccines are given in group because when you are immunizing you must consume theone bottle so that the medicine will not be damage or contaminated by other bacteria.Environmental sanitation In the community of Alabel specifically in barangay Poblacion every week the garbagecollector collects the garbage’s in different houses. But you need first to apply in the treasureroffice and pay their so that your garbage will be collected. In some houses they are practicingseparating the biodegradable and non-biodegradable garbage and those non-biodegradable arebeing collected and the biodegradable garbage are being put in the compost and use it as aAlemar Allecer
  8. 8. fertilizers. But there are still people in the community who just burned their garbage even thoughit’s a non-bio. Or biodegradable garbage. Sometimes they can’t collect every week because ofthe lack of budget for gasolines were the people got curious of where the budget goes. In this project they made, that every week they will be collecting the non-biodegradablegarbage help the community to lessen the garbage in the surroundings. But unfortunately, onlythose who had applied in the treasurer office will be accommodated. That’s why for those whocan’t afford to pay, disposed their garbage everywhere. In some cases, the canal had becometheir disposal sites that’s why when a heavy rain came the water cannot pass into the canal and itoverflow were it can lead to floods. Whenever there are floods, the microorganisms or bacteriamultiplied and being carried by the water and it can cause some diseases. So it’s better to preventit than to cure because you will be spending more money to buy medicines.Housing There are people who lived in far flung areas where the resources are not available andaccessible to them. Because of it, those people who lived their cant avail the said services. Someof them also don’t have the strong foundation of a house. They usually lived in a small housewere their roof is made up of (pawod) were, when a heavy rain came it can’t prevent the entry ofwater inside their houses and it can also be the causes of the entry of disease among them. Theydon’t have usually toilets. Some of them make rivers as their toilets were they use it also forbathing and a place for the animals to refresh. That’s why some of the medical workers went to this area to do medical checkups andteaching them about health education like basic hand washing, proper tooth brushing and doingAlemar Allecer
  9. 9. feeding program. To ensure that the people who lived there will be free from disease or they willbe far to acquire it.Peace and Order Every barangay have a system called “LupongTagapamayapa” which settles disputesbetween community members. This helps the people to easily settle the problem between them.They are calling the attention of the people who have a problem towards his neighborhood,friends or family to let them talk about it. If ever they cannot reconcile towards each other theyare making their own policy to settle it. However, there plenty of instances that the people avoidthe hassle of seeking formal mediation, they take the law in their own hand.Recommendations: At the end of the assessment we come up to these various problems we have observed inour community. By that we came up with solutions that will somehow help in the developmentof the community along with health. More budget for the health care delivery system Programs in medical missions focusing in the far flung areas. More budgets for environmental sanitation The government should accommodate needy people especially in the relocation of their houses. Health workers must efficiently teach the parents on how to prevent their children from acquiring disease.Alemar Allecer