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Community
      Assessment
           in
     AlabelSarangani
        Province
Submitted to:
                 Mrs. Azucena Quito

Submitted by:
                 Aura Mae C. Lalisan
                 ChristelleG. Agustin
                 Alemar Allecer

                          October 12, 2012

Alemar Allecer
Introduction

       Community assessment is one of the methods or strategies that help to measure where our

community is now. This process uses a combination of methods, tools, and procedures to gather

information about what is happening in the community at a specific moment in time. It also gives

the people in the community an idea if the leaders are doing their jobs in maintaining the

environmental health and sanitation as one of their priority. It can also identify the priority items

of concern for community members.

       In this assessment that we conducted in our own locality AlabelSarangani Province, we

interviewed some people in the community. We formulated questions in order to get information

about 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 health

outcomes 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 the

capital municipality of Sarangani. According to the latest census, it has a population of 71,872

people 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 agricultural

products                                                                                         are


Alemar Allecer
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 of

General Santos.

       Each barangay have their own Health Center and their main Health Center is located at

barangay 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 and

Tilapia is also found there.



Health Care Services

       Alabel has 12 barangays and each of it has their own Health Center. The services and the

programs that they offer in their Health Center are Maternal Health Care Services, National

tuberculosis Program, Environmental Health and Sanitation Program, Dental Health Services,and

Clinical Laboratory Services.

       Under the Maternal Health Care Services it includes:

-Maternal and New Born Screening for free they also givefree vaccines for infants minimum

children less than 1 year old.first, the BCG (BacilleCalmetGuirine),DTP(Dipththeria Tetanus

and Pertussis) which is given in 3 doses, Hepa B also in 3 doses and last but not the least

Measles Vaccines. In smaller target meaning not all children are qualified for immunization are

also given antiviral vaccines, rotaro vaccines for rotavirus which is the causes of diarrhea

diseases among young children.

       As a result the child resistance will increase and if they have a high resistance in a certain

disease they have a big chance that they won’t able acquire the disease again.

Alemar Allecer
-Nutrition Program were they give the parents tips on how to produce nutritious foods for just a

cheaper cost, they also encourage having each family their own vegetable garden and conduct

weight 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 and

contains all the nutrients that a child need.

- Family Planningwere they introduce using of pills, condoms, bilateral ligations, lactation

amenorrhea method, promoting breast feeding , natural family planning and etc.

        This will ensure that every family will know their responsibility as parents. It will also

takes into account planning your child’s birth for specific times (possibly by spacing births a few

years 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 their

children, 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 the

students in elementary and for the adults they just collecting a small amount of money for the

Anastasia and medicine that is to be used. They are also offering free check up and fillings for

the poor ones.

        The children would be more safe in an infection because there is a dentist who will guide

him/her to a proper protection towards bacteria or plaque.

-In Clinical Laboratory Servicesthey preformed Urinalysis, Fecalysis, Direct Sputum Smear

Microscopy, blood typing, pregnancy test, platelet count, bleeding time, BSMTP (Blood smear

for malaria parasites), and etc. These examinations are not for free it has legislative fees you

need to pay before you can avail the services.




Alemar Allecer
The people in the community will not be wasting money to go to the city just to have a

laboratory 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 authority

to collect fees instead they are giving it for free and for those medicines that are not available in

the center they are just giving some medications. And most of the patients in the Health Center

are children accompanied by their mother.

       They have also build 5 BahayPaanakan (Birthing home) scattered in the municipality

of Alabelbut in terms of functionality only one is going to open this October 2012 located at

PoblacionAlabel near the Health Center.

       In this program they made the pregnant woman will be able to deliver their child safely

and efficiently.

       The Main Health Center located at PoblacionAlabel have 1 permanent nurse, 5 job order

and 7 national paid nurses, they also have 7 permanent midwives and 6 job orders. They have

also 1 job ordered Medical technologist, 1 Dentist and1 permanent Doctor.

       This could help the community to accommodate the people’s problem based on their

health, 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 free

medical and dental check up, feeding program and basic health sanitation together with the

nurses and midwives. But because of they have only one Doctor he preferred to stay in the Main

Health Center.

       The Health Center is open from 8:00 am to 12:00 noon until 1:00 pm to 5:00 pm Monday

to Friday.




Alemar Allecer
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
Common communicable disease

       -   Acute respiratory infection

       Acute respiratory infection is said to be the leading causes of morbidity in the

community. 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 the

health workers must give attention on how to lessen this disease. They should educate the parents

on how to prevent their children from acquiring this disease. They must do proper measures on

how 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 the

Health Center is that, there is free check up but they are just giving medications and you are the

one who will buy medicine for it.And in terms of immunization they are giving it by group so

they 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 the

one 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 garbage

collector collects the garbage’s in different houses. But you need first to apply in the treasurer

office and pay their so that your garbage will be collected. In some houses they are practicing

separating the biodegradable and non-biodegradable garbage and those non-biodegradable are

being collected and the biodegradable garbage are being put in the compost and use it as a

Alemar Allecer
fertilizers. But there are still people in the community who just burned their garbage even though

it’s a non-bio. Or biodegradable garbage. Sometimes they can’t collect every week because of

the 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-biodegradable

garbage help the community to lessen the garbage in the surroundings. But unfortunately, only

those who had applied in the treasurer office will be accommodated. That’s why for those who

can’t afford to pay, disposed their garbage everywhere. In some cases, the canal had become

their disposal sites that’s why when a heavy rain came the water cannot pass into the canal and it

overflow were it can lead to floods. Whenever there are floods, the microorganisms or bacteria

multiplied and being carried by the water and it can cause some diseases. So it’s better to prevent

it 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 and

accessible to them. Because of it, those people who lived their cant avail the said services. Some

of them also don’t have the strong foundation of a house. They usually lived in a small house

were their roof is made up of (pawod) were, when a heavy rain came it can’t prevent the entry of

water inside their houses and it can also be the causes of the entry of disease among them. They

don’t have usually toilets. Some of them make rivers as their toilets were they use it also for

bathing and a place for the animals to refresh.

       That’s why some of the medical workers went to this area to do medical checkups and

teaching them about health education like basic hand washing, proper tooth brushing and doing




Alemar Allecer
feeding program. To ensure that the people who lived there will be free from disease or they will

be far to acquire it.



Peace and Order

        Every barangay have a system called “LupongTagapamayapa” which settles disputes

between 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 they

are making their own policy to settle it. However, there plenty of instances that the people avoid

the 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 in

our community. By that we came up with solutions that will somehow help in the development

of 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

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Community assessment

  • 1. Community Assessment in AlabelSarangani Province Submitted to: Mrs. Azucena Quito Submitted by: Aura Mae C. Lalisan ChristelleG. Agustin Alemar Allecer October 12, 2012 Alemar Allecer
  • 2. Introduction Community assessment is one of the methods or strategies that help to measure where our community is now. This process uses a combination of methods, tools, and procedures to gather information about what is happening in the community at a specific moment in time. It also gives the people in the community an idea if the leaders are doing their jobs in maintaining the environmental health and sanitation as one of their priority. It can also identify the priority items of concern for community members. In this assessment that we conducted in our own locality AlabelSarangani Province, we interviewed some people in the community. We formulated questions in order to get information about 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 health outcomes 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 the capital municipality of Sarangani. According to the latest census, it has a population of 71,872 people 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 agricultural products are Alemar Allecer
  • 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 of General Santos. Each barangay have their own Health Center and their main Health Center is located at barangay 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 and Tilapia is also found there. Health Care Services Alabel has 12 barangays and each of it has their own Health Center. The services and the programs that they offer in their Health Center are Maternal Health Care Services, National tuberculosis Program, Environmental Health and Sanitation Program, Dental Health Services,and Clinical Laboratory Services. Under the Maternal Health Care Services it includes: -Maternal and New Born Screening for free they also givefree vaccines for infants minimum children less than 1 year old.first, the BCG (BacilleCalmetGuirine),DTP(Dipththeria Tetanus and Pertussis) which is given in 3 doses, Hepa B also in 3 doses and last but not the least Measles Vaccines. In smaller target meaning not all children are qualified for immunization are also given antiviral vaccines, rotaro vaccines for rotavirus which is the causes of diarrhea diseases among young children. As a result the child resistance will increase and if they have a high resistance in a certain disease they have a big chance that they won’t able acquire the disease again. Alemar Allecer
  • 4. -Nutrition Program were they give the parents tips on how to produce nutritious foods for just a cheaper cost, they also encourage having each family their own vegetable garden and conduct weight 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 and contains all the nutrients that a child need. - Family Planningwere they introduce using of pills, condoms, bilateral ligations, lactation amenorrhea method, promoting breast feeding , natural family planning and etc. This will ensure that every family will know their responsibility as parents. It will also takes into account planning your child’s birth for specific times (possibly by spacing births a few years 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 their children, 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 the students in elementary and for the adults they just collecting a small amount of money for the Anastasia and medicine that is to be used. They are also offering free check up and fillings for the poor ones. The children would be more safe in an infection because there is a dentist who will guide him/her to a proper protection towards bacteria or plaque. -In Clinical Laboratory Servicesthey preformed Urinalysis, Fecalysis, Direct Sputum Smear Microscopy, blood typing, pregnancy test, platelet count, bleeding time, BSMTP (Blood smear for malaria parasites), and etc. These examinations are not for free it has legislative fees you need to pay before you can avail the services. Alemar Allecer
  • 5. The people in the community will not be wasting money to go to the city just to have a laboratory 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 authority to collect fees instead they are giving it for free and for those medicines that are not available in the center they are just giving some medications. And most of the patients in the Health Center are children accompanied by their mother. They have also build 5 BahayPaanakan (Birthing home) scattered in the municipality of Alabelbut in terms of functionality only one is going to open this October 2012 located at PoblacionAlabel near the Health Center. In this program they made the pregnant woman will be able to deliver their child safely and efficiently. The Main Health Center located at PoblacionAlabel have 1 permanent nurse, 5 job order and 7 national paid nurses, they also have 7 permanent midwives and 6 job orders. They have also 1 job ordered Medical technologist, 1 Dentist and1 permanent Doctor. This could help the community to accommodate the people’s problem based on their health, 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 free medical and dental check up, feeding program and basic health sanitation together with the nurses and midwives. But because of they have only one Doctor he preferred to stay in the Main Health Center. The Health Center is open from 8:00 am to 12:00 noon until 1:00 pm to 5:00 pm Monday to Friday. Alemar Allecer
  • 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. Common communicable disease - Acute respiratory infection Acute respiratory infection is said to be the leading causes of morbidity in the community. 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 the health workers must give attention on how to lessen this disease. They should educate the parents on how to prevent their children from acquiring this disease. They must do proper measures on how 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 the Health Center is that, there is free check up but they are just giving medications and you are the one who will buy medicine for it.And in terms of immunization they are giving it by group so they 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 the one 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 garbage collector collects the garbage’s in different houses. But you need first to apply in the treasurer office and pay their so that your garbage will be collected. In some houses they are practicing separating the biodegradable and non-biodegradable garbage and those non-biodegradable are being collected and the biodegradable garbage are being put in the compost and use it as a Alemar Allecer
  • 8. fertilizers. But there are still people in the community who just burned their garbage even though it’s a non-bio. Or biodegradable garbage. Sometimes they can’t collect every week because of the 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-biodegradable garbage help the community to lessen the garbage in the surroundings. But unfortunately, only those who had applied in the treasurer office will be accommodated. That’s why for those who can’t afford to pay, disposed their garbage everywhere. In some cases, the canal had become their disposal sites that’s why when a heavy rain came the water cannot pass into the canal and it overflow were it can lead to floods. Whenever there are floods, the microorganisms or bacteria multiplied and being carried by the water and it can cause some diseases. So it’s better to prevent it 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 and accessible to them. Because of it, those people who lived their cant avail the said services. Some of them also don’t have the strong foundation of a house. They usually lived in a small house were their roof is made up of (pawod) were, when a heavy rain came it can’t prevent the entry of water inside their houses and it can also be the causes of the entry of disease among them. They don’t have usually toilets. Some of them make rivers as their toilets were they use it also for bathing and a place for the animals to refresh. That’s why some of the medical workers went to this area to do medical checkups and teaching them about health education like basic hand washing, proper tooth brushing and doing Alemar Allecer
  • 9. feeding program. To ensure that the people who lived there will be free from disease or they will be far to acquire it. Peace and Order Every barangay have a system called “LupongTagapamayapa” which settles disputes between 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 they are making their own policy to settle it. However, there plenty of instances that the people avoid the 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 in our community. By that we came up with solutions that will somehow help in the development of 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