ADAMSON UNIVERSITY

College of Nursing

PROBLEM ORIENTED ASSESSMENT (Non Compliance to Family Planning Dreamland Area) Rosario, Cavite

Submitted to: Professor Barbara Laureano Claridad, RN, MAN Clinical Instructor

Submitted by: GROUP III-A and GROUP III-B

September 3 6, 2012

Chapter 1
Community Health Nursing is a field of practice where services are delivered outside of purely curative institutions, but in community settings such as the home, the school, places of work, health centers and clinics. The scope of services provided covers the whole range of health promotive, preventive nursing services, with bias towards and priority given to health promotion and disease prevention especially for undeserved and high-risk individuals, families, population groups on areas of the community. The ultimate objective of care is achieving the highest possible level of community health by developing and enhancing the capabilities of individuals, families, various population groups, and the community as a whole to take care of their own health and effectively cope with health problems. To achieve this objective the nurse works in full partnership with the client (be it an individual, a family, a specific group or the whole community), utilizing the basic methodology of the profession the Nursing process and in cooperation and collaboration with other members of the health team as well as with relevant members of the intersectoral team. Participation of all consumers of health care is encouraged in the development of community activities that contribute to the promotion of, education about, and maintenance of good health. These activities require comprehensive health programs that pay no attention to social and ecologic influences and specific populations at risk.

Community needs assessment is the process of determining the real or perceived needs of a defined community of people. A type of community assessment is the Problem oriented assessment which begins with a single problem and then assesses the community in terms of that problem. The Problem oriented assessment is commonly used when familiarization is not sufficient and comprehensive assessment is expensive. This type of assessment responds to a particular need. The data collected will be useful in any kind of planning for a community response to the problem.

Initially, the Adamson University College of Nursing swarmed the area and assessed its needs and problems. One of the by the researchers among the reproductive age group (15 49 years old) couples of Dreamland I and Dreamland II Muzon I and Muzon II of Rosario Cavite is

non compliance to family planning and lack of awareness to seminars regarding the family planning methods and responsible parenthood to meet the Dreamland I and Dreamland II needs.

As members of the Community Health Nursing, we are one with them in making their community a better place to live in. We followed the principles of COPAR in implementing those changes. We started with the survey and assessment of the area. For a clear and systematic action, we conducted interviews and data recording together with a plotted map of their area. It and more out of the category of a chance happening and more closely to the realm of responsible choice, the decision whether or not to give birth to children must include acceptance of the responsibility to provide for their mental, physical and spiritual growth, as well as consideration of the possible effect on quality of life for family and society.

As Vincentian nurses, we support the sacred dimensions of personhood; all possible efforts should be made by parents, community and community health care providers to ensure that each child of Dreamland I and Dreamland II of Rosario, Cavite enters the world with body and is born on into an environment conducive to realization of his or her potentials.

Background of the Study

The municipality of Rosario is a first class urban municipality in the province of Cavite, Philippines. According to the 2007 census, it has a population of 94,228 people in an area of 38.16 square kilometers, making it one of the most densely populated city/municipality in Cavite. Geographically, Rosario is bounded in the north northeast by Noveleta, in south by Tanza and in the west southwest by south of Cavite City. It is accessible by land and water transportation.

Dreamland village is located near an old dumpsite in Rosario, Cavite. The residents either scavenge useful materials from the dumpsite or fish from the nearby shore in order to survive. They also have to live through the absence of electricity and lack of clean water. Rosarios potential labor force comprises 59.25% of the figure given above, with the majority engaged in fishing and trade activities. The growth rate is 3.63%. The place village is called Lupang Pangarap understood by its residents in the manner of the biblical sense of the term Promise Land. The occupants of the place believed that God in his mysterious ways brought out a piece of land from the depths of the sea gave it to them to be their home, a land of their home. Dreamland is a sand bar accumulated in time offshore. It was 20 meters protecting the sea wall protecting seaside barangays of Muzon I and Muzon II. A couple of families initially occupied the sand bar; and as more families come to settle in the same place, they gradually widened the area by manually reclaiming more areas from the sea.

Six years ago, a real estate developer whom they identified as Engineer Magno started a massive land reclamation project covering an area of more than 50 hectares including the same area where dreamland was located. His construction firm has put down concrete blocks around the area to mark the perimeter of the part of the sea he intends to reclaim the strengthen his right of claim on the property. The construction firm opens the reclamation site for garbage dumping, allowing them to save the cost for landfill at the same time collect fee for every truckloads of garbage dumped in the site. There had been considerable progress in the land reclamation project

undertaken in the site for the last six years. The formerly vast open seashore had been littered with garbage that was later covered with a landfill.

There are many concerns and issues that are most pressing and utmost importance for the people of Dreamland. One of these problems is non compliance to family planning methods and responsible parenthood among the reproductive age group (15-49 years old) couple of Dreamland I and Dreamland II could be raised through the efforts of community people and institutes like Adamson University College of Nursing. The very solution for the problems that will be addressed is in the hands of the residents, themselves, with us being the catalyst for this wonderful change.

Statement of the Problem

This study aimed to make a problem-oriented assessment of Dreamland I and Dreamland II, Barangays Muzon I, II, Rosario Cavite. This study will specifically answer the following: 1.What is the demographic profile of the respondents of Dreamland I and Dreamland II, Barangay Muzon I and II of Rosario, Cavite? 1.1 Ages of couples 1.2 Occupation 1.3 Number of children 1.4 Gap on childrens age 2.How many respondents are utilizing family planning methods? 3.What are the types of family planning methods utilized by the respondents in terms of the following: 3.1 Natural method of family planning 3.2 Artificial method of family planning 3.3 Permanent method of family planning 4.What is the respondents source of information about family planning methods? 5.What is the knowledge of the respondents about Responsible Parenthood Education in terms of the following: 5.1 Tamang pag-aalaga ng mga anak 5.2 Pagpapasuso 5.3 Responsibilidad sa pamilya 5.4 Tamang pagkonsulta 6. How many respondents are interested to learn about Family Planning methods and Responsible parenthood?

Conceptual Paradigm

Figure1. The above conceptual paradigm is PRECEDE PROCEED FRAMEWORK in which the researchers utilized in conducting a research study about the Non Compliance to Family Planning in Dreamland Area of Rosario, Cavite.

PRECEDE-PROCEED model is a participatory model for creating successful community health promotion and other public health interventions. It is based on the premise that behavior change is by and large voluntary; health programs are more likely to be effective if they are planned and evaluated with the active participation of people who will have to implement them and others who would be affected by them. Thus, health and other issues must be looked at in the context of the community.

Significance of the Study

The result of the study will be beneficial to the following:

To the Philippine Government, the study presents the problem-focused of Barangay Muzon I and Muzon II, Rosario Cavite. The data that were gathered served as a basis for the implementation of the development of community programs.

To the Municipal Health Office, the study serves as guidance for them to recognize the health problems of the community people specifically the common issue in terms of the proper use of family planning method and responsible parenthood to each couple in Barangay Muzon I and Muzon II Rosario, Cavite. In addition , the study will expand their knowledge on how to assess the current problems of the community.

To the Barangay Leaders, the study will reflect to the problem-focused of the community which can help them to plan, implement and evaluate the possible outcome of the program.

To the Barangay Health Workers and Rural Health Nurse, the study can help them to be ware and gain knowledge on the health concerns of the community people regarding the proper use of family planning method and responsible parenthood in order for them to meet the health needs of community people.

To Adamson University, through untiring help and generosity of Vincentian community to the society of disadvantage people, they can extend their love and service to the community people.

To the Nursing Students, the study will serve as an opportunity to incorporate themselves to the community people and expand their knowledge regarding the problem focused assessment of the community.

To the Community of Barangay Muzon I and Muzon II Rosario , Cavite. The data that has been gathered in this study will help establish basement data on the health status of the couples who belong to the reproductive population of Dreamland I and Dreamland II community. The information derived from the problem oriented assessment includes the interpretation, analyses, presentation of corresponding health implications of all relevant data gathered information about the interacting elements existing in their community which can either directly of indirectly affect their health. Thus, this study will elevate the residents awareness to their current health condition and further enhance their knowledge about health ,for adjustments in solving and coping with their problems for their attainment of generally desirable health and well being as people.

To Future Researchers, the study will serve as stepping stone in identifying community problems and providing much needed community assessment , diagnosis implementation of activities and projects for the betterment of the community.

Scope and Limitation of the study

The study was conducted to gather pertinent information from the residence of Dreamland I and Dreamland II, Barangay Muzon II regarding the respondents demographic profile , family data, utilization of family planning methods ,source of information about family planning, knowledge about responsible parenthood education and interest in attending the seminars about family planning.

The target population consisted of couples whose age belong to the reproductive age group (15-45 years old) and who lives in Dreamland I and Dreamland II ,Barangay Muzon I and II from the time the student conduct their interview.

The study was limited only among couples who belong to reproductive age group (15 -45 years old) and is a bonafide resident of I and II Barangay Muzon I and II Rosario , Cavite Women who were menopause and couples who do not belong to the reproductive age group ( 15 -45 years old) were excluded in the study.

List of Contributors

GROUP III A & GROUP III B Lacerna, Ailyn Larosa, Alfred Magallanes, Katrina Jem Malco, Carol Narag, Mary Rose Ocampo, Loujane P. Ocana, Marie Anthea J. Otico, Sheila P. Pacris, Kaycelyn

Questionnaires Caballejos Calvez Cedeno Enriquez Estuye Famularcano