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3h.

Toliet facility
0

10%

29%

Water seled latrine Pit Privy None

3i. Bathing facility

23

33

14

Open bath Close bath Near Far

4. Environmental indicators

4a. Garbage Disposal

4
0
2

35

Oper burning Close burning Segregation Decomposition


Distance

21 20

4
15

0-5 meters 06-10 meters Covered Uncovered

4b.Land Areas causing vector problems

31

Stagnant open canals Stagnant close canals

4c. Terrain characteristics

17 16

Plain Rocky Clay


5. Economic indicator

5a. Employment status

3.2

Employed Unemployed

Occupation

0
1
1 1

30

Farmer Laborer Gov't employee Private employee self emplyed

Daily Income
0
0
2 1
12

22

Below P100 P100-200 P200-300 P300-400 P400-500 500 & Above


5b. Industry prsent in the community
0

22

29

School Manufacturing company Sari-sari store Fast fod establishments

6. Cultural variables

6a. Tribe/Ethnic origin


00
0
1 3

44

Cebuano Ilonggo Ilocano Tagalog Maranaw Maguindanaon

6b. Religion
1.2
1.4

3.2 8.2

Christian Islam Protestants


6c. Family panning method used
0

5 0

3 0
0
19
10

Artificial Pills Condom IUD Depo


BLT Vasectomy Natural BF None

C. HEALTH STATUS INDICATORS

1. Concept about health

5
16
14

9
25

1. Health is the absence of disease


Illness is a punishment from God
Health is wealth
Health is eating heatlhy
Disease is caused by demons or spirit

2. Immunization
0

32

Complete Incomplete None


3. Nutritional Status indicator
3a. Meal pattern

1.4 2

29

Less than 3x a day 3x a day More than 3x a day

3. Nutritional Status indicator


3b. Foof preferences

10

34
16

11

Vegetable Pork Fish beef

3. Nutritional Status indicator


3c. Food allergies
00
1

32

Shell Fish Chicken/Egg None


3. Nutritional Status indicator
3d. Fluid preferences

4 4

34

Softdrinks Water Juice

3. Nutritional Status indicator


3d. Fluid Intake

11

22
4

3-6 glasses aday 7-8 glasses a day More than 8 glasses a day

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