Ê

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Barangay Mabulo is one of the many barangays in Naic, Cavite where second year

Nursing Students of Cavite State University are assigned to conduct their Community

Organizing Participatory Action Research (COPAR). The community is situated three kilometers

away from the town of Naic. Different barangays surround it. At the north side of it is Barangay

Labac while Barangay Bancaan is at its south. At its east is Barangay Malainen-Bago and Manila

de Bay at its west.‘

Measuring the total land area of fifty-two hectares, the area is divided for residential (21

hec), agricultural (30 hec), institutional (0.5 hec) and commercial (0.5 hec) purposes. From

where Mabulo is situated, the barangay can be classified as a coastal community.

There are 685 households in the community that is composed of 3426 people (Naic RHU,

2010). Likewise, as what have been obtained from the survey, there are 253 out of 266 families

in the community whose members are employed while the rest are just depending on the aid of

other people. It may be inferred that 98.8 percent of the households from the sample population

are economically productive and are capable of somehow supporting their family.














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 • ÊÊ
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The municipality of Naic in the province of Cavite lies 47 kms. from the City of Manila.

It is bounded on the north by Manila Bay, to the south by the adjacent towns of Indang and

Maragondon, to the east by the City of Trece Martires, Cavite¶s seat of Provincial Government,

and to the west by the town of Tanza. The origin of the Municipality of Naic can be traced to a

string of villages whose population cleared meadows for rice and corn production near the shores

of the present Balsahan, Bancaan and Labac barangays. As the coastal and riverine settlement

flourished in the early Spanish era, the Dominican friars formally made the growing

community a barrio of Maragondon, one of the oldest towns in the Province of Cavite,

along with the present towns of Ternate and Magallanes. Towards 1800, further colonial

interests focused on the prospects of the agricultural lowland as a productive estate.

Naic became one of the Friar Land Estates catering to the world market. To this day, Naic

serves a point of commercial convergence among the lowland and upland towns of

Cavite and nearby municipalities of Las Piñas, Parañaque, parts of Manila. Batangas and

Laguna. It has maintained its roles as a rice granary of Cavite, producing rice almost enough for

the needs of many towns of the province, and supplies to fish in the markets of Cavite City,

Imus, Las Piñas, Parañaque, Pasay, and even Divisoria, Manila.

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Naic's total population result is distributed in thirty (30) barangays of this municipality.

Ten (10) of the barangays comprises the urban areas while twenty (20) barangays comprises the

rural area. Based on the province population of 2.86 million for the year 2007, Naic is 3.28

percent of its population.



Naic health care services are being undertaken in different health care facilities in the

municipality and by different health personnel. There is only one Health Center for the entire

population of the municipality. The service offered by the health station include maternal and

child care, family planning, immunization, pre-natal, dental and nutrition service. The RHU runs

an anti-TB program. There are currently eighteen (18) Brgy. Health Stations in Naic making

them the main form of public health service.

Ê • Ê   Ê

a government owned hospital which was established

in 1973 lies some 2 kilometers from the town center. It is located at Soriano Highway, Brgy.

Ibayo Silangan. At present, it has 4 rooms with a total of 15 beds. It has 3 doctors, 3 nurses, 3

midwives, 1 medtech, and 7 support staff (i.e clerk, bookkeeper, food server, driver, laundryman,

cook and janitor). The services offered by the hospital includes minor operation, medical

attandance to out-patients and maternal and child care. Regular fund is provided by the

MEDICARE Commission for salaries of the hospital personnel.‘

Ê
Ê
ÊÊ  Ê
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- established in 1998 and located at Governor's

Drive/Sabang. It has 26 rooms with a total of 24 beds. It has 30 doctors, 15 nurses, 4 midwives,

and 18 support staff.

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 Ê 
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- located at Governor's Drive/Daang Makina was

established in 2000. It has 18 rooms with 32 beds and has 15 doctors, 15 nurses, 5 midwives and

19 support staff

Ê

 
 Ê  •
 Ê
   Ê
Ê 
Ê Ê - established since

1996. It has 2 rooms with 7 beds, 6 doctors, 6 nurses and 5 support staff


 ÊÊ
 • Ê
  •
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Ê Ê - established since 1998,

located at Brgy. Capt. C. Nazareno. It has 3 rooms and 3 beds, 4 doctors and 4 support staffs.





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Barangay Mabulo is situated nearby the sea of the Municipality of Naic, Province of Cavite

and is fifty two hectares (52 hcs) wide. Its distance from the public market of Naic is about three

(3) kilometers.

The barangay is named after and became well-known because of familiar sights ³Puno ng

prutas ng Mabulo´ which are planted and are lined up near the provincial public road and even at

the courtyards too. From the start, Barangay Mabulo is a part of Barangay Bancaan. Despite this

situation, they have a well- known leader of the barangay who¶s name is G. Tiburcio Binsol

(³Tiniente del Baryo´).

In the year 1954, with the leadership of Hon. Macario B. Pena as the mayor of Naic, the

Barangay Mabulo was separated from Barangay Bancaan. At that time, Mr. Efren Ricase was

appointed as the ³Tinente del Baryo´ of the barangay.

From the time that they had the ³Batas Pambarangay´, the first person in charge of the

barangay was Mr. Patricio Cawit.















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A peaceful barangay with the purpose of faithfully serving and uniting its people, for a

clean and green environment, to achieve a prosperous living with the help of our Mighty God.



•


Deliver to everyone a methodical and faithful service, with livelihood and health-related

programs, execute the ordinance which conforms to the cleanliness of the environment,

strengthen ³Income Generation´ among the people and a continuous collaboration for the

development of the barangay.



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To raise the living of the people by the use of Livelihood programs and to have a clean

and peaceful community.

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The term village as accorded from Maine (2008) refers to a community commonly found

in rural areas. The people in here are tied either by blood or by the industry that provides the

living of the people. The houses in here are commonly owned by the residents (Tietze, 2008).

They are very familiar with one another unless some of the residents are just only new to the

area. As to what have been stated, the community may have been classified as a village since it

possesses the aforementioned qualities. It is likewise coined as a coastal village due o its

geographical setting and the main mode of living by the community people.

A typical house in a rural area in the Philippines is commonly made out of wood (Zaide,

2005). The houses in the community, despite its being in a rural area, are chiefly made out of

concrete. A large number of the inhabitants have the mixed type of house while there are those

who live in the light and makeshift classification of houses. Those who live in the latter

mentioned types of houses are those who are earning below the set minimum wage.


+&"


 The community is provided with sufficient educational institutions to cater the needs of

the youth who are searching for a bright light of knowledge. For those in the elementary level,

the barangay has its own elementary school. Another elementary school is also present in the

barangays nearby. The municipality also has several secondary education institutions. There are

a total of nine high schools, six of which are private while the remaining are public. There is also

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an institution for tertiary education in the area. The college, CvSU-Naic Campus, focuses on

nautical science and technology since the area is considered to be coastal.

Considering the educational attainment of the people, it is shown that most of the people

there are graduates from high school but did not continue to pursue a degree in college.

Nevertheless, there are still some degree holders within the area. Most of them have finished

BSHRM and BSEd while the others are still on their way of finishing their course under various

programs.



+


 The committee for peace and order in Barangay Mabulo is headed by Coun. Geronimo

Belber as aided by Coun. Edgardo Hinahon, the chief of the barangay police. In the barangay,

there is no actual facility for fire and safety except for a fire extinguisher available in the hall.

They just depend on the fire station of the municipality situated in Brgy. Ibayo Silangan which is

nigh to the municipal hall and the police station. The fire station of Naic is headed by Mr. Jose

Cataulin. He takes command under the municipal mayor, Hon. Eduina Mendoza. In the station,

there are only two fire trucks. In there, however, only one is functional.

The measures being taken by the officials apropos fire and safety are more on prevention.

They hold seminars and trainings to avert such event. They likewise provide some campaign

materials regarding it so the people will be aware of its causes and preventive measures.









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The barangay, being a part of the legislative power governing the Philippines, is likewise

headed by a council known as the 


‘  
  wherein the barangay captain or





 ‘ is considered as the chief executive. The barangay captain in the area is Hon.

Cesar Loyola, Jr. He is the one who takes charge of the barangay as aided by his constituents

termed in Filipino as    . Since they are elected by the people to govern in the community,

they are considered as the formal leaders there. There are some people in the community,

however, whose views and ideas are being followed and considered even if they do not hold any

position in the council. They are the informal leaders of the barangay. Such includes the

president and vice president of the Mabulo Health Organization, Mesdames Jorğa Bustamante

and Lolita Peliña respectively.

The barangay hall, where the seat of government is found, is situated fifteen metres from

the highway and five metres away from the next residential house. It is built to serve as the

meeting place of the public officials and as an agency where the public concerns in the barangay

will be discussed especially the discords and disagreements that may occur among the people.

As the governing body in the community, the council implements rules and regulations to

promote peace and order. They also provided penalties and disciplinary sanctions for those who

will fail to conform accordingly. They sponsor some civic projects such as Waste Management

Program to maintain the cleanliness within the area and to somehow earn income as well.









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 The barangay is equipped with a health centre situated right behind the barangay hall. It

is headed by the barangay midwife, Ms. Ofelia Milay and is staffed by the barangay health

workers under Ms. Avelina Himaya. The centre is open every Thursday from 8 am to 12 nn to

cater the people¶s needs.

The barangay health centre is where the people seek for primary health care. It provides

basic health services such as immunization, feeding, vital signs, and health counseling.



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The barangay, in spite of its being a rural community, is still able to adhere on the trends

being introduced by the current advancements in technology. Maliksi (2007) cited in one of his

speeches that the province of Cavite would always be a partner of the nation in upgrading its

people¶s knowledge on the newest information that is being pervaded worldwide. This is what is

apparently happening in the community. The major mode of communication is the use of cellular

phones while there are still some who use landline phones. Though there are people who still

stick on the snail mail method, there are a few who use email in sending their messages to distant

places.



", ""


 The community is mainly into fishery due to its geographical setting. Even so, there are

also some other industries present in the locality such as in metal and food service. There is also

a wide range of farmland there thus, indicating that the community is also a rice producer.

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 Artesian wells are the major source of water in the community. Some have their own at

home while the rest depend on the public sources. This is despite the advisory averred by the

National Water Resources Board (2003) which states that every family must provide themselves

with their own private source of water supply to ensure that they are receiving the best quality of

water. The people perhaps do not have the capability to have and maintain their own source of

water; thus the present condition in the community.

There is also a water refilling station there. This business establishment supplies

guaranteed clean water for its customers.

The Rural Assistance Centre (2009) reported that reliable transportation is critical to

helping rural communities and community members to remain healthy and productive. They

added that this is what binds communities together and supports economic growth. The

availability of transportation, however, is often limited in rural settings. Just like the present

condition in the barangay, a few have their own means of transportation while the rest depend on

the public utility vehicles. The major public vehicle being used in the community is tricycle. A

lot also use jeepney and there are also some who depend on buses. Very a few use FX as their

means of transportation.

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A.‘Most of the houses in the
Barangay are made of
concrete which is of good
quality.
A.‘Some of the houses that are
classified as mixed type are
made of light materials
from pieces of wood,
coconut leaves and bamboo
trunks. And houses are
congested.
A.‘Schools that provide A.‘Construction of houses
educational access for the
community can create and
shape future leaders,
entrepreneurs and other
professionals needed to
make the society in the
continuum.
under the mixed type
cannot withstand naturally
occurring phenomena like
heavy rain and strong
wind. Since the
community is classified as
a coastal village, floods
can occur during the rainy
seasons.

B.‘The barangay has an
elementary school and other
educational institutions that
can provide the needs of the
youth.
B.‘There are limited facilities
in the school which can
affect the learning process
of the student. And worn
out chairs and tables are
still use in the school.
B.‘Knowledge and other B.‘Due to that facilities in the
trainings obtained by school the students are
different personnel prone to accident
regarding emergency
preparedness.

C.‘There are fire extinguishers
available in the barangay
hall. Likewise, the barangay
holds seminars and
trainings about fire and
safety.
C.‘There is no actual facility
for fire and safety in the
community. They rely in
the municipal fire station
under the municipal mayor.
C.‘They provide basic health C.‘The community has a high
services such as risk for fire since their
immunization, feeding, houses are made from
vital signs, and health light materials. Similarly,
counseling. the community is
congested and has
favorable space in between
houses.

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D.‘The barangay hall is
situated 15 meters from the
highway and five meters
away from the next
residential house. The
council implements rules
and regulations to promote
peace and order.
D.‘The nearest hospital is D.‘The sea offers
located about 500 km away
from the barangay. The
barangay health workers
can only provide minimal
care to the community
people. The rural health
midwife goes to the
barangay only once every
week.
D.‘Due to overcrowding,
opportunities for more communicable diseases
source of livelihood for the can occur and can be
barangay as well a possible transferred easily through
tourist destination. Also, direct contact.
trading goods from ships
and other marine vehicles
can possibly be done.

E.‘The barangay health center E.‘Other calamities and sea-

is located right behind the related incidents can
barangay hall. It provides always occur that might
basic health services such take properties and lives of
as immunization, feeding the people.
programs, vital signs, and
health counseling.

F.‘The major mode of

communication is through
cellular phones. However,
there are still a number of
households who use
landline phones. In
addition, there are people
who still utilize the snail
mail method and
innovations like email in
sending their messages to
distant places.

G.‘The community is mainly

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 into fishery due to its
geographical setting. There
are also some other
industries present in the
locality such as in metal
and food service. There is
also a wide range of
farmland there thus,
indicating that the
community is also a rice
producer.

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1.‘The community 1.‘ The main sources 1.‘Most of the 1.‘ Most of the
follows rules and of income of the residents in the family members
regulations of the residents are community are have their own
government, fishing and Catholics, thus cellular phones
wherein the farming. having the same that serve as their
religious primary means of
background. communication.

2.‘The barangay 2.‘ Most residents 2.‘There are churches, 2.‘ The barangay use
captain delegated work near their schools, basketball computers for
tasks to the homes and others courts and billiard data recording,
barangay police work in industrial hall where people processing and
and assigned them zones. can gather and retrieval.
to the different interact with each
sections of the other.
barangay to
monitor and
maintain peace and
order in the
community.

3.‘The barangay 3.‘ The houses in the 3.‘Common leisure 3.‘ They use internet
health center community are activities in the for
follows laws chiefly made out community are communication
implemented by the of concrete, but chatting with and educational
Department of there are some neighbors and purposes.
Health (DOH) such with mixed type of children playing
as EPI. house. outside.

4.‘The residents are 4.‘ Their means of
very familiar with transportation are
one another unless tricycles and
some of the jeepneys.
residents are just
only new to the
area.

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One of the health-related programs offered by the barangay health center is the Expanded

Program on Immunization. The target population for EPI is children below the age of 7, wherein

children are required to receive immunization against seven diseases. This program takes place

every Wednesday and is performed by the barangay health midwife.

Prenatal check-up is also available for pregnant women. The program aims to reach all

pregnant women and promote healthy pregnancy and safe delivery. The barangay health midwife

is responsible for the overall check-up.

There is a feeding program directed mainly to malnourished children in the barangay.

The barangay health workers were delegated by the midwife to monitor the weight and at the

same time provide feeding to the children.

The community implemented environment sanitation, specifically dengue prevention.

They have performed fumigation in areas where breeding sites are suspected to be present.



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The community has a policy of waste segregation and collection. Every Thursday and

Saturday, garbage is collected from the residents. Moreover, the barangay has a Material

Recovery Facility (MRF) located in front of the barangay hall. These MRFs receive, separate and

prepare materials for recycling.

c
 On the other hand, these MRFs are not completely utilized by the residents since most

residents are not aware of it and the MRF is located far from their vicinity. Some of them carry

out open dumping while others have their garbage collected.

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The residents of Barangay Mabulo receive free medications from the barangay provided

by their barangay captain. The barangay can provide some of the OTC (Over-The-Counter)

drugs which are mostly needed by the residents like pain relievers and anti-pyretics.

The rural health midwife receives health insurance benefits from Philhealth that will give

her and her family health assistance.

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The community has one barangay health center located inside the barangay hall and is

open daily, but the barangay health midwife is available only every Thursday. The health center

offers different services such as check-ups, immunization, and health teachings.

There are also fitness facilities in the barangay like basketball courts, gym and swimming

pools. These facilities are available to residents, however, facilities like gym and pools require

fees.

The community is rich in their supply of seafood considering it is located at the seaside.

They also have supply of fruits, vegetables and root crops from their farm.

0
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The barangay health center obtains supplies of medications and vaccines form Trece

Martires, Cavite. The barangay health midwife reports to the main RHU along with all the

BHMs in Naic. Donations are occasionally accepted from people and other institutions that are

willing to provide for the health center. Clients are referred to Medicare, San Lorenzo Ruiz

Hospital and General Emilio Aguinaldo Hospital.

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The head of the health care team in the barangay health center is comprised of the

barangay health midwife and six barangay health workers. The team is headed by the barangay

captain who checks, approves and supports health programs and activities.






















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The community has a centralized type of organizational structure. In this kind of

structure, decisions are made by the top level management and it has a centralized chain of

command. Furthermore, it can be extremely efficient with respect to business decisions. Since

this kind of structure has a relatively small span of control, employees can be easily managed.

In the community, the nurse displays a democratic style of leadership. This style is

needed in a dynamic and rapidly changing environment where very little can be taken as

unchangeable. In these fast moving organizations, every option for improvement has to be

considered to keep the group from falling out of date. This style also means facilitating the

conversation, encouraging people to share their ideas, and synthesizing all the available

information into the best possible decision. The community health nurse also has ability to

communicate decisions to the barangay officials in order to bring unity in planning actions for

the development and improvement of the current status of the vicinity.

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 • $ •
 






Planning is defined as looking ahead and taking out future courses of action to be

followed. It is a preparatory step and is a systematic activity which determines when, how and

who is going to perform a specific job. Planning is a detailed program regarding future courses

of action.

During this phase, our group decided to choose barangay Mabulo, Naic, Cavite as our

area of exposure during our Community Nursing. A letter was secured to the mayor and the

public health nurse for permission to conduct the said activity.

The group formulated plan of activities of identifying the actual problems of the

community, its strengths, weaknesses, opportunities and threats. We also included the evaluation

of the programs and projects of the students and core group two years ago, provision of health

teachings to the community people regarding hygiene and nutrition through pamphlets, and an

interview with the public health nurse, midwife and the core group.



(


Organizing is the function of management which follows planning. It is a function in

which the synchronization and combination of human, physical and financial resources takes

place. All the three resources are important to get results.

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 After the planning phase, our group decided to form three committees namely finance,

food and documentation. The group members were divided into each of the committees. The

interview part was included in the documentation committee.






The managerial function of staffing involves manning the organization structure through

proper and effective selection, appraisal and development of the personnel to fill the roles

assigned to the employers/workforce.

The three committees were assigned a very specific task based their area of

specialization. The members of the food committee are the ones who are assigned in the

selection of foods that will be provided for the community people. The finance committee was

assigned in the budget and dissemination of the group money while the members of the

documentation committee were assigned in the compilation of the necessary documents. The

group sees to it that the activities will be done in accordance to what has been planned.



Ê


During this phase, the group followed a step-by-step procedure for the implementation of

the activities. On the first day, we had our approval from the mayor and public health nurse. We

also conducted ocular survey, interview with the core group and assessment of the programs and

projects implemented last two years ago. Since the midwife and public health nurse were not

around that time, the interview was done the next day. We also had our health teaching about

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hygiene and nutrition through pamphlets and we also provided food especially on the identified

malnourished children in the community.



&+


For the budget of the group, each of the members contributed 90 pesos for the over-all

expenses of the different activities in Community Nursing. The finance committee was assigned

to the said task and they distributed it to the other committees. The group sees to it that the

budget was being maximized and used properly.



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During the evaluation phase, the group was able to decide that the community itself was

not able to sustain the programs and projects for the past two years which indicates that it lacks

continuous monitoring. Also based on the evaluation process, the group was able to identify

remedies for the deficiencies of the community like suggesting a more stable health promoting

programs or projects for the community that will be followed in a specific time, Better

dissemination of information for the community people and trainings and lectures for the nurses

for the development of efficient nursing care.

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 Ê

   

Name : Perlita P. Dizon

PRC License No : 0433504

Address : Brgy. Gulod Tramo, Munting Mapino, Naic, Cavite



Age : 38 years old

Date of Birth : April 16, 1973

Place of Birth : San Lorenzo Ruiz Hospital, Naic, Cavite

Citizenship : Filipino

Civil Status : Married

Height : 5¶4´

+&""*&+

  

College : Perpetual Help College of Rizal

Bachelor of Science in Nursing

1991 to 1995

Secondary Education : Cavite Provincial Science

1987 to 1991

Primary Education : Naic Elementary School

1981 to 1987

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Naic Medicare Hospital

Naic, Cavite

Staff Nurse ± 1995 to 1996

Responsibilities:

①Assessment, planning, implementing and evaluating patient plan of care

①Health educator and coordinator

①Render service or nursing care anywhere and to anyone who needs their help

Rural Health Unit

Naic, Cavite

Community Health Nurse ± 2009 to Present

Responsibilities:

①Deliver care and comfort to patients.

①Respond to health needs and risks of the individuals.

①Evaluate health status of patients and diagnose illness conditions.

①Take history of patients' illnesses and conduct physical examination.

①Collect laboratory and other diagnostic data and evaluate.

①Discuss with the physician or consulting specialist about patients' illness.

①Plan treatment procedures with patients and their families in accordance with the

consulting physician's instructions.

①Educate communities about health risks and preventive measures.

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①Educate patients and their families on diseases, its preventive and controlling

measures.

①Educate communities, patients and their families on infection control, emergency

safety methods and nutrition.

①Teach self-care abilities to patients to the extent possible.

①Document all visits and health care outcome.

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Attributes of the institution that likely will be helpful to and have a Attributes of the institution that likely will have a negative effect on
positive effect on the achievement of the desired end state. achievement of the desired end state.

~‘Focused on maternal and child health ~‘Only one midwife, 6 BHWs present only at
~‘Feeding program Thursday
~‘Good communication ~‘Lack of medications to cough, colds and
~‘Daily reports to RHU regarding the barangay fever
status ~‘Very poor environmental sanitation
~‘Presence of Materials Recovery Facility ~‘Community people lacks initiative and
(MRF) cooperation
~‘Herbal plants ~‘Limited number of residents that use herbal
~‘Free check-ups every Thursday 8:00am to medicines
12:00pm ~‘People do not comply in waste segregation
~‘Free prenatal check-ups and do open dumping
~‘Measles program ~‘If the main health office runs out supplies,
~‘Good inter-referral system they are affected & won¶t have supplies for
their community.
~‘Most children are unhygienic
&

Conditions external to the institution that likely will have a positive Conditions external to the institution that likely will have a negative
effect on achievement of the desired end state. effect on achievement of the desired end state.

~‘Addition of more health programs ~‘Nearing retirement of midwife

~‘Formulating a detailed plan of activities
~‘Better dissemination of information
regarding schedules of check-ups
~‘Trainings and lectures available for a nurse
like her will lead to efficient nursing service
in the community.
~‘Increasing uncooperativeness of people
~‘Threat of running out of supplies in the
health center
~‘Malnutrition will increase if not treated on
time
~‘Unhygienic children may increase incidence
of infection and diseases

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3& Deworming of School Children

 & Oral Health Month

•" Burn Injury Prevention Month

 Cancer in Children Awareness Month

• Family Planning Month

3& No Smoking Month

3& Deworming of School Children

&& Lung Cancer Awareness Month

  Liver Cancer Awareness Month

"  National Children¶s Month

#  Malaria Awareness Month

"  Firecracker Injury Awareness Month




















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High Incidence and Prevalence of Malnutrition among Children

Lack of knowledge/Misconception Low Socio-Economic Status Parasitism

Improper Low Poor Negative Improperly Poor Poor Poor eating Unsanitary
food education utilization ofattitude budgeted child care personal habit environment
selection andof proper food income hygiene
preparation nutrition resources
Low social Pre - occupation in
Poor
concern of earning a living
knowledge
the problem





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•  $  •Ê
1. Abao, Christialyn 6 13.61
2. Almanzor, Christine 7 13.12
3. Angel, Rex 5 12.46
4. Arsinal, Lorenzo 9 14.78
5. Arsinal, Raprap 8 14.31
6. Basia, Shandie Rosa 5 11.81
7. Booc, Angelica 11 15.86
8. Booc, Mariella 4 13.82
9. Booc, Necy Boy 6 15.70
10. Booc, Samuel 5 14.85
11. Caniete, Rexcel 7 13.31
12. Crema, Jimuel 6 14.58
13. Dayaday, Joshua 8 14.21
14. De Castro, Joyce 6 13.61
15. Dinio, Kaycee 12 14.96
16. Dinio, Keijilin 7 10.40
17. Dinio, Kennedy 9 13.23
18. Dinio, Kristian 5 13.54
19. Hernandez, Lorenz 9 14.11
20.Hernandez, Melanie 8 13.44
21. Heron, Mary Joy 6 14.96
22. Himaya, Ara 7 12.97
23. Himaya, Benedict 6 14.51
24. Himaya, Piolo 9 14.06
25. Lala, Sheela Grace 4 11.81
26.Madriaga, Neri Mae 9 13.86
27. Madriaga, Noe 10 13.82
28. Masapol, Jackilyn 4 16.19
29. Nuñez, Michael 9 14.86
30. Pantalim, Wilma 9 15.61
31. Ramirez, Daniel 7 12.24
32. Ramirez, Jeffrey 6 13.98
33. Ramirez, JB 4 14.42
34. Tampol, Shaila 5 14.51
35.Verdida, John Michael 9 13.19


Legend:

 • 4Underweight children


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 The problem of malnutrition in the community is still visible especially to children. A

problem list was generated with respect to the said problem. High incidence and prevalence rate

of malnutrition of children in the community is due to different factors. Such include lack of

knowledge or misconception of the community people because of their low educational

background, low socio-economic status, and high rate of parasitic infections.

The student nurses conducted a home visit to families in the community to determine the

current health status of children based on the measurement of their height and weight to discern

their body mass index. The student nurses also include in the visit the age of the children to

identify their respective age groups. The age groups of children can be assessed in the home visit

and can further be classified as preschooler and school age. The group also consulted the

barangay health worker for the recent activity for nutrition in the community. 20 children were

recorded to be malnourish thus, having it as a major problem in the area. However, programs

were also utilized to fight against the said problem. Such programs include ³Operation Timbang´

and health teaching to mothers with respect to proper nutrition, food storage, and food

preparation.

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Poor Personal Hygiene among Children

Lack of knowledge Negative Attitude

Unhealthful habits Lack of discipline

Low salience of the problem

 
 Poor personal hygiene is also one of the major problems in the community. One factor

contributing in the spread of the problem is lack of knowledge of the community people. This

can lead them do unhealthy habits that may contribute the said problem. Another contributory

factor of the problem is the negative attitudes of the people living in the community. There is

also a low salience of the problem or the community people are not aware that this problem

exists and may be due to their lack of discipline.















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Presence of malnourished children pictures the economic and nutritional states of the

community. Large number of malnourished children indicates that the community lacks

programs and support on the nutritional status of every family in the community.

  
• $
 Ê

Ê 
Subjective: High Incidence and Increased awareness 1.‘ Assess the
³Nakakaawa ang mga Prevalence of and knowledge nutritional status of
bata, lalo na yung Malnutrition among about proper children especially
magkakapatid«´ Children nutrition through those who are
Proper food considered
selection and malnourished.
Objective: preparation and 2.‘ Provided health
①There are total of proper utilization of teaching and leaflets
twenty malnourished food resources about nutrition and
children who food pyramid.
participated in the 3.‘ Provided nutritious
feeding program and foods to
are being monitored malnourished
by the barangay children.
health workers. 4.‘ Provided barangay
①Many of the with reading
children¶s height and materials about
weight are not nutrition.
appropriate with their
age








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+

In a community setting, preventing the spread of communicable diseases is one of the

priorities of the community health nurse. One of the most effective ways to prevent the spread of

disease is having good hygiene through methods like frequent hand washing, bathing and tooth

brushing. Considering children are most vulnerable to diseases, family members must be taught

about proper hygiene in order to influence these children.

  
• $
 Ê

Ê 
Subjective: Poor Personal Increased awareness 1.‘ Assessed the
³Tinatamad ako Hygiene among and knowledge community about its
magsuot ng tsinelas Children about proper current condition.
eh«´ hygiene 2.‘ Assessed the
³Kailangan pa ba people¶s current
maghugas ng knowledge about
kamay?...´ proper hygiene.
3.‘ Provided health
Objective: teaching and
①Most of the distributed pamphlets
children are not to the families about
wearing their proper hygiene.
slippers 4.‘ Contacted the core
group to participate
①Most of the in health teaching.
children are not 5.‘ Provided the
aware of the barangay health
importance of center with reading
proper personal materials for future
hygiene to their use.
health

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Ê 

D

 ‘ 
‘ According to the NSO (2009), a Filipino family from the

CALABARZON has an average daily expenditure of Php575.35. Most of the families in the

community, however, spend at the range Php200 and above with 36.92%. Such condition may be

due to the income they earn.

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 Blue-collar job is most commonly professed by every people residing in the area with

46.92%. The figure likewise shows that white-collar job is less acquired by the people having

29.23%. Such information can be attributed to the educational attainment of the people. Since

most of the people are not degree holders, their qualification halts them to obtain such kind of

job hence; they just fix themselves on doing manual tasks to support their living. That may also

be the reason why some are self-employed, 20.77%, and do not have any job. However,

unemployment has the smallest percentage in the figure below having 3.08%.




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Workers in the family have their job either within or outside the place where they are

residing. In the setting of the barangay, most of the people earn for their living within the town

with a percentage of 63.93% as seen in the figure below. The town is able to provide job for its

people hence; most of them do not go to other places to seek for it in order to support their

family.

  )+$




   


  





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+)•

 ‰ ‘ 
% R.A. 9003 Ch. 3, Art. 2, Sec. 21 mandates that all wastes to be

disposed must be provided with the necessary container that will keep these until such are

collected by the designated personnel. The container may be covered and bulky enough to keep

all the garbage and prevent it from being scattered around. In the community, most families

cover their garbage container and place them near their house (53.08%). Some also dumps their

waste materials in uncovered garbage tins (42.31%) while few have no garbage container at all

(4.62%). 

)
"! 

 )

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 Different methods of disposal are being done by the residents in the community. Most of

them have their wastes be collected (64.34%) while there are some who do open burning

(15.38%) despite its being in contrary to R. A. 9003. Likewise, there are also people in the site

that do open dumping (6.29%). This, however, corresponds to a fine which costs PhP300 to

PhP1, 000 or one (1) to 15-day community service, or both (RA 9003). A few do burial in pit

(9.09%) and hog feeding (4.90%). They usually bury biodegradable materials so these will serve

as fertilizer in the future.

• " ),$ 

 

 



 







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Ê 

During the immersion in barangay Mabulo, Naic, Cavite, we evaluated the community if

they have maintained the projects and programs we did last 2008. Based on our evaluation, some

of activities we performed before were not sustain due to lack of continuous monitoring not only

of the core group but also the barangay officials as well. Inability to maintain such programs may

imply poor bond of the community people with each other or people therein did not perceive the

programs to be essential in the development of their own welfare.

Furthermore, there are still actual problems determined in the community like unhygienic

children, lack of medicine, and poor environmental sanitation that were also identified as a

community problem in the past. Residents in the community recognize those problems however,

due to lack of financial constraints; they did not do actions with respect to putting actions in

order to resolve such problems.

Ñ0
  •• 
Ê 

Brgy.Mabulo, Naic, Cavite has actual weaknesses that can be subjected to change using

the following recommended actions prepared by the school nurses.

&% Health teaching every week would be very helpful for them, together with

the Barangay Health Midwife and the Barangay Health Workers in the community. Health

teachings in families can include environmental sanitation, waste segregation, and proper

hygiene of which are actual problems being experienced by the residents. This can be done

through a courtesy call of BHM and BHWs to the community. Aside from rendering health

teaching, putting up posters around the vicinity would be a great aid in the dissemination of

health information. Medical missions can also be rendered to the barangay to also improve its

current health status. In line with this, free medicines may be given through the help of the

different medical institutions and other partners.

& &% Trainings and seminars about different health related issues

in the community like maternal and child health, the use of herbal medicines, and communicable

diseases will further enhance their knowledge and skills since the CHN only have 2 years of

experience regarding her service in the community. Through this, a more advanced and better

way of rendering quality health care in the community will be implemented thus, the

improvement of nursing service in barangay Mabulo.

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During our community at Brgy. Mabulo, Naic, Cavite, I have observed many things and I

have assessed their living condition in that area. With that, I have identified a number of

problems in their community.

Our group also evaluated the activities and programs of the COPAR group last two years

ago and we found out that almost all of it were gone except the herbal plants that they encourage

the community to plant in a garden that they made but it was then changed to household garden

due to flood in the said area. During our visit at the area, I observed that it has a poor

environmental sanitation, poor waste disposal although there is a garbage collector in the area,

poor personal hygiene among children and still many of them were malnourished. In our

implementation phase, we provide health teaching to the people about personal hygiene and

nutrition through leaflets and we also provide the children biscuits and juice.

In our community nursing, I learned that being a public health nurse is a very hard

responsibility because it covers everything. It is a generalist in terms of scope of practice because

it encompasses everything not only the sick people but also the well unlike in the hospital setting

which usually deals with sick people. It is also focus in health promotion and prevention rather

than curative and rehabilitative nursing. It also deals with a large number of people. Another

important person in the community nursing is the rural health midwife. According to the midwife

of our community, malnutrition is one of the most common problems in their area that¶s why

they are conducting feeding program among children with malnutrition.

After the exposure, I learned so many things especially with the value of the nurses¶ and

midwives in the community. They are multi tasked persons which I do believe is a skill that must

Ñu
be learned. They are a health care provider and at the same time a leader involving critical

thinking skills and decision making abilities. Indeed, it is a wonderful experience that sometime

in my life; I was able to learn about this kind of work that is somewhat a form of public service

and profession as well. It may also be an inspiration for me in the future to follow their steps.

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Two years ago, our group had our community organizing in Barangay Mabulo as part of

our related learning experience in our second year. We have assessed the community, identified

its problems, planned and implemented interventions and evaluated the programs. In our Nursing

and Leadership, we returned to Barangay Mabulo and reassessed and evaluated the status of the

barangay. We have discovered that some problems remained and most people still lack

cooperation. There is lack of leadership because the core group has been inactive. The officials,

midwife and barangay health workers informed us about the organizational structure, we have

learned the flow of communication and the programs that exists in the barangay. I also learned

how leadership and management are applied in the community setting, like delegation of

different areas of responsibility to the different barangay officials for the peace and order of the

barangay, implementation of health programs and management of health and illness of the

community people. The community follows a tall organization, in which the head is the mayor,

and then by the vice mayor, down to the barangay captain and his councillors. We have followed

the tall organizational structure in our core group where there is a president, a vice president, a

secretary, auditor, and so on.

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In our Nursing Leadership and Management in the community, I have learned that in the

barangay setting the rural health nurse also has the power to delegate responsibilities to the BHW

(barangay health workers) to promote ease and proper delivery of care to the community.

Through this, delivery of care is organized and systematic, thus enabling the health center to

reach out to people in the community. They have implemented programs like the feeding

program, where they also monitored the weight of the malnourished children. I also observed

proper delegation of task and areas of responsibility for each barangay officials to have ease in

providing services to citizens of barangay Mabulo.

The officials were quite cooperative to their job. They are also responsible and help us to

do our work in a convenient way. They were guiding us to locate the houses of the malnourished

child we have weighed the last time. However, while we are assessing the community, and have

identified its nuisance, planned and implemented interventions and evaluated the programs. We

have discovered that some dilemmas remained and most people still lack cooperation. Well then,

we are not closing our minds that the correct nourishment of the children in the community is

easy to achieve. There are many factors that are needed to be considered. These include their

financial problem, and environmental problem.

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Back when I was 2nd year college, I remember our days when we first arrived at Mabulo,

Naic, Cavite. But then again, it¶s not my first time because I live at Naic and I already went there

many times. However, it's my first time to have my school duty at that place and precisely with

good intention to the public's health. And of course, every first time is quite memorable. Being in

the community gave us lots of experience. It marked our first moment to be their community

health nurses. We assessed the community through ocular survey, and even interviewed the

people who are living there. And upon gathering important data and completing the assessment,

we planned and implemented activities that were needed by the community people at that time.

Well, two years ago, we are just second year. But look at us now. We've grown up and

molded into a better us. We have developed by our Alma matter to be a well-formed future

nurses. We brought ourselves again in the same place with the goal of assessing what we did the

last time we went there.

We have discovered that the organization we organized is already inactive. We also

looked for our donated steeled braces-trashcans and found out that they are all gone. Upon

checking the herbal garden we plotted, it exists but only few of the plants were alive. Although it

turned out that way, it feels so good to know that few of our remembrances still exist in the

barangay. We also weigh children to assess if there are malnourished just like the past 2 years.

We have found out that there are still a lot. Truly, the way we see the places there, the squatter

area of the barangay, the community people especially the children we have observed, they are

all affecting us. We feel pity for their situation, thus, making us more dedicated to our work.

Though we hadn¶t much time and didn¶t have a perfect plan, we tried to do the health teaching

Ñ
through the aid of leaflet. Together with this, we gave the little children some biscuits. Albeit this

is not the best effort that we can do, we make sure that it comes from the bottom of our heart.

The dedication for changes to a better community; the willingness to offer a hand; the advocacy

for promoting and achieving a good health; these just sunk into me. These things are our

purposes when doing the community health nursing. It is quite amazing that we are engaged in

this type of occupation. Truly, nursing shows altruistic kind of love for all.

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In our community health nursing, I have learned that being a public health nurse

shoulders a great responsibility because it involves the entire population in the community. The

ratio of 1 community health nurse to 20 thousand people is not easy. The task of CHN is

generalist in terms of scope and practice. It covers everything not only the sick people but also

those who are well. This marks the difference of the community health nurse and the staff nurses

in the hospital whereas they are usually dealing with sick people and they are trying to

rehabilitate them. Thus, it focuses in health promotion and prevention rather than curative and

rehabilitative nursing. It deals with a large number of people than those in the hospital.

Other significant personnel in the community nursing are the rural health midwifes. They

are responsible to the maternal and child health problems. Upon inquiring the rural health

midwife in Barangay Mabulo, we have found out that it is still the malnourishment of the

children is their priority. And we planned and implemented activities to provide proper

knowledge about the problem existing in their community.

After the exposure, I learned so many stuffs specifically the importance of the nurses¶

and midwives in the community. They are multi tasked persons which I do believe is a skill that

must be learned and mastered. They are a well defines as a health care provider and at the same

time a leader involving critical thinking skills and decision making abilities. Certainly, it is a

superb experience that I was able to learn about this kind of field in nursing profession.

3+ %•
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I have learned more about the community health nursing and leadership and management of the

community. Even though I already experienced to duty in the community when I was second year, I

realized that there are lot of responsibilities are shouldered by a community health nurse.

Community health service provider carries out health services contributing to the promotion of

health, prevention of illness, early treatment of illness and rehabilitation. They assess health needs and

hazards of the community. They also act as a facilitator that helps to plan a comprehensive health

program with the people. They provide health counselling including emotional support to individuals,

family, group and community.Health education is an accepted activity at all levels of public works. They

improve the health of the people by employing various methods of scientific procedures to stimulate,

arouse and guide people to healthful ways of living.

They plan with the people, organize, conduct, direct health education activities according to the

needs of the community. They must also be knowledgeable about everything relevant to the CHN¶s

practice or has the necessary skills needed by the nurses. The community health service provider must be

a critical thinker and open to invites ideas, suggestions, and criticisms. They accept need for joint

planning and decision relative to health care in a particular situation.

Therefore, being a community health nurse includes dedication and passion just to bear their tasks

for a thousand people. It may be hard for them but for the sake of thousand people, they are doing their

job well.



 
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During our community at Barangay Mabulo at Naic, Cavite, I have observed so many

things in the area. I have assessed their community¶s living condition. With the aid of the

Barangay officials, midwife and nurse at the barangay, we were able to identify different

problems.

Our group had also evaluated the activities and programs of the COPAR group last two

years ago. We have found out that almost all of it were unable to maintain except for the herbal

plants that they encourage the community to plant in a garden. However, the plot¶s location was

changed because it was changed to a household garden for the reason of flooding during rainy

days.

I also observed that the community has a poor environmental sanitation, poor waste

disposal, poor personal hygiene among children and most of them are undernourished. The

problems are highly noticeable to the homes near the ocean.

During our implementation phase, we have provided health teaching to the people about

personal hygiene and nutrition through distributing leaflets among the community people. We

also provide the children biscuits and juice as part of promoting the children¶s health status.


3&&+"
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By seeing how the children there grow up into their environment made me realize that I

am very lucky to be in where I am right now. We feel compassion for their situation and it makes

us more dedicated to our profession. We have provided health teaching to the people about

personal hygiene and nutrition through distributing leaflets among the community people.

Together with this, we gave the little children some biscuits. We have discovered that the

association we organized is currently inactive. We also looked for our donated trashcan. We try

to look around and we have found out that the trashcans were all gone.

. Truthfully, the way we look at the places there, the squatter part of the barangay, the

community people especially the children, and all of what we have noticed, they are all affecting

us. They were pinching a part of our hearts as if it is really a calling for our profession. Who

would know that maybe someday, I will be able to be a community health nurse.

It is astounding that we are engaged in this type of occupation. It is a wonderful

experience that at some point in my life, I was able to learn and appreciate more about public

service and profession.


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Our three-day duty in Brgy. Mabulo Naic, Cavite was tiring days for us. We did a lot of things.

We tried to have a survey for us to evaluate the community where we had an implementation last two

years. Before we started interviewing people in the community, we had preconference and discussed

about the things we were going to do for the 3- day duty. The group leader tried to delegate tasks so that it

will be easy for us to do things right and fast.

In our first day, we had our ocular survey. We tried to find those children who were in our list of

malnourish and evaluate them but unfortunately there was no available weighing scale in the community

that was why the evaluation for the BMI of malnourished children was postponed. In our second day, we

resumed the evaluation for malnutrition and the other members of our group interviewed people to

identify the problems in the community. In our third day, we had our implementation in which we give

the malnourished children foods and give the mothers our prepared leaflets about good nutrition and

proper hygiene.

Community health service provider carries out health services contributing to the promotion of

health, prevention of illness, early treatment of illness and rehabilitation. They assess health needs and

hazards of the community. . They also act as a facilitator that helps to plan a comprehensive health

program with the people. They provide health counselling including emotional support to individuals,

family, group and community.

It is not so easy to be a community nurse. Decision making and critical thinking is an important

tool to have a good outcome for your community, but being a community nurse is an enjoyable work for

me.

•+ "
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It was a great day though a tiring day for me. I remember the things we did when we

were in secondary level. Last two years, we had our community service in Mabulo Naic, Cavite

where we had our feeding program and planting program. In our 3- day duty we were to evaluate

the programs we did. We evaluated the malnourished children that were included in our feeding

in the last two years. We got their BMI so that we would know if there are improvements in their

nutrition. And we also tried to evaluate the planting program we had by doing an ocular survey

and interviewing people in their community.

To make our activities done fast, our group leader tried to delegate tasks. Each of us has

our own responsibilities and activities to do. Our duty in community helped me a lot in terms of

leadership and management. In here, we all experience to be a leader.

It was fun to lead the group even though the activities are not so easy, I enjoyed it. I have

learned a lot of things in our community nursing.


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In our community nursing, I have learned that becoming an effective public health nurse

is a very hard responsibility to achieve. When it comes to scope, it encompasses everything

inside the community. That is why the PHN is called a generalist. It involves everyone not only

the sick people but also the well. It is focus on the promotion and preventative state rather that

the curative.

The real importance of the being a PHN revealed when we encounter the problems

regarding the community¶s health. And we, as new beginners in this area, tried to work in order

for us to attain our goal. As guided by our clinical instructor, for us to be able to make our

activities done fast, our group leader tried to delegate tasks. Each of us has our own

responsibilities and activities to do. Our duty in community helped me a lot in terms of

leadership and management. In here, we all experience to be a leader. We evaluated the

malnourished children that were included in our feeding in the last two years ago. We also get

their BMI so that we would know if there are improvements in their nutrition and unluckily we

have found out that there isn¶t. We also tried to evaluate the planting program we had by doing

an ocular survey and interviewing people in their community. I had a great fun together with my

group mates even though the activities are not so easy, I enjoyed it. I have learned a lot of things

in our community nursing.

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We, the group 5 BSN 4-2 had our community nursing in Brgy. Mabulo Naic, Cavite. Barangay

Mabulo is one of the many barangays in Naic, Cavite where second year Nursing Students of Cavite State

University are assigned to conduct their Community Organizing Participatory Action Research (COPAR).

We chose this barangay, for us to evaluate the outcome we had in the last two years. Two years ago we

conducted programs in Brgy. Mabulo. We had the feeding program for the malnourished children and

planting program. Our objective for our community nursing is to evaluate the community if there is a

good outcome after we had conducted programs last two years ago.

Before we started the evaluation, we had our preconference and delegated tasks,. Each of us has

our own activities to be done. The other members of the group are the one who are responsible for the

foods and finances, the other members are the one who will interview people and the nurse in the

community, others are going to evaluate those malnourished children and the rest are the for ocular

survey. The members who are responsible for the evaluation of malnourished children started to weigh

them and get their BMI. The others started to do the ocular survey to identify the problems in the

community. While the rest are planning for the next step to do which is the implementation. In our

implementation, we prepared leaflets about nutrition and proper hygiene and give those leaflets to the

mothers in the community, for the malnourished children, we prepared foods for their snacks.

The first 2 days of our duty in the community is not that effective because of a poor planning in

our group. But of course we tried to do our best to make the things right. Because of our unity we had a

good outcome. Our group leader delegated tasks in an effective way. We can say that our group met our

goals and objectives after we had our community nursing.

uº