ST. ANTHONY COLLEGE OF ROXAS CITY, INC.

BACHELOR OF SCIENCE IN NURSING LEVEL III

S.Y. 2023 - 2024

NCM 113:
COMMUNITY HEALTH NURSING II
(POPULATION GROUPS AND COMMUNITIES AS CLIENTS)

RELATED LEARNING EXPERIENCE

PUROK II, BRGY. LIBAS, ROXAS CITY

TITLE

NIEL JEAN DATILES, RN

CLINICAL INSTRUCTOR

KANT JAMES D. MAHAN, SN

STUDENT

SEPTEMBER 2023
 TABLE OF CONTENT

I. TITLE
II. TABLE OF CONTENTS
III. ACKNOWLEDGEMENT
IV. INTRODUCTION
 STUDENT OBJECTIVE
 STATEMENT OBJECTIVE
 METHODOLOGY AND TOOL USED
 LIMITATION OF THE STUDY
V. TARGET COMMUNITY PROFILE
 HISTORICAL BACKGROUND
 DEMOGRAPHIC VAIABLES
1. POPULATION
2. SPOT MAP
3. POPULATION DENSITY
4. AGE COMPOSITION
5. SEX COMPOSITION
VI. SOCIAL INDICATORS
1. EDCATIONAL LEVEL
2. HOUSING CONDTION
VII. ECONOMIC INDICATORS
1. OCCUPATION
2. COMMUNICATION
3. TRANSPORTATION
VIII. ENVIRONMENTAL INDICATORS
1. WASTE MANAGEMENT
2. TOILET FACILITIES
3. DRAINAGE SYTEM
4. GENERAL SANITARY CONDITION
5. DRINKING WATER SOURCE
IX. POLITICAL AND LEADERSHIP PATTERNS
X. ANALYSIS OF DATA
1. IDENTIFICATION OF COMMUNITY PROBLEM
2. PRIORITIZATION OF COMMUNITY HEALTH PROBLEM
XI. COMMUNITY CARE PLAN
XII. CONCLUSSION/ INFERENCE
XIII. STUDENT JOURNAL
XIV. REFRENCES
 ACKNOWLEDGEMENT

The study has provided opportunities to know the different problems and be able to
make an intervention for the needs of the family in developing their environment and their
health status. In the process of creating this case study, Me a BSN 3-A student nurse of St.
Anthony College of Roxas City Inc., would like to express my overwhelming and genuine
gratitude to the following persons, who in one way or another, have contributed and
supported us in the fulfillment of this case study:

To Sr. Carmen Abad DC, Vice President for Education, for raising academic
excellence in St. Anthony College of Roxas City, for pushing through the skill and wisdom
development of the students of this institution.

To Dr. Rubilyn Sumaylo, RN, LPT, MSN, Dean, College of Nursing, for allowing us
to have this community exposure, giving us the chance to improve our knowledge and skills
in community health nursing and for the all-out support.

To Mr. Niel Jean Datiles, RN, MSN, our Clinical Instructor, whose expertise and
brilliance, along with unending patience in answering queries, checking manuscript, sharing
immense information and for guiding us during the community exposure, has helped shape
our skills and knowledge. Without his counsel, the student nurses would have had a hard time
dealing with the completion of this study.

To Family A, respondents of this study, for accommodating, welcoming, and for

trusting us to share their basic and personal information in the duration of the data gathering
process. Your time and effort are much appreciated as your information served as the
foundation of this case study.

To Brgy. Libas, Roxas City, Capiz, and Hon. Richard C. Arrojado, for permitting us
to practice nursing care and gather invaluable data for this study.

To the beloved and supportive parents, family, and friends of the student nurses, for
their unending emotional, moral, spiritual, and financial support.

Lastly, to ever loving and merciful God for touching and bringing together those
people who literally shared their abundant resources, talents, skills, time and effort for the
completion of the study.
 INTRODUCTION

According to Maglaya (2012), the application of the nursing process within various
strata of clientele—ranging from individuals and families to larger population groups and
communities—is intrinsically related to the promotion of health, the prevention of disease
and disability, and the facilitation of rehabilitation.

"Community health nursing" is synonymous with "public health nursing." The

methodical planning and delivery of health care are emphasized in this specialist profession.
Services and nursing care are aimed at improving the overall well-being of a community.
Community Health nursing is defined as a population-centric, community-driven strategy that
prioritizes health. The basic and central goal is to improve the health of the whole population
while simultaneously concentrating on preventing disease, disability, and premature death
within that population. It stands as a unique discipline within nursing for several reasons:

Assessment, planning, and implementation are some of the essential functions of

community health nursing. Implementation, assessment, collaboration, and research are all
part of the process. By carrying out these duties, Community health nurses play an important
role in increasing people's health and well-being. And communities, as well as addressing
health disparities. They concentrate on the social determinants of health, such as to enhance
the general welfare, such as poverty, access to healthcare, and environmental variables. A
community's health and well-being. Overall, community health nursing is an important
component of healthcare systems and makes a substantial contribution to enhancing
community health and reducing inequities in healthcare.

The community's ability to promote or sustain health hinges on the extent of its
economic, institutional, and human resources. In the realm of community health nursing, the
community surpasses its role as a mere backdrop for the nurse's clientele and extends to
becoming a pivotal entity for two compelling reasons. Firstly, the community has a direct and
substantial influence on the health status of individuals, families, and subpopulations.
Secondly, it serves as the primary arena where the bulk of healthcare services are dispensed.

Brgy. Libas is the leading seafood producer in Roxas City, Capiz. Fishing is the
principal source of income; it also acts as an access point for people from neighboring
provinces such as Masbate and Siquijor. Brgy. Libas has a large residential land area that was
created without the legal right to the land or permission from the relevant authorities to build,
and infrastructure and services are frequently poor due to its illegal status. People in the
community experience financial constraints and health instability. Barangay Libas has a total
land area of 57 hectares and a population of 7,704 as of 2020 and is expected to increase each
year.

RATIONALE

Community Health Nursing plays a vital role in assessing the community's condition
as the primary client is the first stage in providing care. Community diagnosis is essential as a
foundation for assessing the overall community's state of health. By using this procedure,
community health nurses are given a structured framework for recognizing distinct things that
can have an impact on anything, either directly or indirectly, on the health of the populace.
Therefore, it is crucial to comprehend what makes the community unique. It not only acts as a
guide for creating the sociodemographic profile of the community's environmental sanitation
conditions, profile, health, and nutritional status but also discloses the most important issues
that families are currently facing in terms of their health.

PURPOSE

As student nurses, I embarked on this study with the following objectives:

 To disseminate essential health education for community well-being.

 To establish priorities, set objectives, and chart paths for enhancing the community's
health status.

 To impart fundamental knowledge and skills pertaining to disease prevention.

COMMUNITY OBJECTIVES GENERAL:

By the conclusion of this community exposure, the community members will exhibit
a heightened sense of responsibility towards their environment, health, and lifestyle, thereby
contributing to the betterment of their community through the knowledge acquired during our
school's health education.

The community members will demonstrate:

  Skills: The ability to apply nursing interventions in everyday life and come up with
potential solutions to community social and health challenges.

 Knowledge: Understanding of health interests, particularly measures that promote

general well-being and wholeness; selection of possible solutions or nursing activities for
priority health concerns; and understanding of the importance of maintaining a healthy
lifestyle for disease prevention.

 Attitude: Able to communicate and build rapport to those people in community.

Then, able to practice empathy to experience and understand their way of life. Next,
collaboration in problem-solving situations, adherence to the implemented interventions, and
commitment to the values upheld by our institution the 5 C’s.

STUDENT OBJECTIVES

GENERAL:

By the completion of this community exposure, student nurses should have obtained
data to assess the health status of the community, broadened their knowledge, improved their
abilities, and developed attitudes conducive to providing high-quality nursing care.

SPECIFIC: Student nurses will be equipped with the skills to:

 Identify realistic data that will be useful in developing a community nursing

diagnosis.
 Collect community data using communication and documentation standards.
 Develop community-centered care plans in response to recognized health issues and
priorities.

Knowledge:

 Recognize existing and prospective barriers to optimal health.

 Identify appropriate nursing actions or remedies for prioritized health concerns.
 Describe the identified health state as well as the associated health resources.

Attitude:
  Foster rapport with community members and barangay officials.
 Demonstrate independence in task execution and uphold the commitment to our
institution's core values.
 Able to express Vincentian core Values 5 c’s charitable, Christ centered, Co-
responsibly, compassionate service, and simplicity.

BRIEF HISTORY OF THE BARANGAY

During the Spanish colonization of the Philippines, a group of Spanish soldiers visited
a place located beside a river and almost at the center of three conspicuous mountains in
Roxas City. They noticed an abundant growth of the plant called Libas by the residents.
While exploring the place, they met an elderly woman who had insufficient knowledge of the
Spanish language. The group leader asked the woman about the name of this place using
Spanish language. She presumed that he was asking about the name of the plant abounding in
the place and answered “Libas”. After their visit, the residents were informed that henceforth
their place would be called “Libas”.

METHODOLOGY AND TOOLS UTILIZED

This study is based on community data from Barangay Libas in Roxas City. Data was
obtained through a study of records, on-site surveys and interviews, and observations.

Records Review

Right after our courtesy call with the barangay officials, we were then lead by the
Barangay health workers and the barangay secretary to obtain necessary data from the
records of the barangay. We obtained the barangay profile and services, population
distribution, organizational structure of the barangay, their programs from the barangay hall.
Health-related data of the barangay was also obtained from the health center.

Ocular Survey

On our second day in Barangay Libas, we were able to conduct an ocular survey. We
toured Brgy. before conducting the survey on our chosen Purok and were assist by the BHW
assigned on that day. During the tour, we were able to discover problems on the surface, the
majority of which involved the environment. We also saw signs that could serve as evidence
for hazards and risks that require further investigation.

Interview

We were able to hold an interview with the Kagawad for Health of Brgy after
reviewing our records. Then, we were able to acquire the barangay's health prioritizing for
this year by using the Key Informant Interview method “problem in waste collection because
barangay doesn’t have dump truck”. The Kagawad for Health supplied us with enough data
for the measures that the Brgy. Tiza is taking steps to address and educate their residents
about the barangay's health challenges.

Following data collection, an in-depth analysis was carried out to identify appropriate
actions that could attenuate, if not completely address, the observed community health issues
and problems.

A systematic research design was used to carry out this investigation. it was collected
without direct manipulation of factors, and it was analyzed in a methodical and objective
manner. To document manifestations and indicators of health requirements or issues,
observational checklists were used, which included physical and environmental dangers,
health resources such as facilities and employees, and available health services.

LIMITATION OF THE STUDY

This community health nursing study was exclusively conducted in Barangay Libas,
Roxas City, Capiz, from August 28 to September 4, 2023. The researchers initiated the study
with a courtesy call to Barangay Officials and conducted an on-site survey. Following
community assessment, problems were identified, and pertinent data were gathered,
assembled, and analyzed. However, we faced limitations in the data collection due to:
 1. Time constraints. Because of holidays and class cancellations, we were only given
a few days to gather data and provide intervention for this study. Due to time constraints, we
chose to survey only 110 families as a representative sample rather than the entire population
of the barangay.

2. Confidentiality. Due to confidentiality concerns, Barangay officials are unable to

give some vital data.

3. Respondents. It must be noted that the schedule of RLE for CHN is situated
during Mondays and Tuesdays. There are a lot of household heads who are the preferred
source of data in Brooklyn. Libas, we were rejected by some households while conducting
interviews due to the reason that they were busy.

The study's primary goal was to identify health issues in Barangay Libas, Roxas City,
Capiz, and to design interventions aimed at supporting community development. Through our
workshops and health lessons, the community obtained vital insights into health-related
concerns, allowing them to apply this information in their daily lives.

TARGET COMMUNITY PROFILE

Demographic Variables

I. Population

Total Population Data Data

Total Barangay Population 8,241

Total Number of Household 420

Total Purok II 2,178

NOTE: total population as of 2022 of the vital information

of the Bargy. Libas

Interpretation

The population of Brgy Libas Purok II is around 2,178 with a total of 420 households.
Implication

Cities get increasingly crowded as more people relocate to cities, resulting in a slew
of concerns such as trash and housing issues, pollution, and an increase in the number of
elderly and working-age populations. Simultaneously, the proportion of young people in
these places is declining, emphasizing the need for solutions that can address these concerns
in a sustainable and equitable manner.

II. SPOT MAP

 PLACE DISTANCE MINUTES

Purok II to City Health Office 4.2 km 10 minutes

Purok II to Roxas Memorial Provincial Hospital 4.4 km 12 minutes

Purok II to Capiz Emmanuel Hospital 5.7 km 14 minutes

Purok II to Capiz Doctors Hospital 6.3 km 16 minutes

Purok II to Health Centrum 5.9 km 15 minutes

Purok II to St. Anthony College Hospital 5.0 km 12 minutes

Purok II to Medical Mission 4.0 km 9 minutes

III. Population Density

Population density determines the congestion of a place. This is measured in

terms of the number of people living in each square kilometer of a geographic unit.

Population Density = (Total Population Total / Land Area) x 1000

Population Density = (8241570,000) x 1000
Population Density =14.28 = 14

Interpretation

There are approximately 14 persons living in 1 square kilometers of land.

Implication

As more people relocate to cities, cities become increasingly crowded, resulting in a

host of challenges such as waste and housing troubles, pollution, and an increase in the
number of elderly and working-age populations. At the same time, the proportion of young
people in these areas is decreasing, stressing the need for solutions that may address these
concerns in a sustainable and equitable manner.

IV. Individual interview by the student population profile

 The population profile was based on the ten household that I interviewed with a total
population of fifty-three.

V. Age Composition

Age composition indicates the distribution of individual ages or the composition of

the community. I use Erikson’s “developmental theory” to identify age group that provided
insights into both social and psychological development. The framework of his thinking
assesses the context of relationships in your life at these life stages.

CLASSIFICATION AGE GROUP FREQUENCY PERCENTAGE

EARLY INFANCY Infant to 18 months 0 0%
TODDLER 1 months to 3 years 0 0%
EARLY CHILDHOOD 3 - 5 years old 2 4%
MIDDLE
5 – 13 years old 5 9%
CHILDHOOD
ADOLESCENCE 13-18 years old 11 21%
YOUNG
20 – 39 years old 19 36%
ADULTHOOD
MIDDLE
40 – 60 years old 13 25%
ADULTHOOD
OLDER
60 and older 3 6%
ADULTHOOD
TOTAL
53 100%
POPULATION:

Note: I conducted interviews with ten

households, totaling fifty-three individuals.

IMPLICATION:
In Brgy Libas, Purok 2, Out of 53 individual that I interview, data shows that a high
percentage that are in young adulthood that ages between 20-39 is that most adults live in a
single household despite having their own family. Overcrowding in one household increases
the risk of infection by increasing the number of potential carriers. Increased population
equals increased demand for products and services (Wattson 2017)

VI. Sex Composition

 SEX POPULATION PERCENTAGE

MALE 23 43%

FEMALE 30 57%

TOTAL: 53 100%

IMPLICATION
In Brgy Libas, Purok 2, Out of 53 individual that I interview, data shows that female
is more than male. With a frequency of 30 female and 23 males. Gender norms, socialization,
roles, differences in power relations and access to and control over resources all contribute to
differences in vulnerability and susceptibility to illness, how illness is experienced, health
behaviors (including health-seeking), access to and uptake of health services, treatment
responses, and health outcomes. (WHO, 2021)

I. Social Indicators

a. Educational Level

HIGHEST EDUCATIONAL ATTAINMENT POPULATION PERCENTAGE

9%
College Graduate 5

College Undergraduate 2 4%

Highschool Graduate 15 28%

Elementary Graduate 28 53%

Kinder/ Pre-school Graduate 3 6%

 TOTAL: 53 100%

IMPLICATION:
Data implies that out of 53 individuals, mostly of the individual, their highest
educational attainment is elementary graduate. Education leads to better, more dependable
jobs that pay more and provide for families to amass wealth that can be used to improve one's
health. However, a lesser income relates to worse health, which is related with a lower degree
of education. Several studies have been conducted established that persons with lower
socioeconomic position are more prone than those with higher socioeconomic status to
obesity, asthma, diabetes, heart disease, and other health problems. (Sclabrine, 2022).

b. Housing Conditions

CONSTRUCTION MATERIALS USED FREQUENCY PERCENTAGE

Concrete (Made of Cement) 2 20%

Wood (Made of Wood) 7 70%

Mixed (Made of both Wood and Cement) 1 10%

TOTAL: 10 100%

IMPLICATION:
Housing quality has a significant impact on people's health. Poor housing is linked to
a variety of health problems, including respiratory disorders like asthma, cardiovascular
ailments, injuries, mental health problems, and infectious diseases including tuberculosis,
influenza, and diarrhea. Because of demographic and climate changes, housing is
becoming increasingly crucial to public health. (Friez, 2015).

c. Family size
 FAMILY SIZE TOTAL PERCENTAGE
SMALL (1-4) 2 20%
MEDIUM (4-7) 7 70%
LARGE(7-10) 1 10%
TOTAL 10 HOUSEHOLDS 100%

IMPLICATION:
Caring is the core of nursing, involving providing comfort, support, and attention to
patients' physical, emotional, and spiritual needs. Family size can affect care quality, and
nurses advocate for adequate childcare and development within families, addressing
financial challenges and ensuring access to healthcare and housing. (Kozier 2020)

d. Types of family

TYPE OF FAMILY FREQUENCY PERCENTAGE

Nuclear 2 20%

Extended 8 80%

Single Parent 0 0%

Blended 0 0%

TOTAL 10 HOUSHOLDS 100%

IMPLICATION:
The family is the foundation of social life. Although the nuclear family is the primary
unit of the family, interactions among extended family members are typically close. It is
feasible to persuade people to value their relationships with their aunts and uncles as
much as their relationships with their parents. In addition to genetic links or bloodlines,
close family ties frequently encompass acquaintances, neighbors, and distant relatives.
(Brewer 2010)
e. Prioritization of the Family

RANKING FREQUENCY POPULATION PRIORITIES

1 10 OUT OF 10 FAMILIES Food
2 7 OUT OF 10 FAMILIES Water/ Electricity
3 8 OUT OF 10 FAMILIES Education
4 7 OUT OF 10 FAMILIES Health
5 7 OUT OF 10 FAMILIES Hygiene
6 7 OUT OF 10 FAMILIES Clothing
7 8 OUT OF 10 FAMILIES Transportation
8 7 OUT OF 10 FAMILIES Communication
9 10 OUT OF 10 FAMILIES Recreation/ Vices
NOTE: The priorities are ranked from first to ninth, and the frequency is the top number of
households that voted for each given ranking.

IMPLICATION:
The allocation of the majority of a household's budget is often dedicated to essential
needs such as food, water, and electricity, as these are considered fundamental necessities.
Next is in terms of budgetary importance is the category of health-related expenses. This
could imply that food is the primary priority for the families. According to Mendez
(2020), persons with low socioeconomic class choose less healthy food and spend about
70% of their daily spending on food.

f. Religion

RELIGION FREQUENCY PERCENTAGE

Roman Catholic 52 99%

Born Again 1 1%

TOTAL 53 100%

IMPLICATION:
 This may imply that out of 53 individuals that I interview, majority are Roman
Catholic with a frequency of 52 individuals and one born again Christian. The Philippines
has the world's third-biggest Roman Catholic population and is Asia's largest Christian
nation, according to the Philippine Statistics Authority (2022). According to Census data,
Roman Catholicism accounts for 80% of the Christian population. Iglesia ni Cristo has
3% of the population, and Aglipayan's autonomous Catholic church has 1%. Various
Protestant churches accounted for 5% of the population, while Jehovah's Witnesses
accounted for 0.40%.

II. ECONIMIC INDICATOR

A. OCCUPATION

OCCUPATION POPULATION PERCENTAGE

Fisherman 8 15%

Fish Vendor 4 8%

Carpenter 2 4%

Housewife 11 21%

Student 10 19%

Unemployed 26 49%

Office worker 2 4%

TOTAL: 53 100%

IMPLICATION:
The table shows that a significant proportion of the population comprises
unemployed, accounting of 49%. Many of them possesses the necessary skills and abilities
for employment but none of them have regular jobs. According to Fushiguro (2015)
Occupation refers to your job or career and encompasses your education, training,
professional memberships, volunteering, and your whole history of paid labor. People endure
difficulties in both their work and personal lives. In such cases, their ability to make sensible
and informed decisions is determined by their level of education and self-awareness. This
suggests that having regular work is difficult to find in slum regions, hence occupational
mobility is observed. This is mostly due to the physical segmentation of labor prospects in
metropolitan regions, as well as the variable nature of jobs offered to slum inhabitants.

B. Monthly Income

MONTHLY INCOME FREQUENCY PERCENTAGE

< 1,000 2 20%

1,000 - 3,000 6 60%

3,000 - 5,000 1 10%

5,000 - 10,000 1 10%

TOTAL: 10 HOUSHOLDS 100%

IMPLICATION:
This implies that out of 10 households, 1,000-3,000 pesos is the majority monthly
income of those family. According to income, as a basic measure of social status, has a
significant effect in people's health maintenance. Higher income is associated with better
health and reduced health risks, whereas lower income is associated with increased
exposure to health risk factors (Zhang & Xiang, 2019). Furthermore, financial difficulties
have a negative impact on your mental health. You may feel melancholy or nervous
because of the stress of debt or other financial troubles. Furthermore, According to
Philippine statistics office (2022) Hundred million people live in rural areas and many of them
are poor. Agriculture is the primary and often only source of income for poor rural people, most of
whom depend on subsistence farming and fishing for their livelihoods.

C. Home ownership and residency

 HOME OWNERSHIP FREQUENCY PERCENTAGE

OWNED 10 100%

RENTED 0 0

RENT-FREE 0 0%

TOTAL: 10 HOUSEHOLDS 100%

IMPLICATION:
This implies that majority of the ten households have their owned home.
According to Jean (2015) Once individual have home ownership, he/she don't have to worry
about your landlord raising the rent or kicking you out with no notice. When you own your
own home, you have total control over your living situation. It's a place where you can feel
safe and secure. It is something that you can pass down from generation to generation.

LAND OWNERSHIP FREQUENCY PERCENTAGE

OWNED 2 20%

RENTED 0 0

RENT-FREE 8 80%

TOTAL: 10 HOUSEHOLDS 100%

IMPLICATION:
This implies that majority of people are rent free in their land ownership, and the land
was owned by a one individual. According to Wang (2019) rent free land, owner is not asking
for payment. Risk is that there is big potential that they can be evicted at any time from their
residence if the landlord wants.
 RESIDENCY POPULATION PERCENTAGE

LESS THAN A YEAR 0 0%

1-5 YEARS 1 10%

6-10 YEARS 2 20%

11-30 YEARS 6 60%

MORE THAN 30 YEARS 1 10%

TOTAL 10 100%

IMPLICATION:
This implies that out of 10 households most of the families are living in Brgy. Libas
for 11-30 years. According to Sebastian (2005) People in the community have lived in the
same house on the same land owing to strong cultural and familial ties to their ancestral
homes. This enduring bond is frequently founded in the practice of passing down properties
from generation to generation. According to Oliviera (2015), this practice is strongly
ingrained in the cultural legacy of the community, where the land and the family house are
considered as sources of stability, identity, and a sense of belonging.

d. Social welfare Insurance

BENEFIT BENEFICIARY POPULATION PERCENTAGE

PHIL-HEALTH 2 20%

GSIS 0 0%

4 P’S 1 10%

SSS 0 0%

PAG-IBIG 0 0%
 Senior Citizen 2 20%

NONE 5 50%

TOTAL: 110 100%

MEMBERSHIP FREQUENCY PERCENTAGE

ACTIVE 3 30%
INACTIVE 7 70%
10 100%

IMPLICATION:
This implies that out of 10 household that I interview half of them has no social welfare
insurance and 7 of the household are inactive member of social welfare insurance. According
to Duran (2011) The reason behind is that lack of knowledge to access agencies and their
respected barangays officials are unwillingly to make a move to introduce their people to the
government project and social welfare.

III. Environmental Indicators

a. Waste management

WASTE MANAGEMENT POPULATION PERCENTAGE

Hog feeding 0 0

Open dumping 0 0

Burial in pit 2 20%

Composting 0 0

Open burning 0 0

Garbage Collection 8 80%

Recycling 0 0

Garbage collection and Open Burning 0 0

Composting and Open burning 0 0

TOTAL: 10 households 100%

IMPLICATION:
This implies that out of 10 households, 8 households used garbage collection for their
waste management. According to Marahaya (2013) proper waste management procedures can
aid in the reduction of pollution, conservation of natural resources, and protection of
ecosystems. Hazardous waste management systems that are effective prioritize the safe
handling and disposal of hazardous items. Furthermore, these data demonstrate that the
community is gradually adopting proper waste management practices, as most of its members
participate in and are aware of this practice.

b. Toilet Facilities

TOILET FACILITIES
POPULATION PERCENTAGE

None 0 0%

Closed Pit Privy 1 10%

Pail System 0 0%

Antipolo Type 0 0%

Water-sealed Latrine 9 90%

Flush type 0 0%

TOTAL: 10 households 100%

TOILET FACILITIES POPULATION PERCENTAGE

Owned 8 80%

Blind Shared 2 20%

TOTAL: 10 households 100%

IMPLICATION:
 This implies that out of ten household majority of them used water-sealed latrine as
toilet facilities and 8 household has its own latrine in their house. According to WHO (2021)
Inadequate toilet facilities increase health risks due to poor sanitation and hygiene practices,
leading to waterborne diseases. Poor personal hygiene practices, inadequate handwashing,
and open defecation in communities can also spread infectious diseases. Contaminated water
sources can transmit these diseases to individuals who consumes.

c. Drainage System

DRAINAGE POPULATION PERCENTAGE

Open Drainage 9 90%

Blind Drainage 0 0%

None 1 10%

TOTAL 10 100%

IMPLICATION:
This implies that out of 10 household, 9 household has an open drainage system.
According to Mallari (2016) drainage facilities play a crucial role in infection prevention and
patient safety. Properly designed and maintained drainage systems help manage waste,
prevent the spread of contaminants, and maintain a safe and hygienic environment for
patients and healthcare workers. Nursing professionals are often involved in monitoring the
cleanliness and functionality of these systems to ensure patient well-being.

d. General sanitary conditions

GENERAL SANITARY CONDITION FREQUENCY PERCENTAGE
GOOD 2 20%

FAIR 2 20%

POOR 6 60%

TOTAL: 10 100%
IMPLICATION:

This implies that out of 10 households, the majority have fair or poor general sanitary
conditions in their home. According to Suezan (2008) environment is one of the foundational
concepts on wellness. The sanitation of environment has significant impact to individual’s
health and recovery.

e. Water Source

WATER SUPPLY USED FOR HOUSEHOLD POPULATION PERCENTAGE

Artesian Well 0 0%

Deep Well 1 10%

NAWASA 9 90%

TOTAL: 10 100%

IMPLICATION:
This implies that out of 10 households NAWASA is the main water source for
households of the nine families interviewed. The Metro Roxas Water District water services
cover Roxas City, therefore most residents access their services (MRWD, 2023).

WATER SUPPLY USED FOR DRINKING POPULATION PERCENTAGE

Artesian Well 0 0%

Deep Well 1 10%

NAWASA 1 10%
 MINERAL WATER 8 80%

TOTAL: 10 100%

IMPLICATION
This implies that out of ten families, Mineral water is used for drinking of eight
families interviewed. Water contamination can also cause gastrointestinal ailments such as
stomach infections and food poisoning. These illnesses can be caused by drinking, cooking,
or washing with contaminated water. The World Health Organization (WHO) defines access
to safe drinking water as a fundamental human right and an essential component of public
health. According to WHO, safe drinking water is water that does not pose a significant risk
to health over a lifetime of consumption.

DISTANCE FROM HOUSE FREQUENCY PERCENTAGE

0-1 METER 8 80%

2-5 METER 2 20%

6-10 METER 0 0%

MORE THAN 10 0 0%

TOTAL: 10 HOUSEHOLDS 100%

IMPLICATION:
This implies that out of ten families, 0–1 meter is the distance of eight families from
their toilet facilities. According to Jones (2020) the proximity of comfort rooms to houses
within the 0–1 meter range in our community is justified by the prevalence of private
bathrooms inside individual homes. In our community, many households have invested in
modern amenities, including indoor toilets and bathrooms, which are convenient and easily
accessible to the residents. Given the availability of these in-house facilities, it makes
practical sense to keep community comfort rooms within this close range, as they serve as
backup options or accommodate guests and visitors who may not have access to such
conveniences.

STORAGE FREQUENCY PERCENTAGE

None (Direct from faucet or pipe) 2 20%

Large container and covered (with

8 80%
faucet)

Large container with faucet 0 0%

TOTAL: 10 HOUSEHOLDS 100%

IMPLICATION:
This implies that out of ten families, eight families used large container and covered
(with faucet) as their storage of water. According to Llavae (2020) Direct water storage from
faucets or pipes is popular due to its convenience, efficiency, and cost-effectiveness. It
eliminates traditional storage solutions, ensures reliable water supply, and promotes water
conservation, saving resources and reducing contamination risks.

ADDITIONAL PROTECTION FOR

FREQUENCY PERCENTAGE
DRINKING WATER
YES 0 0%
NO 10 100%
10
TOTAL: 100%
HOUSEHOLDS

IMPLICATION:
This implies that out of ten families, majority have no additional protection for
drinking water. Due to a variety of causes, many people in the community may not invest in
further protection for their drinking water sources and instead opt to purchase mineral water
from drinking and refilling water stations. For starters, the notion of ease is important;
purchasing mineral water eliminates the need for water purification equipment and
maintenance, making it a simpler and less time-consuming option for households (Tang et al.,
2017). Furthermore, some people may be unaware of the quality of their tap water or the risks
associated with drinking untreated water, causing them to rely on readily available and
trusted water sources (Cozniack et al., 2019).

METHOD OF KEEPING DRINKING WATER

FREQUENCY PERCENTAGE
SAFE
BOILING WATER FOR 15-30 MINS 0 0%
PUTTING OF CHEMICALS (CHLORINE,
0 0%
IODINATION)
USE OF WATER FILTERS 0 0%
STORED IN A CONTAINER FOR A WEEK 0 0%
TOTAL: NONE 0%

IMPLICATION:
This implies that none of the family using safety precaution in their drinking water.

This implies also that most of them used mineral water. According to FDA (2019) Mineral

water contains large quantities of magnesium, calcium, sodium, and other beneficial

minerals. Studies suggest that drinking mineral water may have health benefits, though little

research directly suggests that it is better for a person's health than tap water.

REASON WHY NOT DOING THINGS

FREQUENCY PERCENTAGE
MENTIONED
MAGASTOS 0 0%
MATRABAHO 2 20%
HINDI KAILANGAN PA DAHIL MALINIS
8 80%
NAMAN ANG TUBIG

HINDI NAMAN KAILANGAN DAHIL WALA

NAMANG BATANG MASELAN SA 0 0%
KALUSUGAN
 HINDI ALAM ANG MGA PARAAN UPANG
MAPANATILING MALINIS ANG INUMING 0 0%
TUBIG

DIRECT MINERAL 0 0%
NAKASANAYAN 0 0%
10
TOTAL: 100%
HOUSHOLDS

IMPLICATION:
This implies that out of ten families, majority believes that their water is clean and

safe to drink. Individuals in some communities may choose not to use procedures to assure

the safety of their drinking water, instead relying on purchased mineral water from refilling

stations. Several things contributed to this decision. To begin, there is a common

misconception that commercially bottled mineral water is subjected to extensive quality

control methods because it frequently corresponds to industry norms and regulations (Payne,

2019). People may feel that water from refilling stations is fundamentally cleaner and safer

than their own tap water, which may not have been thoroughly tested or treated. Furthermore,

convenience is important, as purchasing bottled water is frequently more convenient than

installing water treatment and filtration procedures at home (WHO 2015).

F. Domestic Animals
DOMESTIC ANIMAL KIND FREQUENCY
Cats 4
Dogs 3
Chicken 5
Duck 2
TOTAL ANIMALS IN TEN HOUSHOLDS: 14
IMPLICATION:
Several factors contribute to the presence of domestic animals such as dogs, cats, and

chickens in the majority of community houses. For starters, these animals frequently serve

practical reasons, with dogs providing security and companionship, cats assisting in pest

management, and chickens providing a steady source of fresh eggs. Furthermore, because

these animals are regarded fundamental members of many households, cultural and emotional

relationships between people and these animals play an important role. However, this

concentration of animals might offer some dangers, such as the spread of zoonotic diseases,

increased animal waste management issues, and noise disturbances. To prevent these risks

and guarantee happy coexistence, proper pet care, hygiene, and community knowledge are

required. (Yan 2009)

f. Cooking Facility

COOKING FACILITY FREQUENCY PERCENTAGE

ELECTRIC STOVE 0 0%

GAS STOVE 2 20%

FIREWOOD OR CHARCOAL 8 80%

TOTAL: 10 HOUSEHOLDS 100%

IMPLICATION:
This implies that out of 10 families, 8 families used firewood and charcoal in their

cooking facilities. People in various societies prefer to cook with firewood and charcoal for a

variety of reasons. For starters, the availability and affordability of these traditional fuels

make them appealing possibilities, particularly in low-income communities where alternative

cooking methods may be out of reach financially (Johannes 2015). Furthermore, firewood

and charcoal are easily accessible in many places, and are often harvested locally, reducing

transportation costs, and further lowering family spending (Soraktzki et al., 2019).

Furthermore, the use of firewood and charcoal as cooking fuels, which has been passed down

through generations, promotes a sense of cultural continuity and comfort for community

members (Park et al., 2014).

FOOD STORAGE POPULATION PERCENTAGE

Covered 8 80%

Uncovered 0 0%

Refrigerated 2 20%

TOTAL: 10 100%

IMLICATION:
This implies that out of ten families, eight families preserved their food on a plate or

tapper wear with covered. This suggests that, in the absence of refrigeration, covering food is

a feasible and effective technique to increase its shelf life and retain its quality, so

contributing to community food security and resourcefulness. Covering food helps to keep

dust, insects, and other contaminants away from it, lowering the chance of spoiling.

NUMBER OF ROOMS USED FOR SLEEPING FREQUENCY PERCENTAGE

1 7 70%
2 3 30%
TOTAL 10 100%

IMPLICATION:
 This implies that out of 10 families, seven families have only one room for sleeping. The

number of sleeping rooms in a community might provide information about the housing

situation and living circumstances. This includes investigating how variables like congestion,

privacy, and the availability of suitable sleeping spaces for people and families can affect the

health and well-being of community members. Adequate sleeping areas are critical for

comfortable sleep, which is necessary for both physical and mental health. A case study can

investigate the effects of limited sleeping accommodations on sleep quality, stress levels, and

overall health outcomes.

g. Lighting Facilities

LIGHTING FACILITIES FREQUENCY PERCENTAGE

ELECTRICITY 10 100%

KEROSENE 0 0%

TAP ELECTRICITY 0 3%

FLASHLIGHT 0 1%

TOTAL 10 100%

IMPLICATION:
This implies that majority of ten families used electricity as source of lighting facility.

A family benefits from having an electric supply. power is essential in modern communities,

influencing many elements of everyday life. The cost of power can have a substantial

influence on communities, particularly low-income households. Analyzing electricity price

systems, subsidies, and programs aimed at delivering affordable electricity to all can be part

of researching the consequences of electricity affordability and energy poverty.

HEALTH ILLNESS AND PATTERN

 ILLNESS FREQUENCY PERCENTAGE

Hypertension 20 61%

Diabetes 2 6%

Pneumonia 2 6%

Asthma 1 3%

Stroke 1 3%

Allergies 2 6%

Arthritis 2 6%

Impaired Vision 1 3%

TOTAL ILNESS: 33 100%

IMPLICATION:
Because of a mix of hereditary, behavioral, and environmental factors, high blood

pressure, or hypertension, is a frequent ailment in communities. Individuals with a family

history of hypertension are more likely to develop it themselves, therefore genetic

predisposition is important. Furthermore, modern lifestyles with high-sodium meals,

sedentary behavior, and stress contribute to its prevalence. Furthermore, access to healthcare

and hypertension knowledge in the community might influence its occurrence, with poor

access to healthcare and health education frequently leading to undiagnosed and untreated

instances. As a result, hypertension remains a common health problem, emphasizing the

importance of public health programs as well as individual awareness and action to battle this

illness.

HEALTH RESOURCES
A. COVID-19 VACCINATION

Status Frequency Percentage

 Fully Vaccinated (1st dose, 2nd dose, booster shot) 35

Up to 2nd dose 10 63%

Up to 1st dose 0 6%

Single dose 13 8%

Unvaccinated 5 7%

Total 53 100%

IMPLICATION:
This vaccination record indicates that the majority of Purok Dos residents are

protected from COVID-19 by vaccines provided by their Rural Health Unit. Furthermore,

these data demonstrate that the community is gradually gaining herd immunity, as many of its

members are vaccinated, with only a few remaining unprotected.

B. MEDICATION
MEDECINES TOTAL PERCENTAGE
Amlodipine 5 23%
Clovix 4 18%
Losartan 9 41%
Gliclazide 2 9%
Clopidogrel 2 9%
TOTAL PERSON USED: 22 100%

IMPLICATION:
This implies that majority of medication are Anti-Hypertensive. Medications can give

major therapeutic benefits in the treatment of diseases, infections, chronic disorders, and

symptom relief. They can aid in the management of chronic conditions such as diabetes,

hypertension, and asthma, lowering the risk of complications. Medications can interact with
one another and with specific foods, resulting in changes in effectiveness or potentially

adverse effects. To ensure that prescribed medications do not interact unfavorably, it is

critical to check with a healthcare provider. Medication, according to the World Health

Organization (WHO), includes drugs intended to prevent, diagnose, treat, or mitigate sickness

and promote human health. Medicines play an important role in healthcare since they treat a

wide range of health issues, from minor symptoms to complex disorders.

POLITICAL AND LEADERSHIP PATTERN

 ANALYSIS OF DATA
a. Identification of Community problems
 Poor Home/Environmental Condition/Sanitation
 Faulty/unhealthful nutritional/eating habits.
 Unhealthy Lifestyle and Personal Habits/Practices.

Poor Home/Environmental Condition/Sanitation

Criteria Computation Actual Justification

Score

Nature of the (2/3) x 1 0.67 This problem is a health resource since it is

Problem related with the community's lack of trash
collection resources, such as dump trucks. The
consequences of a lack of resources include
blockage of garbage in the community's drainage
that may cause flood and become breeding sites
or resting sites of vector of disease.

Magnitude of (4/4) x 3 3 100% of the household that I interview (10

the Problem households) have their garbage collected once
every two weeks.

Modifiability (2/3) x 4 2.67 Weekly waste collection can help to mitigate the
of the Problem situation.

Preventive (2/3) x 1 0.67 The community can only partly mitigate this
Potential problem due to a lack of resources.

Social (1/2) x 1 0.5 The community acknowledges this as a problem

Concern but does not require immediate action because
they have become used to this type of problem.

Total Score: 7.51

Faulty/unhealthful nutritional/eating habits

Criteria Computation Actual Justification

Score

Nature of the (2/3) x 1 0.67 The problem is health status because families are
Problem financially constrained to buy healthy foods, and
some families can’t eat three times a day. The
effect of a lack of resources is that they consume
food that is suited to their budget. Affordable
foods like ready-made noodles and dry fish These
foods are salty and high in sodium, which can
affect their health. Eating salty foods may cause
increase of blood pressure, and malnutrition

Magnitude of (3/4) x 3 2.25 61% (20 individuals out of 33 individuals are

the Problem diagnosed with hypertension and taking anti-
hypertensive medication) and 4 out of 5
medication that I collected is anti-hypertensive
drug.

Modifiability (1/3) x 4 1.33 Community are lack of resources and intervention

of the Problem to attain healthy and sufficient food

Preventive (2/3) x 1 0.67 The community can only partly mitigate this
Potential problem due to a lack of resources.

Social (1/2) x 1 0.5 The community acknowledges this as a problem

Concern but does not require immediate action because
they have become used to this type of problem.

Total Score: 5.42

Unhealthy Lifestyle and Personal Habits/Practices.

Criteria Computatio Actual Justification

n Score

Nature of the (2/3) x 1 0.67 The problem is health status because people are
Problem lack of financial resources, management of the
Barangay and justification to solve health
problems.

Magnitude of (4/4) x 3 3.00 80% of the household has poor/fair general

the Problem sanitary condition.

Modifiability (1/3) x 4 1.33 Community are lack of resources and justification

of the Problem of the personnel in the Barangay to address
unhealthy personal habits.
Preventive (2/3) x 1 0.67 The community can only partly mitigate this
Potential problem due to a lack of resources and
management.

Social (1/2) x 1 0.5 The community acknowledges this as a problem

Concern but does not require immediate action because
they have become used to this type of problem.

Total Score: 6.17

b. Prioritization of Community
Health Problems The list of the health problems ranked according to priorities presented.

HEALTH
RANK CATEGORY SCORE
PROBLEM
Poor
Home/Environmental HEALTH
1 7.51
Condition/Sanitation RELATED

Unhealthy Lifestyle
and Personal HEALTH
2 6.17
Habits/Practices. RELATED

Faulty/unhealthful
nutritional/eating HEALTH
3 5.42
habits RELATED
COMMUNITY
CARE PLAN
 COMMUNITY INTERVENTION
CUES GOAL OF CARE EVALUATION
PROBLEM STRATEGIES
OBJECTIVE DATA: Poor Through the effort of Student Nurses GOAL PARTIALLY
Home/Environmental the student nurses of conducted Mother’s MET:
This data was collected Condition/Sanitation SACHRI, the Class. A program that
through ocular survey, community will develop focuses about:  The families in the
giving questionnaire, and the following goal: community have
vocal interview to the  informing, partially met their
clients in community. SHORT TERM: teaching, and goal since they
After one hour of health providing have received
 Inadequate living education and vocal necessities like awareness and
space interview the client will (soap, towel, understanding of
 According to be able to identify the hygiene kit, pail, what they need to
population health risk in their etc,,.) in do to solve the
density of Brgy. surroundings. Client will maintaining situation, but they
Libas, 14 persons be able to know the action sanitation of are still getting
living in 1 square he/she going to made. environment. used to it.
meter of land. Maintaining the  The risks and
 7 out of 10 environment clean, like factors of stagnant
families that I clearing stagnant water, water to the
interview has 0-1 and cleaning the drainage. community.
room to sleep.  Point out the
 Presence of LONG TERM: current state of
breeding or resting After two weeks of their environment,
sights of vectors of nursing assistance, the particularly the
diseases community will be able to drainage system,
 The drainage combat the problems it and allow them to
system is mostly faces in the environment, express their
open system and begin to practice proper thoughts/opinions
full of garbage. waste segregation and on the issue.
 Rats and larva of disposal, become aware
mosquito observe of the effects of an
 in the drainage. unsensitized environment,
 Improper drainage and conduct community
system service for a week in
 out of 10 cleaning the community,
household that I including drainage.
interview, 9
household has an
open drainage
system.
 Air pollution
 foul smell of
sewers, dry fish,
and garbage
 Land Pollution
 Improper waste
segregation and
disposal.
 According to the
data collected of
10 households,
the majority have
fair or poor
general sanitary
conditions in
their home.
 CUES COMMUNITY GOAL OF CARE INTERVENTION EVALUATION
PROBLEM STRATEGIES
OBJECTIVE DATA: Unhealthy Lifestyle and Through the effort of the Student nurse will GOAL PARTIALLY
Personal student nurses of conduct a program titled MET:
This data was collected Habits/Practices SACHRI, the “PAGTILILIPON PARA
through ocular survey, community will develop SA IKAAYONG The families in the
giving questionnaire, and the following goal: LAWAS.” This program community have partially
vocal interview to the will focus about: met their goal since they
clients in community. SHORT TERM: have received awareness
After one hour of health  Giving pamphlets, and understanding of what
 Walking barefooted education and interview, brochure, and they need to do to solve
or inadequate poster about health the situation, but they are
footwear  client will be able education still getting used to it.
 Children has to identify and  Discussion about
dirty nails and verbalize their the risk of
running barefoot. unhealthy habits unhealthy lifestyle
 Poor personal and practices. and personal habits
hygiene  Client can decide to the well-being
 Some household in fixing the of a person
that I interview problems  Discuss some
have identified. illnesses that may
inappropriate  Client will change develop due to
body odor. his views and malpractice of
 Children are perspective toward hygiene and
untidy. malpractices of walking barefoot.
 Self-medication/ taking self-  Give an
substance abuse medication. educational
 Using reminder to those
unprescribed LONG TERM: individuals that has
medication by After two weeks of malpractice in self-
the doctor intervention: medication, and
 Following  Client applied the will discuss the
 neighbor advice knowledge that health threat if
in taking he/she gain from he/she continue
medicine. student nurses. taking
 Lack of  Client become unprescribed
knowledge about meticulous of medicine.
certain personal hygiene,
medication that understand the
they take. importance of
cleaning the body,
and become
responsible in
maintaining self-
clean.
 Client will be able
to stop
malpractices in
self-medication
and become
another personnel
of awareness to it’s
neighborhood that
undergo wrong
self-medication.
 CUES COMMUNITY GOAL OF CARE INTERVENTION EVALUATION
PROBLEM STRATEGIES
OBJECTIVE DATA: Faulty/unhealthful Through the effort of the Student nurse will GOAL PARTIALLY
nutritional/eating habits. student nurses of SACHRI, conduct a program MET:
This data was collected the community will develop titled
through ocular survey, the following goal: “MASUTANSIYAN The families in the
giving questionnaire, and G HAPAGKAINAN community have partially
vocal interview to the SHORT TERM: FEEDING met their goal since they
clients in community. After one hour of health PROGRAM, .” This have received awareness
education and interview, client program will focus and understanding of what
 Inadequate food will be able to: about: they need to do to solve
intake both in  Identify foods that are the situation, but they are
quality and unhealthy.  Giving still getting used to it.
quantity  Will be able to education
 Dried fish, canned understand the about fruits and
goods, and instant importance of eating vegetables that
noodles as main healthy foods. are healthy to
foods in those  Become aware of the be consumed
household that I threat of consuming and can be
interview. salty foods, and instant found in the
 Can’t eat three noodles in their health. backyard.
times a day.  Able to know an  Community
affordable healthy Feeding
 Malnutrition/ recipe for the family program to the
Malnourishment that some of the students.
due to unhealthy ingredients can be  Food packs
food consumption found in their backyard. assistance
 Children size and (Milk)
weight are not  Discuss plant
aligned to their age. LONG TERM: and fruit
 Most of the After two weeks of planting.
individuals in adult intervention:  Cooking show
 age group have  Client will be able to of healthy
high blood cook healthy and recipe
pressure. According affordable recipe.  Health
to interview they  Children will increase education
like to eat dried their weight. about the risk
foods.  Individual that has of consuming
 Highest BP that I increased blood foods that are
get: pressure will understand salty and has
- 150/100, and avoid consuming preservative.
140/80, and salty dried foods.
130/100mmhg  Individual that has
 61% (20 increased blood
individuals out of pressure prior to
33 individuals are community interview
diagnosed with will return to its normal
hypertension and value after taking vital
taking anti- sign.
hypertensive  Client will be
medication) and 4 knowledgeable enough
out of 5 medication to foods that are
that I collected is healthy.
anti-hypertensive  Able to verbalize to
drug. others its learning about
the risk of eating salty
foods, and ready-made
foods that has
preservatives.
 COCLUSSION/INFERENCE

Following this community exposure, the student nurse was able to diagnose the following

health issues noticed in Purok Dos, Brgy. Libas, Roxas City (1) Poor Home/Environmental

Condition/Sanitation; (2) Unhealthy Lifestyle and Personal Habits/Practices; and (3)

Faulty/Unhealthy Nutritional/Eating Habits. Based on the problem existing in the community

and during the interview, these difficulties were identified and justified. The student nurse

designed appropriate interventions to address these issues. The set goals were only partially

met after implementation. Many elements have been considered, including the community's

resources and the client's willingness to change their habits. Fortunately, the people expressed

their gratitude for the health guidance, teachings, and lessons they received.

The student nurse's exposure to the community has improved his communication

skills. He also acquired independence while conducting the interview. Above all, during this

experience, he was able to live according to Vincentian-Anthonian principles and beliefs.

 RECCOMENDATION

The Barangay is the primary level of local government and oversees carrying out all policies,
plans, programs, initiatives, and activities within the locality. Furthermore, it allows citizens
to voice their ideas, concerns, and initiatives, as well as resolve problems. Following the
identification and prioritization of the family's health issues, the student-nurse's
recommendations are as follows.

1. Encourage people in the community to practice proper waste segregation, and

proper waste disposal.
2. In the local health clinic, distribute instructional reading material such as
booklets or flyers warning of the consequences of improper drug usage.
3. Demand strategized funding to the province of Roxas City for purchasing
dump truck for the Brgy.
4. Involve more people of community to the social welfare, assitance and
programs of government.
5. Improve fundamental equipment that can help with the Purok's sanitation and
cleanliness.
 JOURNAL

The most significant event in my CHN journey is conducting a home visit physical
assessment of my selected family, getting vital signs, and providing health education to those
families in barangay libas. Upon arrival in the barangay, we were welcomed by the barangay
officials, and we conducted an interview with them. We were accompanied by Konsehal
Reggie Ignacio, who mentioned all the problems and concerns that the community faced.
And I was slapped by the reality that they experience and societal issues.

I observe that people lack health awareness and financial resources. I also observed that
most people are hypertensive because they usually eat salty foods like ibis and daing. And
they had this line, "Wala kami ga pa doctor kag gina kwartahan lang Kami nila kag ga pang
luya lang Kami sa hospital," verbalized, which is not appropriate to hear as a nursing student.
But despite the beliefs of those people in the community, I continue to educate them about
the importance of health in person and their malpractices in sanitation.

Through this experience, I developed and improved my skills, especially my

communication with other people. Also, this journey will truly be a treasure in the future
because it gives me a glimpse of community conditions. My feeling is ambivalent since I'm
happy that I can give knowledge and help a family. The smile on their faces and the word
"thank you" strike my heart. And it inspired me to strive and perceive even when I struggled
in my course. Lastly, through this journey, I would like to give credit to my members and my
dear clinical instructor, Mr. Neil Datiles, for making my CHN journey fun, supportive, and
memorable. And through them, I also conquered all my lacking skills.
DOCUMENTATION
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& Rehfuess, E. (2013). Millions dead: how do we know and what does it mean?

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review of public health, 34, 37-56.

 World Health Organization (WHO). (2019). Guidelines for Drinking-Water Quality.

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guidelines-4-including-1st-addendum/en/