Final Copar

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CHAPTER I: INTRODUCTION

As the first man and woman made the first family in this world, families are continuously

multiplying and spreading their ancestry. As time goes by, a big group of families are formed,

thus creating a community.

Community is therefore defined as a group o f people wi th common

c ha ra ct er is ti cs o f g oa ls a nd s ha re d i nt er es t l iv in g t og et he r w it hi n a

geo gr aph ic al bou nda ry , has a pop ul at io n and environmental resources. In every

community, different problems can be found especially healths problems that are usually

caused by environmental factors. To prevent this kind of chaos, every individual in the

community must be part of the process of improving their community into something better

through the help of a health sector in a community by using a Community Organizing

articipatory Action !esearch "COA!#.

Community Organizing articipatory Action !esearch "COA!# is a continuous and a

sustained process of educating the people, working with people, and mobilizing with people.

The process and structure through which members of a community are$or become organized for

participation in health care and community development activities.

As second year nursing students, we conducted CO which aims to help organize the

people and help them identify and solve their problem in Canucutan, asonanca %m&,

'amboanga City. At our first entry in the community, we conducted an ocular survey in the said

barangay. (e gathered information for the Initial )atabase on *+ families at Canucutan to

gather information and to confirm the initial identified maor problem which is incidence of

unvaccinated and stray dogs. Two other maor problems which are cough and colds and

hypertension were also identified by the people of the barangay.

After the maor problems in the community were identified by the residents, we

conducted our CO general assembly where in CO officers were elected. (e also educate them

about !abies, its definition, signs and symptoms, treatment and prevention, and we also

educate them how to be a responsible pet owners.

-.- !ationale

This study has been conducted and undertaken to prepare us, a future health workers

through eposure to different kinds of health problems in the community. This study was also

initiated for us to carry out community assessment, and help the community identify their own

problems.

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-.* urpose

This research has been also performed to organize as well as to mobilize the people in

the chosen community. This will help the people stand on their own, in preventing and solving

the community/s maor problem which is the incidence of unvaccinated and stray dogs. The

study has been conducted in order to gather databases of the community for further use of other

health workers and community profiling. This has also been conducted to evaluate their health

status after the assessment and diagnosis has been carried out through proper education and

health promotion.

-.0 1tatement of the Obectives

The Ateneo de 'amboanga 2niversity College of 3ursing 4evel II, 5roup 6, aims to help the

residents identify the maor community problems at Canucutan, 6arangay asonanca ,%m&,

'amboanga City, and to organize the people in the community, as well as to give them

knowledge for them to be independent and cope with the community problem on their own.

1pecific Obectives7

-. To be able to decrease the number of dog bites and the prevention of rabies at

Canucutan ,6arangay asonanca through health teachings.

2. To be able to impart knowledge on the prevention and treatment of cough and colds.

3. To be able to educate the people on the management of hypertension.

-.8 9ethodology

In our Community Organizing, we were assisted by the 6arangay Captain, :figenio :.

;ulian ;r. and by the ublic entry phase we started our community organizing with an ocular survey

with the help of the public health nurse to select a potential community.

The :ntry phase. After the public health nurse helped us choose a community which is

the Canucutan, a potential area for community organizing because of apparent problems that

they are facing, we started collecting information from the community for the initial data base

compilation. The community identified maor problems that they are encountering and among

the problems, they chose incidence of unvaccinated and stray dogs as their maor problem.

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Organizational>building hase. They elected a set of officers that will take charge of the

community, specifically to organize, support and supervise in the implementation of health

initiatives by the people. After the election of officers, we gave health teachings about

prevention and treatment of rabies. (e also educate them on how to be a responsible pet

owner.

-.? 4imitation of the 1tudy

This study is intended for the benefit of the residents in Canucutan, 6arangay

asonanca %m&, 'amboanga City. The main focus of this community assessment is concerned

with the development and empowerment of the people of the said barangay. The study presents

data based on the study conducted by the students. It includes house to house interview, survey

specifically about incidence of unvaccinated and stray dog and ocular survey. The respondents

included were *+ families in Canucutan. This research focuses on the assessment and planning

to identify the health problems present in the said community and arrive in an appropriate action

plan for the empowerment of the people. Target respondents are those head of each household

as well as the family members present.

CHAPTER II: TARGET COMMUNITY PROFILE

*.- 5eographical 9odifiers

*.-.- nangka. The name asonanca was thus coined and

given to the place where the trees are growing. Others say that the name asonanca is a

contraction of three words > paso de nanca, which means ass of ;ackfruit.

It is bounded by 1ta. 9aria on the 1outh, 1an !oEue on the (est, 4unzuran on the

3orth and Tumaga on the :ast. It is composed of & puroks and & sitios, namely7 Abong>Abong,

4uyahan, 1hanty Town, 4antawan, 6usay, 9uruk, 1abana Coco and Canucutan. It is the

biggest barangay in land coverage, ?+F of which is plain, *?F hilly and *?F mountainous.

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2pper asonanca, which is situated in the northernmost part, used to be a virgin forest

with etensive collection of wildlife, trees and rich soil. It was also an agricultural area because

of the abundant resources like coconuts, mango trees, bananas and other agricultural products.

9t. ulong 6ato, the legendary home of !aal 1argan, the timuay of 1ubanen, completes the

pretty background of this picturesEue barangay.

asonanca is a beautiful place befitting its popularity as a tourist destination. It has

attracted a lot of people because it boasts both the asonanca and Abong>Abong =reedom

arks. Often hailed as the 4ittle 6aguio of the 1outh due to its cool ambience, its terrain is

hilly to mountainous. It has a natural swimming pool, the only one in the country.

*.-.* Organizational Chart of 6arangay Officials

Efegenio E. Julian Jr."6arangay Chairman#

1ecretary7 Conception !. !amoya

Treasurer7 Cecilia A. )e ;esus

"6arangay %agawads#

Nelon A. La!a"ean"oE#ralin C. La!a"ean"oP$ili% &. Jone'(e" &. Ar)ui(aPe#ro P. Lanu(a Jr.Le"i!ia M. Mili"an"eJeron M. Mon"e*er#e

Joanna Mari D. Ma "1.% Chairman#Elnier Ana"a!io

Dar+l An#i!oI*an Co,eLea Gue*arraR$ina La!a"ean"o&a,-&a, ,o)ue#aJC Tan!io"1% %agawads#

*.-.0 Organizational Chart of the


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*.-.8 COA! Officer of Canucutan

The election of officers for the community organizing was conducted during the first

COA! assembly held on ;anuary -+, *+-*, Tuesday at the stage near the river at Canucutan.

A number of the resident attended and were actively participating during the election of the set

of officer. =our among the residents were chosen to fill the spots. The newly elected officers

were responsible, cooperative, open>minded, and trustworthy. They helped us make their

community a better one by organizing and supervising the people.

:lected Officers7

resident7 9rs. Carmencita 4. 6atiun

Gice resident7 9rs. 'enaida 6antug

1ecretary7 9rs. !osibel Tolentino

Treasurer7 9rs. ;osephina 6ello

*.-. 1pot 9ap of asonanca

5

Reynaldo M. Bue

Sanitary Inspector

Josephine F. Aringo

Nurse II

Mercedita B.

AlvareBHW

!enaida A.

FrangolinBHW

"liceria A.

#are$aBHW

Arsenia B.

BelloTBA, BHW

Cha

Rose C.

"arciaBHS

CANUCUTA

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CHAPTER III: DEMOGRAPHIC DATA

0.- Total opulation7 0-, *?B

0.* opulation )ensity

=ormula7 )HTotal no. of population -+++ Total no. of sEuare meters

H "0-, *?B# "-,+++#--, 8+,+++sEm*

H *.&*&-8 or *.&0

0.0 Total of =amilies 1urveyed

(e have surveyed *+ families.

0.8 Total 3umber of


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Out of *+ families, -8 are using Chavacano as their dialect spoken, are using

6isaya, and none of them is using Tausug

0. Transportation

In barangay asonanca %m&, @?F of the community is using eepney as a means of

transportation , and -?F is using motorcycle.

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CHAPTER I: /OCIO-DEMOGRAPHIC DATA

8.* Age )istribution

The graph shows that 8BF of the population in asonanca km &, are -?>8B years old, *-F are

&>-8 years old, --F of them are ->8years old and ?+>8 years old, 8F are ?> years old, 0F

are ? years old and above, and -F are +>--months.

8.0 5ender )istribution

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CHAPTER : /OCIO-ECONOMIC AND CULTURAL DATA

Out of -?& family members of the *+ families, in terms of highest educational attainment,

B@ individuals reached grade school, -B of them have reached high school, -0 of them have

reached college, and *& don/t go to school yet.

6ased on the graph, out of -?& individuals, there are construction worker, B farmers, 8

anitors, * vendors, * tricycle drivers, - housemaid, - saleslady, and * government employees.

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Occupation


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6ased on the graph, out of *+ families, of them are earning -+++>*+++ as their

monthly salary and also of them are earning +++>@+++, 8families are earning 0+++>

?+++ * families are earning -++++>*++++, - family is earning @+++>-++++ and - family

also earns *?+++>0?+++ monthly.

6ased on the graph, all of the *+ families who were surveyed were !oman Catholics.

CHAPTER I: ENIRONMENTAL FACTOR/

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6ased on the graph, all of the *+ families, who were surveyed, own their houses.

The graph shows that out of *+ families, who were surveyed, * families have strong

housing structure, @ families have light housing structure, and -+ families have mied housing

structure.

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Electr icit

85!

"ero#ene15!

Other#

0!Lighting Facilities

The graph shows that out of *+ families, who were surveyed, -& families are using electricity

and 0 families are using kerosene.

6ased on the graph, out of the *+ families, who were surveyed, -+ families are using private

water supply, and -+ families are using public water supply " such as deep well#.

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6ased on the graph, out of the *+ families, who were surveyed, the graph reveals that

+F have open drainage, and 8+F have no drainage.

The graph reveals that -++F of the families were using the method of open burning for their

waste disposal. All of the *+ families, who were surveyed, are following open burning method of

disposal.

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6ased on the graph, out of *+ families, who were surveyed, 0 families are using Closed it

rivy, families are using ail 1ystem, -+ families are using (ater>1ealed 4atrine, and - family

is using the =lushed type.

$o%

51!

&i%

10!

Cat

34!

Chic"en

5!

Domestic Animals

The most numbered domestic animal is dog, followed by chicken, pig, and then cat. Out of ?B

domestic animals owned by the *+ families, there were 0+ dogs, pigs, *+ chickens, and 0

cats.

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6ased on the graph, all of the *+ families/ houses were not congested.

CHAPTER II: HEALTH PROFILE

6ased on the health status graph of the *+ families, consist of -?& family members, --& of them

have no present illness, -& of them have cough and colds, -- of them are hypertensive, of

them have diabetes mellitus, - of them has T6, one of them has T6, one of them has cancer,

and 8 of them are asthmatic.

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The *+ families are -++F completely vaccinated.

CHAPTER III: ANALY/I/ OF DATA

@.- Identified roblem

In the chosen community, barangay asonanca, Canucutan, the residents together

with the student were able to identify different community problems that are prevalent in the

place. These problems were prioritized, and were able to come up with three maor problems in

Canucutan.


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be transmitted to humans. Although all warm>blooded animals can get and transmit

rabies, dogs are the most common carrier

*. Cough and colds

According to the people of Canucutan, cough and colds is freEuently eperience by them

especially the young ones. It was observed in the I)6 that almost every family has a

member who is eperiencing cough and colds. 9ost coughs and colds are caused by

viruses. 9any different viruses can infect the nose and throat. They are passed by

droplets or by coughing and sneezing, thus the virus is being transferred.

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@.* rioritize the roblems

Unvaccinated and Stray dogs

Criteria Computation Actual 1core ;ustification

3ature of the problem 0$0 -

-

The problem is a

health deficit and

reEuires more

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2nvaccinated and 1tray )og


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immediate

intervention

9odifiability of the

problem

*$* *

*

The problem is easily

modifiable since

vaccination of the

dogs is provided by

the health sector.

reventive otential 0$0 -

-

1usceptibility of other

complications and

infections can be

prevented if the

number of stray dog

without vaccination

can be decrease

1alience of the

roblem

*$* -

-

The family or the

community as a whole

recognizes it as a

problem.Total =5

Cough and Colds

Criteria Computation Actual 1core ;ustification3ature of the problem 0$0 -

-

The problem is a

health deficit and

reEuires more

immediate

intervention

9odifiability of the

problem

-$* *

-

Though the resources

and interventions

needed to solve the

problem are available

to the family, the

problem is greatly

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affected by the

change in weather.

reventive otential 0$0 -

-

Transferability of

cough and colds to

other member of the

family is reduced or

elimited if the problem

is managed as soon

as possible

1alience of the

roblem

-$* -

-$*

The families

recognize it as a

problem.


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reventive

otential

0$0 -

-

The possibility of having a heart condition will be

prevented if hypertension is properly managed.

1alience of

the

roblem

*$* - - The family recognize it as a problem

Total

H 8

Appendi A

Action lan of Community Assembly

COPAR ACTIITIE/

1ignificant dates of COA! activity

)ate Activity$Activities

)ecember -*, *+-- >On this day, it was our first duty at asonanca

km& up, the different programs of the

community were also discussed. On the same

day, we made a courtesy call to the barangay

hall. That activity was done for us to ask

permission to the barangay officials and to let

them know the purpose of our presence in

their community. The barangay chairman was

the one who welcomed us, and gave some

background information about our target area,

which is the Canucutan.

)ecember -0, *+-- >=or the first time we visited our target area,

Canucutan, asonanca to conduct an occular

survey for our Community Organizing "CO#.

;anuary B,*+-* (e gather information through Initial )ata

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;anuary -+, *+-*

6ase or I)6 and we also distributed some

survey Euestions about dog bites as what the

main problem of the community is facing. To

inform the community that we will have an

assembly about forming set of officers and will

having some health teachings about their

problem on their community, we distributed

some of the invitations.

>(e gave letter to the barangay captain, telling

that we are going to conduct a generally

assembly for election of officers at Canucutan

and educate the residents about !abies.

;anuary --,*+-* (e conducted our Community Organizing

5eneral Assembly. The members of the

community elected their officers. )uring the

assembly, we discussed about !abies,

specifically its definition, signs and symptoms,

prevention, treatment, and the harm that it can

bring to the community. eople participated

well in the discussions and they also shared

their eperiences about dog bites and also

raised some Euestions. (e also gave some

health teachings to the community on what

they will do if a dog bites them, like, observe

first if the dog will die after how many days,

cleaning and closing the wound, drink

antibiotics as prescribed by the veterinarian.

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Appendi 6

Invitation for the Community Assembly

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Appendi C

Attendance )uring the 5eneral Community Assembly

A:3)I )

1ample of the 1urvey Kuestion

Ateneo de 'amboanga 2niversity

6achelor of 1cience in 3ursing

4evel II> 5roup 6

Community Organizing rogram

1urvey Kuestions about stray and unvaccinated dogs in the Community

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-+. If the barangay initiate a responsible ownership program, will you attendL

a. Nes b. No

A:3)I :

shaped virus "from the !habdoviridae family#. It is gray when seen under an electron

microscope. The virus is sensitive to sunlight, ultra>violet light, ether, formalin, mercury and nitric

acid. It is resistant to merthiolate and other common anti>bacterial agents.

!abies infects warm>blooded domestic and wild animals, and is spread to people

through close contact with infected saliva "via bites, scratches or licks on open wounds#. Cases

have also been reported in which the virus penetrated the body through moist tissues such as

the eyes or lips or the transplantation of infected tissues. Cases of person>to>person

transmission through dispersion of saliva droplets in the air have been recorded.

The rabies virus has a strong affinity for the Central 3ervous 1ystem "which is made up

of the brain and the spinal cord#. It makes its way to the brain by following the peripheral nerves

"the nerves that run throughout the body#.

The virus goes through the following stages7

-. Attachment7 The rabies virus attaches itself to a healthy nerve cell.

*. enetration7 The virus is taken in by the cell.

0. !eplication7 Inside the cell, the virus multiplies rapidly.

8. 6udding7 The new rabies virus leaves the host cell. It attaches to other nerve cells. The

virus then spreads from the brain to the rest of the body by the nerves.

The incubation period of the disease depends on various factors like how far the

virus must travel to reach the central nervous system. In rabies, the incubation period refers to

the period from the animal bite incidence to the time when signs begin to appear. =actors that

may affect incubation include7 etensiveness of the bite, specie of the animal, richness of the

nerve supply in the affected area, and resistance of the host. It usually takes one week to seven

and a half months in animals and ten days to fifteen years in humans. The disease is

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communicable from three to five days before onset of symptoms until the entire course of

illness.

/ign an# /+,%"o,:

Rabies in Humans

Once the signs and symptoms of rabies infection appear in humans, the

situation becomes irreversible and death is almost always inevitable. This is why it is very

important to go to the nearest animal bite center if you have been bitten, scratched or licked by

an animal that might be rabid.

:arly symptoms of rabies include fever, headache, sore throat, fatigue, loss of

appetite, nausea, vomiting and diarrhea. The disease, later, progresses to involve the

respiratory, gastro>intestinal and$or central nervous systems. As the virus gets to the brain, the

person may act nervous, confused, upset and violent.

Other symptoms of rabies in humans include7

-. pain or tingling at the site of the bite

*. dilated or irregular pupils

0. ecessive sweating especially at the head part

8. increased tears, low blood pressure and increase in blood sugar level

?. sensitivity to air, to touch, to loud noises and bright lights

. hallucinations "for eample, seeing things that are not really there#

&. hydrophobia "fear of water due to painful spasms in the throat# despite etreme thirst

@. drooling "ecessive flow of foam>like saliva#

B. paralysis "unable to move parts of the body#

As the disease advances to the fatal stage, the person gets dehydrated, enters into

a coma and dies.

Rabies in Animals

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8. )o not kill the animal.. (ait to see what happens within -8 days of the incidence to

confirm if it is rabid or not. A rabid animal usually dies within the -8>day observation

period. If it dies within -8 days, call a veterinarian for proper submission of sample to the

nearestAnimal)isease )iagnostic 4aboratory.

Re,in#er re: La0ora"or+ Confir,a"ion of /u%e!"e# Ra0i# Ani,al:

-. The head of animals for laboratory testing should be placed in a leak>proof double

plastic bag. This, in turn, should be placed in a bigger container with liberal amounts of

ice. If the animal can be brought to the laboratory within -* hours of death, ice is not

needed.

*. )o not put chemical disinfectants or preservatives such as formalin, alcohol, etc.

0. Animals for testing should be brought to the nearest rabies diagnostic laboratory.

8. :nsure proper care and protection when attempting to detach the head of the animal.

(ear protective gear "e.g. gloves, mask, and goggles# and disinfect all materials used

after carrying out the procedure.

!eferences7

http7$$www.cdc.gov$ncidod$dvrd$rabies

http7$$www.who.int$mediacentre$factsheets$fs+BB$en$inde.html

http7$$www.who.int$rabies$epidemiology$en$

A:3)I =

)ocumentation

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http://www.doh.gov.ph/rabies/rabies_diagnostic_laboratories.htmhttp://www.cdc.gov/ncidod/dvrd/rabieshttp://www.cdc.gov/ncidod/dvrd/rabieshttp://www.who.int/mediacentre/factsheets/fs099/en/index.htmlhttp://www.who.int/rabies/epidemiology/en/http://www.doh.gov.ph/rabies/rabies_diagnostic_laboratories.htmhttp://www.cdc.gov/ncidod/dvrd/rabieshttp://www.who.int/mediacentre/factsheets/fs099/en/index.htmlhttp://www.who.int/rabies/epidemiology/en/


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