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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.
0.
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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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