community medicine
DESCRIPTION
Commed output 4 for community diagnosisTRANSCRIPT
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Project Title:
Background of the ProblemA. Situational Analysis
The top three problems in Block 25, Barangay St. Peter II, Dasmariñas City, Cavite are as follows (in
descending order of prioritization): high prevalence of hypertension, high annual population growth rate, and
high prevalence of acute respiratory infections. The scoring system used was based on the WHO Criteria for
Problem Prioritization which focuses on the magnitude of the problem, vulnerability of the problem to
technology, social concern about the problem, and existing health policies to address the problem. The high
prevalence of hypertension is the first priority problem (Score=8) because it comprises 35.71% of all the diseases
in the community, which is worse than national health standards, and there is a high prevalence of hypertension
in both males and females. It is vulnerable to technology because there are a lot of available ways of prevention
and maintenance drugs that are widely available. There are existing policies and is strictly implemented in the
community. However, no household viewed the problem as a community concern. High annual population
growth rate has a score of 8 due to an annual population growth rate of 13.9, and many are not knowledgeable
in family planning despite the presence of policies that already address this matter. Hypertension was chosen
over high population growth rate as the main problem in the community because although it is the most
prevalent morbidity among the residents, they still don’t see it as a community concern. Drugs and technology
are readily accessible to the public. High prevalence of acute respiratory infections ranked last priority (Score=7)
because there are only 21.42% affected by the disease. There are available technologies to solve the problem
and medications can easily be acquired in RHUs and drug stores.
B. Statement of the Priority Health Problem
The priority problem that is focused in this study is the inadequacy of knowledge on the cause, risk
factors, effects and symptoms of hypertension. The conducted problem investigation also showed us the poor
practices of the respondents regarding hypertension and this can be due to the lack of knowledge regarding the
importance of blood pressure monitoring and maintenance of normal blood pressure hence this will also be
explained in the lecture. This project aims to give the respondents useful information regarding hypertension
and consequently reduce the prevalence of hypertension in the community.
C. Explanation of the Priority Health Problem
In the problem investigation conducted, this showed that on average, the households have inadequate
knowledge regarding risk factors of hypertension which is 51.28%. In terms of their knowledge about the causes
of hypertension they got 71.79% which is also inadequate. The household knowledge on the effects of
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hypertension is inadequate which on the average was 53.85%. In regard to preventing hypertension they got an
adequate knowledge which is 78.02. Lastly, their knowledge with regard to the symptoms of hypertension such
as dizziness, headache and blurring of vision (69.23%) is still inadequate.
With these values we can conclude that there is great necessity for education regarding the risk factors,
causes, effects and symptoms of hypertension among the respondents. Adequate education can improve health
seeking behaviour, attitude towards a healthy lifestyle and the quality of life. Teaching the risk factors of
hypertension will help prevent the development of the disease among those who are at high risk of developing
hypertension and in return can reduce economic burden to the society and to the family.
Practices regarding hypertension also showed poor results. Survey showed that appropriate practices for
the prevention and control of hypertension were found inadequate among respondents. This is evident in terms
of the BP monitoring practices wherein only 7 (58.85%) of the respondents monitor their BP, 5 (38.46%) do the
monitoring monthly. 6 (46.15%) of the respondents do not monitor their blood pressure and lack awareness of
their usual BP. There are only 4 (30.77%) of the population who exercise regularly and only 4 (30.77%) has
normal BMI, many have low BMI. Among 6 hypertensives, there are 5 (83.33%) who are compliant to
medications and 1 (16.68%) do not take the medications regularly. Lectures or seminars about monitoring blood
pressure, benefits of maintaining blood pressure within normal levels, importance of physical activity and
teaching them DASH diet can be beneficial for the respondents to gain better practices on the management of
hypertension.
D. Relevance
ObjectivesGeneral Objective:
To increase the proportion of residents of Block 25, Brgy. St. Peter II with appropriate knowledge regarding
hypertension from 65% to 90% within a day.
Specific Objectives:
1. To increase the proportion of residents of Block 25, Brgy. St. Peter II who are knowledgeable about the
definition, causes and risk factors of hypertension from 61.53% to 90% within a day
2. To increase the proportion of residents of Block 25, Brgy. St. Peter II who are knowledgeable about the signs
and symptoms of hypertension from 69.23% to 90% within a day
3. To increase the proportion of residents of Block 25, Brgy. St. Peter II who are knowledgeable on the proper
management and treatment of hypertension within a day
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4. To increase the proportion of residents of Block 25, Brgy. St. Peter II who are knowledgeable on the
complications of untreated hypertension within a day
5. To increase the proportion of residents of Block 25, Brgy. St. Peter II who are knowledgeable on the
prevention of hypertension within a day
6. To increase the proportion of residents of Block 25, Brgy. St. Peter II who are knowledgeable on the common
herbal medicines used to treat hypertension within a day
MethodologyA. Strategies
I. Identification of Strategies
Health education with the purpose of positively influencing the health behaviour of individuals is the
strategy of choice for the respondents of Block 25, St. Peter II, Dasmariñas City, Cavite. Upon investigation, the
main health problem identified was the high prevalence of hypertension among the residents. Therefore, the
focus of the health education will be on the increasing awareness on the cause, risk factors, symptoms and
effects of hypertension, as well as reinforcing appropriate practices for the prevention and control of
hypertension. In line with this, giving of lectures, small group discussions and pamphlets will be utilized for the
health education.
The WHO criteria of (1) Potential impact, (2) potential scope, (3) feasibility, and (4) social acceptability
were taken into consideration for the selection of the most appropriate method to approach the cause of the
priority problem which were amenable to change.
II. Prioritization of Strategies
The learning strategy chosen to be utilized for the residents of St. Peter II, Dasmarinas City Cavite will be
a lecture type of learning strategy to be made possible by holding a big group lecture and pamphlet distribution.
According to Cantillon 2003, providing lectures are efficient means to transfer knowledge and concepts to large
groups as it can be used to stimulate the interest, explain the concepts and provide core knowledge and direct
learning.
The lecture which will be requiring the active participation of the residents and the visual aids will be
used to aid in relaying the information to the participants and this will show the aforementioned points to be
discussed regarding hypertension. Pamphlet distribution after the session will aid the participants in having a
review on the basics principles on knowledge and practices regarding hypertension. The advantage of giving out
pamphlets is that it will be available for the participants to read during their free time.
For the social concern, both big group lecture and pamphlet distribution are effective means to get the
attention of participants as well as achieving the objective of the group which is to impart knowledge on
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hypertension. In the interview conducted, the respondents showed a very good attitude about learning more of
hypertension and this project is expected to give positive outcomes after its implementation.
Video presentation will not be used because there will be more equipment needed and is not feasible
for the available resources.
Table 1. Prioritization of Learning Strategy According to its Potential Impact and Scope, Feasibility and Social
Acceptability of the Project Implementation in Brgy. St. Peter II, Block 25, Dasmariñas City, Cavite
STRATEGY IMPACT SCOPE FEASIBILITY SOCIAL
ACCEPTABILITY
TOTAL
BIG GROUP
LECTURE
Visual aids will be
of help in
disseminating
information. (3)
Large group will be
reached
simultaneously.
(3)
Less funds and
manpower will
be needed. (4)
Active participation of
participants will
provide them
opportunity to learn
new information and
ideas about HPN. (3)
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PAMPHLET
DISTRIBUTION
Rapid propagation
of information can
be possible by
mass scale
distribution. (2)
Large group can be
reached easily. (4)
Easy to prepare
and this can be
produced in
large scale at
low cost. (3)
People can read the
pamphlet on their
free time and share
the knowledge
learned to others as
well. (4)
13
VIDEO
PRESENTATION
A video
presentation has
more impact on the
audience and may
get more attention.
(4)
It can reach a big
group of people but
may not be precise
on the message to
convey. (1)
More
equipment
needed. (1)
The video may not be
representative of the
community’s
situation. (2)
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B. List of Activities and Resources Required
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Table 2. List of Activities for the Implementation of the Health Education Project in Brgy. St. Peter II, Block 25,
Dasmariñas City, Cavite
ACTIVITIES TARGET DATE OF
COMPLETION
PERSONS RESPONSIBLE
RESOURCES REQUIRED
EVALUATION INDICATOR
Make session
plan
Assigning of tasks November 3 Leader COMMED
Schedule and
ISPs
Work assignments
are distributed
among group
members
Planning of activity;
Brainstorming
November 3 All members Pen and
paper/
computer
Completion of a
project plan draft
Budget allocation;
Estimate the total cost
of the project
November 3 Margaret Del
Rosario
Planned
activities
Budget was
properly allocated
for food, drinks
and materials
needed for the
lecture
Compilation and
printing
November 12 Leader Computer and
printer
Project plan
compiled and
printed on time
Submission of session
plan
November 13 Leader Accomplished
session plan
Project plan
submitted on time
Presentation of project
plan
December 1 Leader/Members Accomplished
session plan
Approval of
Project Plan
Revision of project plan
report;
Brainstorming;
Printing
December 4 All members Approved
session plan,
computer and
printer
Compilation of
Revised Project
Plan
Requisition
for training
materials
Requisition of Materials:
Collection of Funds for
planned activities (Php
110/member)
December 7 Graciela
Guevarra
Budget plan;
List of
materials
needed
Total fund of
P931.00 is
collected
Purchase of materials
needed for the activities
December 7 All members Budget plan;
List of
materials
needed
All materials
needed are
acquired
Analysis of content of December 11 All members Project Plan Content of data is
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data in the session plan
Session Plan
complete and
ready for lecture
Making of Pre and Post
lecture Quiz
December 11 Ellaine Ignacio Computer and
Printer
Quizzes are
prepared
Construct design and
layout for the
pamphlets, poster and
visual aids
December 11 Cassey
Camama
Purchased
materials;
Computer and
Printer
Complete visual
aids such as
pamphlets,
posters and visual
aids
Make pamphlets,
poster, and visual aids
December 11 All members Budget for
materials;
Computer and
Printer
Complete visual
aids such as
pamphlets,
posters and visual
aids
Make invitations;
Dissemination of
information and
materials to be given to
respondents
December 11
January 5
All members Budget for
materials;
Computer and
Printer
Transportatio
n
Completed
invitations to be
given to the
respondents
Invitations given to
respondents
Conduct dry-
run
Reservation of a room
and equipment needed
for the dry-run
December 9 Leader Request
Letter
Reservation of the
venue
Conduction of Dry-Run
in front of preceptor
Evaluation of the
Conducted Dry Run;
Received approval from
the Preceptor
December 11 All members Laptop,
Venue, food
for the
preceptors
Finished Dry Run;
Approval from the
preceptor to
proceed with the
teaching session
Make
Arrangements
for training
Composition of Letter
seeking captain’s
permission for
January 5 Leader Computer Printed letter of
Permission
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venue conducting a session
plan;
Print the letter;
Informing BHW’s about
the session;
Printer
Give the letter to the
appropriate authorities
in the barangay center
January 5 Leader Printed Letter
of Permission;
Transportatio
n
Approval from the
Barangay Captain
Reservation of venue
for project plan
January 5 Philip Comia Printed Letter
of
Reservation
for the venue;
Transportatio
n
Reservation of
venue for Project
Plan
Disseminate
information to
participants
Give the invitations January 5 All members Invitations;
Transportatio
n
All respondent
received the
invitations
Preparation
for the
Teaching
Session
Confirm availability of
venue
January 8 Philip Comia Transportatio
n
Availability of
venue confirmed
Preparation of lecture
materials
January 8 All members Complete
visual aids
such as
pamphlets
and posters
All the materials
needed for
Teaching Session
are prepared
Purchase and
Preparation of food and
drinks
January 12 All members Budget for
food and
drinks
All the food and
drinks for the
Session plan are
prepared
Implement
teaching
sessions
Transport materials,
food, drinks and
presenters to venue;
Teaching session
January 12 All members All materials
for the lecture;
All food and
drinks for the
session plan
Content of the
Session plan
followed
Objectives for the
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Session plan were
met
Monitor
implementation
Processing of raw data;
Analysis of collected
data;
Project Implementation
Evaluation Report
January 22 All members Computer;
Pre-quizzes
and post
quizzes
Feedback
Drafting of Project
Implementation
Plan
Final
evaluation
Feedback from
preceptor;
Final revision of project;
Evaluation;
Report Printing
January 26 All members Computer;
Printer
Done with
preceptorial
Final draft of
Project
implementation
and evaluation
report submitted
C. Gantt Chart of Activities
Table 3. Gant Chart of Activities for the Implementation of the Health Education Project in Brgy. St. Peter II, Block 25,
Dasmariñas City, Cavite
ACTIVITIES November December JanuaryPLANNING 1st
week2nd week
3rd week
4th week
1st week
2nd week
3rd week
4th week
1st week
2nd week
3rd week
4th week
1. Make a session planAssigning of tasksPlanning of activityBrain stormingBudget allocationEstimate the total cost of the projectCompilation and printingSubmission of session planPresentation of project planRevision of project planning report:Brain stormingPrinting2. Requisition of Training MaterialsRequisition of Materials: Collection of Funds for planned activities (110 Php/member) Purchase of materials needed
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for the activitiesAnalysis of content of data in the session plan: Making of Pre and Post Lecture QuizConstruct design and layout for the pamphlets, poster and visual aids Make pamphlets, poster and visual aidsMake invitations / dissemination of information materials to be given to respondents3. Conduct Dry RunReservation of a room and equipment needed for the dry runConduction of Dry Run in front of the PreceptorEvaluation of the Conducted Dry Run Received Approval from the Preceptor4. Make Arrangement for Training VenueComposition of Letter seeking captain’s Permission for conducting a session plan and informing BHW’s about the session Print the LetterGive the Letter to the appropriate authorities in the barangay centerReservation of venue for project plan5. Disseminate info to participantsGive the invitations6. Preparation for the teaching sessionConfirm availability of venuePreparation of lecture materialsPurchase and Preparation of food and drinks7. Implement teaching sessionTransport materials, food, drinks and presenters to venue
Teaching session8. Monitor ImplementationProcessing of raw data
Analysis of collected dataProject Implementation Evaluation Report9. Final Evaluation
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Feedback from preceptor;
Final revision of project;
Evaluation;Report Printing
D. Evaluation Indicators
Table 4. Evaluation Indicators for the Implementation of the Health Education Project in Brgy. St. Peter II, Block 25,
Dasmariñas City, Cavite
Formative Evaluation
Planning Success Indicator
1. Preparation and submission of Letter of
Approval to the Barangay Captain
regarding the holding of a small group
discussion tackling Hypertension which is
the priority problem of Block 25.
Members which are assigned for this was able to
send the letter which is composed of the approval
and signature to the office of the Barangay
Captain
2. Preparation and submission of session
plan for approval
The session plan is submitted for checking and
approval
3. Submission of revised session plan Necessary changes in the session plans are made
4. Preparation of the invitation for the
lecture
Samples of invitations to be used in the activity
are made ready and subjected for approval
5. Dissemination of the 13 prepared
invitations to the intended audience
(hypertensive and high risk individuals)
The invitations were distributed to each household
with hypertension and high risks individuals
6. Reservation of venue for lecture proper Venue for the project implementation is reserved
Implementation Success Indicator
1. Preparation of the materials needed for
the lecture proper and snacks after the
lecture is conducted
Materials are pleasant to the eye and can be easily
understood by the participants
Snacks are cost-effective and would suffice for all
the participants
2. Registration of the 13 respondents before
the commencement of the health
education project which would be in a
form of a big group discussion
The actual number of participants registered
before the program (total of 13)
3. Big group discussion will be conducted for Pre-test papers were answered
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a total of 90 minutes, this would include
the pre-test, lecture proper,
demonstration of getting BP and post-test
administration
The lecture should be concise with little to no
extension
Post-test papers should be done to show whether
the participants learned from the lecture the
proper knowledge regarding Hypertension
4. 13 pamphlets will be distributed during
the lecture
Actual number of pamphlets were distributed
Summative Evaluation
To increase the proportion of residents of Block
25, Brgy. St. Peter II with appropriate knowledge
regarding hypertension from 65% to 90% within a
day.
Effect: Actual increase in the proportion of the
residents of Block 25, Brgy. St. Peter II with
appropriate knowledge regarding hypertension
within a day, as reflected in the results of the post-
test in comparison to the pre-test and their
previous state of knowledge which was
determined during problem investigation
Impact: Decrease in prevalence of Hypertension in
Block 25 Brgy, St. Peter II, Dasmarinas, Cavite
E. Budget Proposal
The total budget for the project implementation in Brgy. St. Peter II, Block 25, Dasmariñas City, Cavite is
₱931. The budget will include all the expenses needed for the project. Around 13 attendees are expected to
participate in the health education project.
Table 5. Proposed Budget for the Implementation of the Health Education Project in Block 114 Brgy. St. Peter II, Block
25, Dasmariñas City, Cavite to be implemented on January 2016
ITEM/NATURE OF COST TOTAL NUMBER UNIT PRICE TOTAL AMOUNT
Personnel cost
A. Gift/Prizes
1. For Attendees—Prizes and token
a. Giveaways 5 ₱ 20.00/each ₱ 100.00
b. Prizes 15 ₱ 20.00/each ₱ 300.00
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Maintenance and Other Operating Expenses
A. Communication
1. Printed Letter of Permission to the Barangay Captain 1 ₱ 0.25/page* ₱ 0.00
2. Printed Invitation to the households (2 in 1) 20 ₱ 0.25/page* ₱ 0.00
B. Travel Expenses
1. Invitation delivery (jeep) 2 C/o school P 0.00
2. Implementation day 9 c/o school ₱ 0.00
C. Materials and Supplies
1. Registration
a. Printed nametags for facilitators (sticker paper) 9 ₱ 1.00* ₱ 0.00
b. Nametags for attendees (Sticker paper) 20 ₱ 1.00* ₱ 0.00
c. Marker 1 ₱ 40.00* ₱ 0.00
2. Lecture Discussion
a. Visual aids 40 ₱ 0.50/page ₱ 20.00
b. Masking Tape 1 ₱ 15.00* ₱ 0.00
c. Cartolina 10 ₱ 7.00 ₱ 70.00
d. Programme 20 ₱ 0.25* ₱ 0.00
3. Quiz/Evaluation
a. Pre and post quiz questionnaires 20 ₱ 0.25/page* ₱ 0.00
b. Ball point pens 15 P 2.00 P 30.00
4. Pamphlets
a. Long bond paper (brochure type) 20 ₱ 0.50* ₱ 0.00*
5. Food
a. Juice (water and powder) 1 ₱ 7.00 ₱ 105.00
b. Sandwich 15 ₱ 15.00 ₱ 225.00
6. Others
a. Trash bag 1 ₱ 5.00* ₱ 0.00*
b. Labels for giveaways (6 in 1) 4 ₱ 1.00 ₱ 4.00
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TOTAL ₱ 931.00
* Sourced from: properties of the group members
Session Plan