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    Chapter VIII

    PROBLEMS IDENTIFIED

    Problems Identified

    Score

    1. Unavailability of Potable Drinking Water

    9.33

    2. High Incidence of Working Individuals Exposed to Occupational Hazards

    8.33

    3. Poor Utilization of Herbal Medicines

    8.5

    4. Improper Waste Disposal 8.08

    5. Lack of Accessible Health Care Facilities

    8.01

    (Health Center, Manpower, and Supplies)

    6. Prevalence of Acute Respiratory Tract Infection

    8

    7. Improper Storage of Drinking Water

    7.83

    8. High Incidence of UTI among Pregnant Women

    7.59

    9. Prevalence of Malnutrition among 0-6 years old

    7.59

    10. High Percentage of Houses that are Fire Hazards

    7.17

    11. Presence of Vectors

    7.16

    12. Improper Upkeep of Domestic Animals

    7.16

    13. Lack of Knowledge regarding Family Planning

    7.16

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    14. Food Intake of Poor Nutritional Value 7

    15. Poor Compliance to Immunization Schedule among Infants

    6.91

    16. Lack of Family Resources Allotted for Health Care Needs

    6.42

    17. Poor Infant Feeding Practices

    6.41

    18. Inadequate Living Space 5.46

    19. High Incidence of Cancer Mortality among Elderly

    2.66

    20. Prevalence of Alcoholism

    1. Unavailability of Potable Drinking Water

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem.

    2. Magnitude of theProblem75%-100% affected

    4/4x3=3 All members of thecommunity acquire theirdrinking water throughsprings. They do notpractice any filtration orsterilization techniquesto cleanse what theydrink. They drink itstraight from the sourcewithout propertreatment.

    3. Modifiability of theProblem

    3/3x4=4 It is highly modifiable. Itcan be modified throughsimple means such asboiling of water,

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    filtering, and othermeans. Health teachingcan be supplied tomodify this problem.

    4. Preventive Potential 3/3x1=1 It is highly preventablethrough properdissemination ofinformation that wouldhelp people gain betterunderstanding of theproblem/

    5. Social Concern 2/2x1=1 It is an urgentcommunity concern tothe members of the

    community. Theyacknowledge itspresence and knew itspossible complicationsbut fail to act due toinadequate informationabout the problem.

    Total Score 9.33

    2. High Incidence of Working Individuals Exposed to OccupationalHazards

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem since poorworking conditions ofany type have thepotential to affect aworker's health andsafety. Occupationalhazards such as dust,noise, heat, stress, etc.

    can have a harmfuleffect on workers, theirfamilies, and otherpeople in thecommunity, as well asthe physicalenvironment around the

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    workplace.

    2. Magnitude of theProblem75%-100% affected

    4/4x3=3 Almost all the membersof the community canbe affected. This means

    that the workers, theirfamilies, other people inthe community, and thephysical environmentaround the workplace,can all be at risk fromexposure to hazards.

    3. Modifiability of theProblem

    3/3x4=4 It is highly modifiablebecause work processescan be designed to

    prevent accidents andillnesses. Existinghazards should beremoved from theworkplace. Work can bemade safer bymodifying the workplaceand any unsafe workprocesses.

    4. Preventive Potential 2/3x1=0.67 It is moderatelypreventable. Effectiveworkplace health andsafety programs canhelp save the lives ofworkers by reducinghazards and theirconsequences.However, work-relateddiseases are very oftendifficult to determinefactors such as

    changing jobs, orpersonal behaviors(such as smokingtobacco or drinkingalcohol) that furtherincreases the linking ofworkplace exposures toa disease outcome.

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    5. Social Concern 1/3x1=0.33 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 8.33

    3. Poor Utilization of Herbal Medicines

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem since there areinaccessible health carefacilities in thecommunity. Therefore,

    one method that can beapplied to treatidentified diseases isthrough the proper useof these herbalmedicines available.

    2. Magnitude of the 4/4x3=3 Based on the survey, 51

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    Problem75%-100% affected

    out of 256 or 20% of thehouseholds have herbalplants in their backyard.The remaininghouseholds plant

    vegetables,ornamentals, and fruits.They lack knowledgewith the use of theseherbal medicines.

    3. Modifiability of theProblem

    3/3x4=4 It is highly modifiablebecause of itsavailability in thecommunity. It can beused without any

    prescription, with lowercost and fewer sideeffects. Proper healthteachings on how toprepare the medicines,its advantages anddisadvantages can beinstructed to the people.

    4. Preventive Potential 2/3x1=0.67 It is moderatelypreventable since

    known health facilitiesare at distant. Thus,people would rather usethese medicines if theyknow how to prepare it.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 8.5

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    4. Improper Waste Disposal

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem because thisleads to an unsanitaryenvironment.

    2. Magnitude of theProblem50%-74% affected

    3/4x3=2.25 Around 50%-74% wereaffected. This might bethe cause to theoccurrence of URTI andalso the presence ofvectors that wereidentified in thecommunity.

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    3. Modifiability of theProblem

    3/3x4=4 It is highly modifiablebecause resources areavailable. It only needsto be emphasized tothem.

    4. Preventive Potential 3/3x1=1 It is highly preventablethrough additionalhealth teachings byemphasizing theimportance of propergarbage disposal andsegregation. Providingsacks with labels withlist of examples ofwastes they can put in

    can also be added.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 8.08

    5. Lack of Accessible Health Care Facilities (Health Center,Manpower, and Supplies)

    Criteria Computation Justification

    1. Nature of the Problem 2/3x1=0.67 It is a Health Resourcesproblem because healthcare facilities areneeded to maintain agood health condition of

    the members of thecommunity.

    2. Magnitude of theProblem75%-100% affected

    4/4x3=3 Almost 100% of thecommunity membersare affected.

    3. Modifiability of the 2/3x4=2.67 It is moderately

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    Problem modifiable; there arehealth care facilities butis inaccessible becauseof its distance andtravel time.

    4. Preventive Potential 2/3x1=0.67 Prevention can besustained throughhealth teachings aboutthe basic techniques tointervene on theproblems they mightencounter.

    5. Social Concern 2/2x1=1 People in thecommunity perceived it

    as an urgent communityconcern since healthfacilities are the only fortheir consultation,medication andtreatment.

    Total Score 8.01

    6. Prevalence of Acute Respiratory Tract Infection

    Criteria Computation Justification

    1. Nature of the Problem 3/3x1=1 It is a Health Statusbecause it is analteration in health that

    needs to be addressed.

    2. Magnitude of theProblem25%-49% affected

    2/4x3=1.5 Mostly the affectedpopulation are school-age children and below,and the elderly.

    3. Modifiability of the 3/3x4=4 It is highly modifiable

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    Problem since the areas are well-ventilated and naturalresources are rich.

    4. Preventive Potential 3/3x1=1 It is highly preventable

    through health teachingstrategies andimproving the healthstatus.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 8

    7. Improper Storage of Drinking Water

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem. Improperstorage of waterfacilitate occurrence of

    water-borne diseases.E.g. diarrhea.

    2. Magnitude of theProblem25%-49% affected

    2/4x3=1.5 There were 25%-49%affected because one ofthe major storage ofwater in rural areas isbottle.

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    3. Modifiability of theProblem

    3/3x4=4 It is highly modifiablebecause the resourcesneeded to solve theproblem are available.

    4. Preventive Potential 3/3x1=1 Susceptibility to otherdiseases and infectionscan be prevented ifproper storage isprovided.

    5. Social Concern 2/2x1=1 It is an urgentcommunity concern.

    Total Score 7.83

    8. High Incidence of UTI among Pregnant Women

    Criteria Computation Justification

    1. Nature of the Problem 3/3x1=1 It is a Health Statusbecause of the highincidence of UTI amongpregnant women.

    2. Magnitude of theProblem50%-74% affected

    3/4x3=2.25 60% or 3 out of 5reported were affectedof UTI.

    3. Modifiability of theProblem

    2/3x4=2.67 The resources andinterventions needed tosolve the problem are

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    available to the family.

    4. Preventive Potential 2/3x1=0.67 The possibility of complications duringlabor & delivery, and

    occurrence ofabnormalities in theinfant are preventedonly if the pregnantwomen comply with thetreatment regimen.

    5. Social Concern 2/2x1=1 It is an urgentcommunity concern.

    Total Score 7.59

    9. Prevalence of Malnutrition among 0-6 years old

    Criteria Computation Justification

    1. Nature of the Problem 3/3x1=1 It is a Health Statusbecause malnutrition isconsidered as a healthdeficit; there is lack ofnutrition and affects

    optimum level offunctioning.

    2. Magnitude of theProblem50%-74% affected

    3/4x3=2.25 Half of the populationsof children weighed areconsidered to bemalnourished.

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    3. Modifiability of theProblem

    2/3x4=2.67 It is moderate becauseit is a continuousprocess when it comesto health.

    4. Preventive Potential 2/3x1=0.67 It is moderate becauseit depends upon thefamily, their choice toeat, and afford to buy.

    5. Social Concern 2/2x1=1 It is an urgentcommunity concernbecause almost half ofthe children in Apia areconsideredmalnourished.

    Total Score 7.59

    10. High Percentage of Houses that are Fire Hazards

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem becausemajority of the housesare made out of woodand mixed materials.

    2. Magnitude of theProblem75%-100% affected

    4/4x3=3 Almost 100% of thehouses are at risk forfire hazards.

    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable because theycannot afford more

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    expensive housingmaterials that are verycostly, and they believethat will last fromtyphoons and will

    minimize furtheraccidents.

    4. Preventive Potential 2/3x1=0.67 It is moderatelypreventable by placingfire making materialssuch as candles,superkalan, etc. in alocation that is far frommaterials that can easilyburn or explode.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 7.17

    11. Presence of Vectors

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem because peoplemay be at risk fordisease.

    2. Magnitude of theProblem75%-100% affected

    4/4x3=3 Almost all of therespondents in SitioApia are affected sinceflies and mosquitoes arethe most prevalentvectors.

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    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable becausethere are a lot ofbreeding sites for thesevectors.

    4. Preventive Potential 2/3x1=0.66 It is moderatelypreventable. Most usefumigants to controlthese pests while othersuse katol, insecticides,mosquito nets, andother traps.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but not

    recognized as need ofan urgent attention.

    Total Score 7.16

    12. Improper Upkeep of Domestic Animals

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem because peoplemight be at risk for the

    unpredictable behaviorof the animals.

    2. Magnitude of theProblem75%-100% affected

    4/4x3=3 Regardless of age,gender, and what kindof animal they keep,they can all be affected.

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    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable since 78% ofthe people are used totheir pets roamingaround with less

    availability of cages.

    4. Preventive Potential 2/3x1=0.66 It is moderatelypreventable since not allkinds of animals canstay inside their homes,and due to theunavailability of cages.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but not

    recognized as need ofan urgent attention.

    Total Score 7.16

    13. Lack of Knowledge regarding Family Planning

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem.

    2. Magnitude of the

    Problem75%-100% affected.

    4/4x3=3 Only 14% of the families

    utilize family planningmethods.

    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable because thefamily size is somehowbeyond the ideal familythey should have.

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    4. Preventive Potential 2/3x1=0.66 It is moderatelypreventable throughgiving information aboutresponsible parenthoodand family planning

    methods that will helpfoster a suitable life forthem.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 7.16

    14. Food Intake of Poor Nutritional Value

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem because of aninsufficient or poorlybalanced diet intake.

    2. Magnitude of theProblem75%-100% affected

    4/4x3=3 Almost all age groupsare affected by theproblem.

    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable. They shouldeat regular meals atapproximately the same

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    time each day. Eatsmaller meals morefrequently will also helpthem get an appetite.

    4. Preventive Potential 2/3x1=0.67 It is moderatelypreventable byproviding nutritionalsupport to high-riskindividuals that helps toincrease body weightand to prolong life.Health teaching will alsobe helpful.

    5. Social Concern 1/3x1=0.33 It is recognized as a

    health problem but notrecognized as need ofan urgent attention.

    Total Score 7

    15. Poor Compliance to Immunization Schedule among Infants

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem because healthfacilities in Sitio Apia arequite inaccessible.

    2. Magnitude of theProblem50%-74% affected

    3/4x3=2.25 Low childhoodimmunization rates area national healthcareconcern not only in SitioApia. Many children areat increased risk forpreventable childhoodillnesses because of

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    under immunization.Thus, increasing theburden on healthcareworkers and families,and increasing

    healthcare costs anddecreasing quality oflife.

    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable as long asthey will be moreresponsible incomplying on theschedules forimmunizations.

    4. Preventive Potential 2/3x1=0.66 It is moderatelymodifiable throughinforming the parents ofthe good benefits ofhaving full immunizationamong their children.

    5. Social Concern 2/2x1=1 People in thecommunity perceived itas an urgent communityconcern since healthfacilities are the only fortheir consultation,medication andtreatment. This willdecrease the incidenceof childhood diseases intheir community.

    Total Score 6.91

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    16. Lack of Family Resources Allotted for Health Care Needs

    Criteria Computation Justification

    1. Nature of the Problem 2/3x1=0.67 It is a Health Resourcesproblem.

    2. Magnitude of theProblem

    50%-74% affected

    3/4x3=2.25 Almost half of thepopulations are affected

    due because they arequite having a hard timeto earn a living.

    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable due tofinancial constraints.

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    4. Preventive Potential 1/3x1=0.33 It has a low preventivepotential mainlybecause of theeconomic constraints.The community has a

    little control over theproblem.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 6.42

    17. Poor Infant Feeding Practices

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Relatedproblem because poorfeeding practices canresult to malnutritionand contributes toimpaired social andcognitive development.

    2. Magnitude of theProblem50%-74% affected

    3/4x3=2.25 Fifty percent (50%) orhalf of the infantpopulation are affected

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    by complementaryfeedings which beginseither too early or toolate that is nutritionallyunsafe.

    3. Modifiability of theProblem

    2/3x4=2.67 It is moderatelymodifiable since supportand advice about infantfeeding from the healthcare system can begiven.

    4. Preventive Potential 2/3x1=0.66 It is moderatelypreventable, however, itcan be prevented if

    adequate informationare given to themothers and theimportance of breastfeeding practices areemphasized.

    5. Social Concern 1/2x1=0.5 It is recognized as ahealth problem but notrecognized as need ofan urgent attention.

    Total Score 6.41

    18. Inadequate Living Space

    Criteria Computation Justification

    1. Nature of the Problem 1/3x1=0.33 It is a Health-Related

    problem.

    2. Magnitude of theProblem75%-100%

    4/4x3=3 Most of the familieshave an inadequateliving space in theirhomes.

    3. Modifiability of the 1/3x4=1.33 It has a low modifiability

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    Problem because the living spacewill require quite afinancial expenditure.The familys resourcesare presently not

    adequate consideringthe other problems.However, furniture canbe arranged to allowmore space.

    4. Preventive Potential 1/3x1=0.33 It has a low preventivepotential thoughincreasing the livingspace will reduce thepossibility of

    transferringcommunicable diseasessuch as scabies; it willalso provide privacy tothe householdmembers; it will providea bigger space insleeping with a hugefamily members.

    5. Social Concern 1/2x1=0.5 It is recognized as a

    health problem but notrecognized as need ofan urgent attention.

    Total Score 5.46

    19. High Incidence of Cancer Mortality among ElderlyCriteria Computation Justification

    1. Nature of the Problem

    2. Magnitude of theProblem

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    3. Modifiability of theProblem

    4. Preventive Potential

    5. Social ConcernTotal Score 2.66

    20. Prevalence of Alcoholism

    Criteria Computation Justification

    1. Nature of the Problem

    2. Magnitude of theProblem

    3. Modifiability of theProblem

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    4. Preventive Potential

    5. Social Concern

    Total Score