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St. Paul University Philippines

TUGUEGARAO CITY, 3500
GRADUATE SCHOOL

PROJECT TITLE:

INTENSIVE INITIATION OF COMMUNITY ORGANIZING PARTICIPATORY ACTION RESEARCH IN BARANGAY

NABANNAGAN WEST, LASAM CAGAYAN
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PROJECT DURATION: THREE YEARS

PROJECT SITE: NABANNAGAN WEST, LASAM CAGAYAN

TARGET BENEFICIARIES: Community people of Nabannagan West, Lasam Cagayan

PROPONENTS: KJARA BERNADETTE V. AGATEP,RN

OBJECTIVES:

AFTER THREE YEARS OF IMPLEMENTATION OF COMMUNITY ORGANIZING PARTICIPATORY ACTION

RESEARCH (COPAR) IN THE COMMUNITY, THE MSN STUDENT WILL BE ABLE TO ACHIEVE THE FOLLOWING
OBJECTIVES:

GENERAL OBJECTIVE:

1. To develop a self-reliant community wherein the people actively participate and involve themselves on community
issues that may affect health.
2. To develop a functional community organization and competencies in initiating sustainable community health and
development programs.
3. To implement principles and concepts of Community Health Nursing, Primary Health Care (PHCs) and community
organizing participatory action research (COPAR) in the care of population groups.

SPECIFIC OBJECTIVES:

1. Acquire sufficient knowledge and effective strategies in implementing Primary Health Care and COPAR process through
exposure to the PHC model community and identifying best practices in Jakarta and Banjarmasin, Indonesia.
2. Integrate one’s self to the way of living in the community.
3. Demonstrate professional community health nursing knowledge, skills and attitude.
4. Perform and develop capability building activities that will aid the community to become self-reliant
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5. Assist the community in strengthening and sustaining initiatives.

6. Deliver basic health services to the community.
7. Assess and intervene on the health needs of the community

INTRODUCTION:

Public health in the Philippines is implemented through the Primary Health Care approach. This approach calls for
participatory management and development with the goal of developing community self-reliance, along with taking an active-role in
managing their own health requirements instead of depending on government or any various health sectors. One of the anticipated
strategy to achieve the Goal of PHC is through the use of Community Organizing Participatory Action Research ( COPAR).
Community Organizing refers to establishing which takes place in a geographically defined living area such as urban poor community
or a rural village. CO as a process consists of steps or activities that instill and reinforce the people’s self confidence on their own
collective strength and capabilities, to empower them, make them aware of their own power to assert their rights and allow them to
make decisions over matters that affect their lives. The people are the means and ends of development while community
empowerment is the process and the outcome. It is called Participatory Action because the community people are considered as the
prime-mover and determinant rather than beneficiaries and recipients of development efforts including health care efforts.

COPAR aims to transform the apathetic, individualistic, and voiceless poor into a dynamic, participatory and politically
responsive community. Community development is the end goal of COPAR and all other efforts towards uplifting the status of the
poor and marginalized which eventually leads to a self- reliant community and society.

PROJECT BACKGROUND/RATIONALE:

A three year program designed to implement health and development programs and or projects in Brgy. Nabannagan West,
Lasam Cagayan through the application of Community Organizing Participatory Action research as its strategy for
community development, and people empowerment.

Out of the 30 barangays of the municipality of Lasam, Barangay Nabannagan West has been chosen based on the criteria for
the site selection and secondary data obtained by the MSN student. It was also found out that the following indicators are low
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or below the target (4Antenatal Care, Expanded Program on Immunization, Tuberculosis, & Contraceptive Prevalence Rate)
and that an immediate attention must be done on this health issues.

Through this, the MSN student will participate in a reflective experience that will enable her to apply the combination of
COPAR process, Primary Health Care and Community Health Nursing to address not only the health needs of the people but
for the professional development of the student equipped with sufficient knowledge, skills and attitude. It will also cover
community health nursing exposure to Primary Health Care (PHC) model community of St.Paul University Philippines and
best practices at Jakarta and Banjarmasin, Indonesia.

DURATION AND VENUE OF PRACTICUM:

 PHASE I JULY 29,2017- TAGGA, TUGUEGARAO CITY ,CAGAYAN VALLEY( PHC MODEL COMMUNITY)
AUGUST 6-11, 2017- BANJARMASIN AND JAKARTA, INDONESIA
 PHASE II NABANNAGAN WEST, LASAM CAGAYAN(HOME INSTITUTION OF STUDENT

OBJECTIVES STRATEGIES/ACTIVITIES TIME PERSON/S RESOURCES EXPECTED

FRAME RESPONSIBL NEEDED OUTPUT
E
PRE-ENTRY PHASE:
At the end of the pre-entry
phase , the MSN student PHASE1
will be able to:
Gain insights on
> Acquire sufficient  To benchmark to model July Dr.Talosig,  Food,transpo best practices,
knowledge and effective PHC barangay. 29,2017 MSN students, rtation, IEC effective
strategies in implementing  Pre-conference Barangay materials, interventions
primary health care with the Officials Invitation and strategies in
delivery using the COPAR Practicum adviser letter implementing
process  Site visit at Primary Health
Barangay Tagga, Care based on
Tuguegarao City the strategies
utilized by the
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1. Establish rapport to model

the locals, officials > Courtesy call to the local community.
and Facility officials.
Administrators > Getting-to-know the
community leaders by
conducting a short program.
> Statement of purpose
>Ocular survey in the
community while integrating
oneself to the people.
>Conduct an interview about the
HRDP experience of the
community
>Conduct a health education
based on the age group and
health needs of the community.
>Documentation
August Dr.Talosig, Food,transportation,
 Exposure to International 5- MSN students Accomodation, IEC
Health Care Program at 11,2017 materials,
Banjar Masi & Jakarta Powerpoint
Indonesia Presentation (Health
 Site visit and courtesy Care Delivery
call to the different System), Training
facility administrators needs assessment
chosen. tool
 Statement of purpose
 Presentation on the
Philippine Health Care
System
2. Identify the health August
needs of the  Deepening social 5- MSN Students
community. investigation 11,2017
 Integration of oneself to
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the community/ health

facility( School of
Nursing, RHU and Training needs
4. intervene with Hospital) Paper,Pen,Training assessment for
the health needs of  Conduct a training needs needs assessment the health issue
the assessment tool being identified.
community/instituti  Develop a training
on design based on the
identified needs of the
people
 Implementation of the Implementation
training design, and all of the training
other activities related to needs
meet the health needs. assessment.
 Conduct participatory
evaluation of the
activities conducted, and
provide feedback to the
community officials
 Closing meeting with the
local leaders
 Documentation

PRE-ENTRY August Kjara Agatep Paper,pen, copy of Criteria for site

PHASE  SITE SELECTION 14,2017 criteria, books for selection as
1. Develop criteria for site COPAR manual, approved by the
 Identify a partner selection based on the criteria of institution:
for community COPAR. 1 .depressed
development. 2. Make a list of target rural community
community based on the criteria with the
developed. majority of the
population
belonging to the
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poor sector
(income below
poverty line).
2. Inaccessible
or inadequate
health services.
3. Poor health
status of the
community.
4. No serious
peace and order
problem.
5 .No strong
resistance from
the community.
6. No similar
group holding
the same
program.

>Final
community
partner
identified.

 Design a plan for  Community

community Development Plan August Kjara Agatep Paper,pen, books for >A finalized
development .  Formulate goals 15,2017 COPAR manual, copy of
 Setting of Targets Community
 Activities development
plan.
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 Establish rapport  COURTESY CALL

to the locals and August Kjara Agatep Food, Well-presented
officials in the Consult the key informants of 16,2017 Transportation, Copy purpose and
community the selected community such as of Community Community
the Mayor, Barangay captain, Development Plan Development
PHN, MHO,Midwife and Plan.
community leaders

 Conduct an ocular Actual community visit before August Kjara Agatep Food, Transportation MSN students
survey to the finalizing project site. 17,2017 are well
selected site. familiarized into
their chosen
partner
community.

 Identify the host  IDENTIFICATION OF August Kjara Agatep Food, Transportatin, >Host family
family HOST FAMILIES 17,2017 copy of criteria in identified based
1.While doing an actual identifying host on the criteria
community visit, the MSN families approved by the
student should identify her target institution.
host family based on the criteria
approved by the institution:

a.House is strategically located

in the Barangay
b.Family should not belong to
the rich segment
c.Family has a good reputation
in the community.
d. Neighbors are not hesitant to
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approach the family

ENTRY PHASE:
COMMUNITY LEVEL

 Acquire sufficient  PRELIMINARY August Kjara Agatep Paper, Ballpen, Copy Develop
knowledge about SOCIAL 18,2017 of community strategies on
the community and INVESTIGATION assessment guide how to initiate
its people. 1. Gather essential data (adopted DOH entry and
about the community profiling form), facilitate
based on the community TNA acceptance of
assessment guide the community.
approved by the >Essential data
institution. are collected,
2. make an initial list of the collated and
actual health needs and validated that
concerns. will enable the
3. Confirmation and MSN student to
validation should be draw a clearer
done. picture of the
community.

 TENTATIVE
PROGRAM August Kjara Agatep >A finalized
 To establish PLANNING 19,2017 Paper, Ballpen, copy copy of
rapport with the Prepare orientation plan of orientation plan orientation plan.
community people for the residents and community
Communicate with the assessment guide, >Proper
proper person/ authority food, transportation authorities are
regarding orientation well informed
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activity. on the proposed

date and venue
of orientation.

 Orient the  GROUNDWORKING August Kjara Agatep Proceedings of

community officials 1. conduct an orientation in a 21,2017 Paper, Ballpen, the orientation
and residents on place agreed upon by the team Blackboard, chalk, seminar.
the health program and community leaders. copy of orientation Approval of
Information dissemination must plan and community 3year plan for
be done a week before the assessment guide, community
activity. food, transportation development.
2. Setting of contract between
the residents/community leaders
is necessary before proceeding
to actual agenda.
3.Discussion of agenda or plan
for the community
4.Encourage the residents to
voice out their concerns
5. Minutes of the meeting must
be done by a barangay official.
6. Recapitulation of all the
topics and issues presented
during the meeting.
ENTRY PHASE August Kjara Agatep Food, To be known
23- Transportation, and get the trust
 DEEPENING SOCIAL 26,2017 Paper, Pen, of the
 Integrate one’s self INVESTIGATION Community community
to the way of living 1. Using community health Assessment form, people.
in the community. assessment form as a guideline, COPAR manual
data from the community will be The health
gathered/ validated. worker becomes
2. data gathering can be done one with the
through informal method such as people.
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during social gatherings,home

visits, etc. try to look also on Finalized copy
secondary data available in the of community
community. assessment form
3. confirmation and validation of (adopted form
data gathered must be done from RHU-
regularly. LASAM-
barangay health
profile)

 Identify potential  CORE GROUP August Kjara Agatep Paper, Pen, Chalk, >A formalized
leaders FORMATION 28,2017 Blackboard community
1. The team shall start to group,
identify potential leaders or core committed to
group using the criteria function in the
approved by the institution community.
(SPUP).
2. information about the
potential leaders should be
gathered.

August Kjara Agatep OB bag,Manila Basic health

 to deliver basic 1. delivery of basic health 29- Paper, Pentel Pen, services are
health services to services. Septemb Pencil, Ballpen, delivered to the
the community 2 .conducting health education er 2017 Camera community
people based on the prioritized health people such as
needs of the community people. BP taking,
obtaining height
& weight, eye
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exam, ear exam,

Review of
systems and
Physical exams (
based on the
form adopted by
the DOHRO2);
proper referral
done as well as
follow up visits.

>A finalized
Kjara Agatep Paper, Pen, Manila copy of TNA
 Develop and  SELF AWARENESS Sept 4, Paper, Materials for and Training
implement AND LEADERSHIP 2017 Training Design.
capability building TRAINING OF >A more
activities that aids ELECTED OFFICERS. enhanced
the community to 1. Formal and informal critical thinking
become self reliant training which includes and leadership
through leadership guided practice, actual skills of
training planning,implementation community
,monitoring and group.
evaluation of activities
led by the core group
themselves.
2. Preparation of Training
Needs Assessment Tool
and Traning Design

Approved health
issue that the
community will
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 Mobilize the  TENTATIVE Sept Kjara Agatep, Ballpen, Paper, start to work on
leaders in the PROGRAM 9,2017 Core group Blackboard, chalk, with.
community PLANNING
The core group will choose one
issue to work on in order to
begin organizing the people.
 EMPOWERING THE
CORE GROUP
The team may conduct
an actual meeting with
the officials of the
Barangay to present
them the issue they are
planning to work on.
These can give them
actual experience in
confronting the powerful
and actual exercise of
people power .It is
important to conduct a
dry run or role play
before the actual
meeting.

ORGANIZATION Year 2 Kjara Agatep, Paper/ copy of the Community

BUILDING PHASE Core Group issues that has been people willing to
 GROUNDWORKING Leaders chosen. cooperate and
1. The team shall go around participate for
 Encourage the community and the health and
community motivate the people on a development of
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participation one-on-one basis to do the community.

something on the issue
that has been chosen.

 MEETINGS
2. Ratification of individual
decision regarding the
identified need.

 LOCAL RESEARCH
COMMITTEE
 Conduct training TRAINING Kjara Agatep
and development of 1. Setting of criteria and Core Group Paper, pen, A set of
committees selection of members Blackboard, chalk commitees for
2. Training for Planning,
Research and Project Implementation
Development and Evaluation
SUSTENANCE AND YEAR3 Kjara Agatep, Paper, Pen, Manila
STRENGTHENING Community paper, materials for
PHASE 1. Education and Training ( pople refresher course >Establishment
Refresher course on of linkages to
 To assist the Planning) public and
community in 2. Networking and private agencies
strengthening and continuation of CHO >Execution of
sustaining trainings health-related
initiatives training
applicable to the
community
needs.

>Development
3. Development of income of two or three
generating projects Kjara Agatep, income
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Community generating
 Income generating pople projects that can
projects based on the be sustained by
needs of the community. the people.

A set of five key

leaders that can
4. Development of second work for
liners (1)Health (2)
Environment (3)
Livelihood (4)
Sociocultural
and (5) Nutrition
PHASE OUT  Evaluation of community Kjara Agatep Paper, Pen, Documentation
trainings, and programs Enveloped/ and acceptance
 Endorsement of activities Endorsed documents of endorsements
and program progress.