ISALẸ AGBARA PHC COMMUNITY DIAGNOSIS FIELD WORK FEB 2024.pptx

COMMUNITY DIAGNOSIS
FIELD FINDING
(FEBRUARY, 2024)
ISALẸ AGBARA PHC (GROUP 6)
Department of Public Health
Osun State University, Osogbo

Isale Agbara PHC Group Members
1. LAYI-OJUOLA, OPEMIPO OREOLUWA 2022/38410 GOPD Register
2. MORAKINYO, TOLU AKINDELE 2022/38411 GOPD Register
3. MUTIU, AISHAT OPEYEMI 2022/38412 GOPD Register
4. NASIRU, UMUHANAT OMEHI 2022/38413 GOPD Register
5. OBANEWO, MARY OLUWATOYIN 2022/38414 GOPD Register
6. ODEDEYI, FAVOUR OLUFUNMILAYO 2022/38415 FGD
7. ODEWUYI, JOSHUA ADENIYI 2022/38416 FGD
8. ODUMOSU, DAMILOLA IRETOMIWA 2022/38417 FGD
9. ODUNLADE, OLUWASEUN VICTORIA 2022/38418 KII with Staff
10. OGINNI, AALIYAH PRAISE 2022/38419 KII with Staff
11. OGUNDARE, PELUMI 2022/38420
Environmental Health issues
12. OGUNGBEMI, OLAMILEKAN JULIUS 2022/38421
13. OGUNLEYE, MISIMI DEBORAH 2022/38422
14. OGUNLOWO, IFEOLUWA GRACE 2022/38423
15. OGUNTIMEHIN, ADEOLA VIVIAN 2022/38424
16. OGUNWOLE, OLUWATOSIN VICTORIA 2022/38425
17. OGUNYANWO, FIKUNAYOMI OLADIMEJI 2022/38426
18. OGUNYEMI, PRECIOUS FIYINFOLUWA 2022/38427

19. OLADELE, KEHINDE BARAKAT 2022/38429 Environmental Health issues
20. OLADIPO, OYINKANSOLA MARIAM 2022/38432 GOPD Register
21. OLADOTUN, OREOLUWA OLUWAPELUMI 2022/38433 GOPD Register
22. OLAGUNJU, DEBORAH OLUWAFUNMILAYO 2022/38434 GOPD Register
23. OLAGUNJU, OPEYEMI DAMILARE 2022/38435 GOPD Register
24. OLAIBI, ZAINAB BUKOLA 2022/38436 FGD
25. OLAJIDE, JOLAADE SOPHIYYAH 2022/38437 FGD
26. OLAOPA, AJIMOH OMOLARA 2022/38438 FGD
27. OLAREWAJU, STELLA OLOLADE 2022/38439 KII with Staff
28. OLARINDE, MARYAM ENIOLA 2022/38440 KII with Staff
29. OLASUNMOYE, TENIOLA SAMUEL 2022/38441 Environmental Health issues
30. OLASUPO, AYOMIDE MARTINS 2022/38442 Environmental Health issues
31 OLATUNJI, TEMILOLUWA BLESSING 2022/38443 Environmental Health issues
32. OLAWOYE, KAFAYAT OLAYINKA 2022/38444 Environmental Health issues
33. OLAYINKA, OLUWAFAYOKEMI JOY 2022/38445 Environmental Health issues
34. OLORUNFEMI, ERIMIPE AJIGBOTOLUWA 2022/38446 Environmental Health issues
35. OLUBUNMI, TEMITOPE JOY 2022/38447 Environmental Health issues
36. OLUOKUN, AYOMIDE EMMANUEL 2022/38448 Environmental Health issues
37. OLUWADAISI, OYINKANSOLA MARVELOUS 2022/38449 Environmental Health issues
38. OLUWALADE, PHOEBE BOLUWATIFE 2022/38450 Environmental Health issues

OUTLINE
BACKGROUND INFORMATION
FIELD WORK OBJECTIVES
ACTIVITIES
HEALTH FACILITY VISIT AND ASSESSMENT
COMMUNITY VISIT AND ASSESSMENT
COMPETENCIES GAINED
CONCLUSION AND RECOMMENDATION
MOV: GROUP MEMBERS PICTURE

BACKGROUND INFORMATION
 WHY COMMUNITY DIAGNOSIS FIELD TRIP
A community diagnosis fieldwork trip provides
hands-on experience in identifying and assessing
the health needs of a community. Community
diagnosis field work involves collecting data
through interviews, surveys, and observations.
This data is then analyzed to identify trends and
patterns. With the information, a plan of action can
be developed to improve the health of the
community.

BACKGROUND INFORMATION -
Community Description
- Isalẹ Agbara is a small community located in Ward
Are-Ago, Isalẹ Osun of Osogbo Local Government. It is
about 3km away from the Osun-Osogbo Sacred Groove.
- The community has a polling unit.
- Majority of people in the people are Yoruba Descent.
- The community has one government hospital (Isalẹ
Agbara PHC), a security office (Nigeria Security and
Civil Defence Corps, Osogbo South Division), and a
school (A.U.D Primary School).

BACKGROUND INFORMATION -
Health Facility Structure Description
 The facility is a small primary health care, comprising 3 beds (for delivery).
 The facility has 10 permanent staff, including the officer-in-charge, Dr
Kayode Adeoye, a lab scientist (Mrs Olaore), and a record officer.
 The facility has 1 Ad-hoc staff and a security personnel
 Activities carried out at the facility includes the following:
 Outpatient Clinic (Monday - Friday)
 Antenatal clinic (Wednesdays)
 Immunization clinic (Tuesdays)
 Family planning (Thursdays)

FIELD WORK OBJECTIVES
To identify the prevalent public health problems and its
correlates through the following:
Review the GOPD Register over the past eight months
Conduct In-depth interview with health workers.
Administer questionnaires among community dwellers
on environmental issues.
Conduct Focus Group Discussion with the community
dwellers.
To provide intervention to address the prevailing
public health problems.

FIELD ACTIVITIES
Health facility entry
Health facility assessment
Administration of questionnaire to the
community dwellers
Conduct of KII within the facility staff
Conduct of FGD with community dwellers
Health facility data analysis and interpretation
Presentation of Report Findings

 Health facility entry: Upon our arrival in the health facility, the
group leader with two other group members ask for the officer in
charge, and we discussed with them. We meet the Officer-in-charge,
we presented the ministry's approval letter, and dropped a copy. They
told us that they have been informed about our visit.
 Health facility assessment: The PHC GOPD Register was assessed
by the group members whose activity was GOPD register.
 Questionnaire Administration: The group members whose activity
is Environmental issues went into the community and administered
questionnaire to the community dwellers.
 Conduct of KII within the facility staff: KII was conducted with
four different staffs in the health facility
 Conduct of FGD with community dwellers: With the help of the
officer-in-charge, 2 FGDs was conducted in the PHC at a serene and
quiet place.

METHODOLOGY
9 Students copied 780 data from the PHC
GOPD Register ranging from June 2023 –
January 2024.
SPSS was used for the data entry
SPSS was used for the data analysis
Ms Excel was used for the charts
Ms PowerPoint was used for the slide

0 50 100 150 200 250 300 350 400 450 500
0-4 years
5-9 years
10-19
years
>20 years
AGE GROUPING
0
100
200
300
400
500
600
Female Male
GENDER
Figure 1 and Table 1 shows the
gender from the GOPD register
data collected. It indicates the
female gender has the highest
number of frequency of 526 of
64.9% while the male gender is
274 indicating 35.1%
age grouping indicating the
highest frequency which is age
greater than 20, 429 of 55%, while
10-19yrs is 18.1%, 5-9yrs is
10.3%, and 0-4yrs is 16.7%
GENDER Frequency
Percentage
(%)
Female 506 64.9
Male 274 35.1
AGE
GROUPING Frequency
Percentage
(%)
0-4 years 130 16.7
5-9 years 80 10.3
10-19 years 141 18.1
>20 years 429 55

0
20
40
60
80
100
120
140
160
180
200
Jun-23 Jul-23 Aug-23 Sep-23 Oct-23 Nov-23 Dec-23 Jan-24
Frequency 72 63 92 181 88 84 65 135
OUTPATIENT VISIT BY TIME JUNE 2023 - JANUARY 2024
June July August Sep-23 Oct-23 Nov-23 Dec-23 Jan-24
Female 48 37 58 118 56 64 38 87
Male 24 26 34 63 32 20 27 48
48
37
58
118
56
64
38
87
24
26
34
63
32
20
27
48
OUTPATIENT VISIT BY GENDER JUNE 2023 -
JANUARY 2024
Month Frequency
Percentage
(%)
Jun-23 72 9.2
Jul-23 63 8.1
Aug-23 92 11.8
Sep-23 181 23.2
Oct-23 88 11.3
Nov-23 84 10.8
Dec-23 65 8.3
Jan-24 135 17.3
outpatient visit by time
indicating the highest frequency
which is the September 2023,
181 of 23.2%, then January
2024, 135 of 17.3, and August
2023, 92 of 11.8%
Figure 4 shows the outpatient
visit by gender indicating the
highest frequency which is
female in the month of
september 2023.

PREVALENT HEALTH CONDITIONS IN ISALE AGBARA JUNE
2023 - JANUARY 2024
Malaria URTI Diarrhoea Infection Pain
Check Up Arthritis Typhoid Hypertension Others
DIAGNOSIS Frequency
Percentage
(%)
Malaria 238 30.5
URTI 73 9.4
Diarrhoea 71 9.1
Infection 50 6.4
Pain 51 6.5
Check Up 141 18.1
Arthritis 25 3.2
Typhoid 46 5.9
Hypertension 48 6.2
Others 37 4.7
Fig. 6 shows the malaria vs check
up cases from June 2023 to January
2024 which indicates in the month
of sept., 2023 and Jan., 2024,
malaria cases was much reported in
the health facility
0
10
20
30
40
50
60
MALARIA VS CHECK UP CASES BY MONTH JUNE 2023 -
JANUARY 2024
Malaria Check Up
Fig. 5 and Table 4 shows the prevalent health
conditions in Isale Agbara PHC from June
2023-January 2024. The show the diagnosis,
the frequency and percentage indicating
Malaria (30.5%) and Check Up (18.1)% as the
two highest

ENVIRONMENTAL ISSUES
REPORT FINDING

METHODOLOGY
19 students administered 2 questionnaires each to
the community dwellers making it a total of 38
questionnaires been administered.
SPSS was used for the data entry
SPSS was used for the data analysis
The frequency and percentage was then pasted in
Ms Excel.
Ms Word was used for the interpretation.
Then, the report finding tables was imported in
Ms PowerPoint.

VARIABLE FREQUENCY PERCENTAGE
(%)
AGE
0-30 17 44.7
31-40 10 26.3
41+ 11 28.9
RELIGION
Christianity 12 31.6
Islam 26 68.4
TRIBE
Igbo 3 7.9
Yoruba 33 86.8
Others 2 5.3
MARITAL STATUS
Single 9 23.7
Married 26 68.4
Seperated 1 2.6
Widowed 2 5.3
NO OF CHILDREN
0-2 22 57.9
3-4 9 23.7
5+ 7 18.4
SOCIODEMOGRAPHIC CHARACTERISTICS Table 1.1 presents the socio-demographic
profile of respondents from the Isale Agbara
community, assessing housing and its
characteristics among community members in
Osun State. The data indicates that the largest
proportion of respondents falls within the age
bracket of 0-30 years comprising (44.7%).
In terms of religious affiliation, the majority
of respondents identify as Muslim (68.4%),
while 31.6% identify as Christian.
Regarding ethnicity, a significant majority
identify as Yoruba (86.6%). The remaining
respondents include the Igbo tribe and other
ethnic groups.
Regarding marital status, the majority of
respondents are married (68.4%). The
remaining respondents are categorized as
follows: 9 individuals (23.7%) are single, 1
individual (2.6%) is separated, and 2
individuals (5.3%) are widowed.
57.9% respondent has less than or equal to 2
numbers of children, 23.7% has between 3-4
children and 16.7% has 5+ children.
TABLE 1.1

LEVEL OF EDUCATION
Primary 10 26.3
Senior secondary 13 34.2
Tertiary 15 39.5
HUSBAND’S OCCUPATION
Trader 10 26.3
Civil servant 3 7.9
Self-employed 13 34.2
Unemployed 2 5.3
Others 10 26.3
WIFE’S OCCUPATION
Trader 18 47.4
Civil servant 1 2.6
Artisan 1 2.6
Self-employed 9 23.7
Unemployed 1 2.6
Others 8 21.1
SOCIODEMOGRAPHIC CHARACTERISTICS CONT’D
TABLE 1.2
Table 1.2 shows 15 respondent level of education is tertiary level, 13 (34.2%) finished
secondary school while 10 (26.3%) finished primary school.
13 of the respondent husband are self-employed, 10 (26.3%) are Traders while the rest are civil
servant, unemployed and others each. Majority of the respondent wife’s occupation are Trader
which is 18 (47.4%).

VARIABLE FREQUE
NCY
PRECENTA
GE (%)
TYPE OF HOUSE Frequen
cy
Percent
One room 20 52.6
Self-contain 1 2.6
A flat 7 18.4
2 Bedroom flat 2 5.3
3 Bedroom flat 5 13.2
Duplex 1 2.6
Others 2 5.3
TOTAL NUMBERS OF PEOPLE IN THE
HOUSEHOLD
1-5 22 57.9
6-10 11 28.9
11+ 5 13.2
TOTAL NUMBER OF THE ROOMS IN
THE HOUSEHOLD
1-5 24 63.2
6-10 11 28.9
11+ 3 7.9
HOUSEHOLD AND HOUSING CHARACTERISTICS
TABLE 2.1 Table 2.1 shows the household and housing
characteristics of the respondents summary
indicating that the most prevalent type of house
is one-room houses, constituting over half of the
total at 52.6%. Flats are the next most common,
particularly single flats, which represent 18.4%.
For the number of people living in the
household, the data indicates that smaller
households, with 1-5 people, are the most
common, comprising 57.9% of the total. This
suggests a predominant smaller to medium-sized
number of people in the household of the
population surveyed of the community
For the total number of rooms in the household,
the data shows that smaller households with 1-5
rooms are the most common, making up 63.2%
of the total. Medium-sized households with 6-10
rooms represent 28.9%, while large households
with 11 or more rooms are rare, accounting for
only 7.9%. This indicates a prevalence of smaller
to medium-sized numbers of rooms in the
household in the surveyed population of the
community.

WHAT WAS USED IN CONSTRUCTING THE
BUILDING?
Cement 38 100
HOUSE OWNERSHIP?
Owned 15 39.5
Rented 23 60.5
IS THE HOUSE WELL PAINTED?
Yes 22 57.9
No 16 42.1
THE ROOF IS MADE OF?
Aluminum sheet 22 57.9
Asbestos sheet 15 39.5
PVC sheet 1 2.6
HOUSEHOLD AND HOUSING CHARACTERISTICS CONT’D
Table 2.2 shows the distribution
of residency durations in homes,
with the majority (55.3%) living
in their houses for 2 to 8 years.
A smaller portion of residents
have lived in their homes for 0
to 1 year (23.7%), and a
significant number have been in
their homes for 9 years or more
(21.1%), indicating a mix of
short-term, medium-term, and
long-term residencies among
the surveyed individuals.
The cement was used for the
building construction of the
household structure which
indicates 100% for the surveyed
population in the community.
TABLE 2.2
HOW LONG HAVE YOU LIVED IN THE HOUSE
0-1 9 23.7
2-8 21 55.3
9+ 8 21.1
The three last variable datas reveals that renting is more common
than ownership. Most houses (57.9%) are well painted, but a
significant minority (42.1%) are not. In terms of roofing
material, aluminium sheets are the most prevalent (57.9%)

HOUSE QUALITY INDEX AND ITS DETERMINATS
TABLE 3.1
VARIABLE FREQUENCY PERCENTA
GE (%)
A. VENTILATION
Is there at least two windows in your living rooms?
Yes 28 73.7
No 10 26.3
Is there at least two windows in your bedrooms?
Yes 27 71.1
No 11 28.9
Do you have at least two main doors to your house?
Yes 31 81.6
No 7 18.4
B. WATER SUPPLY
Is there adequate water supply?
Yes 31 81.6
No 7 18.4
Do you have access to both cold and hot water?
Yes 27 71.1
No 11 28.9
C. WASTE DISPOSAL MANAGEMENT
Do you have access to refuse storage facilities?
Yes 27 71.1
No 11 28.9
Are there waste bin in the house?
Yes 30 78.9
No 8 21.1
Are the waste bin adequately covered?
Yes 27 71.1
No 11 28.9
The table 3.1 shows the interpretation of
the following data variable for House
Quality Index among the community
dwellers.
Ventilation: Majority of respondents
have at least two windows in both their
living rooms (73.7%) and bedrooms
(71.1%). However, a significant minority
of respondents do not have at least two
windows in indicating good access and
potentially better security and
convenience.
Water Supply: A large majority (81.6%)
report having adequate water supply.
Around 71.1% have access to both cold
and hot water, indicating a decent level
of comfort in their homes
Waste Disposal Management: Most
respondents have access to refuse storage
facilities (71.1%) and waste bins in the
house (78.9%), which suggests good
waste management practices.

D. TOILET AND BATHROOM
Is your bathroom and toilet within your
house?
Yes 30 78.9
No 8 21.1
Do you share bathroom and toilet with your
neighbours?
Yes 24 63.2
No 14 36.8
Does your toilet and bathroom has at least two
windows?
Yes 14 36.8
No 24 63.2
E. ACCESS TO COMMON SPACE
Is your living room different from where you
sleep?
Yes 23 60.5
No 15 39.5
Is there a yard or garden in your compound?
Yes 24 63.2
No 14 36.8
F. KITCHEN
Is your kitchen within your home?
Yes 27 71.1
No 11 28.9
Are there food storage facilities in the kitchen?
Yes 24 63.2
No 14 36.8
Is the kitchen seperated from other rooms?
Yes 35 92.1
HOUSE QUALITY INDEX AND ITS DETERMINATS CONT’D
TABLE 3.2 Table 3.2 shows that The majority (78.9%) have
their bathroom and toilet within their house,
which is preferable for privacy and convenience.
However, a considerable proportion (36.8%) share
bathroom and toilet facilities with neighbors,
indicating potential issues with privacy and
sanitation. Additionally, only 36.8% of respondents
have toilet and bathroom spaces with at least two
windows, which might affect ventilation and
hygiene.
Access to Common Space- A majority (60.5%) of
respondents have a separate living room from
where they sleep, suggesting a distinction
between living and sleeping spaces in most
households, while 63.2% have a yard or garden,
indicating that a notable majority enjoy some form
of outdoor space.
Kitchen- The kitchen is within the home for 71.1%
of respondents, which is typical in residential
design for convenience and safety. While a
significant majority (92.1%) report that the kitchen
is separated from other rooms, beneficial for safety
and odor management.

G. LIVING ROOM/ROOMS
Does your living rooms have two windows?
Yes 23 60.5
No 15 39.5
Is your living room seperate from other
rooms?
Yes 24 63.2
No 14 36.8
H. SECURITY
Is your house fenced?
Yes 14 36.8
No 24 63.2
Is there security light around your home?
Yes 23 60.5
No 15 39.5
I. ELECTRICITY
Are your wires, electrical distribution boxes
in good repair?
Yes 30 78.9
No 8 21.1
Do you have alternative source of
lightening?
Yes 17 44.7
No 21 55.3
J. FIRE SAFETY
Does your house have fire detection and
alarm system?
Yes 3 7.9
No 35 92.1
Is there an emergency evacuation plan in
your house?
Yes 10 26.3
No 28 73.7
HOUSE QUALITY INDEX AND ITS DETERMINATS CONT’D
TABLE 3.3
Table 3.3 shows that 60.5% of living rooms have
two windows, ensuring adequate natural light and
ventilation. 63.2% of respondents have living rooms
that are separate from other rooms, which is conducive
to privacy and functional space use.
Security: Only 36.8% of homes are fenced,
suggesting that the majority might be exposed to
higher security risks while 60.5% have security lights
around their home, offering a deterrent against
unauthorized entry and enhancing safety during
nighttime.
Electricity: 78.9% report that their electrical wiring
and distribution boxes are in good repair, indicating
awareness and prioritization of electrical safety, and
Less than half (44.7%) have an alternative source of
lighting, pointing to potential vulnerability during
power outages
Fire Safety: Only 7.9% have fire detection and alarm
systems, highlighting a significant area for
improvement in fire safety preparedness, and a small
percentage (26.3%) have an emergency evacuation
plan, further indicating a need for enhanced awareness
and planning for fire emergencies

VARIABLE FREQUEN
CY
PERCENTAGE
(%)
PRESENCE OF SEPERATE
KITCHEN
1 34 89.5
0 4 10.5
NOISE POLLUTION FROM
THE
NEIGHBOR/OUTSIDE
1 18 47.4
0 20 52.6
LACK OF LIGHT
1 15 39.5
0 23 60.5
LEAKY ROOF
1 5 13.2
0 33 86.8
HUMIDITY PROBLEM
1 7 18.4
0 31 81.6
RAT
1 17 44.7
0 21 55.3
HOUSE QUALITY INDEX BY INSPECTION
TABLE 4.1
TABLE 4.1 shows inspection data provides
insights into various aspects of housing quality
experienced by the surveyed population.
Presence of Separate Kitchen: The majority of
households (89.5%) have a separate kitchen,
indicating a common feature from the respondents
Noise Pollution: Nearly half of the respondents
(47.4%) experience noise pollution from
neighbours or outside sources, suggesting a
significant issue affecting the living environment
for many.
Lack of Light: Over a third (39.5%) report a lack
of light in their homes, indicating potential
concerns with natural lighting conditions.
Leaky Roof: A small minority (13.2%) report
having a leaky roof, suggesting relatively few
households face this specific issue.
Humidity Problem: A minority (18.4%)
experience problems with humidity, indicating
some homes may have ventilation or moisture
control issues.
Rat: Almost half of the respondents (44.7%) have
dealt with rat problems, indicating a prevalent
issue that requires attention.

POLLUTION FROM THE
NEIGHBORHOOD
1 12 31.6
0 26 68.4
DUST IN THE HOUSE
1 14 36.8
0 24 63.2
LACK OF ADEQUATE HEATING
1 13 34.2
0 25 65.8
INADEQUATE VENTILATION
1 7 18.4
0 31 81.6
INADEQUATE WATER SUPPLY
1 9 23.7
0 29 76.3
INADEQUATE SANITARY
CONDITION
1 10 26.3
0 28 73.7
HOUSE QUALITY INDEX BY INSPECTION CONT’D
TABLE 4.2
Table 4.2 shows that Neighborhood Pollution:
About a third (31.6%) experience pollution from
the neighborhood, which could impact overall
environmental quality.
Dust in the House: More than a third (36.8%)
report dust issues in their homes, suggesting
cleanliness and maintenance may be areas for
improvement.
Lack of Adequate Heating: Over a third (34.2%)
report inadequate heating, indicating potential
discomfort during colder periods.
Inadequate Ventilation: A minority (18.4%) have
inadequate ventilation, which can impact air
quality and comfort.
Inadequate Water Supply: A quarter of
respondents (23.7%) face issues with water supply,
highlighting an essential infrastructure concern.
Inadequate Sanitary Condition: A quarter
(26.3%) report inadequate sanitary conditions,
indicating potential hygiene and health risks.

543
332
0 100 200 300 400 500 600
GOOD HOUSING
BAD HOUSING
HOUSING QUALITY INDEX
HOUSING QUALITY INDEX SCORING

COMMONEST HEALTH PROBLEM COMMON HEALTH PROBLEM CAUSES AND RISK
Malaria Malaria and others Mosquito Bite Others
R1: Malaria is
common in this
vicinity
R2: Malaria, cholera
but let’s say malaria
yes malaria
R1: it's just that the mosquito that carries the
parasite cannot be transmitted from one
person to another, but because of the same
parasite, the same environment.
R3: Though the Nigeria center for
disease control (NCDC) has told us
that if we want any information on
health related case, we should go to
their website, but I also read it online
that we should cover our things like
water and foods properly to prevent
them from some viruses moving in
the air about 2 months ago, and the
most causes of malaria is improper
refuse dump, stagnant water which
causes mosquito to breed around
R4: The commonest
diseases in the
grassroots are malaria.
R3: As at today,
malaria and dysentery
is the most common
this days.
R2: Ehmmm Well like I said malaria is the
most common and when you get to some
houses you see that there are no gutters, no
toilet, lack of proper bathroom, improper
refuse dump(which attracts mosquito ,
government provides them with net but some
of them refuse to use it, while some say they
don’t have it while some say they can’t use it.
So you will always see them at the health
center both young and old complaining about
the same thing over and over againtablet
according to age group and weight.
R4: Commonest health problem is usually
malaria and the people that are prone to
malaria are children of 1-5years and pregnant
women. The mode of transmission of malaria is
when the person is being bite by female
anopheles mosquito so the person will contact
malaria through that. The treatment measure
that is available in our facility is that they used
to supply us arthemeter tablet so we trace
malaria with arthemeter
KII INTERPRETATION

AWARENESS OF POLICY DOCUMEMT AND
INTERVENTION TO CONTROL THE INFECTION
Awareness Not Aware
R1: I'm aware then, I think
what the government did last
year, maybe September or
October, they did the general
mosquito treated net sharing.
It was shared around the
community, just to reduce the
rate of malaria.
R3: No, I’m not
aware, but my bosses
might be aware
R2: Yes from the national
level a guideline has been
provided. But I don’t know
where it is at the moment, but
we’ve been using it, we’ve
been using the guideline
R4: Yes, we are aware of the
presence of the policy
document. That is who back
Malaria we use to distribute
mosquito nets every 3 years
and we use to educate all our
patients to be using the
mosquito nets in order not to
contact the malaria .We have
their case note with us and the
card we use for them and the
cards are with us here.
AWARENESS OF OTHER PREVENTIVE
MEASURES TO REDUCE THE
OCCURRENCE OF THE INFECTION
Awareness
R1: We encourage them to make their
environment clean. Cleanliness. All water, the
drainage should be clean so that mosquito will
not develop in that in the water, and they
should use the treated net. That is one of the
ways to reduce the infection
R2: God bless you! More awareness ,
morecampaign, encouraging individuals to visit
the health center instead of taking agbo sorry I
mean herbs , reminding them of how deadly
the infection can be , more programs,
broadcasting the information on all media
platforms ,and social media platforms,
television, radio, billboard, banners fliers and
so on
R3: From our side, the only thing we can do is
to give health talk to them. And sometimes
during outreach we can check their
environment and we might persuade them to
take to whatever we have given them
R4: They should clear all the stagnant water in
their vicinity/environment and they should
clear all the bushes in the environment in order
not to let the mosquito to be breathing.
KII INTERPRETATION CONT’D

CHALLENGES FACED FROM THE COMMUNITY MEMBERS TO ACCEPT THE PREVENTION
MEASURES
Challenges Lack of Education Financial Issues
R1: We do for outreach. We go to their
home, we encourage them. Even some
staff do buy some things to tip them,
telling them when you are living
healthy, sleeping under the treated net,
you are entitled to get something, and
this environment they like free gift, so
we use that gift to teach them so that
they can adapt to what we are teaching
them.
R2: Illiteracy. In ability to
leave the practice of the
olden days, you’ll see some of
them saying that they would
prefer taking herbs to drugs ,
that their forefathers took it
and nothing happened to
them so they also won’t stop
taking herbs. Illiteracy is the
major reason and I believe
thatwith more awareness all
dis can be curbed
R4: Actually, it is very difficult
because the net we are giving them
they use to sell the mosquito nets and
buy doing this, they won’t be
prevented from being from that of
the mosquito that causes malaria.
We use to give them orientation that
it is not advisable for them to be
selling the mosquito nets or to be
exchanging the mosquito net with
the bucket
R3: You know environment determines
at times, you will be able to differentiate
if you’re in an educated environment,
you know when you’re talking to a
learned person they easily understand
and they will consider the consequences
of whatever they are doing but the
uneducated ones sometimes do not
accept the measures due to ignorant of
the consequences if the they do not
adhere to the measures
KII INTERPRETATION CONT’D

FOCUS GROUP DISCUSSION
REPORT FINDINGS

COMMONEST HEALTH PROBLEM COMMONEST HEALTH PROBLEM (CAUSES AND RISK)
Malaria Malaria &
Others
Mosquito Bites Others Poor Hygiene
P3- I can also say is
malaria
P1: What I
know that is
common is
malaria and
typhoid.
P5- what I
deduce there is
that is
mosquitothat
causes malaria.
P2: what I see is that when
you are stressing yourself too
much or you are walking
around in the sun, and I think
is malaria that build typhoid.
P1- we should be
hygienic
P6-Everybody
knows that malaria
is the commonest
P4- I can
observe that it is
malaria and
measles
P6- The only way to treat it is
to go to the nearest hospital
and you should always make
your environment neat.
P3: we should be neat
and be careful of what
we take in
P4- Perhaps you stress
yourself too much as the
other woman said or
when you drink
contaminated water
AWARE OF POLICYAND
DOCUMENT TO CONTROL THE
INFECTION
OTHER PREVENTIVE
MEASURES TO REDUCE THE
INFECTION
Aware of Aware of Others
P1- yes, we are trying our best on it. P4- what we can do is that, maybe
our child as been infected by any
diseases, we are to keep them at
home and treat them so as not to
make it spread to others.
P1- what is there is that, we should
discover what is causing the diseases
and stop doing them.
P3- yes, we are doing so. P2- what I can say about it is that, we
should be careful.
FGD 1

EXPERIENCE
REGARDING HEALTH
PROBLEM IN HEALTH
CENTRE
CHALLENGES FACED BY THE COMMUNITY
MEMBERS IN ACCEPTING AND PRACTISING
THE PREVENTIVE MEASURES
Experiencied Challenges Others
P2- The only experience that
I have is about malaria, it has
happened to a lot of people.
P2: Ignoring of things
and lack of money is
also one of the
challenges
P4- As a good and responsible
parent or guardian, you don’t
resent your child. Anytime they
need your attention you should
notice because they might not be
able to speak up but you have to
notice that as a good parent that
you are.
P5- What have seen before is
all about measles.
P6- lack of attention
and proper care.
FGD 1 CONT’D

FGD 2
COMMONEST HEALTH
PROBLEM
COMMONEST HEALTH PROBLEM (CAUSES AND RISK)
Malaria Others Poor environment/sanitation Hygiene Others
P1- Malaria P2- Cholera P1- Those people that are not
taking good care of their
environment are the people
that are mostly having
different kind of diseases.
P5: We can
treat it by
taking good
care of our
self.
P6- It can cause any other
dangerous diseases so we
have to go to the nearest
hospital whenever we
notice it.
P3- Malaria P6- Diarrhoea P3- Those that are near to
stagnant water also have
malaria
P4- Malaria
P5- Malaria
AWARE OF POLICYAND DOCUMENT TO
CONTROL THE INFECTION
OTHER PREVENTIVE MEASURES TO REDUCE
THE INFECTION
Aware of Aware of
P1- Yes. P1- By taking care of our health condition.
P2- yes, we are practicing it. P2- We should keep our environment neat.
P4- we are following it. P4- We should eat good food and drink clean water.
P5-yes. P6-By staying away from stagnant water

EXPERIENCE REGARDING
HEALTH PROBLEM IN
HEALTH CENTRE
CHALLENGES FACED BY THE
COMMUNITY MEMBERS IN
ACCEPTING AND PRACTISING THE
PREVENTIVE MEASURES
Malaria Cholera Challenges
P3- The experience in have
is on tuberculosis and also
malaria.
P1- Mostly is
cholera
P1- The problem is that; we have our daily activities so
it’s not that easy to do it all but we are trying our best.
P3- It has not been easy doing it so, sometimes we
don’t have money and you also know the situation of
this country so that’s why.
P5- We might be tired already after our daily activities
work so it looks difficult for us to carry out does chores
because it’s not easy.
FGD 2 CONT’D

Capacity Building
Team work and Time Management
Critical Thinking
Interpersonal skills
Decision Making
Ability to use SPSS to do data entry and
analysis
COMPETENCIES GAINED

CONCLUSION
The community diagnosis field findings done at Isale
Agbara PHC shows that the community’s health data
indicates Malaria is a significant public health concern and
prevalent in the area based on GOPD register data, KII and
FGD.
Additionally, the environmental health issues in the
community could be contributing to the prevalence of
Malaria. It would be benefical to focus on improving
environmental sanitation, water quality and waste
management to reduce the breeding grounds for
mosquitoes and prevent the spread of malaria.
Addressing the common health problem of malaria can be
through a multifaceted approach that combines medical
interventions with environmental health improvements

RECOMMENDATION
Individual: Distribution of Insecticide Treated Net.
- Regular screening and check up
Community Dwellers: Sensitisation on the use of Insecticide
Treated Net.
- Creating awareness for the community dwellers on eliminating
stagnant water.
- Community cleaning maybe bi-weekly and proper sanitation and
waste management services.
- Health education on Personal Hygiene
Health Facility: Provision of Essential Drugs
Local Government Authorities: We suggest collaboration with
local authorities to improve environmental and health conditions.

ISALẸ AGBARA PHC COMMUNITY DIAGNOSIS FIELD WORK FEB 2024.pptx

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