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Sacred Heart College i

EXTENT OF KNOWLEDGE AND COMPLIANCE OF BARANGAY HEALTH


WORKERS AND PARENTS IN MAUBAN, QUEZON ON INTEGRATED
HELMINTH CONTROL PROGRAM: BASIS FOR THE
DEVELOPMENT OF A TRAINING MODULE
ON IHCP

A Thesis
Presented to the
Faculty of Graduate School
Sacred Heart College
Lucena, City

In Partial Fulfillment
of the Requirements for the Degree
Master of Science in Nursing

Denise Lian M. Develuz

2017
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APPROVAL SHEET
This thesis entitled “EXTENT OF KNOWLEDGE AND COMPLIANCE OF
BARANGAY HEALTH WORKERS AND PARENTS IN MAUBAN, QUEZON ON
INTEGRATED HELMINTH CONTROL PROGRAM BASIS FOR THE
DEVELOPMENT OF A TRAINING MODULE ON IHCP” prepared and submitted by
Denise Lian M. Develuz, in partial fulfillment of the requirements for the degree Master of
Science in Nursing had been examined and passed the Oral Examination.

GERARDO C. DAVID, RN, MSN


Thesis Adviser
________________________________________________________________________
ORAL EXAMINATION COMMITTEE
Approved by the Committee on Oral Examination with a rating of
_______________________.

VIVIAN L. DEDACE, RN, MAN. Ed. D.


Chairperson
ELDA C. ARANILLA, Che. MAEd MA. LIBABEL FERRERAS, RN, MSN
Member Member

Approved and accepted in partial fulfillment of the requirements for the degree
Master of Science in Nursing.
Comprehensive Examination: Passed
RAQUEL R. SENA, Ph. D.
Dean, Graduate School

ACKNOWLEDGEMENT
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The researcher would like to express her profound gratitude to the following
individuals for sharing their support for making this thesis possible:
To ALMIGHTY GOD, for the unending blessings and guidance;
Dr. Raquel R. Sena, the Dean of the Graduate School, for her encouragement and
sincerity to the researcher;
Dr. Josefina M. Parentela, former Dean of Graduate School, for her guidance and
support to pursue this study;
Mr. Gerardo C. David, RN, MSN, her thesis adviser, for his patience and
confidence to the researcher;
Dr. Juanito A. Merle, her statistician for unselfishly sharing his knowledge and
expertise;
Dr. Ronald D. Mararac, Mr. Rhandy Buraga, RMT, and Ms. Ma. Leda U.
Mendoza, RMT, DMO IV, the validators for sharing their time and expertise in validating
the questionnaires;
The validators, Mrs. Vivian L. Dedace, RN, MAN, Ed.D., Mrs. Ana Libabel U.
Ferreras, RN, MSN, Engr. Elda C. Aranilla, Che.,MAED,f or their encouragement,
constructive criticisms, expertise and comments for the improvement of the study;
The Library Staff of Sacred Heart College-IMC, for their assistance during the
researcher’s library works;
The Municipal Health Office of Mauban, Quezon headed by Dr. Ronald D.
Mararac, for their persistent and thoughtful support and permitting the researcher to conduct
her study in their premises;
The barangay captains who supported and allowed the researcher to conduct the
study in their barangays: Hon. Medardo Unalayao, Hon. Rosendo Encanto, Hon. Michael
Ayangco, Hon. Arnel Devera, Hon. Rommel Devera and Hon. Rosemarie Alzola;
Mrs. Jocelyn A. Villasenor, Public Health Nurse II, for being considerate with the
researcher regarding her leave of absence from duty to work on her study;
Mrs. Cherry Barrientos, Nurse II, for providing municipal records and files
related to the study;
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Mrs. Tessie, BHW President, for aiding the researcher in completing the needed
data about the BHW Profile in the municipality;
The Barangay Health Workers and Parents who served as the source of
information in gathering the data needed in the study;
Balahibong Pusa, for always believing in the capability of the researcher;
Team Lamesa, for helping the researcher accomplish her goals and target at work
and school simultaneously;
Her MSN buddies, Annie, Gab, Gena, their humility and compassion to the
researcher have been her solace during her tough times in the graduate school;
Morales sisters and Ms. Diane Kathryn Nierva for being her lifetime allies; for
their love and cheerfulness
Her loving parents, Mr. Rufino C. Morales and Mrs. Marina U. Morales for their
unconditional love to the researcher and to her family as well;
Kristoff and Kyle, her children, for all the love and joy they bring to the researcher;
Her husband, Darnley Lord J. Develuz, for his love, support, patience and
understanding.

The Researcher

DEDICATION
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This fruit of hard work


is wholeheartedly dedicated to:
my parents,
my children Kristoff & Kyle,
my love, Darnley.

D. L. M. D.
Sacred Heart College vi

TABLE OF CONTENTS
Title Page
TITLE PAGE……………………………………………………………………….…..i
APPROVAL SHEET…………………………………………………………………..ii
ACKNOWLEDGEMENT……………………………………………………………..iii
DEDICATION………………………………………………………………………….v
TABLE OF CONTENTS…………………………………………………………...…vi
LIST OF FIGURES……………………………………………………………………ix
LIST OF TABLES…………………………………………………………….……….x
ABSTRACT…………………………………………………………………………...xiii

CHAPTER

I THE PROBLEM
Introduction………………………………………………………….…….…1
Statement of the Problem…………………………………………….……....6
Theoretical/Conceptual Framework…………………………………………9
Significance of the Study……………………………………………………15
Scope and Limitation………………………………………………………..16
Definition of Terms………………………………………………………….18

II REVIEW OF RELATED LITERATURE AND STUDIES


Related Literature…………………………………………………………...20
Related Studies……………………………………………….……………..56
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III RESEARCH METHODOLOGY

Research Design…………………………………………………………..69
Research Locale…………………………………………………………..70
Population and Sample……………………………………………………71
Research Instrument………………………………………………………74
Data-gathering Procedures………………………………………………...75
Statistical Treatment of Data………………………………………………76

IV PRESENTATION, ANALYSIS, AND INTERPRETATION OF DATA

Part I Demographic Profile of the Respondents


In terms of Age, Sex, Educational Attainment, Length of
Service, Training Attended related to DOH Basic
Training for BHW, Family Monthly Income……………………………86
Part II Extent of Knowledge of the BHWs
and Respondents on IHCP………………………………………………97
Part III Extent of Compliance of the Respondents on IHCP……………109
Part IV Significant Relationship Between the Extent
of Knowledge and Compliance of the Respondents…………………….. 119
Part V Significant Difference on the Extent of Knowledge
of the Respondents on IHCP when Grouped
According to Demographic Profile……………………………………….121
Part VI Significant Difference on the Extent of Compliance
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of the Respondents on IHCP when Grouped


According to Demographic Profile…………………………………………131

V. SUMMARY OF FINDINGS, CONCLUSIONS,


AND RECOMMENDATION

Summary of Findings…………………………………………………….141
Conclusions………………………………………………………………148
Recommendations………………………………………………………. 150

VI. REFERENCES…………………………………………………………..151
VII. APPENDICES
A. Research Output……………………………………………………….168
B. Timetable on the Dissemination and Utilization of
Research Findings and Output…………………………………………211
C. Letters …………………………………………………………………213
D. Research Instrument…………………………………………………...225
E. Extent of Knowledge of the Respondents on IHCP
(Percentage Rating)……………………………………………………251
F. Computations………………………………………………………….257
G. Curriculum Vitae………………………………………………………313
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LIST OF FIGURES

Figure Number Title Page

1 Theoretical Paradigm………………………………………….……..13

2 Frequency-Percentage Distribution of Barangay Health Workers


According to Age…………………………………………………....86

3 Frequency-Percentage Distribution of Barangay Health Workers


According to Sex…………………………………………………….88

4 Frequency-Percentage Distribution of Barangay Health Workers


According to Educational Attainment………………..……….…….89

.5 Frequency-Percentage Distribution of Barangay Health Workers


According to Length of Service………………………………...……90

6 Frequency-Percentage Distribution of Barangay Health Workers


According to Trainings Attended related to DOH Basic
Training for BHW…………………………………………………….92

7 Frequency-percentage distribution of Parents according to Age……...93

8 Frequency-percentage distribution of Parents


According to Age………………………………...……………………94

9 Frequency-Percentage Distribution of Parents According to


Educational Attainment………………….……………..……………95

10 Frequency-Percentage Distribution of Parents According to


Family Monthly Income………………………………………….......96
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LIST OF TABLES

Table Number Title Page

1 Breakdown of the number of Respondents………………………………….74

2 Qualitative Index for sub-problem no. 2…………………………………….78

3 Qualitative Index for sub-problem no. 3…………………………………….79

4 Descriptive Scale with Continuum…………………………………………..81

5 The ANOVA Table…………………………………………………………..82

6 Frequency- percentage distribution on the extent of knowledge of the


barangay health workers and parents in Mauban, Quezon on Integrated
Helminth Control Program (IHCP) in terms of transmission………………..97

6.a Item per Item presentation of the correct and wrong Answers of the
barangay health workers and parents in Mauban, Quezon on Transmission...98

7 Frequency- percentage distribution on the extent of knowledge of the


barangay health workers and parents in Mauban, Quezon on Integrated
Helminth Control Program (IHCP) in terms of nutritional effects…….……100

7.a Item per Item presentation of the correct and wrong Answers of the
barangay health workers and parents in Mauban, Quezon on
Nutritional Effects………………….……………………………………….101

8 Frequency- percentage distribution on the extent of knowledge of the


barangay health workers and parents in Mauban, Quezon on Integrated
Helminth Control Program (IHCP) in terms of
treatment……………………………………………………………….......103

8.a Item per Item presentation of the correct and wrong Answers of the
barangay health workers and parents in Mauban, Quezon on
Treatment…………………………………………………………………..104
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9 Frequency- percentage distribution on the extent of knowledge of the


barangay health workers and parents in Mauban, Quezon on Integrated
Helminth Control Program (IHCP) in terms of proper STH prevention
and control……….………………. ……………………………………….106

9.a Item per Item presentation of the correct and wrong Answers of the
barangay health workers and parents in Mauban, Quezon on proper
STH prevention and control……………………………………………...…107

10 Extent of Compliance of the respondents on Integrated Helminth


Control Program (IHCP) in terms of Transmission………………...………109

11 Extent of Compliance of the respondents on Integrated Helminth


Control Program (IHCP) in terms of Nutritional Effects…………...………111

12 Extent of Compliance of the respondents on Integrated Helminth Control


Program (IHCP) in terms of
Treatment………………………………………………………………….113

13 Extent of Compliance of the respondents on Integrated Helminth Control


Program (IHCP) in terms of Proper STH Prevention and Control………….115

14 Summary of the Extent of Compliance of the respondents on IHCP……….117

15 Pearson Moment of Correlation findings between the extent of


knowledge and compliance of the respondents on IHCP…………………119

16 Significant Difference in the Extent of Knowledge of BHWs when


grouped according to Demographic Profile……………………………….121

17 Significant Difference in the Extent of Knowledge of Parents when


grouped according to Demographic Profile…………………..…………..125

18 Scheff’es Test on the Significant Difference on the Extent of


Knowledge of Parents when grouped according to Educational
Attainment……………………………………………………….………128

19 Significant Difference in the Extent of Compliance of BHWs when


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grouped according to Demographic Profile………………………………..130

20 Significant Difference in the Extent of Compliance of Parents when


grouped according to Demographic Profile……………………..…………131

21 Scheff’es Test on the Significant Difference on the Extent of


Knowledge of Parents when grouped according to Family Monthly
Income...........................................................................................................134

22 Scheff’es Test on the Significant Difference on the Extent of


Compliance of Parents when grouped according to Educational
Attainment…………………………………………………………….……138
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ABSTRACT

DEVELUZ, DENISE LIAN MORALES. EXTENT OF KNOWLEDGE AND


COMPLIANCE OF BARANGAY HEALTH WORKERS AND PARENTS IN
MAUBAN, QUEZON ON INTEGRATED HELMINTH CONTROL PROGRAM
BASIS FOR THE DEVELOPMENT OF A TRAINING MODULE ON IHCP.
Unpublished Master’s Thesis. Sacred Heart College, Lucena City, October 2017 (Gerardo C.
David, RN, MSN, Thesis Adviser).

Soil transmitted Helminthiasis are among the most common infections worldwide

and affect the poorest and deprived communities. Philippines is one of the countries in the

world with a high prevalence of STH infections affecting different population groups. Parents

and Barangay Health Workers are the primary personnel during Mass Drug administration

and t is very important that these two group are knowledgeable regarding transmission,

nutritional effects, treatment, and proper STH prevention and control

This study dealt with developing a training module on Integrated Helminth Control

Program It sought answers to the following: (1) the demographic profile of the respondents

in terms of 1.1 BHW age, sex, educational attainment, length of service and training attended

related to DOH Basic Training for BHW; 1.2 Parents age, sex, educational attainment, and

family monthly income, (2) the extent of knowledge of the barangay health workers and

parents on IHCP in terms of the following: transmission, nutritional effects, treatment and

proper STH prevention and control, (3) the extent of compliance of the respondents on IHCP

in terms of the following: transmission, nutritional effects, treatment, and proper STH
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prevention and control, (4) the significant relationship between the extent of knowledge and

compliance of the respondents on Integrated Helminth Control Program (IHCP), (5) the

significant difference in the extent of knowledge of the respondents on Integrated Helminth

Control Program (IHCP) when they are grouped according to demographic profile, (6) the

significant difference in the extent of compliance of the respondents on Integrated Helminth

Control Program (IHCP) when they are grouped according to demographic profile, (7) the

training module to be developed to enhance the extent of knowledge and compliance of BHWs

and Parents in Mauban, Quezon on Integrated Helminth Control Program (IHCP).

The methodology used in the study were the descriptive correlational and

descriptive comparative method. This involved the 23 barangay health workers and 258

parents in selected barangays in Mauban, Quezon as respondents in identifying the extent of

knowledge and compliance on Integrated Helminth Control Program (IHCP).

To draw meaningful results, the researcher used the standard statistical tools such

as frequency-percentage, percentage rating, weighted arithmetic mean, Pearson Moment of

Correlation, t-Test, ANOVA and Scheff’es test.

Based on the gathered data, the following findings and conclusions were derived:

BHWs are less knowledgeable (LK) on IHCP in terms of transmission, knowledgeable (K) in

terms of nutritional effects, very knowledgeable (VK) in terms of treatment and proper STH

prevention and control. Moreover, Parents are not knowledgeable (K) on IHCP in terms of
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transmission, less knowledgeable (LK) in terms of nutritional effects and treatment, and

knowledgeable in terms of proper STH prevention and control. The respondents fully

complied (FC) on IHCP in terms of transmission, nutritional effects, treatment and proper

STH prevention and control. Correlation was found between the respondents’ knowledge and

compliance on Integrated Helminth Control Program. In terms of BHWs, there was no

significant difference in the extent of knowledge on IHCP when the respondents are grouped

according to age, educational attainment, length of service and training attended related to

DOH basic Training for BHW On the other hand, there was a significant difference in the

extent of knowledge on IHCP when the respondents are grouped according to age, sex,

educational attainment and family monthly income. However, there was no significant

difference on the extent of compliance on IHCP when the BHWs are grouped according to

age, educational attainment, length of service, and training attended related to DOH Basic

Training for BHW. Likewise, there was no significant difference on the extent of compliance

on IHCP when the Parents s are grouped according to age and family monthly income.

Furthermore, there was a significant difference on extent of compliance when they are

grouped according to sex and educational attainment. The output of the study was a training

module on IHCP for BHWs and Parents

Based on the preceding findings, the following recommendations were formulated

for the following: to the preschool children to be free from helminthiasis and to be able to

practice proper personal hygiene on his/her own, to the parents, BHWs, Municipal Health
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Officer and teachers to utilize the research output. Likewise, to the future researcher to make

a comprehensive study regarding all registered BHWs as a basis for program planning.

Keywords: IHCP, Barangay, Health Workers (BHW), parents, preschool children, level of knowledge,
level of compliance
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Table of Contents
Type chapter title (level 1) .............................................................................................................. 1
Type chapter title (level 2) ..............................................................................................................2
Type chapter title (level 3) ....................................................................................................... 3
Type chapter title (level 1) .............................................................................................................. 4
Type chapter title (level 2) ..............................................................................................................5
Type chapter title (level 3) ....................................................................................................... 6
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