COMMUNITY PROFILING TOOL(GIDA)2018

ANNEX A. GIDA PROFILING

GENERAL INFORMATION
REFERENCE YEAR
___ ___ ___ ___
(Specify the year for the basis of data)

G001 BARANGAY NAME

G002 MUNICIPALITY / CITY NAME

G003 PROVINCE NAME

G004 REGION NAME

G005 BARANGAY DESCRIPTION UPLAND ISLAND LANDLOCKED LOWLAND OTHERS, SPECIFY:

TOTAL NUMBER OF PUROK/SITIO/ZONE IN THE

G006 BARANGAY (Whichever is being used to identify
the next lower classification to barangay)

G007 TOTAL BARANGAY IRA AND OTHER INCOME P ___________________

G008a LAND AREA in hectares ___________________ hectares

G008
LAND AREA in square kilometers ___________________ square kilometers
b

ARE THERE ANY COMMUNITIES AFFECTED BY

G009a YES NO
CONFLICT IN THE BARANGAY? (if no, skip to G010)

G009 NO. OF PUROK/SITIO/ZONE WITH ARMED

b CONFLICT

ESTIMATED % OF POPULATION THAT ARE

G009c ______ %
AFFECTED BY CONFLICT

ARE THERE INTERNALLY DISPLACED PERSONS

G010a YES NO
(IDP) IN THE BARANGAY? (if no, skip to G011)

G010
NO. OF PUROK/SITIO/ZONE WITH IDPs
b

G010c ESTIMATED % of POPULATION THAT ARE IDPs ______ %

IS THERE AN ICC/IP IN THE BARANGAY? (if no,

G011a YES NO
skip to G013)

G011
NO. OF PUROK/SITIO/ZONE WITH ICC/IP
b

G012 MAJOR ETHNOLINGUISTIC GROUP/S (specify all)

G013 IS THERE A BARANGAY HEALTH BOARD? YES NO (If none, skip to G016)

Monthly Quarterly Semi-Annually Annually No regular

IS THE BARANGAY HEALTH BOARD MEETING meeting
G014
REGULARLY?

Others, specify _______

ARE ICCs/IPs REPRESENTED IN THE BARANGAY

G015 YES NO
HEALTH BOARD?

UTILIZATION OF ICLINICSYS OR OTHER

G016 YES NO
ELECTRONIC MEDICAL RECORD (BHS level)

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BARANGAY VITAL STATISTICS / HEALTH DATA

ALL IP

V001 TOTAL ACTUAL POPULATION

V002 TOTAL PROJECTED POPULATION

V003 TOTAL NUMBER OF HOUSEHOLDS

POPULATION BY AGE-GROUP MALE FEMALE MALE FEMALE

V004A UNDER 1 YR.

V004B 1 – 4 YRS.

V004C 5 – 9 YRS.

V004D 10 – 14 YRS.

V004E 15 - 19 YRS.

V004F 15 – 49 YRS.

V004G 50 – 59 YRS.

V004H 60 YRS. AND ABOVE

V005 TOTAL NUMBER OF PREGNANT WOMEN WITH 4 OR MORE PRENATAL VISITS

V006 TOTAL NUMBER OF LIVEBIRTHS

V007 TOTAL NUMBER OF DELIVERIES (including facility and non-facility deliveries)

V008 TOTAL NUMBER OF FACILITY-BASED DELIVERIES

V009 TOTAL NUMBER OF DELIVERIES ATTENDED BY SKILLED BIRTH ATTENDANT

TOTAL NUMBER OF DELIVERIES (BOTH FACILITY AND NON-FACILITY) WITH LOW BIRTH
V010
WEIGHT

TOTAL NUMBER OF <15 YEARS OLD WHO HAD A LIVEBIRTH OR PREGNANT WITH FIRST
V011
CHILD

TOTAL NUMBER OF 15-19 YEARS OLD WHO HAD A LIVEBIRTH OR PREGNANT WITH FIRST
V012
CHILD

V013 TOTAL NUMBER OF FETAL DEATHS (death in the womb after 22 weeks of pregnancy)

V014 TOTAL NUMBER OF NEONATAL DEATHS (death during first 28 days of life)

V015 TOTAL NUMBER OF INFANT DEATHS (death before first year of age)

V016 TOTAL NUMBER OF UNDER 5 DEATHS

TOTAL NUMBER OF MATERNAL DEATHS (within 42 days after delivery/termination of

V017
pregnancy)

V018 TOTAL NUMBER OF DEATHS (BASED ON PLACE OF RESIDENCE)

V019 TOTAL NUMBER OF FULLY IMMUNIZED CHILDREN UNDER AGE 1 (as defined in FHSIS)

V020 TOTAL NUMBER OF FAMILY PLANNING- CURRENT USERS

V021 TOTAL NUMBER OF NHTS HOUSEHOLDS

V022 TOTAL NUMBER OF HOUSEHOLDS REGISTERED IN 4PS/CCT/MCCT

TOTAL NUMBER OF 4PS/CCT/MCCT HOUSEHOLDS ENROLLED IN PHILHEALTH

V023
(WITH/WITHOUT PHILHEALTH CARD)

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BARANGAY HEALTH FACILITY, ACCESS TO REFERRAL HOSPITALS, HUMAN RESOURCES FOR HEALTH, AVAILABLE
MEDICINES
R000 NAME OF NEAREST RHU/MAIN HEALTH CENTER _____________________________________

Yes

No, specify name of nearest BHS serving the

R001 PRESENCE OF BARANGAY HEALTH STATION (If No, skip to R003)
Population _____________________________

_______________________________________

For repair and renovation

For upgrading

R002 PRESENT PHYSICAL STATUS OF BARANGAY HEALTH STATION BHS attached to another structure (e.g. Bgy.
Hall)

Others, please specify

___________________

RHU

Satellite Clinic

WHAT IS THE NEAREST REFERRAL FACILITY TO THE BARANGAY HEALTH STATION? Private Hospital
R003
(Nearest BHS If NO BHS in Barangay)
Government Hospital

Others, please specify

___________________

HOW MANY HOURS (USUAL MODE OF TRAVEL) IS THE BARANGAY HEALTH STATION TO
R004 THE NEAREST REFERRAL FACILITY (RHU, SATELLITE CLINIC, PRIVATE/GOVERNMENT
HOSPITAL)? (Use nearest BHS as basis If NO BHS in Barangay) Hours Minutes

PUBLIC, with dedicated RM/RN 24/7

PUBLIC, with on call staff 24/7

PUBLIC, But no human resource

R005 PRESENCE OF A BIRTHING FACILITY (e.g. Lying-in, BEMONC) PRIVATE, with dedicated RM/RN 24/7

PRIVATE, with on call staff 24/7

NO BIRTHING FACILITY

Others, please specify _________________

With dedicated DOH RN at least 5

days/week

With visiting DOH RN at least once a week

With visiting DOH RN at least 2x/month

With visiting DOH RN at least 1/month

R006 NURSE AVAILABLE IN THE BARANGAY (WITH OR WITHOUT BHS) With dedicated LGU RN at least 5 days/week

With visiting LGU RN at least once a week

With visiting LGU RN at least 2x/month

With visiting LGU RN at least 1/month

Not available at all

Others, please specify _________________

R007 MIDWIFE AVAILABLE IN THE BARANGAY (WITH OR WITHOUT BHS) With dedicated DOH RM at least 5

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days/week

With visiting DOH RM at least once a week

With visiting DOH RM at least 2x/month

With visiting DOH RM at least 1/month

With dedicated LGU RM at least 5

days/week

With visiting LGU RM at least once a week

With visiting LGU RM at least 2x/month

With visiting LGU RM at least 1/month

Not available at all

Others, please specify _________________

R008 TOTAL NUMBER OF BARANGAY HEALTH WORKERS IN THE BARANGAY

HOW MANY PUROK/SITIO/ZONE ARE >60 MINUTES (BY WALKING) AWAY FROM BHS?
R009 (Denominator is the answer on G006 “Number of Purok/Sitio”; if NO BHS, use the
nearest BHS as basis)

HOW MANY PUROK/SITIO/ZONE ARE >60 MINUTES (BY ANY MODE OF TRANSPORT)
R010 AWAY FROM BHS? (Denominator is the answer on G006 “Number of Purok/Sitio”; if NO
BHS, use the nearest BHS as basis)

HOW MANY PUROK/SITIO/ZONE ARE >60 MINUTES (BY WALKING) AWAY FROM RHU?
R011
(Denominator is the answer on G006 “Number of Purok/Sitio”)

HOW MANY PUROK/SITIO/ZONE ARE >60 MINUTES (BY ANY MODE OF TRANSPORT)
R012
AWAY FROM RHU? (Denominator is the answer on G006 “Number of Purok/Sitio”)

HOW MANY PUROK/SITIO/ZONE ENCOUNTER SEASONAL ACCESSSIBILITY ISSUES (FROM

BHS) FOR AVERAGE 3 MONTHS OR MORE (IN A YEAR) (like raining, high/low tide,
R013
monsoon, flood, landslide, etc)? (Denominator is the answer on G006 “Number of
Purok/Sitio”)

HOW MANY PUROK/SITIO/ZONE ENCOUNTER SEASONAL ACCESSSIBILITY ISSUES (FROM

R014 RHU) FOR AVERAGE 3 MONTHS OR MORE (IN A YEAR) (like raining, high/low tide,
monsoon etc)? (Denominator is the answer on G006 “Number of Purok/Sitio”)

Always available (100% of the time)

Available most of the time (>50%)

AVAILABILITY OF ANTI-TB MEDICINES AT THE BARANGAY LEVEL (choose the statement Available sometimes (25-50%)
R015
that best describes the availability for the reference year) Rarely available (<50%)

Never available

Not available, not needed in the Barangay

Always available (100% of the time)

Available most of the time (>50%)

AVAILABILITY OF ANTI-HYPERTENSIVE MEDICINES AT THE BARANGAY LEVEL (choose the Drug available sometimes (25-50%)
R016
statement that best describes the availability for the reference year) Drug rarely available (<50%)

Never available

Not available, not needed in the Barangay

R017 AVAILABILITY OF ANTI-DIABETIC MEDICINES AT THE BARANGAY LEVEL (choose the Always available (100% of the time)
statement that best describes the availability for the reference year)
Available most of the time (>50%)

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Drug available sometimes (25-50%)

Drug rarely available (<50%)

Never available

Not available, not needed in the Barangay

PEACE AND ORDER SITUATION

At least once a week

IF THERE ARE MILITARY OPERATIONS/INSURGENT ACTIVITIES IN THE BARANGAY, HOW Monthly
P001 OFTEN DID IT OCCUR? (Choose the frequency that best describes the situation in the
barangay) Occasionally

None

P002 CURRENTLY, ARE THERE MILITARY DETACHMENTS IN THE AREA? Yes No

HEALTH STATUS
TOP TEN LEADING CAUSES OF MORTALITY TOP TEN LEADING CAUSES OF MORBIDITY

CAUSE NUMBER OF CAUSE NUMBER OF CASES

CASES
1. 1.

2. 2.

3. 3.

4. 4.

5. 5.

6. 6.

7. 7.

8. 8.

9. 9.

10. 10.

ENVIRONMENTAL SANITATION AND BASIC SERVICES (ALL POPULATION AND IP)

ALL IP

TOTAL NUMBER OF HOUSEHOLDS WITH ACCESS TO IMPROVED

E001
WATER SUPPLY

E002 TOTAL NUMBER OF HOUSEHOLDS WITH SANITARY TOILET

E003 TOTAL NUMBER OF HOUSEHOLDS WITH ELECTRICITY (ESTIMATE)

E004 ELECTRICITY PROVISION 24 HOURS/DAY

≥12 HOURS/DAY (more than or equal to 12 hours a day)

<12 HOURS/DAY (less than 12 hours a day)

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No electricity

5, VERY STRONG (4G,LTE)

4, STRONG (H,H+)

IN A SCALE OF 0 TO 5, RATE THE PRESENCE/STRENGTH OF THE 3, STRONG SOMETIMES (3G)

E005
INTERNET CONNECTION IN THE BARANGAY? 2, WEAK (E)

1, VERY WEAK (GPRS)

0, NONE

5, VERY STRONG (4 bars, 100% of bgy)

4, STRONG (3-4 bars more than 75% of bgy)

IN A SCALE OF 0 TO 5, RATE THE PRESENCE/STRENGTH OF THE 3, STRONG SOMETIMES (2 bars, 50% of bgy)
E006 MOBILE PHONE SIGNAL IN THE BARANGAY? (regardless of
network provider) 2, WEAK (1 bar, less than half of the barangay)

1, VERY WEAK

0, NONE

ENVIRONMENTAL HAZARDS
PROXIMITY TO ENVIRONMENTAL HAZARDS
H001 IS THIS BARANGAY NEAR TO A KNOWN FAULT LINE? YES NO DON’T KNOW

H002 IS THIS BARANGAY A TYPHOON-PRONE AREA? YES NO

H003 IS THIS BARANGAY A FLOOD-PRONE AREA? YES NO

H004 IS THIS BARANGAY A LANDSLIDE-PRONE AREA? YES NO

H005 IS THIS BARANGAY A TSUNAMI-PRONE AREA? YES NO

H006 IS THIS BARANGAY NEAR AN ACTIVE VOLCANO? YES NO

H007 HAS BARANGAY EVER EXPERIENCED STORM SURGE? YES NO

BASIC FACILITIES
I001 CONDUCT OF MEDICAL/DENTAL/SURGICAL MISSION (Choose only one) Mission upon request

Mission once a year

Missions once every 6 months

Missions once every 3 months

Missions monthly

No missions

Others. Please specify:

_____________________________

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Vehicles (3 or 4 wheels)

Motorboats/Sea Ambulance

Motorbikes

Human or animal carrier

I004 AVAILABILITY OF REFERRAL TRANSPORT (Specify all that applies) Helicopter/Air Ambulance

None. Only by walking

Others. Please specify: ________

_____________________________

Accomplished by: Attested by: Attested by (if Attested by: Validated by:
applicable):

Rural Health Midwife Barangay Chairman IP Tribal Leader/IPMR Municipal Health Officer/City DMO
Health Officer
Date: ____________ Date: ____________ Date: ____________ Date: ____________ Date: ____________

Note: Please affix signature over printed name.

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