Environmental

Environmental > Health & Social Services

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In the Environmental Domain, the sociodemographics that were moderately correlated were marital status (V = .362) and occupational status (rpb = .321). These two factors had a stronger relationship to environmental quality of life (QoL) compared to the other variables, which showed only weak correlations.

Marital status affected the Environmental Domain because having a spouse often provided emotional, financial, and practical support—such as assistance with transportation to dialysis, navigating the healthcare system, and maintaining a safe, stable home environment. Married patients tended to have better access to resources that improve environmental QoL, while single, divorced, or widowed individuals sometimes struggled with these supports, impacting their living conditions and access to care. Occupational status also influenced the Environmental Domain significantly. Employed patients benefited from better financial stability, allowing them to afford safer housing, better transportation, and necessary healthcare services. On the other hand, unemployed patients often faced financial hardships, limiting their environmental supports and worsening their ability to maintain a healthy and stable living situation.

Thus, marital and employment statuses moderately affected how CKD patients experienced their environment, while other factors like age, sex, education, income, and comorbidities had only weak effects.

Health and Social Services

General Interventions

(For age, sex, marital status, household income, comorbidities)

Register with your barangay health center to access free or subsidized dialysis consultations.

Barangay health services offer easier access to health programs

Attend free seminars or orientations about managing CKD and dialysis health needs.

Health education improves patient self-management and outcomes

Schedule regular consultations with hospital social workers for updates on new support services.

Staying informed ensures that patients benefit from evolving healthcare resources

Marital Status-Based: Married

Coordinate with your spouse to join family health service programs (e.g., family planning, health insurance).

Family-inclusive services often offer additional health support

Ask your spouse to accompany you to social services consultations for better coordination.

Having a companion ensures clearer understanding and support

Enroll in family-based wellness activities (e.g.,health fairs, wellness programs) together.

Participation strengthen support systems around the patient

Marital Status-Based: Widowed

Enroll in senior citizen health and social services if applicable by age.

Many services prioritize widowed or elderly individuals for health needs

Participate in grief support groups that also offer healthcare navigation assistance

Combining emotional and healthcare support accelerates recovery

Access survivor health benefits that may include expanded social services for dialysis patients.

Survivor benefits often include extended healthcare support

Marital Status-Based: Separated

Update your civil status in health service records to reflect eligibility for individual-based assistance.

Correct civil status ensures you qualify for correct support services

Re-establish connections with health groups for separated individuals if available locally.

Specialized groups offer emotional and health service support

Use social worker referrals to access mental health and chronic illness care together.

Addressing emotional well-being improves overall health outcomes

Marital Status-Based: Single

Connect with solo-parent or single-individual health programs available in your barangay.

Some localities offer tailored health services for single individuals

Seek one-on-one case management from social services

Ensures focused care

Network with patient-led organizations for easier access to health assistance

Peer-led networks provide informal yet critical support

Occupational Status-Based: Unemployed

Register with TESDA or barangay-level health service skills training

Skills training improves both health access and livelihood potential

Apply for free transportation and health service vouchersfrom local DSWD offices.

Transportation and service vouchers support treatment continuity

Join health-related livelihood programs offering dialysis-friendly jobs.

Help maintain treatment adherence and independence

Occupational Status-Based: Employed

Ask your company’s HR or occupational health office about external social service partnerships (e.g., tie-ups with clinics, government health programs).

Company affiliations may ease access to health services

Request time-off provisions specifically for health consultations.

Protected medical leave helps you maintain treatment schedules

Participate in company-sponsored health drives promoting dialysis support.

Workplace health programs expand care access affordably