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Document Code:

Quality Form
Revision:
Oplan Kalusugan sa DepEd
Accomplishment Report Form Effectivity date: 09-1-2019

(Revised OKD Form C) BLSS-School Health Division

Region/Division: Davao Oriental Period Covered: June-August 2019


Office Address: Government Center, Dahican, Mati City
Office Telephone Number: (087) 388-3372 Mobile Number:
Fax Number: Email Address: health.nutrition.deped.davor@gmail.com
Number of Schools in the Region/Schools Division: 198 Elementary: 176
Secondary: 22
TOTAL: 198

A. SUMMARY OF SCHOOLS AND BENEFICIARIES COVERED


Table 1. Number of Learners and School Personnel Covered by DepEd and Volunteers
Total Enrolment Actual Medically Examined With Findings Given Interventions
Grade Level
M F M F M F M F
Kinder 2252 2093 n/a n/a n/a n/a n/a n/a
Grade 1 3042 2752
Grade 2 2809 2632
Grade 3 2239 1981
Grade 4 2586 2403
Grade 5 2771 2539
Grade 6 2524 2448
Grade 7 2588 2287
Grade 8 2329 2465
Grade 9 1734 2024
Grade 10 1272 1703
Grade 11 1091 1170
Grade 12 809 967
SPED 96 70
TOTAL: 28142 27534
Grand TOTAL: 55676

Teachers Total
Elementary 1661
JHS 583
SHS 125
IS 24
Non-Teaching
Personnel
Elementary 176
JHS 55
SHS 5
SDO 24 31 24 36 3 4 3 4
Non-plantilla
personnel
TOTAL: 2714
Table 2. Number of Schools Covered
TYPE
Central School Non-Central Multigrade Primary Complete Junior HS with Stand-alone
Grade Level School School/ Junior HS only Senior HS Senior HS TOTAL
Incomplete

Elementary 9 76 70 21 176
Secondary 22 19 0 41
Integrated School
TOTAL 9 76 70 21 22 19 0 217
B. ACCOMPLISHMENTS
1.a SCHOOL BASED FEEDING PROGRAM (SBFP) & NUTRITION-SUPPORT
1.a.1. SBFP Coverage: Schools
Schools Division Assessed Number of Schools from Baseline Number of Schools Implementing SBFP
Offices (SDOs) NS FY 20___ Number of
Schools not
With SW/W With SS/S that TOTAL With SBFP Covered by TOTAL covered by
Learners (K-6) are not SW/W (K-6) Partners SBFP &
Learners (K-6) partners

Davao Oriental 6370 11430 17800 85 5 90 86

Total: 6370 11430 17800 85 5 90 86

1.a.2. SBFP Coverage: Learners


Grade Level TARGET ACTUAL
Severely Wasted Wasted Severely Stunted Stunted TOTAL
that are not SW/W that are not SW/W

Kinder 1168 317 720


Grade 1 1191 303 743
Grade 2 963 209 697
Grade 3 705 146 512
Grade 4 736 124 599
Grade 5 836 133 588
Grade 6 744 151 552
SPED 60
TOTAL 6343 1383 4471

1.a.3. SBFP Funds


Schools Division Offices (SDOs) Budget Allocation as per GAA Funds Utilized Percent Utilization
(col 3/2*100%)

Davao Oriental 13,384,640.00

Total:

1.a.4. SBFP Nutritional Status - Before & After Feeding


Grade Level Number of Beneficiaries After Feeding
Number of %
Beneficiaries fr Severely Overweight +
Wasted Normal TOTAL Rehabilitated
Table 1.a.2 Wasted Obese
Kinder 317 720
Grade 1 303 743
Grade 2 209 639
Grade 3 146 512
Grade 4 124 599
Grade 5 133 588
Grade 6 151 552
SPED 60
TOTAL 1380 4413
1.a.5. SBFP Schools with Gulayan sa Paaralan
NUMBER of Schools with SBFP and GPP:
Number of % Contribution of GPP to SBFP expenses
Schools Division Offices Schools with SBFP
(SDOs) implementing 0-4% 5-24% 25-49% >50%
GPP

Note: On the GPP record, all vegetables used for SBFP should be itemized with corresponding quantity and cost. The Total cost of vegetables
used divided by (number of beneficiaries X 16.00 X 120 days) X 100 = % contribution to the feeding program

1.a.5. Gulayan sa Paaralan


Pecentage of Schools
No. of Schools Given Financial
Schools Division Offices (SDOs) Total no. of Schools (col
Assistance 3/2*100%)

Total:

2. NATIONAL DRUG EDUCATION PROGRAM (NDEP)


Schools Division Offices No. of Participants/ Members/ Coaches/
Activity (SDOs) No. of Schools Advisers

Elementary High School Teachers/NTP Learners

Systematic Training
for Effective
Parenting

Barkada Kontra Davao Oriental 76 22


Droga
Universal
Preventive
Curricula

Life Skills Training

Orientation on RA
9165

Tobacco Control Davao Oriental 4

Red Cross Youth Davao Oriental 2

Kabataan

Lakas Isip lng

Others:
3. ADOLESCENT REPRODUCTIVE HEALTH (ARH)
3.a. Teenage Pregnancy Data in Public Schools (June 2018 - March 2019)

No. of learners:
No. of Trimester of No. of learners: Quarter of CY Impregnator:
Schools Division Grade
School pregnant Pregnancy at first Reported for first clinic Number
Offices (SDOs) Level learners clinic consultation/ consultation/ referral
referral

1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult Undetermined

Total:

3.b Status of Pregnant Learners (June 2018 - March 2019)


ACCESS TO EDUCATION ACCESS TO HEALTH SERVICES
Schools Division Offices No. to
School No. with No. Lost to Follow
(SDOs) No. In School No. On ADM No. Dropped Barangay Private OB up
RHU/ MHSO

Total:

3.c. ARH Activities


No. of Participants/ Members/
Activities (Specify Schools Division Offices No. of Schools Coaches/ Advisers
activities in your RO/SDO) (SDOs)
Elementary High school Teachers/ NTP Learners

Teen Center Davao Oriental n/a 2 5

HIV /AIDS
Davao Oriental n/a 6 3
trainings/ lectures
Mental Health Trainings/ Davao Oriental 0 6 3
lectures

Red Cross Youth Davao Oriental 0 2

Others:

TOTAL

4. WASH IN SCHOOLS (WINS)


Schools Division Total Number Number of Schools evaluated with Three-Star Approach REMARKS
Offices (SDOs) of Schools Rating

0 1 2 3

5. SCHOOL MENTAL HEALTH


5.a. Licensed Mental Health Professionals

Number of Registered Number of Registered Number of Licensed


Schools Division Offices (SDOs) Other (Specify)
Guidance Counselors Psychologists Psychometricians

Total:
5.b. Other Certified Mental Health Professionals
Number of Trained Personnel
Formal/ Certificate of Training
Other non-teaching
Health personnel Teaching personnel
personnel

5.c. Capacity Building Activities Conducted

Participating Schools No. of Participating Schools No. of Participants


Activity Conducted Division Offices
(Specify title of activity) (SDOs) Elementary High school NTP Teachers Learners

TOTAL

5.d. Cases of Mental Health


Schools Division Offices (SDOs) No. of Cases in Learners Interventions Remarks
M F Total

Total:

Schools Division Offices (SDOs) No. of Cases in Personnel Interventions Remarks


M F Total

Total:
6. MEDICAL-DENTAL-NURSING SERVICES
(Use School Health Division Form 5 as basis for accomplishing this table)
6.a. Ten Most Common Signs and Symptoms (as reported by nurse)
% of those assessed (Col 2/ Total Examined x
Sign/Symptom Number of Cases 100%)

6.b. Ten Most Common Diseases (as Diagnosed by Medical Doctors)


% of those assessed (Col 2/ Total Examined x
Diagnosis Number of Cases 100%)

6.c. Ten Most Common Dental Problems (as Diagnosed by Dentists)


% of those assessed (Col 2/ Total Examined x
Diagnosis Number of Cases 100%)
6.d. Dental Service Accomplishment Report

Schools Number of Children


No. of Clasroom
Division Offices Enrolment Health Talks Orally examined With Defects Caries Free Underwent Given Fluoride Underwent Given Filling Treated
Given Scaling Application Extraction
(SDOs)

Total:

NUMBER OF TEETH (TREATMENT DONE)


Schools EXTRACTION FILLING PERMANENT TEMPORARY
Division Offices
(SDOs) Pit & ART (Glass Sound
Permanent Temporary Fissure ZOE SyF D M F d f
Ionomer) Teeth
Sealant

Total:

6.e. School-Based Immunization Program


No. Immunized
Grade Level Sex Enrollment 1st Dose 2nd Dose REMARKS
MR Td MR Td
M
Grade 1
F
M
Grade 7
F

No. Immunized
Grade Level Sex Enrollment 1st Dose 2nd Dose REMARKS
HPV HPV

( For 9 yers old & above


Grade 4 F only)
6.f. Deworming Program
1st Dose 2nd Dose
Grade Level Sex Enrolment
No. Dewormed % Enrolment No. Dewormed % Enrolment
Kinder M
F
Grade 1 M
F
Grade 2 M
F
Grade 3 M
F
Grade 4 M
F
Grade 5 M
F
Grade 6 M
F
M
Grade 7
F
M
Grade 8
F
M
Grade 9
F
M
Grade 10
F
M
Grade 11
F
M
Grade 12
F
M
SPED
F
M
ALS
F
TOTAL M
F

6.g. Weekly Iron Folic Acid (WIFA) Supplementation Program


No. Given IFA % Enrolment
Grade Level Enrolment of Female Learners
1st Dose 2nd Dose 1st Dose 2nd Dose
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
ALS
TOTAL
6.h. Visual & Auditory Assessment
6.h.1 Vision Screening

Grade Level Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks

Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F

6.h.2. Auditory Screening

Grade Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks

Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F

6.i. Nutritional Status


6.i.1. BASELINE NUTRITIONAL STATUS
6.i.1.a Baseline for Elementary Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
Kinder M
F
1 M
F
2 M
F
3 M
F
4 M
F
5 M
F
6 M
F
SPED M
F
TOTAL M
F
6.i.1.b Baseline for Junior and Senior High School Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F

6.i.2. ENDLINE NUTRITIONAL STATUS


6.i.2.a Endline for Elementary Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
Kinder M
F
1 M
F
2 M
F
3 M
F
4 M
F
5 M
F
6 M
F
SPED M
F
TOTAL M
F

6.i.2.b Endline for Junior and Senior High School Learners


Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F
C. SUMMARY OF VOLUNTEER SERVICES

Table . Number of Partners Involved


No. of Learners No. of School Personnel
Name of Organization/ Affiliation/ Number of Number of
Institution Volunteers Schools Served Examined Treated Examined Treated

Total:

D. DONATIONS/ RESOURCES GENERATED


(Add Additional Sheets, if needed)

Type of Donations Quantity Estimated Cost

Total:

E SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS, SMH, AND OTHER HEALTH AND NUTRITION PROGRAMS/
EXPERIENCES/ GOOD PRACTICES
(Add Additional Sheets, if needed)
What happened? Who were involved? When Outcome: What is/are its important contribution to the
OK sa DepEd Program of the school?

F. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN OK SA DEPED


PROGRAM (Include support needed from Central, Region, and Division
Office that can increase the impact of OK sa DepEd Program in the schools)

H. PROPOSED PLAN OF ACTION FOR NEXT OK SA DEPED HEALTH SERVICES


I. PHOTOS (Before, During and After)

Prepared by: Noted:

OK sa DepEd Focal Person Director IV


Date:
Submit completed on 1st week of May
Document Code:
Quality Form
Revision:
Oplan Kalusugan sa DepEd
Accomplishment Report Form Effectivity date: 09-1-2019

(Revised OKD Form B) BLSS-School Health Division

Region/Division: Davao Oriental Period Covered: June-August 2019


Office Address: Government Center, Dahican, Mati City
Office Telephone Number: (087) 388-3372 Mobile Number: n/a
Fax Number: (087) 388-3372 Email Address: health.nutrition.deped.davor@gmail.com
Number of Schools in the Schools Division: 198 Elementary: 176
Secondary: 22
TOTAL: 198

A. SUMMARY OF SCHOOLS AND BENEFICIARIES COVERED


Table 1. Number of Learners and School Personnel Covered by DepEd and Volunteers
Total Enrolment Actual Medically Examined With Findings Given Interventions
Grade Level
M F M F M F M F
Kinder 2252 2093 n/a n/a n/a n/a n/a n/a
Grade 1 3042 2752
Grade 2 2809 2632
Grade 3 2239 1981
Grade 4 2586 2403
Grade 5 2771 2539
Grade 6 2524 2448
Grade 7 2588 2287
Grade 8 2329 2465
Grade 9 1734 2024
Grade 10 1272 1703
Grade 11 1091 1170
Grade 12 809 967
SPED 96 70
TOTAL: 28142 27534
Grand TOTAL: 55676

Teachers 2393
Non-Teaching 236
Personnel
SDO 24 31 24 36 3 4 3 4

Non-plantilla
personnel

TOTAL: 2714

Table 2. Number of Schools Covered


TYPE
Central School Non-Central Multigrade Primary Complete Junior HS with Stand-alone
Grade Level School School/ Junior HS only Senior HS Senior HS TOTAL
Incomplete

Elementary 9 76 70 21 176
Secondary 22 19 0 41
Integrated School
TOTAL 9 76 70 21 22 19 0 217
B. ACCOMPLISHMENTS
1.a SCHOOL BASED FEEDING PROGRAM (SBFP) & NUTRITION-SUPPORT
1.a.1. SBFP Coverage: Schools
Schools Check which is applicable
Number of Learners from Baseline NS FY 20___
No. of SW/W No. of SS/S TOTAL With SBFP Covered by Not covered by
Learners (K-6) that are not (K-6) Partners SBFP or Partners
SW/W
Learners (K-6)

85 6370 11430 17800 85 5 80

Total: 6370 11430 17800 85 5 80

1.a.2. SBFP Coverage: Learners


Grade Level TARGET ACTUAL
Severely Wasted Wasted Severely Stunted Stunted TOTAL
that are not SW/W that are not SW/W

Kinder 1168 317 720


Grade 1 1191 303 743
Grade 2 963 209 697
Grade 3 705 146 512
Grade 4 736 124 599
Grade 5 836 133 588
Grade 6 744 151 552
SPED 60
TOTAL 6343 1383 4471

1.a.3. SBFP Funds


Schools Budget Allocation as per GAA Funds Utilized Percent Utilization
(col 3/2*100%)

85 13,384,640.00

Total:

1.a.4. SBFP Nutritional Status - Before & After Feeding


Grade Level Number of Beneficiaries After Feeding
Number of %
Beneficiaries fr Severely Overweight +
Wasted Normal TOTAL Rehabilitated
Table 1.a.2 Wasted Obese
Kinder 1168 317 720
Grade 1 1191 303 743
Grade 2 963 209 639
Grade 3 705 146 512
Grade 4 736 124 599
Grade 5 836 133 588
Grade 6 744 151 552
SPED 60
TOTAL 6343 1380 4413

1.a.5. SBFP Schools with Gulayan sa Paaralan


% Contribution of GPP to SBFP expenses (Check whick is
applicable per school)
Schools
0-4% 5-24% 25-49% >50%
Note: On the GPP record, all vegetables used for SBFP should be itemized with corresponding quantity and cost. The Total cost of vegetables
used divided by (number of beneficiaries X 16.00 X 120 days) X 100 = % contribution to the feeding program

1.a.5. Gulayan sa Paaralan


Amount of Financial
Schools Assistance Given

Total:

2. NATIONAL DRUG EDUCATION PROGRAM (NDEP)


Schools No. of Participants/ Members/ Coaches/
Activity No. of Learners Advisers

Elementary High School Teachers/NTP Learners

Systematic Training
for Effective
Parenting

Barkada Kontra 19 0
Droga
Universal
Preventive
Curricula

Life Skills Training

Orientation on RA
9165

Tobacco Control 5 2956

Red Cross Youth

Kabataan

Lakas Isip lng

Others:

3. ADOLESCENT REPRODUCTIVE HEALTH (ARH)


3.a. Teenage Pregnancy Data in Public Schools (June 2018 - March 2019)

No. of learners:
No. of Trimester of No. of learners: Quarter of CY Impregnator:
Grade
Schools pregnant Pregnancy at first Reported for first clinic Number
Level learners clinic consultation/ consultation/ referral
referral

1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult Undetermined

Total:

3.b Status of Pregnant Learners (June 2018 - March 2019)


ACCESS TO EDUCATION - No. of Learners ACCESS TO HEALTH SERVICES - No. of Learners

Schools No. to No. with No. Lost to Follow


No. In School No. On ADM No. Dropped Barangay Private OB up
RHU/ MHSO

Total:
3.c. ARH Activities
No. of Participants/ Members/
Activities (Specify No. of Learners
Schools Coaches/ Advisers
activities in your RO/SDO)
Elementary High school Teachers/ NTP Learners

Teen Center 2 2513 4

HIV /AIDS 5 1628


trainings/ lectures
Mental Health Trainings/ 5 1628
lectures

Red Cross Youth 5 1628

Others: Healthy Young Ones

TOTAL

4. WASH IN SCHOOLS (WINS)


Schools Three-Star Approach Rating (Check the school's rating) REMARKS

0 1 2 3
97 81 1 13 2 Still for validation

5. SCHOOL MENTAL HEALTH


5.a. Licensed Mental Health Professionals

Number of Registered Number of Registered Number of Licensed


Schools Other (Specify)
Guidance Counselors Psychologists Psychometricians

n/a

5.b. Other Certified Mental Health Professionals


Number of Trained Personnel
Formal/ Certificate of Training
Other non-teaching
Health personnel Teaching personnel
personnel
n/a

5.c. Capacity Building Activities Conducted


Check if Elementary School or High No. of Participants
Activity Conducted School
Participating Schools
(Specify title of activity)
Elementary High school NTP Teachers Learners

Adolescent Education & 20 / 4 16


Practical Training

TOTAL 4 16
5.d. Cases of Mental Health
Schools No. of Cases in Learners Interventions Remarks
M F Total
counseling, Psychosocial
1 1 1 Intervention

Total:

Schools No. of Cases in Personnel Interventions Remarks


M F Total

Total:
6. MEDICAL-DENTAL-NURSING SERVICES
(Use School Health Division Form 5 as basis for accomplishing this table)
6.a. Ten Most Common Signs and Symptoms (as reported by nurse)
% of those assessed (Col 2/ Total Examined x
Sign/Symptom Number of Cases 100%)
Fever 117 7.23%
Cough 128 7.96%
Colds 135 8.34%
Stomachache 106 6.55%
Toothache 116 7.16%
headache 109 6.73%

6.b. Ten Most Common Diseases (as Diagnosed by Medical Doctors)


% of those assessed (Col 2/ Total Examined x
Diagnosis Number of Cases 100%)

6.c. Ten Most Common Dental Problems (as Diagnosed by Dentists)


% of those assessed (Col 2/ Total Examined x
Diagnosis Number of Cases 100%)
Dental Carries 4566 90.27%
Tooth Decay/Root Fragments 6088 120.36%
Moderate-Severe Gingivitis 475 9.39%
Chronic Pulpitis 1075 21.25%
Periapical Infection 375 7.50%
6.d. Dental Service Accomplishment Report
Number of Children
No. of Clasroom
Schools Enrolment Health Talks Orally examined With Defects Caries Free Underwent Given Fluoride Underwent Given Filling Treated
Given Scaling Application Extraction

13 5058 34 1522 837 357 84 441

Total: 5058 34 1522 837 357 84 441

NUMBER OF TEETH (TREATMENT DONE)


EXTRACTION FILLING PERMANENT TEMPORARY
Schools
Pit & ART (Glass Sound
Permanent Temporary Fissure ZOE SyF D M F d f
Ionomer) Teeth
Sealant
13 239 118 80 705

Total: 239 118 80 705

6.e. School-Based Immunization Program


No. Immunized
Grade Level Sex Enrollment 1st Dose 2nd Dose REMARKS
MR Td MR Td
M
Grade 1
F
M
Grade 7
F

No. Immunized
Grade Level Sex Enrollment 1st Dose 2nd Dose REMARKS
HPV HPV

( For 9 yers old & above


Grade 4 F
only)
6.f. Deworming Program
1st Dose 2nd Dose
Grade Level Sex Enrolment
No. Dewormed % Enrolment No. Dewormed % Enrolment
Kinder M 2252 1985 88
F 2093 1891 90
Grade 1 M 3042 2991 98
F 2752 2672 97
Grade 2 M 2809 2745 98
F 2632 2541 97
Grade 3 M 2239 2091 93
F 1981 1878 94
Grade 4 M 2586 2441 98
F 2403 2347 95
Grade 5 M 2771 2628 98
F 2539 2497 98
Grade 6 M 2524 2473 98
F 2448 2391 97
M 2588 2512 94
Grade 7
F 2287 2159 93
M 2329 2167 95
Grade 8
F 2465 2334 90
M 1734 1569 94
Grade 9
F 2024 904 87
M 1272 1108 86
Grade 10
F 1703 1478 89
M 1091 976 85
Grade 11
F 1170 997 83
M 809 672 84
Grade 12
F 967 821 82
M 96 74 83
SPED
F 70 58 83
M
ALS
F
TOTAL M 28142 27172 96
F 27534 25971 94

6.g. Weekly Iron Folic Acid (WIFA) Supplementation Program


No. Given IFA % Enrolment
Grade Level Enrolment of Female Learners
1st Dose 2nd Dose 1st Dose 2nd Dose
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
ALS
TOTAL
6.h. Visual & Auditory Assessment
6.h.1 Vision Screening

Grade Level Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks

Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F

6.h.2. Auditory Screening

Grade Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks

Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F

6.i. Nutritional Status


6.i.1. BASELINE NUTRITIONAL STATUS
6.i.1.a Baseline for Elementary Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
Kinder M
F
1 M
F
2 M
F
3 M
F
4 M
F
5 M
F
6 M
F
SPED M
F
TOTAL M
F
6.i.1.b Baseline for Junior and Senior High School Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F

6.i.2. ENDLINE NUTRITIONAL STATUS


6.i.2.a Endline for Elementary Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
Kinder M
F
1 M
F
2 M
F
3 M
F
4 M
F
5 M
F
6 M
F
SPED M
F
TOTAL M
F

6.i.2.b Endline for Junior and Senior High School Learners


Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F
C. SUMMARY OF VOLUNTEER SERVICES

Table . Number of Partners Involved


No. of Learners No. of School Personnel
Name of Organization/ Affiliation/ Number of
Schools Served
Institution Volunteers Examined Treated Examined Treated

HRH assigned each


Department of Health municipality

D. DONATIONS/ RESOURCES GENERATED


(Add Additional Sheets, if needed)

Type of Donations Quantity Estimated Cost

E SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS, SMH, AND OTHER HEALTH AND NUTRITION PROGRAMS/
EXPERIENCES/ GOOD PRACTICES
(Add Additional Sheets, if needed)
What happened? Who were involved? When Outcome: What is/are its important contribution to the
OK sa DepEd Program of the school?
Secondary Nurses, Health
Training in ADEPT Coordinators & Guidance July 17-18 Trained personnel; aid in the establishment of teen centers
Designate
Healthy Young Ones Symposiums Learners from Grade 11 & Grade 12 July 22-26 Learners health education

Poster Making Contest Learners from Grade 4-6 ### Program awareness and intensification

F. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN OK SA DEPED


PROGRAM (Include support needed from Central, Region, and Division
Office that can increase the impact of OK sa DepEd Program in the schools)

H. PROPOSED PLAN OF ACTION FOR NEXT OK SA DEPED HEALTH SERVICES


I. PHOTOS (Before, During and After)

Prepared by: Noted:

SUSAN J. PINEDA, DMD DR. LORENZO E. MENDOZA, CESE


OK sa DepEd Focal Person Assistant Schools Division Superintendent
Date: OIC - Schools Division Superintendent
Document Code:
Quality Form
Revision:
Oplan Kalusugan sa DepEd
Accomplishment Report Form Effectivity date: 09-1-2019

(Revised OKD Form A) BLSS-School Health Division

Region/Division: Period Covered:


School Name & ID:
School Address:
School Telephone Number: Mobile Number:
Fax Number: Email Address:
Total Enrolment: Total No. of T & NTP:

A. SUMMARY OF SCHOOLS AND BENEFICIARIES COVERED


Table 1. Number of Learners and School Personnel Covered by DepEd and Volunteers
Total Enrolment Actual Medically Examined With Findings Given Interventions
Grade Level
M F M F M F M F
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
SPED
TOTAL:
Grand TOTAL:

Teachers
Non-Teaching
Personnel
Non-plantilla
personnel
TOTAL:

Table 2. Type of School (Check the appropriate box)


TYPE
Central School Non-Central Multigrade Primary Complete Junior HS with Stand-alone
Grade Level School School/ Junior HS only Senior HS Senior HS TOTAL
Incomplete

Elementary
Secondary
Integrated School
TOTAL
B. ACCOMPLISHMENTS
1.a SCHOOL BASED FEEDING PROGRAM (SBFP) & NUTRITION-SUPPORT
1.a.1. SBFP Coverage:
Check which is applicable
FY 20___
With SBFP Covered by Not covered by
(K-6) Partners SBFP or Partners

1.a.2. SBFP Coverage: Learners


Grade Level TARGET ACTUAL
Severely Wasted Wasted Severely Stunted Stunted TOTAL
that are not SW/W that are not SW/W

Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SPED
TOTAL

1.a.3. SBFP Funds


Tranches Budget Allocation as per GAA Funds Utilized Percent Utilization
(col 3/2*100%)

Total:

1.a.4. SBFP Nutritional Status - Before & After Feeding


Grade Level Number of Beneficiaries After Feeding
Number of %
Beneficiaries fr Severely Overweight +
Wasted Normal TOTAL Rehabilitated
Table 1.a.2 Wasted Obese
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SPED
TOTAL
1.a.5. Gulayan sa Paaralan contributionto SBFP
% Contribution of GPP to SBFP expenses (Check whick is applicable per
school)
0-4% 5-24% 25-49% >50%

Note: On the GPP record, all vegetables used for SBFP should be itemized with corresponding quantity and cost. The Total cost of vegetables
used divided by (number of beneficiaries X 16.00 X 120 days) X 100 = % contribution to the feeding program

1.a.5. Gulayan sa Paaralan


Amount of Financial
School Assistance Given

2. NATIONAL DRUG EDUCATION PROGRAM (NDEP)


No. of Participants/ Members/ Coaches/
Activity No. of Learners
Advisers
(Provide specific activity/ies
conducted in schools) Elementary High School Teachers/NTP Learners

Systematic Training for Effective Parenting

Barkada Kontra Droga

Universal Preventive Curricula

Life Skills Training

Orientation on RA 9165

Tobacco Control

Red Cross Youth

3. ADOLESCENT REPRODUCTIVE HEALTH (ARH)


3.a. Teenage Pregnancy Data in Public Schools (June 2018 - March 2019)

No. of learners:
No. of Trimester of No. of learners: Quarter of CY Impregnator:
Grade Level pregnant Pregnancy at first Reported for first clinic Number
learners clinic consultation/ consultation/ referral
referral

1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult Undetermined
3.b Status of Pregnant Learners (June 2018 - March 2019)
ACCESS TO EDUCATION - No. of Learners ACCESS TO HEALTH SERVICES - No. of Learners

Grade Level No. to No. with No. Lost to Follow


No. In School No. On ADM No. Dropped Barangay Private OB up
RHU/ MHSO

3.c. ARH Activities


No. of Participants/ Members/
No. of Learners
Activities (Specify activities in the school) Coaches/ Advisers
Elementary High school Teachers/ NTP Learners

Teen Center

HIV /AIDS
trainings/ lectures

Mental Health Trainings/ lectures

Red Cross Youth

Others:

TOTAL

4. WASH IN SCHOOLS (WINS)


School Three-Star Approach Rating (Check the school's rating) REMARKS

0 1 2 3

5. SCHOOL MENTAL HEALTH


5.a. Licensed Mental Health Professionals

Number of Registered Number of Registered Number of Licensed


School Other (Specify)
Guidance Counselors Psychologists Psychometricians

5.b. Other Certified Mental Health Professionals


Number of Trained Personnel
Formal/ Certificate of Training
Other non-teaching
Health personnel Teaching personnel
personnel
5.c. Capacity Building Activities Conducted
Check if Elementary School or High No. of Participants
School
Activity Conducted (Specify title of activity)
Elementary High school NTP Teachers Learners

TOTAL

5.d. Cases of Mental Health


Grade Level No. of Cases in Learners Interventions Remarks
M F Total

Grade Level No. of Cases in Personnel Interventions Remarks


M F Total
6. MEDICAL-DENTAL-NURSING SERVICES
(Use School Health Division Form 5 as basis for accomplishing this table)
6.a. Ten Most Common Signs and Symptoms (as reported by nurse)
% of those assessed (Col 2/ Total Examined x
Sign/Symptom Number of Cases 100%)

6.b. Ten Most Common Diseases (as Diagnosed by Medical Doctors)


% of those assessed (Col 2/ Total Examined x
Diagnosis Number of Cases 100%)

6.c. Ten Most Common Dental Problems (as Diagnosed by Dentists)


% of those assessed (Col 2/ Total Examined x
Diagnosis Number of Cases 100%)
6.d. Dental Service Accomplishment Report
Number of Children
No. of Clasroom
Grade Level Enrolment Health Talks Orally examined With Defects Caries Free Underwent
Scaling
Given Fluoride
Application
Underwent
Extraction
Given Filling Treated
Given

Total:

NUMBER OF TEETH (TREATMENT DONE)


EXTRACTION FILLING PERMANENT TEMPORARY
Grade Level
Pit & ART (Glass Sound
Permanent Temporary Fissure ZOE SyF D M F d f
Ionomer) Teeth
Sealant

Total:

6.e. School-Based Immunization Program


No. Immunized
Grade Level Sex Enrollment 1st Dose 2nd Dose REMARKS
MR Td MR Td
M
Grade 1
F
M
Grade 7
F

No. Immunized
Grade Level Sex Enrollment 1st Dose 2nd Dose REMARKS
HPV HPV

( For 9 yers old & above


Grade 4 F only)
6.f. Deworming Program
1st Dose 2nd Dose
Grade Level Sex Enrolment
No. Dewormed % Enrolment No. Dewormed % Enrolment
Kinder M
F
Grade 1 M
F
Grade 2 M
F
Grade 3 M
F
Grade 4 M
F
Grade 5 M
F
Grade 6 M
F
M
Grade 7
F
M
Grade 8
F
M
Grade 9
F
M
Grade 10
F
M
Grade 11
F
M
Grade 12
F
M
SPED
F
M
ALS
F
TOTAL M
F

6.g. Weekly Iron Folic Acid (WIFA) Supplementation Program


No. Given IFA % Enrolment
Grade Level Enrolment of Female Learners
1st Dose 2nd Dose 1st Dose 2nd Dose
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
ALS
TOTAL
6.h. Visual & Auditory Assessment
6.h.1 Vision Screening

Grade Level Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks

Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F

6.h.2. Auditory Screening

Grade Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks

Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F

6.i. Nutritional Status


6.i.1. BASELINE NUTRITIONAL STATUS
6.i.1.a Baseline for Elementary Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
Kinder M
F
1 M
F
2 M
F
3 M
F
4 M
F
5 M
F
6 M
F
SPED M
F
TOTAL M
F
6.i.1.b Baseline for Junior and Senior High School Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F

6.i.2. ENDLINE NUTRITIONAL STATUS


6.i.2.a Endline for Elementary Learners
Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
Kinder M
F
1 M
F
2 M
F
3 M
F
4 M
F
5 M
F
6 M
F
SPED M
F
TOTAL M
F

6.i.2.b Endline for Junior and Senior High School Learners


Grade Sex Enrolment No. Assessed SW/SU W/U N OW Ob SSt St N T
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F
C. SUMMARY OF VOLUNTEER SERVICES

Table . Number of Partners Involved


No. of Learners No. of School Personnel
Name of Organization/ Affiliation/ Institution Number of Volunteers
Examined Treated Examined Treated

D. DONATIONS/ RESOURCES GENERATED


(Add Additional Sheets, if needed)

Type of Donations Quantity Estimated Cost

E SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS, SMH, AND OTHER HEALTH AND NUTRITION PROGRAMS/
EXPERIENCES/ GOOD PRACTICES
(Add Additional Sheets, if needed)
What happened? Who were involved? When Outcome: What is/are its important contribution to the
OK sa DepEd Program of the school?

F. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN OK SA DEPED


PROGRAM (Include support needed from Central, Region, and Division
Office that can increase the impact of OK sa DepEd Program in the schools)

H. PROPOSED PLAN OF ACTION FOR NEXT OK SA DEPED HEALTH SERVICES


I. PHOTOS (Before, During and After)

Prepared by: Noted:

OK sa DepEd Focal Person Schools Division Superintendent


Date:
Submit completed on 4th week of March
Kinder M 2252 1985
F 2093 1891
Grade 1 M 3042 2991
F 2752 2672
Grade 2 M 2809 2745
F 2632 2541
Grade 3 M 2239 2091
F 1981 1878
Grade 4 M 2586 2441
F 2403 2347
Grade 5 M 2771 2628
F 2539 2497
Grade 6 M 2524 2473
F 2448 2391
M 2588 2512
Grade 7
F 2287 2159
M 2329 2167
Grade 8
F 2465 2334
M 1734 1569
Grade 9
F 2024 904
M 1272 1108
Grade 10
F 1703 1478
M 1091 976
Grade 11
F 1170 997
M 809 672
Grade 12
F 967 821
M 96 74
SPED
F 70 58
dewormed
k-6 k-6
2252 1985
2093 1891
3042 2991
2752 2672
2809 2745 dewormed
2632 2541 7 to 12 7 to 12
2239 2091 2588 2512
1981 1878 2287 2159
2586 2441 2329 2167
2403 2347 2465 2334
2771 2628 1734 1569
2539 2497 2024 904
2524 2473 1272 1108
2448 2391 1703 1478
35071 33571 1091 976
1170 997
809 672
967 821
96 74
70 58
20605 17829

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