Form A

OPLAN KALUSUGAN SA DEP ED

PROGRESS REPORT
(To be accomplished by Focal Person)
DISTRICT/SCHOOL: Period Covered:
Address:
Telephone Number: Mobile Number:
Fax Number: Email Address:
Number of Schools in the Regional/Division:
Elementary:_________________________________________
Secondary:__________________________________________
TOTAL:_____________________________________________

A. HIGHLIGHT OF ONE HEALTH WEEK

Table 1. Number of Schools Covered & Partners
# of Schools that implemented Number of
School One Health Week Partners Services Provided by Partners

Table 2. Summary of Services Provided

Number of Learners Number of DepEd Personnel
Examined Treated Referred Examined Treated Referred
KINDER
GR. 1
GR. 2
GR. 3
GR. 4
GR. 5
GR. 6
TOTAL
GR. 7
GR. 8
GR. 9
GR. 10
GR. 11
GR. 12
TOTAL

B. ACTIVITIES UNDERTAKEN

1
 (Enumerate & describe below the different activities during the One Health Week)
1. SBFP

2. NDEP

3. ARH

4. WINS

5. OTHERS

C. ISSUES & CONCERNS

FACILITATING FACTORS (Discuss major outstanding factors that contributed to the successful conduct implementation)

HINDERING FACTORS (Discuss major factors that caused delay or impeded implementation)

RECOMMENDATIONS/ASSISTANCE NEEDED

Prepared by: Noted:

_____________________________________ _______________________________
OK sa Dep Ed (Focal Person) (School Head)

_________________________________
Date