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Ro-I Schools Division of Ilocos Norte January - December 2019
Ro-I Schools Division of Ilocos Norte January - December 2019
Teachers
Non-Teaching p.
Non-plantilla p.
TOTAL
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) x100 = % contribution to the feeding program.
TOTAL
Orientation on RA 9165
Tobacco Control
Kabataan
Others:
3. ADOLESCENT REPRODUCTIVE HEALTH (ARH
3.a. Teenage Pregnancy Data in Public Schools ( January – December 2019)
# of Learners: # of Learners: Quarter
Trimester of of CY Reported for 1st Impregnator:
st
# of Pregnancy at 1 clinic clinic Number
SCHOOLS Grade Pregnant consultation/referral) consultation/referral
Level Learners Undeter-
1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult mined
TOTAL
TOTAL
TOTAL
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 & Symptoms (as reported by nurse)
% OF THOSE ASSESSED (Col.2/Total
SIGN/SYMPTOM NUMBER OF CASES Examined x 100%)
TOTAL
TOTAL
Number Immunized
st
Grade Sex Enrolment 1 Dose 2nd Dose Remarks
Level HPV HPV (For 9 years old & above only)
Grade 4 F
6.f Deworming Program
M
TOTAL F
M
TOTAL F
6.i.2. ENDLINE NURITIONAL STATUS
6.i.2.a Endline for Elementary Learners
Grade Number SW/
Level Se Enrolment Assessed SU W/U NORMAL OW Ob SSt St NORMAL TOTAL
x
M
KINDER
F
M
1 F
M
2 F
M
3 F
M
4 F
M
5 F
M
6 F
M
SPED F
M
TOTAL F
E. SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS & OTHER HEALTH & NUTRITION
PROGRAMS/ EXPERIENCES/ GOOD PRACTICES (Use separate sheets, if needed)
Outcome: What is/are its important
What happened? Who were involved? When? contribution to the OK sa DepEd
Program of the School?
Date: