Republic of the Philippines

Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

Name of Employee Name of Immediate Superior ARTEMIO REY S. ADAJAR

Position NURSE II Position Chief, Education Program Supervisor
Program(s) Handled Division School Governance and Operations Division

4th QUARTER ACTION PLAN/PROPOSED ACTIVITIES

CY 2020

KRA 1. HEALTH PROGRAMS AND SERVICES

PROGRAM KEY ACTIVITIES TIME SOURCE OF SUCCESS INDICATORS MOV’s REMARKS
FRAME FUND
Objective 1.

January & Department of Number of Dewormed Photo Document,

1. Deworming Activity
July Health Students/School Personnel Deworming form,

MOOE/ Local
January to Photo Document,
Provide preventive and 2.First Aid Treatment School Number of clients treated
December Treatment Card/Logbook
remedial measures for Board/others
simple and common
ailments January to Photo Document, Referral
3.Referral None Number of client referred
December Form,

Photo Document , School-

4.School - Based January to Department of Number of Immunized
Based Immunization
Immunization December Health Students/School Personnel
Masterlist

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

MOOE/ Local
5. Treatment of Common January to Number of clients treated Photo Document,
School
Ailments December with common ailments Treatment Card/Logbook
Board , others
Objective 2
Health Card, Photo
Conduct Health January to Number of Student/ School
1. Health Assessment None Document, Treatment
Examination, Visual December Personnel assessed
Card/Logbook
Aquity, Vital Signs
Taking, Height and MOOE/ Local
January to Number of Student/ School Photo Document,
Weight Measurements, 2. Vital Signs taking December
School
Personnel catered Treatment Card/Logbook
Classroom inspection Board / others
to detect early signs
and symptoms of
ailments and disability 3. Height and Weight February & Photo Document,
among learners and None Nutritional Status
Taking June Nutritional Status Record
School Personnel

Objective 3

Maintain Functional
School Clinic and
Coordinates with MOOE/ Local Number of Health Card, Photo
1. Functional School January to
Medical, Dental School Students/School Personnel Document, Treatment
Clinic/ Treatment Corner December
Personnel and Board , others treated, Card/Logbook
Stakeholders for the
provision of needed
Health Facilities and

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

supplies and Monitor

proper sanitation and
healthful living
conditions of the school
community

January to Letter Request, Photo

2. Stakeholders None Resources recieved
December Document

KRA 2. Nutrition Program and Services

Objective 1
Assist in the
development, design
implementation,
evaluation and
monitoring of
sustainable feeding 1. Pre-implementation January to Photo Document, IMF,
None No. of participants
Program for the orientation December Monitoring Tool
identified severly
wasted and wasted
learners of the School's
Division Office and
submit needed reports
Objective 2
1. Monitor the schools January to Monitoring Tool, Photo Document, IMF,
Ensure compliance None
compliance of the December Number of Schools Monitoring Tool

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

and implementation of
Nutrition Programs to
implementation of
National Standards in monitored
Nutritional Programs
Food Preparation

KRA 3 LINKAGES
Objective 1

Collaborated with other

agencies, local
stakeholders and other
health and nutrition
personnel for health 1. Project/ Activity January to Letter Request, Photo
None Activities conducted
and nutrition proposal December Documentation, Program,
programs/activities to
promote optimum
health among school
population annually as
mandated.
KRA 4.SPECIAL SERVICES
Objective 1
1. Health Lectures, January to None Certificates, Number of Photo Document,
Act as resource Forums, Classroom December participants, Attendance
person and participate Lectures sheets,Certificates, IMF
in the information
dissemination on
health matters such as
classroom lecture,

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

open forum

Objective 2

Participate in Sports,
Scouting and other 1. Sports, Scouting and January to Certificates, Photo
None Cerificates,Letter request
Division, District and other Activities December Document, IMF
School Activities

Objective 3
Serve as a
coordinator/member of Division/District/School January to
None Accomplishment Action Plan
teachnical working Level Activities December
group
KRA 5. OTHER TASK

Objective 1
January to
Perform other tasks December List of reports, pictures
assigned by
immediate Superior
January to Personal Certificate of Certificate of
Attend trainings and
December trainings/seminars/Webina trainings/seminars/webinar
Seminar for professional
growth r s
attended attended

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

Prepared by: Reviewed by: APPROVED:

__________________________ MA.MAYA A. LUNA, MD ARTEMIO REY S. ADAJAR

Nurse II Medical Officer III Cheif Education Supervisor
School Governance and Operations Division

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph