DepEd OKD Accomplishment Report

Document Code:
Quality Form
Revis ion:
Oplan Kalusugan sa DepEd
Accomplishment Report Form Effectivity date: 09-1-2019
(Revised OKD Form C) BLSS-School Health Division
Region/Division: REGION V Period Covered:

Office Address:
Office Telephone Number: Mobile Number
Fax Number: Email Addres
Number of Schools in the Region/Schools Division: Elementary
Secondary:
TOTAL:
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
N on-T eac hi ng
Personnel
N on-pla ntil la
personnel
TOTAL:
Table 2. Number of Schools Covered

TYPE
Central School N on-Centra l Multigrade Pri ma ry Complete Junior H S S tand-al one
Grade Level S chool Sc hool / Junior H S with S eni or S enior H S TOTAL
Incom pl ete only HS
Elementary
Secondary
Integrated School
TOTAL
B. ACCOMPLISHMENTS
1.a SCHOOL BASED FEEDING PROGRAM (SBFP) & NUTRITION-SUPPORT
1.a.1. SBFP Coverage: Schools
Sc hool s Di vi sion O ffic es
(S DO s) As ses sed Number of Sc hool s from Number of Sc hool s Im plementing S BF P
Ba seli ne N S FY 20_ __ N umber of
S chools not
Wi th S W/W With S S/ S TOTAL Wi th SBF P Covered by TOTAL cov ered by
L ea rners (K- tha t a re not (K-6) Pa rtners S BFP &
6) SW/W partners
Learners (K-
6)
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
Total:
1.a.2. SBFP Coverage: Learners

Grade Level TARGET ACTUAL
Severely Wasted Wasted S ev erel y S tunted TOTAL
S tunted tha t are that are not
not SW/W S W/W
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SPED
TOTAL
1.a.3. SBFP Funds

Schools Division Offices (SDOs) Budget Allocation as per GAA Funds Utilized Percent Util iza tion
(col 3/ 2* 100%)
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
Total:
1.a.4. SBFP Nutritional Status - Before & After Feeding

Grade Level Number of Beneficiaries After Feeding
Number of %
Benefic iari es fr S everely O v erweig ht
T a ble 1.a .2 Wasted Normal TOTAL Rehabi lita ted
Wa sted + O bese
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SPED
TOTAL
1.a.5. SBFP Schools with Gulayan sa Paaralan

Num ber of N UM BE R of Sc hool s with S BFP a nd GPP:
Sc hool s with % Contri buti on of G PP to SBF P ex penses
Schools Division Offices (SDOs) S BFP
i mplementing 0-4% 5-24% 25-49% >50%
G PP
Tabaco City
N ote : On the GPP record, all ve getabl es use d for S BFP should be i te mi zed with correspondi ng quantity and c ost. The T otal c os t of
v ege table s used div ided by (numbe r of bene ficiarie s X 16. 00 X 120 days) X 100 = % c ontribution to the fe eding program
1.a.5. Gulayan sa Paaralan

No. of Sc hool s Gi ven Pecentag e of S chools
Schools Division Offices (SDOs) Total no. of Schools (col
Fi nanci al Ass ista nc e 3/2*100%)
Total:
2. NATIONAL DRUG EDUCATION PROGRAM (NDEP)

Schools Div isi on Offi ces
No. of Pa rtic ipants/ M em bers/
Activ ity (SD O s) No. of Schools Coa ches/ Advi sers
Elementary High School Teachers/NTP Learners
S ys tema tic Tra ini ng

for E ffectiv e
Pa renting
Barkada Kontra Droga
Uni versa l Preventiv e

Curricula
Life Skills Training
O ri enta tion on RA
9165
Tobacco Control
Red Cross Youth
Kabataan
Lakas Isip lng
Others:
meeting/
conference
3. ADOLESCENT REPRODUCTIVE HEALTH (ARH)

3.a. Teenage Pregnancy Data in Public Schools (June 2018 - March 2019)
N o. of lea rners: No. of learners: Qua rter

N o. of Tri mester of Impreg na tor:
S chools D iv ision Gra de of CY Reported for first
O ffic es (S DO s) School Lev el preg nant Preg nanc y a t first c linic consulta tion/ Number
lea rners cl inic consulta tion/
referra l
referra l
1 st 2 nd 3 rd 1 st 2n d 3r d 4 th Minor Adult Undete

rmined
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
TabacoCity
Sorsogon City
Masbate City
Total:
3.b Status of Pregnant Learners (June 2019 - March 2020)

ACCESS TO EDUCATION ACCESS TO HEALTH SERVICES
Schools Division Offices (SDOs) School No. No. to N o. wi th N o. Lost to

No. In School No. On ADM Ba rang a y
Dropped RHU / M HS O Priv ate O B F ollow up
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate Prov.
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
Total:
3.c. ARH Activities
No. of Pa rtici pa nts/ Members/

A ctiv ities (S peci fy a ctiv ities Schools Di vis ion O ffices No. of Schools Coa ches/ A dvi sers
in y our RO /S DO ) (S DO s)
Elementary High school Teachers/ NTP Learners
Teen Center
H IV / AI DS
tra ining s/ l ec tures
M enta l Heal th Tra ining s/
l ec tures
Red Cross Youth
Others
4. WASH IN SCHOOLS (WINS)

Sc hool s Di vi sion O ffic es T otal Num ber Num ber of S chool s eva lua ted with T hree-S tar REMARKS
(S DO s) of S chools Approac h Ra ting
0 1 2 3
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
LegazpI City
Tabaco City
Sorsogon City
Masbate City
TOTAL
5. SCHOOL MENTAL HEALTH

5.a. Licensed Mental Health Professionals
N umber of Reg istered N umber of Reg is tered N um ber of L icensed

Schools Division Offices (SDOs) Other (Specify)
Guida nce Counselors Psy chologi sts Psyc hom etri cia ns
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
Total:
5.b. Other Certified Mental Health Professionals
Number of Trained Personnel

Formal/ Certificate of Training
O ther non-tea ching
Health personnel Teaching personnel
personnel
Mental Health and Psychosocial Support Services Training

LGU-sponsored NDEP and Mental Health Seminar
Psychological First Aid
5.c. Capacity Building Activities Conducted
Pa rtici pati ng S chools No. of Participating Schools No. of Participants

Activ ity Conducted (Speci fy
Div isi on Offi ces
title of a ctiv ity ) (S DO s) Elementary High school NTP Teachers Learners
Albay
Camarines Norte
Camarines Sur
Coordination M e eting in
W IN S Online Re port Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Div ision O rienta tion and
T ra ining on M HPSS
Ligao City
Mental Health Caravan
Legazpi City
I HOPE Conference Tabaco City
Sorsogon City
Ye ar-E nd Pe rforma nce

Ex pl ora tion Masbate City
TOTAL
5.d. Cases of Mental Health

Schools Division Offices (SDOs) No. of Cases in Learners Interventions Remarks
M F Total
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
Total:
Schools Division Offices (SDOs) No. of Cases in Personnel Interventions Remarks
M F Total
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
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 a ssessed (Col 2/ T otal E xami ned

Sign/Symptom Number of Cases x 100%)
1. Cough and colds
2. Headache
3. Abdominal pain
4. Impacted cerumen
5. Minor skin wounds
6. Presence of lice
7. Rashes
8. Acne
9. Pale conjunctivae
10. Untrimmed fingernails
6.b. Ten Most Common Diseases (as Diagnosed by Medical Doctors)
Diagnosis Number of Cases % of those a ssessed (Col 2/ T otal E xami ned

x 100%)
1. Pediculosis
2. Upper Respiratory Tract Infection
3. Tinea flava
4. Dermatoses
5.5 Acne
5.5 Scabies
7. Pneumonia
8. Tinea pedis
9.5 Traumatic wounds
9.5 Otitis media
6.c. Ten Most Common Dental Problems (as Diagnosed by Dentists)

% of those a ssessed (Col 2/ T otal E xami ned
Diagnosis Number of Cases x 100%)
1. Dental caries
2. Calcular deposits/stains
3. Root fragments
4. Malocclusion
5. Toothache
6. Gingivitis
7. Retained deciduous teeth
8. Supernumerary teeth
9. Decubital ulcer
10. Fluorosis
6.d. Dental Service Accomplishment Report
No.of Number of Children

S chools D iv ision Clas room Orally With D efects Caries Free Underwent Given Underwent G iven Filling Treated
Enrolment
O ffic es (S DO s) Healt hTalks
G iven
examined Scaling Fluor ide Ext raction
A pplication
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
Total:
NUMBER OF TEETH (TREATMENT DONE)
S chools D iv ision EXTRACTION FILLING PERMANENT TEMPORARY

O ffic es (S DO s) Pit &
PermanentTemporary Fissure ART (Gla ss ZOE SyF D M F Sound d f
Ionomer) Teeth
Sea lant
Albay
Camarines Norte
Camarines Sur
Catanduanes
Masbate
Sorsogon
Iriga City
Naga City
Ligao City
Legazpi City
Tabaco City
Sorsogon City
Masbate City
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
HPV HPV
Grade 4 F
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
Enrolm ent of Fema le No. Given IFA % Enrolment

Grade Level
Lea rners 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
N o.
Grade Level Sex Enrolment No. Assessed No. Passed No. Failed Remarks
Referred
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
N o.
Grade Sex Enrolment No. Assessed No. Passed No. Failed 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

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
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

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
N a me of Org ani zati on/ Affi lia tion/ Num ber of N umber of
I ns tituti on Volunteers Schools Served Examined Treated Examined Treated
UN TV Network
Provincial Health Office
Total:
D. DONATIONS/ RESOURCES GENERATED

(Add Additional Sheets, if needed)
Type of Donations Quantity Estimated Cost
Prescription eyeglasses
Wheelchairs
Total:
E SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS, SMH, AND OTHER HEALTH AND NUTRITION
PROGRAMS/
EXPERIENCES/ GOOD PRACTICES
What happened? Who were involved? When O utcome: Wha t is /a re i ts im porta nt contribution
to the O K sa DepEd Prog ram of the sc hool ?
F. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN OK SA

DEPED PROGRAM (Include support nee ded from Central,
Re gion, 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
OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 1 of 32

Document Code:
Quality Form
Revis ion:
(Revised OKD Form C) BLSS-School Health Division
Region/Division: REGION V Period Covered: 2019

Office Address: San Lorenzo, Tabaco City, Albay
Office Telephone Number: 052-558-2982/052-558-2980 Mobile Number:
Fax Number: Email Address: tabaco.city@deped.gov.ph
Number of Schools in the Region/Schools Division: 48 Elementary: 39
Secondary: 9
TOTAL: 48

Grade Level
M F M F M F M F
Kinder 26165 3664 1316 415
Grade 1 29935 3759 1695 522
Grade 2 28915 3643 1581 444
Grade 3 24338 3131 1220 330
Grade 4 2709 1405 647
Grade 5 2227 988 227
Grade 6 1975 784 210
Grade 7 2406 1552 1055
Grade 8 1391 981 611
Grade 9 991 702 482
Grade 10 935 627 467
Grade 11 1393 369 259
Grade 12 1469 492 186
SPED
TOTAL:
Grand TOTAL:
Teachers
Non-Teaching Personnel
Non-plantilla personnel
TOTAL:

TYPE
Central School Non-Central School Multigrade Primary School/ Incomplete Complete Junior HS only Junior HS with Senior HS Stand-alone Senior HS
Grade Level TOTAL
Elementary
Secondary
Integrated School
TOTAL
B. ACCOMPLISHMENTS
Schools Division Offices (SDOs) Num ber of S chools I mplementing SBF P
Assessed Number of Schools from Baseline NS
F Y 20_ _ _
Wi th S W/W With SS /S tha t are not SW/ W TOTAL With S BFP Covered by Partners TOTAL N umber of S chools not c overed by S BFP &
Lea rners (K-6) Lea rners (K-6) (K-6) partners
Tabaco City
Total:

Severely Wasted Wasted Sev erely S tunted that a re not SW/W Stunted that are not SW/W TOTAL
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SPED
TOTAL
1.a.3. SBFP Funds

Schools Division Offices (SDOs) Budget Allocation as per GAA Funds Utilized Percent Utilization (col 3/2*100%)
Tabaco City Php 6,814,800.00 Php 6,814,800.00 100%
Total: Php 6,814,800.00 Php 6,814,800.00 100%

Number of Beneficiaries fr Table 1.a.2 % Rehabilitated
Severely Wasted Wasted Normal Overweight + Obese TOTAL
Kinder 567
Grade 1 494
Grade 2 453
Grade 3 359
Grade 4 369
Grade 5 428
Grade 6 421
SPED 64
TOTAL 3155 160 849 2146 0 3155 68%

N UM BER of S chools with S BFP a nd GPP:
% Contribution of GPP to S BFP ex penses
Schools Division Offices (SDOs) Number of Schools with SBFP implementing GPP
0-4% 5-24% 25-49% >50%
Tabaco City 39 0 0 0 39
N ote : On the GPP record, all ve ge tabl es use d for S BFP should be i te miz ed with correspondi ng quantity and c ost. The T otal c ost of ve getable s used div ided by (number of bene ficiaries X 16. 00 X 120 day s) X 100 = % contribution to the fee ding program
Schools Division Offices (SDOs) Total no. of Schools No. of Schools Given Financial Assistance Pecentage of Schools (col 3/2*100%)
Tabaco City 48 2 4%
Total:

Schools Division Offices (SDOs)
Acti vi ty No. of Schools No. of Participants/ Members/ Coaches/ Advisers
Systematic Training for Effective Parenting Tabaco City 0 3 1 3
Barkada Kontra Droga 0 0 0 0
Universal Preventive Curricula Tabaco City 1 2 6 0
Life Skills Training 0 0 0 0
Orientation on RA 9165 0 0 0 0
Tobacco Control Tabaco City 40 10 69 60
Red Cross Youth Tabaco City 0 2 13 39
Kabataan 0 0 0 0
Lakas Isip lng 0 0 0 0
Others:

Impreg na tor:
Schools Division Offices (SDOs) School Grade Level No. of pregnant learners No. of learners: Trimester of Pregnancy at first clinic consultation/ referral No. of learners: Quarter of CY Reported for first clinic consultation/ referral
N um ber
1s t 2n d 3rd 1s t 2n d 3 rd 4 th Minor Adult U ndetermined
Tabaco NHS 11
San Miguel NHS
3
Hacienda HS 2
Mariroc HS 1
Tabaco City
San Lorenzo NHS 1
Bantayan NHS
3
San Antonio NHS 3
Total: 24

ACCESS TO EDUCATION ACCESS TO HEALTH SERVICES
Schools Division Offices (SDOs) School

No. In School No. On ADM No. Dropped No. to Barangay RHU/ MHSO No. with Private OB No. Lost to Follow up
Tabaco City Tabaco NHS 11 11

San Miguel NHS 3 3
Hacienda HS 2 2
Mariroc HS 1 1
San Lorenzo NHS 1 1
Bantayan NHS 3 3
San Antonio NHS 3 3
Total: 7 24 24
3.c. ARH Activities

No. of Schools No. of Participants/ Members/ Coaches/ Advisers
Activities (Specify activities in your RO/SDO) Schools Division Offices (SDOs)
Teen Center Tabaco City 0 1 50 400
H IV / AI DS
tra ining s/ l ec tures Tabaco City 0 4 55 645
Mental Health Trainings/ lectures 0 0 0 0
Red Cross Youth Tabaco City 0 2 13 39
Others: Project Teenspired Tabaco City 0 1 7 30
Teen Health Issues and Concerns Tabaco City 0 1 20 340
School Orientation to Students and Parents Tabaco City 0 3 60 3,860
Parent-Teen Talk Tabaco City 0 1 3 27
Adolescent-Youth Development Caravan Tabaco City 0 1 10 160
TOTAL 0 14 218 5501

Schools Division Offices (SDOs) Total Number of Schools Number of Schools evaluated with Three-Star Approach Rating REMARKS
0 1 2 3
Tabaco City 48 18 6 23 1

Schools Division Offices (SDOs) Number of Registered Guidance Counselors Number of Registered Psychologists Number of Licensed Psychometricians Other (Specify)
Tabaco City 4 0 0
Total: 4 0 0

Health personnel Other non-teaching personnel Teaching personnel
Mental Health and Psychosocial Support Services Training 5 0 0

LGU-sponsored NDEP and Mental Health Seminar 0 0 50
No. of Participating Schools No. of Participants

Activity Conducted (Specify title of activity) Participating Schools Division Offices (SDOs)
Elementary High school NTP Teachers Learners
I HOPE Conference Tabaco City 0 9 2 18 12
TOTAL 0 9 2 18 12

Schools Division Offices (SDOs) No. of Cases in Learners Interventions Remarks
M F Total
Tabaco City 1 0 1 Case investigation Mortality case due to suicide
Total: 1 0 1
Schools Division Offices (SDOs) No. of Cases in Personnel Interventions Remarks

M F Total
Tabaco City 1 1 2 Assistance on psychiatric consultation; coordination with LGU on provision of medication
Total: 1 1 2
Sign/Symptom Number of Cases % of those assessed (Col 2/ Total Examined x 100%)
1. Cough and colds 2067 11%

2. Headache 1390 7%
3. Abdominal pain 1382 7%
4. Impacted cerumen 688 4%
5. Minor skin wounds 637 3%
6. Presence of lice 571 3%
7. Rashes 433 2%
8. Acne 393 2%
9. Pale conjunctivae 349 2%
10. Untrimmed fingernails 235 1%
Diagnosis Number of Cases % of those assessed (Col 2/ Total Examined x 100%)
1. Pediculosis 66 0.34%
2. Upper Respiratory Tract Infection 52 0.27%
3. Tinea flava 47 0.24%
4. Dermatoses 14 0.07%
5.5 Acne 12 0.06%
5.5 Scabies 12 0.06%
7. Pneumonia 4 0.02%
8. Tinea pedis 3 0.02%
9.5 Traumatic wounds 2 0.01%
9.5 Otitis media 2 0.01%
1. Dental caries 5879 81%

2. Calcular deposits/stains 3169 43%
3. Root fragments 1428 20%
4. Malocclusion 1012 14%
5. Toothache 984 13%
6. Gingivitis 691 9%
7. Retained deciduous teeth 462 6%
8. Supernumerary teeth 67 0.91%
9. Decubital ulcer 43 0.58%
10. Fluorosis 29 0.39%

Number of Children
Orally examined With D efects Caries Free Underwent Scaling G iven Fluoride Application Underwent Extraction G iven Filling Treated
Schools Division Offices (SDOs) Enrolment No. of Clas room H ealth Talks G iven
Tabaco City 42190 7737 7300 11 343 0 1147 0 0 0
Total:

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

No. Immunized
MR Td MR Td
M 1692
Grade 1 655 633 655 633
F 1432
M 1981
Grade 7 0 832 0 832 Shortage of MR supply
F 1733
No. Immunized
HPV HPV
Grade 4 F 1414 ( For 9 years old & above only)

1st Dose 2nd Dose
Kinder M 1363
F 1261
Grade 1 M 1692
F 1432
Grade 2 M 1773
F 1601
Grade 3 M 1443
15945 75% M- 8776, F- 7726 80%
F 1177
Grade 4 M 1548
F 1414
Grade 5 M 1594
F 1515
Grade 6 M 1545
F 1438
M 1981
Grade 7
F 1733
M 2212
Grade 8
F 2099
M 2015
Grade 9
F 2035
M 1712
Grade 10
F 1864
15351 75.00% M- 7365, F- 7428 71.06%
M 1395
Grade 11
F 1469
M 1254
Grade 12
F 1446
M 110
SPED
F 69
M 287
ALS
F 178
TOTAL M 21,924 15874 16141
75.00% 75.53%
F 20731 15422 15154
No. Given IFA % Enrolment

Grade Level Enrolment of Female Learners
1st Dose 2nd Dose 1st Dose 2nd Dose
Grade 7 1831 1553 84%
Grade 8 2152 2019 93%
Grade 9 1954 1843 94%
Grade 10 1864 1792 96%
Grade 11 1525 1353 89%
Grade 12 1467 1268 86%
ALS 178 138 77%
TOTAL 10,971 9,966 91%

Grade Level Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks
Kinder M 1363 521 503 18 18

F 1273 495 484 11 11
Grade 1 M 1680 555 549 11 11
F 1432 486 479 7 7
Grade 4 M 1536 77 73 4 4
F 1415 81 78 3 3
Grade 7 M 1981 1850 1828 22 20
F 1733 1650 1624 26 23
Grade 10 M 1712 740 730 10 10
F 1820 815 799 16 16
TOTAL M 8272 3743 3683 65 65
F 7673 3527 3464 63 63
Grade Sex Enrolment No. Assessed No. Passed No. Failed No. Referred Remarks
Kinder M 1363 473 473 0 0

F 1273 477 477 0 0
Grade 1 M 1680 802 802 0 0
F 1432 754 754 0 0
Grade 4 M 1536 240 240 0 0

Grade 4
F 1415 254 254 0 0
Grade 7 M 1981 1850 1850 0 0
F 1733 1650 1650 0 0
Grade 10 M 1712 740 740 0 0
F 1820 815 815 0 0
TOTAL M 8272 4105 4105 0 0
F 7673 3950 3950 0 0

Kinder M 1363 1350 80 216 1206 27 1
F 1261 1251 61 210 966 14 0
1 M 1692 1680 78 200 1330 46 26
F 1432 1432 33 183 1172 39 5
2 M 1773 1732 81 209 1368 44 30
F 1601 1554 33 130 1348 34 9
3 M 1443 1435 41 179 1143 49 23
F 1177 1187 32 108 1011 31 5
4 M 1548 1534 39 185 1220 63 27
F 1414 1414 23 121 1230 36 4
5 M 1594 1565 61 174 1246 70 14
F 1515 1477 48 147 1229 47 6
6 M 1545 1536 66 175 1220 62 13
F 1438 1446 36 142 1232 32 4
SPED M 110 110 19 23 65 2 1
F 69 69 6 16 42 4 1
TOTAL M 11068 10942 465 1361 8798 363 135
F 9907 9830 272 1057 8230 237 34

7 M 1981 1844 89 227 1411 43 4
F 1733 1613 63 171 1324 27 3
8 M 2212 1835 70 217 1600 44 4
F 2099 1828 54 142 1696 26 5
9 M 2015 1632 62 218 1400 25 3
F 2035 1748 44 142 1591 19 1
10 M 1712 1472 88 181 1229 17 3
F 1864 1628 28 132 1516 15 4
11 M 1395 449 17 55 338 5 1
F 1469 647 4 54 571 2 0
12 M 1254 366 14 50 304 5 1
F 1446 433 13 46 417 3 2
TOTAL M 10569 7598 340 948 6282 139 16
F 10646 7897 206 687 7115 92 15

Kinder M 1363
F 1261
1 M 1692
F 1432
2 M 1773
F 1601
3 M 1443
F 1177
4 M 1548
F 1414
5 M 1594
F 1515
6 M 1545
F 1438
SPED M 110
F 69
TOTAL M 11068
F 9907

7 M 1981
F 1733
8 M 2212
F 2099
9 M 2015
F 2035
10 M 1712
F 1864
11 M 1395
F 1469
12 M 1254
F 1446
TOTAL M 10569
F 10646

Name of Organization/ Affiliation/ Institution Number of Volunteers Number of Schools Served
Examined Treated Examined Treated
UN TV Network 30 1 55 55 45 45
Provincial Health Office 10 11 400 400 50 50
Total: 40 12 455 455 95 95

Prescription eyeglasses 455 Php 455,000.00
Wheelchairs 10 Php 50,000.00
Total: 465 Php 505,000.00
E SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS, SMH, AND OTHER HEALTH AND NUTRITION PROGRAMS/
What happened? Who were involved? When Outcome: What is/are its important contribution to the OK sa DepEd Program of the school?
Division Orientation and Planning Conference on 2019 SBFP SDO HNU personnel, PSDSs, School Heads 18-Jun-19 Policies and operational guidelines for the implementation of SBFP for FY 2019 were discussed.
Conduct of OK sa DepEd Reorientation Program SDO HNU personnel, PSDSs, School Heads 9-Jul-19 School heads underwent capacity building on the implementation of the OK sa DepEd Program in their respective schools.
Mid-Year PIR of 2019 SBFP SDO HNU personnel, SBFP Coordinators 8-Oct-19 Progress of Nutritional Status of beneficiaries were monitored and CCIPGs were discussed.
Division Orientation on Milk Feeding Program SDO HNU personnel, PSDSs, School Heads 20-Nov-19 School personnel were oriented to the upcoming new component of the SBFP, the Milk Feeding Program.
WinS Re-Orientation SDO HNU personnel, PSDSs, School Heads, School WinS Coordinators 21-Nov-19 Concerned school personnel were oriented on the mechanism and tools of WinS; School information on WinS website was updated.
Division Orientation on Integrated School Nutrition Model SDO HNU personnel, PSDSs, School Heads 22-Nov-19 School heads were oriented on ISNM and provided with TA in establishing Bio-Intensive Garden.
Procurement of Hygiene Kit for SBFP Beneficiaries SY 2019-2020 SBFP beneficiaries of SY 2019-2020 Dec-19 Positive health habits are promoted and exhibited by SBFP beneficiaries.
Procurement of Weighing Scales for Public Elementary Schools Public elementary schools Dec-19 Weighing scale was provided to every elementary school to facilitate routine weight-taking of learners
F. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN OK SA DEPED PROGR AM (Include support needed from Ce ntral, Regi on, and Division O ffice that can increase the impact of OK sa DepEd Program in the schools)
Earlier planning would ensure adequate implementation of activities. Earlier release and dissemination of Central Office memoranda on OK sa DepEd activities would ensure compliance of schools in the conduct of health events.
Health supplies for learner and personnel use in schools should be incorporated in school fund planning and preparation. Provision of adequate medical and dental supplies would capacitate health personnel in the performance of their tasks.
Conduct of Annual Physical Examination for teaching and nonteaching personnel
Prepared by: Noted:
GEORGIA JANE B. BASCO, MD SOCORRO V. DELA ROSA, CESO V

Date: 28-Feb-20
Submit completed on 1st week of May

Document Code:
Quality Form
Revision:
(Revised OKD Form B) BLSS-School Health Division
Region/Division: Period Covered:

Office Address:
Office Telephone Number: Mobile Number:
Fax Number: Email Address:
Number of Schools in the Schools Division: Elementary:
Secondary:
TOTAL:

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:

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
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)
Total:

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

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

Number of
%
Beneficiaries fr Severely Overweight + Rehabilitated
Table 1.a.2 Wasted Normal TOTAL
Wasted Obese
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SPED
TOTAL
% 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

Amount of Financial Assistance
Schools
Given
Total:

Schools No. of Participants/ Members/ Coaches/
Activity No. of Learners
Advisers
Systematic Training
for Effective
Parenting
Barkada Kontra
Droga
Universal
Preventive Curricula
Life Skills Training
Orientation on RA
9165
Tobacco Control
Red Cross Youth
Kabataan
Lakas Isip lng

Others:

No. of No. of learners: No. of learners: Quarter of CY Impregnator:

Schools Grade pregnant Trimester of Pregnancy Reported for first clinic Number
Level learners at first clinic consultation/ referral
consultation/ referral
1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult Undetermined
Total:

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 RHU/
Private OB up
MHSO
Total:
3.c. ARH Activities
No. of Learners No. of Participants/ Members/

Activities (Specify activities Schools Coaches/ Advisers
in your RO/SDO)
Teen Center
HIV /AIDS
trainings/ lectures
Mental Health Trainings/
lectures
Red Cross Youth
Others:
TOTAL

Schools Three-Star Approach Rating (Check the school's rating) REMARKS
0 1 2 3

Number of Registered Number of Registered Number of Licensed
Schools Guidance Counselors Psychologists Psychometricians Other (Specify)

Health personnel Other non-teaching Teaching personnel
personnel

Check if Elementary School or High No. of Participants
Activity Conducted (Specify School
Participating Schools
title of activity)
TOTAL

Schools No. of Cases in Learners Interventions Remarks
M F Total
Total:
Schools No. of Cases in Personnel Interventions Remarks

M F Total
Total:

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
Total:

Schools
Pit & Fissure ART (Glass Sound
Permanent Temporary ZOE SyF D M F d f
Sealant Ionomer) Teeth
Total:

No. Immunized
MR Td MR Td
M
Grade 1
F
M
Grade 7
F
No. Immunized
HPV HPV
Grade 4 F ( For 9 yers old & above

only)
1st Dose 2nd Dose
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

Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
ALS
TOTAL
Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F
Kinder M
F
Grade 1 M
F
Grade 4 M
F
Grade 7 M
F
Grade 10 M
F
TOTAL M
F

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
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F

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

7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F

Name of Organization/ Affiliation/ Number of
Schools Served
Institution Volunteers Examined Treated Examined Treated

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)

Prepared by: Noted:

Date:
Submit completed on 2nd week of April
Document Code:
Quality Form
Revision:
(Revised OKD Form A) BLSS-School Health Division
Region/Division: REGION V- BICOL/ CAMARINES NORTE Period Covered: SCHOOL YEAR 2021 - 2022
School Name & ID: MANGUISOC ELEMENTARY SCHOOL - 112232
School Address: PUROK 3, MANGUISOC, MERCEDES, CAMARINES NORTE
School Telephone Number: Mobile Number:
Fax Number: Email Address:
Total Enrolment: 703 Total No. of T & NTP:

Grade Level
M F M F M F M F
Kinder 63 36 0 0 0 0 0 0
Grade 1 57 48 0 0 0 0 0 0
Grade 2 58 52 0 0 0 0 0 0
Grade 3 54 71 0 0 0 0 0 0
Grade 4 45 45 0 0 0 0 0 0
Grade 5 50 40 0 0 0 0 0 0
Grade 6 38 46 0 0 0 0 0 0
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
SPED
TOTAL:
Grand TOTAL: 365 338 0 0 0 0 0 0
Teachers 2 22 0 0 0 0 0 0
Non-Teaching 1 1 0 0 0 0 0 0
Personnel
Non-plantilla
personnel
TOTAL: 3 23 0 0 0 0 0 0
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.1. SBFP Coverage:
Check which is applicable
FY 2021 - 2022
With SBFP Covered by Not covered by
(K-6) Partners SBFP or Partners

Severely Wasted Wasted Severely Stunted Stunted TOTAL
that are not SW/W that are not SW/W
Kinder 104 4 1 5
Grade 1 31 1 15 16
Grade 2 9 0 2 2
Grade 3 10 1 0 1
Grade 4 6 0 0 0
Grade 5 8 1 5 6
Grade 6 2 2 0 2
SPED 0 0 0 0
TOTAL 170 5 27 32
1.a.3. SBFP Funds

Tranches Budget Allocation as per GAA Funds Utilized Percent Utilization
(col 3/2*100%)
NONE
Total:

Number of
Beneficiaries fr %
Severely Overweight + Rehabilitated
Table 1.a.2 Wasted Normal TOTAL
Wasted Obese
Kinder 104 0 0 104 0 104 100%
Grade 1 31 0 1 30 0 31 97%
Grade 2 9 0 0 9 0 9 100%
Grade 3 10 0 0 10 0 10 100%
Grade 4 6 0 0 6 0 6 100%
Grade 5 8 0 1 7 0 8 88%
Grade 6 2 0 0 2 0 2 100%
SPED
TOTAL 170 0 2 168 0 170 98%
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
School Amount of Financial Assistance

Given
MANGUISOC ELEMENTARY SCHOOL 0
No. of Learners No. of Participants/ Members/ Coaches/

Activity Advisers
(Provide specific activity/ies conducted
in schools) Elementary High School Teachers/NTP Learners
Systematic Training for Effective Parenting / 0 0
Barkada Kontra Droga / 0 0
Universal Preventive Curricula / 0 0
Life Skills Training / 0 0
Orientation on RA 9165 / 0 0
Tobacco Control / 0 0
Red Cross Youth / 0 0

3.a. Teenage Pregnancy Data in Public Schools (Ju
No. of learners:
No. of Trimester of Pregnancy No. of learners: Quarter of CY Impregnator:
Grade Level pregnant Reported for first clinic Number
at first clinic
learners consultation/ referral consultation/ referral
1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult Undetermined
NONE
3.b Status of Pregnant Learners (Ju
ACCESS TO EDUCATION - No. of Learners ACCESS TO HEALTH SERVICES - No. of Learners
Grade Level No. to

No. In School No. On ADM No. Dropped Barangay RHU/ No. with No. Lost to Follow
MHSO Private OB up
NONE
3.c. ARH Activities

No. of Participants/ Members/
No. of Learners Coaches/ Advisers
Activities (Specify activities in the school)
Teen Center / 0 0
HIV /AIDS
trainings/ lectures / 0 0
Mental Health Trainings/ lectures / 0 0
Red Cross Youth / 0 0
Others:
TOTAL 0 0

School Three-Star Approach Rating (Check the school's rating) REMARKS
0 1 2 3
MANGUISOC ELEMENTARY SCHOOL /

Number of Registered Number of Registered Number of Licensed

School Guidance Counselors Psychologists Psychometricians Other (Specify)
MANGUISOC ELEMENTARY SCHOOL 0 0 0

Other non-teaching
Health personnel personnel Teaching personnel
NONE 0 0 0
Check if Elementary School or High
School No. of Participants
Activity Conducted (Specify title of activity)
NONE
TOTAL

Grade Level No. of Cases in Learners Interventions Remarks
M F Total
NONE
Grade Level No. of Cases in Personnel Interventions Remarks

M F Total
NONE
NONE
NONE
NONE
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
NONE
Total:

Grade Level
Pit & Fissure ART (Glass Sound
Permanent Temporary Sealant Ionomer) ZOE SyF D M F Teeth d f
NONE
Total:

No. Immunized
MR Td MR Td
M 57 0 0 0 0
Grade 1
F 48 0 0 0 0
M
Grade 7
F
No. Immunized
HPV HPV
Grade 4 F 45 0 0 0 0 ( For 9 yers old & above

only)
1st Dose 2nd Dose
Kinder M 63 12 19% 0 0
F 36 23 64% 0 0
Grade 1 M 57 32 56% 0 0
F 48 28 58% 0 0
Grade 2 M 58 30 52% 0 0
F 52 36 69% 0 0
Grade 3 M 54 42 78% 0 0
F 71 50 70% 0 0
Grade 4 M 45 41 91% 0 0
F 45 20 44% 0 0
Grade 5 M 50 22 44% 0 0
F 40 19 48% 0 0
Grade 6 M 38 20 53% 0 0
F 46 16 35% 0 0
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 365 199 55% 0 0
F 338 192 57% 0 0

Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
ALS
TOTAL
Kinder M 63 0 0 0 0
F 36 0 0 0 0
Grade 1 M 57 0 0 0 0
F 48 0 0 0 0
Grade 4 M 45 0 0 0 0
F 45 0 0 0 0
Grade 7 M
F
Grade 10 M
F
TOTAL M 165 0 0 0 0
F 129 0 0 0 0
Kinder M 63 0 0 0 0
F 36 0 0 0 0
Grade 1 M 57 0 0 0 0
F 48 0 0 0 0
Grade 4 M 45 0 0 0 0
F 45 0 0 0 0
Grade 7 M
F
Grade 10 M
F
TOTAL M 165 0 0 0 0
F 129 0 0 0 0

Kinder M 64 64 3 1 60 0 0 2 10 51 1
F 40 40 1 2 39 0 0 2 5 33 0
1 M 56 56 2 15 39 0 0 3 19 35 0
F 47 47 9 5 34 1 0 5 7 35 0
2 M 58 58 3 5 48 1 1 3 15 40 0
F 51 51 0 1 49 1 0 4 12 35 0
3 M 52 52 0 3 49 0 0 6 19 27 0
F 68 68 1 6 61 0 0 1 18 48 1
4 M 46 46 2 1 41 2 0 0 9 37 0
F 44 44 0 3 41 0 0 1 15 28 0
5 M 50 50 1 2 47 0 0 1 13 36 0
F 42 42 3 2 37 0 0 2 3 37 0
6 M 38 38 0 0 37 1 0 1 7 29 1
F 47 47 2 0 44 0 1 0 7 39 1
SPED M 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0
TOTAL M 364 364 11 27 321 3 1 16 92 255 2
F 339 339 16 19 305 2 1 15 67 255 2
7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F

Kinder M 64 64 0 5 59 0 0 0 3 60 1
F 39 39 0 2 37 0 0 0 2 37 0
1 M 57 57 0 12 45 0 0 2 8 47 0
F 47 47 1 13 42 1 0 0 5 42 0
2 M 58 58 0 2 54 1 1 1 8 49 0
F 51 51 0 0 51 1 0 2 9 40 0
3 M 52 52 0 0 52 0 0 4 16 31 0
F 68 68 1 0 67 0 0 0 15 53 1
4 M 46 46 0 0 44 2 0 0 0 46 0
F 44 44 0 0 44 0 0 1 4 39 0
5 M 50 50 0 3 47 0 0 0 5 45 0
F 42 42 1 2 39 0 0 2 1 39 0
6 M 38 38 0 0 37 0 0 1 2 34 1
F 47 47 2 0 45 0 0 0 3 43 1
SPED M 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0
TOTAL M 365 365 0 22 338 3 1 8 42 312 2
F 338 338 5 17 325 1 0 5 39 293 2

7 M
F
8 M
F
9 M
F
10 M
F
11 M
F
12 M
F
TOTAL M
F

Name of Organization/ Affiliation/ Institution Number of Volunteers
Examined Treated Examined Treated
NONE

BOND PAPER 2 BOXES 2 500.00
DISPOSABLE FACE MASK 2 BOXES 300
ALCOHOL 2 GALLONS 400
CLEANING MATERIALS 24 PIECES 5 000.00
SEEDLINGS 3 PACKS 1 000.00
HAND LIQUID SOAP 10 BOTTLES 1 000.00
FACE SHIELDS 32 PIECES 2 400.00
CLOTH FACE MASKS 105 PIECES 1 000.00
What happened? Who were involved? When Outcome: What is/are its important contribution to the OK
sa DepEd Program of the school?
PRINCIPAL, SCHOOL FEEDING JANUARY 13, Improved the enrolment, attendance and Nutritional Status
School-Based Feeding Program COORDINATOR, TEACHERS, GPTA 2022 - JUNE 30,
of pupils.
OFFICERS 2022
Pupils learned the importance of handwashing for their

Wash in School (Handwashing) PRINCIPAL, WINS COORDINATOR, YEAR ROUND everyday habit to prevent sickness and illnesses specially in
TEACHERS, PUPILS times of pandemic.
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)
Give more attention on health issues encountered by the

Observed cleanliness at all times. pupils/student/personnel. Encourage other partners that can help our
problems in terms of health issues.

Prepared by: Noted:
RACQUEL B. DELOS SANTOS JENNEFER S. ACUŃA

OK sa DepEd Focal Person School Principal
Date:
Submit completed on 4th week of March

DepEd OKD Accomplishment Report

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(Revised OKD Form C) BLSS-School Health Division

Region/Division: REGION V Period Covered:

A. SUMMARY OF SCHOOLS AND BENEFICIARIES COVERED

Table 2. Number of Schools Covered

1.a.2. SBFP Coverage: Learners

1.a.3. SBFP Funds

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

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

1.a.5. Gulayan sa Paaralan

2. NATIONAL DRUG EDUCATION PROGRAM (NDEP)

Elementary High School Teachers/NTP Learners

S ys tema tic Tra ini ng

Barkada Kontra Droga

Uni versa l Preventiv e

Life Skills Training

Red Cross Youth

Lakas Isip lng

3. ADOLESCENT REPRODUCTIVE HEALTH (ARH)

N o. of lea rners: No. of learners: Qua rter

1 st 2 nd 3 rd 1 st 2n d 3r d 4 th Minor Adult Undete

3.b Status of Pregnant Learners (June 2019 - March 2020)

Schools Division Offices (SDOs) School No. No. to N o. wi th N o. Lost to

3.c. ARH Activities

No. of Pa rtici pa nts/ Members/

Red Cross Youth

4. WASH IN SCHOOLS (WINS)

5. SCHOOL MENTAL HEALTH

N umber of Reg istered N umber of Reg is tered N um ber of L icensed

5.b. Other Certified Mental Health Professionals

Number of Trained Personnel

Mental Health and Psychosocial Support Services Training

5.c. Capacity Building Activities Conducted

Pa rtici pati ng S chools No. of Participating Schools No. of Participants

Ye ar-E nd Pe rforma nce

5.d. Cases of Mental Health

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

% of those a ssessed (Col 2/ T otal E xami ned

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

Diagnosis Number of Cases % of those a ssessed (Col 2/ T otal E xami ned

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

6.d. Dental Service Accomplishment Report

No.of Number of Children

NUMBER OF TEETH (TREATMENT DONE)

S chools D iv ision EXTRACTION FILLING PERMANENT TEMPORARY

6.e. School-Based Immunization Program

6.f. Deworming Program

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

Enrolm ent of Fema le No. Given IFA % Enrolment

6.h. Visual & Auditory Assessment

6.h.2. Auditory Screening

6.i. Nutritional Status

6.i.1.b Baseline for Junior and Senior High School Learners

6.i.2. ENDLINE NUTRITIONAL STATUS

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

C. SUMMARY OF VOLUNTEER SERVICES

Table . Number of Partners Involved

Provincial Health Office

D. DONATIONS/ RESOURCES GENERATED

Type of Donations Quantity Estimated Cost

F. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN OK SA

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