This document outlines a mass drug administration schedule for neglected tropical diseases in selected areas. It includes a table to record the names of beneficiaries who will receive deworming medication, whether they are enrolled in a government assistance program, the date and location of their first and second doses, and spaces for a preparer and person administering the drugs to sign. The schedule allows public health officials to systematically provide treatment to beneficiaries and track their progress.
This document outlines a mass drug administration schedule for neglected tropical diseases in selected areas. It includes a table to record the names of beneficiaries who will receive deworming medication, whether they are enrolled in a government assistance program, the date and location of their first and second doses, and spaces for a preparer and person administering the drugs to sign. The schedule allows public health officials to systematically provide treatment to beneficiaries and track their progress.
This document outlines a mass drug administration schedule for neglected tropical diseases in selected areas. It includes a table to record the names of beneficiaries who will receive deworming medication, whether they are enrolled in a government assistance program, the date and location of their first and second doses, and spaces for a preparer and person administering the drugs to sign. The schedule allows public health officials to systematically provide treatment to beneficiaries and track their progress.
How to fill this form: Deworming (ALB) Name 4Ps Feeding Beneficiary Date IS PP AH O 1. Juan Dela Cruz X X 04/13/2022 X SCHOOL : DON EUFEMIO F. ERIGUEL MNHS Legend: GRADE/SECTION : 9- POSEIDON IS=In School AH=At Home PP=Private Physician O=Others
First Dose Second Dose
NAME 4Ps Feeding Beneficiary Date IS PP AH O Date IS PP AH O 1 CORPUZ, SANTINO CARANZO
10
11
12
TOTAL:
Prepared by: Dewormed by: N O T E D:
JEFFREY A. RIVERA _____________________________ ADELA C. LIBUNAO, Ed.D