REPUBLIKANGPILIPINAS KAGAWARAN NG EDUKASYON REHIYON XI SANGAY NG LUNGSOD NG DABAW LUNGSODNGDABAW TIN: 000-863-958 TEL, NOS. 224-3274/224-0100/224-3274/227-4726 DIVISION MEMORANDUM No. OOLG s. 2016 TO : All Elementary & Secondary Principals / Sehool-in-Charge School Teacher Clinic-in-Charge SUBJECT = PROVISION OF SCHOOL CLINIC IN ALL PUBLIC ELEMENTARY AND SECONDARY SCHOOLS AND IDENTIFICATION OF SCHOOL TEACHER CLINIC-IN- CHARGE DATE z JAN 1.6 2016 1. A Healthful Schoo! Environment pertains to the provision of school environment suitable and conducive for learning, The Physical Environment requires having 1 functional School Clinic in every school. In addition, RA 124 mandates that all schools are to provide school clinics for the treatment of minor ailments and emergency case. 2. Identification of a School Health Guardian or School Teacher Clinic-in-Charge is also stated in LOI No. 764 s. 1977. Its concept is focused on the training of the teachers to assume responsibilities in providing school health services in the absence of school health personnel. 3. All Public Elementary and Secondary Principals are to submit the Names, Age and Contact Number of their designated School Teacher Clinic-in-Charge. For Elementary Schools please submit per District and Secondary Schools to the School Health Section, Division Office by January 15, 2016. 4, Designated Clinic Teacher should not be over 45 years old and in good health condition to be able to undergo any training if the need arises. If in case there is no one under 45 years old in the school the teacher assigned should submit Medical Certificate as to establish physical fitness. 5. For strict compliance. “y MARIA INES C. ASUNCION, CESG_YL Schools Division Superintendent Fr: HNSibeclprovisionofchoollinicsallpublicelementarymdsecondaryschoolsandidentficationefichoolteacherclini--charge jieREPUBLIKA NG PILIPINAS "REPUBLIC OF THE PHILIPPINES KAGAWARAN NG EDUKASYON ED DEPARTMENT OF EDUCATION ‘DepEd Coraplex, Meralco Avenue, Pasig Cty ppurrwest oF eDccatiON Taniing 632-1981 Foe 693-7231 ‘Devo 0919-4560027 Webete! \ iizdbmencteoed oy. DepED ORDER WL 140 ee No. 4-8 2004 STRENGTHENING DepED's TB PREVENTION AND CONTRO’ PROGRAM THROUGH ADOPTION OF THE COMPREHENSIVE AND UNIFIED POLICY ‘ON TB CONTROL, IN THE PHILIPPINES (CUPTBCP) To: Bureau Directors Regional Directors ‘Schools DivisioniCity Superintendents 4. In compliance with Executive Order No. 167, s. 2003, the Department of Education through the Health and Nutrtion Carter, shall strengthen te implementation of its TB Provwention and Control Program. It will adopt the Comprehensive ‘and Unified Policy on TB Gonrol in the Philippines (CUPTBCP) ullizing the Direclly Observed Treatment Short Course (DOTS) Strategy. 2, The salient features of the MOA are the roles and responsibilities of each agency. 2. DOH shall assist DepED on program needs — provision of medicines, microscopes and other supplies and materials, capability bulling activites, monitoring and evaluation; and Shel serve ag referral center for pulmonary cases inthe field. The DepED shall integrate TB prevention messages in the schoo! curricul ‘DOH on the provision of health services, ‘of health personnel and on the planning, Cronitoring and evaluation of the DepED TB Prevention and Control Program. Coordination crt keuise be conducted with the local government units (LGUs), INGOs and PTCAs to create awareness on TB. 3. wna} Directors and Schools Division Superintendents shall “oversee the implementation of the following: 'A. Health Information Dissemination and Education Schoo! health and nutrition personnel shall Sisseminate information on TB prevention and control fo the pupiis/students, teachers and non-teaching personnel. Student goverment organizations, scouts and youth Ieaders shall create awareness on TB prevention and control. | = School heads shall be orientedire-oriented on the DepED TB Prevention and Control Program and ‘CUPTBC? utlizing the DOTS strategy. = Meetings shall be held with the Parent-Teacher: ‘Community Associations (PTCAs) giving emphasis on ‘TB prevention and control. “Educating fora Stong Republic"Updates on TB control shall be published in school papers/organs/newsletters to lessen the stigma on TB. Health instruction in the classroom giving emphasis on Prevention, early diagnosis and proper treatment of TB shall be intensified. TB modules developed for the DepED-GSK “Healthy Lungs” Project shall be uilized to supplement health teaching in Grades V and VI B. Health Service Delivery Direct sputum smear examination shall be the initial diagnostic too! in case finding. As part of the Teachers Health Welfare Enhancement Program, all teaching and non-teaching staff wil! undergo’ health profiling and annual _ physical examination including chest x-ray in compliance with Civil Service Commission Memorandum Circular #17, ‘5. 1989. The conduct of chest x-ray is not to screen TB but as part of the annual physical examination. All chest x-ray results suggestive of TB shall be subjected to sputum microscopy to establish the diagnosis of TB. School nurses trained on sputum microscopy shall assist in the conduct of direct sputum smear examination to facilitate diagnosis of PTB. They shat) coordinate with established DOH validation centers to validate result and to ensure a systematic referral system. Division offices with trained nurse-microscopist shall provide @ safe, spacious and enabling work environment for the microscopic examination of sputum specimens. Standardized chemotherapy in accordance with the DOTS strategy should be strictly implemented. A treatment partner shall be identified to ensure Compliance to medication by the patient. The partner may be the clinic teacher or principal in the same ‘school where the patient is a member of the staff, or the school nurse stationed in the school district. Recording and reporting of cases shall be done on the standardized National TB Program (NTP) forms, C. Monitoring Monitoring shall be done regularly at the tegionalidivision levels utilizing the prescribed forms. Monitoring reports shal! be incorporated in the quarry gecomplshment | report of he ivision Health and Nutrition Units/Section (RRNUDENS) The DOH TB coordinators, in Coordination with the school health personnel, ‘shall monitor regularly the implementation of TB prevention ‘and control program in the schools,