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Okd Form A
Okd Form A
Okd Form A
CAR-QF-ESSD-05
Total:
Table 2. Summary of Services Provided
Divisions/Schools Number of Learners Number of DepEd Personnel
Examined Treated Referred Examined Treated Referred
M F M F M F M F M F M F
TOTAL:
B. ACTIVITIES UNDERTAKEN
(Enumerate and describe below the different activities during the One Health week)
1. SBFP
2. NDEP
3. ARH
4. WINS
5. OTHERS
FACILITATING FACTORS
(Discuss major outstanding factors that contributed to the successful implementation)
OKD Form B
D. COVERAGE
Table 1. Learners
Grade Enrolment Actual Examined With Findings Given Interventions
Level M F M F M F M F
3 31 28 30 27 2 5 2 7
TOTAL 31 28 30 27 2 5 2 7
Not done
Not done
4. Visual/Auditory Assessment
4.a. Vision Screening NOT DONE
Grade Sex Enrolment No. No. No. No. Remarks
Assessed Passed Failed referred
Kinder M
F
I / VII M
F
II/ VIII M
F
III/ IX M
F
IV/ X M
F
V / XI M
F
VI /XII M
F
TOTAL M
F
OPLAN KALUSUGAN SA DEPED : Progress Report for the Period___________________________
5
4.a. Auditory Screening- NOT DONE
Grade Sex Enrolment No. No. No. No. Remarks
Assessed Passed Failed referred
Kinder M
F
I / VII M
F
II/ VIII M
F
III/ IX M
F
IV/ X M
F
V / XI M
F
VI /XII M
F
TOTAL M
F
5. Nutritional Status
Grade Sex SW/SU W/U N OW OB SSt St N T
Kinder M 0 1 23 0 0 0 7 17
F 0 3 15 0 0 0 5 13
I M 0 3 33 1 0 1 6 30
F 0 1 31 0 0 1 7 24
II M 0 0 28 3 0 1 6 24
F 0 1 32 0 0 1 8 24
III M 0 0 28 0 1 0 6 22 1
F 0 1 25 0 0 2 8 15 0
IV M 1 0 27 1 0 2 9 18
F 1 0 35 1 0 2 6 29
V M 0 1 34 1 0 1 13 22
F 0 0 32 0 0 3 9 20
What happened? Who were involved When? Outcome: What is/are its important contribution to the OK sa DepEd
Program of the school?
ARH 5&6 pupils/nurse 8-25-2019 Lecture on Adolescent reproductive health- pupils were taught about
personal hygiene etc.
NDEP PNP/ 5& 6 pupils 8-25-2019 Pupils learned about prohibited drugs, antibullying etc.
Feeding Parents/ pupils 8-26-2019 All pupils were lectured on the nutritious foods to be eaten, bought and sold
teachers/pupils at the school canteen. Parents and teachers prepared nutritious food for
their pupils .
WINS 1-3 pupils 8-26-2019 Proper handwashing was demonstrated by the teachers
/teachers Removal of lice with the use of shampoo and “suyod”was also shown.
SBI RHU 3 with parents 8-26-2019 Nurses from RHU 3 lectured on SBI to the parents ,the importance of school
based immunization was explained.
K. PROPOSED PLAN OF ACTION FOR NEXT OK SA DEPED HEALTH SERVICES - better implementation of the activities
Early preparation
L. PHOTOS (before, during and after)
Teachers
NTP
Non-
plantilla
personnel
TOTAL:
N. ACCOMPLISHMENTS
(Use School Health Division Form 2 as basis for accomplishing this table)
6. Common Signs and Symptoms (as reported by nurses)
Sign/Symptom Number of Cases % of those assessed
9. Visual/Auditory Assessment
4.a. Vision Screening
10. Grade Sex Enrolment No. No. No. No. Remarks
Assessed Passed Failed referred
Kinder M
F
I / VII M
F
II/ VIII M
F
III/ IX M
F
IV/ X M
F
V / XI M
F
VI /XII M
F
SPED/ M
ALS F
TOTAL M
F
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.
STEP
Barkada
Kontra Droga
Red Cross
Youth
Others:
TOTAL
6.c.1 Teenage Pregnancy Data in Public Schools (June 2018 – March 2019)
Division/District School Grade No. of No. of learners: No. of learners: Impregnator:
level pregnant Trimester of Quarter of CY Number
learners Pregnancy at first Reported for first
clinic consultation/ clinic consultation/
referral referral
1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult
Teen Center
Mental Health
Trainings/
Lectures
Red Cross
Youth
Others:
TOTAL
Q. SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS AND OTHER HEALTH AND NUTRITION PROGRAMS/ EXPERIENCES/ GOOD PRACTICES
(Use separate sheets, If needed)
What happened? Who were involved When? Outcome: What is/are its important contribution
to the OK sa DepEd Program of the school?
_____________________________________________________ ___________________________________________________________
OK sa DepEd Focal Person Regional Director/ Schools Division Superintendent
Date:_________________
Submit completed to the RO by 1st week of April/ CO by 1st week of May