OKD FORM - B

Document Code:
Quality Form
Revision:

Oplan Kalusugan Sa DepED Effectivity Date:

Accomplishment Report Form BLSS – School Health Division
(To be accomplished by School Head)

DIVISION: CAMARINES SUR REGION: V

SCHOOL: SABANG ELEMENTARY SCHOOL SCHOOL ID: 112583
SCHOOL ADDRESS: BRGY. SABANG, DEL GALLEGO, CAMARINES SUR
CATEGORY: (Please Check Appropriate Box)
Level: Type of School:
/ Elementary Central School
Non- Central School
Junior High School
Multigrade
Senior High School
Primary School / Incomplete
Integrated School

SCHOOL HEAD: FRANCIA C. OLIVEROS CONTACT NUMBER: 09199113484

A. SUMMARY OF BENEFICIARIES COVERED

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
28 12
Kinder
21 31
Grade 1
32 25
Grade 2
15 16
Grade 3
26 20
Grade 4
26 26
Grade 5
20 26
Grade 6
Grade 7
Grade 8

Grade 9
Grade 10
Grade 11
Grade 12
SPED
ALS
TOTAL: 168 156
Grand TOTAL 168 156

Teachers 3 9
Non- Teaching 0 1
Personnel

Non- Plantilla 0
Personnel

TOTAL 3 10

B. ACCOMPLISHMENTS
1. SCHOOL BASED FEEDING PROGRAM (SBFP) & NUTRITION – SUPPORT

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SBFP Coverage Learners
ACTUAL
Grade Level Target Severely Stunted Stunted that are
Severely wasted wasted TOTAL
that are not SW / W not SW / W
Kinder 15 3 12 0 0 15
Grade 1 10 3 7 0 0 10
Grade 2 9 1 8 0 0 9
Grade 3 1 1 0 0 0 1
Grade 4 19 6 13 0 0 19
Grade 5 8 3 5 0 0 8
Grade 6 16 9 7 0 0 16
TOTAL 78 26 52 0 0 78

SBFP Nutritional Status – Before and After Feeding

%
Number of Number of Beneficiaries After Feeding
rehabilitated
Grade Level Beneficiaries fr
Severely Overweight +
Table 1.a.2 Wasted Normal TOTAL
Wasted Obese
Kinder 15 0 2 13 0 15 87%
Grade 1 10 0 2 8 0 10 80%
Grade 2 9 0 3 6 0 9 67%
Grade 3 1 0 1 0 0 1 0%
Grade 4 19 3 10 6 0 19 32%
Grade 5 8 0 4 4 0 8 50%
Grade 6 16 1 9 6 0 16 38%
TOTAL 78 4 31 43 0 78 55.13%

SBFP Funds
Percent Utilization
Budget allocation as per GAA Funds Utilized
(col 3/2*100%)
168, 480.00 168, 480.00 100%

Nutritional Status
BASELINE NUTRITIONAL STATUS
Baseline For Elementary
No.
Grade Sex Enrollment SW/SU W/U N OW Ob SSt St N T
Assessed
M 12 12 2 6 4 0 0 1 3 8 0
Kinder
F 23 23 1 6 15 0 1 17 2 4 0
M 21 21 3 3 15 0 0 0 4 16 1
Grade 1
F 31 31 0 4 26 1 0 1 2 27 1
M 28 28 1 4 23 0 0 0 6 22 0
Grade 2
F 25 25 0 4 21 0 0 1 4 20 0
M 16 16 1 0 15 0 0 0 7 9 0
Grade 3
F 15 15 0 0 14 1 0 2 3 10 0
M 25 25 3 7 15 0 0 1 2 22 0
Grade 4
F 19 19 3 6 9 1 0 0 2 17 0
M 27 27 2 2 21 1 0 10 6 10 1
Grade 5
F 26 26 1 3 21 1 0 18 1 7 0
M 20 20 4 3 13 0 0 3 5 12 0
Grade 6
F 26 26 5 4 17 0 0 1 6 18 1
M 0 0 0 0 0 0 0 0 0 0 0
SPED
F 0 0 0 0 0 0 0 0 0 0 0
M 160 160 18 25 106 1 1 15 33 99 2
TOTAL
F 154 154 26 52 229 5 0 55 53 201 4

Baseline For Junior and Senior High School Learners

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No.
Grade Sex Enrollment SW/SU W/U N OW Ob SSt St N T
Assessed
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
ALS
F
M
TOTAL
F

Endline Nutritional Status

Endline For Elementary
No.
Grade Sex Enrollment SW/SU W/U N OW Ob SSt St N T
Assessed
M 18 18 0 2 16 0 0 7 3 8 0
Kinder
F 22 22 0 3 18 0 1 17 2 3 0
M 21 21 0 4 17 0 0 0 5 16 0
Grade 1
F 31 31 0 2 28 1 0 1 2 27 1
M 32 32 0 5 27 0 0 0 8 24 0
Grade 2
F 25 25 0 4 21 0 0 1 4 20 0
M 15 15 0 1 15 0 0 0 7 9 0
Grade 3
F 16 16 0 0 14 1 0 2 3 10 0
M 26 26 0 9 17 0 0 1 3 22 0
Grade 4
F 20 20 1 9 9 1 0 0 2 18 0
M 26 26 1 3 20 1 1 10 5 10 1
Grade 5
F 26 26 1 3 21 1 0 18 1 7 0
M 20 20 0 8 12 0 0 3 5 12 0
Grade 6
F 26 26 2 5 19 0 0 1 6 18 1
M 0 0 0 0 0 0 0 0 0 0 0
SPED
F 0 0 0 0 0 0 0 0 0 0 0
M 159 159 1 32 124 1 1 21 36 101 1
TOTAL
F 165 165 4 26 130 4 1 40 20 103 2

Endline for Junior and Senior High School Learners

No.
Grade Sex Enrollment SW/SU W/U N OW Ob SSt St N T
Assessed
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
ALS
F
M
TOTAL
F

2. NATIONAL DRUG EDUCATION PROGRAM

Activity No. Of Participants / Members / Coaches / Advisers

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Teachers Learners
Systematic Training for
Effective Parenting

Barkada Kontra Droga

Universal Preventive
Curricula

Life Skills Training

Orientation RA 9165
Tobacco Control
Red Cross Youth
Kabataan
Lakas Isip lng
Others

3. ADOLESCENT REPRODUCTIVE HEALTH (leave blank if not applicable)

Teenage pregnancy Data in Public Schools
No. of learners: Trimester of no. of learners: Quarterly of CY
No. Of
Pregnancy at First Clinic Reported for first Clinic Impregnator Number
Grade Level Pregnant
Consultation / referral Consultation / referral
Learners
1st 2nd 3rd 1st 2nd 3rd 4th Minor Adult
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
SPED
ALS
TOTAL:

Status of Pregnant Learners (June 2018 – March 2019)

ACCESS TO EDUCATION ACCESS TO HEALTH SERVICES
Grade Level No. to Barangay No. Lost to Follow
No. in School No. in ALS No. Dropped No. with Private OB
RHU/MHSO Up
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
SPED
ALS
TOTAL:

ARH Activities
No. Of Participants / Members / Coaches /
Number Of Learners
Activity Advisers
Elementary Secondary Teachers / NTP Learners
Teen Center / Hubs

HIV / AIDS trainings / Lectures

Responsible Parenting

Red Cross Youth

Others
TOTAL

4. WASH IN SCHOOLS (WINS)

WaSH Components and Indicators
WATER SOURCE

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1. Drinking Water From refilling station and learner’s bring their own

2. Water for Cleaning Water District and rain

SANITATION
Total Number of Toilets: Male: 2
Female: 1
Shared: 7
Non-Functional: 2
Canteen management:  With Sanitary permit
 Food servers/handlers have health certificates
Modes of Solid Waste Management:  With garbage collection
 Composting
 Recycling
HYGIENE
Total Number of Group Hand washing facilities: 1
How often group hand washing activities are conducted? Daily
Presence of Menstrual Hygiene Management (e.g., sanitary pads, wrapping YES
materials, rest space for female learners)? NO
Number of WinS TWG Members: 10
Over-all Rating  Zero Star
 One Star
 Two Stars
 Three Stars
Recognition/Awards received:  Best Implementer
 Best Practices
 With Improvement

5. SCHOOL MENTAL HEALTH

Licensed Mental Health Professionals
no. of Registered Guidance
No. of Registered Psychologist No. Licensed Psychometricians others ( Specify)
Counselors
1 0 0 -

Other Certified Medical Professionals

Number of Trained Personnel
Formal / Certificate Training Other Non-Teaching
Health Personnel Teaching Personnel
Personnel
- - - -

Capacity Building Activities Conducted

Number Of Schools No. Of Participants
Activity Conducted (Specify Participating Schools
title of activity) Division Offices (SDO) Elementary Secondary NTP Teachers Learners

- - - - - - -
TOTAL 0 0 0 0 0 0

6. MEDICAL –DENTAL AND NURSING SERVICES

(Use School Health Division Form 5 as Basis for accomplishing this table )

NURSING SERVICES
Ten most Common Signs and Symptoms as Reported by Nurses
Sign / Symptom Number of Cases % of those assessed
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

School-Based Immunization
No. Immunized
Grade Level Sex Enrollment 1st Dose 2nd Dose Remarks
HPV HPV

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 OKD FORM - B
Grade 4 F 20 18 - - -

No. Immunized
Remarks
Grade Level Sex Enrollment 1st Dose 2nd Dose
MR Td MR Td
M 21 17 15 - -
Grade 1
F 31 23 19 - -

Deworming Program

1st Dose 2nd Dose

Grade Level Sex Enrollment
No. of dewormed % Enrolment No. of dewormed % Enrolment
M 28 14 53.85 13 46.43
Kinder
F 12 7 58.33 7 58.33
M 21 19 90.47 20 95.23
Grade 1
F 31 19 61.31 27 87.10
M 32 22 75.86 27 84.38
Grade 2
F 25 15 60 14 56
M 16 16 100 13 81.25
Grade 3
F 15 13 92.85 12 80
M 26 24 96 20 76.92
Grade 4
F 20 19 100 17 85
M 25 26 100 25 100
Grade 5
F 27 24 92.30 27 100
M 20 16 80 14 70
Grade 6
F 26 24 92.30 21 80.77
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 - - - - -
M 168 137 84.05 132 78.57
TOTAL
F 156 121 79.08 125 80.13

Vision Screening
Grade Level Sex Enrollment No. Assessed No. Passes No. Failed No. Referred Remarks
M
Kinder
F
M
Grade 1
F
M
Grade 4
F
M
Grade 7
F
M
Grade10
F
M
Grade 12
F
M
TOTAL
F

Auditory Screening
Grade Level Sex Enrollment No. Assessed No. Passes No. Failed No. Referred Remarks
M
Kinder
F

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M
Grade 1
F
M
Grade 4
F
M
Grade 7
F
M
Grade10
F
M
TOTAL
F

DENTAL SERVICES
Ten most Common Diseases (as Reported by Dentist)
Diagnosis Number of Cases % of those assessed
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

No. of Number of Children

Classroom Given
Grade level Enrollment
Health Talks Orally With Carries Underwent Underwent Given
Fluoride Treated
Given Examined Defects Free Scaling Extraction Filling
Application
Kinder 40 40 0
Grade 1 52 52 52
Grade 2 57 57 0
Grade 3 31 31 0
Grade 4 46 46 0
Grade 5 52 52 0
Grade 6 46 46 0
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
SPED
ALS

NUMBER OF TEETH ( TREATMENT DONE)

EXTRACTION FILLING PERMANENT TEMPORARY
Grade Level Pit & ART
Sound
Permanent Temporary Fissure (Glass ZOE SyF D M F d
Teeth
Sealant ionomer)

MEDICAL SERVICES
Ten most Common Diseases (as Reported by Medical Officer)
Diagnosis Number of Cases % of those assessed
1.

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2.
3.
4.
5.
6.
7.
8.
9.
10.

C. SUMMARY OF VOLUNTEER SERVICES

Table 1 Number of Partners Involved

Name of Organization / Affiliation Number of Number of Schools No. of Learners No. of School Personnel
Institution Volunteers Served Examined Treated Examined Treated

 For Other Services Rendered By Volunteers Please Justify Below.

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
____________________________________________________________________________________________

D. DONATIONS / RESOURSES GENERATED

Type Of Donations Quantity Estimated Cost

E. SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, SMH, AND OTHER HEALTH AND NUTRITIONS PROGRAMS EXPERIENCES /
GOOD PRACTICES (use separate sheet if needed)
Outcome: What is / are its important contribution to the
What happened Who were involved When
OK sa DepEd Program of the School
Number of malnourished SBFP Beneficiaries August 2019 to Evidence of effectiveness of the SBFP to the
February 2020
pupils are decreased pupils
Absentism is decreased SBFP Beneficiaries August 2019 to Evidence of effectiveness of the SBFP to the
February 2020
pupils
Pupils get independent SBFP Beneficiaries August 2019 to Evidence of effectiveness of the SBFP to the
February 2020
pupils
Pupils learned to eat SBFP Beneficiaries August 2019 to Evidence of effectiveness of the SBFP to the
February 2020
vegetables pupils
Parent-Teacher bond got Parents and teachers August 2019 to Effectiveness of communication that leads to
February 2020
closer the success of the implementation of the
program

G. SUGGESTIONS TO STRENGTHEN OK SA DEPED PROGRAM

F. LESSON LEARNED (Include support needed from Central and Regional Offices and Division
Offices that can Increase the impact of OK sa DepEd Program.

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H. PROPOSED PLAN OF CATION FOR THE NEXT OK SA DepEd HEALTH SERVICES

I. PHOTOS (Before and After)

Prepared by: Noted:

FRANCIA C. OLIVEROS MA. CRISELDA E. CASASOLA

School Head Public Schools District Supervisor

Date: _______________________

This for is to be submitted every 2nd week of March and November in your respective SDO