Republic of the Philippines

Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

Name of Employee Name of Immediate Superior ARTEMIO REY S. ADAJAR

Position NURSE II Position Chief, Education Program Supervisor
Program(s) Handled Division School Governance and Operations Division

4th QUARTER ACTION PLAN/PROPOSED ACTIVITIES

CY 2020

KRA 1. HEALTH PROGRAMS AND SERVICES

PROGRAM KEY ACTIVITIES TIME Expected Accomplishment REMARKS
FRAME Outcome
Objective 1.

January & Department Number of Dewormed Photo Document,

1. Deworming Activity
July of Health Students/School Personnel Deworming form,

MOOE/ Local
January to School Photo Document,
2.First Aid Treatment Number of clients treated
December Board/others Treatment Card/Logbook
Provide preventive
and remedial
measures for simple January to None Photo Document, Referral
3.Referral Number of client referred
and common ailments December Form,

Department Photo Document , School-

4.School - Based January to Number of Immunized
of Health Based Immunization
Immunization December Students/School Personnel
Masterlist

5. Treatment of Common January to MOOE/ Local Number of clients treated Photo Document,

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

School Board
Ailments December , others with common ailments Treatment Card/Logbook

Objective 2
Health Card, Photo
Conduct Health January to Number of Student/ School
1. Health Assessment None Document, Treatment
Examination, Visual December Personnel assessed
Card/Logbook
Aquity, Vital Signs
Taking, Height and MOOE/ Local
January to Number of Student/ School Photo Document,
Weight 2. Vital Signs taking School Board
December Personnel catered Treatment Card/Logbook
Measurements, / others
Classroom inspection
to detect early signs
and symptoms of
ailments and disability 3. Height and Weight February & Photo Document,
None Nutritional Status
among learners and Taking June Nutritional Status Record
School Personnel

Objective 3
1. Functional School January to MOOE/ Local Number of Health Card, Photo
Maintain Functional Clinic/ Treatment Corner December School Board Students/School Personnel Document, Treatment
School Clinic and , others treated, Card/Logbook
Coordinates with
Medical, Dental
Personnel and
Stakeholders for the
provision of needed

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

Health Facilities and

supplies and Monitor
proper sanitation and
healthful living
conditions of the school
community

January to Letter Request, Photo

2. Stakeholders None Resources recieved
December Document

KRA 2. Nutrition Program and Services

Objective 1
Assist in the
development, design
implementation,
evaluation and
monitoring of
sustainable feeding
1. Pre-implementation January to Photo Document, IMF,
Program for the None No. of participants
orientation December Monitoring Tool
identified severly
wasted and wasted
learners of the
School's Division
Office and submit
needed reports
Objective 2

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

Ensure compliance
1. Monitor the schools
and implementation of Monitoring Tool,
compliance of the January to Photo Document, IMF,
Nutrition Programs to None Number of Schools
implementation of December Monitoring Tool
National Standards in monitored
Nutritional Programs
Food Preparation

KRA 3 LINKAGES
Objective 1

Collaborated with
other agencies, local
stakeholders and
other health and
nutrition personnel for 1. Project/ Activity January to Letter Request, Photo
None Activities conducted
health and nutrition proposal December Documentation, Program,
programs/activities to
promote optimum
health among school
population annually as
mandated.
KRA 4.SPECIAL SERVICES
Objective 1
1. Health Lectures, January to None Certificates, Number of Photo Document,
Act as resource Forums, Classroom December participants, Attendance
person and participate Lectures sheets,Certificates, IMF
in the information
dissemination on

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

health matters such

as classroom lecture,
open forum

Objective 2

Participate in Sports,
Scouting and other 1. Sports, Scouting and January to Certificates, Photo
None Cerificates,Letter request
Division, District and other Activities December Document, IMF
School Activities

Objective 3
Serve as a
coordinator/member Division/District/School January to
None Accomplishment Action Plan
of teachnical working Level Activities December
group
KRA 5. OTHER TASK

Objective 1
January to
Perform other tasks December List of reports, pictures
assigned by
immediate Superior
Attend trainings and January to Personal Certificate of Certificate of
Seminar for professional December trainings/seminars/Webinar trainings/seminars/webinar
growth attended s
attended

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

Prepared by: Reviewed by: APPROVED:

__________________________ MA.MAYA A. LUNA, MD ARTEMIO REY S. ADAJAR

Nurse II Medical Officer III Cheif Education Supervisor
School Governance and Operations Division

Address: Fortich St., Sumpong, Malaybalay City

Telephone No: (088) 813-3634
Email Address: bukidnon@deped.gov.ph