Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao

Ministry of Basic, Higher and Technical Education
Schools Division office of Special Geographic area
Poblacion 8 Midsayap ,Cotabato

MONITORING TOOL FOR THE OBSERVANCE OF MINIMUM HEALTH

PROTOCOL AND HEALTH FACILITIES

Name of School ___________________________________________________

Date of Visit ___________________________________________________

Grade Level Total Numbers of Number of

Enrollment Pupils Present
Kinder
Grade 1
Grade 2
Grade 3

A. Physical Set-up of the school

No. Particulars Yes No Remarks

1. Separate entrance and exits were established

2. Availability of Signages to all entrance and exits
3. Availability of thermal scanner, logbook and sanitizer
on the gate entrance
4. Designation of the markings or any materials and
walking direction guide
5. Availability of garbage container
6. Availability of handwashing facilities with good water
source.
7. Availability of segregated toilets for learners and
visitors, with proper labels.
8. Availability of segregated toilets for learners and
visitors with proper labels.
9. Were there IEC materials on infection control posted
the strategic areas?
10 Did the visitors (i.e,media, other official have their
own designated area
 Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
Schools Division office of Special Geographic area
Poblacion 8 Midsayap ,Cotabato

B. Physical Set-up in the classroom

No. Particular Yes No Remarks

1. Availability of handwashing facilities ,or foot

Pedal with hand sanitizer at the entrance of the
classroom
2. Availability of thermal scanner in the classroom

3. Were the seats arranged according to the required

distance?
4. Were there presence of barriers to prevent pupils from
mingling with each other?
5. Availability of communication lines posted I the
conspicuous area in every classroom
6. Were the IEC materials on infection control posted in
the strategic areas inside the classroom

C. Observance of the Minimum Health Protocals

No. Particulars Yes No Remarks
1. Did the pupils was hands before entering their
respective classroom?
2. Did the teachers ,visitors fill up the health declaration
form provided?
3 Did the teachers conform with checking pupil’s
temperature every 2 hours?
4. Did the teachers conform with sanitizing their hands
every 2 hour?
5. Pupils and teachers wore their mask and face shield at
all times during claa hour?
6. Availiability of hand anitizer inside the classroom
7. Did”no sharing”of any materials followed?
8 Availiability of health essentials in the clinic (i,e)
a.First aid kit
b.Thermal scanner
c.Pulse oximeter
d.Oxygen tank with nasal canula
e.Nebulizing kit
f.Blood pressure apparatus

g.Personal protective equipment

Sample Steps / Process for Validation

SSAT Reference Legends: I-IV – Main Indicators

1-10 – Sub-Indicators
M- Managing School Operations
F-Focus on Teaching and Learning a-z - Standards
W- Well-being and Protection
H-Home School Coordination
Tasking group of 4

1 team leader (Interviewer for school principal or safety officer)

1 enumerator (tandem with leader to write down notes of discussion, needs and gaps)
1 documenter (photo, checking of school e.g., entrance, school facilities, waste disposal area, markings and nudges,
PPES and cleaning and disinfection kits)
1 support for checking of classrooms, module, schedules, contacts, hotlines

No. Validation Process SSAT Reference

Before entering the school

1. Determine school entrance and exit points M.IV . 1. b-d

2. Check for school / vicinity map at the entrance as well as visible IEC M.IV . 1. a
materials

3. Markings, guides and nudges available for direction setting (ground, M.IV . 1.e-f
walls, posts)

4. look for design and waiting area with proper ventilation for parents M.3
and guardians

When entering the school(at school entrance)

1. Functional Handwashing facility with soap and water M.V.4.a-d

2.Availability of thermal scanner, hand sanitizer or alcohol and extra M.V.1.a-c
masks for learners/ personnel who don’t have masks and for
symptomatic individuals
3. Health declaration and contact tracing for learners and school M.V.2.c-c
personnel
Durig Meeting with School Head / Principal (office or open space)
1. Courtesics..
2. explanation of the objective of the visit and validation
3. determine designation of safety Officer and guidance Focal/ Officer M.V.3.a
4. Determine secured support from B/M LGU (e.g letter of support, and M.I.1-3
other resources); and parents’ consent
5. School simulation activities for F2F M.I. 4
6. Check on orientations conducted for F2F pilot implementation and M.VI.2. 4-b
the safety protocols for parents and stakeholders, including measures M. VI.4
needed in the event of resurgences and school lockdown; H.2.a-c
7. Check orientation and implementation and implementation of M.II.1. a-e
alternative working arrangement for school personnel (teacher: learner M.II.2
ratio, no co-morbidities ,.residing within municipality or with vehicle)
8. Check for learning continuity and plan for closing and re-opening of
school in relation to COVID-09 situation
9. Determine school’s strategy to detect , isolate, and refer COVID-19 W.II. 1-6
Incidents, including flow charts and Implementation of PASS, contact
tracing and quarantine protocols H.1.a

10. Strategies to provide psychosocial support to the learners, teachers

and personnel; setup of guidance office(trained on MHPSS and PFA)
11. Determine communication plan ( mode of communication and info M.VI.1.a.b
dissemination, IEC materials , contact lists/hotlines of LGU/ agencies) M,VI.3
including communication plan for flu-like symptoms incidents while
at school premises.
12. Checking of learners information on vaccination (Preventable
Disease)
13. Identification of marginalized learner’s including learners in need W.III, 1.a-k
of assistive device,OSY, IP,IDP, abandoned/neglected, child headed
family, etc.
14. participation of school-based services(health, W.III, 1.a-c
immunization,nutrition, MHPSS, protection)
15. Coordination with LGU (RHU, MSWD, BLGU, PNP, etc.) and W.III, 6.a-e
health promotion to parents and learners especially for the
implementation of SBI, NIP, and other catch-up vaccinations activities
Checking of Classroom
1. Availability of toilet and handwashing facilities (be mindful of the M.V,4,a,b
distancing of the faucets) e.g., outside school building / classroom
2. Check for class schedule, schedule for supervised handwashing and M.V.4,C
toothbrushing, cleaning and disinfection, class breaks, and student data
base( name, contact number, parents, address and contact number of
parents/ guardians)
3. Check schedule for cleaning and disinfection of classroom, toilets M.V.5,a,b
including schedule for solid waste collection and disposabale
4. Availability of IEC materials (COVID-19 IPC) outside (along M.VI.1.c
hallways) and inside classroom, offices, including marking and nudges
5. Placement of trash bins in strategic locations ( classroom, M.V.4,cf
hallways,entrance/exit) with labels including 1 bins for “USED PPE”;
presence of IEC materials for proper waste disposal
6. Between 16-20 seats / class (per guidelines), at least 1 meter apart, III.1.a.4
with IEC mats, nudges , open windows and doors, working fans, and
disinfection/sterilization box for learner outputs
7. Check for available modules or ALM (1:1 ration) including F.II.1a-f
textbooks classprograms, breaks schedules, and listing of students per F.II.2,a-h
class / week, learner profile and priorization of learners (per learning
needs)
8. coaching, training and mentoring of teachers to facilitate blended learning F.III.1.a,b
approach including work budget for limited F2F classes (e.g., ALM training) F.III.2.a,b

9. Conduct of consultation with parents on for F2F learning and feedbacking. F.II.4

10. checking of attendance and students’ well-being in class including rapid F.II.3
health checks in the classroom

11. Prohibition of physical and F2F large activities F.II.5

Checking of PPE and Cleaning and Disinfection Materials

1. Availability of cleaning and disinfection kits(including recommended M.V.5.c

disinfection solutions), IEC materials , PPEs (at strategic locations including M.V.6.c
PPE-for cleaner and garbage collector) W.3.a-c
W.4.a-c
2. Availability of PPE (mask to person ration 1:,schoo1 hygiene kit (1:1 for W.I.1.a-f
K-G6) and health kit(e.g first aid) including PPE for school clinic and school W.I.2.a
personnel(cleaners, security guards, health personnel) including extra PPE

Checking of school facilities

1. Availability of toilet facilities M.V.4.b

2. placement of trash bins with 4 colors including the YELLOW for M.V.6.a
‘infectious or USED PPE’ waste (with tags)
1. Determine the disposable areas and schedule of disinfections including M.V.6. b.d..e
knowledge to disinfects collected waste
2. Availability of screening area, clinic or holding area for learners and school
personnel (flu-like and non-like)
3. Look for Designated waiting area with proper ventilation for parents and H.3
guardians.