Form B

OPLAN KALUSUGAN SA DEPED

ACCOMPLISHMENT REPORT
(To be accomplished by the School Head)

DIVISION: QUEZON REGION: IV-A

SCHOOL: STA. CATALINA ELEMENTARY SCHOOL SCHOOL ID: 108531

SCHOOL ADDRESS: BRGY. STA. CATALINA ATIMONAN, QUEZON

(Please check appropriate box)

Level: Type of School:
 Elementary  Central School
 Junior High School  Non-Central School (complete)
 Senior High School  Multigrade
 Primary School / Incomplete
 Integrated School
SCHOOL HEAD: ANGELICA A. ALVAREZ CONTACT NUMBER: 09298009034

A. COVERAGE
Grade Level Number of Pupils Number of School Personnel
Enrolment Actual With Given Enrolment Actual With Given interventions
Examined findings interventions Examined findings
1 20
2 12
3 18
4 13
5
6
TOTAL: 116
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 Form B

B. ACCOMPLISHMENTS
Use School Health Division Form 2 as basis for accomplishing this table.

1. Common Signs and Symptoms (as reported by Nurses) –

2. Common Diseases (as diagnosed by Medical Doctors) –

3. Common Dental Problems (as diagnosed by Dentists) –

Tooth decay

4. Nutritional Status
Body Mass Index-for-Age/ Number of Learners Height-for-Age Number of Learners
Weight-for-Age
Severely Wasted/ 1 Severely Stunted 6
Severely Underweight
Wasted/ 4 Stunted 32
Underweight
Normal 105 Normal 78
Overweight 4 Tall 0
Obese 2
TOTAL: 116 116

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C. SUMMARY OF VOLUNTEER SERVICES

Use OK sa DepEd Form C as basis for accomplishing this table.

No. of Learners
Name of Estimated
Number of Volunteers and School
Organization/ Value of Other Services
Personnel
Affiliation/ Given
Interventions Rendered (if any)
Institution Examined Intervention Given
Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June Total

D. DONATIONS / RESOURCES GENERATED (Add additional sheets, if needed.)

Type of Donations Quantity Estimated Cost Donor
Advocacy support 9 units per 112 pupils 36 500.00 Pro-Democracy and World
Association Letter

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E. SIGNIFICANT EVENTS OF SBFP, NDEP, ARH, WINS, AND OTHERHEALTH 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?
HANDWASHING DAY PUPILS OF STA. FEB.28,201 The pupils have learned the correct ways of washing their
CATALINA E/S 9 hands to prevent possible diseases that they could get from the
bacteria/viruses in their hands.
DEWORMING PUPILS OF STA. FEB. 5, 2019 It benefits the pupils’ health of insuring that there are no
CATALINA E/S disturbing worms inside their stomachs that could affect their
growth and development.
PUPILS OF JULY 17,2018 This program helps resolve the problem of malnourishments
FEEDING STA.CATALINA E/S within the school.

F. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN OK sa DepEd Program (include support

needed from Central, Region, and Division Office that can increase the
impact of OK sa DepEd Program in your school.)

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 Form B

H. PROPOSED PLAN OF ACTION FOR NEXT OK sa DepEd health services

I. PHOTOS (before, during and after)

Prepared by: Date:

Name and Designation

Submit completed form to the SDO by 1st week of March.