National School Deworming Month (NSDM) Round 1 July 2019: Form 1 - Classroom Level

Republic of the Philippines
Department of Education
Region IV - A CALABARZON
Form 1 - Classroom Level
National School Deworming Month (NSDM) Round 1

July 2019
District: CAINTA 1B
Name of School:_ARINDA ELEM. School ID: 109392
Enrolment: _______________________________ Grade /Section: SIX- MABINI
Dewormed Consented to Not Dewormed

Deworming
No. Name of Child (as indicated in Refused No consent Precautionary
4Ps Non - 4Ps
consent form) deworming form returned Measure
1 AGUADA,NATANIEL B
2 AMBALONG,MARK DANIEL G
3 ARCIAGA,JOHN GILBERT D
4 BACCAY,CLOUVY -
5 BIANAN,GERALD B
6 CAINGIN,RALPH CRISS V
7 ELLO,LONVER A
8 EZUREÑA,ENIEGO ERRIC
9 LAGUNA, JOSHUA A
10 LUCERO,JENARD M
11 LUIS,JHEMYEL SHANE A
12 MAGBANUA,MICHAEL A
13 MAHINAY,JHON ALVIN B
14 MARIANO,JHIAN RHEY A
15 MENDOZA,CARLO L
16 NUNEZ,FRINCE JOHN C
17 ODONIO,MARKY C
18 PEDRONIO,ALJHON V
19 ROMERO,JHON ERICK A
20 SALES,DAN MARK S
21 SALVINO, MICHAEL
22 VILLACORTE, EZRIEL C
23 ANTOPINA, VICKY
24 APULI, JESSA
25 ARBOSO,SHERYL ANN MAE D
26 BALUCA,BEATRIZ SARCIA
CHAVEZ,MARY JOANA FRANSCINE
27 L
28 CHIPOCO,ANGELICA G
CONSTANTINO,ELAINE PRINCESS
29 A
30 CURADA, HANNAH CLAUDETTE C
31 DASCO,GRA-YAN FRANCHESK S
32 DELFIN,APRIL EUNICE S
DELOS REYES, MA ALWINAH
33 NICOLE D
34 FLORES,JOANA LORRAINE C
35 FORTIN,HANNA KIM G
36 GUTANA,NELROSE D
37 HABUHAB,APRIL JOY H
38 MANDIA,MARIA BERNADETTE B
39 MARINAY, HAZEL O.
40 MARQUEZ,ALYSSA ISHA BUIZA
41 MEDINA, JASLIE L.
42 MERCADO, SHEIRENE P.
43 ODANGO, JEEHRYD KHAIR L.
44 RUTA, ANGELICA L.
45 STREBEL, NENITA G.
46 TABUENA, KHAILA MAE B.
47 UBIAS, JAN PRINCESS MAY M.
TOTAL
Accomplished by: N O T E D:
___________________________ ________________________________
Class Adviser School Deworming Coordinator

Date Accomplished: ___________
SIX- MABINI
Adverse Event
___________________
worming Coordinator
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF RIZAL
Form 2 - School Level (Elementary)
July 2018
Month Year
District / Name of School: Cainta IB / Arinda Elementary School
No. of Children Dewormed No. of Children NOT Dewormed
Consented to (Seriously ill, with Adverse
Refused
Deworming (as event
Grade Enrolment Deworming (as No consent abdominal pain, diarrhea,
indicated in form has previous sensitivity with reported
TOTAL 4Ps indicated in
4Ps Non-4Ps
& Non-4Ps consent form) consent form) returned deworming drug (yes or no)
"Annex B" MDAP Guide #1
Kinder-Papaya 30 0 5 5 5 25 25 0 No
Kinder-Abokado 29 0 12 12 12 17 17 0 No
Kinder-Saging 27 0 9 9 9 18 18 0 No
Kinder-Ubas 27 0 14 14 14 13 13 0 No
Kinder-Pakwan 26 0 15 15 15 11 11 0 No
Kinder-Chico 30 0 9 9 9 21 21 0 No
Kinder-Mansanas 29 0 6 6 6 23 23 0 No
Kinder-Duhat 28 2 4 6 6 22 22 0 No
Kinder-Pinya 29 0 2 2 2 27 27 0 No
Kinder-Mangga 29 0 2 2 2 27 27 0 No
Kinder-Dalandan 28 0 8 8 8 20 20 0 No
Kinder-Langka 26 0 7 7 7 19 19 0 No
TOTAL 338 2 93 95 95 243 243 0 No
SPED 0 0 0 0 0 0 0 0 No
Grand Total 338 2 93 95 95 243 243 0 No
DONNABELLE R. RIBAMBA MARIBEL M. DE LEON MELCHOR T. TAGUDANDO
Deworming Coordinator School Nurse School Head
Date Accomplished: July 11, 2018

DIVISION OF RIZAL
July 2018
Month Year
Refused
Deworming (as No consent abdominal pain, diarrhea, event
Grade Enrolment indicated in Deworming (as reported
TOTAL 4Ps indicated in form has previous sensitivity with
4Ps Non-4Ps
One- Narra 42 2 11 13 13 29 29 0 No
One-Gimilina 44 0 10 10 10 34 34 0 No
One-Yakal 46 0 5 5 5 41 41 0 No
One-Acacia 41 0 11 11 11 30 30 0 No
One-Cypres 40 0 14 14 14 26 26 No
One-Mahogany 43 0 11 11 11 32 32 No
One-Ipil-Ipil 42 2 9 11 11 31 31 0 No
TOTAL 298 4 71 75 75 223 223 0 No
SPED 0 0 0 0 0 0 0 0 No
Grand Total 298 4 71 75 75 223 223 0 No

DIVISION OF RIZAL
July 2018
Month Year
Refused
4Ps Non-4Ps
Two-Masipag 36 0 8 8 8 28 28 0 No
Two-Mapagmahal 38 0 8 8 8 30 30 0 No
Two-Matiyaga 35 0 9 9 9 26 26 0 No
Two-Masunurin 38 0 10 10 10 28 28 0 No
Two-Magalang 36 2 10 12 12 24 24 No
Two-Maalalahanin 36 2 8 10 10 26 26 0 No
TOTAL 219 4 53 57 57 162 162 0 No
SPED 0 0 0 0 0 0 0 0 No
Grand Total 219 4 53 57 57 162 162 0 No

DIVISION OF RIZAL
July 2018
Month Year
Refused
4Ps Non-4Ps
Three-Mt. Mayon 40 0 22 22 22 18 18 0 No
Three-Mt. Pulag 40 2 8 10 10 30 30 0 No
Three-Mt. Makiling 40 0 10 10 10 30 30 0 No
Three-Mt. Taal 39 2 19 21 21 18 18 0 No
Three-Mt. Banahaw 41 0 8 8 8 33 33 No
Three-Mt. Seirra Madre 38 2 10 12 12 26 26 0 No
TOTAL 238 6 77 83 83 155 155 0 No

SPED 0 0 0 0 0 0 0 0 No
Grand Total 238 6 77 83 83 155 155 0 No

DIVISION OF RIZAL
July 2018
Month Year
Refused
Grade Enrolment indicated in
Deworming (as
reported
4Ps Non-4Ps
Four-Chocolate Hills 40 1 19 20 20 20 20 0 No
Four-Hundred Island 46 2 6 8 8 38 38 0 No
Four-Boracay Island 37 0 8 8 8 29 29 0 No
Four-San Juanico Bridge 42 3 5 8 8 34 34 0 No
Four-Underground River 39 6 6 12 12 27 27
Four-Tubbataha Reefs 35 0 15 15 15 20 20 0 No
TOTAL 239 12 59 71 71 168 168 0 No
SPED 0 0 0 0 0 0 0 0 No
Grand Total 239 12 59 71 71 168 168 0 No

DIVISION OF RIZAL
July 2018
Month Year
Refused
4Ps Non-4Ps
Five - Duterte 46 2 26 28 28 18 18 0 No
Five - Aquino 41 4 15 19 19 22 22 0 No
Five - Arroyo 42 6 11 17 17 25 25 0 No
Five - Estrada 44 2 10 12 12 32 32 0 No
Five - Ramos 45 5 14 19 19 26 26 0 No
Five-Marcos 41 2 14 16 16 25 25
TOTAL 259 21 90 111 111 148 148 0 No
SPED 0 0 0 0 0 0 0 0 No
Grand Total 259 21 90 111 111 148 148 0 No

DIVISION OF RIZAL
July 2018
Month Year
Refused
Deworming (as event
indicated in form reported
indicated in
consent form) returned (yes or no)
consent form)
Consented to Adverse
Refused
Deworming (as event
4Ps Non-4Ps
Six - Rizal 51 1 14 15 15 36 36 0 No
Six - Bonifacio 48 4 9 13 13 35 35 0 No
Six - Aguinaldo 47 1 23 24 24 23 23 0 No
Six - Mabini 49 12 0 12 12 37 37 0 No
Six - Del Pilar 47 0 6 6 6 41 41 0 No
TOTAL 242 18 52 70 70 172 172 0 No
SPED 0 0 0 0 0 0 0 0 No
Grand Total 242 18 52 70 70 172 172 0 No

DIVISION OF RIZAL
July 2018
Month Year
Refused
Deworming (as event
4Ps Non-4Ps
Kinder 338 2 93 95 95 243 243 0 No
Grade One 298 2 71 73 73 225 225 0 No
Grade Two 219 4 53 57 57 162 162 0 No
Grade Three 238 6 77 83 83 155 155 0 No
Grade Four 239 12 59 71 71 168 168 0 No
Grade Five 259 21 87 108 108 151 151 0 No
Grade Six 242 18 52 70 70 172 172 0 No
TOTAL (I-VI)
(1-6) 1495 63 399 462 462 1033 1033 0 No
SPED 0 0 0 0 0 0 0 0 No
Grand Total 1833 65 492 557 557 1276 1276 0 No
% Dewormed
(total
dewormed /
enrollment)
16.6666666667
41.3793103448
33.3333333333
51.8518518519
57.6923076923
30
20.6896551724
21.4285714286
6.8965517241
6.8965517241
28.5714285714
26.9230769231
28.1065088757
#DIV/0!
28.1065088757
R T. TAGUDANDO
hool Head
% Dewormed
(total
dewormed /
enrollment)
30.9523809524
22.7272727273
10.8695652174
26.8292682927
35
25.5813953488
26.1904761905
25.1677852349
#DIV/0!
25.1677852349
R T. TAGUDANDO
hool Head
% Dewormed
(total
dewormed /
enrollment)
22.2222222222
21.0526315789
25.7142857143
26.3157894737
33.3333333333
27.7777777778
26.0273972603
#DIV/0!
26.0273972603
R T. TAGUDANDO
hool Head
% Dewormed
(total
dewormed /
enrollment)
55
25
25
53.8461538462
19.512195122
31.5789473684
34.8739495798
#DIV/0!
34.8739495798
R T. TAGUDANDO
hool Head
% Dewormed
(total
dewormed /
enrollment)
50
17.3913043478
21.6216216216
19.0476190476
30.7692307692
42.8571428571
29.7071129707
#DIV/0!
29.7071129707
R T. TAGUDANDO
hool Head
% Dewormed
(total
dewormed /
enrollment)
60.8695652174
46.3414634146
40.4761904762
27.2727272727
42.2222222222
39.0243902439
42.8571428571
#DIV/0!
42.8571428571
R T. TAGUDANDO
hool Head
% Dewormed
(total
dewormed /
enrollment)
% Dewormed
(total
dewormed /
enrollment)
29.4117647059
27.0833333333
51.0638297872
24.4897959184
12.7659574468
28.9256198347
#DIV/0!
28.9256198347
R T. TAGUDANDO
hool Head
% Dewormed
(total
dewormed /
enrollment)
28.1065088757
24.4966442953
26.0273972603
34.8739495798
29.7071129707
41.6988416988
28.9256198347
30.9030100334
#DIV/0!
30.3873431533
R T. TAGUDANDO
hool Head

National School Deworming Month (NSDM) Round 1 July 2019: Form 1 - Classroom Level

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National School Deworming Month (NSDM) Round 1 July 2019: Form 1 - Classroom Level

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