The document appears to be a monthly report tracking female learners in a classroom who are receiving weekly iron and folic acid supplements as part of a school-based supplementation program. It lists 20 female learners along with whether they consented to the program and whether they received the supplements during each week of the reported months. Reasons for why supplements may not have been given to some learners on certain weeks are also tracked.
The document appears to be a monthly report tracking female learners in a classroom who are receiving weekly iron and folic acid supplements as part of a school-based supplementation program. It lists 20 female learners along with whether they consented to the program and whether they received the supplements during each week of the reported months. Reasons for why supplements may not have been given to some learners on certain weeks are also tracked.
The document appears to be a monthly report tracking female learners in a classroom who are receiving weekly iron and folic acid supplements as part of a school-based supplementation program. It lists 20 female learners along with whether they consented to the program and whether they received the supplements during each week of the reported months. Reasons for why supplements may not have been given to some learners on certain weeks are also tracked.
Name of School:_________________________ Address:_______________________ Date:____________________ Section/Classroom:_____________________ Number of Female Learners:_______ School Year:______________
1st Round 2nd Round Reason why
Consent AUGUST SEPTEMBER OCTOBER JANUARY FEBRUARY MARCH WIFA is not No. Name of Female Learner Remarks W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 given (Please) Y N Indicate Codes #) 1 Antido, Me Ann Aberio 2 Bagolbagol, Jeralyn Cezer 3 Bitoy, Kyla Sorbuna 4 Cabinta, Crystal Anne Macandog 5 Castaňeda, Christine Fernandez 6 Chavez, Chamie Tatel 7 De Rosas, Jaimee Joy Cabansag 8 Doroin, Elizabeth Joy Cabrigas 9 Garganera, Sandara Salinas 10 Maliwanag, Arlie Joy Angana 11 Malabana, Rose Ann Ramos 12 Mallen, Rachell Vocal 13 Mallen, Raquel Vocal 14 Obsiana, Jean Darryl Corcueva 15 Orozco, Nicole Altez 16 Raňola, Princess Ic Merwar 17 Raňosa, Loraine C. 18 Razon, Jasmien Javier 19 Sikat, Anne Krizele D, 20 Villamarzo, Jade Ivee Padayo TOTAL ***Codes of Reasons why WIFA is not given: Prepared by: Noted by: 1. not dewormed 2. on therapeutic treatment for anemia 3. with persistent mild reaction like gastric discomfort Class Adviser Date Grade Level Chairman Date