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Text of Deworming Blank

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend

E = EnrolmentSCH = Schistosomiasis

DA = Deworming AccomplishmentPZQ = Praziquantel

MDA = Mass Drug AdministrationLF = Lymphatic Filariasis

% =#SE/Numbered Treated x 100%DEC = Diethyicarbamazine citrate

TB = Total No. of Beneficiaries

SY: 2015 2016

SCHOOL: CARAEL

DISTRICT: CAMILING EASTGRADEEDA(IHCP)%MDA(SCH)%DA(IHCP)%MDA(LF)%REMARKSTOTAL NO. OF BENEFICIARIES REMARKS

ALB

1ST DosePZQALB

2ND DoseDEC +ALBTBALB%ALB%PZQ%DEC%

1ST 2ND

K17/1917100%19100%2 transferred in55100%5100%

130/292996.66%29100%1 dropped out44100%4100%

22828100%28100%1010100%10100%

334/3534100%35100%1 transferred in99100%9100%

425/2625100%26100%1 transferred in55100%5100%

52121100%21100%66100%6100%

62424100%24100%66100%6100%

TOTAL182178100%182100%4545100%45100%

Prepared by:Noted:

MARCEMELIA A. ROMBAOA

School Health LeaderMARVINA M. AGUSTINPrincipal I

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend IMPORTANT REMINDER:

IS = In schoolSCH = SchistosomiasisALB = Albendazole *Deworming = Albendazole

PP = Private PhysicianPZQ = Praziquantel*Treatment of Schistosomiasis = Praziquantel

AH = At HomeLF = Lymphatic Filariasis*Treatment of Filariasis = DEC + Albendazole

O = OthersDEC = Diethyicarbamazine citrateDO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis

GRADE:

SCHOOL:

DISTRICT: CAMILING EAST

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)D REMARKS

YESNO1ST DOSEDATEREMARKSALB 2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)DREMARKS

YESNO1ST DOSEDATEREMARKSALB2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

TOTAL

Prepared by:Noted:

________________________

Adviser Principal I

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend IMPORTANT REMINDER:

IS = In schoolSCH = SchistosomiasisALB = Albendazole *Deworming = Albendazole

PP = Private PhysicianPZQ = Praziquantel*Treatment of Schistosomiasis = Praziquantel

AH = At HomeLF = Lymphatic Filariasis*Treatment of Filariasis = DEC + Albendazole

O = OthersDEC = Diethyicarbamazine citrateDO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis

GRADE:

SCHOOL:

DISTRICT: CAMILING EAST

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)D REMARKS

YESNO1ST DOSEDATEREMARKSALB 2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)DREMARKS

YESNO1ST DOSEDATEREMARKSALB2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

TOTAL

Prepared by:Noted:

________________________

Adviser Principal I

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend IMPORTANT REMINDER:

IS = In schoolSCH = SchistosomiasisALB = Albendazole *Deworming = Albendazole

PP = Private PhysicianPZQ = Praziquantel*Treatment of Schistosomiasis = Praziquantel

AH = At HomeLF = Lymphatic Filariasis*Treatment of Filariasis = DEC + Albendazole

O = OthersDEC = Diethyicarbamazine citrateDO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis

GRADE:

SCHOOL:

DISTRICT: CAMILING EAST

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)D REMARKS

YESNO1ST DOSEDATEREMARKSALB 2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)DREMARKS

YESNO1ST DOSEDATEREMARKSALB2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

TOTAL

Prepared by:Noted:

________________________

Adviser Principal I

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend IMPORTANT REMINDER:

IS = In schoolSCH = SchistosomiasisALB = Albendazole *Deworming = Albendazole

PP = Private PhysicianPZQ = Praziquantel*Treatment of Schistosomiasis = Praziquantel

AH = At HomeLF = Lymphatic Filariasis*Treatment of Filariasis = DEC + Albendazole

O = OthersDEC = Diethyicarbamazine citrateDO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis

GRADE:

SCHOOL:

DISTRICT: CAMILING EAST

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)D REMARKS

YESNO1ST DOSEDATEREMARKSALB 2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)DREMARKS

YESNO1ST DOSEDATEREMARKSALB2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

TOTAL

Prepared by:Noted:

________________________

Adviser Principal I

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend IMPORTANT REMINDER:

IS = In schoolSCH = SchistosomiasisALB = Albendazole *Deworming = Albendazole

PP = Private PhysicianPZQ = Praziquantel*Treatment of Schistosomiasis = Praziquantel

AH = At HomeLF = Lymphatic Filariasis*Treatment of Filariasis = DEC + Albendazole

O = OthersDEC = Diethyicarbamazine citrateDO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis

GRADE:

SCHOOL:

DISTRICT: CAMILING EAST

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)D REMARKS

YESNO1ST DOSEDATEREMARKSALB 2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)DREMARKS

YESNO1ST DOSEDATEREMARKSALB2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

TOTAL

Prepared by:Noted:

________________________

Adviser Principal I

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend IMPORTANT REMINDER:

IS = In schoolSCH = SchistosomiasisALB = Albendazole *Deworming = Albendazole

PP = Private PhysicianPZQ = Praziquantel*Treatment of Schistosomiasis = Praziquantel

AH = At HomeLF = Lymphatic Filariasis*Treatment of Filariasis = DEC + Albendazole

O = OthersDEC = Diethyicarbamazine citrateDO NOT give double dose of ALB for integrated treatment of helminthiasis and filariasis

GRADE:

SCHOOL:

DISTRICT: CAMILING EAST

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)D REMARKS

YESNO1ST DOSEDATEREMARKSALB 2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

NAME4Ps BENEFICIARYDEWORMING (ALB)DDEWORMING (ALB)DREMARKS

YESNO1ST DOSEDATEREMARKSALB2ND

DOSEDATEREMARKSALB

ISPPAHOISPPAHO

TOTAL

Prepared by:Noted:

________________________

Adviser Principal I

Republic of the Philippines

Department of Education

Region III Central Luzon

SCHOOLS DIVISION OF TARLAC PROVINCE

Makabulos Drive, San Roque, Tarlac City

Telephone: 982-2463/ Telefax: 982-0374

Website: http://www.depedtarlacprovince.net

HARMONIZED SCHEDULE OF MASS DRUG ADMINISTRATION

FOR SELECTED NEGLECTED TROPICAL DISEASES

Legend IMPORTANT REMINDER:

IS = In schoolSCH = SchistosomiasisALB = Albendazole *Deworming = Albendazole

PP = Private PhysicianPZQ = Praziquantel*Treatment of Schistosomiasis = Praziquantel