oUSseq,_ Department of Education Region VI~ Western Visayas oe Moilo City October 12, 2017 DIVISION MEMORANDUM No. {44 s.2017 i ‘SUBMISSION OF THE FIRST ROUND OF WEEKLY IRON FOLIC ACID (WIFA) REPORT ‘TO: Assistant Schools Division Superintendent ief Education Supervisors ~ CID/SGOD Public Schools District Supervisors Secondary School Principals/Heads/OICs Division Administrative Officer V Division Section Chiefs Clinic Teachers 1 ‘The Health and Nutrition Unit of the Department of Education — Division of Hloilo City will be gathering the first round weekly iron folic acid (WIFA) report of all secondary schools. a. In this connection, the clinic teachers of the secondary schools are requested to submit the Reporting Form 28 — School Level of the WIFA Forms to: a. For hard copies - the Health and Nutrition Office or 3" Floor SGOD Office; b. For soft copies ~gilchrist.vilchez@gmail.com Reports must be submitted on or before October 27, 2017. 3. Attached herewith is the sample format to be used for your reference. 4, Immediate dissemination and compliance to this Memorandum is earnestly desired. CLARISSA G Offic Office of the Sch }ORA, CESO VI Hin-Charge Is Division Supetneadent Enclosure: as stated Reference: Sample form from the Department of Health To be indicated in the Perpetual index Under the following subjects: curriculum PROGRAM PROJECT HEALTH AND NUTRITIONReporting Form 2b ~ School Level ‘Annex AZo School-based Weekly iron Folle Acid (WIFA) Supplementation Round 1[_] Round 2(7) Reporting Month:, Grade Level 7038 O38 OO wo Date: School Year: Region: Divi School ID: Name of School: Address: Enrollment (Given WIFA Supplements ‘Not Given WIFA Supp. Total No. of Total No. of rena Female . (Reasons why teamers | eearners with WIFAis not given) Consent Submitted by: Noted by: ‘School Principal District Supervisor Date: Date: Validated By: ‘School Nurse