WinS MONITORING TOOL

Cluster _________________ School ___________________________________

Date ___________________

ACTIVITIES YES NO REMARKS

WATER SUPPLY
1. Presence of water supply
2. Presence of potable water in every
classroom
3. Improved water accessibility
TOILET
1. Additional toilet constructed
2. Presence of toilet in every classroom
3. Presence of communal toilet
4. Presence of gender segregated toilet
5. Repaired/improved toilet
HANDWASHING AREA
1. Presence of handwashing area
2. Presence of hygiene supplies
3. Presence of hygiene messages in
strategic places
MENSTRUAL HYGIENE (MH)
1. Presence of MH space in every
classroom
of Gr. 5 to Gr. 12
2. Presence of MH kit for Gr. 5 to Gr. 12
3. Presence of MH booklet for Gr. 5 to Gr.
12
SANITATION
1. Improved and clean drainages; roof
gutters
2. Absence of stagnant water
3. Presence of solid waste management
PROGRAM MANAGEMENT
1. Orientation on WinS conducted
2. Presence of DepEd memo
- DepEd Order 10 S. 2016

Evaluated by: _________________________ Noted by: _________________________

School Health Personnel School Head
 Adolescent Reproductive Health MONITORING TOOL

Cluster _________________ School ___________________________________

Date ___________________

ACTIVITES YES NO REMARKS

A. School Climate
1. ARH signages
2. ARH Bulletin
3. Student handbook
A. Curriculum and Instruction
1. Integration of ARH in relevant subjects
2. Action Plan
3. Presence of leaflets/brochures
B. Co-curricular activities
1. Presence of bulletin board/ARH corner a strategic
place
2. Presence of Guidance Counselor/Designate
3. Kiosk for teens with ARH materials
4. Functional pupil organization (Blue Denim Club)
5. Integration of ARH in the training of scouts
C. Teachers’ Organization
1. Presence of ARH committee
2. Presence of ARH Coordinator
D. Parent-Community Involvement/Partnership
1. ARH is conducted during PTA meeting
2. Quarterly ARH symposium conducted by the school
staff
3. Quarterly ARH symposium conducted by partner
agencies
E. PDE Portfolios
1. Regional/DO/School Memo
2. DO No. 31 s. 2018 POLICY GUIDELINES ON
THE IMPLEMENTATION OF THE
COMPREHENSIVE SEXUALITY EDUCATION
3. DM 261 s 2005 Sex Education Policy

Evaluated by: _________________________ Noted by: _________________________

School Health Personnel School Head
 National Drug Education Program (NDEP) MONITORING TOOL

Cluster _________________ School: _________________________________________________

Date: ___________________

ACTIVITES YES NO REMARKS

B. School Climate
4. PDE signages
5. PDE Bulletin
6. Smoke free/Drug free zone
7. Student handbook
F. Curriculum and Instruction
4. Integration of PDE in relevant subjects
5. Action Plan
6. Presence of leaflets/brochures
G. Co-curricular activities
6. Presence of bulletin board/NDEP corner in every
classroom
7. Presence of Guidance Counselor/Designate
8. Kiosk for teens with Drug Education materials
9. Functional pupil organization
10. Integration of drug education in the training of scouts
H. Teachers’ Organization
3. Presence of NDEP committee
4. Presence of NDEP Coordinator
I. Parent-Community Involvement/Partnership
4. Drug Education is conducted during PTA meeting
5. Quarterly PDEP symposium conducted by the school staff
6. Quarterly PDEP symposium conducted by partner
agencies
J. PDE Portfolios
4. Regional/DO/School Memo
5. DO 30, s. 2018 (PREVENTIVE DRUG EDUCATION
PROGRAM POLICY FOR CURRICULUM AND
INSTRUCTION)
6. DO 40 s. 2017 (GUIDELINES FOR THE CONDUCT OF
RANDOM DRUG TESTING IN PUBLIC AND
PRIVATE SECONDARY SCHOOLS)
7. DM 200 s. 2016 (STRENGTHENING THE NATIONAL
DRUG EDUCATION ROGRAM IN SCHOOLS)
8. DO 12 s. 2009 (STRENGTHENING THE NATIONAL
DRUG EDUCATION ROGRAM IN SCHOOLS)
9. RA 7624 (An Act Integrating Drug Prevention and
Control in the Intermediate and Secondary Curricula as
Well as in the Non-Formal, Informal and Indigenous
Learning Systems and for Other Purposes)
10. RA 9165 COMPREHENSIVE DANGEROUS DRUG
ACT

Evaluated by: ______________________________________ Noted by: __________________________________________

School Health Personnel School Head
 School Based Feeding Program (SBFP) MONITORING TOOL
School ________________________________________ Date_________________________
Cluster ________________________________________

ACTIVITIES/SERVICES YES NO REMARKS

A. No. of beneficiaries ______________________

B. No. of feeding days per month

C. Feeding conducted everyday
D. No. of anticipated holidays/intervening activities for
the month
E. No. of double feeding/month
F. Presence of SBFP core group
G. Presence of BAC
H. Presence of feeding center
I. Amount of fund released
Date released ____________
J. Presence of Bulletin board
- Cycle menu with compliance
- List of beneficiaries
- Donors/Partner
- CO/RO/DO memo
- Nutrition updates
K. Presence of volunteers/parents
- Everyday
- Not everyday
L. Presence of health and nutrition values
M. Adherence to food safety
N. Presence of SGP (School Garden Program)
- Maintained/Sustained
- SBFP share
- Presence of Malunggay orchard (at least 50)
- Variety of vegetable planted
O. Financial report checked by the bookkeeper

Evaluated by: _________________________ Noted by: ________________________

School Health Personnel School Head
 MEDICAL/DENTAL/NURSING SERVICES
Month _____________

Cluster _________________ School _________________________________________

Date ___________________

ACTIVITIES YES NO REMARKS

A. Medical/Nursing Services