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 NUTRITIONReporting 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