Adolescent Reproductive Health (ARH)

Field Visit Monitoring Tool

Instructions: Mark with  the appropriate column for each item.

YES NO
Human Resource and Capacity Building
1. School/s have designated program personnel.
a) Adolescent Reproductive Health (ARH) focal person
b) Guidance counselor
c) Guidance Designate
d) Nurse
e) Physician
f) Clinic teacher
2. School/s have trained personnel in adolescent health.
a) Foundational Course on Adolescent Health
b) Healthy Young Ones (HYO)
c) Adolescent Health Education and Practical Training (ADEPT)
d) HIV/AIDS Education
e) Menstrual Health Hygiene and Management
f) Gender Sensitivity Training
g) Mental Health and Psychosocial Support
h) Other (please identify)
3. School/s have trained peer educators on adolescent health.
4. Peer educators are trained in:
a) Adolescent Health Education and Practical Training (ADEPT)
b) Healthy Young Ones (HYO)
c) Menstrual Health Hygiene and Management
d) Sexually Healthy and Personally Empowered Adolescents (SHAPE)
e) U4U
f) Gender Sensity Training (GST)
g) Others (please identify)

Health Education and Promotion

5. School/s have annual reproductive health education and promotion
activities for learners.
a) teen pregnancy symposium
b) HIV/AIDS/ STIs awareness campaign
c) Menstrual Health Hygiene and Management
d) other reproductive health seminars/fora (please identify)
6. Teachers are trained in reproductive health concepts during Learning Action
Cells (LAC) or other school learning sessions.
7. Accessible health education and promotion materials on reproductive health
concerns are available in school/s.
a) Comprehensive Sexuality Education (CSE)
b) Early Pregnancy and Contraceptions
c) HIV/AIDS /STIs
d) Menstrual Health
e) Gender and Health
f) Mental Health
g) Others (please identify) drug use, etc.
8. Parents are oriented in adolescent services in schools.
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 YES NO

Referral Mechanism and Linkages

9. School/s have functional child protection unit/mechanism.
10. School/s are connected with external adolescent friendly health and non-
health service providers, including for sexual and reproductive health.
a) City / Rural Health Centers
b) Private Clinics and Hospitals
c) Civil Society Organizations/ Non-government Organizations/
Humanitarian Organizations
d) Professional Organizations
e) Provincial/ Municipal/ City Social Welfare and Development Department
f) Violence Against Women and Children Desk / Philippine National Police
g) Others (please identify)
11. School/s have updated directory on adolescent friendly health service
providers, including for sexual and reproductive health.
12. School/s have internal referral mechanism for sexual and reproductive
health concerns (teen pregnancy, HIV/AIDS and STIs, sexual abuse and
violence).
13. School/s have external referral mechanism for sexual and reproductive
health concerns (teen pregnancy, HIV/AIDS and STIs, sexual abuse and
violence).

Infrastructure
14. Clear signages of adolescent health services are posted in school premises.
15. School/s have audio-visual private area for health and guidance counselling.
16. Signages for privacy and confidentiality are posted in designated areas for
health services.
17. School/s have menstrual health facility.
18. School Based Teen Center is present.
19. Schools are inclusive and considerate for persons with disability and special
needs.

Services
20. School/s have annual health examination for adolescents.
21. School/s provide basic health services through-out the year.
a) Health Check-ups
b) WIFA Supplementation
c) Immunization (MRTD, HPV)
d) Deworming
e) HIV/AIDS Testing
f) Rapid HEEADSSS
g) Comprehensive HEEADSSS
h) Guidance Services
i) Two-way referral mechanism
22. Health and guidance services are accessible to students in terms of time and
location.
23. Confidentiality and privacy of adolescent health services are implemented.

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 YES NO
Governance
24. Students have authority to propose policies and programs for schools.
25. Students are consulted with school policies before implementation.
26. Students have feedback mechanism on school services.
27. School head/s and administrators act on student feedback.
28. School/s have existing MOA/MOU for the implementation of the program.

Financing
29. School/s complement budget for ARH program (included in the School AIP).
30. Schools are receiving support from partners for the implementation of the
program.
a) Local Government Unit
b) Line Government Agencies (POPCOM, DOH, DSWD)
c) Non-government organizations
d) Civil Society Organizations
e) Parents
f) Alumni
g) Other private partners

Monitoring and Evaluation

31. School/s are recording health services provided to adolescents.
32. Data sharing of adolescent health concerns among agencies and
organizations is present.
33. School/s conduct Program Implementation Review.
34. School/s report to Schools Division Offices ARH Program Reviews.

Answered by: Date:

Name and Signature

Abbreviations
ARH: Adolescent Reproductive Health
ADEPT: Adolescent Health Education and Practical Training
AJA: Adolescent Job Aide
SHAPE: Sexually Healthy and Personally Empowered Adolescents
HYO: Healthy Young Ones
LAC: learning action cell
HEEADSSS: Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide/Depression, and
Safety.
STI: Sexually Transmitted Infection
WIFA: Weekly Iron and Folic Acis
POPCOM: Commission on Population and Development
DOH: Department of Health
DSWD: Department of Social Welfare and Development
MOA: Memorandum of Agreement
MOU: Memorandum of Understanding
MRTD: Measles-Rubella-Tetanus-Diptheria Vaccine)
HPV: Human Papilloma Virus
AIP: Annual Implementation Plan

ARHMT Version 01.2022

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 LIC

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