Version: 2017-06-04

Department of Education
WASH in Schools Monitoring System

A. School Profile

Date of Survey: (yyyy-mm-dd) * Required

School Year * Required
Level * Required
School Name * Required
School ID * Required
School District
Division
School Address

Name of the Schoool Head

Contact Number

Total Enrolment Male Female Total

Shift 1 0
Shift 2 0
Shift 3 0

B. Water Access

1 Does the school provide drinking water?

2 Is the drinking water provided by the school for free?
3 Does the school coordinate with the LGU or water district to test
the quality of drinking water?
4 How many times was the quality of drinking water tested in the
previous school year?
5 Did the test result show that water is safe for drinking
6 What other mechanisms are used to ensure that drinking water in school is safe? Check all
applicable
Teachers ask the learners to bring their own drinking water to
school
If drinking water is from a refilling station, the school requires
a water quality certificate
Water from an accessible water source is boiled
Water from an accessible water source is filtered
Others
7 In the previous week, how often is water for daily handwashing and
cleaning of toilets available in the school regardless of source? (This
includes water delivered to the school or collected from rain)

C. Sanitation

8 How many toilet seats are available for children in the school? Do Male Female Shared/ Total Pupil Toilet
not include toilet seats for teachers. Communal Ratio
Functional 0
Not Functional 0

9 Are all functional toilets secure, private and have door with lock?

Do all functional toilets have lighting? (incudes natural light or

alternative sources)
Do all functional toilets have adequate ventilation?
10 Do all exclusively female toilets have wrapping materials and trash
bins for used sanitary pads?
11 How many exclusively female toilets have a washing facility inside
the toilet?
12 Are detached toilets for girls within view of school building and
people?
13 Are there toilet/s designed for persons with limited mobility? (These
toilets must have a ramp, railing and adequate space for a
wheelchair)

14 How often are the sanitation facilities cleaned?

15 Does the school burn its waste?
16 Are segregated trash bins with cover available in the following areas?
Classrooms
Toilets
Canteens
Offices
Clinics
Play areas
Gardens
Hallways
Gyms/Stage
17 Are the students segregating their solid waste properly?
18 Does the school have policies/sanctions which promote the practice
of solid waste segregation?
19 How regular is garbage being collected from the school?
20 Does the school have a compost pit for biodegradable waste?
21 Does the school have a refuse pit for non-biodegradable waste?

22 Does the school have a materials recovery facility (MRF)?

23 Do all toilets in the school have functional septic tank/s?
24 Does the school have a functional drainage from the kitchen and all
wash areas to ensure that there is no stagnant water?
25 In the past year, did the school experience any floods?
26 Does the school adopt the following mechanisms to address stagnant water?
Pumping out of water
Filling of stagnant water
 Soak pit (a water catchment area which contains gravel, sand,
or other materials that absorbs water to prevent pooling)

Treatment of stagnant water to prevent breeding of

mosquitoes (use of larvicides, fish, etc.)
Not applicable (e.g., no stagnant water because of sandy soil)

27 Does the school have a canteen?

28 Does the school canteen have a sanitary permit?
29 Do food handlers practice the following food safety measures?
Wearing of hairnet, gloves, masks and apron
Handwashing
Separate the storage of dry and wet food materials
30 Have all food handlers been oriented on food safety measures?

31 Do all food handlers in the school have health certificates?

D. Hygiene

32 How many times in a week is supervised group handwashing with

soap conducted for all children in the school? (Write 0 if this is not
done in school.)

33 What is the extent of student participation in supervising group handwashing? Check all applicable
Students are participants supervised by teachers
Students assist teachers in supervising handwashing activities

Students are assigned to lead handwashing activities

34 How many handwashing facilities are available in your school? Number of Number of
Facilities faucets/ water
outlets/ punch
holes
 Individual handwashing facility
Group handwashing facility *
* A group handwashing facility should have at least:
- 10 water outlets in the elementary level, and
- 4 water outlets in the secondary level
Note: A water outlet may be any opening where water comes out for handwashing (eg. Faucets,
punch pipes, etc.)

35 Is there a regular supply of soap for handwashing?

36 Are handwashing facilities with soap available in the following areas?
Classrooms
Toilets
Canteen/Eating Areas
Play areas
Clinics
Laboratories
Agricultural areas (eg. Gulayan, livestock area)
37 Do children perform individual handwashing the following times?
Before meals/eating/handling food
After using the toilet
After handling soil and animals
After cleaning activities activities/handling garbage
After playing
38 How many times in a week is group toothbrushing with flouride
conducted for all children in the school?
39 What is the extent of student participation in supervising group toothbrushing
Students are participants supervised by teachers
Students assist teachers in supervising toothbrushing activities

Students are assigned to lead toothbrushing activities

40 Is there a regular supply of toothbrush and toothpaste for
toothbrushing?
41 Are the repair and maintenance requirements for WASH facilities reflected in the following:
School improvement plan (SIP)
 Annual improvement plan (AIP)

42 What are the sources of funds for WinS Supplies? Please check all School MOOE Private/ PTA LGU Funds Voluntary
that apply. Individual donations
donations from internal
staff

Soap
Toothbrush
Toothpaste
Cleaning materials/supplies for toilets
Repair and maintenance

43 Where can learners avail of sanitary pads?

School Canteen
School Clinic
Guidance Office
Class Adviser/Teacher
Others
44 Is there information on proper disposal of sanitary napkins in the
girls toilet?
45 Are there DepEd Approved Instructional materials on Menstrual
Health for Teachers?
46 Are there DepEd Approved Information, Education and
Communications (IEC) materials on Menstrual Health for Students?

47 Is there a designated rest space/changing room for girls with

menstrual discomfort?

E. Deworming

48 Is deworming done semi-annually?

49 What is the total number of students dewormed?
F. Health Education

50 Which areas in the school have IEC materials for WinS? Hygiene Menstrual Sanitation Food safety
Health
Bulletin board
Classrooms
Toilets
Handwashing facilities
Canteen/Eating areas

51 Are there organized structures (eg. TWGs, student clubs) to

promote WinS?
52 Is WinS a part of INSET?
53 Are learning materials available for teaching WinS?
54 Is WinS being advocated in the GPTCA assembly?
55 Are there planned and organized activities for advocating WinS to
parents/stakeholders?
56 Is WinS part of the co/extra-curricular program for students?
Children bring
their own
WINS 3-STAR MATRIX FOR SCHOOLS
,

Water Safe Drinking Water Testing Water for

Water Cleaning
0 Star 0 Star 0 Star

Sanitation Segregated Toilets Security of Wash Facility for Wash Facility for
0 Star Toilets Toilets MHM
0 Star ★ ★

Safety of Detached Toilets for Daily Cleaning of Funding for

Toilets Disabled Toilets Repairs
★ ★★ 0 Star 0 Star

Burning of Waste Segregated Trash Waste Garbage

Bins Segregation Collection
0 Star 0 Star 0 Star 0 Star

Septic Tank Drainage System for Flood Food Handlers

0 Star 0 Star ★★ 0 Star
Hygiene Group Hand- Available Soap Group Hand- Individual Hand-
washing Activity washing Facility washing Facility
0 Star 0 Star 0 Star ★★

Individual Hand- Group Tooth- Available Tooth-

washing Practice brushing Activity brush & paste
★★ 0 Star 0 Star

WinS in SIP/AIP Funding of Sanitary Pads

Supplies
0 Star 0 Star 0 Star

Disposal of Sanitary IEC Materials for Rest Space for

Pads MHM MHM
★ ★ ★★

Deworming Semi-annual Pupils

Deworming Dewormed
0 Star 0 Star

Health IEC Materials Organized Teams INSET

Education 0 Star 0 Star ★
Learning Advocacy for Extra Curricular
Materials Parents Activities
★★ ★ ★

Legend
n 0 Star n 2 Stars
n 1 Star n 3 Stars
 DEPARTMENT OF EDUCATION
WINS 3-STAR REPORT FOR SCHOOLS

Division: 0 Overall Rating: 0 Star

District: 0
School: 0

Catgegory One Star Two Stars Three Stars Score

Water W.S1-1. Safe drinking water is not provided by W.S2-1. Safe drinking water is provided by the W.S3-1. Safe drinking water is provided for free 0
the school. Children are required to bring their school but supply is not regular. for all children in the school at all times
own drinking water

W.S1-2. The school coordinates with the W.S2-2. The quality of water is tested once W.S3-2. The quality of water is tested more 0
relevant agency/office to test the quality of every calendar year in coordination with the than once every calendar year in coordination
water. relevant agency/office. with the relevant agency/office.

W.S1-3. Regardless of source, water for W.S2-3. Regardless of source, water for W.S3-3. Regardless of source, water for 0
cleaning is available only for certain days of the cleaning is available on a daily basis but only on cleaning is available on a daily basis in all school
week certain hours of the day. hours

Sanitation S.S1-1. The overall pupil to toilet seat ratio is S.S2-1. The overall pupil to toilet seat ratio is S.S3-1. The functional pupil to toilet seat ratio 0
101 or higher and there are at least two 51-100 students and there are more than two (by gender) is 50 or less
functional and clean toilets that are gender functional and clean toilets that are gender
segregated segregated as needed based on enrolment

S.S1-2. Toilets are secure, private, with door S.S2-2. Toilets are secure, private, with door S.S3-2. Toilets are secure, private, with door 0
and lock, have lighting, adequate ventilation and lock, have lighting, adequate ventilation and lock, have lighting, adequate ventilation
and wrapping materials for used pads and wrapping materials for used pads and wrapping materials for used pads

S.S2-3. There is a handwashing facility with soap S.S3-3. There is a handwashing facility with soap
within or near the toilets within or near the toilets
S.S2-4. There is a facility for washing IN at least S.S3-4. There is a facility for washing IN female
one female toilet for MHM toilets for MHM
S.S2-5. Detached Toilets are located within view S.S3-5. Detached Toilets are located within view
of school building and people of school building and people
S.S3-6. There is a toilet accessible to persons
with limited mobility

Page 10 of 15
Catgegory One Star Two Stars Three Stars Score
S.S1-7. Daily cleaning of toilets, and S.S2-7. Daily cleaning of toilets, and S.S3-7. Daily cleaning of toilets, and 0
handwashing and other water facilities handwashing and other water facilities handwashing and other water facilities
S.S1-8. Funding for regular maintenance and S.S2-8. Funding for regular maintenance and S.S3-8. Funding for regular maintenance and 0
repair of toilets, handwashing and other water repair of toilets, handwashing and other water repair of toilets, handwashing and other water
facilities comes from the regular school budget facilities comes from the regular school budget facilities comes from the regular school budget
(i.e. MOOE) and/or other DepEd funds (i.e. MOOE) and/or other DepEd funds (i.e. MOOE) and/or other DepEd funds

S.S1-9. No burning of waste S.S2-9. No burning of waste S.S3-9. No burning of waste 0

S.S1-10. Segregated trash bins with cover are S.S2-10. Segregated trash bins with cover are S.S3-10. Segregated trash bins with cover are
available in all classrooms available in all classrooms and toilets available in all classrooms, toilets, canteens,
offices, clinics, play areas, gardens, hallways,
and gyms

S.S1-11. Waste segregation is practiced S.S2-11. Waste segregation is practiced S.S3-11. Comprehensive waste segregation
system is in place, such as policy, facility and
practice, and sanctions for non-compliance

S.S1-12. No garbage collection services BUT S.S2-12. Garbage is collected at least once a S.S3-12. Garbage is collected at least twice a
school has compost facility for biodegradable week OR school has compost facility for week OR a school has compost facility for
waste and safe disposal of non-biodegradable biodegradable waste and safe disposal of non- biodegradable waste and materials recovery
waste such as properly fenced refuse pits biodegradable waste such as properly fenced facility (MRF) for recyclable waste.
(burying). refuse pits (burying).

S.S1-13. Functional Septic tank is available for S.S2-13. Functional Septic tank is available for S.S3-13. Functional Septic tank is available for 0
all toilets all toilets all toilets
S.S1-14. Functional drainage from kitchen and S.S2-14. Functional drainage from kitchen and S.S3-14. Functional drainage from kitchen and
wash areas to ensure that there is no stagnant wash areas to ensure that there is no stagnant wash areas to ensure that there is no stagnant
water in the school water in the school water in the school

S.S3-15. In case the school is in a flood prone

area, a system(policy, practices, people,
process, &structure)is in place to ensure that
there is no stagnant water in the school.

S.S1-16. All food handlers are oriented and S.S2-16. All food handlers should have a health S.S3-16. All food handlers should have a health 0
practice food safety measures certificate certificate and for schools with canteen, an
updated sanitary permit

Page 11 of 15
 Catgegory One Star Two Stars Three Stars Score
Hygiene H.S1-1. Daily SUPERVISED group handwashing H.S2-1. Daily SUPERVISED group handwashing H.S3-1. Daily SUPERVISED group handwashing 0
with soap for all elementary pupils is led by with soap for all elementary pupils is led by a with soap for all elementary pupils is led by
teacher/s mix of teachers and students student leaders

H.S1-2. Regular supply of soap for handwashing H.S2-2. Regular supply of soap for handwashing H.S3-2. Regular supply of soap for handwashing
H.S1-3. At least one functional group H.S2-3. Pupil to group handwashing facility with H.S3-3. Pupil to group facility with soap ratio of
handwashing facility with soap soap ratio of 1:200 for one shift 1:100 for one shift
H.S3-4. There are individual handwashing
facilities with soap in strategic areas in the
school (e.g. near canteen/eating areas, play
areas and toilets)
H.S3-5. The practice of individual handwashing
with soap is done during critical times
H.S1-6. Daily SUPERVISED activity of tooth H.S2-6. Daily SUPERVISED activity of tooth H.S3-6. Daily SUPERVISED activity of tooth 0
brushing with fluoride toothpaste for all brushing with fluoride toothpaste for all brushing with fluoride toothpaste for all
children is led by teacher/s children is led by a mix of teachers and students children is led by student leaders

H.S1-7. Regular supply of fluoride toothpaste H.S2-7. Regular supply of fluoride toothpaste H.S3-7. Regular supply of fluoride toothpaste
for the tooth brushing activity for the tooth brushing activity for the tooth brushing activity
H.S1-8. Repair and maintenance requirements H.S2-8. Repair and maintenance requirements H.S3-8. Repair and maintenance requirements 0
are reflected in the School Improvement Plan are reflected in the School Improvement Plan are reflected in the School Improvement Plan
(SIP) and Annual Improvement Plan (AIP) (SIP) and Annual Improvement Plan (AIP) (SIP) and Annual Improvement Plan (AIP)

H.S1-9. Soap, toothbrush and toothpaste are H.S2-9. Soap, toothbrush and toothpaste are H.S3-9. Soap, toothbrush and toothpaste are
provided by the school through DepEd funds provided by the school through DepEd funds provided by the school through DepEd funds
only (ie. MOOE) complemented by external partners complemented by external partners

H.S1-10. Sanitary pads are accessible in the H.S2-10. Sanitary pads are accessible in the H.S3-10. Sanitary pads are accessible in the 0
school school school
H.S2-11. There is information on proper H.S3-11. There is information on proper
disposal of sanitary pads in the girls toilet disposal of sanitary pads in the girls toilet
H.S2-12. DepEd approved IEC materials on H.S3-12. DepEd approved IEC materials on
menstrual hygiene management for teachers menstrual hygiene management for teachers
are available and students are available

Page 12 of 15
Catgegory One Star Two Stars Three Stars Score
H.S3-13. There is a rest space/changing room
for MHM that is secure, private and
comfortable (not necessarily in the CR)

Deworming D.S1-1. Deworming is done semi-annually, in D.S2-1. Deworming is done semi-annually, in D.S3-1. Deworming is done semi-annually, in 0
the presence of a health personnel, in the presence of a health personnel, in the presence of a health personnel, in
coordination with DOH, and with parent’s coordination with DOH, and with parent’s coordination with DOH, and with parent’s
consent consent consent

D.S1-2. 50-74 %of school students were D.S2-2. 75-84% of school students were D.S3-2. At least 85% of school students were
dewormed dewormed dewormed
Health HE.S1-1. IEC materials are present only in the HE.S2-1. IEC materials are present in classrooms HE.S3-1. IEC materials are present in classrooms 0
Education schoolboard or wall and strategic places (eg. canteen, play areas, and strategic places (eg. canteen, play areas,
toilets, handwashing facilities, etc.) toilets, handwashing facilities, etc.)

HE.S1-2. There are organized teams and HE.S2-2. There are organized teams and HE.S3-2. There are organized teams and 0
accountable units to promote WinS (e.g. TWGs, accountable units to promote WinS (e.g. TWGs, accountable units to promote WinS (e.g. TWGs,
student clubs) student clubs) student clubs)

HE.S2-3. WinS is part of INSET HE.S3-3. WinS is part of INSET

HE.S3-4. Available WinS learning / instructional
materials in support of teaching WinS in the K
to 12 curriculum

HE.S2-5. Advocacy is done during GPTA HE.S3-5. There are planned and organized
assembly activities for parents/stakeholders for learning
and advocating WinS

HE.S2-6. WinS is part of the extra-curricular HE.S3-6. WinS is part of the extra-curricular
program of students program of students

Page 13 of 15
WINS 3-STAR CHARTS FOR SCHOOLS
,

3-Star Rating by Category 3-Star Rating for Water Indicators

3 3

2 2

1 1

0 0
Water Sanitation Hygiene Deworming Health Safe Drinking Water Testing Water for
Education Water Cleaning

3-Star Rating for Sanitation Indicators

3

3-Star Rating for Hygiene Indicators

3

0
Grp Available Grp Individual Individual Grp Tooth Available Repair & Funding of Sanitary Disposal of IEC Rest Space
Handwash Soap Handwash Handwash Handwash brushing Toothbrush Main Supplies Pads Sanitary Materials for MHM
Activity Facility Facility Practice Activity & paste tenance Pads for MHM

Deworming Indicators Health Education Indicators

3 3

2 2

1 1

0
0 IEC Organized INSET Learning Advocacy Extra
Materials Teams Materials for Parents Curricular
Activities
Materials Teams Materials for Parents Curricular
Activities