1.

ANNEX: TEMPLATES FOR SIP AND AIP PLANNING AT SCHOOL LEVEL

SCHOOL IMPROVEMENT PLANNING GAP ANALYSIS TEMPLATE

REGION: BARMM DIVISION: _____________________ SCHOOL: _____________________________________
BARANGAY: __________________ DISTRICT: _____________________

CURRENT SCHOOL CURRENTLY GROUP THAT

PROJECTS REQUIRE
PERFORMANCE CONTRIBUTING INHIBITING
REGIONAL TARGET SCHOOL TARGET DATA NEEDED IMPLEMENTED ATTENTION
FACTORS
YES/N
EXPLANATION
O
SAMPLE 100% all grade levels have Provision of functional 2 Only 1 group handwash Enrolment Data Yes Though facility is not No budget to construct Improvised handwashing Kindergarten class
functional hygiene facilities group handwash facilities facility is functional, with enough to cater all rain catchment and facility made of bamboo; as priority for the
with 10-holes each module limited water supply and Classroom learners, but install jetmatic pump provision of
to accommodate all 100 irregular supply of soap Program showing scheduling of group Tippy Tap method of handwash facility
enrolled learners Group Hygiene hygiene activities No MOOE yet water supply
Activity Schedule allowed for everyone SBFP Beneficiaries
to perform No other source of HRPTA funding for soap should be given
SBFP Feeding handwashing & funding for soap priority to access
Recipients toothbrushing provision the facility before &
after feeding
WATER All schools have access to
water for daily hygiene needs

SANITATION All schools have functional

toilets according to
prescribed ratio of enrollees
and practice proper waste
management
HYGIENE All learners will demonstrate
good hygiene practice and
proper grooming and
menstrual care
HEALTH Integration of WASH in
EDUCATION School topics to lessons and
co-curricular activities;
including IEC campaigns
DEWORMING All learners will be given
deworming as consented by
parents/guardians
CAPACITY Inclusion of WinS support
BUILDING projects in SIP & AIP;
Conduct of WASH in School
in-service training
2. IDENTIFYING PRIORITY IMPROVEMENT AREAS

Thematic Areas Improvement Areas Strategic Urgency Magnitude Feasibility Average Interpretation
importance
SAMPLE Amidst the threaths of COVID19 5 5 5 5 5 Very High Priority
pandemic, the school has only one
(WASH in School is (COVID19 (The limited (installation does
(1) functional group handwash
facility , with limited water supply complementary pandemic is a functional facility not need large
and irregular supply of soap with other health & major threat cannot cater to all amount of
nutrition programs) but can be learners according budget,
prevented to allotted improvised
through schedule in the facilities can be
proper hand class program) provided if funds
hygiene) is limited)
WATER

SANITATION

HYGIENE

HEALTH EDUCATION

DEWORMING

CAPACITY BUILDING
3. PLANNING WORKSHEETS

PLANNING WORKSHEET for ACCESS and QUALITY

TARGETS
DEPED INTERMEDIATE PRIORITY GENERAL
LEARNING STAGE ROOT CAUSE/S SY 2021- SY 2022- SY
OUTCOMES IMPROVEMENT AREA OBJECTIVE/S
2022 2023 2023-2024
IO2: Learners access programs Address the need for learners’ To provide No budget to construct
responsive to their needs and and personnel’s ’ safety amidst functional and rain catchment and install 1
jetmatic pump 1 GHF(group 2 GHF(group
consistent with their interests and COVID19 sufficent handwash GHF(group
handwash handwash
SAMPLE aptitudes facility in school
No MOOE yet
handwash
facility) facility)
facility)
For G2 to G3 For G4 to G6
No other source of funding For K-G1
for soap provision
IO2: Learners access programs Water
responsive to their needs and
consistent with their interests and
aptitudes
Sanitation

   

Hygiene

K-6 Health Education

Deworming

Capacity Building
 Project Title: COVID19 IWASAN, KAMAY NATIN HUGASAN

Problem Statement: At Kalasangan Elementary School, there is only one (1) functional group handwash facility
with limited water supply and irregular supply of soap

Project Objective Statement: By SY 2021-2022, the school will be able to provide another unit of functional group handwash facility
to cater to the number of learners in school.

Root Cause: No budget to construct rain catchment and install jetmatic pump; No MOOE yet;
No other source of funding for construction materials and soap provision

4. PROJECT WORK PLAN AND BUDGET MATRIX

Note:
Date of Person
Thematic Areas Activities Output Budget Budget Source Materials Needed Please
Implementation Responsible
ecord also
he Water date of

Sanitation

Hygiene

Heath Education

Deworming

Capacity
Building

onitoring per project

Please attach this form to the AIP template

5. ANNUAL IMPLEMENTATION PLAN for SCHOOL YEAR 2021-2022

SCHOOL IMPROVEMENT PERSON(S) RESPONSIBLE BUDGET

PROJECT OBJECTIVE OUTPUT FOR THE YEAR ACTIVITIES SCHEDULE/ VENUE BUDGET PER ACTIVITY
PROJECT TITLE SOURCE

ANNUAL IMPLEMENTATION PLAN for SCHOOL YEAR 2022-2023

SCHOOL IMPROVEMENT PERSON(S) RESPONSIBLE BUDGET
PROJECT OBJECTIVE OUTPUT FOR THE YEAR ACTIVITIES SCHEDULE/ VENUE BUDGET PER ACTIVITY
PROJECT TITLE SOURCE

ANNUAL IMPLEMENTATION PLAN for SCHOOL YEAR 2023-2024

SCHOOL IMPROVEMENT PERSON(S) RESPONSIBLE BUDGET
PROJECT OBJECTIVE OUTPUT FOR THE YEAR ACTIVITIES SCHEDULE/ VENUE BUDGET PER ACTIVITY
PROJECT TITLE SOURCE
 6. ACTIVITY BUDGET CALCULATOR

Office (Region, Division; District) ___________________________________________________

Staff/ Unit In-Charge ___________________________________________________
Activity Title ___________________________________________________
Venue/Location ___________________________________________________
Proposed Date / Period ___________________________________________________
Duration (number of days) ___________________________________________________
Target Participants ___________________________________________________
Number of Participants ___________________________________________________
Staff Support Requirement ___________________________________________________
Other Details / Assumptions ___________________________________________________

Source of Funds

Item Particular Unit of Measure Days / Frequency Quantity Unit Cost Total Cost School/ Agency/ Amount
Donor

Total
7. PROJECT TEAM

Team Members Position Roles and Responsibilities Signature

Number
 8. FLOWCHART OF SCHOOL PROCESSES RELEVANT TO EACH PIA

Sample:

START THE PROJECT

COVID19 IWASAN, KAMAY NATIN HUGASAN

School Planning Team, through Fund Raising through

leadership of School Head will convene
to discuss the current pandemic and PTA Support
how it affected the schooling activities BLGU School Board  Construction of
MOOE
GHF
 Utilization of the
Project
 Provision of
Supplies
 Monitoring of
Review current WinS status using the Prepare the Bill of Materials and Cost Functionality
generated Online Monitoring System Estimate of the Handwash Facility
(OMS) at DepEd portal and Water Catchment

Validation of Reports School Head, WinS Coordinator and School Planning

Ocular Inspections to determine Team conduct meeting with General PTA Officers and
END
magnitude of needed repairs of the Barangay Officials to Discuss the importance of
current Handwashing Facility Constructing another Group Handwash Facility
 NEEDED DATA FOR THE WORKSHOP:

1. Printed Copies of the Results (Excel templates) of the Online Monitoring System of WASH in School Status for SY 2020-2021
2. School Records showing:
A. Number of Pupils Deworming for past three (3) years
B. Physical Facilities Report (as required by NSBI) showing the canteen, school kitchen and feeding room, toilets, handwash facilities and other
structures relative WASH in School
C. SY 2019-20 and SY 2020-2021 Accomplishment Reports on Health & Nutrition like
a. Ten Leading Ailments among School Children
b. OK sa DepEd report
c. Gulayan sa Paaralan report
d. SBFP supporting documents available (Program Terminal Report copy)
e. Number of Personnel trained/oriented on WASH in School and COVID19 Infection, Prevention and Control
f. Number of Learners & Families reported infected of COVID19
g. Number of Personnel reported Quarantined related to COVID19 Exposure
h. School used as Temporary COVID19 Isolation/Quarantine Facility
i. List of Supplies & Budget Utilized re: Procurement of Hygiene Supplies and Personal Protective Equipments
j. Data on School Disinfection Activities done re: COVID19 Prevention and Brigada Eskwela Initiatives
k. Data about School Waste Management activities
3. Previous School Year School Improvement Plans compilations
4. School Improvement Plan Organizer (with annexes showing various school data)
5. Child Friendly School Survey checklist (attached to SIP)

WHAT TO BRING:

1. Laptop with extension wire

2. Camping Tent or sleeping Bag (for those interested to enjoy the beach line at night)
3. Medicines for those with maintenance and health conditions like asthma, hypertension, diabetes, etc
4. Toiletries and other personal belongings good for overnight stay