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Quality Form: Ok Sa Deped - School-Based Feeding Program (SBFP) Program Terminal Report Form

This document is a terminal report form for the School-Based Feeding Program (SBFP) in the Philippines' Department of Education. It collects data on the number of beneficiaries served through the program. The data includes breakdowns by region, type of food/milk provided, and beneficiary category such as kindergarten students, indigenous peoples, and those at risk of dropping out. All data fields in the report are blank, indicating that no beneficiaries have been recorded yet in the period covered by this report.

Uploaded by

Jacquelyn Buscano Dumayhag
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
3K views9 pages

Quality Form: Ok Sa Deped - School-Based Feeding Program (SBFP) Program Terminal Report Form

This document is a terminal report form for the School-Based Feeding Program (SBFP) in the Philippines' Department of Education. It collects data on the number of beneficiaries served through the program. The data includes breakdowns by region, type of food/milk provided, and beneficiary category such as kindergarten students, indigenous peoples, and those at risk of dropping out. All data fields in the report are blank, indicating that no beneficiaries have been recorded yet in the period covered by this report.

Uploaded by

Jacquelyn Buscano Dumayhag
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 9

Attachment 2

Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-1-2021

(SBFP PTR - Form C) BLSS-School Health Division

Region/Division: Period Covered:


Office Address:
Office Telephone Number: Mobile Number:
Fax Number: Email Address:
Number of Schools in the Region: Elementary Enrolment:
Secondary Enrolment:
TOTAL:
A. ACCOMPLISHMENTS

1. SBFP Coverage: Total Beneficiaries for Nutritious Food Products


Severely Pupils-at-Risk- Indigenous Indigent
SDOs All Kinder Wasted Wasted Stunted of-Dropping- Peoples Learners TOTAL
Out (PARDOs)
0
0
0
0
0
0
0
0
0
TOTAL 0 0 0 0 0 0 0 0

2. SBFP Coverage: Total Beneficiaries for Milk sourced from NDA/PCC


Pupils-at-Risk-
Severely Indigenous Indigent
SDOs All Kinder Wasted Stunted of-Dropping- TOTAL
Wasted Peoples Learners
Out (PARDOs)
0
0
0
0
0
0
0
0
0
TOTAL 0 0 0 0 0 0 0 0

3. SBFP Coverage: Total Beneficiaries for Milk sourced from Commercial Sources
Pupils-at-Risk-
Severely Indigenous Indigent
SDOs All Kinder Wasted Wasted Stunted of-Dropping- Peoples Learners TOTAL
Out (PARDOs)
0
0
0
0
0
0
0
0
0

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 1 of 9


Attachment 2
TOTAL 0 0 0 0 0 0 0 0

4. SBFP Coverage: Total Beneficiaries for Milk Donated by Partners


Pupils-at-Risk-
SDOs All Kinder Severely Wasted Stunted Indigenous Indigent TOTAL
of-Dropping-
Wasted Peoples Learners
Out (PARDOs)
0
0
0
0
0
0
0
0
0
TOTAL 0 0 0 0 0 0 0 0

5. SBFP Coverage: Grand Total Beneficiaries for Milk (All sources)


Pupils-at-Risk-
Severely Indigenous Indigent
SDOs All Kinder Wasted Stunted of-Dropping- TOTAL
Wasted Peoples Learners
Out (PARDOs)
0
0
0
0
0
0
0
0
0
TOTAL 0 0 0 0 0 0 0 0

6. Type of Food Commodities Distributed to Learners (Check applicable items)


a. Nutritious Food Products
Enutribun
Fortified/Enriched Bread
Fruits
Rootcrops
Vegetables
Nutripacks

b. Milk
Fresh Milk
Sterilized Milk
Commercial Milk
Provided by Partner

7. SBFP Funds (for those with downloaded funds)


Amount Received from CO Funds Utilized Percent Utilization
(col 3/2*100%)

NFP
Milk
PSF
Additional Funds
Total:

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 2 of 9


Attachment 2
B. DONATIONS/ RESOURCES GENERATED
(Add Additional Sheets, if needed)

Partner & Type of Donations/Services Provided Quantity (if applicable) Estimated Cost (if applicable)

C. SIGNIFICANT EVENTS OF SBFP, AND OTHER HEALTH AND NUTRITION PROGRAMS/


EXPERIENCES/ GOOD PRACTICES
(Add Additional Sheets, if needed)
What happened? Who were involved? When Outcome: What is/are its important contribution to the
School-Based Feeding Program of the school?

D. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN SBFP (Include support


needed from Central, Region, and Division Office that can increase the impact of OK
sa DepEd Program in the schools)

E. PROPOSED PLAN OF ACTION AND RECOMMENDATIONS

F. PHOTOS (Before, During and After)

Prepared by: Noted:

SBFP Coordinator Schools Division Superintendent


Date:

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 3 of 9


Attachment 2
Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-1-2021

(SBFP PTR - Form B) BLSS-School Health Division

Region/Division: Period Covered:


Office Address:
Office Telephone Number: Mobile Number:
Fax Number: Email Address:
Number of Schools in the Schools Division: Elementary Enrolment:
Secondary Enrolment:
TOTAL:
A. ACCOMPLISHMENTS

1. SBFP Coverage: Total Beneficiaries for Nutritious Food Products


Severely Pupils-at-Risk- Indigenous Indigent
Grade Level All Kinder Wasted Wasted Stunted of-Dropping- Peoples Learners TOTAL
Out (PARDOs)
Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0 0 0 0 0

2. SBFP Coverage: Total Beneficiaries for Milk sourced from NDA/PCC


Pupils-at-Risk-
Severely Indigenous Indigent
Grade Level All Kinder Wasted Stunted of-Dropping- TOTAL
Wasted Peoples Learners
Out (PARDOs)
Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0 0 0 0 0

3. SBFP Coverage: Total Beneficiaries for Milk sourced from Commercial Sources
Pupils-at-Risk-
Severely Indigenous Indigent
Grade Level All Kinder Wasted Wasted Stunted of-Dropping- Peoples Learners TOTAL
Out (PARDOs)
Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 4 of 9


Attachment 2
TOTAL 0 0 0 0 0 0 0 0

4. SBFP Coverage: Total Beneficiaries for Milk Donated by Partners


Pupils-at-Risk-
Grade Level All Kinder Severely Wasted Stunted Indigenous Indigent TOTAL
of-Dropping-
Wasted Peoples Learners
Out (PARDOs)
Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0 0 0 0 0

5. SBFP Coverage: Grand Total Beneficiaries for Milk (All sources)


Pupils-at-Risk-
Severely Indigenous Indigent
Grade Level All Kinder Wasted Stunted of-Dropping- TOTAL
Wasted Peoples Learners
Out (PARDOs)
Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0 0 0 0 0

6. Type of Food Commodities Distributed to Learners (Check applicable items)


a. Nutritious Food Products
Enutribun
Fortified/Enriched Bread
Fruits
Rootcrops
Vegetables
Nutripacks

b. Milk
Fresh Milk
Sterilized Milk
Commercial Milk
Provided by Partner

7. SBFP Funds (for those with downloaded funds)


Tranches Amount Received from RO Funds Utilized Percent Utilization
(col 3/2*100%)

Total:

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 5 of 9


Attachment 2
B. DONATIONS/ RESOURCES GENERATED
(Add Additional Sheets, if needed)

Partner & Type of Donations/Services Provided Quantity (if applicable) Estimated Cost (if applicable)

C. SIGNIFICANT EVENTS OF SBFP, AND OTHER HEALTH AND NUTRITION PROGRAMS/


EXPERIENCES/ GOOD PRACTICES
(Add Additional Sheets, if needed)
What happened? Who were involved? When Outcome: What is/are its important contribution to the
School-Based Feeding Program of the school?

D. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN SBFP (Include support


needed from Central, Region, and Division Office that can increase the impact of OK
sa DepEd Program in the schools)

E. PROPOSED PLAN OF ACTION AND RECOMMENDATIONS

F. PHOTOS (Before, During and After)

Prepared by: Noted:

SBFP Coordinator Schools Division Superintendent


Date:

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 6 of 9


Attachment 2
Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-01-2021

(SBFP PTR - Form A) BLSS-School Health Division

Region/Division: Period Covered:


School Name & ID:
School Address:
School Telephone Number: Mobile Number:
Fax Number: Email Address:
Total Enrolment: Total No. of T & NTP:

A. ACCOMPLISHMENTS

1. SBFP Coverage: Primary Beneficiaries for Nutritious Food Products

Grade Level All Kinder Severely Wasted Wasted TOTAL

Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0

2. SBFP Coverage: Secondary Beneficiaries for Nutritious Food Products


Pupils-at-Risk-of-
Grade Level Stunted Dropping-Out Indigenous Peoples Indigent Learners TOTAL
(PARDOs)
Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0 0

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 7 of 9


Attachment 2

3. SBFP Coverage: Primary Beneficiaries for Milk

Grade Level All Kinder Severely Wasted Wasted TOTAL

Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0

4. SBFP Coverage: Secondary Beneficiaries for Milk


Pupils-at-Risk-of-
Grade Level Stunted Dropping-Out Indigenous Peoples Indigent Learners TOTAL
(PARDOs)
Kinder 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0
SPED 0
Multigrade 0
TOTAL 0 0 0 0 0

5. Type of Food Commodities Distributed to Learners (Check applicable items)


a. Nutritious Food Products
Enutribun
Fortified/Enriched Bread
Fruits
Rootcrops
Vegetables
Nutripacks

b. Milk
Fresh Milk
Sterilized Milk
Commercial Milk
Provided by Partner

6. SBFP Funds (for those with downloaded funds)


Tranches Amount Received from SDO Funds Utilized Percent Utilization
(col 3/2*100%)

Total:

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 8 of 9


Attachment 2

B. DONATIONS/ RESOURCES GENERATED


(Add Additional Sheets, if needed)

Partner & Type of Donations/Services Provided Quantity (if applicable) Estimated Cost (if applicable)

C. SIGNIFICANT EVENTS OF SBFP, AND OTHER HEALTH AND NUTRITION PROGRAMS/


EXPERIENCES/ GOOD PRACTICES
(Add Additional Sheets, if needed)
What happened? Who were involved? When Outcome: What is/are its important contribution to the
School-Based Feeding Program of the school?

D. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN SBFP (Include support


needed from Central, Region, and Division Office that can increase the impact of OK
sa DepEd Program in the schools)

E. PROPOSED PLAN OF ACTION AND RECOMMENDATIONS

F. PHOTOS (Before, During and After)

Prepared by: Noted:

SBFP Coordinator School Head


Date:

OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 9 of 9

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