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
SDO/District COTABATO/CARMEN CENTRAL Period Covered: SY 2023-2024
Office Address: Kibudtungan, Carmen, Cotabato
Office Telephone Number: None Mobile Number:
Fax Number: None Email Address:
Number of Schools in the District Implementing SBFP: District Enrolment: 3,354
13 schools
Total Number of Beneficiaries: 670
TOTAL:
A. ACCOMPLISHMENTS
1 SBFP Coverage: Total Beneficiaries for Nutritious Food Products - (Baseline) - Pre Feeding
Severely Pupils-at-Risk-of-
Grade Level Severely Wasted Wasted Stunted Dropping-Out TOTAL
Stunted (PARDOs)
Kinder 0 11 1 4 0 16
Grade 1 0 3 3 1 6 13
Grade 2 0 0 0 0 0 0
Grade 3 0 5 0 0 0 5
Grade 4 1 4 0 1 0 6
Grade 5 4 3 0 1 0 8
Grade 6 1 4 0 2 0 7
TOTAL 6 30 4 9 6 55
2 SBFP Coverage: Total Beneficiaries for Nutritious Food Products - (Endline) - Post Feeding
Severely Pupils-at-Risk-of-
Grade Level Severely Wasted Wasted Stunted Dropping-Out TOTAL
Stunted (PARDOs)
Kinder 0 1 0 1 0 2
Grade 1 0 0 0 1 6 7
Grade 2 0 0 0 0 0 0
Grade 3 0 1 0 0 0 1
Grade 4 0 0 0 1 0 1
Grade 5 0 1 0 0 0 1
Grade 6 0 0 0 1 0 1
TOTAL 0 3 0 4 6 13
3. SBFP Coverage: Total Beneficiaries for Milk sourced from NDA/PCC /Commercial Powdered Milk
Severely Pupils-at-Risk-of-
Grade Level Severely Wasted Wasted Stunted Dropping-Out TOTAL
Stunted (PARDOs)
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL 0 0 0 0 0
OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 1 of
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
4. Type of Food Commodities Distributed to Learners (Check applicable items)
a. Nutritious Food Products
NFP No. of Servings
Hot Meals + IFR N/A
Enutribun 38
Fortified/Enriched Bread 20
Nutripacks 20
Fruit Juice 12
b. Milk No. of Servings
Fresh Milk NOT IMPLEMENTED
Sterilized Milk N/A
Commercial Milk N/A
Provided by Partner N/A
5. SBFP Funds (for those with downloaded funds)
Tranches Amount Received from RO Funds Utilized Percent Utilization
(col 3/2*100%)
1st
Total:
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Attachment 2
B. DONATIONS/ RESOURCES GENERATED
(Add Additional Sheets, if needed)
Partner & Type of Donations/Services Provided Quantity (if applicable) Estimated Cost (if applicable)
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
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. NON-READER DATA FOR SBFP BENEFICIARIES
Non-Reader Pre- Feeding Non Reader Post- Feeding
Grade Level Percentage of Improvement
(Total SW/W/SS/S) (Total SW/W/SS/S)
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL 0 0 0
Analysis:
Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-1-2021
OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 3 of
Attachment 2
(SBFP PTR - Form B) BLSS-School Health Division
G. PARTICIPATION RATE (for the 100 Feeding Days Period)
Grade Level Percentage of Days Present Percentage of Days Absent Percentage of Accomlishmment
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL
Analysis:
H. INNOVATIONATIOSBEST PRACTICES
I. PHOTOS (Before, During and After) - NFP
J. PHOTOS (Before, During and After) -MILK
Prepared by: Noted:
District SBFP Coordinator District Nurse
Date: Date: ___________________
Approved:
District Supervisor
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