2018 GRADER SBFP Terminal Report

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SBFP Form 5 Annex 7

SCHOOL-BASED FEEDING PROGRAM (SBFP)


SY 2017 - 2018

_PROGRAM TERMINAL REPORT – SBFP GRADER_


Region/Division : IX – ZAMBOANGA DEL NORTE
District : POLANCO II
School : LETAPAN ELEMENTARY SCHOOL
School ID No. : ________________
School Enrolment : ________________

Prepared by:
_____________________________ _____________________________
School Feeding / SBFP Coordinator School BAC

Noted by:
_____________________________ _____________________________
School Head PTA Representative

A. PROGRAM ACCOMPLISHMENT (120 DAYS)


Status of Implementation:
FIRST TRANCHE: SECOND TRANCHE: TOTAL:
a. Completed __________ __________ ________ feeding days
b. Discontinued __________ __________ ________ feeding days
c. For continuation __________ __________ ________ feeding days
TOTAL: __________ __________ ________ feeding days
Note: Please attach a justification if feeding is NOT fully completed (60 days per tranche for
a total of 120 feeding days) duly signed by the SBFP Coordinator & School Head.

Number of No. of No. of Pupils


Beneficiaries No. of Beneficiaries who are
Beneficiaries who are also Previous
Grade Level 4Ps Beneficiaries of
Dewormed
Target Actual Beneficiaries SBFP
No. % No. % No. %
Kinder 0 0 0 0 0 0 0 0
Grades 1-3
Grades 4-6
TOTAL:

FINANCIAL STATUS
Amount Received Amount Amount
TRANCHE Amount Allocated
from DO Disbursed Liquidated
1ST

2ND

TOTAL
SBFP Form 5 Annex 7

STATUS OF GULAYAN SA PAARALAN PROGRAM (GPP) IMPLEMENTATION


Total No. of Vegetables from
Sustained Year Round
TRANCHE School Garden Used for
(YES or NO)
Feeding (IN KILOS)
1ST

2ND

TOTAL

______________________________
Name & Signature of GPP Coordinator

B. NUTRITIONAL STATUS OF BENEFICIARIES

BEFORE END OF FEEDING (AFTER 120 DAYS)


Nutritional Status
FEEDING SW/SU W/U N OW O
Severely Wasted /
Underweight (SW/SU)
Wasted /
Underweight (W/U)
Normal (N)
Overweight (OW)
Obese (O)

TOTAL:

C. PERCENTAGE ATTENDANCE

Average
Month Month Month Month Month Month Month Month
of
0 1 2 3 4 5 6 7
Months

% Attendance
of Beneficiaries
SBFP Form 5 Annex 7

D. CONCOLIDATED ISSUES ENCOUNTERED and ACTIONS TAKEN and MONITORING FINDING

ISSUES ENCOUNTERED / M&E FINDINGS ACTIONS TAKEN / RECOMMENDATIONS

E. PROCUREMENT PROCESS

PROCUREMENT PROCESS Presence / Use of Documents

SMALL VALUE PHILGEPS Abstract of PO or Official


BIDDING RFQ RER
PROCUREMENT Certificate Quotation Contract Receipt

Note: Use / if done/present or X if not done/absent


SBFP Form 5 Annex 7

F. GOOD PRACTICES or LESSONS LEARNED

GOOD PRACTICES

LESSONS LEARNED
SBFP Form 5 Annex 7

G. PERSONNEL INVOLVED

Names of Names of Names of Others or Names of


School Personnel Parents Barangay Officials NGOs, Civic Groups, etc
















Note: Use separate page/s as needed

H. PICTORIALS

Notes: Please use separate page/s


Limit pictures to SIGNIFICANT and RELEVANT activities
Add captions, venue, date.

INSTRUCTIONS:

a. Editing of the format and structure of this Form is not allowed (Size: A4).

b. Highlighted boxes mean data are required.

c. The Program Terminal Report (PTR) shall be submitted per school to the District Office
on/or after the 120th Feeding day (December 14, 2018) for consolidation by the District
Nurse using SBFP Form 6.

d. The schools must retain at least one copy as “School File” to be incorporated in the
school’s permanent SBFP Documentary Records filing boxes/data bank.

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