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

School: BUBUYAN ELEMENTARY SCHOOL Period Covered: March 25 - June 3, 2021

School Address: BUBUYAN CALAMBA CITY
Office Telephone Number: Mobile Number: 9083043698
Fax Number: Email Address:
A. ACCOMPLISHMENTS

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

Pupils-at-
Risk-of-
Severely Indigenous Indigent
Grade Level All Kinder Wasted Stunted Dropping- TOTAL
Wasted Peoples Learners
Out
(PARDOs)
Kinder 0 2 0 0 0 0 2
Grade 1 2 3 0 0 0 0 5
Grade 2 0 2 0 0 0 0 2
Grade 3 4 6 0 0 0 0 10
Grade 4 0 4 0 0 0 0 4
Grade 5 1 1 0 0 0 0 2
Grade 6 0 6 0 0 0 0 6
SPED 0 0 0 0 0 0 0
Multigrade 0 0 0 0 0 0 0
TOTAL 0 7 24 0 0 0 0 31

b. Milk
Fresh Milk 1
Sterilized Milk
Commercial Milk
Provided by Partner

7. SBFP Funds (for those with downloaded funds)

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

N/A N/A N/A N/A

Total:
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B. DONATIONS/ RESOURCES GENERATED

(Add Additional Sheets, if needed)

Partner & Type of Donations/Services

Quantity (if applicable) Estimated Cost (if applicable)
Provided

MHALOU D. BRAVO 1 Box Facemask and 1 liter Alcohol 250.00

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

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

School Head, Before the

For permission and informing the parents what is the
Giving of Parent's Permit Advisers ,Feeding Coordinator first day of
purpose of Milk Feeding
and Parents Distribution

Feeding Coordinator and

Finalization of List of Beneficires February Masterlist of Feeding Benefeciries
Advisers of Grade Level

School Head, Feeding Coor

Creating Group Chat in Messeger of March 26 Posting Announcements, Follow-up of thier children f
and Parents

During
School Head, Teachers and
Health and Safety Protocols Week;y Implementing Safety and Health Standards
Parents
Distribution
Teachers helped distributed Fresh Teachers, Feeding Coor and Weekly
For easy distribution of Milk
Milk Parents Distribution

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)
During this pandemic, A SBFP would be a challenge to us feeding
coordinnator and also to my co-teachers but the entire faculty staff
headed our School Head, also the parents must work toether to
make this program possible. Working hand-in-hand, open channels
-The coordination of Barangay Officials and LGU for better
of communication and getting suggeston is the way that this
implementation of School-Based Feeding Program
program was successful. School feeding programs are important
intervetion for improving status of pupils. Therefore, to evaluate the
effects of milk supplementation on physical, mental and school
performance of pupils.
E. PROPOSED PLAN OF ACTION AND RECOMMENDATIONS
Continuosly support the SBFP to address hunger and encourage the learners to enroll, contribute to the improvement of thier nutritional
status and provide nourishment for theier growth and boost thier immune system

F. PHOTOS (Before, During and After) No need to upload

Prepared by: Noted:

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VANESSA JOY P. URBINA MARY GRACE M. LEGASPI

School Feeding Coordinator Schools Head
Date: July 8, 2020
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