Annex 7

SBFP FORM 5

SCHOOL-BASED FEEDING PROGRAM (SBFP)

FY 2019

PROGRAM TERMINAL REPORT (PTR)

Region:
Division:
District:
School:
School ID:
School Enrolment:

Prepared by:

School Feeding/ SBFP Coordinator SBAC Secretariat

Noted by:

School Head Lead Parent Volunteer

A. PROGRAM ACCOMPLISHMENT

Status of Implementation
Total No. of Days
Completed:
Discontinued:

Date Feeding Started:

Date Feeding Ended:

No. of No. of No. of Pupils who

Number of Benefeciaries who are Previous
Beneficiaries Beneficiaries are also 4Ps Beneficiaries of
Grade Level Dewormed
Beneficiaries SBFP
Target Actual No. % No. % No. %
Kinder 3 3 3 100% 0% 0%
Grades 1-3 4 4 4 100% 0% 0%
Grades 4-6 3 3 3 100% 0% 0%
TOTAL: 10 10 10 3 0 0 0 0

FINANCIAL STATUS

Amount Allocated Amount Received fr DO Amount Disbursed Amount Liquidated

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Disbursing Officer

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STATUS OF GULAYAN SA PAARALAN IMPLEMENTATION

Sustained Year Round Total No. of Kilograms of Vegetables Total Land Area of School's
(YES OR NO) Used for Feeding Gulayan (sq.m.)

__________________________________
GPP Coordinator

B. NUTRITIONAL STATUS OF BENEFICIARIES

BEFORE MID FEEDING OR AFTER 60 FEEDING DAYS

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

Overweight (OW)

Obeses (O)

TOTAL:

MID FEEDING OR AFTER 120 FEEDING DAYS

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

Overweight (OW)

Obeses (O)

TOTAL:

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C. PERCENTAGE ATTENDANCE

Month Month Month Month Month Month Month Month

0 1 2 3 4 5 6 7
(Aug) (Sept) (Oct) (Nov) (Dec) Average of
Months 1-7

% Attendance
of Beneficiaries

D. ISSUES ENCOUNTERED
(List down Top 5 or the major issues Encountered and Your relevant Actions Taken)

ISSUES ENCOUNTERED ACTIONS TAKEN

E. PROCUREMENT PROCESS

PROCUREMENT PROCESS Presence/Use of Documents

BIDDING SMALL VALUE RFQ PHILGEPS Abstract of PO or Official RER

PROCUREMENT Certificate Quotation Contract Receipt

Note: *use_ /_ if done/present *use_ X_ if not done/absent

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F. GOOD PRACTICES OR LESSONS LEARNED

(List down Top 5 Best Practices and Lessons Learned)

GOOD PRACTICES
It is a successful experience that works well and produce good results, which over time during the course
of implementation has been repeated and deserves to be shared so that a greater number of people can
adopt it and use as a model. These Practices are not the regular steps or procedures stipulated in the
guidelines but have effective and or helpful.

LESSONS LEARNED
Lessons learned are both the positive and negative experiences of which we discover opportunities for
improvement and recommendations. It also allows the team to discuss things that might have been
done differently, the root causes of problems that occured, and ways to avoid those problems in later
project stages.

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G. PERSONNEL INVOLVED
(List down the names of key personnel, officials, groups or organizations who in any form or manner
contributed to the success of the program)

Names of School Personnel Names of Parent Volunteers Names of PTA/ Parents

Name of NGOs, Civic Groups, Name of Officers, Members, Point

Organizations, etc Person of the NGOs, Civic Groups, Name of Barangay Officials
Organizations, etc

H. PICTORIALS
Notes: Use separate page
Use the standard SBFP photo documentation templates specifically:
- Pre-implementation Photo Documentation
-Monthly Photo Documentation and Progress Reports