Quality Form

OK sa DepEd - School-Based Feeding Program (SBFP)

Program Terminal Report Form
(SBFP PTR - Form A)

Region/SDO: III/BULACAN Period Covered:

School Name and Address: F.V.R. PHASE 2 ELEMENTARY SCHOOL
Telephone Number: Mobile Number: 09685047263
Name of School Head: EVELINDA C. SANTOS, PhD Email Address: fvr2es158516@gma
School ID No.: 158516
A. ACCOMPLISHMENTS

1. SBFP Coverage: Total Number of Beneficiaries for Nutritious Food Products or Hot Meals
Pupils-at-Risk-of-Dropping-
Grade Level Sex All Kinder Severely Wasted Wasted Stunted Out (PARDOs)

M 9 0 0 0
Kinder F 9 0 0 0
Total 18 0 0 0
M 13 0 0 0
Grade 1 F 2 0 0 0
Total 15 0 0 0
M 6 0 0 0
Grade 2 F 2 0 0 0
Total 8 0 0 0
M 4 0 0 0
Grade 3 F 2 0 0 0
Total 6 0 0 0
M 4 0 0 0
Grade 4 F 1 0 0 0
Total 5 0 0 0
M 2 0 1 0
Grade 5 F 3 0 0 0
Total 5 0 1 0
M 1 0 0 0
Grade 6 F 4 0 0 0
Total 5 0 0 0
M 0 0 0 0
SPED F 0 0 0 0
Total 0 0 0 0
M 0 0 0 0
Multigrade F 0 0 0 0
Total 0 0 0 0
M 39 0 0 0
GRAND TOTAL
GRAND TOTAL F 23 0 0 0
Total 0 62 0 1 0

2. SBFP Coverage: Total Number of Beneficiaries for Milk sourced from NDA/PCC
Pupils-at-Risk-of-Dropping-
Grade Level Sex All Kinder Severely Wasted Wasted Stunted Out (PARDOs)

M 9 0 0 0
Kinder F 9 0 0 0
Total 0 18 0 0 0
M 13 0 0 0
Grade 1 F 2 0 0 0
Total 15 0 0 0
M 6 0 0 0
Grade 2 F 2 0 0 0
Total 8 0 0 0
M 4 0 0 0
Grade 3 F 2 0 0 0
Total 6 0 0 0
M 4 0 0 0
Grade 4 F 1 0 0 0
Total 5 0 0 0
M 2 0 1 0
Grade 5 F 3 0 0 0
Total 5 0 1 0
M 1 0 0 0
Grade 6 F 4 0 0 0
Total 5 0 0 0
M 0 0 0 0
SPED F 0 0 0 0
Total 0 0 0 0
M 0 0 0 0
Multigrade F 0 0 0 0
Total 0 0 0 0
M 39 0 0 0
GRAND TOTAL F 23 0 0 0
Total 0 62 0 1 0

3. SBFP Coverage: Total Number of Beneficiaries for Milk from Commercial Sources
Pupils-at-Risk-of-Dropping-
Grade Level Sex All Kinder Severely Wasted Wasted Stunted Out (PARDOs)

M
Kinder F
Total 0 0 0 0 0
 M
Grade 1 F
Total 0 0 0 0
M
Grade 2 F
Total 0 0 0 0
M
Grade 3 F
Total 0 0 0 0
M
Grade 4 F
Total 0 0 0 0
M
Grade 5 F
Total 0 0 0 0
M
Grade 6 F
Total 0 0 0 0
M
SPED F
Total 0 0 0 0
M
Multigrade F
Total 0 0 0 0
M
GRAND TOTAL F
Total 0 0 0 0 0

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

Pupils-at-Risk-of-Dropping-
Grade Level Sex All Kinder Severely Wasted Wasted Stunted Out (PARDOs)

M
Kinder F
Total 0 0 0 0 0
M
Grade 1 F
Total 0 0 0 0
M
Grade 2 F
Total 0 0 0 0
M
Grade 3 F
Total 0 0 0 0
M
Grade 4 F
Grade 4
Total 0 0 0 0
M
Grade 5 F
Total 0 0 0 0
M
Grade 6 F
Total 0 0 0 0
M
SPED F
Total 0 0 0 0
M
Multigrade F
Total 0 0 0 0
M
GRAND TOTAL F
Total 0 0 0 0 0

5. SBFP Coverage: Grand Total Number of Beneficiaries for Milk (All sources)
Pupils-at-Risk-of-Dropping-
Grade Level Sex All Kinder Severely Wasted Wasted Stunted Out (PARDOs)

M
Kinder F
Total 0 0 0 0 0
M
Grade 1 F
Total 0 0 0 0
M
Grade 2 F
Total 0 0 0 0
M
Grade 3 F
Total 0 0 0 0
M
Grade 4 F
Total 0 0 0 0
M
Grade 5 F
Total 0 0 0 0
M
Grade 6 F
Total 0 0 0 0
M
SPED F
Total 0 0 0 0
 M
Multigrade F
Total 0 0 0 0
M
GRAND TOTAL F
Total 0 0 0 0 0

6. Nutritional Status Before and After Feeding - BMI

Before Feeding
Severely Wasted Wasted Normal
RO Sex
No. % No. % No.

M 9 100 0 0 0
Kinder F 9 100 0 0 0
Total 18 100 0 0 0
M 13 100 0 0 0
Grade 1 F 2 100 0 0 0
Total 15 100 0 0 0
M 6 100 0 0 0
Grade 2 F 2 100 0 0 0
Total 8 100 0 0 0
M 4 100 0 0 0
Grade 3 F 2 100 0 0 0
Total 6 100 0 0 0
M 4 100 0 0 0
Grade 4 F 1 100 0 0 0
Total 5 100 0 0 0
M 2 100 0 0 0
Grade 5 F 3 100 0 0 0
Total 5 100 0 0 0
M 1 100 0 0 0
Grade 6 F 4 100 0 0 0
Total 5 100 0 0 0
M 0 0 0
SPED F 0 0 0
Total 0 0 0
M 0 0 0
Multigrade F 0 0 0
Total 0 0 0
M 39 100 0 0 0
GRAND TOTAL F 23 100 0 0 0
Total 62 100 0 0 0

7. Nutritional Status Before and After Feeding - HFA

Before Feeding

RO Sex
 Severely Stunted Stunted Normal
RO Sex
No. % No. % No.

M 4 44.4444 3 33.3333 2
Kinder F 4 44.4444 0 0 5
Total 8 44.4444 3 16.6667 7
M 2 15.3846 1 7.69231 10
Grade 1 F 1 50 0 0 1
Total 3 20 1 6.66667 11
M 0 0 0 0 6
Grade 2 F 0 0 0 0 2
Total 0 0 0 0 8
M 1 25 0 0 3
Grade 3 F 0 0 1 50 1
Total 1 16.6667 1 16.6667 4
M 2 50 1 25 1
Grade 4 F 0 0 0 0 1
Total 2 40 1 20 2
M 0 0 0 0 2
Grade 5 F 0 0 0 0 3
Total 0 0 0 0 5
M 0 0 0 0 1
Grade 6 F 0 0 1 25 3
Total 0 0 1 20 4
M 0 0 0
SPED F 0 0 0
Total 0 0 0
M 0 0 0
Multigrade F 0 0 0
Total 0 0 0
M 9 23.0769 5 12.8205 25
GRAND TOTAL F 5 21.7391 2 8.69565 16
Total 14 22.5806 7 11.2903 41

8. Profile of Beneficiaries

Grade Level Sex Target No. Actual No. % No. Dewormed %

M 9 9 100 9 100
Kinder F 9 9 100 9 100
Total 18 18 100 18 100
M 13 13 100 13 100
Grade 1 F 2 2 100 2 100
Total 15 15 100 15 100
M 6 6 100 6 100
Grade 2 F 2 2 100 2 100
Grade 2
Total 8 8 100 8 100
M 4 4 100 4 100
Grade 3 F 2 2 100 2 100
Total 6 6 100 6 100
M 4 4 100 4 100
Grade 4 F 1 1 100 1 100
Total 5 5 100 5 100
M 2 2 100 2 100
Grade 5 F 3 3 100 3 100
Total 5 5 100 5 100
M 1 1 100 1 100
Grade 6 F 4 4 100 4 100
Total 5 5 100 5 100
M 0 0 0
SPED F 0 0 0
Total 0 0 0
M 0 0 0
Multigrade F 0 0 0
Total 0 0 0
M 39 39 100 39 100
GRAND TOTAL F 23 23 100 23 100
Total 62 62 100 62 100

9. Percentage Attendance

SDOs Sex
0 % 1 % 2

M 9 100 9 100 9
Kinder F 9 100 9 100 9
Total 18 100 18 100 18
M 13 100 13 100 13
Grade 1 F 2 100 2 100 2
Total 15 100 15 100 15
M 6 100 6 100 6
Grade 2 F 2 100 2 100 2
Total 8 100 8 100 8
M 4 100 4 100 4
Grade 3 F 2 100 2 100 2
Total 6 100 6 100 6
M 4 100 4 100 4
Grade 4 F 1 100 1 100 1
Total 5 100 5 100 5
M 2 100 2 100 2
Grade 5 F 3 100 3 100 3
Total 5 100 5 100 5
 M 1 100 1 100 1
Grade 6 F 4 100 4 100 4
Total 5 100 5 100 5
M 0 0 0
SPED F 0 0 0
Total 0 0 0
M 0 0 0
Multigrade F 0 0 0
Total 0 0 0
M 39 100 39 100 39
GRAND TOTAL F 23 100 23 100 23
Total 62 100 62 100 62

10. Completion Rate M F Total

Number of beneficiaries at the start of feeding: 43 19 62
Number of beneficiaries after feeding: 43 19 62
Percentage ( # of beneficiaries at the start ÷ # of beneficiaries after feeding) X 100% 100 100 100

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

No. of Feeding Days
Hot meals
Nutritious Food Products No. of Feeding Days
Enutribun / 155
Milky Bun / 155
Fortified/Enriched Bread / 155
Fruits / Fruit Products
Rootcrops
Vegetables
Nutripacks / 155
Cereals/Grains / 155

Milk No. of Feeding Days

Fresh Milk / 43
Sterilized Milk
Commercial Milk
Provided by Partner

12. SBFP Funds (for those with downloaded funds)

Tranches Amount Received from RO Funds Utilized Percent Utilization

Total: 0 0
 B. DONATIONS/ RESOURCES GENERATED
(Add Additional Sheets, if needed)
Partner & Type of Donations/Services Provided Quantity (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 i
school?
Parent's orientation about School-Based Feeding Program BHW, Barangay Officials,
Distribution of Food Packs PTA Officers, Teachers, School Head Awareness abou
Student Beneficiaries
Improve the nutritiona

D. LESSONS LEARNED G. SUGGESTIONS TO STRENGTH

that can increase the impact of OK sa DepEd Prog
Provide all schools with rec
Always gather from parents particularly on the food distribution and food consumption of the beneficiaries.

E. PROPOSED PLAN OF ACTION AND RECOMMENDATIONS

Revisit the implementation process. I do hope that the number of feeding days will be extended.

F. PHOTOS (Before, During and After)

Prepared by: Noted:

AIKO S. VICENTE E
School Feeding Focal Person Sc
Date:
 Document Code:

Revision:

Effectivity date: 06-1-2024

BLSS-School Health Division

ber: 09685047263
ss: fvr2es158516@gmail.com

Pupils-at-Risk-of-Dropping- Last Mile Schools (with less

Out (PARDOs) Indigenous Peoples Indigent Learners than 100) TOTAL

0 0 0 9
0 0 0 9
0 0 0 18 18
0 0 0 13
0 0 0 2
0 0 0 15 15
0 0 0 6
0 0 0 2
0 0 0 8 8
0 0 0 4
0 0 0 2
0 0 0 6 6
0 0 0 4
0 0 0 1
0 0 0 5 5
0 0 0 3
0 0 0 3
0 0 0 6 6
0 0 0 1
0 0 0 4
0 0 0 5 5
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 39
 0 0 0 23
0 0 0 63 63

Pupils-at-Risk-of-Dropping- Last Mile Schools (with less

Out (PARDOs) Indigenous Peoples Indigent Learners than 100) TOTAL

0 0 0 9
0 0 0 9
0 0 0 18 18
0 0 0 13
0 0 0 2
0 0 0 15 15
0 0 0 6
0 0 0 2
0 0 0 8 8
0 0 0 4
0 0 0 2
0 0 0 6 6
0 0 0 4
0 0 0 1
0 0 0 5 5
0 0 0 3
0 0 0 3
0 0 0 6 6
0 0 0 1
0 0 0 4
0 0 0 5 5
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 39
0 0 0 23
0 0 0 63 63

Pupils-at-Risk-of-Dropping- Last Mile Schools (with less

Out (PARDOs) Indigenous Peoples Indigent Learners than 100) TOTAL

0
0
0 0 0 0 0
 0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0

Pupils-at-Risk-of-Dropping- Last Mile Schools (with less

Out (PARDOs) Indigenous Peoples Indigent Learners than 100) TOTAL

0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
 0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0

Pupils-at-Risk-of-Dropping- Last Mile Schools (with less

Out (PARDOs) Indigenous Peoples Indigent Learners than 100) TOTAL

0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
0
0
0 0 0 0 0
 0
0
0 0 0 0 0
0
0
0 0 0 0 0

Before Feeding
Normal Overweight Obese Severely Wasted
Total
% No. % No. % No.

0 0 0 0 9 0
0 0 0 0 9 0
0 0 0 0 0 18 0
0 0 0 0 13 0
0 0 0 0 2 0
0 0 0 0 0 15 0
0 0 0 0 0 6 0
0 0 0 0 0 2 0
0 0 0 0 0 8 0
0 0 0 0 0 4 0
0 0 0 0 0 2 0
0 0 0 0 0 6 0
0 0 0 0 0 4 0
0 0 0 0 0 1 0
0 0 0 0 0 5 0
0 0 0 0 0 2 0
0 0 0 0 0 3 0
0 0 0 0 0 5 0
0 0 0 0 0 1 0
0 0 0 0 0 4 0
0 0 0 0 0 5 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 39 0
0 0 0 0 0 23 0
0 0 0 0 0 62 0

A
Tot
al
Normal Tall Tot Severely Stunted Stunted
al
% No. % No. % No.

22.22222 0 0 9 2 22.2222222222 1
55.55556 0 0 9 1 11.1111111111 1
38.88889 0 0 18 3 16.6666666667 2
76.92308 0 0 13 0 0 2
50 0 0 2 0 0 0
73.33333 0 0 15 0 0 2
100 0 0 6 0 0 0
100 0 0 2 0 0 0
100 0 0 8 0 0 0
75 0 0 4 0 0 1
50 0 0 2 0 0 0
66.66667 0 0 6 0 0 1
25 0 0 4 0 0 0
100 0 0 1 0 0 0
40 0 0 5 0 0 0
100 0 0 2 0 0
100 0 0 3 0 0 0
100 0 0 5 0 0 0
100 0 0 1 0 0 0
75 0 0 4 0 0 0
80 0 0 5 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
64.10256 0 0 39 2 4.6511627907 4
69.56522 0 0 23 1 5.26315789474 1
66.12903 0 0 62 3 4.83870967742 5

No. of Repeaters from

No of 4Ps Beneficiaries % %
Previous Years
0 0 0 0
0 0 0 0
0 0 0 0
0 0 4 30.7692
0 0 0 0
0 0 4 26.6667
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 1 25
0 0 0 0
0 0 1 16.6667
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 \
0 0 5 12.8205
0 0 0 0
0 0 5 8.06452

MONTHS

% 3 % 4 % 5

100 9 100 9 100 9

100 9 100 9 100 9
100 18 100 18 100 18
100 13 100 13 100 13
100 2 100 2 100 2
100 15 100 15 100 15
100 6 100 6 100 6
100 2 100 2 100 2
100 8 100 8 100 8
100 4 100 4 100 4
100 2 100 2 100 2
100 6 100 6 100 6
100 4 100 4 100 4
100 1 100 1 100 1
100 5 100 5 100 5
100 2 100 2 100 2
100 3 100 3 100 3
100 5 100 5 100 5
 100 1 100 1 100 1
100 4 100 4 100 4
100 5 100 5 100 5
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 39 100 39 100 39
100 23 100 23 100 23
100 62 100 62 100 62

Percent Utilization (col 3/2*100%)

e) Estimated Cost (if applicable)

MS/

Outcome: What is/are its important contribution to the School-Based Feeding Program of the
school?

Awareness about the importance of SBFP, the benefits of eating Nutritious food

Improve the nutritional status, provide nourishments on their growth and development and
help boost their immune system.

STIONS TO STRENGTHEN SBFP (Include support needed from Central, Region, and Division Office
the impact of OK sa DepEd Program in the schools)
Provide all schools with recommended weighing and height measurement scales.

EVELINDA C. SANTOS, PhD

Schools Division Superintendent
 After Feeding
Severely Wasted Wasted Normal

No. % No. % No. %

0 0 2 11.764705882 15 88.235294118
0 0 0 0 6 100
0 0 2 8.6956521739 21 91.304347826
0 0 1 6.6666666667 14 93.333333333
0 0 0 0 6 100
0 0 1 4.7619047619 20 95.238095238
0 0 0 0 7 100
0 0 0 0 3 100
0 0 0 0 10 100
0 0 1 33.333333333 2 66.666666667
0 0 0 0 1 100
0 0 1 25 3 75
0 0 0 0 1 100
0 0 0 0 2 100
0 0 0 0 3 100
0 0 0
0 0 0 0 1 100
0 0 0 0 1 100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 4 9.3023255814 39 90.697674419
0 0 0 0 19 100
0 0 4 6.4516129032 58 93.548387097

After Feeding
 Stunted Normal Tall

No. % No. % No. %

1 11.111111111 3 33.333333333 3 33.333333333

1 11.111111111 7 77.777777778 0 0
2 11.111111111 10 55.555555556 3 16.666666667
2 15.384615385 11 84.615384615 0 0
0 0 2 100 0 0
2 13.333333333 13 86.666666667 0 0
0 0 6 100 0 0
0 0 2 100 0 0
0 0 10 100 0 0
1 25 3 75 0 0
0 0 2 100 0 0
1 16.666666667 5 83.333333333 0 0
0 0 4 100 0 0
0 0 1 100 0 0
0 0 5 100 0 0
0 0 0
0 0 1 100 0 0
0 0 1 100 0 0
0 0 1 100 0 0
0 0 4 100 0 0
0 0 5 100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 9.3023255814 34 79.069767442 3 6.976744186
1 5.2631578947 17 89.473684211 0 0
5 8.064516129 51 82.258064516 3 4.8387096774
MONTHS

% 6 % 7 % 8

100 9 100 9 100 9

100 9 100 9 100 9
100 18 100 18 100 18
100 13 100 13 100 13
100 2 100 2 100 2
100 15 100 15 100 15
100 6 100 6 100 6
100 2 100 2 100 2
100 8 100 8 100 8
100 4 100 4 100 4
100 2 100 2 100 2
100 6 100 6 100 6
100 4 100 4 100 4
100 1 100 1 100 1
100 5 100 5 100 5
100 2 100 2 100 2
100 3 100 3 100 3
100 5 100 5 100 5
100 1 100 1 100 1
100 4 100 4 100 4
100 5 100 5 100 5
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 39 100 39 100 39
100 23 100 23 100 23
100 62 100 62 100 62
 Overweight Obese
Total
No. % No. %

0 0 0 0 17
0 0 0 0 6
0 0 0 0 23
0 0 0 0 15
0 0 0 0 6
0 0 0 0 21
0 0 0 0 7
0 0 0 0 3
0 0 0 0 10
0 0 0 0 3
0 0 0 0 1
0 0 0 0 4
0 0 0 0 1
0 0 0 0 2
0 0 0 0 3
0 0 0
0 0 0 0 1
0 0 0 0 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 43
0 0 0 0 19
0 0 0 0 62

Total
Total

9
9
18
13
2
15
6
2
10
4
2
6
4
1
5
0
1
1
1
4
5
0
0
0
0
0
0
43
19
62
8 % 9 %

9 100 9 100
9 100 9 100
18 100 18 100
13 100 13 100
2 100 2 100
15 100 15 100
6 100 6 100
2 100 2 100
8 100 8 100
4 100 4 100
2 100 2 100
6 100 6 100
4 100 4 100
1 100 1 100
5 100 5 100
2 100 2 100
3 100 3 100
5 100 5 100
1 100 1 100
4 100 4 100
5 100 5 100
0 0
0 0
0 0
0 0
0 0
0 0
39 100 39 100
23 100 23 100
62 100 62 100