SBFP PTR Template
SBFP PTR Template
Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-1-2021
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
Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-1-2021
1st
Total:
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
Analysis:
Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-1-2021
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
Approved:
District Supervisor