INTEGRATED SCHOOL NUTRITION MODEL

ACCOMPLISHMENT REPORT
(To be accomplished by the Lighthouse Schools)

Region/Division: Period Covered:

Name of School:
Telephone/Mobile Number: Email Address:

A. NUTRITIONAL STATUS FOR 2 YEARS (Current & Previous Year)

1. SY_________________

Body Mass Index-for-

Number of Learners Height-For-Age Number of Learners
Age/Weight-for-Age

Severly Wasted/Severely Underweight Severely Stunted

Wasted/Underweight Stunted
Normal Normal
Overweight Tall
Obese
TOTAL:

2. SY_________________

Body Mass Index-for-

Age/Weight-for-Age Number of Learners Height-For-Age Number of Learners

Severly
Wasted/Severely
Underweight Severely Stunted

Wasted/ Underweight Stunted

Normal Normal
Overweight Tall
Obese
TOTAL:

B. GPP IMPLEMENTATION

List of Vegetable No. of Kilos Used for No. of Seedlings No. of Seeds/Seedlings
No. of Kilos Produced
Planted Feeding Propagated Distributed
List of Schools Given Kinds of Planting List of Families Given Kinds of Planting
Planting Materials Material Given Planting Materials Materials Given

List of Indigenous Vegetables in the Crop Museum

C. SBFP IMPLEMENTATION

No. of Target No. of Actual No. of 4Ps No. of Feeding Days

No. of Repeaters
Beneficiaries Beneficiaries Beneficiaries Completed

D. NUTRITION EDUCATION IMPLEMENTATION

Activities Conducted on Nutrition Education

E. GARDEN LINK TO NUTRITION EDUCATION

Activities conducted using the garden as learning laboratory for learners and their parents.
F. LIST/PICTURES OF INDIGENOUS VEGETABLES

G. ISSUES AND CONCERN

H. GOOD PRACTICES

I. AREAS FOR IMPROVEMENT

Prepared by: Date:

Name of Designation
Submit completed form to the SDO by 1st week of April/ RO by 3rd week of April/ CO by 1st week of May.