SCHOOL LEVEL PLAN OF ACTION FORMAT

SAMPLE ONLY (Master Resource Person can prepare / design different type of format for planning, understanding gaps, addressing gaps witin a specific timeline in coordination with different departments and stakeholders

S.No / Indicator / Sub Indicator / Status / Existing facility and structure / Gaps to be address / Estimated Budget / Departments / Key stakeholders / Role of Master Resource Person / Timeline / Activities to be performed
1 / WATER / Treated / Purified Drinking Water
Water for Mid Day Meal
Water for Hand Wash before MDM
Water for Sanitation (Toilet, Urinals and Hand Wash taps in toilets)
School Maintenance (Kitchen garden, etc)
2 / Sanitation / Toilet 40:1
Urinals 40:3
Menstrual Hygiene Management
3 / Hand Hygiene during MDM / 10:1 Taps
4 / O & M / System for daily, weekley and monthly monitoring (Register, and documents)
Monitoring person details mentioned in board / paper
Sanitation committee with children is in place
Resources for cleaning
5 / Capacity Building / Trained Teachers
Trained Peer groups on MHM
Trained Child Club members
Trained MDM Cook Cum Helper on Hygiene
Trained SMCs
Behavior Change Communication / Children

Sample filled in format for understanding

S.No / Indicator / Sub Indicator / Status / Existing facility and structure / Gaps to be address / Estimated Budget / Departments / Key stakeholders / Role of Master Resource Person / Timeline / Activities to be performed
1 / WATER / Treated / Purified Drinking Water / Storage tank is required with 1000 lts capacity / INR. 10,000/- / SMC
Panchayat
Community members / Advocacy with SMC, Sarpanch, Community to mobilize funds and address the issue / 10th October / Explaining the importance to the SMCs
Convincing the community to support
Water for Mid Day Meal
Water for Hand Wash before MDM
Water for Sanitation (Toilet, Urinals and Hand Wash taps in toilets)
School Maintenance (Kitchen garden, etc)
2 / Sanitation / Toilet 40:1 / Only 2 boys toilets available and 4 required
3 are not functional and renovation required
Urinals 40:3 / 8 Urinals are required and proper drainage facility connection is required
Menstrual Hygiene Management / No dust bin
No disposal mechanism
No pads are available / Arranging dust bin
Additional small structure construction, connected to girls toilets
Mobilizing and purchasing pads for emergency / Educating adolescent girls and Women groups in Community on importance of MHM and mobilizing resources to improve facilities
3 / Hand Hygiene during MDM / 10:1 Taps
4 / O & M / System for daily, weekley and monthly monitoring (Register, and documents)
Monitoring person details mentioned in board / paper
Sanitation committee with children is in place
Resources for cleaning
5 / Capacity Building / Trained Teachers / Not required
(with in school remises can organize) / Half a day orientation will be organized frequently
Trained Peer groups on MHM / Not required
(with in school remises can organize) / Training program will be organized
Trained Child Club members / Not required
(with in school remises can organize) / Committees will be formed, oriented and strengthened
Trained MDM Cook Cum Helper on Hygiene / Not required
(with in school remises can organize) / One day hygiene training will be organized
Trained SMCs / Not required
(with in school remises can organize) / One day training program will be organized
Behavior Change Communication / Children / Not required
(with in school remises can organize)