EDITHA F. NALZARO

	A	B	C	D	E	F	G	H	I	J	K	L	M	N
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I, EDITHA F. NALZARO , of the Municipal Health Office , commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period of JANUARY TO JUNE , 2018
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7										EDITHA F. NALZARO
8										Ratee
9										Date __________________________
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11	Received					Date	Approved by							Date
12	RAFAIDA G. HERNANDEZ, MD						ATTY. MARIA THERESA D. CONSTANTINO
13	Municipal Health Officer						Municipal Mayor
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15	MAJOR FINAL OUTPUT		Success Indicator (Target & Measure)			Actual Accomplishment			Rating				Remarks
16	MAJOR FINAL OUTPUT		Success Indicator (Target & Measure)			Actual Accomplishment			E1	E2	T3	A4	Remarks
17	1. maternal Health Services	Registration/Orientation	31 of mothers registered/ oriented			31 of mothers registered/ oriented			4	4	4	4.00
18		Prenatal Management	31 of mother with complete AP			31 of mother with complete AP			3	5	5	4.33
19		Birth Delivery Management	31 of Health Facility-Based delivery			30 of Health Facility-Based delivery			2	5	5	4.00
20		Post Partum Management	31 of Mother with post partum management			30 of Mother with post partum management			2	5	5	4.00
21	2. Child Health Services	Registration/Orientation (parents)	47 of parents counselled to child care & Management			47 of parents counselled to child care & Management			4	4	4	4.00
22		Child Care Management	47 of children complete child care management program			47 of children complete child care management program			4	5	5	4.67
23		Child Health Monitoring	47 of child Mortality			47 of child Mortality			4	5	5	4.67
24	3. Adolescent Health Services	Registration	38 of adolescent registered			38 of adolescent registered			4	5	5	4.67
25		Adolescent Care Management	38 of clients availed adolescent Care Management			38 of clients availed adolescent Care Management			4	5	5	4.67
26		Adolescent Health Monitoring	38 of adolescent monitored			38 of adolescent monitored			4	5	5	4.67
27	4. Adult Care Management	Registration/Orientation	106 of adult registered and oriented			106 of adult registered and oriented			3	5	5	4.33
28		Adult Care MAnagement	106 of clients availed adult care management			106 of clients availed adult care management			4	5	5	4.67
29		Adult Health Monitoring	106 of adult monitored			106 of adult monitored			4	4	4	4.00
30	5. Communicable Disease Survelliance Services	Surveillance & reporting of notifiable diseases	0 weekly notifiable diseas reported (as case arises			0 of weekly notifiable diseas reported			4	4	4	4.00
31		Validation/analysis of findings	0 of reports validated and analyzed (as case arises)			0 of reports validated and analyzed (as case arises)			4	4	4	4.00
32		Relay Warning/alarm respective authorities/agencies	0 reports relayed to respective authorities/agencies (as case arises)			0 of reports relayed to respective authorities/agencies			4	4	4	4.00
33		Documentation of responses	0 responses made (as case arises)			0 response made			4	4	4	4.00
34	6. Non-Communicable diseases	Profiling of non-communicable disease (NCD) clients	15 clients profiled			15 clients profiled			3	5	5	4.33
35		Routine screening and analysis of results	15 clients screened and result analyzed			15 clients screened and result analyzed			3	5	5	4.33
36		Giving of referral for maintenance medicines	15 clients provided referral for maintenance medicines			15 clients provided referral for maintenance medicines			3	5	5	4.33
37		Referrals	15 screened patients referred			15 screened patients referred			3	5	5	4.33
38		periodic monitoring and evaluation	15 of clients monitored and evaluated			15 of clients monitored and evaluated			4	4	4	4.00
39	7. Family Planning	Registration and Profiling	308 eligible client regestered and prfiled			308 of elibeble client regestered and prfiled			3	5	5	4.33
40	7. Family Planning	Enrollment to Family planning Program	308 of clients enrolled to family planning program			308 of clients enrolled to family planning program			3	4	4	3.67
41	9. Health emergency preparedness reponse & recovery	Informmation Campaign/ surveillance	4 Campaign/ surveillance conducted			4 Campaign/ surveillance conducted			3	5	5	4.33
42	Final Average Rating											4.25	Very Satisfactory
43	Comments and Recommendations for Development Purposes
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46	Discussed with			Date	Assessed by			Date		Final Rating by				Date
47					I certify that I discussed my assessment of the performance with the employee
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49	EDITHA F. NALZARO				RAFAIDA G. HERNANDEZ, MD					ATTY. MARIA THERESA D. CONSTANTINO
50	Ratee				Municipal Health Officer					Municipal Mayor
51	Legend 1 - Quantity 2 - Efficiency 3 - Timeliness 4 - Average
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