MARY JEAN P. SARMILLO

	A	B	C	D	E	F	G	H	I	J	K	L	M	N
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I, MARY JEAN P. SARMILLO , 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										MARY JEAN SARMILLO
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	17 of mothers registered/ oriented			24 of mothers registered/ oriented			4	5	5	4.67
18		Prenatal Management	17 of mother with complete AP			24 of mother with complete AP			4	5	5	4.67
19		Birth Delivery Management	17 of Health Facility-Based delivery			17 of Health Facility-Based delivery			4	5	5	4.67
20		Post Partum Management	17 of Mother with post partum management			17 of Mother with post partum management			4	5	5	4.67
21	2. Child Health Services	Registration/Orientation (parents)	40 of parents counselled to child care & Management			101 of parents counselled to child care & Management			4	5	5	4.67
22		Child Care Management	40 of children complete child care management program			101 of children complete child care management program			4	5	5	4.67
23		Child Health Monitoring	40 of child Mortality			41 of child Mortality			4	5	5	4.67
24	3. Adolescent Health Services	Registration	125 of adolescent registered			235 of adolescent registered			4	5	5	4.67
25		Adolescent Care Management	125 of clients availed adolescent Care Management			235 of clients availed adolescent Care Management			4	5	5	4.67	as cases arised
26		Adolescent Health Monitoring	125 of adolescent monitored			135 of adolescent monitored			4	5	5	4.00
27	4. Adult Care Management	Registration/Orientation	400 of adult registered and oriented			460 of adult registered and oriented			4	5	5	4.67
28		Adult Care MAnagement	400 of clients availed adult care management			460 of clients availed adult care management			4	5	5	4.67
29		Adult Health Monitoring	400 of adult monitored			460 of adult monitored			4	5	5	4.67
30	5. Communicable Disease Survelliance Services	Surveillance & reporting of notifiable diseases	24 weekly notifiable diseas reported (as case arises			34 of weekly notifiable diseas reported			4	5	5	4.67
31		Validation/analysis of findings	24 of reports validated and analyzed (as case arises)			24 of reports validated and analyzed (as case arises)			4	5	5	4.67
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	5	5	4.67
33		Documentation of responses	0 responses made (as case arises)			0 response made			4	5	5	4.67
34	6. Non-Communicable diseases	Profiling of non-communicable disease (NCD) clients	20 clients profiled			20 clients profiled			4	5	5	4.67
35		Routine screening and analysis of results	20 clients screened and result analyzed			20 clients screened and result analyzed			4	5	5	4.67
36		Giving of referral for maintenance medicines	20 clients provided referral for maintenance medicines			35 clients provided referral for maintenance medicines			4	5	5	4.67
37		Referrals	20 screened patients referred			35 screened patients referred			4	5	5	4.67
38		periodic monitoring and evaluation	30 of clients monitored and evaluated			30 of clients monitored and evaluated			4	5	5	4.67
39	7. Family Planning	Registration and Profiling	130 eligible client regestered and prfiled			137 of elibeble client regestered and prfiled			4	5	5	4.67
40	7. Family Planning	Enrollment to Family planning Program	130 of clients enrolled to family planning program			137 of clients enrolled to family planning program			4	5	5	4.67
41	9. Health emergency preparedness reponse & recovery	Informmation Campaign/ surveillance	0 Campaign/ surveillance conducted			0 Campaign/ surveillance conducted			4	5	5	4.67
42	Final Average Rating											4.64	Very Satisfactory
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44	Comments and Recommendations for Development Purposes
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47	Discussed with			Date	Assessed by			Date		Final Rating by				Date
48					I certify that I discussed my assessment of the performance with the employee
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50	MARY JEAN P. SARMILLO				RAFAIDA G. HERNANDEZ, MD					ATTY. MARIA THERESA D. CONSTANTINO
51	Ratee				Municipal Health Officer					Municipal Mayor
52	Legend 1 - Quantity 2 - Efficiency 3 - Timeliness 4 - Average
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