PROMELYN BARBERO

	A	B	C	D	E	F	G	H	I	J	K	L	M	N
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I, PROMELYN BARBERO , 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										PROMELYN BARBERO
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	37 of mothers registered/ oriented			24 of mothers registered/ oriented			4	4	3	3.67
18		Prenatal Management	37 of mother with complete AP			22 of mother with complete AP			4	4	3	3.67
19		Birth Delivery Management	37 of Health Facility-Based delivery			29 of Health Facility-Based delivery			4	4	3	3.67
20		Post Partum Management	37 of Mother with post partum management			29 of Mother with post partum management			4	4	4	4.00
21	2. Child Health Services	Registration/Orientation (parents)	45 of parents counselled to child care & Management			45 of parents counselled to child care & Management			4	4	4	4.00
22		Child Care Management	45 of children complete child care management program			45 of children complete child care management program			4	4	4	4.00
23		Child Health Monitoring	0 of child Mortality			0 of child Mortality			5	5	5	5.00
24	3. Adolescent Health Services	Registration	278 of adolescent registered			278 of adolescent registered			4	4	4	4.00
25		Adolescent Care Management	128 of clients availed adolescent Care Management			128 of clients availed adolescent Care Management			4	4	4	4.00
26		Adolescent Health Monitoring	278 of adolescent monitored			278 of adolescent monitored			4	4	4	4.00
27	4. Adult Care Management	Registration/Orientation	450 of adult registered and oriented			450 of adult registered and oriented			4	4	4	4.00
28		Adult Care MAnagement	450 of clients availed adult care management			450 of clients availed adult care management			4	4	4	4.00
29		Adult Health Monitoring	35 of adult monitored			35 of adult monitored			4	4	4	4.00
30	5. Communicable Disease Survelliance Services	Surveillance & reporting of notifiable diseases	24 weekly notifiable diseas reported (as case arises			24 of weekly notifiable diseas reported			4	4	4	4.00
31		Validation/analysis of findings	6 of reports validated and analyzed (as case arises)			6 of reports validated and analyzed (as case arises)			4	4	4	4.00
32		Relay Warning/alarm respective authorities/agencies	15 reports relayed to respective authorities/agencies (as case arises)			5 of reports relayed to respective authorities/agencies			3	4	4	3.67
33		Documentation of responses	15 responses made (as case arises)			5 response made			3	4	4	3.67
34	6. Non-Communicable diseases	Profiling of non-communicable disease (NCD) clients	38 clients profiled			27 clients profiled			4	4	4	4.00
35		Routine screening and analysis of results	27 clients screened and result analyzed			27 clients screened and result analyzed			4	4	4	4.00
36		Giving of referral for maintenance medicines	27 clients provided referral for maintenance medicines			27 clients provided referral for maintenance medicines			4	4	4	4.00
37		Referrals	27 screened patients referred			27 screened patients referred			4	4	4	4.00
38		periodic monitoring and evaluation	27 of clients monitored and evaluated			27 of clients monitored and evaluated			4	4	4	4.00
39	7. Family Planning	Registration and Profiling	29 eligible client regestered and prfiled			29 of elibeble client regestered and prfiled			4	4	4	4.00
40	7. Family Planning	Enrollment to Family planning Program	140 of clients enrolled to family planning program			278 of clients enrolled to family planning program			5	5	5	5.00
41	9. Health emergency preparedness reponse & recovery	Informmation Campaign/ surveillance	12 Campaign/ surveillance conducted			12 Campaign/ surveillance conducted			4	4	4	4.00
42	Final Average Rating											4.01	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	PROMELYN BARBERO				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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