GUMERSINDA BRIGOLE

	A	B	C	D	E	F	G	H	I	J	K	L	M	N
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I, GUMERSINDA BRIGOLE , 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										GUMESINDA BRIGOLE
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	36 of mothers registered/ oriented			39 of mothers registered/ oriented			5	5	4	4.67
18		Prenatal Management	36 of mother with complete AP			39 of mother with complete AP			4	5	5	4.67
19		Birth Delivery Management	36 of Health Facility-Based delivery			16 of Health Facility-Based delivery			4	5	5	4.67
20		Post Partum Management	36 of Mother with post partum management			16 of Mother with post partum management			4	5	5	4.67
21	2. Child Health Services	Registration/Orientation (parents)	26 of parents counselled to child care & Management			39 of parents counselled to child care & Management			4	4	4	4.00
22		Child Care Management	79 of children complete child care management program			79 of children complete child care management program			4	5	5	4.67
23		Child Health Monitoring	0 of child Mortality			0 of child Mortality			4	5	5	4.67
24	3. Adolescent Health Services	Registration	190 of adolescent registered			170 of adolescent registered			4	5	5	4.67
25		Adolescent Care Management	190 of clients availed adolescent Care Management			170 of clients availed adolescent Care Management			4	4	4	4.00
26		Adolescent Health Monitoring	190 of adolescent monitored			170 of adolescent monitored			4	4	4	4.00
27	4. Adult Care Management	Registration/Orientation	73 of adult registered and oriented			70 of adult registered and oriented			4	4	4	4.00
28		Adult Care MAnagement	73 of clients availed adult care management			70 of clients availed adult care management			4	5	5	4.67
29		Adult Health Monitoring	73 of adult monitored			73 of adult monitored			4	5	5	4.67
30	5. Communicable Disease Survelliance Services	Surveillance & reporting of notifiable diseases	79 weekly notifiable diseas reported (as case arises			79 of weekly notifiable diseas reported			4	4	4	4.00
31		Validation/analysis of findings	79 of reports validated and analyzed (as case arises)			79 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	1 responses made (as case arises)			1 response made			4	4	4	4.00
34	6. Non-Communicable diseases	Profiling of non-communicable disease (NCD) clients	22 clients profiled			22 clients profiled			4	5	5	4.67
35		Routine screening and analysis of results	22 clients screened and result analyzed			22 clients screened and result analyzed			5	4	4	4.33
36		Giving of referral for maintenance medicines	5 clients provided referral for maintenance medicines			5 clients provided referral for maintenance medicines			5	4	4	4.33
37		Referrals	5 screened patients referred			5 screened patients referred			5	4	4	4.33
38		periodic monitoring and evaluation	2 of clients monitored and evaluated			2 of clients monitored and evaluated			5	4	4	4.33
39	7. Family Planning	Registration and Profiling	152 eligible client regestered and prfiled			314 of elibeble client regestered and prfiled			5	5	5	5.00
40	7. Family Planning	Enrollment to Family planning Program	152 of clients enrolled to family planning program			152 of clients enrolled to family planning program			5	5	5	5.00
41	9. Health emergency preparedness reponse & recovery	Informmation Campaign/ surveillance	3 Campaign/ surveillance conducted			3 Campaign/ surveillance conducted			3	5	5	4.33
42	Final Average Rating											4.41	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	GUMERSINDA BRIGOLE				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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