Ma. NORELYN BALLARES

	A	B	C	D	E	F	G	H	I	J	K	L	M	N
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I, Ma. NORELYN BALLARES, 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 , 2021
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7										Ma. NORELYN BALLARES
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	20 of mothers registered/ oriented			21 of mothers registered/ oriented			2	5	5	4.00
18		Prenatal Management	20 of mother with complete AP			21 of mother with complete AP			2	5	5	4.00
19		Birth Delivery Management	20 of Health Facility-Based delivery			21 of Health Facility-Based delivery			2	5	5	4.00
20		Post Partum Management	20 of Mother with post partum management			21 of Mother with post partum management			2	5	5	4.00
21	2. Child Health Services	Registration/Orientation (parents)	20 of parents counselled to child care & Management			21 of parents counselled to child care & Management			2	5	5	4.00
22		Child Care Management	20 of children complete child care management program			21 of children complete child care management program			2	5	5	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	352 of adolescent registered			348 of adolescent registered			2	5	5	4.00
25		Adolescent Care Management	352 of clients availed adolescent Care Management			348 of clients availed adolescent Care Management			2	5	5	4.00
26		Adolescent Health Monitoring	352 of adolescent monitored			348 of adolescent monitored			2	5	5	4.00
27	4. Adult Care Management	Registration/Orientation	252 of adult registered and oriented			224 of adult registered and oriented			2	5	5	4.00
28		Adult Care MAnagement	252 of clients availed adult care management			224 of clients availed adult care management			2	5	5	4.00
29		Adult Health Monitoring	252 of adult monitored			224 of adult monitored			2	5	5	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			2	5	5	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)			2	5	5	4.00
32		Relay Warning/alarm respective authorities/agencies	6 reports relayed to respective authorities/agencies (as case arises)			6 of reports relayed to respective authorities/agencies			2	5	5	4.00
33		Documentation of responses	6 responses made (as case arises)			6 response made			2	5	5	4.00
34	6. Non-Communicable diseases	Profiling of non-communicable disease (NCD) clients	241 clients profiled			241 clients profiled			2	5	5	4.00
35		Routine screening and analysis of results	27 clients screened and result analyzed			27 clients screened and result analyzed			2	5	5	4.00
36		Giving of referral for maintenance medicines	27 clients provided referral for maintenance medicines			27 clients provided referral for maintenance medicines			2	5	5	4.00
37		Referrals	27 screened patients referred			27 screened patients referred			2	5	5	4.00
38		periodic monitoring and evaluation	27 of clients monitored and evaluated			27 of clients monitored and evaluated			2	3	5	3.33
39	7. Family Planning	Registration and Profiling	539 eligible client regestered and prfiled			588 of elibeble client regestered and prfiled			5	3	5	4.33
40	7. Family Planning	Enrollment to Family planning Program	539 of clients enrolled to family planning program			588 of clients enrolled to family planning program			5	3	5	4.33
41	9. Health emergency preparedness reponse & recovery	Informmation Campaign/ surveillance	6 Campaign/ surveillance conducted			6 Campaign/ surveillance conducted			3	3	5	3.67
42	Final Average Rating											4.03	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	Ma. NORELYN BALLARES				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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