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 , 2018
3
4
5
6
7										Ma. NORELYN BALLARES
8										Ratee
9										Date __________________________
10
11	Received					Date	Approved by							Date
12	RAFAIDA G. HERNANDEZ, MD						ATTY. MARIA THERESA D. CONSTANTINO
13	Municipal Health Officer						Municipal Mayor
14
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	110 of mothers registered/ oriented			106 of mothers registered/ oriented			4	4	4	4.00
18		Prenatal Management	110 of mother with complete AP			64 of mother with complete AP			4	4	4	4.00
19		Birth Delivery Management	110 of Health Facility-Based delivery			91 of Health Facility-Based delivery			4	4	4	4.00
20		Post Partum Management	110 of Mother with post partum management			94 of Mother with post partum management			4	4	4	4.00
21	2. Child Health Services	Registration/Orientation (parents)	890 of parents counselled to child care & Management			844 of parents counselled to child care & Management			4	4	4	4.00
22		Child Care Management	890 of children complete child care management program			844 of children complete child care management program			4	4	4	4.00
23		Child Health Monitoring	0 of child Mortality			2 of child Mortality			3	3	3	3.00
24	3. Adolescent Health Services	Registration	278 of adolescent registered			250 of adolescent registered			4	4	4	4.00
25		Adolescent Care Management	278 of clients availed adolescent Care Management			250 of clients availed adolescent Care Management			4	4	4	4.00
26		Adolescent Health Monitoring	278 of adolescent monitored			250 of adolescent monitored			4	4	4	4.00
27	4. Adult Care Management	Registration/Orientation	1058 of adult registered and oriented			971 of adult registered and oriented			4	4	4	4.00
28		Adult Care MAnagement	1058 of clients availed adult care management			971 of clients availed adult care management			4	4	4	4.00
29		Adult Health Monitoring	1058 of adult monitored			971 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)			15 of reports relayed to respective authorities/agencies			4	4	4	4.00
33		Documentation of responses	25 responses made (as case arises)			15 response made			4	4	4	4.00
34	6. Non-Communicable diseases	Profiling of non-communicable disease (NCD) clients	115 clients profiled			115 clients profiled			4	4	4	4.00
35		Routine screening and analysis of results	52 clients screened and result analyzed			45 clients screened and result analyzed			4	4	4	4.00
36		Giving of referral for maintenance medicines	52 clients provided referral for maintenance medicines			45 clients provided referral for maintenance medicines			4	4	4	4.00
37		Referrals	52 screened patients referred			45 screened patients referred			4	4	4	4.00
38		periodic monitoring and evaluation	52 of clients monitored and evaluated			45 of clients monitored and evaluated			4	4	4	4.00
39	7. Family Planning	Registration and Profiling	971 eligible client regestered and prfiled			950 of elibeble client regestered and prfiled			5	5	4	4.67
40	7. Family Planning	Enrollment to Family planning Program	971 of clients enrolled to family planning program			950 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											4.03	Very Satisfactory
43
44	Comments and Recommendations for Development Purposes
45
46
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
49
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
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100