TERESA C. GAGULA

	A	B	C	D	E	F	G	H	I	J	K	L	M	N
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I, TERESA C. GAGULA, 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										TERESA C. GAGULA
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	29 of mothers registered/ oriented			23 of mothers registered/ oriented			3	4	4	3.67
18		Prenatal Management	29 of mother with complete AP			16 of mother with complete AP			4	4	3	3.67
19		Birth Delivery Management	29 of Health Facility-Based delivery			20 of Health Facility-Based delivery			4	4	3	3.67
20		Post Partum Management	29 of Mother with post partum management			21 of Mother with post partum management			4	4	3	3.67
21	2. Child Health Services	Registration/Orientation (parents)	27 of parents counselled to child care & Management			27 of parents counselled to child care & Management			4	5	5	4.67
22		Child Care Management	29 of children complete child care management program			82 of children complete child care management program			5	5	5	5.00
23		Child Health Monitoring	0 of child Mortality			0 of child Mortality			5	5	5	5.00
24	3. Adolescent Health Services	Registration	51 of adolescent registered			51 of adolescent registered			4	4	4	4.00
25		Adolescent Care Management	38 of clients availed adolescent Care Management			38 of clients availed adolescent Care Management			4	4	4	4.00
26		Adolescent Health Monitoring	69 of adolescent monitored			69 of adolescent monitored			4	4	3	4.00
27	4. Adult Care Management	Registration/Orientation	127 of adult registered and oriented			127 of adult registered and oriented			4	4	3	3.67
28		Adult Care MAnagement	127 of clients availed adult care management			127 of clients availed adult care management			4	4	3	3.67
29		Adult Health Monitoring	8 of adult monitored			8 of adult monitored			4	4	3	3.67
30	5. Communicable Disease Survelliance Services	Surveillance & reporting of notifiable diseases	24 weekly notifiable diseas reported (as case arises			8 of weekly notifiable diseas reported			4	4	3	3.67
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	3	3.67
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			4	4	4	4.00
33		Documentation of responses	6 responses made (as case arises)			6 response made			4	4	4	4.00
34	6. Non-Communicable diseases	Profiling of non-communicable disease (NCD) clients	8 clients profiled			8 clients profiled			3	4	4	3.67
35		Routine screening and analysis of results	8 clients screened and result analyzed			8 clients screened and result analyzed			4	4	4	4.00
36		Giving of referral for maintenance medicines	8 clients provided referral for maintenance medicines			8 clients provided referral for maintenance medicines			4	4	4	4.00
37		Referrals	12 screened patients referred			12 screened patients referred			4	4	4	4.00
38		periodic monitoring and evaluation	8 of clients monitored and evaluated			8 of clients monitored and evaluated			4	4	4	4.00
39	7. Family Planning	Registration and Profiling	222 eligible client regestered and prfiled			222 of elibeble client regestered and prfiled			4	4	4	4.00
40	7. Family Planning	Enrollment to Family planning Program	112 of clients enrolled to family planning program			222 of clients enrolled to family planning program			5	5	5	5.00
41	9. Health emergency preparedness reponse & recovery	Informmation Campaign/ surveillance	13 Campaign/ surveillance conducted			13 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	TERESA C. GAGULA				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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