DOH

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, Saephan Marie S. Logrunio, of the Regional Office VI - DOH assigned at KABANKALAN, Negros Occidental, commit to delive
rated on the attainment of the following targets in accordance with the indicated measures for the period Jan to June, 2016.

Saephan Marie S. Logrunio, RN

Date: _____

Approved By:

Date
ELIZABETH ALVAREZ, RN
Name of Supervisor

5 Outstan
4 Very Sa
3 Satisfac
2 - Unsatisf
1 - Poor

Output

Reports

SUCCESS INDICATOR
(Targets + Measure)

QTY QLY T
(1)
(2) (3)

Well-timed submission of six EPI

reports in my assigned barangay
every 15th day of the month- with
precison. Reports taken from monthly
reports of RHM submitted to the PHN.

Six accurate reports on CHT in my

catchment area with aide of CHT
6 complete and accurate CHT Reports
parthers updated monthly with my
per household of 100% of Barangays
supervision and submitted every 15th
assigned submitted every 15th day of the
day of the month. Reports are
month.
updated monthly by the CHT partners
by doing house to house visits, and
interviews.

6 complete and accurate EPI Reports of

100% of Barangays assigned submitted
every 15th day of the month.

6 complete and accurate FP Reports of

100% of Barangays assigned submitted
every 15th day of the month

Six precise FP reports relayed thru

email every 15th day of the month.
Reports based from TCL, M1 and
monthly updating of CHT partners
under my supervision.

Reports on IMCI and Child Health

Nutrition submitted every 15th day of the
month.

IMCI and Child Health Nutrition

reports are gathered with precision
and submitted every 15th day of the
month for six months; validation done
with RHM based on TCL and M1
data.

Reports on CAS and NSMP of my

assigned barangays are gathered
timely and accurately. Reports are
conformed with RHM for validation
and consistency with M1 reports.

Masterlisting of MNCHN Services

amongst NHTS-PR and non-NHTS
such as missed children
(MMR/MCV2), SWRA with unmet
needs, Pregnant women and their
outcome, Stunted and wasted
children submitted on the 23rd day of
the month. Reports conformed form
the TCL, CHT reports and monthly
update and OPT reports gathered bianually in my assigned barangay.

Complete and accurate reports on CAS

and NSMP and submitted every 27th day
of the month

Availability of Masterlist

RATING
Actual Accomplishment

100% of target Clients for MNCHN

Services among NHTS - PR and nonNHTS:Missed Children(MMR/ MCV2),
SWRA with Unmet Needs, Pregnant
Women and their Outcomes, and
Children who are stunted and wasted of
100% of Barangays assigned every 1st
working day of the following month

Output

SUCCESS INDICATOR
(Targets + Measure)

Inventory of Supplies

Accurate and updated monthly inventory

of 100% of MNCHN logistics and supplies
including Updated Vaccine/ Syringes
Stock Card, FP Logistics Inventory Card/
Logbook, and Updated Logbooks on Vit.
A, Ferrous Sulfate, ECCD Card/ Mother
and Child Book of 100% of Barangays
assigned submitted every 8th day of the
month.

Profiling

Profiling of 100% of Non-NHTS

Household of assigned Barangay by end
year of 2015

RATING
Actual Accomplishment

Updates on monthly inventory of

MNCHN logistics and supplies
accurately accomplished consistently;
reports was submitted every first
working day of the month. Rreports
were verified by the midwife of my
catchment area and by the PHN.
Reports are gathered by manually
counting of contraceptive supplies,
and other supplies delivered by the
DOH.

QTY QLY T
(1)
(2) (3)

100% of LGU Health Services assisted

in term of client provided services,
improvement of health indicators and
other targets.

LGU health services well-provided.

Programs of the LGU well
implemented. Able to assist the MHO
in Provision of available health
services and all programs from LGU.
Attends sessions of Sangguniang
Bayan for new health programs to be
implemented such as Blood Letting,
CIVAC, Tuli Mission and Medical
mission, etc.

Assist RHM in the creation and

functionalization of barangay CHT and
Management Teams in 100% of
Barangays assigned within the month of
replacement( CHT Partner) and nonfunctionality ( CHT and Management
Team)

Assisted RHM in collaboration with

the Barangay Council in the
development of Community Health
Teams; attends meetings with the
Barangay Captains for proper
introduction of the CHT programs;
Taking over my responsibility as
supervisors of the CHT partners and
clearly explained their roles in the
Holistic approach of CHT programs.

Inventory on FP logistics and survey

on reasons for non-availment of
MNCHN servies in my assigned
barangays was delivered and
Assist the PHN in the conduct of
submitted on time in a quarterly basis
inventory of FP logistics and survey on
by the PHN. Gathering of these
FP/MNCHN Implementation reasons for non-availment of MNCHN
reports done in collaboration with the
services in 100% of Barangays assigned
NDP and Midwife; assist RHM in
within the quarter prescribed
assessing new acceptors, follow up
new acceptors and assessing dropouts giving health teachings about
other possible methods.

LGU Health Service Assisted

CHT

Output

SUCCESS INDICATOR
(Targets + Measure)

RATING
Actual Accomplishment

QTY QLY T
(1)
(2) (3)

Conduct of inventory of Personnel Skills

of 100% of Barangays assigned and
submitted every quarter

Quarterly reports of Inventory of

Personnel Skills of my assigned
barangays were delivered and
submitted accurately; able to gather
and accomplish data by conducting
an interview to subjects (Midwives)
once every 4 months.

Assist in the 100% of conducted

preliminary reporting and investigation of
Maternal Death

Maternal deaths highly monitored for

any cases; no maternal deaths
reported from my assigned
Barangays for six months.

EPI Implementation

Assist RHM during scheduled

immunization in the assigned Barangay 1
hour upon arrival of the clients.

EPI advocacy well-spread out.

Assisted RHM in vaccination and
recording; arrives in BHS an hour
before the arrival of clients.
Immuization done with proper
techniques observed.

Nutrition Program
Implementation

Severely wasted and stunted preschoolers are identified bi -anually

Assist in the referral of severly wasted
thru OPT updating children identified
and stunted pre-school children within 48 as stunted and wasted are referred to
hours
the LGU for masterlisting of children
targeted for Nutrition Program;
reports submitted on-time.

CHT partners and BHWs in my

assigned barangays were trained on
TSISMIS. Roles as Health care
providers were emphasized; oriented
them on the reports to be submitted
monthly.

Defaulters in EPI, Pre-Natal and PostNatal are well monitored. BHWs and
Track MNCHN defaulters such as EPI,
CHT parters per catchment are
Prenatal and Postnatal clients of 100%
tapped whenever their members have
assigned barangay
missed MNCHN services every
month.

Training of BHW and CHT Partners on

TSISMIS of 100% Barangay Assigned

HI 5

Attendance in stations as
scheduled

Daily Time Records

RATING

Report from 8am to 5pm as scheduled

working stations assigned

Arrives early at work and works

beyond 5 pm if necessary. Assist
RHM if there are patients to be
catered even after time-out.

Reflected correct and logbook entries of

100% of working days within the month
concerned

DTRs submitted with proper data

based on official logbooks provided.
Timely submission of DTRs with
validation of City Health Officer.

SUCCESS INDICATOR
(Targets + Measure)

Output

RATING
Actual Accomplishment

QTY QLY T
(1)
(2) (3)

Total Overall Rating

Final Average Rating
Adjectival Rating
Comments and Recommendation for Development Purposes
Discussed With:
Assessed by:
Date
I certify that I discussed my assessment
of the perfomance with the employee
SAEPHAN MARIE S. LOGRUNIO

Employee

Legend: 1- Quantity

2 -Quality

Final Rating by:

ELIZABETH ALVAREZ, RN

MELINDA J. SANCHEZ, RN

Supervisor

Next Higher Supervisor

3 - Timeliness

4 - Average

DOH - SPMS Form 3

CR)

mmit to deliver and agree to be

une, 2016.
Date: _______________

Date

5 Outstanding
4 Very Satisfactory
3 Satisfactory
2 - Unsatisfactory
1 - Poor

RATING
A

(4)

3.3333

3.3333

3.3333

3.3333

3.3333

3.6666

Remarks

RATING
A

(4)

Remarks

3.6666

4.000

3.000

4.0000

4.333

Assisted RHM in
development of
CHT and
Management
teams.

RATING
A

(4)

Remarks

4.333

4.333

4.000

4.333

4.000

4.333

4.000

4.000

No maternal deaths
reported in my area
from January to
June 2016

RATING
A

(4)

Remarks

Date