SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY

Data Capture Form

CY: _____________
SOCIAL PROTECTION (20 Points)
(as of 101018)

INDICATORS DATA REQUIREMENTS DATA HOW TO DETERMINE THE SCORE PERFEC PASSING REMARKS
SOURCE T SCORE
SCORE
1. Presence/Functionality An ordinance EO or similar Barangay Presence of VAW Desk supported with 1 1
of the Violence Against issuance creating VAW Desk Secretary an ordinance or similar issuance
Women (VAW) Desk  Yes = 1
Local Social  No = 0
VAWC Cases Quarterly Reports Welfare and VAW Desk Officer or similar submitted 2 1
 1st Qtr submitted: __________ Development VAWC cases quarterly reports:
 2nd Qtr submitted: Officer  1st Qtr report submission = 0.5
__________  2nd Qtr report submission = 0.5
 3rd Qtr submitted: __________  3rd Qtr report submission = 0.5
 4th Qtr submitted: __________  4th Qtr report submission = 0.5
Certificate of VAW Desk Officer attended 1 1
Attendance/Participation and Date training/seminar in the past 12 months
of Training/Seminar  Yes = 1
____________  No = 0
(Within 2 or 3 years/Term-based)
4. Access to health EO or similar issuance/Ordinance Barangay Presence of EO or similar issuance 2 1
services in the on the Appointment of Barangay Secretary Ordinance on the appointment of BHW
barangay Health Worker (BHW)  Yes, with Ordinance = 2
(NCR – Health Workers from City) On site  Yes, without Ordinance = 1
inspection  No = 0
EO or similar issuance Ordinance Presence of EO or similar issuance 1 1
on the appointment of Barangay Ordinance on the appointment of BNS
Nutrition Scholar (BNS)  Yes = 1
(1 BHW: 25 household)  No = 0
Barangay Health Station/Center Maintenance of a With access to a BHS 1 1
(BHS)  Yes = 1
Location: ____________________  No = 0
Availability of With access on the 3 2
services in the BHS
 Expanded Program on Immunization
(EPI) = 1
 Maternal Care = 1
 Nutrition Care = 1

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 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Data Capture Form
CY: _____________
SOCIAL PROTECTION (20 Points)
INDICATORS DATA REQUIREMENTS DATA HOW TO DETERMINE THE SCORE PERFEC PASSING REMARKS
SOURCE T SCORE
SCORE
 None = 0

8. Functionality of the DILG MC No. 2009-109 Punong If the resultant is: 5 4

Barangay Development  BDC Form 1 (Assessment Barangay  Ideal = 5
Council (BDC) Form)  Mature = 4
 BDC Monitoring Form 2 Barangay  Progressive = 3
 BDC Monitoring Form 3 Secretary  Basic = 2
 BDC organized = 1
 None = 0
 No data = 0
9. Representation of CSOs EO or similar issuance creating/ Barangay If the resultant is: 5 4
in the Barangay Based organizing each of the following: Secretary  6 – 7 out of 7 BBIs = 5 7
Institutions (BBIs) 1. BDC  4-5 out of 7 BBIs = 4
1. BDC 2. BDRRMC  2-3 out of 7 BBIs = 2
2. BDRRMC 3. BPOC  1 out of 7 BBIs = 1
3. BPOC 4. BADAC  No EO = 0
4. BADAC 5. BESWMC
5. BESWMC 6. BCPC
6. BCPC 7. Barangay GAD Focal Point
7. Barangay GAD Focal System
Point System (Check EO if fully compliant. If not,
no score)
(Proof that CSOs are informed –
example: letter received/
conforme)
(Separate indicators for each – Yes
= 1; No = 0)

- 1 point for each item

- Additional indicator Functionality
of BCPC
- Additional indicator Budget
allocation for PPAs on Senior
Citizens (Presence Yes=1, No = 0)
- Additional indicator Budget

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 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Data Capture Form
CY: _____________
SOCIAL PROTECTION (20 Points)
INDICATORS DATA REQUIREMENTS DATA HOW TO DETERMINE THE SCORE PERFEC PASSING REMARKS
SOURCE T SCORE
SCORE
allocation for PPAs on PWDs
(Presence Yes=1, No = 0)

TOTAL 20 16

**BCPC

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