HRH IPCR/PES
DOH - SPMS Form 3
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
I, DIXIE JAY P. TATING, RN assigned in CARAMORAN, CATANDUANES commit to deliver and agree to be rated on the attainment of the following targets in acco
with the indicated measures for the period July to December, 2024.
Name of Employee: DIXIE JAY P. TATING, RN Date: January 2, 2025
Approved By: Date
FAY V. TANAEL, MD January 2, 2025
Name of Supervisor
OUTPUT ACCOMPLISHMENT
SUCCESS INDICATOR Target Actual Number Rating
(Programs / Projects / Activities) Total Percentage
Jul. Aug. Sep. Oct. Nov. Dec.
1 GOVERNANCE (Local Health System)
1.1 Ensure functionality of Barangay Health Board
a. Regular Barangay Health Board meeting •100% (2) of Barangay Health Board
meetings attended within the rating
period.
6 1 1 1 1 1 1 6 100 3
•100% of other health-related
meetings in the barangay 4 1 0 1 1 1 1 5 125 4
attended/facilitated.
b. Presence of Barangay Health Plan •100% (1) of Barangay Health and
Nutrition Plan formulation assisted. 2 1 0 0 1 2 0 4 200 5
2 SERVICE DELIVERY (assist in the implementation of various health programs of the LGU in accordance with program goals of the DOH)
2.1 Family Planning Program
a. Provision of services to address unmet n • 20% of WRA (based on the
profiling) of the barangay
mapped/reached and identified with
21 4 6 4 7 1 0 22 105 3
unmet need for MFP.
• 100% of WRA with unmet need for
MFP provided with counselling and
MFP services thru (a) Facility-based
services (b) Outreach Medical
Missions (c) Post-partum FP
counselling and services (d) Usapan
Series Session.
21 4 6 4 7 1 0 22 105 3
• 100% of WRA with unmet need for
MFP who are referred for
appropriate MFP services.
21 4 6 4 7 1 0 22 105 3
• 100% of WRA with unmet need for
MFP who accepted MFP method
assisted/provided.
21 4 6 4 7 1 0 22 105 3
2.2 Maternal Care
a. Tracking and assisting new pregnant • 100% of new pregnant tracked and
mother in the formulation of birth plan assisted in formulating birth plan. 12 5 3 4 4 3 3 22 183 5
b. Pregnant tracking and provision of • 100% of pregnant tracked and
prenatal services provided with prenatal services. 12 5 3 5 4 3 3 23 192 5
c. Provision of postpartum care to mother • 100% of postpartum mothers and
and newborn newborns provided postnatal care. 12 4 3 4 5 2 2 20 167 5
2.3 Child Care
a. Provision of routine immunization to age- • 95% Fully Immunized Children
appropriate children 12 4 2 1 9 3 4 23 192 5
b. Provision of other nutrition-related • No. of 0-59 months old Nutritional
intervention Status Assessment done. 80 25 22 28 30 33 35 173 216 5
• 100% of children provided with
nutrition related interventions
(RUTF/supplementary feeding, etc.).
14 12 0 4 6 0 2 24 171 5
c. Management of sick infant and children • 100% of sick infant and children
assessed, provided treatment
and/or referred.
1 1 0 0 0 0 0 1 100 3
2.4 Non-Communicable Disease Prevention and Control Services
a. Risk assess, treat and refer individuals • 50% of individuals 20 years old
(20 years old & above) and above identified thru profiling
were risk assessed.
45 15 15 18 15 20 19 102 227 5
• 100% of individuals 20 years old
and above who were identified as
risk, provided with Healthy Lifestyle
Modification Counselling (HLMC).
40 15 15 20 10 10 9 79 198 5
2.5 Communicable Disease Prevention and • 100% of presumptive TB cases
Control were assisted (including but not
limited) referred for treatment.
4 2 0 1 1 1 0 5 125 4
2.6 Environmental Health and Sanitation • 50% of household assessed using
the ZOD verification form. 163 50 45 50 40 30 20 235 144 5
2.7 Community profiling and assessment •100% of household profiles 163 45 30 50 50 30 20 225 138 5
2.8 Conducts regular visits to priority households updated.
• 50% of households/families visited
and assessed. 163 40 45 40 45 30 20 220 135 5
• 100% of households/families
visited and assessed, with identified
health problems assisted.
25 5 12 10 7 5 5 44 176 5
3 TECHNICAL ASSISTANCE
3.1 Training / Capability Building
a. Training/orientation/supervision of BHWs • No. of capability building
and other auxiliary health workers activity/updates for BHW/ BNS
conducted/assisted.
6 2 1 1 2 2 1 9 150 5
• No. of BHW/BNS
oriented/trained /updated on health
and nutrition related course/topic.
14 4 4 5 6 2 1 22 157 5
3.2 Advocacy/Information dissemination • No. of health related advocacy
/IEC activity conducted/ assisted. 6 1 2 3 3 2 1 12 200 5
3.3 Assist community mobilization on health • 100% of community mobilization
related activity such as mass blood donation, assisted/conducted. 6 1 0 2 4 1 2 10 167 5
mass vaccination including (Covid19),
3.4 Disease Surveillance and Monitoring
search and destroy, community health
a. Disease Surveillance (for all notifiable/ • 100% of weekly disease
reportable diseases) surveillance report submitted timely 1 0 0 0 1 0 0 1 100 3
to MHC.
b. Mortality review, data collection and • 100% of data of reported deaths in
validation (for all deaths in the the barangay collected and 1 0 0 0 1 0 0 1 100 3
community) validated.
4 HEALTH INFORMATION SYSTEM
4.1 Submission of reports No. of reports submitted on time
▪ FHSIS monthly report (M1) 6 1 1 1 2 1 1 7 117 4
▪ Program F1 Plus Indicators (M2)
(1st Monday of the succeeding
month). 6 1 1 1 1 1 1 6 100 3
▪ Monthly accomplishment report
(MAR). 6 1 1 1 1 1 1 6 100 3
RATING
Total Overall Rating 127
Final Average Rating 4.23
Adjectival Rating VS
Comments and Recommendation for Development Purposes
Discussed with: Assessed by: Date Final Rating by: Date
I certify that I discussed my assessment of the
performance with the employee
2/1/2025 02/01/25
DIXIE JAY P. TATING, RN FAY V. TANAEL, MD LILIBETH I. PABICO, RN
Employee Municipal Health Officer Development Management Officer IV
