DOH-SPMS Form 3
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
I, ________ , of the PDOHO ILOCOS SUR , commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period
_____________________________________.
Name of Employee : Date:
Approved by: Date:
JOHN C. FOZ,CE,SE,MPH
OIC-Provincial DOH Officer
5 – Outstanding
4 – Very Satisfactory
3 – Satisfactory
2 - Unsatisfactory
1 - Poor
RATING
SUCCESS INDICATOR A
Output Actual Accomplishment Q E T REMARKS
(Target + Measure)
(1) (2) (3)
(4)
-Ensures that 90% of deliveries in the assigned barangays will be
referred to a birthing facility & will be attended by skilled health
professionals
1. Reduced the Maternal Mortality
rate to less than 90/1000 Live Birth -Conducts home visits to households and 95% of all pregnant
mothers will undergo 4 ANC & 2 postpartum visits
-Participation of Barangay Health Committee through the BHB in
maternal death review & infant mortality review will be advocated
-All eligible children will be vaccinated and attain 95% FIC
coverage through reaching every purok activities in assigned
2. Reduced preventable Neonatal barangay
Mortality to atleast 15/1000 Live
Births and under Five Moratlity to -Provides advocacy to attain 70% of all infant EBF up to six
22/1000 Live Births months
-80% of all NIP protocols and updates in the assigned barangay
will be implmented
-Identification of clients with unmet Modern Family Planning in the
assigned barangay so with outreach medical services will be
conducted
-Modern contraceptive method among WRA to atleast 65% in the
[Link] universal access to sexual assigned barangay will be advocated
reproductive health care services.
-Strategies to decrease adolescent birth rate to 2% per year will
be advocated
-Assistance on Family Program services and the prevention of
teenage pregnancy in the assigned barangay will be provided
-100% advocacy that residents will be Evacuated to assigned
4 .Reduction of Mortality rate due to
Evacuation Areas and participate in data gathering response
injuries
during health emergencies and disaster.
Total Overall Rating
Final Average Rating
Adjectival Rating
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
JOHN C. FOZ,CE,SE,MPH JIMUEL S. CARDENAS, MD, MHA
OIC/PHTL-ILOCOS SUR (OIC) DIRECTOR III
Employee Supervisor Next Higher Supervisor
Legend: 1- Quality 2- Efficiency 3 - Timeliness 4- Average