NBOO-DILG ANNEX A
LCPC Form 1
CITY/MUNICIPAL COMMITTEE ON ANTI-TRAFFICKING AND
VIOLENCE AGAINST WOMEN AND THEIR CHILDREN FUNCTIONALITY
ASSESSMENT FORM
City/Municipality: ___________________
Province: ___________________________
Region: ____________________________
Year Under Review:___________________
Functionality Level:___________________
INDICATORS RATING REMARKS
Organization (10%)
a. LCAT VAWC is organized through a Executive Order/
Sanggunian Resolution/Ordinance 5%
b Composition is in accordance with JMC No. 2010-1 5%
Bonus Points:
F Expanded Membership 2%
Meetings (10%)
a. Regular quarterly meetings conducted with minutes duly 10%
signed by the Secretariat Head with attendance sheets and notice of meetings
(2.5% for every regular meeting conducted in a quarter)
F 4 meetings 10%
F 3 meetings 7.5%
F 2 meetings 5.0%
F 1 meeting 2.5%
Bonus Points:
F 1 special meeting 1%
Policies, Plans and Budget (30%)
a. LCAT VAWC Annual Work and Financial Plan (AWFP) reflecting 10%
PPAs to address TIP and VAWC developed
b. Approved LCAT-AWFP is integrated in the Annual Investment 10%
Program of the LGU
c. Policy to protect trafficked persons and VAWC victim-survivors 10%
formulated by LCAT-VAWC
Accomplishments (50%)
a. Database on TIP and VAWC cases is maintained and updated 10%
b. Information, education and advocacy campaign against TIP and 10%
VAWC conducted
c. Capacity-building activities for all stakeholders involved in
handling TIP and VAWC cases conducted 15%
d. Mandatory services provided to trafficked persons and VAWC 5%
victim-survivors such as, but not limited to, psychosocial
services/ counselling, medical, legal, education or livelihood
assistance, skills training, and emergency/temporary shelter are
monitored
e. Semestral Accomplishment reports submitted to PCAT-VAWC by 5%
C/MCAT-VAWC or RCAT-VAWC by HUCCAT-VAWC and PCAT-
VAWC
Semestral Accomplishment reports submitted to PCAT-VAWC by
C/MCAT-VAWC or RCAT-VAWC by HUCCAT-VAWC and PCAT-
VAWC
f. Accomplishments of LCAT-VAWC are reflected in the LGU 5%
annual report, newsletter, website, etc. or presented/discussed
during meetings or other similar activities
Bonus: 2%
F 2 or more relevant PPAs fully 2% 2%
implemented
F 1 relevant PPA fully implemented 1% 1%
Over-all Rating 0
Level of Functionality:
I Basic 1-20%
II Progressive 21-50%
III Mature 51-80%
IV Ideal 81-100%
Assessed by Provincial IMT:
Name Office/Agency Signature
___________________________ _____________________________ ________________________
Chairperson
NBOO-DILG
LCPC Form 2
PROVINCIAL/HIGHLY-URBANIZED CITY COMMITTEE ON ANTI-TRAFFICKING AND
VIOLENCE AGAINST WOMEN AND THEIR CHILDREN FUNCTIONALITY
ASSESSMENT FORM
Province/HUC: ___________________
Region: ____________________________
Year Under Review:___________________
Functionality Level:___________________
INDICATORS RATING
Organization (10%)
a. LCAT VAWC is organized through a Executive Order/
Sanggunian Resolution/Ordinance 5%
b Composition is in accordance with JMC No. 2010-1 5%
Bonus Points:
F Expanded Membership 2%
Meetings (10%)
a. Regular quarterly meetings conducted with minutes duly 10%
signed by the Secretariat Head with attendance sheets and notice of meetings
(2.5% for every regular meeting conducted in a quarter)
F 4 meetings 10%
F 3 meetings 7.5%
F 2 meetings 5.0%
F 1 meeting 2.5%
Bonus Points:
F 1 special meeting 1%
Policies, Plans and Budget (30%)
a. LCAT VAWC Annual Work and Financial Plan (AWFP) reflecting 10%
PPAs to address TIP and VAWC developed
b. Approved LCAT-AWFP is integrated in the Annual Investment 10%
Program of the LGU
c. Policy to protect trafficked persons and VAWC victim-survivors 10%
formulated by LCAT-VAWC
Accomplishments (50%)
a. Database on TIP and VAWC cases is maintained and updated 10%
b. Information, education and advocacy campaign against TIP and 10%
VAWC conducted
c. Capacity-building activities for all stakeholders involved in
handling TIP and VAWC cases conducted 15%
d. Mandatory services provided to trafficked persons and VAWC 5%
victim-survivors such as, but not limited to, psychosocial
services/ counselling, medical, legal, education or livelihood
assistance, skills training, and emergency/temporary shelter are
monitored
Mandatory services provided to trafficked persons and VAWC
victim-survivors such as, but not limited to, psychosocial
services/ counselling, medical, legal, education or livelihood
assistance, skills training, and emergency/temporary shelter are
monitored
e. Semestral Accomplishment reports submitted to PCAT-VAWC by 5%
C/MCAT-VAWC or RCAT-VAWC by HUCCAT-VAWC and PCAT-
VAWC
f. Accomplishments of LCAT-VAWC are reflected in the LGU 5%
annual report, newsletter, website, etc. or presented/discussed
during meetings or other similar activities
Bonus: 2%
F 2 or more relevant PPAs fully 2% 2%
implemented
F 1 relevant PPA fully implemented 1% 1%
Over-all Rating 0
Level of Functionality:
I Basic 1-20%
II Progressive 21-50%
III Mature 51-80%
IV Ideal 81-100%
Assessed by Provincial IMT:
Name Office/Agency Signature
___________________________ _____________________________ ________________________
Chairperson
ANNEX B
KING AND
LITY
REMARKS
ignature
_______________________
NBOO-DILG ANNEX C
LCPC Form 3
PROVINCIALCONSOLIDATED REPORT ON THE FUNCTIONALITY LEVEL OF
THE CITY/MUNICIPAL COMMITTEE ON ANTI-TRAFFICKING AND
VIOLENCE AGAINST WOMEN AND THEIR CHILDREN FUNCTIONALITY
Province: ___________________
Region: ____________________________
Year Under Review:___________________
City /Municipality Rating Functionality Level Remarks
Identified Issues and Concerns (if any) Recommended Actions Required from the National
Government Agencies
Prepared by: Submitted by:
___________________________ _____________________________
Provincial Focal Person Provincial Director
NBOO-DILG ANNEX D
LCPC Form 4
REGIONAL CONSOLIDATED REPORT ON THE FUNCTIONALITY LEVEL OF
THE PROVINCIAL/CITY/MUNICIPAL COMMITTEE ON ANTI-TRAFFICKING AND
VIOLENCE AGAINST WOMEN AND THEIR CHILDREN FUNCTIONALITY
Region: ___________________
Year Under Review:___________________
Functionality
Province City/Municipality Rating Remarks
Level
Identified Issues and Concerns (if any) Recommended Actions Required from the National
Government Agencies
Prepared by: Submitted by:
___________________________ ___________________________________________
Regional Focal Person Regional Director
NBOO-DILG
LCPC Form 5
REGIONAL SUMMARY ON THE FUNCTIONALITY LEVEL OF THE PROVINCIAL/ CITY/MUNICIPAL COMMIT
AND VIOLENCE AGAINST WOMEN AND THEIR CHILDREN
Region:______________________________
Year Under Review: _____________________
A. Provinces
FUNCTIONALITY LEVEL
Number of Number of Provinces % of Provinces
Provinces Assessed Assessed IDEAL MATURE
No. % No. %
B. Cities (HUC/ICC/CC)
FUNCTIONALITY LEVEL
Number of Provinces % of Cities IDEAL MATURE
Number of Cities
Assessed Assessed
No. % No. %
C. Municipalities
% of FUNCTIONALITY LEVEL
Number of Number of Municipalities IDEAL MATURE
Municipalities
Municipalities Assessed
Assessed No. % No. %
Prepared by: Submitted by:
Regional Focal Person Regional Director
CITY/MUNICIPAL COMMITTEE ON ANTI-TRAFFICKING
THEIR CHILDREN
________
_________
UNCTIONALITY LEVEL
REMARKS
PROGRESSIVE BASIC
No. % No. %
UNCTIONALITY LEVEL
PROGRESSIVE BASIC REMARKS
No. % No. %
UNCTIONALITY LEVEL
PROGRESSIVE BASIC REMARKS
No. % No. %
Date Submitted:
