INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I,CRISTINE MAE C.MAMERTO, NDP of Ozamiz City, commit to deliver and agree to be rated on the attainment of the following targets in accordance with indicated
measures for the period FEB 6 - MAY 5, 2017

Name of Employee: CRISTINE MAE C. MAMERTO, RN

NDP
Appro HOLLY B. TAGO, MD, MPH Date:
DMO IV

RATING
OUTPUT Success Indicator (Target+Measure) ACTUAL ACCOMPLISHMENT REMARKS
Q E T A
A. Assists in the implementation of
various health programs of the local
government unit in accordance with
the program goals and objectives of
the Department of Health and the
Health Sector

a.Maternal Health Services

Assisted in the conduct of prenatal care to
50 pregnant women with 4 or more prenatal
1. Prenatal Care
care visits within 3 months rating period
with 1 or 2 minor complaints.
Assisted in the conduct of prenatal care
to 67 pregnant women with 4 or more
prenatal care visits within 3 months
rating period with 1 minor complaint.

Assisted in the conduct of postpartum care Assisted in the conduct of postpartum

to 25 mothers within 1 week after delivery care to 31 mothers within 1 week after
2. Postnatal Care
within 3 months rating period with 1 or 2 delivery within 3 months rating period
minor complaints. with no complaints.

Assisted 8 SWRA with unmet needs to
adopt a family planning of choice within 3
3. Family Planning
months rating period with 2-3 minor
complaints.
Assisted 10 SWRA with unmet needs
to adopt a family planning of choice
within 3 months rating period with 1-2
minor complaints.

b. National Tuberculosis Control

Program (NTP)
 Assisted 3 TB symptomatic to submit for Assisted 6 TB symptomatic to submit
1. TB detection DSSM within 3 months rating period with for DSSM within 3 months rating
only 2-3 minor complaints. period with 1-2 minor complaints.

Assisted 2 registered TB patient to Assisted 2 registered TB patients to

complete short course treatment regimen complete short course treatment
2. TB cured
within 3 months rating period with no regimen within 3 months rating period
complaints. with no complaints.
c. Child Health Care Services
1. EPI
2. Garantisadong Pambata
3. Nutrition
B. Provides technical assistance in the
implementation of the health
programs
a. Harmonized Drug Administration
(HMDA)
b. RAIDERS
C. Assists in the conduct of disease
surveillance
a. Dengue, Chikungunya, Rabies
b. HPN, DM
D. Conduct health education and traini
a. Mothers' Class (EBF, EPI)
Assisted 30 eligible infants to be fully Assisted 39 eligible infants to be fully
immunized within 3 months rating period immunized within 3 months rating
with 2-3 minor complaints. period with 1-2 minor complaints.
Assisted 250 eligible children to receive Assisted 345 eligible children to
Vitamin A during GP month within 30 days receive Vitamin A during GP month
period with minor complaints. within 20 days with no complaints.
Assisted 25 malnourished children
Assisted 15 malnourished children during
during feeding activity within 2
feeding activity within 3 months rating
months rating period with 1-2
period with only 2-3 defaulters.
defaulters.
Provided technical assistance to 2 barangays Provided technical assistance to 4
and 1 public school during mop up period barangays and 1 public school with a
with atleast 80% accomplishment rate in total of 92% accomplishment rate in
HMDA within 7 days with minor HMDA within 5 days period with no
complaints. complaints.
Provided technical assistance to 20 Provided technical assistance to 25
households needing services within 7 days households needing services within 5
for 3 months with no complaints. days for 3 months with no complaints.
Assisted 3 barangays for monthly disease Assisted 3 barangays for monthly
surveillance within 3 months rating period disease surveillance within 3 months
with no complaints. rating period with no complaints.
Assisted 3 barangays in masterlisting
Assisted 3 barangays in masterlisting atleast
of 100% total DM and HPN clients
80% of total DM and HPN clients within 3
within 3 months rating period with no
months rating period with 2-3 minor errors.
complaints.
Conducted 4 health teachings / bench
Conducted 3 health teachings / bench
conferences / mother's class within 3
conferences / mother's class within 3 months
months rating period with no
rating period with minor complaints.
complaints.
E. Assists in the conduct of regular
monitoringn and evaluation of the
various health programs for the
community.

A` Access to safe water supply
b. Access to Sanitary toilet facility
F. Assists in the preparation and
analysis of reports on clinic and
community activities.
a. CHT reports
G. Submits monthly accomplishment
reports and DTRs to the CHTs
through the Public Health Nurse
describing the highlights of their
activities, targets, and
accomplishments, learning and
insights, issues/concerns, and
recommendations.
a. Monthly accomplisment report
H. Perform other functions as may be Performed 2 other functions within 3
assigned.
Final Average Rating:
Assisted in the conduct of regular
monitoring of safe water sources in 3
barangays within 3 months rating period
with no error.
Assisted in the conduct of regular
monitoring of sanitary toilet with 5
households to build sanitary toilet within 3
months rating period with no complaints.
Assisted in the preparation and analysis of
monthly CHT reports in 3 barangays within
3 months rating period with 2-3 minor
errors.
Submitted 3 copies of DTRs , 1 Journal and
1 accomplishment report monthly within 3
months rating period with 2-3 minor
revison.
Performed 3 other functions within 3
months rating period with 2-3 minor errors. months rating period with no error.
Assisted in the conduct of regular
monitoring of safe water sources in 3
barangays within 3 months rating
period with no error.
Assisted in conduct of regular
monitoring of sanitary toilet with 5
households to build sanitary toilet
within 3 months rating period with no
complaints.
Assisted in the preparation and analysis
of monthly CHT reports in 3 barangays
within 3 months rating period with no
revision.
Submitted 3 copies DTRs, 1 Journal
and 1 accomplishment report monthly
within 3 months rating period with no
revision.
0.00 0.00 0.00 0.00
Adjectival Rating: VERY SATISFACTORY

Comments and Recommendations for Development Purposes:

I certify that I discussed my assessment performance with the employee:

Assessed by: Assessed by: Final Rating by:
Discussed with: Date: Date:
Date:
CRISTINE MAE C. MAMERTO, RN DANIEL T. MEDINA, MD HOLLY B. TAGO, MD, MPH
NDP CHO II DMO IV NEXT HIGHER SUPERVISOR
4.67
4.67
4.33
4.67
5
5
3.67
4
4.33
3.67
4.33
4.33
4
4.67
5
4.33
3.67
4.33
4
4.67
4
4
5