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LGU Jagna SPMS Form 2a

Republic of the Philippines


LOCAL GOVERNMENT UNIT OF JAGNA
Poblacion, Jagna, Bohol

Strategic Performance Mangement System (SPMS)


INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW (IPCR)
Individual Performance Commitment
I, DR. ARNOLD DASIO M. CAGULADA, Municipal Health Officer of the Municipality of Jagna, commit to deliver and agree to be rated on the attainment of the following targets
in accordance with the indicated measures for the period January to June 2015.

Equivalent Weight of Ouput


Functions Strategic Core Support Total
Weight 30% 50% 20% 100% DR. ARNOLD DASIO M. CAGULADA
Municipal Health Officer, Municipality of JAGNA

Major Final Output (MFO)/ Rating


Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q 1
E 2
T
3
A4
(a)
A. Strategic Priorities: (30%)
Improved quality of life of the people in the municipality
Improved maternal and child 1. Pre-natal /Post Natal /Deliveries
health in the community

2. Motivation and IEC for Family


Planning

LGU Jagna SPMS Form 2a Page 1 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

LGU Jagna SPMS Form 2a Page 2 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

Sub-Total for 'A. Strategic Priorities: (30%)' = 0


B. Core Functions: (50%)
Efficient Management
Delivery of Health Services
Supervision of Personnel

Implementation of policies,
plans and programs to
promote the health of the
people
Direct the sanitary inspection
of all business establishment

Conduct Health Information


Campaign

Coordination to other
government,NGOs,CSOs
activities

LGU Jagna SPMS Form 2a Page 3 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

LGU Jagna SPMS Form 2a Page 4 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

Sub-Total for 'B. Core Functions: (50%)' = 0


C. Support Functions: (20%)

LGU Jagna SPMS Form 2a Page 5 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)
1. Implementation of output- 95% accuracy information contained
oriented performance evaluation in the reports (SPMS/PRAISE/PBB)
system (SPMS, PRAISE, PBB) submitted on the prescribed due
date

90% of OPCR with 95% accuracy


were reviewed, rated and forwaded
to the PMT on the prescribed due
date
90% of the invitations to attend
2. Participation in Learning and
trainings/seminars attended as good
Development Activities (capability or better
enhancement/trainings/seminars)

90% of the Flag Ceremonies during


3. Participation/Attendance in Flag Mondays present on time
Ceremony

90% of the Top Management


4. Attendance to Top Management Committee Meeting/Staff Meeting
Committtee Meeting/Staff Meeting attended on the whole duration of
the meeting
5. Participation in Health and 75% of the LGU Initiated health and
Wellness Activities ( e.g. wellness activities attended
Hataw/Zumba)

6. Participation to LGU Official 75% of the LGU Initiated health and


Activities (Independence Day, Rizal wellness activities attended
Day, Foundation Day, etc)

7. Participation/Attendance to Local 75% of the Local Special Bodies


Special Bodies Meetings attended on the whole duration of
the meeting

LGU Jagna SPMS Form 2a Page 6 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)
100% of the total cash advances
8. Liquidation of Cash Advances liquidated on the prescribed
within the prescribe period period (not later than next cash
advance)
90% of the LGU Tree
9. Participation to Clean and Green Planting/Coastal Clean-up activities
Program (eg. Tree Growing activities, attended
Operation Clean-up, etc)

0
GRAND TOTAL = 0
Legend: 1 - Quantity; 2 - Efficiency; 3 - Timeliness; 4 - Average
Note: Shaded portion shall be accomplished at the end of the rating or evaluation period using LGU Jagna SPMS Form 2b. However, an "x" mark may be written at the appropriate column to
indicate where a particular success indicator shall be rated.

Reviewed and Approved:

I certify that I reviewed the aforestated performance commitment of the above named office, and I fully
agreed to assist the same towards the accomplishment of the said targets.

Date
ATTY. FORTUNATO R. ABRENILLA
Local Chief Executive

LGU Jagna SPMS Form 2a Page 7 of 14


LGU Jagna SPMS Form 2b
Republic of the Philippines
LOCAL GOVERNMENT UNIT OF JAGNA
Poblacion, Jagna, Bohol

Strategic Performance Mangement System (SPMS)


INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW (IPCR)
Individual Performance Review

Major Final Output (MFO)/ Rating


Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

A. Strategic Priorities: (30%)

CLSU SPMS Form 2b Page 8 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

Sub-Total for 'A. Strategic Priorities: (30%)' =


B. Core Functions: (50%)

CLSU SPMS Form 2b Page 9 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

CLSU SPMS Form 2b Page 10 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

CLSU SPMS Form 2b Page 11 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)

Sub-Total for 'B. Core Functions: (50%)' =


C. Support Functions: (20%)
1. Implementation of output- 95% accuracy information contained
oriented performance evaluation in the reports (SPMS/PRAISE/PBB)
system (SPMS, PRAISE, PBB) submitted on the prescribed due
date

CLSU SPMS Form 2b Page 12 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q
1
E 2
T
3
A
4
(a)
90% of OPCR with 95% accuracy
were reviewed, rated and forwaded
to the PMT on the prescribed due
date
90% of the invitations to attend
trainings/seminars attended as good
2. Participation in Learning and or better
Development Activities (capability
enhancement/trainings/seminars)

90% of the Flag Ceremonies during


Mondays present on time

3. Participation/Attendance in Flag
Ceremony

90% of the Top Management


4. Attendance to Top Management Committee Meeting/Staff Meeting
Committtee Meeting/Staff Meeting attended on the whole duration of
the meeting
5. Participation in Health and 75% of the LGU Initiated health and
Wellness Activities ( e.g. wellness activities attended
Hataw/Zumba)

6. Participation to LGU Official 75% of the LGU Initiated health and


Activities (Independence Day, Rizal wellness activities attended
Day, Foundation Day, etc)

7. Participation/Attendance to Local 75% of the Local Special Bodies


Special Bodies Meetings attended on the whole duration of
the meeting

100% of the total cash advances


8. Liquidation of Cash Advances liquidated on the prescribed
within the prescribe period period (not later than next cash
advance)

CLSU SPMS Form 2b Page 13 of 14


Major Final Output (MFO)/ Rating
Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project Remarks
(Targets + Measures) (in Pesos) Accountable Accomplishments
(PAP) (g)
(b) (c) (d) (e) Q 1
E 2
T3
A4
(a)
90% of the LGU Tree
9. Participation to Clean and Green Planting/Coastal Clean-up activities
Program (eg. Tree Growing activities, attended
Operation Clean-up, etc)

GRAND TOTAL =
Legend: 1 - Quantity; 2 - Efficiency; 3 - Timeliness; 4 - Average
Note: All entries for Columns a, b, c, & d shall be the copied verbatim from the same columns of CLSU SPMS Form 2a
RATING SCALE:
Comments and Recommendations for Development Purposes: INDIVIDUAL PERFORMANCE RATING 5 - Outstanding
(to be accomplished by the immediate superior) 4 - Very Satisfactory
Rating 3 - Satisfactory
Category Weight (%) 2 - Unsatisfactory
Average Weighted 1- Poor
A. Strategic Priorities 30%
B. Core Functions 50%
C. Support Functions 20%
Total Overall Rating 100%
Final Weighted Rating
Adjectival Rating

Submitted by: Assessed and Reviewed by:

This is to certify the veracity of the information provided herein I certify that I have discussed my assesment of the
as the actual commitments and accomplishments of the office I performance of the office through its head and this is deemed as
represent. his/her personal performance.

Date Date
DR. ARNOLD DASIO M. CAGULADA ATTY. FORTUNATO R. ABRENILLA
Municipal Health Officer, Municipality of JAGNA Local Chief Executive

PERFORMANCE MANAGEMENT TEAM VALIDATION Final Rating:

Validated by: Attested by: Numerical =


Adjectival =

Date Date Date


ENGR. GERRY V. ARANETA MR. CATALINO B. BERRO MS. EFRENA A. BUENAFE
Planning Officer Member, Performance Management Team HRMO

CLSU SPMS Form 2b Page 14 of 14

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