Annex D

DOH - SPMS Form 4 Document Code:

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) Revision No:
Effectivity:

I, SHERLYN MAE N. LANOS, of the PDOHO BUKIDNON , commit to deliver and agree to be rated on the attainment of the folllowing of the targets in accordance with the indicated measures for the
period of JULY to DECEMBER, 2024.

Name of Employee: SHERLYN MAE N. LANOS Date: 1-Jul-24

Approved By: Date:

KAREN Y. GARCES,RN,MAN
December 13, 2024
Name of Supervisor
5 – Outstanding
RATING
Success Indicator 4 – Very SatisfactoryRemarks/Justification of
Output Actual Accomplishment Q E T 3 – Satisfactory
A
(Target + Measure) Unmet Targets
(1) (2) (3)2 - Unsatisfactory
(4)
1 - Poor
CORE FUNCTIONS: 80 %
A. Rural Health Midwife Placement Program

Conducted 494 house to house health

1.Conducts 100% house-to-house Conduct 380 house to house health education and
education and awareness campaign for
health education and awareness awareness campaigns for reproductive health and
reproductive health and maintenance were 5 5 3 4.333
campaigns fro reproductive health maintenance were conducted on schedule date with
conducted on scheduled date with excellent
and health maintenance excellent results
results

2. Conducts 100% home visit to Conducted 227 home visits to households for
Conduct 186 home visits to households for monitoring
households for monitoring and proper monitoring and proper referral of pregnant and
and proper referral of pregnant and post partum 5 4 3 4.000
referral of pregnant and post-partum post partum mothers on scheduled date clearly
mothers on schedule date clearly presented
mothers presented

3. Reports 100% status of Reported 227 status of families/households

Reports 186 status of families/households visited
families/households visited especially visited especially the pregnant and post partum
especially the pregnant and post partum mothers on 5 5 3 4.333
the pregnant and post-partum mothers on scheduled date with excellent
schedule date with excellent results
mothers results

Gave Quality Prenatal Care to 38 Pregnant

a. Give Quality Prenatal Care to 31 Pregnant Women
Women 30 days ahead of scheduled date 5 5 3 4.333
on the schedule date with minimal complaints
without complaints .

b. Follow up and give FP services to 5 women with Followed up and gave FP services to 8 women
unmet need on the schedule date with minimal with unmet need 5 days ahead of scheduled 4 5 3 4.000
complaints. date and without complaints.

c. Track and refer high risk 31 Pregnant women for Tracked and referred high risk 34 Pregnant
hospital delivery on schedule date with minimal women for hospital delivery 2 days ahead of 5 5 3 4.333
complaints. scheduled date without complaints.

Monitored 38 0-6 Months Exclusively

d. Monitor 31 0-6 Months Exclusively BreastFeeding
4. Facilitate 100% community BreastFeeding Accurately and without 5 5 3 4.333
Accurately and with excellent result
participation in implementation and complaints.
monitoring of MNCHN programs and
projects
participation in implementation and
monitoring of MNCHN programs and
projects
Followed up and referred 38 Pregnant women
e. Follow up and refer 31 Pregnant women for FBD on
for FBD 5 days ahead of scheduled date and 5 5 3 4.333
schedule date and with minimal complaints
without complaints.

Gave Quality Postpartum Care to 38 Post

f. Give Quality Postpartum Care to 31 Post Partum
Partum Mothers on the scheduled date and 5 5 3 4.333
Mothers on the schedule date and excellent results
without complaints.

FIC has not reached the

g. 69 Fully immunize children on schedule date and 32 Fully immunized children on scheduled date target due to unavailability
3 4 3 3.333
with minimal complaints. and without complaints. of other vaccine like
pentavalent

Tracked 192 Immunization defaulter 3 days

h. Track 32 Immunization defaulter on schedule date
ahead of scheduled date and without 5 4 3 4.000
and with minimal complaints
complaints

Maintained 1 referral systems for

5. Maintains 100% referral systems Maintains1 referral systems for difficult/complicated
difficult/complicated pregnancies in the SDN
for difficult/complicated pregnancies pregnancies in the SDN was maintaine on schedule 5 5 3 4.333
was maintained on scheduled date without
in the SDN date excellent result.
errors.

Maintained and Covered 1 Barangay Health

6. Maintains Barangay Health Maintain and Cover 1 Barangay Health Station/s without
Station/s with all aspects of work thoroughly 5 5 3 4.333
Station/s complaints.
covered

Conducted 6 Monthly BHW and other

Conduct 6 Monthly BHW and other volunteers meeting
7. Leadership and Management volunteers meeting within 8 hours with 100% 5 5 3 4.333
within 8 hours with 100% attendance with no mistakes.
attendance without complaints.

a. Conduct 30 IEC activities on HIV/AIDS on scheduled Conducted 40 IEC activities on HIV/AIDS 5

4 4 3 3.667
date and with excellent results days ahead of scheduled date without errors.

Conducted 26 IEC/advocacy on Teenage

b. Conduct 24 IEC/advocacy on Teenage Pregnancy on
8. Conducts health education Pregnancy 5 days ahead of scheduled date 5 5 3 4.333
scheduled date with excellent results
activities without errors.

c.Conduct 6 IEC/advocacy/activities to ensure Conduct 9 IEC/advocacy/ activities to ensure

implementation of nutrition Program in the LGU on implementation of nutrition Program in the LGU 5 5 3 4.333
scheduled date and with excellent results 5 days ahead of date and with no minor errors.

9. Paticipates 100% in data gathering Participated 25 in data gathering and response

Participates 20 in data gathering and response during
and response during health during health emergencies and disasters on
health emergencies and disasters on FP/MNCHN 5 5 3 4.333
emergencies and disasters on FP/MNCHN related concerns on scheduled
related concerns on scheduled date with minimal error
FP/MNCHN related concers date without error

Referred 45 new FP acceptors for counseling

Refers 31 new FP acceptors for counseling and FP
and FP provision on scheduled date without 5 5 3 4.333
10. Refer 100% new FP acceptors for provision on schedule date with excellent results. errors.
counseling and FP provsion and
assist in the inventory of DOH
procured FP commodities
10. Refer 100% new FP acceptors for
counseling and FP provsion and
assist in the inventory of DOH
procured FP commodities
Assists in the inventory of 5 DOH procured FP Assisted inventory of 6 DOH procured FP
5 5 3 4.333
commodities on schedule date with no mistakes commodities on scheduled date without errors.

Conduct 807 MR-TD and HPV School Based Conduct 807 MR-TD and HPV School Based
11. HRH-NHWSS MR-TD and HPV
Immunization activity on scheduled date with all aspects Immunization activity on scheduled date with all 5 5 3 4.333 ACTUAL
School Based Immunization
of works thoroughly covered aspects of works thoroughly covered

4.2000
SUPPORT FUNCTION: 20%

1. Assist 100% in the conduct of Assists in the conduct of 6 health education and Assisted in the conduct 8 of health education
health education and advocacy advocacy campaigns on MNCHN and demand and advocacy campaigns on MNCHN and
campaigns on MNCHN and demand generation activities and provision of FP services on demand generation activities and provision of 5 5 3 4.3333
generation activities and provision of scheduled date with all aspects of work thoroughly FP services on scheduled date with all aspects
FP services cover of work thoroughly covered

Participated 9 data gathering and response

2. Participates 100% in data gathering Participates 6 data gathering and response during
during health emergencies and disaster on
and response during health health emergencies and disaster on scheduled date 5 5 3 4.3333
scheduled date with all aspects of work
emergencies and disaster with all aspects of work thoroughly cover
thoroughly covered

Performed 2 other related functions as may be

3. Performs 100% other related Performs 2 other related functions as may be assigned
assigned subject to the approval of DOH on
functions as may be assigned subject subject to the approval of DOH on scheduled date with 4 5 3 4.0000
scheduled date with all aspects of work
to the approval of DOH all aspects of work thoroughly covere
thoroughly covered
AVERAGE RATING (CORE FUNCTIONS) 4.2222 3.3778

RATING
Final Rating per
Function (Average Adjectival
Function Percentage Distribution* Average Rating per Function Final Average Rating Remarks
Rating x Percentage Rating
Distribution)
Core Function 80% 4.2000 3.3600
4.2044 VS
Support Function 20% 4.2222 0.8444

Comments and Recommendation for Development Purposes:

Discussed With: Assessed by: Date Final Rating By: Date

I certify that I discussed my assessment of the perfomance with the employee
SHERLYN MAE N. LANOS
ROSTON G. GARCES, MD, PHSAE December 13, 2024 KAREN Y. GARCES,RN,MAN December 13, 2024

Employee Supervisor Supervisor

Legend: 1 - Quuality 2 - Efficiency 3 - Timeliness 4 - Average; *In the event that there is no Strategic Output, the percentage distribution is as follows: Core output-80% and Support output-20%