HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020

RURAL HEALTH UNIT STAFF BEHAVIORAL RATING

RHU: TANAUAN

BEHAVIORAL ATTRIBUTE
ATTITUDE
1. ATTENDANCE 2. COURTESY/RESPECT 3. HONESTY 4. DEPENDABILITY 5. RESOURCEFULNESS 6. TEAM PLAYER

Observes punctuality,
Highly values relationship Works according to the Exercises responsibility & Creativeness, Collaborativeness,
tardiness, absences, timely
with team & displays policies and truth at all reliability in carrying out innovativesness, resiliency, Consultative, Comlements OVERALL

N
O
submission of reports &

TI
NAME OF HRH compassion to clients times assigned tasks effeciency in working with group efforts RATING
A
completion of tasks
N
G
SI
E
D

Please indicate your rating for each behavior (1 as LOWEST and 5 as HIGHEST)
RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO

1. ADONA, JESSEL MARI NDP

2. RONQUILLO, REX NDP

Prepared by:

FATIMA C. ESQUIVEL,RM _____________________________ DR. ARLENE V. SANTO

Rural Health Midwife Public Health Nurse Municipal Health Officer

 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
RURAL HEALTH UNIT STAFF BEHAVIORAL RATING
RHU: TANAUAN

BEHAVIORAL ATTRIBUTE
ATTITUDE
1. ATTENDANCE 2. COURTESY/RESPECT 3. HONESTY 4. DEPENDABILITY 5. RESOURCEFULNESS 6. TEAM PLAYER

Observes punctuality,
Highly values relationship Works according to the Exercises responsibility & Creativeness, Collaborativeness,
tardiness, absences, timely
with team & displays policies and truth at all reliability in carrying out innovativesness, resiliency, Consultative, Comlements OVERALL

N
O
submission of reports &

TI
NAME OF HRH compassion to clients times assigned tasks effeciency in working with group efforts RATING

A
completion of tasks

N
G
SI
E
D
Please indicate your rating for each behavior (1 as LOWEST and 5 as HIGHEST)
RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO

1. TISMO, SERIEL NDP

2. ROA, MEREDITH CARMIN NDP

Prepared by:

LUPICINA PAUJANA,RM ____________________________ DR. ARLENE V. SANTO

Rural Health Midwife Public Health Nurse Municipal Health Officer

 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
RURAL HEALTH UNIT STAFF BEHAVIORAL RATING
RHU: TANAUAN

BEHAVIORAL ATTRIBUTE
ATTITUDE
1. ATTENDANCE 2. COURTESY/RESPECT 3. HONESTY 4. DEPENDABILITY 5. RESOURCEFULNESS 6. TEAM PLAYER

Observes punctuality,
Highly values relationship Works according to the Exercises responsibility & Creativeness, Collaborativeness,
tardiness, absences, timely
with team & displays policies and truth at all reliability in carrying out innovativesness, resiliency, Consultative, Comlements OVERALL

N
O
submission of reports &

TI
NAME OF HRH compassion to clients times assigned tasks effeciency in working with group efforts RATING

A
completion of tasks

N
IG
ES
D

Please indicate your rating for each behavior (1 as LOWEST and 5 as HIGHEST)
RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO

1. SONGALIA, APRIL NDP

2. LAUZON, JENEVA NDP

3.CAGARA, PRINCES MEA RHMPP

Prepared by:

LANY O. GOMEZ,RM __________________________ DR. ARLENE V. SANTO

Rural Health Midwife Public Health Nurse Municipal Health Officer

 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
RURAL HEALTH UNIT STAFF BEHAVIORAL RATING
RHU: TANAUAN

BEHAVIORAL ATTRIBUTE
ATTITUDE
1. ATTENDANCE 2. COURTESY/RESPECT 3. HONESTY 4. DEPENDABILITY 5. RESOURCEFULNESS 6. TEAM PLAYER

Observes punctuality,
Highly values relationship Works according to the Exercises responsibility & Creativeness, Collaborativeness,
tardiness, absences, timely
with team & displays policies and truth at all reliability in carrying out innovativesness, resiliency, Consultative, Comlements OVERALL

N
O
submission of reports &

TI
NAME OF HRH compassion to clients times assigned tasks effeciency in working with group efforts RATING

A
completion of tasks

N
IG
ES
D
Please indicate your rating for each behavior (1 as LOWEST and 5 as HIGHEST)
RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO

1. SOLILAP, ALVIN ANTHON NDP

2. DY, ELYZZA RUTH NDP

3. CUMPIO, TINA RHMPP

Prepared by:

ELVIRA LAMATA,RM __________________________ DR. ARLENE V. SANTO

Rural Health Midwife Public Health Nurse Municipal Health Officer

 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
RURAL HEALTH UNIT STAFF BEHAVIORAL RATING
RHU: TANAUAN

BEHAVIORAL ATTRIBUTE
ATTITUDE
1. ATTENDANCE 2. COURTESY/RESPECT 3. HONESTY 4. DEPENDABILITY 5. RESOURCEFULNESS 6. TEAM PLAYER

Observes punctuality,
Highly values relationship Works according to the Exercises responsibility & Creativeness, Collaborativeness,
tardiness, absences, timely
with team & displays policies and truth at all reliability in carrying out innovativesness, resiliency, Consultative, Comlements OVERALL

N
O
submission of reports &

TI
NAME OF HRH compassion to clients times assigned tasks effeciency in working with group efforts RATING

A
completion of tasks

N
G
SI
E
D

Please indicate your rating for each behavior (1 as LOWEST and 5 as HIGHEST)
RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO

1. VERGARA, KIRSTY MAR NDP

2. MIJARES, RALPH RYAN NDP

Prepared by:

GOLDA MAY B. IGROBAY,RM ___________________________ DR. ARLENE V. SANTO

Rural Health Midwife Public Health Nurse Municipal Health Officer

 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
RURAL HEALTH UNIT STAFF BEHAVIORAL RATING
RHU: TANAUAN

BEHAVIORAL ATTRIBUTE
ATTITUDE
1. ATTENDANCE 2. COURTESY/RESPECT 3. HONESTY 4. DEPENDABILITY 5. RESOURCEFULNESS 6. TEAM PLAYER
Observes punctuality,
tardiness, absences, Highly values relationship Works according to the Exercises responsibility & Creativeness, Collaborativeness,
timely submission of with team & displays policies and truth at all reliability in carrying out innovativesness, resiliency, Consultative, Comlements OVERALL

N
O
TI
NAME OF HRH reports & completion of compassion to clients times assigned tasks effeciency in working with group efforts RATING

A
N
IG
tasks

ES
D Please indicate your rating for each behavior (1 as LOWEST and 5 as HIGHEST)
RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO RHM PHN MHO

1. ARIZA, ALEMELLE NDP

2.BAYLON, TONY ROSE NDP

3. PASTRANA, DIONNE NDP

4. ROSAL, SHERRY CHRISTINENDP

5. REDOÑA, BERNADETTE RHMPP

6.DE LUNA, JOSEPH FLORENC PHA

Prepared by:

EVANGELINE V. AVILA, RM __________________________ DR. ARLENE V. SANTO

Rural Health Midwife Public Health Nurse Municipal Health Officer

 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
DEVELOPMENT MANAGEMENT OFFICER IV BEHAVIORAL RATING
RHU: TANAUAN, LEYTE

BEHAVIORAL ATTRIBUTE
ATTITUDE
1. ATTENDANCE 2. COURTESY/RESPECT 3. HONESTY 4. DEPENDABILITY 5. RESOURCEFULNESS 6. TEAM PLAYER

Observes punctuality,
Highly values relationship Works according to the Exercises responsibility & Creativeness, Collaborativeness,
tardiness, absences, timely

N
O
with team & displays policies and truth at all reliability in carrying out innovativesness, resiliency, Consultative, Comlements

TI
NAME OF HRH submission of reports &

A
compassion to clients times assigned tasks effeciency in working with group efforts

N
G
completion of tasks

SI
E
D
Please indicate your rating for each behavior (1 as LOWEST and 5 as HIGHEST)

Prepared by:

_____________________________
Development Management Officer IV
 6. TEAM PLAYER

Collaborativeness,
OVERALL
nsultative, Comlements
RATING
with group efforts
 DOH - SPMS Form 3
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
I, (Name), (Designation) of the RURAL HEALTH UNIT OF ____________ commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period (Date of entry) to
December 31, 2020.

. Name of Employee: (HRH Printed name and signature) Date**:

Approved By***: Date****:
(DMO IV Printed name and signature)
Name of Supervisor

RATING
Output Success Indicators Actual Accomplishment (g) Remarks
(Targets + Measures) Q E T A
(a) (b) (c) (1) (2) (3) (4) (d)

Core Functions

PREVENTION
A. HEALTH PROMOTION
Facilitates activities on health promotion
1. 100% health education activities conducted N/A 0.00
2. 100% advocacy campaign activities conducted N/A 0.00
Ensure relevant policies/guidelines on COVID
N/A 0.00
prevention, response and recovery
B. SURVEILLANCE/MONITORING
1. 100% functional BHERTS supervised N/A 0.00
Participates in data gathering 2. 100% LSI/ROF/APOR/OFW monitored N/A 0.00
DETECT
A. TRACE
1. 100% close contacts traced/assessed N/A 0.00
B. TEST
1. 100% close contacts/suspects assisted swabbing N/A 0.00
Conduct prompt outbreak investigation 2.100% close contacts/suspects swabbed N/A 0.00
ISOLATE
A. ISOLATION FACILITY
1. Total number of duty days N/A 0.00
B. QUARANTINE FACILITY
1. Total number of duty days N/A 0.00
RE-INTEGRATION
A. 100% patients/clients provided with MHPSS N/A 0.00
B.100% clients counseled on proper nutrition N/A 0.00
C.100% clients provided health education on health protocols N/A 0.00
OTHER PROGRAMS
A. SERVICE DELIVERY NETWORK

Increase access to quality essential health

products and services
 1. MNCHN N/A 0.00
2. EPI N/A 0.00
Increase access to quality essential health 3. NON-COMMUNICABLE
products and services N/A 0.00
a. MHPSS N/A 0.00
b. PHILPEN N/A 0.00
c. NVBSP N/A 0.00
4. COMMUNICABLE
N/A 0.00
a. TB N/A 0.00
b. HIV N/A 0.00
c. Dengue N/A 0.00
d. Rabies N/A 0.00
B. GOVERNANCE
1. Barangay Health Board
Ensure relevant policies/guidelines cascaded to
barangay assignment a. Total number of functional barangay health board meetings conducted N/A 0.00

b. Total number of local policies passed N/A 0.00

C. HEALTH INFORMATION
Submission of monitoring reports 1. Health facility mapping N/A 0.00
2. COVID-related reports submitted N/A 0.00

Average Rating (Core Functions): N/A 0.0 0.0 0.0

Support Functions
N/A 0.00
(please indicate other functions in your area of assignment) N/A 0.00
Average Rating (Support Functions): N/A 0.0 0.0 0.0
RATING

Final Rating per

Average Rating Function
Function Percentage Distribution Remarks
per Function (Average Rating x
Percentage Distribution)

Core Functions 80% 0.00 0.00

20%
Support Functions 0.00 0.00
(20% if no strategic indicators)
0%
Strategic Functions
(0 if no strategic indicators)
Final Average Rating (i) 0.00
Adjectival Rating (j) VS
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

(DMO IV Printed name & Signature)

ANTONIO O. IDA, MD,MPH
 I certify that I discussed my assessment of the perfomance with the
employee

(DMO IV Printed name & Signature)

(HRH Printed name & signature ANTONIO O. IDA, MD,MPH
(Designation) Development Management Officer IV DMO V - Provincial DOH Officer-North Leyte
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average
 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
DMO PERSONNEL PERFORMANCE RATING (35%)

NAME: _________________________________________________
DESIGNATION: _________________________________________________
MUNICIPALITY: _________________________________________________
TOTAL NO OF BARANGAY ASSIGNMENT: _________________________________________________
I. COVID ACCOMPLISHMENTS (60%)
PREVENTION 40% SCORE
2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q A. Health Promotion 15 15 10 40
15 15 10 1. Health education activities conducted
2. Advocacy campaign activities conducted
5 = 10
5 = 15 3. Local resolutions passed (e.g.minimum health standards
3-4 = 10
3-4 =
B. Surveillance/Monitoring 15 15 10 40
6 1-2 =
1-2 = 5 4.Functional BHERT supervised
3
5.LSI/ROF/APOR/OFW monitored

DETECT 15% SCORE

2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q A. Trace 6 6 3 15
6 6 3 =3 1. Close contacts traced/assessed
3=6 B. Test
2=4 2=2 2. Close contacts/suspects assisted for swabbing
1=2 3. Close contacts/suspects swabbed
1=1

ISOLATE 15% SCORE

2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q A. Isolation Facility 6 6 3 15
6 6 3 1. Number of duty days
3=3
B. Quarantine Facilitiy
3=6
2. Number of duty days
2=4 2=2
3. Number of clients monitored under home quarantine
1=2
1=1

RE-INTEGRATION 30% SCORE

2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q 1. Patients/clients provided with MHPSS 12 12 6 30
12 12 3 =66 2. Clients counseled on proper nutrition
3 = 12 3. Clients provided health education on
2=6 2=4 health protocols
1=4
1=2

II. OTHER PH PROGRAMS (40%) SCORE

Rating scale A. SERVICE DELIVERY 40% 40
1. MNCHN
2. EPI
3. NON-COMM
9 = 40 a. MH
6 - 8 = 30 b. PHILPEN
3 - 5 = 20 c. NVBSP
4. COMM
1 - 2 = 10 a. TB
b. HIV
c. Dengue
d. Rabies
B. GOVERNANCE 40% 40
2 = 40 1. Barangay Health Board
1 = 20 a. Functional BHB
b. Local policies
C. HEALTH INFORMATION 20% 20
2 = 20 1. Health facility mapping
1 = 10 2. COVID-related reports

Evaluated by:

Rural Health Midwife Public Health Nurse Municipal Health Officer

PROVINCIAL DOH OFFICE-NORTH LEYTE

Barangay Naga-Naga, Palo, Leyte
MOVs
 HUMAN RESOURCE FOR HEALTH (HRH) EVALUATION 2020
RHU PERSONNEL PERFORMANCE RATING (15%)

NAME: _________________________________________________
DESIGNATION: _________________________________________________
MUNICIPALITY: _________________________________________________
TOTAL NO OF BARANGAY ASSIGNMENT: _________________________________________________
I. COVID ACCOMPLISHMENTS (60%)
PREVENTION 40% SCORE
2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q A. Health Promotion 15 15 10 40
15 15 10 1. Health education activities conducted
2. Advocacy campaign activities conducted
5 = 10
5 = 15 3. Local resolutions passed (e.g.minimum health standards
3-4 =
3-4 = 10 B. Surveillance/Monitoring
6 1-2 =
1-2 = 5 4.Functional BHERT supervised
3
5.LSI/ROF/APOR/OFW monitored

DETECT 15% SCORE

2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q A. Trace 6 6 3 15
6 6 3 =3 1. Close contacts traced/assessed
3=6 B. Test
2=4 2=2 2. Close contacts/suspects assisted for swabbing
1=2 3. Close contacts/suspects swabbed
1=1

ISOLATE 15% SCORE

2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q A. Isolation Facility 6 6 3 15
6 6 3 1. Number of duty days
3=3
B. Quarantine Facilitiy
3=6
2. Number of duty days
2=4 2=2
3. Number of clients monitored under home quarantine
1=2
1=1

RE-INTEGRATION 30% SCORE

2nd 3rd 4th
Rating scale Indicators TOTAL
Quarter Quarter Quarter
2Q 3Q 4Q 1. Patients/clients provided with MHPSS 12 12 6 30
12 12 3 =66 2. Clients counseled on proper nutrition
3 = 12 3. Clients provided health education on
2=6 2=4 health protocols
1=4
1=2

II. OTHER PH PROGRAMS (40%) SCORE

Rating scale A. SERVICE DELIVERY 40% 40
1. MNCHN
2. EPI
3. NON-COMM
9 = 40 a. MH
6 - 8 = 30 b. PHILPEN
3 - 5 = 20 c. NVBSP
4. COMM
1 - 2 = 10 a. TB
b. HIV
c. Dengue
d. Rabies
B. GOVERNANCE 40% 40
2 = 40 1. Barangay Health Board
1 = 20 a. Functional BHB
b. Local policies
C. HEALTH INFORMATION 20% 20
2 = 20 1. Health facility mapping
1 = 10 2. COVID-related reports

Evaluated by:

Rural Health Midwife Public Health Nurse Municipal Health Officer

PROVINCIAL DOH OFFICE-NORTH LEYTE

Barangay Naga-Naga, Palo, Leyte
MOVs