Republic of the Philippines

Department of Health
REGIONAL OFFICE (MIMAROPA)
MARINDUQUE PROVINCIAL DOH OFFICE
DDRPH Compound, Santol, Boac, Marinduque 4900

HUMAN RESOURCES FOR HEALTH

INDIVIDUAL PERFORMANCE TARGETS
April to December 2018

Family Health Associate (FHA) Form 1

NAME: MARIBEL S. VALENZUELA MUNICIPALITY: GASAN

BARANGAY: ______________ PROVINCE: MARINDUQUE

NOTE: To be filled up at the beginning of the deployment period by the HRH, MHO/RHP/DTTB
and DMO/DOH Rep Designate.

A. PERFORMANCE

ACCOMPLISHMENT
Did not Exceeded
Meet the
OUTPUT TARGETS AND MEASURES meet the
expectation
the
expectation expectation
(1) (2) (3)
Assist the health facility in
the identification of clients
with unmet Modern Family
Planning (MFP).
Assist in coordinating all
demand generation
activities carried out by
both the health and
population offices at the
municipality.
Assist in providing health
information/education
including interpersonal
communication and
counseling service
Assist in the mapping of
available MFP services in
health facilities/clinics
including birthing clinics
(both public and private)
offering full range of MFP
services within the service
delivery network up to the
tertiary level facility
including conduct of
outreach missions and
provision of (post-partum
family planning) PPFP in
hospital-based facilities
Prepare and update the
existing roster of service
providers in the service
delivery network
Provision of FP counseling
and services to augment
 Republic of the Philippines
Department of Health
REGIONAL OFFICE (MIMAROPA)
MARINDUQUE PROVINCIAL DOH OFFICE
DDRPH Compound, Santol, Boac, Marinduque 4900

existing FP services where

needed (e.g. FP counseling
and services during
demand generation
activities, outreach
missions, PPFP) in close
coordination with the
MHO/CHO/FP focal person
in the health facility
Assist in the referral of
clients for appropriate MFP
services to health providers
within the service delivery
network (within and outside
the municipality) in case
services are not available
in the existing health facility
Coordinate with CSOs
(birthing facilities/clinics)
and all hospitals in the
SDN on FP service
provision specifically in
providing PPFP services
Organize and coordinate
with appropriate FP
providers and other
involved staff for the
conduct of regular FP
outreach missions in
identified areas where
there are needs for MFP
services focusing on areas
with high MFP demand
(e.g. GIDA, urban poor
communities)
Assist the health facility in
ensuring availability of FP
commodities thru: conduct
of inventory of FP
commodities and supplies;
assist in the preparation of
monthly consumption data
reports. These shall be
carried out in close
coordination with the RHU
staff responsible for
logistics management
Provide assistance in
monitoring of municipal
level benchmarks through:
tracking of M&E indicators
relative to achieving the
 Republic of the Philippines
Department of Health
REGIONAL OFFICE (MIMAROPA)
MARINDUQUE PROVINCIAL DOH OFFICE
DDRPH Compound, Santol, Boac, Marinduque 4900

objectives of meeting
unmet needs for MFP;
ensuring proper
documentation of municipal
activities; assist in the
consolidation, preparation
and submission of facility
reports as required under
monitoring framework and
regularly updates/reports to
the MHO/PHO/DMO on
status of FP
implementation in the
municipality
Participate in data
gathering and response
during health emergencies
and disasters

Perform other related

functions as may be
assigned

Agreed upon by:

MARIBEL S. VALENZUELA ABIGAIL S. VILLARUEL, MD DELBERT J. MADRIGAL

HRH Deployed Rural Health Physician Development Management
Officer IV Gasan RHU Municipal DOH Representative

Date: ______________

“Kalusugan sa mga Isla, Kayamanan ng MIMAROPA”