Government of India

Ministry of Health & Family Welfare

National AIDS Control Organization

(Performance Assessment of Contractual Personnel – Apr’16 –March’ 17

1. Name : Mrs.B.Vanitha
2. Current Designation : ICTC LAB TECHNICIAN
3. Division :
4. Monthly Remuneration : 19250/ -
5. Joining Date : 06.03.2006
6. Period of Contract : 02.04.2016 to 31.03.2017
7. Educational Qualifications : B.com.,CMLT

8. Experience ICTC, Lab Technician,GPHC,

Uppliyapuram,Tiruchy
ICTC, Lab Technician, Govt Rajaji Hospital,Trichy
(11 Years).
9. Self Appraisal(Key Job responsibilities Performed during the assessment Period)

1. Undertake HIV testing according to standard laboratory procedure.

2. Keep the facility neat and clean at all times.
3 .Ensure that adequate stock of consumables and rapid HIV diagnostic kits are available in
the ICTC.
4.Keep a record of HIV test results as well as a stock of rapid HIV diagnostic kits and
Consumables.
5. Ensure the maintenance of all laboratory equipment.
6. Scrupulously follow internal and external quality assurance procedures.
7.Follow universal safety precautions and strictly adhere to hospital waste management
Guidelines.
8. I have been available in the ICTC- lab as per the specified timings
9. Blood took from clients who had got per –test counseling about HIV
10. Clients ID number noted and labeled on sample container.
11. Run the test with worksheet as per NACO guidelines and standard operating
procedure.
12. Results registered and given to counseling
13. Clients to be sent to counselor for post test counseling.
14. I never interpret and give the results to clients.
15. Bio safety and universal work precautions followed during the work.
16. External Quality assessment and panel testing are followed with SRL, trichy
17. Bio Medical waste management procedure followed for lab wastes.

Government of India
Ministry of Health & Family Welfare
National AIDS Control Organization

18. Equipment maintenance and calibration are done properly.

19. HIV kits are kept in their optimal temperature.
 20. All registers are updated regularly.
21. Needle stick injury is registered and post exposure prophylaxis given to affected
hospital workers.
22. Kit stocks are maintained and updated daily.
23. Internal quality control done for every new box kit and registered.
24. Occurrence management problems are rectifying with through proper channel.
25. IEC materials and universal work precautions posters are displayed in lab.
26.Every week – Tuesday , I have sent kit stock message DAPCU
27. Monthly lab performance report sent to SRL.
28. I have coordinated with counselor to ensure to given the best care to the clients from
health care facilities, ART centre, RNTCP.

10. What are the activities which you carried out which were outside the scope of your key
responsibilities:

 Sputum AFB test has been done by me to all cases referred by the medical officer. (Average
cases per month >150).
 HIV/AIDS awareness programmed conducted world AIDS day in our hospital.
 TB Awareness programmed conducted world TB day in our Hospital.
 Involve worked in VBD campaign many colleges.
 Hospital survey taken in corporation word.

11. Factors which hinder your performance during the reporting period:

NIL

12 Please mention any special achievements or outstanding work done during the current appraisal
. period:

1.HIV testing April 2016-February 2017

a)Total No Tested :3048
b)To No of Positive :18
2.HIV-TB Tested April 2016-February 2017
a)Total No of Patient :
b)Total No of HIV Positive :

Name of the contractual Personnel:

Name:
Date :

Government of India
Ministry of Health & Family Welfare
National AIDS Control Organization

Confidential
Assessment by Reporting Officer for the Year/period 02.04.2016 to 31.03.2017.
Name: DR.T.Raja kumar M.D., Designation: Superintendent I/C.,

S.No. Key Responsibilities Areas Maximum Marks

Marks awarded by
Controlling
Officer
1. Fulfillment of tasks assigned as per guidelines and 15
timeline
2. Quality of output 15
3. Takes initiative to perform beyond normal course of 15
responsibilities
4. Analytical Ability 15
5. Attitude towards work and sense of responsibility 10
6. Inter personal relations with superiors/ 10
colleagues/teams. Stakeholders
7. Knowledge of rules/regulations. procedure of the 10
function and ability to apply them correctly
8. Maintenance of discipline/attendance & punctuality 10
Total 100
Total Score

Rating Descriptions: EXCELLENT

Excellent (90 & above): Commendable job, far exceeded the set goals.
Very Good (80 – 90): Exceeded the targets and demonstrated positive attitude and team
work.
Good (70 – 80): Met most goals but was lacking in proactive planning, attitude and
teamwork.
Average (50 – 60): Met a few goals, needs to improve job knowledge, takinghas met only a
few goals of each KRA, while failing to meet the rest; needs to improve initiative, job
knowledge and teamwork
Inadequate (Less than 50): Hardly met any goals and seems to lack the drive, job
knowledge, skills, respect for colleagues, organization rules, attendance, punctuality and
teamwork.

Areas of Development/Training needed: ____________________________________________

Recommendations: _____________________________________________________________
Signature of Reporting Officer with date

Assessment by HOD (Reviewing Officer):

_____________________________________________________________________________

Signature of HOD (Reviewing Officer