ANNEX 1

Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

BARANGAY DEVELOPMENT COUNCIL FUNCTIONALITY ASSESSMENT

SELF - ASSESSMENT FORM
YEAR UNDER REVIEW: 2018
(to be filled-out by the Punong Barangay)

Region: VI-Western Viayas City: Iloilo City

Province: Iloilo Barangay: Zamora-Melliza

Instruction: Put a check (Ö ) on the box that corresponds to the given questions

A. STRUCTURE
1 The BDC is organized/reconsitituted YES NO MEANS OF VERIFICATION
⁄ Sangguniang Barangay Resolution
⁄ Executive Order
Others: (Please Specify)

2 The BDC is organized/reconstituted within 100 YES NO MEANS OF VERIFICATION

days upon assumption to office ⁄ ⁄ Oath of Office of the Punong Barangay
Date of organization/reconstitution: ______________ Sangguniang Barangay Resolution
⁄ Executive Order
Others: (Please Specify)

3 The BDC Executive Committee is constituted YES NO MEANS OF VERIFICATION

⁄ Sangguniang Barangay Resolution
⁄ Executive Order
Others: (Please Specify)

4 The BDC Secretariat is constituted YES NO MEANS OF VERIFICATION

⁄ Sangguniang Barangay Resolution
⁄ Executive Order
⁄ Minutes of the meetings prepared by the Secretary
Others: (Please Specify)

5 BDC sectoral or functional committees are YES NO MEANS OF VERIFICATION

organized ⁄ Sangguniang Barangay Resolution
⁄ Executive Order
Others: (Please Specify)

B. PEOPLE
1 BDC membership is in accordance with YES NO MEANS OF VERIFICATION
prescribed members per Section 107 of RA 7160 ⁄ Sangguniang Barangay Resolution
Number of members of BDC: _________ ⁄ Executive Order
Others: (Please Specify)
 2 At least 4 or 1/4 members of the BDC are YES NO MEANS OF VERIFICATION
representatives from accredited NGOs ⁄ ⁄ Sangguniang Barangay Resolution
Number of representative from ⁄ Executive Order
accredited NGOs: _______________ ⁄ Certification of NGO/CSO accreditation
⁄ Directory/List of accredited NGOs
Certification/Endorsement to represent the NGO
Others: (Please Specify)

3 At least 6 or 40% of all the BDC members are YES NO MEANS OF VERIFICATION
composed of women pursuant to RA 9710 or the ⁄ Sangguniang Barangay Resolution
Magna Carta of Women of 2009 ⁄ Executive Order
Total Number of BDC Members: ________________ Directory/Profile of BDC Members
Number of female BDC Members: ________________ Others: (Please Specify)
Number of male BDC Members: _________________

4 BDC members attended any related trainings YES NO MEANS OF VERIFICATION

or orientation at least once in the previous year
⁄ Post-activity Report of the Training
Attendance Sheets
⁄ Photocopy of Certficate of Participation/Attendance
Photo documentation with date and time stamp
Others: (Please Specify)

C. SYSTEM
1 Conduct of Meetings
a BDC conducts meeting at least twice a year YES NO MEANS OF VERIFICATION
Date of 1st semester meeting: _______________ ⁄ ⁄ Minutes of the meetings
Date of 2nd semester meeting: _______________ ⁄ Attendance sheets
Photo documentation with date and time stamp
Others: (Please Specify)

b BDC Executive Committee conducts meetings YES NO MEANS OF VERIFICATION

at least once every quarter Minutes of the meetings
Date of 1stQ Meeting: __________ Attendance sheets
Date of 2ndQ Meeting: ________ Photo documentation with date and time stamp
Date of 3rdQ Meeting:__________ Agenda of the meeting with BDC related concerns
Date of 4thQ Meeting: __________ Others: (Please Specify)

c Sectoral and Functional Committee Meetings YES NO MEANS OF VERIFICATION

are conducted Minutes of the meetings
Attendance sheets
Photo documentation with date and time stamp
Others: (Please Specify)

2 Fomulation of Plans and Programs

a Barangay Development Plan is formulated YES NO MEANS OF VERIFICATION
⁄ ⁄ Barangay Development Plan (BDP)
 ⁄ Resolution of the BDC approving BDP
⁄ Sangguniang Barangay Resolution adopting BDP
Others: (Please Specify)

b Sectoral plans are integrated in the BDP YES NO MEANS OF VERIFICATION

Barangay Development Plan (BDP)
Integrated sectoral plans/BBI plans in the BDP
Resolution of Sectors/BBIs submitting the
plan to BDC
Resolution of BDC adopting the plans

Agenda of BDC meetings reflecting recommendations

from BBIs /sectoral committees members
Others: (Please Specify)

c Local Development Investment Program/Annual YES NO MEANS OF VERIFICATION

Investment Program is formulated LDIP/AIP
Resolution of the BDC approving AIP
Sangguniang Barangay Resolution adopting AIP
Others: (Please Specify)

d Sanggunian Barangay approved BDP is submitted YES NO MEANS OF VERIFICATION

to the City/Municipal level for inclusion in the CDP Resolution of the SB approving the BDP
Transmittal Letter/Resolution of the BDC/SB
the city/municipality
Copy of the BDP with stamp received by
submitting the BDP to the city/municipality
Others: (Please Specify)

3 Planned Projects are Being Implemented

a Percentage of accomplished PPAs vis-à-vis PERCENTAGE MEANS OF VERIFICATION
targeted PPAs in the AIP 100% - 85% LDIP/AIP
Number of target PPAs: ________ 84% - 50% Certification by the PB of accomplishment rate
Number of accomplished PPAs: ________ 49% - 25% per PPAs
Below 25% Accomplishment Report
Project Status Report
Terminal or Post-Activity Reports
Minutes of the BDC meeting discussing project
status/accomplishments
Others: (Please Specify)

b Percentage of utilization of allocated budget PERCENTAGE MEANS OF VERIFICATION

Amount of annual budget: _____________ 100% - 85% Approved appropriations ordinance
Amount of utilized budget: _____________ 84% - 50% Certification of utilization rate by the barangay treasurer
49% - 25% Financial Reports
Below 25% Accomplishment Report
Others:
 c Submission of annual accomplishment report YES NO MEANS OF VERIFICATION
Narrative Accomplishment Report
Physical and Financial Reports
State of the Barangay Address presented
during Barangay Assembly Days
Others: (Please Specify)

D. PEOPLE'S PARTICIPATION IN LOCAL DEVELOPMENT

1 Voluntary participation of the residents in the YES NO MEANS OF VERIFICATION
implementation of barangay PPAs Certificate of Appreciation/Recognition
Photo Documentation with date and time stamp
After-activity reports
Attendance sheets
Others: (Please Specify)

2 Conduct of public hearing/barangay assemblies YES NO MEANS OF VERIFICATION

for public consultation Minutes of the meetings
Minutes of the Barangay Assembly Days
Photo Documentation with date and time stamp
Attendance Sheets
Others: (Please Specify)

3 Attendance of CSOs to the regular meetings YES NO MEANS OF VERIFICATION

of the BDC Minutes of the meetings
Attendance sheets
Photo Documentation with date and time stamp
Others: (Please Specify)

4 Conduct of consultation meetings with various YES NO MEANS OF VERIFICATION

sectors Minutes of the meetings
Attendance sheets
Photo Documentation with date and time stamp
Others: (Please Specify)

5 Attendance of BDC members to the meetings/ YES NO MEANS OF VERIFICATION

consultation initiated by higher LGUs (P/C/M) Minutes of the meetings
Attendance sheets
Photo Documentation with date and time stamp
Others: (Please Specify)

E. BDC INNOVATIONS AND GOOD PRACTICES YES NO MEANS OF VERIFICATION

BDC implements processes, mechanisms and programs Program brief
as innovation to provisions of existing policies Resolution/Ordinace implementing innovation
Photo Documentation with date and time stamp
Minutes of the meeting
Recognition and awards
Newspaper clips
 Others: (Please Specify)

Prepared by : Date accomplished:

(Name and Signature of Punong Barangay)