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PERSONS WITH DISABILITY AFFAIRS OFFICE

REGION: IX Year under Review: Date of Submission:

Persons with Disabilities Statistics

Sex (Disaggregated
Type of Disability Total No. of Individuals with Age Range Total No.)
this Type of Disability

Persons with

Jurisdiction:
Disabilities
Total No.
Female Male

within
*Table may be expanded or use another sheet, if needed.

ESTABLISHMENT (Indicate ACCESIBILITY (List all installed RESOURCE (List equipment, POLICIES,PLANS, & BUDGET (Is CONDUCT OF MEETINGS (List PARTNERSHIP INITIATIVES (List
Ordinance or Executive Order) facilities/devices compliant to BP furnishings, tools, etc. for daily PDAO budget allocatef from IRA; dates of meetings w/ conducted activites w/ Persons
344) operations) programs integrated in AIP?) topics/agenda) with Disabilities)

*Table may be expanded or use another sheet, if needed.

Preapred by: Submitted by: Approved by:

Signature above Printed Name Signature above Printed Name Signature above Printed Name
Position Position Position, LGU
 ANNEX C

PERSONS WITH DISABILITY AFFAIRS OFFICE/

FOCAL PERSON FUNCTIONALITY ASSESSMENT FORM
Year under Review: 2022
Date of Submission: February 14, 2023

Region: IX
Province: Zamboanga Sibugay
City/Municipality: NAGA

INDICATOR RATING REMARKS

Establishment 20%
Choose one:
Ordiannce No. 85-19 "An
a1. For Provinces, Cities, and 1st to 3rd income class Ordiannce Creating the Persons
Municipalities, the PDAO is established through 20 with Disability Affairs Office
ordinance (20%) (PDAO) in the Municipality of
Naga, Zamboanag Sibugay"
or

a.2. For 4th to 6th income class municipalities, PWD

Date Enacted: January 29, 2019
FP is appointed by Executive Order (20%)

Accessibility 15%
Choose one:

a1. Physical loaction of PDAO is easily accessible to

5
Persons with Disabilities (5%)

or
a.2. Physical loaction of PWD FP oddice/desk is easily
accessible to Persons with Disabilities s (5%)
b. PDAO/FP has installed accessibility
facilities/devices such as:
Ramps (1%)
Support Rails (1%)
Reserved parking space for Persons with
1
Disabilities (1%)
Wheelchair-friendly doors (1%)
Wheelchair-friendly restrooms (1%)
Braille (1%)
Sign language interpreters (1%)
Assistive signages (1%)
Tactile tiles (1%) 1
others: _____________ (1%)
Resources 10%
a. Furniture and Vehicle
Tables and chairs (1%) 1
Filing cabinet/storage area (1%)
Sofa bed, folding bed, or mat(1%)
Availability of vehicle and/or
transportation expenses to convey 1
Persons with Disabilities(1%)
b. Equipment and Supplies
Landline or mobile phone (1%) 1
Computer, especially for PWD Database 1
purposes (1%)
Camera (0.5%) 0.5
Voice recorder (0.5%) 0.5
First aid kit and other medicines (1%) 1.00

c. Monitoring Tools
Logbooks
Logbook for violations of Ras 7277, 9442,
10574 (0.5%)
Logbook recording violence against
Persons with Disabilities (0.5%)
Logbooks
Feedback Form (0.5%)
Referral Form (0.5%)
Policies, Plans and Budget 15%
a. PDAO/FP budget allocated in IRA (7.5%) 7.5
b. PDAO/FP PPAs integrated in AIP (7.5%) 7.5
Conduct of Meetings 5%

a.Regular conduct of public consultations by the PDAO/FP

with Persons with Disabilities in the community on the
formulation and implementation of local policies for their
well-being (2.5%)

b.Regular conduct of townhall meetings by the PDAO/FP

with Persons with Disabilities in the community to get
their views and concerns on local and national issues 2.50
affecting them (2.5%)

Partnership Initiatives 10%

a.PDAO/FP actively encourages and coordinates with CSOs

and the private sector in the conduct of programs,
initiatives, and activities that would engage the
participation of and provide benefit to Persons with
Disabilities (10%)
10
Accomplishments 25%
a.PDAO/FP has submitted the Annual
Accomplishments Report (choose one):
in time (25%)
1 to 2 working days late (20%) 25
3 to 4 working days late (15%)
5 to 6 working days late (10%)
7 working days late and beyond (5%)
OVERALL RATING: 75.50%

LEVEL OF FUNCTIONALITY Indicate level below:

BASIC 20% and below
PROGRESSIVE 21% to 50%
Mature
MATURE 51% to 80%
IDEAL 81% to 100%

Assessed by:

ALLAN T. ARIP
MLGOO
 ANNEX D

LEVEL OF FUNCTIONALITY OF PERSONS WITH DISABILITY AFFAIRS OFFICE PER CITY/ MUNICIPALITY
As of: ____________

Region:
Province:

LEVEL OF FUNCTIONALITY
CITY/MUNICIPALITY
IDEAL MATURE PROGRESSIVE BASIC REMARKS

*Table may be expanded or use another sheet, if needed.

Preapred by: Submitted by: Approved by:

Name Name Name of DILG Provincial Director

Position Position Provincial Director
Prepared on: Submitted on: Aproved on:
 ANNEX E

LEVEL OF FUNCTIONALITY OF PERSONS WITH DISABILITY AFFAIRS OFFICE PER PROVINCE

As of: ____________

Region:
Province:

LEVEL OF FUNCTIONALITY
CITY/MUNICIPALITY
IDEAL MATURE PROGRESSIVE BASIC REMARKS

*Table may be expanded or use another sheet, if needed.

Preapred by: Submitted by: Approved by:

Name ALVIN REX M. LUCERO PAISAL O. ABUTAZIL, CESO III

Position OIC-Chief, LGCDD Regional Director
Prepared on: Submitted on: Aproved on: