INDIVIDUAL PERFORMANCE COMMITENT AND REVIEW (IPCR)

I, JAIDA J. BAKIL, MIDWIFE II, commits to deliver and agrees to be rated on the attainment of the following targets in accordance indicated measures for the period
January to June 2022.
Approved by:
FAHRA A. TAN-OMAR, MD, MHA JAIDA J. BAKIL, RM
PHO-II Ratee
Date: July 01¸ 2022 Date: July 01, 2022

RATING SCALE: 5- Outstanding, 4- Very Satisfactory, 3- Satisfactory, 2- Unsatisfactory, 1- Poor

SUCCESS INDICATORS ACTUAL RATINGS
MFO/PAP REMARKS
(TARGETS+MEASURES) ACCOMPLISHENT Q E T A
CORE FUNCTION/S
A. Attend to all clients with health problem that is Provide 32 pregnant women 32 pregnant women received
5 5 5 5
within her scope of duty. with quality health care. quality prenatal care.
Register 51 live birth
B. To assist of registration of live birth and to conduct 51 birth certificates
certificates at the end of June 5 5 5 5
maternal death reviews on regular basis. registered
2022.
C. To submit accomplishment on a regular basis or as Submit 6 DTRs and 6 6 DTRs and 6 monthly
5 5 5 5
may be required by the supervisor. monthly reports. reports submitted.
D. Offer services to the client with sincerity and 12 Postpartum house to house 12 postpartum mothers
4 4 4 4
enthusiasm in line with DOH thrust and programs. follow-up visit. visited
Total 4.75

SUPPORT FUNCTIONS
Barangay-to-barangay Participate in Barangay-to-
A. Participate in COVID-19 Vaccination 5 5 5 5
COVID-19 Vaccination Barangay Vaccination
B. Participate in School-to-School COVID-19 Join in School-to-school Participated in 5 to 17 years
5 5 5 5
Vaccination COVID-19 Vaccination old school based vaccination.
6 monthly staff meeting at
C. RHU staff meeting/ RE-ECHO Meeting Attended 6 staff meeting 5 5 5 5
the end of June 2022.
Total 5
CORE VALUES
Courtesy 5
Human Relation 5
Punctuality 4
Initiative 5
Stress Tolerance 5
Sub-Total 4.8
TOTAL AVERAGE 4.85

Rater’s comments and Recommendation for Development Purposes or Rewards/Promotion. The rate needs to prioritize between upholding duties and responsibilities and attending
to family. She is highly recommended for professional development.

The above rating has been discussed with me by my division chief.

Name and Signature of Ratee: Name and Signature of Rater:

Name: JAIDA J. BAKIL, RM Name: HJA. JAKARATUL A. HALUN, RN, MN
Position: Midwife-II Position: Public Health Nurse II
Date: July 01, 2022 Date: July 01, 2022
Final Rating by the Head of Office
Name: JULIPAR T. AMARAJA, RN, MD, MPH
Position: Rural Health Physician
Date: July 01, 2022