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Republic of the Philippines

QUEZON CITY HEALTH DEPARTMENT


Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : FOOD-DRUG REGULATION OFFICER
3 Salary Per Month : Php 22,316.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Take charge of all activities in the respective district of
assignment such as inspection, investigation, surveillance,
sampling, monitoring & dissemination of all foods, drugs
35%
& cosmetics that are being manufactured processed,
repacked, dispensed & offered for sale so as to ensure its
quality, purity & safety of the consuming of
pharmaceutical drugs thru the implementation &
enforcement of National Laws, City Ordinances on Food,
Drug & Cosmetics.
2. 2.1 R.A. 5921 as amended by PD 1363 – An act
regulating the practice of Pharmacy in the Phils.
2.2 R.A. 6675 – The Generic Act of 1988 – Act to
promote, require & ensure the production of an adequate
supply, distribution use and acceptance of drugs &
medicines by their generic names.
2.3 R.A. 6425 – Dangerous Drug Act of 1972 – as 35%
amended by PD 44, 1675, 1683, 1708 & Batas Pambansa
bilang 179 – An act pertaining to Law Enforcement &
control fo dangerous drugs, treatment & rehabilitation of
drug abuse prevention & community information, research
the use of prohibited & regulated drugs.
2.4 City Ordinances on Dangerous Drugs 8016 – S- 69
– Regulating the sale or possession of seconal, mandrax,
LSD & other barbiturates & amphetamines in any form
9239 – S- 72 – Requiring drug Co. in Q.C. to submit a
monthly report on the sale of barbiturates, amphetamines
& other prohibited drugs.
2.5 R.A. 3720 – Food, Drug Cosmetic Act – An act to
ensure the safety & purity of cosmetics being made
available to the public.
3. Submits reports of activities, monthly, quarterly & 20%
annually & if necessary daily.
4. Attends seminars, staff meetings for professional 5%
advancement.
5. Do other related project/activities as needed in the 5%
exigency of the service.

(Period Covered) Signature of Employee


Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : NUTRITIONIST-DIETITIAN
3 Salary Per Month : Php 22,316.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING TIME


1. Coordinates programs of Nutrition & Nutrition related with other
discipline within the agency & other community agencies.
10%
2. Initiates in instituting changes required to improve the nutrition
services in district of assignment.
10%
3. Participates and assist in the preparation of statistics, report cost
analysis & budget for nutrition service as required.
10%
4. Attends regular conference with superior and subordinates. 10%
5. Serve as resource person in nutrition training of health personnel
and also in informative programs of other agencies in parent/teacher.
Barangay council meetings to promote the mother craft approaches in
solving nutritional problems in the home and the community. 10%
6. Conducts training and re-training of new and old BNS to support
barangay support program the delivery of basic nutrition and related
health services to target families, Either on regular/formal training or
tutorial or on the job. 10%
7. Prepare appropriate nutrition education materials, guidelines and
participates with others in the use of mass media.
10%
8. Formulates and implements activities of 6 level of nutrition
intervention schemes:
a) Nutrition Interventions
b) Nutrition education
c) Nutrition in policy development
d) Nutrition surveillance
10%
e) Support strategies
f) Overall planning and coordination
9. Performs a complex function under the leadership of the Medical
Nutritionist, such as conduct of comprehensive food and nutrition
surveys in a target community such as relative information, OPT
10%
10. Performs special duties assigned in relation to some special
studies relating to field operations and extension:
a) May conduct studies and surveys as the relationship of
nutritional factors to health and disease
b) Initiates group activities to nutrition centers and coordinates
with other agencies (Agriculture, education, social welfare,
DILG and other private sectors in the Philippine Nutrition 10%
Program & supervises the BNS in every barangay.
c) Assistance in the referral system of malnourished cases in
hospital malwards for rehabilitation & as well as in the
follow up cases.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : ENCODER
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Assisting the Information/details of Patient for 30%
Vaccine
2. Answering concerns/inquiries of patient for their 25%
vaccine.
3. Assisted the patient for their online/manual 25%
booking.
4. Performs other tasks as maybe directed by the 20%
superiors

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : OFFICE AIDE
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Reviews for completeness of attachments all
correspondences routed to and from the unit;
2. Keeps and maintains complete recording of all
correspondence received and released by the unit;
70%
3. Keeps and maintains document filing system as
per NAP guidelines on Records Management;
4. Types and encodes documents, records and 25%
reports;
5. Performs such other task as maybe directed by the 5%
immediate supervisor.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : DENTAL AIDE
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF


WORKING TIME
1.Clean the clinic and arrange dental equipment and supplies. 5%
2.Sterilize dental instrument, hands instrument to dentist in process of 10%
treating patient.
3.Check and keeps dental equipment, materials and supplies in order. 10%
4.Prepare filling materials. 10%
5.Helps in preparing requisition of supplies under the guidance of the 10%
dentist.
6.Under the direction of the dentist, makes arrangement and filling-up of 15%
record.
7.Under the guidance of the dentist, makes the clinic an educational 15%
places for children to visit.
8.Participates in the instructional and demonstration activities under the 15%
guidance of the dentist such as tooth brushing drills and mouth rinsing.
9.Under the guidance of the dentist, makes monthly reports. 10%

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name : Alexander Paolo N. Antegro


2 Position : SANITATION INSPECTOR
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment : Sanitation Inspector
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF


WORKING TIME
Field Activities:
1. Inspects residential buildings particularly those in depressed areas, all food
and non-food establishments as well as government buildings (schools) for
compliance with PD 856 & 522, city ordinances and sanitary rules and
regulations pertaining to health sanitation such as improvement of water
supplies, proper refuse and waste disposal, vermin control, proper housing, etc
2. Inspect various commercial, industrial, agricultural and educational
establishments for compliance of PD 856 and 522 and its implementing rules
and regulations, issue sanitary orders and recommends the issuance of Sanitary
Permit and Health Certificate.
3. Inspect and supervise public and private markets, supermarkets, talipapas and
stall for the enforcement of PD 856 & 522 and its implementing rules and 60%
regulations.
4. Ensure that all establishments comply with Insect/Vermin Control Program
for the elimination of breeding places and harborages of mosquitoes, insects and
vermin.
5. Collect water samples from public and private pump wells and sampling sites
for bacteriological examination.
6. Organize food handlers classes in food establishments.
7. Disseminate health information and make known to the community the
available facilities and service of the QC Health Department.
8. Investigate all complaints related to nuisance and submit the necessary reports
to the Supervising Sanitary Inspector for correction and advise.
9. Participate in the training program as a resource person in environmental
sanitation aspect in food handlers and mother classes.
Administration:
1. Participate in the training, planning and evaluation of the sanitation program
in the area of assignment.
2. Prepare various reports (consolidated, weekly, monthly & semi-annual)
20%
3. Attend court hearing on cases of violation of PD 856 & 522 and City
Ordinances with the guidance of the supervisor.
Other Activities:
1. Coordinate with Barangay Officials and other agencies on the matter related
to Sanitation
2. Attend meetings, seminars and conferences.
20%
3. Performs other duties that maybe assigned by superior officers from time to
time.

(Period Covered) Signature of Employee


Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : MIDWIFE (LYING-IN CLINIC)
3 Salary Per Month : Php 17,505.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF


WORKING TIME
1.Attends to normal deliveries in the lying-in-clinic.
2.Refers to Obstetrician or Physician-in charge of lying-in clinic patient’s
with abnormal condition. 50%
3.Transport all abnormal cases to the hospital for further medical
management.
4.Registers and files birth certificate of deliveries attended and those
referred.
5.Gives BCG immunization to babies before discharge under the
supervision of the clinic physician.
6.Issues baby’s growth chart, give lecture to mother regarding:
- Care of the new born
- Rooming-in breastfeeding, nutrition & family planning
- Personal hygiene
- Immunization of new born & other health thrust program 30%
of the government.
7.Orients and guides training student nurses and midwives in home and
clinic delivery technique.
8.Attends prenatal and postnatal cases in the clinic;
- Give Tetanus Toxoid Immunization to prenatal mother
under the supervision of the clinic physician.
- patients chart and records vital information therein (ie
history, vital signs, patients condition prior, during and
after admission
9.Follow-up of postnatal and newborn babies until the cord id off.
10.Refer mother & baby to the nearest health center after one month for
well baby check-up.
11.Prepare submit and keep files of required reports (monthly, quarterly,
semi-annual & annual).
12.Prepares the packing and sterilization of instruments, supplies used in 20%
the delivery room.
13.Participates in civic, religious and barangay activities.
14.Attends staff meeting, scientific meeting, seminars/workshops and
convention for professional growth.
15.Performs other duties as assigned by superior officers.
16.Assists in the sterilization processes(tubal ligations).

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : MIDWIFE (HEALTH CENTER)
3 Salary Per Month : Php 17,505.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF


WORKING TIME
1. Primary health services for the catchment area and populations.
a. Participates in determining health needs of individual families and
the community;
b. Assists in planning and organizing clinic in the Barangay Station;
c. Prepares monthly schedule of activities in coordination with the 25%
physician, nurse, sanitary inspector and other health workers;
d. Undertakes activities in the clinic (BHS), follow-up in homes and
filed visits in the community.
2. Provides midwifery services in the catchment area and population.
a. Gives direct care to normal, childbearing women during pregnancy
till the end of post-partum as well as to normal newborn infants; 25%
b. Refers to physician and/or nurse and appropriate agencies, pregnant
and post partum women and newborn babies with suspected
abnormalities and problems.
3. Carries out medical and nursing functions as authorized by the
Department of Health (DOH)
a. Conducts clinic which includes:
 Obtaining clinical history
 Performing simple routine physical examinations
 Administering emergency and therapeutic (medical and nursing)
measures based on the standing orders.
b. Performs Program-related functions such as immunization, sputum
collection, contraceptives supply, etc.
c. Refers cases needing further diagnostic and management procedures
15%
by nurse and/or physician and other agencies.
d. Keeps accurate records of medical and nursing care rendered in the
clinic, homes and community.
4. Mobilized community for health action.
a. Identifies groups in the community who can participate in the
delivery of health care.
b. Organizes individuals and groups to support activities in relation to
the delivery of health services within the area
c. Facilitates community health development projects.
5. Carries out Health Education (HE), information, education and
communication (IEC) activities
a. Conducts individuals and group teaching, utilizing IEC materials
b. Distributes IEC materials to other government and non-government
units like schools, civil and religious organizations within the 15%
catchment area.
6. Monitors and supervises health and health related activities within the
catchment area.
a. Guides community health workers and/or trainees assigned to BHS
b. Accomplishes required record forms for activities undertaken
c. Prepares and submits reports of activities and need for supplies and 20%
other logistic requirements of the BHS.

(Period Covered) Signature of Employee

Noted by:

MARIA LOURDES E. ELERIA, MD, MPH, MDM


Medical Officer V
Action Officer for Administration and Finance
QCG-HRMD-QP Form No. 12
Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : WAREHOUSE MAN
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
5. Ensures that all supplies/materials and equipment
received are properly stored in assigned locations
and in accordance with established storage
techniques and procedures.
6. Maintains complete record of all materials,
70%
supplies received and issued;
7. Issues/delivers Information Education &
Campaign Materials to health facilities in
accordance with approved Requisition Issue
Voucher.
8. Assists the Storekeeper III in conducting Inventory
and in the preparation of Inventory Reports
(monthly, semi-annual & annual) ;
9. Assists the Storekeeper III in the conduct of
20%
Physical Inventory and in putting Property Tags to
all equipment.
10. Performs such other functions as maybe directed 10%
by the immediate supervisors.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39

1 Name :
2 Position : MEDICAL OFFICER (LYING-IN CLINIC)
3 Salary Per Month : Php 59,353.00 /mo.
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Do pre-natal check-ups, and attends to normal
deliveries.
2. Assess, manage and refers “high risk” pregnant
mothers to tertiary hospitals.
3. Performs suturing of minor lacerations,
circumcision/Episiotomy and repair of vagina after
delivery. 70%
4. Do natal and post-natal check up to mothers and
babies prior to discharge from the facility.
5. Organizes health education classes and related
activities for information campaign.
6. Reviews report for accuracy and completeness
prior to submission to District Health Office.
Analyzes reports to determine issues/problems and
recommends appropriate interventions.
7. Supervises, monitors and evaluates the
performance of personnel assigned at the Lying-In
such the midwives, utility aide and driver. 20%
8. Train/orient/re-orient all lying-in personnel on
Maternal and Child Health Programs.
9. To enforce the policies of the Health Department
through the District Health Office.
5%
10. Coordinate and assist in all inter-agency programs
and Projects concerning health:
a.To make survey and inspection of the community
b.To maintain and keep records of activities,
services and accomplishments.
5%
c.To provide good public relations among
constituents

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39

1 Name :
2 Position : MEDICAL DOCOTR (HEALTH CENTER)
3 Salary Per Month : Php 59,353.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING TIME


1. To implement and supervise the basic health services in
the place of assignment.
The Basic Health Services:
 Medical and Dental services 70%
 control of communicable disease
 maternal and child health
 environmental sanitation
 public health nursing
 public health education
 Family Planning
 Drug Abuse
 Nutrition
2. To enforce the policies of the health department
through the District Health Office.
3. To supervise and control the personnel under her, 10%
namely the District Nurse, Medical Technologist,
Sanitation Inspector, Midwife, Dental Aide, Nursing
Aide, Utility Aide, BHW.
4. To coordinate and assist in all inter-agency programs
and projects concerning health.
a. To make a survey and inspection in all
community.
b. To maintain and keep records of
activities, services, and 10%
accomplishments.
c. To accomplish all required reports and
submit the same punctually to the
District Health Office.
d. To provide good public relations
among constituents.
5. To coordinate and assist in all inter-agency programs
and projects concerning health.
a. To make a survey and inspection in all
community.
b. To maintain and keep records of
activities, services, and 10%
accomplishments.
c. To accomplish all required reports and
submit the same punctually to the
District Health Office.
d. To provide good public relations
among constituents.

(Period Covered) Signature of Employee


Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila ML. Quezon St. cor. Kalayaan Ave.
Diliman, Quezon City
Tel. No. 929-75-39
Email: health@quezoncity.gov.ph
http:// healthquezoncity.gov.ph

1 Name :
2 Position : PEER EDUCATOR
3 Salary Per Month : 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal
Form)
STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF
WORKING TIME
1 Inform/Educate their peers in their areas of work, fun
establishment and cruising sites regarding the 20%
prevention and controls of STI/HIV/AIDS
2 Promotion of safe sex practices among the Most-At- 20%
Risk Population through consistent condom use.
3 Referral of the Most-At-Risk Populations to the social 20%
Hygienic Clinics for the VD Clearance.
4 Counseling monitoring and couching of their peers to 10%
practice safe sex or work diversion.
5 Distribute IEC materials to fun establishment and the 10%
Most-At-Risk Population
6 Assists the personnel of Social hygiene clinic in 10%
organizing health forum seasons.
7 Assists the personnel of Social hygiene clinic in contact 10%
tracing and other activities of the social hygiene clinic.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : NURSE
3 Salary Per Month : Php 32,053.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING TIME


1. NURSING CARE INCLUDING HEALTH GUIDANCE:
1. Undertakes comprehensive assessment of clients
(vital signs, assessment, planning, implementation,
evaluation) utilizing nursing process.
2. Provides direct nursing care to the patient in the
clinic, home or community. 50%
3. Undertakes therapeutic and prophylactic functions as
necessary.
4. Prepares referral forms to hospital or other unit for
patients proper treatment/management.
5. Performs Epidemiological Investigation.
2. ADMINISTRATIVE:
1. Collects, reviews and consolidates vital health
statistics of the area/s of assignment.
2. Participates in the planning, organization,
implementation, and evaluation of various health
programs being implemented in the area of 15%
assignment.
3. Checks, monitors, availability and functionality of
supplies and equipment of the facilities and prepares
requisition documents as the need arises.
4. Reviews, prepares/consolidates, analyzes reports for
submission to the District and Central Office.
3. EDUCATION OF INDIVIDUAL:
1. Individual, Family and Community:
a. Provides Pre and Post Clinic
Lectures and Conferences to patient
and mothers of patient
b. Organizes Health Teachings in the 15%
Community/schools
2. Nursing affiliates and Allied Profession:
a. Participates in the orientation,
training and evaluation of
nursing/midwifery and other allied
profession affiliates.
4. OUTREACH CLINICS:
a. Determines areas needing outreach clinics.
b. Coordinates with barangay, GO’s, NGO’s for social
mobilization and preparation of the community prior to the
scheduled outreach activities.

5. FOLLOW-UP VISIT:
1. Reviews patients records to determine needs for
20%
follow-up visits
6. PERSONAL AS WELL AS PROFESSIONAL GROWTH
& IMPROVEMENT:
1. Attends conference/seminars/trainings for continuous
professional growth
2. Attends regular staff meeting

(Period Covered) Signature of Employee


Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : DENTIST
3 Salary Per Month : Php 32,053.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Perform the following preventive services:
a.Oral examination
b.Oral prophylaxis
c.Flouride application
d.Pit and fissure sealant
2. Perform the following curative services:
a.Restorative treatment (ART, Temporary Filing and
Permanent Filling)
b.Dental extraction
c.Gum treatment
d.Emergency dental treatment
3. Refer and follow-up dental patients.
70%
4. Conduct oral health teaching, demonstration and other
oral health promotion activities.
5. Participate in community outreach programs.
6. Integrate oral health program with other health
programs and activities of the department.
7. Supervise and evaluate the works of dental assistants or
hygienists.
8. Conduct monthly inventory and prepare requisition for
dental supplies, materials and equipments.
9. Keep records and accomplishments of dental reports.
10. Submit accurate and prompt monthly, semi-annual and
annual reports.
11. Attend meetings, conferences, seminars and workshops
related to dental programs.
12. Coordinate with GO, NGO and other sectors pertaining
to oral health.
13. Assume administrative function in the absence of
30%
medical officer
14. Perform other duties as maybe assigned by superior
officers.

(Period Covered) Signature of Employee


Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : ENCODER
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Receives, records and files incoming and outgoing 10%
communications
2. Receives leave forms from District Offices and 10%
distributes the same to the Officer-in-Charge.
3. Files documents and records it in accordance with 20%
the filing classification system
4. Receives and checks supporting documents for 20%
Philhealth Accreditation of health facilities and their
capitation and transmit the documents as the liaison
officer off to Philhealth
5. Types correspondence, endorsement, reports, etc. 30%
6. Performs other tasks as maybe directed by the 10%
superiors

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : OFFICE AIDE
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
6. Receives, validates and routes, Application for 30%
Leave, Daily Time Records, Reports and
Communications.
7. Receives supplies and logistics from central office 20%
afterward distributing them to health center and
other facility.
8. Does the monthly reports on the following 15%
programs: National voluntary Blood Program,
National leprosy program, STI Syndromic,
Blindness Program and Special Activities of
District IV
9. Encodes, Files, weekly, monthly, quarterly, semi- 15%
annual and annual reports
10. Performs other task as maybe directed by the 10%
superiors.
11. Maintains the cleanliness of the District office 10%

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : DRIVER
3 Salary Per Month : Php 17,505.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Checks-up assigned vehicle, its tire pressure, gas, 30%
oil, water, brake fluids, battery, horn and its
machine;

2. Accomplished driver’s trip tickets; 30%


3. Makes necessary minor repairs or adjustment of 15%
vehicles;

4. Drives the authorized health personnel in 15%


connection with their official duties;

5. Performs other duties as may be assigned from 10%


time to time.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : ENCODER
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Act as Encoder of all reports for the Health Center. 70%
2. Submit weekly, monthly, quarterly and annually
report of the Health Center to the Division Chief.
3. Arrange and file the documents as needed. 10%
4. Performs other duties as maybe assigned. 50%
5. Encode Phil ETR per Health Centers. 10%
6. Consolidate morbidity and mortality reports.
7. Consolidate and Analyze the Semi-Annual and 5%
Annual Reports of Quezon City Live Births.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : POPULATION PROGRAM OFFICER
3 Salary Per Month : Php 22,316.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Coordinates all population – population related 10%
activities in the community.
2. Updates demographic data banking system to serve 15%
as basis for community planning and decision
making.
3. Ensures availability of program contraceptive 5%
methods (PILLS, CONDOM, IUD) to different
PA’s.
4. Conducts IEC activities according to work plan. 10%
5. Act as lecturer/resource speaker in seminar, lecture 5%
and meeting.
6. Participates in seminars and trainings to enhance 5%
motivation skills and strengthens coordinative
linkages with other PA’s.
7. Initiates activities that will promote self-reliance 10%
and self-efficiency.
8. Organizes new BSPO’s as needed in maintaining 15%
previously established ones.
9. Coordinates and analyzes performance output for 15%
FP Clinic and BSPO’s and submit the same to the
Population Program Officer III.
10. Refer program acceptors and other identified 5%
population related programs/needs to welfare
center/agencies.
11. Perform other duties as may be assigned by
superior from time to time. 5%
12. Coordinates all population – population related
activities in the community.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : MEDICAL TECHNOLOGIST
3 Salary Per Month : Php 22,316.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Performs the microscopic, chemical and
physical examinations of the different body
fluids (such as blood, urine, transudates
and exudates) and stool and other 60%
specimens referred for general
examinations for patients diagnosis and for
food handler.
2. Performs laboratory work in field clinics. 25%
3. Makes laboratory reports. 10%
4. Performs other duties that maybe assigned 5%
by superior.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : LABORATORY AIDE
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Receive specimens submitted for Sputum 10%
Microscopy
2. Checks quantity and quality of specimens 20%
submitted and the corresponding request forms
properly filled-up.
3. Perform smearing and straining of sputum 40%
specimens following the standard procedures
prescribed in the Direct Sputum Smear
Microscopy of the National Tuberculosis Program.
4. Assists in cleaning all the laboratory equipments. 15%
5. Maintain the cleanliness and upkeep of the 10%
laboratory room and surrounding areas.
6. Performs other functions as maybe assigned by the 5%
supervisors.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : PHARMACIST
3 Salary Per Month : Php 22,316.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING TIME


1.Checks delivery of medicines, as to specifications and 20%
quantity as against Requisition Order

2.Monitors record keeping of drugs received and drugs 40%


dispensed

3.Ensures that all medicines, vaccines, supplies/materials 20%


and equipment received are properly stored in assigned
locations and in accordance with established storage
techniques and procedures

4. Assists MO V in times of disaster and calamities in the 10%


district

5. Performs other functions and duties as maybe assigned 10%


by the Department Head or by higher authority, in the
interest of public health and safety.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : CONSULTANT-PATHOLOGIST
3 Salary Per Month : Php 21,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING TIME


1.Attends at the following Diagnostic Laboratories: 20%
 Toro Hills Clinical Laboratory
(every Tuesday 10:00 am – 12:00 noon)
 Apolonio Samson Clinical Laboratory
(every Thursday 10:00 am – 12:00 noon)
2. Formulate and Implements standard operating manual. 15%

3. General Supervision of the facility at all aspect of 15%


laboratory work.

4. Supervision of quality assurance and quality control in 10%


the laboratory.

5. Supervise the update of the result logbook. 10%

6. Monitor the quality of smear. 10%

7. Monitor the specimen submitted by the patient. 10%

8. Answers all referral pertained to the laboratory work. 10%

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
Website: http://health.quezoncity.gov.ph

1 Name :
2 Position : UTILITY AIDE
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%) OF WORKING


TIME
1. Cleans the surrounding of the Q.C. Health Department 70%
Building.
2.Perform larviciding and spraying of possible breeding 10%
site of mosquitoes and other insect pests.
3.Assists applicants in securing health certificate 10%
requirements.
4.Acts as crowd controller. 5%
5.Performs other duties and responsibilities as maybe 5%
assigned by supervisor.

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12


Republic of the Philippines
QUEZON CITY HEALTH DEPARTMENT
Quezon City, Metro Manila
ML. Quezon St. cor Kalayaan Ave. Diliman, Quezon City
Tel. No. 929-75-39/929-89-02
Email: health@quezon city.gov.ph
http://health.quezoncity.gov.ph

1 Name :
2 Position : MICROSCOPIST
3 Salary Per Month : Php 13,000.00
4 Department/Office : Quezon City Health Department
5 Actual Office Assignment :
6 Performance for the Last Rating Period :
(please attach Contractual Appraisal Form)

STATEMENT OF ACTUAL DUTIES PERCENTAGE (%)


OF WORKING TIME
1. Do sputum smear examination for diagnosis and follow-up 50%

2. Do smear preparation, smearing and staining in the absence 10%


of laboratory aide.

3. Submit the result of the sputum smear examination to the 10%


nurse.

4. Maintain and update the NTP Laboratory Register. 10%

5. Prepare and submit monthly and quarterly report on NTP 10%


Laboratory Activities

6. Manage the storage and preservation of slides for quarterly 10%


evaluation

(Period Covered) Signature of Employee

Noted by:

RAMONA ASUNCION DG. ABARQUEZ, MD, MPH


Officer-In-Charge, Quezon City Health Department

QCG-HRMD-QP Form No. 12

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