NDP INDIVIDUAL AND TEAM SCORECARD

Municipality/ City: ____________________________

I. INDIVIDUAL EVALUATION
This tool is a modification of the existing NDP Scorecard. This shall be used to guide the Municipal/City Health Officer, Public Health Nurse and Development Management Officer in evaluating and
ranking the deployed nurses under the Nurse Deployment Project. Please take note that based on DOH Regional Memorandum Number 2017-0010, supervisors who are related with the NDP up to
the second degree of consanguinity and affinity are required to inhibit from participating in this evaluation process.

In filling up this form, kindly take note of the following instructions:

a. Each NDP Nurse shall be evaluated based on the specific functions/ activities indicated in Column 1. The evaluation shall include the NDP FHSIS Point Person who are currently handling at
least one barangay.
b. A point system shall be used to evaluate their level of performance, degree of accomplishment and professional behavior. The measures/indicators of performance are indicated in Column 2
while the corresponding points per measure/indicator are identified in Column 3.
c. The names of each NDP shall be printed in Column 4. Corresponding points per NDP per specific function/activity shall also be indicated in Column 4, under each NDPs name. Total points
per NDP shall be tallied in the last row. The highest possible number of points is 210 points
d. Each NDP shall then be ranked using the Summary Table of Individual Evaluation. The ranking shall follow a descending order, placing the NDP with the highest number of points in rank
number 1. The NDPs corresponding total score and adjectival rating shall be placed in the column provided.
e. The Municipal/City Health Officer, Public Health Nurse and Development Management Officer shall affix their signatures on the spaces provided.
f. This tool shall be submitted to DOH HHRDU not later than December 1, 2017.
Specific Functions/Activities Measure/Indicator Point Rating Name of NDP (4)
(1) (2) (3) NDP1 NDP2 NDP3 NDP4 NDP5 NDP6 NDP7 NDP8 NDP9
A. TECHNICAL ASSISTANCE (MAXIMUM POINTS: 50)
Assist RHMs in the implementation of the 81%-100%(Average 25
different health programs: Accomplishment)
 EPI-FIC: _________________ 61%-80% (Average 20
 AP Quality Visits: ____________ Accomplishment)
 FP-CPR: __________________ 41%-60% (Average 15
 PP 2 visits: ________________ Accomplishment)
 NTP (CDR _____ and CR ______) 21%-40% (Average 10
 EBF ____________________ Accomplishment)
 FBD ______________________ 1%-20% (Average 5
(based on eligible population per barangay Accomplishment)
every six (6) months)
Assess the health needs of NHTS household 80-100% of NHTS/CCT 10
per barangay every six (6) months (TSEKAP) households assessed
61%-80% 8
41%-60% 6
21%-40% 4
1%-20% 2
Organize and conduct health education and Number of health education 1 point per
promotion activities at the barangay level and promotion activities activity
within the 6-month contract period organized and conducted conducted
(Max: 15 pts)
B. PLANNING (MAXIMUM POINTS: 15)
Assist in the development/ formulation of 81%-100% of covered 15
Barangay Health Plan (BHP) Barangays with BHP
61%-80% of covered 12
Barangays with BHP
41%-60% of covered 9
Barangays with BHP
21%-40 of covered 6
Barangays with BHP
1%-20% of covered 3
Barangays with BHP
C. POLICY FORMULATION, ADOPTION, DISSEMINATION (MAXIMUM POINTS 10)
Participate/assist in the development, lobbying ≥3 policies developed, 10
and passage of local policies (resolution/ lobbied and passed
ordinances) in support of priority local health 2 policies developed, lobbied 5
programs and projects within the 6-month and passed
contract period 1 policy developed, lobbied 3
and passed
D. ADVOCACY (MAXIMUM POINTS 10)
Conduct advocacy activities to barangay Number of advocacy 1 point per
officials and other key stakeholders in support activities organized and activity
to the implementation of health thrusts, laws, conducted conducted
policies and standards within the 6-month (Max: 10 pts)
contract period
E. MONITORING, MENTORING & COACHING (MAXIMUM POINTS 30)
Mentor and coach CHT partners/barangays Mentor and Coach 86%- 12
health team/barangay health workers per 100% of CHT/BHWs
month Mentor and Coach 71%-85% 10
of CHT/BHWs
Mentor and Coach 56%-70% 8
of CHT/BHWs
Mentor and Coach 41%-55% 6
of CHT/BHWs partners
Mentor and Coach 21%-40% 4
of CHT partners
Mentor and Coach ≤20% of 2
CHT partners
Assist in the conduct of Barangay-based 2
Program Implementation Review (PIR) – LGU
Scorecard Indicators
8 LGU Scorecard Indicators
1. Fully Immunized Child
2. TB Case Detection Rate & Cure Rate
3. Facility-based deliveries & skilled birth
attendants
4. Exclusive breastfeeding
5. Monitoring of Underweight children
 6. FP Contraceptive prevalence rate
7. Access to safe water
8. Access to sanitary toilets
Conduct of meetings with CHT partners and Number of monthly 1 point per
BHWs within the 6-month contract period meetings organized and monthly
conducted within six (6)meeting
months conducted
(Max: 16 pts)
F. INTER AGENCY & INTER SECTORAL COLLABORATION/NETWORKING (MAXIMUM POINTS: 40)
Attend to barangay meetings (session, Number of barangay 1 point per
barangay health board, interagency meeting meetings attended within meeting
etc) within the 6-month contract period the 6-month contract period conducted
(Max: 10 pts)
Act as resource person on activities organized Number of activities to which 1 point per
and conducted by partners and stakeholders NDPs acted as resource meeting
(Family Development Sessions, person within the 6-month conducted
Barangay/community assemblies and PTCA contract period (Max: 10 pts)
meetings) within the 6-month contract period
Facilitate the organization of Barangay Health 81%-100% of covered 10
Board within the 6-month contract period Barangays with organized BHB
61%-80% of covered 8
Barangays with organized BHB
41%-60% of covered 6
Barangays with organized BHB
21%-40 of covered Barangays 4
with organized BHB
1%-20% of covered 2
Barangays with organized BHB
Facilitate the sustainability and functionality of
81%-100% of organized 10
organized Barangay Health Boards within the BHBs with at least one
6-month contract period quarterly meeting
61%-80% of organized 8
BHBs with at least one
quarterly meeting
41%-60% of organized 6
BHBs with at least one
quarterly meeting
21%-40 of organized 4
BHBs with at least one
quarterly meeting
1%-20% of organized 2
BHBs with at least one
quarterly meeting
G. DATA MANAGEMENT (MAXIMUM POINTS: 20)
Coordinate with RHMs in the Consolidation Consolidated and validated Maximum of
and Validation of reports: complete set of reports on 10 points
 Monthly Summary Table vs. Target Client time
 List (per barangay)
 Reconcile and Submit timely TSEKAP, Reconciled and submitted Maximum of
FHSIS and other reports. complete set of reports on 10 points 10 10 10 10 10 10 10
time
H. WORK ETHICS, BEHAVIOR AND PROFESSIONAL DISPOSITION (MAXIMUM POINTS: 35)
1. Reports to work regularly (Attendance) 5 5 5 5 5 5 5 5
2. Reports to work on time (Punctuality) 5 5 5 5 5 4 4 4
3. Takes care of personal appearance, clothing, neatness and personal 5 5 5 5 4 5 5 5
hygiene appropriate to the position (Grooming, Hygiene & Neatness)
4. Responsive and courteous in dealing with personnel from DOH RO7, 5 5 5 5 5 5 5 5
LGU, RHU, BHS Staff, partners, patients and the community (Courtesy &
Politeness)
5. Gets along with fellow health service personnel and respects the rights of 5 5 5 5 5 5 5 5
others
6. Shows a cooperative spirit and values team work 5 5 5 4 5 5 5 5
7. Acts consistently with professional & ethical standards 5 5 5 5 5 5 5 5
TOTAL 186 190 178 183 178 175 186

SCORE RANGE AND ADJECTIVAL RATING

168- 210 Outstanding
126-167 Very Satisfactory
84- 125 Satisfactory
42-83 Needs Improvement
1-41 Unsatisfactory

II. SUMMARY OF INDIVIDUAL EVALUATION

NAME OF NDP Nurse Score Adjectival Rating NAME OF NDP Nurse Score Adjectival Rating
1. SOSAS, Fevanessa M. 190 OUTSTANDING 8.
2. ASOY, Jejoma S. 186 OUTSTANDING 9.
3. PAGAS,Rechell G. 186 OUTSTANDING 10.
4. ALMOSURA, Maria Lea S. 183 OUTSTANDING 11.
5. CLARABAL, Nova Villa J. 178 OUTSTANDING 12.
6. BAGSAC, Joyce Clair L. 178 OUTSTANDING 13.
7. DAGUING, Yvette P. 175 OUTSTANDING 14.

III. TEAM EVALUATION

In conformance with DOH RO7 Regional Memorandum No. 2015-037, this form shall be used to assess the team performance of currently deployed NDP nurses. The evaluation process shall
exclude NDP FHSIS Point person who in turn shall completely accomplish this matrix. Accomplished tools shall be validated by the concerned Public Health Nurse, City/Municipal Health Officer
and Development Management Officer prior to sending. Assessment will be done per municipality and not per individual. Please refer to the official data contained in the Field Health Services
Information System. The fully-accomplished and signed matrix shall be sent to hhrdu.dohro7@gmail.com not later than December 1, 2017

PERIOD OF ASSESSMENT
Baseline Current Improvement from Baseline Data
INDICATOR FORMULA July-October 2016 July- October 2017 [Current Data (2) subtracted by Baseline Data (1)]

Proportion of Pregnant
women with 4 or more
prenatal visits
Proportion of Postpartum
women with at least 2
postpartum visits
Proportion of Fully
Immunized Child
Proportion of Infants
exclusively breastfed until
6th month
Tuberculosis Case
Detection Rate
INDICATOR
Contraceptive Prevalence
Rate for Modern Family
Planning Method Use of
Women in Reproductive
Age
IV. EVALUATION SUMMARY
Based on the individual and team evaluation, kindly appraise if the NDP Nurse is eligible for renewal. Please take note that according to DM 2017-0038 “Implementing Guidelines for the 2017
DOH Human Resources for Health (HRH) Deployment Program, only HRH with VERY SATISFACTORY PERFORMANCE are eligible to be rehired.
NAME OF NDP Nurse
1.
2.
(1) (2) 3
Numerator: Number of Pregnant women with
4 or more prenatal visits
Denominator:
Total population x 2.7%
Numerator: Number of post-partum women
given at least 2 post-partum visits
Denominator: Population x 2.7%
Numerator: No. of Fully Immunized Child
Denominator: Total Population x 2.7%
Numerator: Total Number of Infants
exclusively breastfed until 6th month
Denominator: Total Population x 2.7%
Numerator: No. Of New and Relapse TB
cases started on treatment
2016 Denominator: Total Population x
0.00288
2017 Denominator: Total Population x
0.00322
FORMULA June 2017 October 2017 Improvement from Baseline Data
(1) (2) [Current Data (2) subtracted by Baseline Data (1)]
Numerator: No. of women in reproductive age
15-49 years using modern family planning (or
whose partner uses Modern Family Planning)
at any given period of time
Denominator: Total Population x 12.325%)
ELIGIBLE FOR COMMENTS
RENEWAL (YES/NO)
3.

4.

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7.

8.

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12.

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14.

Evaluated by: Evaluated by: Evaluated and Submitted by:

____________________________ _____________________________ _______________________________

City/Municipal Health Officer Public Health Nurse Development Management Officer
Date Accomplished: __________
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