Professional Documents
Culture Documents
DPCR Scoring Guide and Inventory v.1.1 (With Program Management)
DPCR Scoring Guide and Inventory v.1.1 (With Program Management)
DPCR Scoring Guide and Inventory v.1.1 (With Program Management)
T
100% of Pregnant women who came to the ITR Audit of
Completeness of Individual Incomplete ITR Complete ITR Data with Complete ITR Data
facility for Prenatal Checkup seen and Q Treatment Records Data minor errors without error
Supervisor/third
party
properly attended within ____ mins upon
All Pregnant women who
admission ITR/TCL/FHSIS
E came to the facility were 100% <99% 100%
Reports
seen and attended
# of Pregnant women seen
Average waiting time
and properly attended of clients who came
# of Pregnant women who X 100 Seen and attended within to the facility (ITR
1
T
Defaulter follow-up/tracing activities Complete report and
Documentation and Incomplete report Complete report of accounting of defaulters
conducted vs # of Defaulters Identified (1:1) of defaulters defaulters master list with disposition on
for Maternal Care within the rating period Q Reporting of activities and (N/A IF NO submitted master list
Defaulter Report
defaulters identified DEFAULTERS) (N/A IF NO DEFAULTERS) (N/A IF NO
TARGET: 1:1 DEFAULTERS)
TCL/REP
# of activities conducted vs >2:1
E defaulters identified
1:1 1:0 1:1
(no defaulters)
Report/Defaulter
Logbook/Master list
T
MATERNAL CARE: POST PARTUM
# of Post-partum women who had at least 2
ITR Audit of
postpartum visits after delivery within the Completeness of Individual Incomplete ITR Complete ITR Data with Complete ITR Data
Q Treatment Records Data minor errors without error
Supervisor/third
rating period party
TARGET: #
(# target given/approved by
CHO/CESU based on 5 year
E history or from 1 year after
# <50% 50-99% 100-114% 115-129% >130% TCL, FHSIS Reports
a DQC)
T
100% of Post-partum women who came in
for Post-natal checkup seen and properly
attended within ____ mins upon admission Completeness of Individual Incomplete ITR Complete ITR Data with Complete ITR Data
ITR Audit of
Q Treatment Records Data minor errors without error
Supervisor/third
party
# of Postpartum women
seen and properly
attended
X 100 All Post-partum women
ITR/TCL/FHSIS
# of Postpartum women E who came to the facility 100% <99% 100%
Reports
who came in for Postnatal were seen and attended
Checkup Average waiting time
of clients who came
Seen and attended within to the facility (ITR
T __-__ mins upon admission
__-__ mins __-__ mins __-__ mins __-__ mins __-__ mins __-__ mins
Audit of
Supervisor/third
party)
CHILD HEALTH SERVICES
# of Children Fully Immunized before their Completeness of Individual Incomplete ITR Complete ITR Data with Complete ITR Data
ITR Audit of
first birthday (FIC) within the rating period Q Treatment Records Data minor errors without error
Supervisor/third
party
TARGET: # (# target given/approved by
2
T
Conduct of Community survey and massive Incomplete and OPT forms Audit of
Completeness/Correctness Complete Data on OPT Complete Data on OPT
Operation Timbang Plus of Children 0-59 Q of OPT Forms
Major Errors of
Forms with minor errors Forms with no errors
Supervisor/third
Data on OPT Forms party
months (# target given/approved by
CHO/CESU based on 5 year
TARGET: #
E history or from 1 year after
# <50% 50-99% 100-114% 115-129% >130% FHSIS Report
a DQC)
Completed and
Completed and
Completed and Submitted Submitted Receiving dates of
T by March 30 beyond March
Submitted by March
Reports
30
30
FAMILY PLANNING
Contraceptive Prevalence Rate: Appropriate FP service Appropriate FP
or commodity provided service or
# women of reproductive age (15‐49 years Available and appropriate
No counselling with counselling but FP commodity provided
FP Form 1 Audit by
of age) who are using (or whose partner is Q FP service/commodity
provided Form with with complete
supervisor or third
provided with counselling party/TCL
using) any modern FP method at a given minor/minimal data assessment and
missed counselling
point in time
____% CPR or (% target
given/approved by
E CHO/CESU based on 5 year % <50% 50-99% 100-114% 115-129% >130% FHSIS Report
3
T
100% of clients of reproductive age who Appropriate FP service Appropriate FP
or commodity provided service or
came in requesting/in need of FP services, Available and appropriate FP Form 1 Audit by
No counselling with counselling but FP commodity provided
given appropriate FP commodities/services Q FP service/commodity
provided Form with with complete
supervisor or third
provided with counselling party/TCL
minor/minimal data assessment and
missed counselling
T
ADOLESCENT FRIENDLY REPRODUCTIVE HEALTH SERVICES/MEDICAL CONSULTATION/PRIMARY HEALTH CARE
100% of Patients who came in/referred for Needs
medical consultation, AFRHS or Primary Improvement Unsatisfactory Satisfactory Very Satisfactory Excellent Average of Monthly
Health Care, seen and properly attended Q Client Satisfaction Survey or <70% of or 70-84% of or 85-94% of clients or 95-99% of or 100% of clients Client Satisfaction
clients clients surveyed VS surveyed VS clients surveyed VS surveyed VS Survey Result
within ____ mins upon admission
surveyed VS
All clients/patients who
# of patients came/referred to facility for BESU/Dispensary
seen/attended for medical E consultation/Primary Health 100% <99% 100% Logbook/ITR/TCL/FH
Care were seen and SIS
4
consultation, AFRHS or
attended
Primary Health Care
X 100
# of Patients who came
Average waiting time
in/referred for medical of clients who came
consultation, AFRHS or Seen/attended within __-__ to the facility (ITR
T mins upon admission
__-__ mins __-__ mins __-__ mins __-__ mins __-__ mins __-__ mins
Audit of
Primary Health Care
Supervisor/third
party)
% Accomplished T
X 100
% Target
TB Treatment Success Rate:
NTP Individual
____% of Cured and Completed treatment Completeness of NTP Incomplete NTP
Complete NTP Complete NTP
Record Audit of
within the rating period Q Patient Records Record/Data
Records/Data with minor Records/Data without
Supervisor/Third
errors error
party
# of cured and completed
5
treatment among
registered all forms of TB
___% TB TSR or (% target
cases X 100 given/approved by
Total number of registered E CHO/CESU based on 5 year % <50% 50-99% 100-114% 115-129% >130% FHSIS Report
all forms of TB cases in the history or from 1 year
same period before a DQC)
% Accomplished
X 100
% Target
T
# Defaulter follow-up/tracing activities Complete report and
Documentation and Incomplete report Complete report of accounting of defaulters
conducted vs # of Defaulters Identified (1:1) of defaulters defaulters master list with disposition on
within the rating period Q Reporting of activities and (N/A IF NO submitted master list
Defaulter Report
defaulters identified DEFAULTERS) (N/A IF NO DEFAULTERS) (N/A IF NO
TARGET: 1:1 DEFAULTERS)
TCL/REP
# of activities conducted vs >2:1
E defaulters identified
1:1 1:0 1:1
or NO defaulters
Report/Defaulter
Logbook/Master list
T
DISEASE PREVENTION AND CONTROL : NCD
NCD RISK ASSESSMENT Incomplete and NCD Risk Assessment
Completeness/Correctness Complete Data on NCD Risk Complete Data on NCD
Major Errors of forms Audit of
# Clients risk assessed within the rating Q of NCD Risk Assessment Data on NCD Risk
Assessment Form with Risk Assessment Forms
minor errors with no errors Supervisor/third
period Forms Assessment Forms party
TARGET: # (# target given/approved by Participant’s List of
CHO/CESU based on 5 year Attendance
E history or from 1 year after
# <50% 50-99% 100-114% 115-129% >130%
Submitted or
a DQC) Compiled
T
# NCD Awareness/Healthy Lifestyle advocacy Participant’s List of Participant’s List of
Participant’s List of Participant’s List of
Participant’s List of Attendance with Attendance with Documentations
activities conducted within the rating period Attendance Attendance with Pictures
Attendance Pictures or Post-Activity Pictures AND Post-
TARGET: #
Q Documentations Provided AND at least an
AND at least an average
or Post-Activity Report
Report Activity Report AND at
Provided/Submitted
average of # AND at least an average of or Compiled
of # participants AND at least an average least an average of #
participants # participants
of # participants participants
(# target Participant’s List of
committed/pledged by Attendance
E Professional Staff to
# <50% 50-99% 100-114% 115-129% >130%
Submitted or
Supervisor) Compiled
T
DENTAL HEALTH SERVICES
ORAL HEALTH EXAMINATION Incomplete IDR Audit of
Completeness/Correctness Individual Dental Complete IDR Data with Complete IDR Data
# of children 12-71 months identified as Q of Individual Dental Records Record Data or minor errors without error
Supervisor/third
party
Orally Fit Children within the rating period with Major Errors
a DQC)
T
ORAL HEALTH EXAMINATION Incomplete
IDR Audit of
Completeness/Correctness Individual Dental Complete IDR Data with Complete IDR Data
Q of Individual Dental Records Record Data or minor errors without error
Supervisor/third
with Major Errors party
Supervisor) Compiled
T
100% of pre-school children seen, referred Q
for micronutrient supplementation and
All pre-school children seen
deworming to the health center
E in the community who need < 69% 70-79% 80-89% 90-99% 100% Referral list/Logbook
micronutrient
DPCR MFO/INDICATOR INVENTORY AND SCORING GUIDE v. 1.1
MFO Score Means of
Key Result Performance Measure Target
1 2 3 4 5 Verification
supplementation and
deworming are referred to
the health center
T
Nutrition Reports Submitted approved with
approved with no
100% of Monthly reports submitted to CESU, major revisions approved with major approved with
approved with major revision (1st Audit and approval of
(4th submission) revisions (2nd minor revisions only
approved on the 1st submission, every 5th Q Revision, minor and major
/ complete submission to 3rd
revisions
(2nd submission)
submission) or supervisor/third
day of the succeeding month during the (1st submission) minor revision only party
rehash or not submission)
(1st submission)
rating period approved at all
FHSIS
Reports/CESU/Summ
Number or Percentage of
E Reports submitted
100% <99% 100% it Publication of
Delinquent Monthly
Report
Receiving Dates of
Average Timeliness of
>3 days after the 1-2 days after the 1-2 days before the >3 days before the Reports/Average
T Reports as submitted to
deadline deadline
On the day of deadline
deadline deadline timeliness rating of
CESU
all reports submitted
OTHER INTERVENING TASKS
Reporting approved with
approved with no
major revisions approved with major approved with
100% of Monthly reports submitted to CESU, approved with major revision (1st Audit and approval of
(4th submission) revisions (2nd minor revisions only
approved on the 1st submission, every 5th Q Revision, minor and major
/ complete submission to 3rd
revisions
(2nd submission)
submission) or supervisor/third
(1st submission) minor revision only party
day of the succeeding month during the rehash or not submission)
(1st submission)
rating period approved at all
FHSIS
Reports/CESU/Summ
8
Number or Percentage of
E Reports submitted
100% <99% 100% it Publication of
Delinquent Monthly
Report
Receiving Dates of
Average Timeliness of
>3 days after the 1-2 days after the 1-2 days before the >3 days before the Reports/Average
T Reports as submitted to
deadline deadline
On the day of deadline
deadline deadline timeliness rating of
CESU
all reports submitted
Conduct of special
events/projects/operations/thematic Participant’s List of Documentations
Participant’s List of
Participant’s List of Attendance with
campaigns initiated or coordinated by health Q Documentations Provided Attendance with Pictures Provided/Submitted
9
TARGET: #
(# target Participant’s List of
committed/pledged by Attendance
E Professional Staff to
# <50% 50-99% 100-114% 115-129% >130%
Submitted or
Supervisor) Compiled
T
85-94% Participation in all events/special Q
operations/activities and thematic
campaigns of City Health Office and other
agencies Coordinating with the CHO
# of Special
events/operations/ All events/special
Memos
operations/activities and
activities/thematic received/Documenta
E
10
Submission on or before the >3 days after the 1-2 days after the 1-2 days before the >3 days before the Receiving Dates of
T set deadline deadline deadline
On the day of deadline
deadline deadline Reports
Technical and
E Submission 85-95% <70% 70-84% 85-94% 95-99% 100%
planning unit report
Submission on or before the >3 days after the 1-2 days after the 1-2 days before the >3 days before the Receiving Dates of
T set deadline deadline deadline
On the day of deadline
deadline deadline Reports