Republic of the Philippines

M Department of Health
CENTRAL VISAYAS CENTER for HEALTH DEVELOPMENT
January 02, 2024

REGIONAL MEMORANDUM
No. 2024- ^0\

TO :ALL PROVINCIAL DOH OFFICERS. DOH REPRESENTATIVES

DEPLOYED NHWSS PERSONNEL AND ALL OTHERS
CONCERNED

SUBJECT :Reappointment and Other Activities for Approved Personnel under

the 2024 National Health Workforce Support System

The Department of Health (DOH), through the NHWSS, renews its commitment to
pursue an equitable distribution of competent and compassionate health workforce to
improve access to quality health care services in priority areas of need. Pursuant to The
Administrative Order No. 2020-0038 entitled “Guidelines on the Deployment of Human
Resources for Health under the National Health Workforce Support Svstem”, and DO
2022-0451, its operational guidelines, the implementation of the National Health Workforce
Support System (NHWSS) augments Human Resources for Health (HRH) in areas of need
and prioritizes Geographically Isolated and Disadvantaged Areas (GIDAs), low-income class
municipalities, municipalities with indigenous people (IP), national priority areas for
poverty-reduction and peace-building efforts.
Further, the recruitment, selection, and placement process of all HRH as enumerated
in the above-stated pohcies, shall be subject to Civil Service Commission (CSC) Rules on
Appointments and Other Human Resource Actions. Along this line, this memorandum
provides guidelines on the processing of reappointment and other Human Resource activities
under the 2024 National Health Workforce Support System.
I. Submission of Reappointment Documents
All personnel approved for reappointment in 2024 shall submit the following
pre-employment requirements to their respective Provincial DOH Offices no later
than January 10,2024, Wednesday:
1. Three (3) duly accomplished, originally signed and notarized CS Form No.
212, Revised 2017 (Personal Data Sheet and Work Experience Sheet). Notary
date must be no later than January 01,2024.
2. Three (3) photocopies of active PRC ID/License
3. One (1) Medical Certificate (CS Form 211, Revised 2018) originally signed by
a Government Physician with the original results of the following laboratory
examinations:
a. Complete Blood Count;
b. Urinalysis;
c. Chest X-Ray;
d. Drug Test; and,
e. Pregnancy Test (if applicable)
4. Two (2) notarized copies of Statement of Assets, Liabilities, and Net Worth
(SALN) as of December 31, 2023.
__________________________________ JANH^^in^
Osmena Boulevard, Sambag II, Cebu City 6000 Philippines Regional Director’s Office Tel. No (032) 260-9740 local 101-102
Official Website www.ro7.doh.gov.oh/Email Address dohro7@gmail.com
 One (1) PSA Issued or LCR authenticated copy of Certificate of Marriage (for
newly married female applicants who intend to use their married name if PRC
ID still needs to be updated.
6. Two (2) Photocopies of Training Certificates reflected in PDS.
7. 1 long folder & fastener.

Standard Forms are downloadable at this link:

bitly/NHWSSEmplovmentDocs.

II. Central Visayas Registry of NHWSS Human Resources for Health

The Central Visayas Registry of NHWSS Human Resources for Health serves
to create a database of relevant personal and work-related information of all NHWSS
personnel for Human Resource Management and Program-related actions.

For inclusion to the registry, all appointed/re-appointed/re-hired personnel

under the composite programs of the NHWSS in Central Visayas shall register/update
their personal information at this link: tinvnrl.com/CHP7NHWSSRegistrv.
Deadline of registration is on January 05,2024.

HI. Official Stations of Barangay-based HRH Personnel

The concerned DOH Representative, in coordination with the City/Municipal

Health Officer, shall determine the barangay assignments of nurses and midwives,
subject to identified priority areas. To ensure adherence to the staffing standards, the
following conditions shall be strictly observed;

HRH Cadre Area of Assignment

a. Nurse II (NDP) Maximum of three barangays with a combined
population not exceeding the standard 1:10,000 ratio.
b. Midwife II Maximum of three barangays with a combined
(RHMPP) population not exceeding the standard 1:5,000 ratio.

Midwives may be rotated in the Birthing Stations/Lying-In Clinics at most

twice a week provided that there is an insufficient mraiber of LGU-hired midwives to
man the said clinical area. All other cadres are prohibited from rotating in the birthing
station/lying-in clinics.

IV. Submission of Performance Planning and Commitment Form

All 2024 NHWSS personnel shall conduct a Performance Planning and

Commitment Activity (target setting) with their DOH Representatives for the
January to Jime 2024 rating period. As an output, they shall submit the SPMS Form 4
or the Individual Performance Commitment and Review (IPCR) Form reflecting
targets for each identified Success Indicator, together with the metadata. The SPMS
form shall be duly signed by the DOH Representative and the personnel.

Considering that the 2024 Strategic Performance Indicators have not yet been
communicated, they shall follow they shall plan for all three (3) Indicators reflected in

JAN 0 5 RECD
 their 2023 2nd Semester IPCR, except on the Registration for Provisional PCW
Certfication among physicians, nurses and midwives. Additional Success Indicators
(especially for program point persons) may be added as per agreement between the
DOH Rep. and deployed HRH personnel. FHSIS success indicators (targets) shall
based on the accomplishment covering July 1 to December 31, 2023.

A sample of Performance Planning and Commitment is attached herein for

reference. The accomplished forms and metadata shall be submitted online on or
before January 31, 2024. The link for submission shall be communicated at a later
date.

V. Non-renewal/Separation Procedures

The 2024 Approved NHWSS Personnel who do not intend to renew their
appointment shall signify to the HHRDU through a letter of intent (LOI). Email
submission of an advance copy is highly encouraged. Non-renewing personnel
shall also accomplish all separation documents listed in Annex A and submit them
to the HHRDU Office or to their respective Provincial DOH Offices.

VI. Submission of January 2024 Daily Time Records

Specific for January 2024 only, all 2024 NHWSS personnel shall submit two
separate Daily Time Records (DTRs) for services rendered in January 1-15 and
January 16-31, 2024. Subsequent DTR submission shall remain on the regular
monthly schedule.

For clarifications and/or concerns, you may contact Mr. Mark R. Quilates, Training
Specialist III of the Health Hrnnan Resource Development Unit at (032) 260 - 9740 local 206
or at hhrdu@ro7.doh.gov.ph.

For strict compliance.

JAIME S. BERN/I^ASfctED, MGM, CESO III

Regional Director » *
RD/ARD/HHRDU/MQitilates

JAN 0 6 RECD v.o.

 Annex A
SEPARATION FROM WORK/ TERMINAL PAY REQUIREMENTS
CHECKLIST
HEALTH HUMAN RESOURCE DEVELOPMENT UNIT

NAME: DATE OF SUBMISSION:

POSITION: DATE RECEIVED BY HR:

AREA OF ASSIGNMENT: RECEIVED BY:

CONTACT NUMBER AND E-MAIL ADDRESS:

Check Requirements Remarks

box
2 copies of Original Regional Office Clearance*
2 copies each of OPCR/IPCR- two rating periods/PES for
JO Personnel*
1 Original LGU/Hospital Clearance or Certificate
Leave card (to be provided by HHRDU) c/o HHRDU
2 Original Copies of Terminal Leave Application
1 Original copy of Service Record c/o HHRDU
3 Notarized Copies of SALN
1 Original Copy of Notice of Salary Adjustment provided c/o HHRDU
by HHRDU
2 Notarized Original Copies of Affidavit of No Pending
Administrative Case / Declaration of Case Pendency
2 Notarized Original Copies of Affidavit of Undertaking/
Waiver to deduct all financial obligations *
GSIS Member Form & GSIS Application for Retirement/ GSIS Application for
Separation Form Separation Form to be
processed with Service
Record
Exit Interview*
Identification Card*
Photocopy of Front Card of Active Landbank Accoimt*
Resignation Letter/ Letter of Intent*
Additional Requirements for PRDP and DTTB:
3 copies of Original Central Office Clearance- New
Revised Form for DTTB and PRDP
Exit Report for PRDP and DTTB
Accomplished Baseline Monitoring Tool for DTTBs
3 Notarized Copies of Central Office Affidavit of Pending
Case & 3 Copies of Waiver for DTTBs
*Requirements to be complied by Job Order personnel.

JAN 0 5RECD
DOH-SPMSForm4 Document Code: DOH-CHD7-IPCRRD/ARD-2024
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) Revision No.: 0
Effectivity: January 2,2024

I, Juan Dcla Cruz. Nurse II. of the ABC Primary Care Facility, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the
period January to June 2024.
(Signature)
Name of Employee: Juan Dela Cruz Date; / January 2024
Nurse II
Approved By: Date:

(DOH Rep's Name and Signature) January 2,2024

Name of Supervisor

RAT ING Remarks/

Output Success Indicator (Targets + Measure) Actual Accomplishment Q
Justification of Unmet
E T A
Targets
(1) (2) (3) (4)
Core Functions
Technical Assistance in implementing, monitoring, and evaluating the different health programs.
Fully Immunized Child 100% of Target children fully immunized
within July to December 2023.

Proportion of pregnant 100% of target pregnant women with atleast 4

women with at least 4 quality prenatal check-ups within July to
prenatal check-ups December 2023
Family Planning 100% target eligible WRA are using modem FP
Contraceptive Method (mCPR) from July to
December 2023
Proportion of postpartum 100% of taegett postpartum women with quality
women together with their postpartum visits from July to December 2023
newborn who completed at
least 2 postpartum check-
UDS.
NTP Case Notification Rate 100% of target number of TB all forms notified
& treated within July to December 2023

Treatment Success Rate, 100% of target Percentage of TB, all forms that
DSTB (Drug susceptible TB) are successfully treated either cured or
treatment completed within July to December
2023
Proportion of infants 100% of target 6 months old infants who have
exclusively breastfed until been exclusively breastfed from birth up to 6
6th month months.

Facility-Based Delivery 100% of target pregnant women delivered in

facilities July to December 2023.

National Voluntary Blood 1% of eligible population have donated blood

Services within the year.

Lifestyle-Related Diseases 100% of target eligible population were risk

classified using PhilPen Protocol

H H
Creation of Barangay Health 100% of barangays with Barangay Health Plans
Plans indicating activities with activities from July to
December 2023.
Conduct of Quality Home 20/20 priority households visited from July to
Visits December 2023

H 1
Heath Status Report and 100% of households visited with Health Status
Family Health Plan Report/Family Health Plan July to December
2023

Provision of Health Service 100% of identified programs/concems are acted

to households visited upon based on interventions in the HSR/FHP

3. Health Promotion & Advocacy

Conduct of people-centered 6 monthly conduct of health promotion activity
activities based on the Community Health Promotion
Playbook

Provision of Technical 50% of BHWs capacitated as on-the-ground

Assistance HEPOs within the rating period

Other Health Promotion and 100% of planned health promotion activities

Advocacy activities programmed for the semester are conducted
within the rating period
Health Advocacy 6 monthly conduct of quality and effective
advocacy activities to mimicipal/barangay
officials and other key stakeholders in support
Integrated Vector 2 quarterly IVM activities for the semester are
Management participated

Disease Surveillance 90% of outbreaks and health events of public

health concern requiring investigations are
reported.
Health Emergencies and Participate in the crafting/updating of Local
Disasters DRRM-H Plan
Health Emergencies and (May include specific SI for participation in
Disasters health emergencies and disasters in the locality)

Average Rating (Cdrc Fnttctions) #DIV/0!

Approved Monthly Reports 100% submission of complete set of

consolidated and validated reports.

Attendance to Learning and 1 LDI attended within the year

Development Interventions
trnn
Average Rating (Sapport Functions)
Strategic Functions
1. Stakeholders’ Engagement
1.1 Participation in 100% of LHB/BHB Meeting scheduled within
Barangay/Municipal Health the semester are attended m mu
1hI 1■
Board
1.2 Policy Development 1 policy developed, lobbied, passed or
reactivated within the year

1.3 Organization and 100% of barangays are functional

Functionality of Barangay
Health Board

Average Rating (Strategic Functions) 1 #DIV/0!

RATING

Percentage Average Rating per Final Rating per Function (Average Rating x
Function Final Average Rating Adjectival Rating Remarks
Distribution* Function Percentage Distributiong)

Core Function 50% 0.00

Support Funct 10% 0.00 0.00
Strategic Func 40% 0.00

Comments and Recommendations for Development Purposes

Discussed With: Assessed by: Date Final Rating by: Date
I certify that I discussed my assessment of the
performance with the employee

(No need for signature) (No need for signature) (No need for signature)

Employee Supervisor Next Higher Supervisor

Legend: 1-Quality 2-Ejficiency 3-Titneliness 4-Averag; *In the event that there is no strategic output, the percentage distribution is as follows: Core output- 80% and Support output- 20%