Republic of the Philippines

Autonomous Region in Muslim Mindanao

DEPARTMENT OF HEALTH
INTEGRATED PROVINCIAL HEALTH OFFICE
Province of Lanao del Sur
City Hall Compound, Marawi City

Nurse Deployment Program (NDP)

EVALUATION OF EXPERIENCE/PERFORMANCE
BASED ON JOB FUNCTIONS

NAME OF NURSE: ____________________________________________

AREA OF ASSIGNMENT: _______________________________________

(Name of RHU)

PUBLIC HEALTH (FIELD) PERFORMANCE

FUNCTIONS TARGET RATING REMARKS
Participates in the implementation of the various
health programs and activities related to Maternal,
Neonatal and Child Health and Nutrition (MNCHN)
and Pantawid Pamilyang Pilipino Program;
 Pre-natal care/Post natal care 50%
 Family Planning
 EPI
 Nutrition
 Special Programs (MRSIA and TTSIA)
Participates in the monitoring of the MNCHN
programs/activities and Pantawid Pamilyang Pilipino 10%
Program health related services;
Assist in the supervision & monitoring of the
Community Health Team (if applicable) or assist in 10%
the activities of 4Ps.
Assist in the conduct of health education on Different
10%
Health Program.
Assist in the conduct of disease surveillance
 High risk pregnancies
 Diarrhea
10%
 Malnutrition
 ARI
 Intestinal Parasitism
Submits monthly accomplishment report describing
highlights of activities target & accomplishment 5%
report, learning insight.
Performs other related duties as maybe assigned
5%
TOTAL 100%
REMARKS:
Note: Recommendation for renewal can be stated here. If recommending for non-renewal, state the reason. This
will be kept confidential and will not behand carried by the NDP TEAM.

LEGEND:
95% - 100% - EXCELLENT 90% - 94% - VERY SATISFACTORY

80% - 89% - SATISFACTORY Below 80% - POOR

RATED BY: NOTED BY:

________________________________ _______________________________________
Head of Unit