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BGPMS FORM 01

BARANGAY GOVERNANCE PERFORMANCE MANAGEMENT SYSTEM


DATA CAPTURE FORM
BARANGAY:
Year Under Review (Preceding Year):

GENERAL INFORMATION
Region:

IX

Congressional District:

Province:

City/Municipality:

Political Information
Legal Basis of Creation
Date of Ratification/Plebiscite

No. of Registered Voters


No. of Precincts

Physical Information
Land Area (in hectares):
Barangay
Category

URBAN

Upland

RURAL

Agricultural

Lowland

Coastal

Fishing

Commercial

Industrial Others

Fiscal Information
Total Income:
Internal Revenue Allotment (IRA)
Local Sources:
RPT Share
Fees & Charges
Others (pls. specify):
Demographic Information
Population:
Source:

NSO

RBI

Php
Php
Php
Php

Total No.

No. of Families

No. of Labor Force

No. of Households

No. of Unemployed

Female

Basic Utilities/Services
Power Supply:

Meralco

No. of Families with


access to electricity

Electric Cooperative

No.

No.
First

Water Supply:
No. of Families with access
to potable water supply

No.

Second
No.

Third
No.

Means of Communication: (telephone, mobile phone, etc., indicate name of provider)


CLUSTER 1a - DILG, Province of Bohol

Others:
No.

Means of Transportation:

=========================
DILG BGPMS DCF Page 1 of 12

Php

Others:
No.

Male

Health Information/Data
2009
MORBIDITY

###
###
###

MORTALITY

###
###

INFANT
MORTALITY

###
###

MATERNAL
MORTALITY

###
###
###

2010

Increase/
Decrease

0.0%

Leading Causes
1.
2.
3.

0.0%

1.
2.
3.

0.0%

1.
2.
3.

0.0%

1.
2.
3.

Awards/Recognition received by the barangay officials during the year under review (please spe
National Level
Regional Level
Local Level

GOVERNANCE

I. Performance Area
Service Area 1.1

Point Score

Local Legislation

Sub-Ind

Ind

1.1.1

Formulated Sanggunian Barangay Internal Rules of Procedure

Yes

No

1.1.2

Conducted Regular Sessions (twice a month or 24 times a year)

Yes

No

1.1.3

Enacted General Ordinances (Year Under Review) with Public Hearings

Yes

No

Yes

No

Approved Annual Budget Within the Budget Calendar


(for the following year)

Yes

No

1.1.6

Presence of Legislative Tracking or Monitoring System

Yes

1.1.7

Designated Session Hall

Service
Area
Average

- if YES, indicate number of General Ordinance enacted


1.1.4

Passed Resolutions (Year Under Review)


- if YES, indicate number of Resolutions passed

1.1.5

0.00
0

No

- Furnitures, Fixtures and Equipment available in the session hall:


1.1.7.1

Conference Table

Yes

No

1.1.7.2

Chairs

Yes

No

1.1.7.3

Gavel

Yes

No

0.00

Others , please specify


Total Point Score

0.00

Point Score

Service Area 1.2

Transparency

Sub-Ind

Ind

0
=========================
DILG BGPMS DCF Page 2 of 12

CLUSTER 1a - DILG, Province of Bohol

Service
Area
Average

1.2.1

Submitted Annual Report not later than March 31 of the following year

Yes

No

1.2.2

Reported Semestral Accomplishments during Barangay Assembly Day

Yes

No

1.2.3

Posted Itemized Monthly Collections & Disbursement in


Conspicuous Places

Yes

No

1.2.4

Posted Annual Summary of Income & Expenditures in


Conspicuous Places

Yes

No

1.2.5

Posted Barangay Plans and Programs in the Barangay Hall

Yes

No

1.2.6

Posted List of Implemented Projects in the Barangay Hall

Yes

No

1.2.7

Posted Barangay Ordinances & Resolutions in Conspicuous Places

Yes

No

Total Point Score

0.00

Point Score

Service Area 1.3

Citizen's Participation

Sub-Ind

1.3.1

Held at Least Two (2) Semestral Barangay Assemblies

Yes

No

1.3.2

Conducted Katipunan ng Kabataan (KK) Assembly Every Quarter

Yes

No

1.3.3

Inclusion of CSO/PO Representative as Member in the following:

1.3.4

Service
Area
Average

Ind

1.3.3.1

Barangay Development Council (not less than 1/4 of the council)

Yes

No

1.3.3.2

Barangay Disaster Risk Reduction Management Committee

Yes

No

1.3.3.3

Barangay Peace and Order Committee

Yes

No

1.3.3.4

Barangay Council for the Protection of Children

Yes

No

Yes

No

Yes

No

Yes

No

0.00

Established Suggestion/Feedback Mechanism (i.e. suggestion box, survey, gathering)

0.00

If YES, please specify


1.3.5

Organized Community Service Volunteers

1.3.6

Implemented Programs/Projects with CSOs/POs, if any

(i.e. Tanods, Day Care Workers)

Total Point Score

ADMINISTRATION

II. Performance Area


Service Area 2.1
2.1.1

Point Score

Development Planning

Barangay Development Council (BDC)


Created BDC Executive Committee
2.1.1.1
Conducted at least 2 semestral meetings
2.1.1.2

Sub-Ind

Yes

No

Yes

No

2.1.2

Formulated Current Year Annual Investment Plan

2.1.3

Prepared Barangay Development Plan integrating the following concerns:

Yes

Differently-Abled Persons

Yes

No

2.1.3.2

Senior Citizens

Yes

No

2.1.3.3

Children

Yes

No

2.1.3.4

Gender & Development

Yes

No

Adopted measures/plans to prevent and control the proliferation of


squatters and mendicants in the barangay.

2.1.5

Developed/Updated the following Databases:

=========================
DILG BGPMS DCF Page 3 of 12

CLUSTER 1a - DILG, Province of Bohol

Yes

No

Ind

Service
Area
Average

0.00
0

No

2.1.3.1

2.1.4

0.00

0.00

2.1.5.1

Registry of Barangay Inhabitants

Yes

No

2.1.5.2

Socio-Economic Profile

Yes

No

0.00

Others, please specify:


Total Point Score

0.00

Point Score

Service Area 2.2

Revenue Generation

Sub-Ind

Service
Area
Average

Ind

2.2.1

Presence of Tax Ordinance (year under review)

Yes

No

2.2.2

Conducted Fund Raising Activity

Yes

No

2.2.3

Generated Income from Barangay Economic Enterprise

Yes

No

2.2.4

Developed Financial Management System

Yes

No

2.2.5

Presence of Barangay Revenue Code

Yes

No

Total Point Score

0.00

Point Score

Service Area 2.3


2.3.1

Revenue Allocation and Utilization

Sub-Ind

Appropriated/Expended fund for the following:


Personal Services
(55% of Local Sources)
2.3.1.1
Development Fund
2.3.1.2
(at least 20% of IRA)
2.3.1.3

Calamity/BDRRM Fund

2.3.1.4

Sangguniang Kabataan
Gender & Development
BCPC
Senior Citizens and

2.3.1.5
2.3.1.6
2.3.1.7

Yes

No

Yes

No

(5% of Regular Income)


(10% of General Fund)

Yes

No

Yes

No

(5% of General Fund)


(1% of IRA)

Yes

No

Yes

No

(1%)

Yes

No

Service
Area
Average

Ind

0.00

0.00

Differently Abled Person


Others, please specify:
Total Point Score
Point Score

Service Area 2.4

Fiscal Accountability

Sub-Ind

Ind

2.4.1

Prepared Certified Statement of Actual Income & Expenditures

Yes

No

2.4.2

Presence of Barangay Bids and Awards Committee (BAC)

Yes

No

2.4.3

Formulated Annual Procurement Plan using National Government


Accounting Systems (NGAS)

Yes

No

2.4.4

Prepared Annual Inventory of Barangay Assets using NGAS

Yes

No

2.4.5

Prepared/Submitted Barangay Financial Report using NGAS

Yes

No

2.4.6

Prepared/Submitted Barangay Disbursement Report using NGAS

Yes

No

0.00

Total Point Score

Point Score

Service Area 2.5


2.5.1

2.5.2

Facilities and Customer Service

Sub-Ind

Ind

Presence of Barangay Hall


2,5.1.1

Barangay hall owned by the barangay

Yes

No

2,5.1.2

Lot owned by the barangay

Yes

No

Presence of Organizational Structure

=========================
DILG BGPMS DCF Page 4 of 12

CLUSTER 1a - DILG, Province of Bohol

Service
Area
Average

Yes

No

0.00
0

Service
Area
Average

2.5.3

Presence/Display of Administrative Requirements


Barangay Seal
2.5.3.1
2.5.3.2
2.5.3.3
2.5..3.4

2.5.4

Philippine Flag
Picture of Incumbent President
Barangay Map

Yes

No

Yes

No

Yes

No

Yes

No

0.00

Properties and Equipment


2.5.4.1

Typewriter

Yes

No

2.5.4.2

Computer

Yes

No

2.5.4.3

Internet Connection

Yes

No

NA

2.5.4.4

Telephone

Yes

No

NA

2.5.4.5

Fax Machine

Yes

No

NA

2.5.4.6

Mobile Phone

Yes

No

2.5.4.7

Hand-Held Radio

Yes

No

2.5.4.8

Photocopying Machine

Yes

No

2.5.4.9

Patrol Car/Service Vehicle

Yes

No

2.5.4.10

Generator

Yes

No

0.00

0.00

Others, please specify:


2.5.5

Presence of Barangay Public Information Desk

Yes

No

2.5.6

Formulated Manual of Operations/Citizen's Charter

Yes

No

2.5.7

Facilitated the issuance of the following:


2.5.7.1

Barangay Clearance

Yes

No

Yes

No

- number of days to process


1-2
2.5.7.2

3-4

5-6

7 days

Barangay Certification

0.00

- number of minutes/hours to process


w/in 1 hr

within 2 hrs

more than 2 hrs

Others, please specify:


Total Point Score

0.00

Point Score

Serivce Area 2.6


2.6.1

2.6.2

2.6.3

Human Resource Management and Development

Sub-Ind

Ind

Service
Area
Average

Mandatory Appointive Positions filled-up


2.6.1.1

Barangay Treasurer

Yes

No

2.6.1.2

Barangay Secretary

Yes

No

Local Civil Service Commission provided with copies of appointments


of Barangay Secretary and Barangay Treasurer

0.00

Yes

No

Other Appointive Positions Filled-up


2.6.3.1
2.6.3.2

Lupon Members
Tanod

Yes
Yes

No

No

0.00

Others, please specify

=========================
DILG BGPMS DCF Page 5 of 12

0.00
CLUSTER 1a - DILG, Province of Bohol

2.6.4

Attendance to Training and Other Related Activities


2.6.4.1

Punong Barangay

Yes

No

2.6.4.2

Sangguniang Barangay Members

Yes

No

2.6.4.3

Barangay Secretary

Yes

No

2.6.4.4

Barangay Treasurer

Yes

No

2.6.4.5

Sangguniang Kabataan

Yes

No

2.6.4.6

Lupong Tagapamayapa

Yes

No

2.6.4.7

Barangay Tanod

Yes

No

2.6.4.8

Barangay Health Worker

Yes

No

2.6.4.9

Barangay Nutrition Scholars

Yes

No

2.6.4.10

Bgy. Human Rights Action Officer

Yes

No

0.00

0.00

Others, please specify


Total Point Score

III. Performance Area


Service Area 3.1
3.1.1

SOCIAL SERVICES

0.00

Point Score

Health and Nutrition

Sub-Ind

Ind

Service
Area
Average

Organized/Presence of the following Health and Nutrition Program Implementers


3.1.1.1

Bgy. Nutrition Council

(BNC)

3.1.1.2

Bgy. Physical Fitness and Sports

Yes

No

Yes

No

Yes

No

Yes

No

Development Council (BPFSDC)


3.1.1.3

Bgy. Health Emergency

0.00

Response Teams (BHERTs)


3.1.1.4
3.1.2

Bgy. Health Workers (BHWs)

Presence/Maintainance of Health and Nutrition Facilities


3.1.2.1

Health Center

Yes

No

3.1.2.2

Botika sa Barangay

Yes

No

3.1.2.3

Public Comfort Room/Toilet

Yes

No

3.1.2.4

Communal (gulayan/herbal) Garden

Yes

No

Yes

No

3.1.3

Access to Potable Water Supply System

3.1.4

Advocacy on/Implementation of Health and Nutrition Programs


3.1.4.1

Family Planning/Responsible Parenthood

3.1.4.2

Maternal Care

Yes

No

0.00

3.1.4.2.1

Breastfeeding Program

Yes

No

3.1.4.2.2

Mothers' Class

Yes

No

3.1.4.3

0.00

0.00
0.00
0.00

Child Care Program

3.1.4.3.1

Newborn Screening

Yes

No

3.1.4.3.2

Birth Registration

Yes

No

3.1.4.3.3

Immunization

Yes

No

0
0.00
0

=========================
DILG BGPMS DCF Page 6 of 12

CLUSTER 1a - DILG, Province of Bohol

0.00

0.00
3.1.4.3.4

Operation: TIMBANG

Yes

No

3.1.4.3.5

Micro-Nutrient Supplementation

Yes

No

3.1.4.3.6

Food Supplementation

Yes

No

3.1.4.4

0.00

0.00

Disease Prevention and Control

3.1.4.4.1

Tuberculosis

Yes

No

3.1.4.4.2

Dengue

Yes

No

3.1.4.4.3

Anti-Rabies

Yes

No

0.00

Others, pls. specify


3.1.4.5

Barangay Sports Development Program

Yes

No

3.1.4.6

Promotion of Healthy Lifestyle

Yes

No

3.1.4.7

Senior Citizen Program

Yes

No

0
Total Point Score

0.00

Point Score

Service Area 3.2


3.2.1

Education and Culture

Sub-Ind

Ind

Service
Area
Average

Established Education/Information Facilities


3.2.1.1

Day Care Center

Yes

No

- If more than one (1) Day Care Center, please indicate number
3.2.1.2

Information and Reading Center

Yes

No

0.00

- If more than one (1) Reading Center, please indicate number


3.2.1.3
3.2.2

Gabay sa Mamamayan Aksyon Center

Yes

No

Yes

No

Implemented Education Program


3.2.2.1

Barangay Day Care Program

0.00

No. of Day Care Workers


0.00

No. of Enrollees
3.2.2.2

Access to Alternative Learning System

Yes

No

3.2.3

Conducted Linggo ng Kabataan

Yes

No

3.2.4

Conducted Cultural Activities

Yes

No

Others, please specify


Total Point Score

0.00

Point Score

Service Area 3.3


3.3.1

Women and Children

Sub-Ind

Ind

Service
Area
Average

Barangay Council for the Protection of Children


3.3.1.1

EO/AO or Barangay Resolution/Ordinance

Yes

No

Yes

No

Yes

No

organizing or reconstituting the BCPC


3.3.1.2

Formulated and Implemented

0.00

Policies, Plans and Budget


3.3.1.3

Conducted Quarterly Council Meetings


If Yes, indicate number of meetings

=========================
DILG BGPMS DCF Page 7 of 12

0
CLUSTER 1a - DILG, Province of Bohol

0.00

3.3.2

Implemented Republic Act No. 9262, "AVAWC Act of 2004"

Yes

No

No

0.00

Number of cases received


Number of cases referred to:
LSWDO

PNP

Court

Health Office

Number of BPOs issued


Number of Trainings conducted
Number of IEC Campaigns conducted
3.3.3

Advocated programs and service for "Children in Conflict with the Law"

Yes

Number of children assisted/referred


Total Point Score

0.00

Point Score

Service Area 3.4


3.4.1

Public Safety and Disaster Risk Reduction Management

Sub-Ind

Ind

Service
Area
Average

Presence of Barangay Peace and Order Committee (BPOC)


3.4.1.1

Resolution Organizing BPOC

Yes

No

3.4.1.2

Formulated and implemented Barangay

Yes

No

Yes

No

0.00

Public Safety Plan


3.4.1.3

Conducted regular monthly committee meetings


if NO, indicate number of meetings

3.4.2

3.4.3

3.4.4

Presence of Barangay Disaster Risk Reduction and Management Committee (BDRRMC)


3.4.2.1

Resolution Organizing BDRRMC

Yes

No

3.4.2.2

Executive Order Creating BDRRMC

Yes

No

3.4.2.3

Presence of BDRRM Plan

Yes

No

0.00

Disaster Equipment
3.4.3.1
3.3.1.2

Transistor Radio

Yes

No

3.4.3.2

Television

Yes

No

3.4.3.3

Hand-Held Radio

Yes

No

3.4.3.4

Mobile Phones

Yes

No

Generator
3.4.3.5
3.3.1.5
Early Warning Devices
3.4.3.6

Yes

No

Yes

No

3.4.3.7

Mega Phone

Yes

No

3.4.3.8

Banca / Raft

Yes

No

3.4.3.9

Flashlight

Yes

No

3.4.3.10

First Aid Kit

Yes

No

3.4.3.11

Fire Extinguisher

/ Yes

No

3.4.3.12

Rescue Vehicle

Yes

No

0.00

0.00

Barangay Anti-Drug Abuse Council (BADAC)


3.4.4.1

Conducted Councils Meetings

Yes

No

3.4.4.2

Formulated and implemented policies

Yes

No

=========================
DILG BGPMS DCF Page 8 of 12

CLUSTER 1a - DILG, Province of Bohol

0.00

to counter drug abuse


3.4.5

Implementation of Katarungang Pambarangay Law


3.4.5.1

Constituted Lupong Tagapamayapa

3.4.5.2

Conducted Lupon Meetings at least once a month

Yes

No
Yes

No

If NO, indicate number of meetings


3.4.5.3

3.4.6

Yes

No

3.4.5.3.1

Number of disputes filed

3.4.5.3.2

Number of disputes settled

3.4.5.3.3

Rate of Dispute Resolution Efficiency (3.3.6.3.2 divided by 3.3.6.3.1)

0%

Established Barangay Human Rights Action Center (BHRAC)


3.4.6.1

3.4.7

Acted on Disputes Filed

Center manned by duly elected BHR Action Officer

Yes

No

Barangay Tanod conducted Regular Ronda or Foot Patrol

Yes

No

Yes

No

If YES, indicate number of tanods


3.4.8

Implemented Street Lighting/Illumination Project

Total Point Score

ECONOMIC DEVELOPMENT

IV. Performance Area


Service Area 4.1
4.1.1

4.1.2

Point Score

Agriculture and Fisheries Development

Barangay Agricultural Support Services


Thresher and other Post-Harvest Equipment
4.1.1.1

Sub-Ind

Yes

No

Multi-purpose Pavement

Yes

No

4.1.1.3

Planting Materials Distribution System

Yes

No

4.1.1.4

Farm Product Collection and Buying Stations

Yes

No

0.00

Agricultural Development Program

4.1.2.2

Llivestock and Poultry Dispersal


Seedling Nursery

Ind

Service
Area
Average

NA

4.1.1.2

4.1.2.1

0.00

NA
Yes
Yes

No

No

0.00

0.00

Others, please specify


4.1.3

4.1.4

Barangay Fisheries and Aquatic Resource Management Committee (BFARMC)


4.1.3.1

Formulated/Implemented Barangay Fisheries


Development Program

Yes

4.1.3.2

Installed Communal or Backyard Fishponds

Yes

NA
0

No

0.00
0

No

Maintained Farm-to-Market Roads and Bridges

Yes

No
Total Point Score

0.00

Point Score

Service Area 4.2


4.2.1

Entrepreneurship, Business and Industry Promotion

Barangay Economic Enterprises

Sub-Ind

Yes

No

Ind

Service
Area
Average

Please specify :
(e.g. Flea or Satellite Market, Water Works and Wharf)

0
=========================
DILG BGPMS DCF Page 9 of 12

0.00
CLUSTER 1a - DILG, Province of Bohol

4.2.2

Presence of Barangay Livelihood Program

Yes

No

0.00

Please specify:
(e.g. Soap making, Candle making, Chocolate making, etc)
4.2.3

Presence of Cooperatives

Yes

No

4.2.4

Conducted/Participated in Job Fairs

Yes

No

Total Point Score

ENVIRONMENTAL GOVERNANCE

V. Performance Area
Service Area 5.1
5.1.1

Point Score

Natural Resource Management

Sub-Ind

Service
Area
Average

Ind

Clean and Green Program


5.1.1.1

Clean and Green Activities

Yes

No

5.1.1.2

Organized Green Brigade

Yes

No

5.1.1.3

Tree Planting and Preservation Activities

Yes

No

5.1.2

Presence of Barangay Ecological/Forest Tree Park

Yes

No

NA

5.1.3

Implementation of Mangrove Planting and Preservation Program

Yes

No

NA

5.1.4

Presence of Artificial Reef

Yes

No

NA

5.1.5

Presence of Fish Sanctuary

Yes

No

NA

0.00

Others, please specify :


Total Point Score

0.00

Point Score

Service Area 5.2

Waste Management and Pollution Control

Sub-Ind

5.2.1

Organized Barangay Ecological Solid Waste Management Committee

Yes

No

5.2.2

Enacted Ordinances/Resolutions on Solid Waste Management

Yes

No

5.2.3

Formulated Barangay Solid Waste Management Plan

Yes

No

5.2.4

Implemented Waste Segregation and Volume Control

Yes

No

5.2.5

Garbage Collection Scheme

Yes

No

5.2.6

Presence of Materials Recovery Facility

Yes

No

5.2.7

Maintained Sewerage/Drainage Canal

Yes

No

Total Point Score

=========================
DILG BGPMS DCF Page 10 of 12

CLUSTER 1a - DILG, Province of Bohol

Service
Area
Average

Ind

0.00

BGPMS SCORE SHEET


BARANGAY
CITY/MUNICIPALITY
REGION
IX
AVERAGE
RATING

PERFORMANCE AREA

I. GOVERNANCE
1.1 Local Legislation
1.2 Transparency
1.3 Citizen's Participation

2. ADMINISTRATION
2.1
2.2
2.3
2.4
2.5
2.6

Development Planning
Revenue Generation
Revenue Allocation and Utilization
Fiscal Accountabilty
Facilities and Customer Services
HR Management and Development

3. SOCIAL SERVICES
3.1
3.2
3.3
3.4

Health and Nutrition


Education and Culture
Women and Children
Public Safety & Disaster Risk Reduction Mana

4. ECONOMIC DEVELOPMENT
4.1 Agriculture and Fisheries Development
4.2 Entrepreneurship, Business & Industry Promoti

5. ENVIRONMENTAL MANAGEMENT
5.1 Natural Resource Management
5.2 Waste Management and Pollution Control

0.00
0.00
0.00
0.00

Very Low
Very Low
Very Low

0.00
0.00
0.00
0.00
0.00
0.00
0.00

Very Low
Very Low
Very Low
Very Low
Very Low
Very Low

0.00
0.00
0.00
0.00
0.00

Very Low
Very Low
Very Low
Very Low

0.00
0.00
0.00

Very Low
Very Low

0.00
0.00
0.00

Very Low
Very Low

0.00

OVER-ALL PERFORMANCE RATING


ADJECTIVAL RATING

Very Low

Accomplished by:
NAME
DESIGNATION
DATE

ADJECTIVAL RATING

CY 2010 BARANGAY GOVERNANCE PERFORMANCE MANAGEMENT SYSTEM


BARANGAY , Local Legislation
Transparency
Citizen's Participation

0.00
0.00
0.00

Development Planning
Revenue Generation
Revenue Allocation and Utilization
Fiscal Accountabilty
Facilities and Customer Services
HR Management and Development

0.00
0.00
0.00
0.00
0.00
0.00

Health and Nutrition


Education and Culture
Women and Children
Public Safety & DRRM

0.00

Agriculture and Fisheries Developm


Entrprnrship, Business & Industry

0.00
0.00

5.0
4.5
4.0

0.00
0.00
0.00

Natural Resource Management


0.00
Waste Management and Pollution Co 0.00

3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0

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