Bgpms Form

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.
Female
No. of Families
No. of Labor Force
No. of Households
No. of Unemployed
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 10
Php
Others:
No.
Male
Health Information/Data
2009
2010
Increase/
Decrease
Leading Causes
MORBIDITY
1.
2.
3.
MORTALITY
1.
2.
3.
INFANT
MORTALITY
1.
2.
3.
MATERNAL
MORTALITY
1.
2.
3.
Awards/Recognition received by the barangay officials during the year under review (please specify title) :
National Level
Regional Level
Local Level
GOVERNANCE
I. Performance Area
Service Area 1.1
Point Score
Local Legislation
Sub-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
Ind
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
Approved Annual Budget Within the Budget Calendar

(for the following year)
Yes
No
1.1.6
Presence of Legislative Tracking or Monitoring System
Yes
No
1.1.7
Designated Session Hall

- 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
Others , please specify

Total Point Score
Point Score
Service Area 1.2
Transparency
Sub-Ind
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
=========================
Ind
Service
Area
Average
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
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
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
Established Suggestion/Feedback Mechanism (i.e. suggestion box, survey, gathering)
Ind
Service
Area
Average
If YES, please specify

1.3.5
Organized Community Service Volunteers (i.e. Tanods, Day Care Workers)
Yes
No
1.3.6
Implemented Programs/Projects with CSOs/POs, if any
Yes
No
Total Point Score
ADMINISTRATION
II. Performance Area

Service Area 2.1
2.1.1
Development Planning
Barangay Development Council (BDC)

Created BDC Executive Committee
2.1.1.2
Conducted at least 2 semestral meetings
2.1.1.1
2.1.2
2.1.3
2.1.4
2.1.5
Point Score
Sub-Ind
Yes
No
Yes
No
Formulated Current Year Annual Investment Plan
Yes
No
Yes
No
Prepared Barangay Development Plan integrating the following concerns:

2.1.3.1
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.
Developed/Updated the following Databases:
2.1.5.1
Registry of Barangay Inhabitants
Yes
No
2.1.5.2
Socio-Economic Profile
Yes
No
Others, please specify:

Total Point Score
=========================
Ind
Service
Area
Average
Point Score
Service Area 2.2
Revenue Generation
Sub-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
Ind
Service
Area
Average
Total Point Score

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)
2.3.1.2
Development Fund
(at least 20% of IRA)
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
2.3.1.1
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
Ind
Service
Area
Average
Differently Abled Person

Total Point Score
Point Score
Service Area 2.4
Fiscal Accountability
Sub-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
Ind
Service
Area
Average
Total Point Score

Point Score
Service Area 2.5

2.5.1
2.5.2
2.5.3
Facilities and Customer Service
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

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
Sub-Ind
Philippine Flag
Picture of Incumbent President
Barangay Map
Properties and Equipment
=========================
Yes
Yes
No
Yes
No
Yes
No
Yes
No
No
Ind
Service
Area
Average
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

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
- number of minutes/hours to process
w/in 1 hr
within 2 hrs
more than 2 hrs

Total Point Score
Point Score
Serivce Area 2.6

2.6.1
Human Resource Management and Development
Sub-Ind
Mandatory Appointive Positions filled-up

2.6.1.1
Barangay Treasurer
Yes
No
2.6.1.2
Barangay Secretary
Yes
No
2.6.2
Local Civil Service Commission provided with copies of appointments

of Barangay Secretary and Barangay Treasurer
2.6.3
Other Appointive Positions Filled-up

2.6.3.1
Lupon Members
Yes
No
2.6.3.2
Tanod
Yes
No
Others, please specify

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
=========================
Yes
No
Ind
Service
Area
Average
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

Total Point Score
SOCIAL SERVICES
III. Performance Area

Service Area 3.1
3.1.1
Health and Nutrition
Sub-Ind
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

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
3.1.4.2.1
Breastfeeding Program
Yes
No
3.1.4.2.2
Mothers' Class
Yes
No
3.1.4.3
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
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
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
Yes
No
Others, pls. specify

3.1.4.5
Barangay Sports Development Program
=========================
Point Score
Ind
Service
Area
Average
3.1.4.6
Promotion of Healthy Lifestyle
Yes
No
3.1.4.7
Senior Citizen Program
Yes
No
Total Point Score
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
- 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
Yes
No
Implemented Education Program

3.2.2.1
Barangay Day Care Program

No. of Day Care Workers
No. of Enrollees
3.2.2.2
Access to Alternative Learning System
3.2.3
Conducted Linggo ng Kabataan
Yes
No
3.2.4
Conducted Cultural Activities
Yes
No

Total Point Score
Point Score
Service Area 3.3

3.3.1
Women and Children
Sub-Ind
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

Policies, Plans and Budget
3.3.1.3
Conducted Quarterly Council Meetings

If Yes, indicate number of meetings
3.3.2
Implemented Republic Act No. 9262, "AVAWC Act of 2004"
Yes
No
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
No
Number of children assisted/referred

Total Point Score
=========================
Ind
Service
Area
Average
Point Score
Service Area 3.4

3.4.1
Public Safety and Disaster Risk Reduction Management
Sub-Ind
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
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
3.4.5
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
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
3.4.3.5
3.3.1.5
Generator
Yes
No
3.4.3.6
Early Warning Devices
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
Barangay Anti-Drug Abuse Council (BADAC)

3.4.4.1
Conducted Councils Meetings
Yes
No
3.4.4.2
Formulated and implemented policies

to counter drug abuse
Yes
No
Yes
No
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
If NO, indicate number of meetings

3.4.5.3
3.4.6
Acted on Disputes Filed
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)
Established Barangay Human Rights Action Center (BHRAC)

3.4.6.1
Center manned by duly elected BHR Action Officer
=========================
Yes
No
Ind
Service
Area
Average
3.4.7
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
Service Area 4.1

4.1.1
4.1.2
Point Score
ECONOMIC DEVELOPMENT
IV. Performance Area
Agriculture and Fisheries Development
Barangay Agricultural Support Services

4.1.1.1
Thresher and other Post-Harvest Equipment
Sub-Ind
Ind
Service
Area
Average
NA
Yes
No
4.1.1.2
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
Agricultural Development Program
NA
4.1.2.1
Llivestock and Poultry Dispersal
Yes
No
4.1.2.2
Seedling Nursery
Yes
No

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
No
4.1.3.2
Installed Communal or Backyard Fishponds
Yes
No
Maintained Farm-to-Market Roads and Bridges
NA
Yes
No
Total Point Score
Point Score
Service Area 4.2

4.2.1
Entrepreneurship, Business and Industry Promotion
Sub-Ind
Barangay Economic Enterprises
Yes
No
Yes
No
Ind
Service
Area
Average
Please specify :
(e.g. Flea or Satellite Market, Water Works and Wharf)
4.2.2
Presence of Barangay Livelihood Program

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
Service Area 5.1
Point Score
ENVIRONMENTAL GOVERNANCE
V. Performance Area
Natural Resource Management
Sub-Ind
Service
5.1.1
Clean
Areaand
5.1Green Program
5.1.2
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
Presence of Barangay Ecological/Forest Tree Park
=========================
Yes
No
NA
Ind
Service
Area
Average
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
Others, please specify :

Total Point Score
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
=========================
Ind
Service
Area
Average

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BGPMS FORM 01

BARANGAY GOVERNANCE PERFORMANCE MANAGEMENT SYSTEM

No. of Registered Voters

No. of Labor Force

No. of Families with

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

CLUSTER 1a - DILG, Province of Bohol

Formulated Sanggunian Barangay Internal Rules of Procedure

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

Enacted General Ordinances (Year Under Review) with Public Hearings

- if YES, indicate number of General Ordinance enacted

Passed Resolutions (Year Under Review)

Approved Annual Budget Within the Budget Calendar

Presence of Legislative Tracking or Monitoring System

Designated Session Hall

Others , please specify

Service Area 1.2

Reported Semestral Accomplishments during Barangay Assembly Day

CLUSTER 1a - DILG, Province of Bohol

Posted Itemized Monthly Collections & Disbursement in

Posted Annual Summary of Income & Expenditures in

Posted Barangay Plans and Programs in the Barangay Hall

Posted List of Implemented Projects in the Barangay Hall

Posted Barangay Ordinances & Resolutions in Conspicuous Places

Service Area 1.3

Held at Least Two (2) Semestral Barangay Assemblies

Conducted Katipunan ng Kabataan (KK) Assembly Every Quarter

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

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

Barangay Disaster Risk Reduction Management Committee

Barangay Peace and Order Committee

Barangay Council for the Protection of Children

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

If YES, please specify

Organized Community Service Volunteers (i.e. Tanods, Day Care Workers)

Implemented Programs/Projects with CSOs/POs, if any

II. Performance Area

Barangay Development Council (BDC)

Formulated Current Year Annual Investment Plan

Prepared Barangay Development Plan integrating the following concerns:

Gender & Development

Adopted measures/plans to prevent and control the proliferation of

Registry of Barangay Inhabitants

Others, please specify:

CLUSTER 1a - DILG, Province of Bohol

Service Area 2.2

Presence of Tax Ordinance (year under review)

Conducted Fund Raising Activity

Generated Income from Barangay Economic Enterprise

Developed Financial Management System

Presence of Barangay Revenue Code

Total Point Score

Service Area 2.3

Revenue Allocation and Utilization

Appropriated/Expended fund for the following:

(5% of Regular Income)

(5% of General Fund)

Differently Abled Person

Service Area 2.4

Prepared Certified Statement of Actual Income & Expenditures

Presence of Barangay Bids and Awards Committee (BAC)

Formulated Annual Procurement Plan using National Government