NATIONAL SANDUGO 2014 AWARDS LIST OF CRITERIA For LCE who showod outstanding eupport, commitment and active favolvamont ia de implementation of National Voluntary ‘ood Services Program (HVSP) from January 01,2013 to December 31,2013. Nominee shouts met allfour (4) entre 1. PERSONAL INVOLVEMENT AND COMMITMENT IN THE IMPLEMENTATION OF NVBSP 11 Attendance during Mobile Blood Donation Activity For Barangay Captain tegardiess of population) minimum of 2 * atleast Tor Geographical Isolated and Disadvantages Area (GIDA) baranggays For Municipal Mayor (ga dese of Dopl of Finances cassieaton) ‘minimum or. + atleast 2for IDA municipalities For City Mayor minimum of For Governor * minimum of 8 «tach DOH's currant ist of GID baranggeys and municpaltes in yout region to ale evalatorassess or ‘Attendance In social mobilization activities tor Voluntary Blood Donation (community assemblies, radio talk or TV appearances) For Barangay Captain- minimum of2 For unica iayor- minimum ot 3 For Git Mayor -minimum of 4 For Govemor- minimum of 5 ‘+ Attondence ehoet which indudes the hightighted name and cignature ofthe narninao as one ofthe atendeas, end * One oro picutes ofte nominee taken during tie mobile blood donation (NED) and during the social mobilzaion ‘acts; pictures must be e-deted (set our digtal camera to record date of event) Fornominees, who promoted voluntan blood danation (VBD) during raciol TV questing, cerfication fromthe racio/TV program nest may be atache as documentary evince USE ATTACHED TEMPLATE FOR ATTENDACE SHEETS 1N.B Barangay Council meeting where schecule/lanning of upcoming NBD was discussed does not qualiy a3, social mobilzaton acti to promote voluntary Diood dorston, 13. LCE-nominee donated blood during the year (optional) + NBD Reporttrom the BSF thatincludes the name ofthe nominee as one ofthe donors, or onorreciaty ofthe barangayNGO where tie nominge is 2 member and + Picture ofthe nomniee winen ne donated blood: this picture should also be e-dated 2. PROVISION OF RESOURCES IN THE IMPLEMENTATION OF NVBSP IN HIS/HER AREA: 21 For Barangay Captain - IEC material plus any one (1) of the following: 22 For other LCEs - IEC material plus as least three (3) of the following: 221 Financial Contribuion/Funds allocated tor the blood program 222 Use ofvehice owned y the concerned LGU during fIVESP acivies (ike MBD er Advocacy events) 22.3. Eduiptment, blood bags, reagents, supplies and other materials (including beds, fmitures and tures) for tse in he blood senwcas 224 Refreshments! foad fer donors Financial contribution MOA ith BSF to whom funds was gluen or cerificale fom accountant of LGU (ProvCiiyun) that funds a certain amount was Wanverved%o Blood Senice Facies (BSF) + Copy of approved budget ordinanesinaicatng oudgel alloted fr tne Blood Program Use of vehicle owned by the LGU during NVBSP activites (community mobizavon, MED) * Most approprito: picket oFo-datea picture ofvonicio used and OR for uel used; tonic ie owned by cotyrunicipal LGU, putts use was roquestog oye barangay, atch Bry. Captain's roquesttor uso ofthe vehicle and ip toket issued oy ctymunicipal LGU ‘Blood bags, supplies and materials (including beds, fumiture and fixtures) for use in the blood services + Discursement voucher for supplies used biood senaces Refreshmentod for donors Diseursement voucher or oficial recsiot # I fosd for donors and MED Team was solicited ty the Bigy Captain, altach the leer of solictaton and repypledge lo support from he addressee Posters, ilboards, streamers or leaflets and othe IEC materials * Disouisement voucher or octal receipt forthe pining of steamer or production of eter IEC materials * sllach picture ofthe steamer or copy ofleaesiiers used in 2013,3, BEING INSTRUMENTAL FOR THE HIGH PERCENTAGE OF VOLUNTARY BLOOD DONORS. RELATIVE TO THE TOTAL POPULATION OF THE NOMINEE'S AREA OF JURISDICTION WHICH INCLUDES BLOOD DONATIONS COLLECTED BY BLOOD SERVICE FACILITIES OF DOH, LGUS ‘AND PRC AND PRIVATE HOSPITALS WITH LTO/ ATO TO COLLECT BLOOD DONATIONS. (BLOOD DONATIONS COLLECTED BY HOSPITAL S/OTHER FACILITIES NOT AUTHORIZED TO COLLECT BLOOD DONATIONS SHALL NOT BE INCLUDED IN THE COUNT) 31. Donation Rate 344 Fortstand 2natime Awardees Blood donations of 25 units or donation ral of ofthe fatal papulaton whichever i higher ‘ag. ForHallotFametAnardeos (31d Time NSA awardee or higher) Donation Rate in 2013 must be higher by 5% ‘eompapora to donation fate in 2012 (C24 Indicator) 32. Donation retention rate 22:1. Istandznaume awaraees Donation retetion rate cf30% 322 Hall of Fame Anarcess (ard tme NSA anatdee or hight) ‘Donation etertin ate of 26% Donor Retention Rate = (oumber of regular repeat donors in 2013/otal number of daners in 2013)x 100 + Listof bleod donors durinathe year showing their dates of donstonis in CY 2012 and'2013 USE ATTACHED TEUPLATE 4, ADMINISTRATIVE I$ SUANCE/S IN SUPPORT OF NVBSP WITHIN THE LAST THREE (3) YEARS (2010-2013) 41 Momorandum Ciewlar 42. Sangguniang Rescluton 23° Ordinance 44 Executne Order 45° Aarinisvatve Orger 26 Mlamorandum of Agreement + Copy ore gaminisratieiecuance 18. Erasurels onthe date ofissuance and the nare oftre issuing LOE must be inal bythe Secretary of ‘he Brgy. Counel ofthe Sangguniang Bayan anlalavigan. (compiiance to GCP) ne ‘+ Note: ertena anc rquiromont above sxcopt 13 snould Do tullogtequally or tne award + Documents shouldbe atacned shomng compliance with each eterion, using he prescribed TEMPLATE or reporting form. + 22 pictur othe nomines snouts bo included he documents. (Pictur ofthe nominee shoua not be scanned) 1 Desdine ofthe on-line registration of nominaes ta NVEGP Infllanagement Unit (NSA nfo System by {ne Regional Stood Program Coordinator i on or befor FoDIuaty 28,2014 ‘* Suomission otrominaton document ts on or cefore Maren 1.2074 adoresseato: ‘Working Committee ofthe ational Sanduto Awards ‘National Voluntary Sood Services Program Unit —___de'4¢ nou Pomonund Riza venue cor Tauman St Sta Cruz Manila