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 No. of Registered Voters
Date of Ratification/Plebiscite No. of Precincts

Physical Information
Land Area (in hectares):

Barangay URBAN Upland Lowland Coastal

Category RURAL Agricultural Fishing Commercial Industrial Others

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

Demographic Information
Population: Source: NSO RBI Total No. Female Male
No. of Families No. of Labor Force
No. of Households No. of Unemployed

Basic Utilities/Services
Power Supply: Meralco Electric Cooperative Others:

No. of Families with No. No. No.

access to electricity

Water Supply: First Second Third Others:

No. of Families with access No. No. No. No.
to potable water supply

Means of Transportation:

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

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 Health Information/Data
Increase/
2009 2010 Decrease
Leading Causes
1.
MORBIDITY 2.
3.

1.
MORTALITY 2.
3.
1.
INFANT 2.
MORTALITY 3.

1.
MATERNAL 2.
MORTALITY 3.

Awards/Recognition received by the barangay officials during the year under review (please specify title) :
National Level
Regional Level
Local Level

I. Performance Area GOVERNANCE Point Score

Service Area
Average
Service Area 1.1 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
- if YES, indicate number of General Ordinance enacted

1.1.4 Passed Resolutions (Year Under Review) Yes No

- if YES, indicate number of Resolutions passed

1.1.5 Approved Annual Budget Within the Budget Calendar Yes No

(for the following year)

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
Service Area 1.2 Transparency Sub-Ind Ind
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

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 1.2.3 Posted Itemized Monthly Collections & Disbursement in Yes No
Conspicuous Places

1.2.4 Posted Annual Summary of Income & Expenditures in Yes No

Conspicuous Places

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
Service Area 1.3 Citizen's Participation Sub-Ind Ind
Average

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:

1.3.3.1 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

1.3.4 Established Suggestion/Feedback Mechanism (i.e. suggestion box, survey, gathering) Yes No

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

Service
II. Performance Area ADMINISTRATION Point Score
Area
Service Area 2.1 Development Planning Sub-Ind Ind Average

2.1.1 Barangay Development Council (BDC)

2.1.1.1 Created BDC Executive Committee Yes No
2.1.1.2 Conducted at least 2 semestral meetings Yes No

2.1.2 Formulated Current Year Annual Investment Plan Yes No

2.1.3 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

2.1.4 Adopted measures/plans to prevent and control the proliferation of Yes No

squatters and mendicants in the barangay.
2.1.5 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

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

Point Score Service

Area
Service Area 2.3 Revenue Allocation and Utilization Sub-Ind Ind
Average

2.3.1 Appropriated/Expended fund for the following:

2.3.1.1 Personal Services (55% of Local Sources) Yes No
2.3.1.2 Development Fund (at least 20% of IRA) Yes No
2.3.1.3 Calamity/BDRRM Fund (5% of Regular Income) Yes No
2.3.1.4 Sangguniang Kabataan (10% of General Fund) Yes No
2.3.1.5 Gender & Development (5% of General Fund) Yes No
2.3.1.6 BCPC (1% of IRA) Yes No
2.3.1.7 Senior Citizens and (1%) Yes No

Differently Abled Person

Others, please specify:

Total Point Score

Point Score Service

Area
Service Area 2.4 Fiscal Accountability Sub-Ind Ind Average

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 Yes No

Accounting Systems (NGAS)
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

Total Point Score

Point Score Service

Area
Service Area 2.5 Facilities and Customer Service Sub-Ind Ind Average

2.5.1 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

2.5.2 Presence of Organizational Structure Yes No

2.5.3 Presence/Display of Administrative Requirements

2.5.3.1Barangay Seal Yes No
2.5.3.2 Philippine Flag Yes No
2.5.3.3 Picture of Incumbent President Yes No
2.5..3.4 Barangay Map Yes No

2.5.4 Properties and Equipment

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 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

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
- number of days to process
1-2 3-4 5-6 7 days
2.5.7.2 Barangay Certification Yes No
- number of minutes/hours to process
w/in 1 hr within 2 hrs more than 2 hrs
Others, please specify:

Total Point Score

Point Score Service

Area
Serivce Area 2.6 Human Resource Management and Development Sub-Ind Ind Average

2.6.1 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 Yes No
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

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 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

Others, please specify

Total Point Score

Point Score Service

III. Performance Area SOCIAL SERVICES
Area
Service Area 3.1 Health and Nutrition Sub-Ind Ind Average

3.1.1 Organized/Presence of the following Health and Nutrition Program Implementers

3.1.1.1 Bgy. Nutrition Council (BNC) Yes No

3.1.1.2 Bgy. Physical Fitness and Sports Yes No

Development Council (BPFSDC)

3.1.1.3 Bgy. Health Emergency Yes No

Response Teams (BHERTs)

3.1.1.4 Bgy. Health Workers (BHWs) Yes No

3.1.2 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

3.1.3 Access to Potable Water Supply System Yes No

3.1.4 Advocacy on/Implementation of Health and Nutrition Programs

3.1.4.1 Family Planning/Responsible Parenthood Yes No

3.1.4.2 Maternal Care

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

Others, pls. specify

3.1.4.5 Barangay Sports Development Program Yes No

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 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
Service Area 3.2 Education and Culture Sub-Ind Ind
Average

3.2.1 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 Gabay sa Mamamayan Aksyon Center Yes No

3.2.2 Implemented Education Program

3.2.2.1 Barangay Day Care Program Yes No

No. of Day Care Workers

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

Point Score Service

Area
Service Area 3.3 Women and Children Sub-Ind Ind Average

3.3.1 Barangay Council for the Protection of Children

3.3.1.1 EO/AO or Barangay Resolution/Ordinance Yes No
organizing or reconstituting the BCPC
3.3.1.2 Formulated and Implemented Yes No

Policies, Plans and Budget

3.3.1.3 Conducted Quarterly Council Meetings Yes No

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

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 Point Score Service
Area
Service Area 3.4 Public Safety and Disaster Risk Reduction Management Sub-Ind Ind Average

3.4.1 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

Public Safety Plan

3.4.1.3 Conducted regular monthly committee meetings Yes No

if NO, indicate number of meetings

3.4.2 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

3.4.3 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

3.4.4 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

to counter drug abuse

3.4.5 Implementation of Katarungang Pambarangay Law

3.4.5.1 Constituted Lupong Tagapamayapa Yes No

3.4.5.2 Conducted Lupon Meetings at least once a month Yes No

If NO, indicate number of meetings

3.4.5.3 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)

3.4.6 Established Barangay Human Rights Action Center (BHRAC)

3.4.6.1 Center manned by duly elected BHR Action Officer Yes No

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 3.4.7 Barangay Tanod conducted Regular Ronda or Foot Patrol Yes No

If YES, indicate number of tanods

3.4.8 Implemented Street Lighting/Illumination Project Yes No

Total Point Score

Point Score Service

IV. Performance Area ECONOMIC DEVELOPMENT
Area
Service Area 4.1 Agriculture and Fisheries Development Sub-Ind Ind Average

4.1.1 Barangay Agricultural Support Services NA

4.1.1.1 Thresher and other Post-Harvest Equipment 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

4.1.2 Agricultural Development Program NA

4.1.2.1 Llivestock and Poultry Dispersal Yes No

4.1.2.2 Seedling Nursery Yes No

Others, please specify

4.1.3 Barangay Fisheries and Aquatic Resource Management Committee (BFARMC) NA

4.1.3.1 Formulated/Implemented Barangay Fisheries Yes No

Development Program
4.1.3.2 Installed Communal or Backyard Fishponds Yes No

4.1.4 Maintained Farm-to-Market Roads and Bridges Yes No

Total Point Score

Point Score Service

Area
Service Area 4.2 Entrepreneurship, Business and Industry Promotion Sub-Ind Ind Average

4.2.1 Barangay Economic Enterprises Yes No

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

4.2.2 Presence of Barangay Livelihood Program Yes No

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

Point Score Service

V. Performance Area ENVIRONMENTAL GOVERNANCE
Area
Service Area 5.1 Natural Resource Management Sub-Ind Ind Average

Service
5.1.1 Clean
Areaand
5.1Green 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

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 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
Service Area 5.2 Waste Management and Pollution Control Sub-Ind Ind
Average

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

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