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    PDAO Functionality Assessment Annex C Sample

    Uploaded by

    Et Wat
    This form is part of DILG MEMO CIRCULARS. Strengthening the Functionality of Persons with Disability Affairs Offices (PDAO) and Persons with Disabilities Focal Person.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PDAO Functionality Assessment Annex C Sample

    Uploaded by

    Et Wat
    269 views3 pages
    This form is part of DILG MEMO CIRCULARS. Strengthening the Functionality of Persons with Disability Affairs Offices (PDAO) and Persons with Disabilities Focal Person.

    Copyright

    © © All Rights Reserved

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    This form is part of DILG MEMO CIRCULARS. Strengthening the Functionality of Persons with Disability Affairs Offices (PDAO) and Persons with Disabilities Focal Person.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    269 views3 pages

    PDAO Functionality Assessment Annex C Sample

    Uploaded by

    Et Wat
    This form is part of DILG MEMO CIRCULARS. Strengthening the Functionality of Persons with Disability Affairs Offices (PDAO) and Persons with Disabilities Focal Person.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    ANNEX C

    PERSONS WITH DISABILITY AFFAIRS OFFICE / FOCAL PERSON


    Functionality Assessment Form
    Year under Review : 2023
    Region : REGION VI
    Date of Submission : 1-29-2024
    Province : NEGROS OCCIDENTAL
    City/Mun. : ISABELA

    INDICATOR RATING REMARKS


    Establishment 20%
    Choose one:
    st rd
    a1. For Provinces, Cities, and 1 to 3 incomeclass
    Municipalities, the PDAO is established through
    Ordinance (20%) 20
    - or -
    th th
    a2. For 4 to 6 income class Municipalities, thePWD FP
    is appointed by Executive Order (20%)
    Accessibility 15%
    Choose one:
    a1. Physical location of PDAO is easily accessibleto
    Persons with Disabilities (5%)
    - or - 5
    a2. Physical location of PWD FP office/desk is easily
    accessible to Persons with Disabilities (5%)
    b. PDAO/FP has installed accessibility facilities/devices
    such as:
    o Ramps (1%)
    o Support rails (1%)
    o Reserved parking space for Persons with
    Disabilities (1%)
    o Wheelchair-friendly doors (1%) 10
    o Wheelchair-friendly restrooms (1%)
    o Braille (1%)
    o Sign language interpreters (1%)
    o Assistive signages (1%)
    o Tactile tiles (1%)
    o Others: elevator/lift (1%)
    Resources 10%
    a. Furniture and Vehicle
    o Tables and chairs (1%)
    o Filing cabinet/ storage area (1%)
    o Sofa bed, folding bed, or mat (1%) 4
    o Availability of vehicle and/or transportation
    expenses to convey Persons with
    Disabilities (1%)
    b. Equipment and Supplies
    o Landline or mobile phone (1%)
    o Computer, especially for PWD database 4
    purposes (1%)
    o Camera (0.5%)
    o Voice recorder (0.5%)
    o First aid kit and other medicines (1%)
    c. Monitoring Tools
    o Logbooks
    o Logbook for violations of RAs 7277,9442,
    10754 (0.5%)
    o Logbook recording violence against 2
    Persons with Disabilities (0.5%)
    o Forms
    o Feedback Form (0.5%)
    o Referral Form (0.5%)
    Policies, Plans, and Budget 15%
    a. PDAO/FP budget allocated in IRA (7.5%) 7.5
    b. PDAO/FP PPAs integrated in AIP (7.5%) 7.5
    Conduct of Meetings 5%
    a. Regular conduct of public consultations by the PDAO/FP
    with Persons with Disabilities in the
    2.5
    community on the formulation and implementationof local
    policies for their well-being (2.5%)
    b. Regular conduct of townhall meetings by thePDAO/
    FP with Persons with Disabilities in the
    2.5
    community to get their views and concerns on local
    and national issues affecting them (2.5%)
    Partnership Initiatives 10%
    a. PDAO/FP actively encourages and coordinateswith
    CSOs and the private sector in the conduct ofprograms,
    initiatives, and activities that would engage the 10
    participation of and provide benefit to
    Persons with Disabilities (10%)
    Accomplishments 25%
    a. PDAO/FP has submitted the Annual
    Accomplishment Report (choose one):
    o in time (25%)
    o 1 to 2 working days late (20%) 25
    o 3 to 4 working days late (15%)
    o 5 to 6 working days late (10%)
    o 7 working days late and beyond (5%)
    OVERALL RATING 100%
    LEVEL OF FUNCTIONALITY Indicate level below:
    Basic 20% and IDEAL - 100%
    below
    Progressive 21% to 50%
    Mature 51% to 80%
    Ideal 81% to 100%

    Assessed by:

    LGOO VI EDUARD G. LUTAO


    MLGOO

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