BCPC-SELF-ASSESSMENT-FORM (2)
BCPC-SELF-ASSESSMENT-FORM (2)
Note: Please put a (✓) check mark on the appropriate box if applicable.
No quarterly meeting conducted Less than four quarterly meetings Four quarterly meetings Conducted four quarterly
conducted with the ff agenda: conducted with aforementioned meetings and special meeting/s
- planning agenda
- implementation review
- monitoring and status of action
points from previous meetings
Less than 50% of the issues 50-70% of the issues identified in 71-90% of the issues identified in 91-100% of the issues identified in
Meetings identified in the profiling /SitAn the profiling /SitAn discussed and the profiling/ SitAn discussed and the profiling/ SitAn discussed and
discussed and resulted into a resulted into a Resolution/ resulted into a Resolution/ resulted into a Resolution/
Resolution/ Recommendation for Recommendation for Action Recommendation for Action Recommendation for Action
Action
Less than 50% member 50-70% member attendance in all 71-90% member attendance in all 91-100% member attendance in
attendance in all meetings meetings meetings all meetings
Capacity building for BCPC No capacity building [plan] 50-70% of BCPC members 71-90% of BCPC members 91-100% of BCPC members
members trained or received at least 1 trained or received at least 1 trained or received at least 1
capacity development training capacity development training capacity development training
Page 1 of 15
DILG-NBOO
LCPC Form 1-A
Local State of Children No LSCR LSCR prepared in accordance LSCR delivered in the State of LSCR included in the Barangay
Report (LSCR) with the DILG template (MC 2009- Barangay Address (SOBA)/ Annual Accomplishment Report
106) National Children's Month (NCM) and submitted to the M/CCPC
Local Development Plan for No LDPC LDPC prepared considering other LDPC presented to the Barangay LDPC integrated/ mainstreamed
Children (LDPC) [or midterm sectoral plans and approved by Development Council in the Barangay Development
plan for 3 years] the Punong Barangay Plan (BDP)
LDPC % accomplishment Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 91-100% accomplishment
Annual Work and Financial No AWFPC Prepared AWFPC AWFPC prepared and approved AWFPC integrated in the Local
Plan for Children (AWFPC) by the Punong Barangay Annual Investment Program (AIP)
[budgeted]
AWFPC % accomplishment Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 91-100% accomplishment
Formulation of Policy/ No policy/resoulution issuance Prepared at least two P/R/R Presented P/R/R to the Local At least two P/R/R enacted within
Resolution/ based on identified need of Sanggunian for approval the term of the BCPC
Recommendation children
Advocacy Actvities No advocacy activity undertaken At least 1 advocacy or At least 2 advocacy or At least 1 advocay activity based
dissemination activitiy related to dissemination activities related to on the issues identified in the
increasing awareness on increasing awareness on available data on children
protection and promotion of protection and promotion of - to detail, issue being addressed,
children’s rights conducted children’s rights conducted target beneficiary, chosen
platform
Page 2 of 15
DILG-NBOO
LCPC Form 1-A
Budget Utilization Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 91-100% accomplishment
Activated CICL and CAR Less than 50% of CICL cases 51-70% of CICL cases 71-90% of CICL cases 91-100% of CICL cases
Registry documented in CICL Registry documented in CICL Registry documented in CICL Registry documented in CICL Registry
Diversion Program No diversion program in-place Percentage of diversion Percentage of successful Zero percentage of reoffending of
proceedings conducted to all diversion all successful diversion programs
diversional cases by BCPC
Assessed by:
Name and Position/Designation Name and Position/Designation Name and Position/Designation Name and Position/Designation Name and Position/Designation
Chairperson, C/MIMTF Vice-Chairperson, C/MIMTF Member, C/MIMTF Member, C/MIMTF Member, C/MIMTF
Date: ____________________
Page 3 of 15
DILG-NBOO
LCPC Form 2-A
Region :
Province :
City/Municipality :
INDICATORS
BARANGAY Organizational Policies and Plans for Budget for the BCPC
Sustainability (15%) Children (30%) (25%)
Submitted by:
Name and Position/Designation
Chairperson, City/Municipal IMTF
DILG-NBOO
LCPC Form 2-A
INDICATORS
Date:
DILG-NBOO
LCPC Form 1-B
City/Municipal Council for the Protection of Children (C/MCPC)
Functionality Assessment Tool
City/Municipality: _______________________ Region: ___________________________
Province: ______________________________ Assessment Year: __________________
Note: Please put a (✓) check mark on the appropriate box if applicable.
Child Representation in the No Child Representative in the Child Representative is appointed/ Child Representative is selected Child Representative from
C/MCPC C/MCPC designated through Children’s congress different sectors [inclusivity]
Meetings No quarterly meeting conducted Less than four quarterly meetings Four quarterly meetings Conducted four quarterly
conducted with the ff agenda: conducted with aforementioned meetings with aforementioned
- planning agenda agenda plus two CFLGA meetings
- implementation review
- monitoring and status of action
points from previous meetings
Less than 50% of the issues 50-70% of the issues identified in 71-90% of the issues identified in 91-100% of the issues identified in
identified in the profiling /SitAn the profiling /SitAn discussed and the profiling/ SitAn discussed and the profiling/ SitAn discussed and
discussed and resulted into a resulted into a Resolution/ resulted into a Resolution/ resulted into a Resolution/
Resolution/ Recommendation for Recommendation for Action Recommendation for Action Recommendation for Action
Action
Less than 50% member 51-70% member attendance in all 71-90% member attendance in all 91-100% member attendance in
attendance in all meetings meetings meetings all meetings
Capacity Building No capacity building [plan] for 50-70% of C/MCPC members 71-90% of C/MCPC members 91-100% of C/MCPC members
C/MCPC members trained or received at least 1 trained or received at least 1 trained or received at least 1
capacity development training capacity development training capacity development training
No capacity building [plan] for 50-70% of BCPCs trained or 71-90% of BCPCs trained or 91-100% of BCPCs trained or
lower level LCPC [BCPCs] received at least 1 capacity received at least 1 capacity received at least 1 capacity
development training development training development training
Local State of Children Report No LSCR LSCR prepared in accordance LSCR delivered in the State of LSCR included in the C/MLGU
(LSCR) with the DILG template (MC 2009- City/Municipal Address (SOCA/ Annual Accomplishment Report
106) SOMA)/ National Children's Month and submitted to higher LCPC
(NCM) [PCPC]
Local Development Plan for No LDPC LDPC prepared considering (a) LDPC presented and approved by LDPC integrated/ mainstreamed
Children (LDPC) [or midterm other sectoral plans, (b) the Local Sanggunian in the Comprehensive
plan for 3 years] consultation with children, and (c) Development Plan (CDP)
a monitoring and evaluation
(M&E) plan
LDPC % accomplishment Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 91-100% accomplishment
Annual Work and Financial Plan No AWFPC Prepared AWFPC and approved AWFPC presented/recommended AWFPC integrated in the Local
for Children (AWFPC) by the LCE to the Local Finance Committee Annual Investment Program (AIP)
[budgeted]
AWFPC % accomplishment Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 91-100% accomplishment
Local Code for Children (LCC) No LCC With exisiting and approved LCC Existing LCC updated in the last LCC implementation is monitored
five years
Child Protection Policy (CPP) No CPP Drafted and approved CPP CPP utilized and monitored within Issuance of Ordinance directing
the LGU concerned private sector/org to
have its own CPP
Formulation of Policy/ No policy/resoulution issuance Prepared at least two P/R/R Presented P/R/R to the Local At least two P/R/R enacted within
Resolution/ Recommendation based on identified need of Sanggunian for approval the term of the C/MCPC
children
Advocacy Actvities No advocacy activity undertaken At least 1 advocacy or At least 2 advocacy or At least 1 advocay activity based
dissemination activitiy related to dissemination activities related to on the issues identified in the
increasing awareness on increasing awareness on available data on children
protection and promotion of protection and promotion of - to detail, issue being addressed,
children’s rights conducted children’s rights conducted target beneficiary, chosen
platform
Budget Utilization Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 90-100% accomplishment
Page 6 of 15
DILG-NBOO
LCPC Form 1-B
Indicator - ✓ 1.00 ✓ 3.00 ✓ 5.00
Referral System in place Functional referral system for
CNSP
Less than 50% of CNSP cases 51-70% of CNSP cases provided 71-90% of CNSP cases provided 91-100% of CNSP cases provided
provided with services/ referred to with services/referred to with services/referred to with services/ referred to
appropriate office appropriate office appropriate office appropriate office
Assessed by:
Name and Position/Designation Name and Position/Designation Name and Position/Designation Name and Position/Designation Name and Position/Designation
Chairperson, C/MIMTF Vice-Chairperson, C/PIMTF Member, C/MIMTF Member, C/MIMTF Member, C/MIMTF
Date: ____________________
Page 7 of 15
DILG-NBOO
LCPC Form 2-B
Region :
Province :
INDICATORS
CITY/MUNICIPALITY Organizational Policies and Plans for Budget for the LCPC
Sustainability (20%) Children (30%) (20%)
Submitted by:
Name and Position/Designation
Chairperson, Provincial IMTF
DILG-NBOO
LCPC Form 2-B
INDICATORS
Date:
DILG-NBOO
LCPC Form 1-C
Provincial Council for the Protection of Children (PCPC)
Functionality Assessment Tool
City: ______________________________ Region: ___________________________
Province: __________________________ Assessment Year: __________________
Note: Please put a (✓) check mark on the appropriate box if applicable.
Child Representation in the No Child Representative in the Child Representative is appointed/ Child Representative is selected Child Representative from
PCPC PCPC designated through Children’s congress different sectors [inclusivity]
Meetings No quarterly meeting conducted Less than four quarterly meetings Four quarterly meetings Conducted four quarterly
conducted with the ff agenda: conducted with aforementioned meetings with aforementioned
- planning agenda agenda plus two CFLGA meetings
- implementation review
- monitoring and status of action
points from previous meetings
Less than 50% of the issues 50-70% of the issues identified in 71-90% of the issues identified in 91-100% of the issues identified in
identified in the profiling /SitAn the profiling /SitAn discussed and the profiling/ SitAn discussed and the profiling/ SitAn discussed and
discussed and resulted into a resulted into a Resolution/ resulted into a Resolution/ resulted into a Resolution/
Resolution/ Recommendation for Recommendation for Action Recommendation for Action Recommendation for Action
Action
Less than 50% member 51-70% member attendance in all 71-90% member attendance in all 91-100% member attendance in
attendance in all meetings meetings meetings all meetings
Capacity Building No capacity building [plan] for 50-70% of PCPC members 71-90% of PCPC members 91-100% of PCPC members
PCPC members trained or received at least 1 trained or received at least 1 trained or received at least 1
capacity development training capacity development training capacity development training
No capacity building [plan] for 50-70% of C/M/BCPCs trained or 71-90% of C/M/BCPCs trained or 91-100% of C/M/BCPCs trained or
lower level LCPC [C/M/BCPC] received at least 1 capacity received at least 1 capacity received at least 1 capacity
development training development training development training
Local State of Children Report No LSCR LSCR prepared in accordance LSCR delivered in the State of LSCR included in the PLGU
(LSCR) with the DILG template (MC 2009- Province Address (SOPA) / Annual Accomplishment Report
106) National Children's Month (NCM) and submitted to higher LCPC
Local Development Plan for No LDPC LDPC prepared considering (a) LDPC presented and approved by LDPC integrated/ mainstreamed
Children (LDPC) [or midterm other sectoral plans, (b) the Local Sanggunian in the Comprehensive
plan for 3 years] consultation with children, and (c) Development Plan (CDP)
a monitoring and evaluation
(M&E) plan
LDPC % accomplishment Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 91-100% accomplishment
Annual Work and Financial No AWFPC Prepared AWFPC and approved AWFPC presented/recommended AWFPC integrated in the Local
Plan for Children (AWFPC) by the LCE to the Local Finance Committee Annual Investment Program (AIP)
[budgeted]
AWFPC % accomplishment Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 91-100% accomplishment
Local Code for Children (LCC) No LCC With exisiting and approved LCC Existing LCC updated in the last LCC implementation is monitored
five years
Child Protection Policy (CPP) No CPP Drafted and approved CPP CPP utilized and monitored within Issuance of Ordinance directing
the LGU concerned private sector/org to
have its own CPP
Formulation of Policy/ No policy/resoulution issuance Prepared at least two P/R/R Presented P/R/R to the Local At least two P/R/R enacted within
Resolution/ Recommendation based on identified need of Sanggunian for approval the term of the PCPC
children
Advocacy Actvities No advocacy activity undertaken At least 1 advocacy or At least 2 advocacy or At least 1 advocay activity based
dissemination activitiy related to dissemination activities related to on the issues identified in the
increasing awareness on increasing awareness on available data on children
protection and promotion of protection and promotion of - to detail, issue being addressed,
children’s rights conducted children’s rights conducted target beneficiary, chosen
platform
Page 10 of 15
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LCPC Form 1-C
Indicator - ✓ 1.00 ✓ 3.00 ✓ 5.00
Budget Utilization Below 50% accomplishment 51-70% accomplishment 71-90% accomplishment 90-100% accomplishment
Diversion Program No diversion program in-place Percentage of diversion Percentage of successful Zero percentage of reoffending of
proceedings conducted to all diversion all successful diversion programs
diversional cases by BCPC
Assessed by:
Name and Position/Designation Name and Position/Designation Name and Position/Designation Name and Position/Designation Name and Position/Designation
Chairperson, PIMTF Vice-Chairperson, PIMTF Member, PIMTF Member, PIMTF Member, PIMTF
Date: ____________________
Page 11 of 15
DILG-NBOO
LCPC Form 2-C
Region :
INDICATORS
PROVINCE/HUC Organizational Policies and Plans for Budget for the LCPC
Sustainability (20%) Children (30%) (20%)
Submitted by:
Name and Position/Designation
Chairperson, Provincial/City IMTF
DILG-NBOO
LCPC Form 2-C
INDICATORS
Date:
DILG-NBOO
LCPC Form 3
Region :
Region :