Present the following quarterly consolidated PBF invoice for [Name] LGA, [Name] State, for the month of July [Year], for the sum total of twenty six million, two hundred forty seven thousand and five hundred forty six Naira (26,247,546); Invoice established in one original copy, of which a copy is kept at [Name] LGA PHC department, and the other at the [Name] SPHCDA Signed: ..................................., the....../......................../ Year Signed by the SPHCDA Prepared by the Chairman of the LGA RBF Steering Ctee: rep: Last name, first name: Last name, first name: Signature: Signature: Annex 12: Performance Framework for the LGA PHC department No Indicator/Performance Primary/Secondary Data Composite Criteria/Validation Criteria Weight Measure Sources 1 50% of Health Centers Supervision Report Supervision Report Exists and is readily available at LGA/PHC dept. have been supervised at Travel Request Form At least 50% of all Health Centers have been least once per quarter approved and signed supervised during the past quarter, and these Travel form co-signed by the should not include those Health Centers which Head of visited facilities have been supervised in the quarter preceding 15 the evaluated quarter These supervisory visits are the formative visits and are not the same as the Quantity or Quality Audit visits. The reports should indicate the dates of visits and, at the least, summarize the findings/interventions of each
Present the following quarterly consolidated PBF invoice for [Name] LGA, [Name] State, for the month of July [Year], for the sum total of twenty six million, two hundred forty seven thousand and five hundred forty six Naira (26,247,546); Invoice established in one original copy, of which a copy is kept at [Name] LGA PHC department, and the other at the [Name] SPHCDA Signed: ..................................., the....../......................../ Year Prepared by the Chairman of the LGA RBF Steering Ctee: Signed by the SPHCDA rep: Last name, first name: Last name, first name: Signature: Signature: Annex 12: Performance Framework for the LGA PHC department No Indicator/Performance Measure Primary/Secondary Data Sources Composite Criteria/Validation Criteria Weight 1 50% of Health Centers have been supervised at least once per quarter Supervision Report Travel Request Form approved and signed Travel form co-signed by the Head of visited facilities Supervision Report Exists and is readily available at LGA/PHC dept. At least 50% of all Health Centers have been supervised during the past quarter, and these should not include those Health Centers which have been supervised in the quarter preceding the evaluated quarter These supervisory visits are the formative visits and are not the same as the Quantity or Quality Audit visits. The reports should indicate the dates of visits and, at the least, summarize the findings/interventions of each 15
120413_PBF_UserManual_NG.docx