Republic of the Philippines

DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seria Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088
Email address: dohrox@chd10.doh.gov.ph Website: https://www.rho10.doh.gov.ph

Training Evaluation Tool

(Level 3 Behavioural)

Title of Activity:

Online Event-Based Surveillance and Response System (ESR) Training

Date and Venue:

July 18-20, 2016, Pearlmont Inn, Cagayan de Oro City

PERSONAL PROFESSIONAL DEVELOPMENT PLAN (PPDP)

INSTRUCTIONS:
Please accomplish the matrix below which may guide you in coming up with your PPDP. This shall be
done at the end of the training in triplicate copies, one (1) for the supervisor, one (1) for the training
officer/ assessor and one (1) for the trainee. Your PPDP will be the basis for the conduct of a post
training evaluation within six (6) months after the training to measure the work application and
behavioural changes as a result acquired in the course.
ACTION PLAN
Competencies
Required (to be
identified by the
trainer based on
the objectives of
training)
Establishment of
proper reporting
system in
Surveillance and
Response (ESR)
in their LGU

Time Frame

Resources/
Support
Needed

Informed
municipal health
officer/ LCE

1 month
after the
training

- Disease
Surveillance
Coordinator

Identify needs for

the establishment
of ESR

Checklist,
Assessment
Notes

1 week after
the training

Conduct of
Active/ Passive
Surveillance

Login Sheet

1 week after
the training

- LGU
support
- Disease
Surveillance
Coordinator

Activities

Deliverables

Re-echo of the
training to
Municipal Health
Office

Capture and
Encode Health
Related Events
using the ESR
Forms on
computer

Filled ESR
Forms

Submit ESR
report at regional
level and other
concerned stake
holders

Submitted ESR
report

1 month
after the
training

1 months
after the
training

- LGU
support
- Disease
Surveillance
Coordinator

- LGU
support
- Disease
Surveillance
Coordinator

Remarks

After the ESR

Training,
following shall be
accomplished:
1. Re-echo to the
MHO
2. Identify
Notifiable
Disease
3. Transcribe
Notifiable
Disease in care
forms
4. Encode
Notifiable
Disease in
computer
5. Submit ESR
report at regional
level

DOHROX-MSDHRDU-QSOP-03-FORM 7 REV. 0
(Adapted from DOH-HHRDB, Personal/
Professional Development Plan
Revision 0 5 June 2012)

Republic of the Philippines

DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seria Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088
Email address: dohrox@chd10.doh.gov.ph Website: https://www.rho10.doh.gov.ph

a. What are the expected challenges/ constraints identified in the implementation of the action
plan?

b. What are the steps to be undertaken in response to the challenges/constraints?

Accomplished by:

Approved by:

_____________________________
Trainee/Position

_____________________________
Supervisor/ Position

Date:_________________________

Date:_________________________

DOHROX-MSDHRDU-QSOP-03-FORM 7 REV. 0
(Adapted from DOH-HHRDB, Personal/
Professional Development Plan
Revision 0 5 June 2012)