ANNEX A

MONITORING TOOL FOR THE LGUs SUPPORT in the PANTAWID PAMILYA

IMPLEMENTATION

This tool must be thoroughly accomplished. Indicate with a Yes or No each question and provide the
corresponding additional information, as necessary. Further, the LSWDO is encouraged to provide
comprehensive details/ remarks on suggestions/ recommendations for possible technical assistance from
DSWD. An additional sheet may be attached, as appropriate, for any additional details/information.

A. Support in the implementation of the program

Indicators Responses

1. Passage of at least one (1) comprehensive local ordinance, mandating the LGU to deliver YES NO
adequate social protection services including a clause complementing the Pantawid
program and a package of support services to exited and graduated households as part
of the LGU.

Please enumerate issued local policies (SB, Eos, LOs) related to the implementation of 4Ps, if any.
(Indicate Title, Date of Passage)

1.
2.

Remarks (Suggestions/Recommendations)

Remarks __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

2. 4Ps – related program and activities included in the approved annual budget through the
Annual Investment Plan and/or Local Poverty Reduction Action Plan/Comprehensive
Development Plan complementing the implementation of 4Ps’ program
YES NO
a. Allocation of budget for 4Ps included in the AIP/LPRAP or CDP

b. Please list all 4Ps’ PAPs with corresponding budget allocation from the LGUs

__________________________________________________________________
__________________________________________________________________

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Total Allocated budget for 4Ps Actual spent budget for 4Ps

Covered year: ________________ Covered year: _________________

Php ____________________ Php ____________________

Remarks __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

3. Facilitate and address the identified supply – side gaps and concerns for health, nutrition
and education in a timely manner and has a strategic and anti – poverty interventions for
graduating/exiting beneficiaries including livelihood and employment.

a. Supply side gaps and concerns on health, nutrition and education are incorporated/ YES NO
mainstreamed in the Local Poverty Reduction Action Plan (LPRAP) and are facilitated
and addressed to enable the beneficiaries to comply with the program conditions.

b. Provision of strategic and anti-poverty interventions that foster financial independence

such as livelihood and employment to identified graduating/exiting beneficiaries.
YES NO
Please identify specific livelihood and employment interventions extended to the 4Ps
exiting/graduating beneficiaries
____________________________________________________________________
____________________________________________________________________

4. Municipal/City Advisory Council (AC) Meetings regularly (monthly, bi-monthly or YES NO

quarterly) convened, presided and led by the Local Chief Executive

a. # of conducted AC meetings for this year? _______________

schedule: please specify if monthly, bi – monthly or quarterly: _______________

b. # of AC meetings attended by the LCE? _________________

c. # of AC meetings presided by the LCE? __________________

d. # of approved resolutions by the C/MAC? _________________

YES NO
e. Assisted in the assessment and ensured 100% of all 4Ps grievances are resolved
and coordinated with City / Municipal Links.

Please identify 4Ps grievances resolved and coordinated with City/Municipal Links
_____________________________________________________________________
_____________________________________________________________________

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5. Designated or hired an LGU Link position as LGU’s counterpart in the 4Ps implementation YES NO
which shall assist the assigned City/Municipal Links in the conduct of FDS and program
monitoring, promotion, and other functions related to the program.

Total number of hired LGU link (s)? ________________________

6. Provided office space and other logistical support to the City/Municipal and LGU Links YES NO
like office supplies, equipment and other paraphernalia for program implementation.

B. Provision of Complementary Services under the 4Ps Kilos Unlad – Social Case Management

Indicators Responses
YES NO
1. A City/Municipal Action Plan for Pantawid in the LGUs’ Comprehensive Development
Plan (CDP)

YES NO
2. A City/Municipal Action Plan and agreements for the Pantawid Pamilya beneficiaries with
specific programs and services detailing transitioning or exit procedure for an eventual
exit of household beneficiaries from the program.
YES NO
3. Participate and attend in case conferences of identified household-beneficiaries for
program exit and transfer, as well as cases involving those with special and difficult cases
such as child protection issues and gender – based related cases.

Number of case conference conducted for the year? _____________

Number of case conferences attended? ______________________

Number of Gender Based related cases:

a. Received? _________
b. Referred? _________
c. Resolved? _________

4. Ensure package of complementary intervention and support services are available. YES NO

Please enumerate all post – program services for 4Ps beneficiaries to sustain the gains
of the households even after exiting/graduating from the program:

Programs and Services # of 4Ps graduates served

_____________________ __________________________
_____________________ __________________________
_____________________ ___________________________

5. Number of referred high – risk and difficult cases? _______________

YES NO
6. Operational monitoring mechanism for 4Ps graduated/exited beneficiaries established

Please specify established monitoring mechanism for 4Ps graduated/exited beneficiaries

______________________________________________________________________
_____________________________________________________________________
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7. Participated and/or led the graduation ceremonial rite of the identified

transitioning/graduating beneficiaries. YES NO

Number of LGU led graduation ceremonial rite? ____________

Number of LGU attended graduation ceremonial rite? _____________

Other Comment/s:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Accomplished by: Approved by:

(City/ Municipal Local Social Welfare and Development Officer) (Local Chief Executive)

___________________________________ ____________________________________
Signature over printed Name Signature over Printed Name
Position/Designation: __________________ Position/ Designation: __________________
Contact Number (s) ____________________ Date: ____________
Date: _______________

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ANNEX A

MONITORING TOOL IN SUPPORT OF THE IMPLEMENTATION OF THE PANTAWID PAMILYANG

PILIPINO PROGRAM (4Ps)

Additional Sheets

Section and Item Indicators/ Remarks/ Additional Information

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