2019 CFLGA - Data Capture Form (DCF)

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2019 Child Friendly Local Governance Audit

Notes for Accomplishing the Data Capture Form (DCF)

1
City/Municipal IMTF to accomplish CFLGA Forms 1-A to 1-E. The score/rating is
automatically generated in CFLGA Form 1.

2
Encode or fill-in the required data in the cells/fields highlighted in yellow. Otherwise,
tick the appropriate box/selection.

3
Computations for the indicators are automatically generated in the cells/fields
highlighted in green; said items are locked and cannot be edited.

4
Worksheets are formatted to print the Data Capture Form (DCF) only; this excludes the
rating guideline which are the cells/fields highlighted in grey.

5
For the signatories in CFLGA Form 1, kindly indicate office/s and corresponding
representative/s of additonal IMTF members, if any.

Note:
Include all suporting documents or means of verifications (MOVs) for the indicators in
the submission.
CFLGA Form 1-A: Right of Children to Survival (15%)
LGU:

1.1. Percentage coverage of Fully Immunized Children (FIC) aged 12 months old
Actual Data Projected Data Score
Number of fully immunized children #DIV/0!
Total population of 12 months old
Percentage Coverage #DIV/0! #DIV/0!
Insufficient supply due to logistical concern
No data
Data Source: FHSIS from the Local Health Office

1.2. Prevalence of malnutrition among children aged 0-59 months old


Actual Data Projected Data Score
Actual number of 0-59 months weighed #DIV/0!
Total Population of 0-59 months old
OPT Plus Coverage (0-59 months) #DIV/0! #DIV/0!
✘ No data

If OPT Plus coverage is at least 80%, proceed to the following section:


Nutritional Status Actual Data Prevalence Score
a. Stunted #DIV/0! #DIV/0!
b. Wasted #DIV/0! #DIV/0!
c. Overweight and Obese #DIV/0! #DIV/0!
Data Source: Operation Timbang (OPT) Plus, Local Nutrition Office

1.3. Percentage coverage of pregnant adolescents provided with prenatal and postpartum
services

Total Population of 10-19 years old (female adolescents)


Total Number of Pregnant Adolescents
Prevalence of Adolecent Pregnancies #DIV/0!

1.3.1 Percentage coverage of pregnant adolescents with prenatal services

Prenatal visits Adolescents with


Number of at least 4 Coverage
(at least 4) Pregnant prenatal visits
Adolescents Score
10-14 years old #DIV/0!
15-19 years old
Total 0 0 #DIV/0!
No reported pregnant adolescent
No data

CFLGA Form 1-A Survival | Page 2


CFLGA Form 1-A: Right of Children to Survival (15%)
LGU:

Note: For 2019, if the available data is consolidated for 10-19 years old only, encode in the
space for the 15-19 years old data then leave a note in the Remarks section.
Data Source: Safe Motherhood Program - Pregnancy Tracking, Local Health Office

CFLGA Form 1-A Survival | Page 3


CFLGA Form 1-A: Right of Children to Survival (15%)
LGU:

1.3.2 Percentage coverage of pregnant adolescents with postpartum services

Postpartum visits Adolescents with at


No. of Pregnant least 2 postpartum Coverage
(at least 2) Adolescents who visits
Score
gave birth

10-14 years old #DIV/0!


15-19 years old
Total 0 0 #DIV/0!
No reported livebirth among adolescents
No data
Note: For 2019, if the available data is consolidated for 10-19 years old only, encode in the
space for the 15-19 years old data then leave a note in the Remarks section.
Data Source: Safe Motherhood Program - Pregnancy Tracking, Local Health Office

Remarks:

CFLGA Form 1-A Survival | Page 4


CFLGA Form 1-B: Right of Children to Development (15%)
LGU:

2.1. Percentage coverage of children aged 3-4 years old provided with early childhood care and development
(ECCD) services, both public and privately managed, and may be facility, home, or community-based

Number of % from total


Enrollees enrollees
a. Public Centers (i.e. Day Care, Child Development) #DIV/0!
b. Private Centers (i.e. Montessori) #DIV/0!
c. Community-Based (i.e. SNPs, mobile learning) #DIV/0!
d. Other modalities implemented by the LGU, please specify:
#DIV/0!
#DIV/0!
No children aged 3-4 years old
✘ No data Score
Total Number of ECCD Enrollees 0 #DIV/0!
Total Population of 3-4 years old #DIV/0!
Data Source: Enrolment/Registration List, LSWDO / ECCD Focal Person

2.2.
Presence of ECCD services in all barangays, either private or publicly-managed, in any of the following
modality - center/facility, home, community, or other modalities

2.2.1. Percentage of barangays with at least one (1) ECCD service Percentage Score
Number of barangays with at least 1 ECCD service #DIV/0!
Total Number of barangays #DIV/0!
No data

2.2.2. Percentage of accredited or recognized center-based ECCD services Percentage Score


Score
a. Number of accredited/recognized Public Centers #DIV/0!
b. Total number of Public Centers #DIV/0!
Percentage of accredited/recognized centers
No data
Note: For 2019, only the accreditation/recognition for public centers is required.

ECCD Services available (please fill-out)

Private Centers (i.e. Montessori) Other modalities, please specify:


Number of Recognized Private Centers
Community-Based (i.e. SNPs, mobile learning)
Early Stimulation (for 0-2 years old)

CFLGA Form 1-B Development | Page 5


CFLGA Form 1-B: Right of Children to Development (15%)
LGU:

Data Source: LSWDO / ECCD Focal Person

CFLGA Form 1-B Development | Page 6


CFLGA Form 1-B: Right of Children to Development (15%)
LGU:

2.3. Percentage of out-of-school children and youth assisted for enrolment/re-enrolment to school, alternative
learning system or other flexible learning options

2.3.1.
Percentage of children who have dropped out from school that were reintegrated in the academic year
being audited
a. Total number of school dropouts reintegrated in formal school Score
b. Total number of school dropouts aged 5-17 years old #DIV/0!
No data
Percentage of school dropouts re-enrolled #DIV/0!
Data Source: Simple Dropout Rate from Elementary and Secondary Schools

2.3.2. Percentage of OSCY registered/enrolled to schools, ALS, or other flexible learning options
Total number of OSCY aged 5-17 years old Rate of OSCY
Total population of children aged 5-17 years old #DIV/0!

a. Number of OSCY enrolled in Elementary/Secondary School


b. Number of OSCY enrolled in Alternative Learning System (ALS)
c. Number of OSCY enrolled to other modalities/flexible learning options, please specify:

No data Score
Total Number of 5-17 years old OSCY assisted for enrollment 0 #DIV/0!
#DIV/0!
Data Source: LSWDO / Local Youth Development Office

Remarks:

CFLGA Form 1-B Development | Page 7


CFLGA Form 1-C: Right of Children to Protection (15%)
LGU:

3.1. Management of reported cases of children in need of special protection (CNSP)

3.1.1 Percentage coverage of Case Management Coverage Score


Total number of Cases Managed #DIV/0!
Total number of reported CNSP cases #DIV/0!
No reported CNSP case
No data

3.1.2. Case management preparation



Prepared and signed by a trained registered social worker Score
Prepared and signed by a registered social worker 0.00
Prepared and signed by a trained public social development worker

3.1.3. Established referral network Score


With established referral network 0.00
Data Source: LSWDO

Report Acceptors (check as applicable, for reference only)


LSWDO City/Municipal LCPC
WCPD/WCPU BCPC
School CPC VAWC Desk
Others, please specify:

Remarks:

CFLGA Form 1-C Protection | Page 8


CFLGA Form 1-D: Right of Children to Participation (15%)
LGU:

4.1. Child representation in the Local Council for the Protection of Children

4.1.1. Child Representative in the City/Municipality CPC Score


✘ Executive Order 0.00

4.1.2. Child Representative Selection Process at the City/Municipal level Score


Thru Children's General Assembly 0.00
Appointed/Designated

4.1.3. Child Representative in the Barangay CPC Score


Total Number of BCPCs with Child Representative #DIV/0!
Total Number of barangays
Percentage of Barangays with Child Representative #DIV/0!
Data Source: LCPC Secretariat

4.2.
Development of program, project, activity (PPA) or policy with children's participation in the
planning, implementation or monitoring phase
Core PPA / Plan / Policy Specific Activity Conducted Score
Crafting of Children's Sectoral Plan (quantity)

National Children's Month Celebration 0.00


Other PPA / Plan / Policy:

Note: Tick box for each item

Specific role/involvement of Number of Score


children in the activity: Activity/ies (quality)

Child-led Advocacy #DIV/0!


Planning
Monitoring
Attendance
Data Source: LCPC Secretariat

Remarks:

CFLGA Form 1-D Participation | Page 9


CFLGA Form 1-D: Right of Children to Participation (15%)
LGU:

CFLGA Form 1-D Participation | Page 10


CFLGA Form 1-E: Governance (40%)
LGU:

5.1. Database on children

5.5.1. Established and updated database on children Score


With all of the following disaggregated information on children: 0.00
✘ Age Ethnicity School Status (in/out)
Sex Disability No data

5.5.2. Annual Local State of Children Report Score


Report delivered/presented during National Children's Month Celebration 0.00
Data Source: Local Planning and Development Office / LSWDO

5.2. Available and implemented Local Plans for Children


Local Development Plan or Local Action Plan for Children Score
Comprehensive Local Juvenile Intervention Program (CLJIP) 0.00
Integration of the Comprehensive Emergency Program for Children in
X the LDRRM Plan and budget
Data Source: Local Planning and Development Office / LSWDO

5.3. Updated Local Code for Children adopting recently issued national laws on children
Early Years Act (RA 10410) Score
Children’s Safety on Motorcycles Act (RA 10666) 0.00
Children’s Emergency Relief and Protection Act (RA 10821)
National Mental Health Policy (RA 11036)
Masustansyang Pagkain para sa Batang Pilipino (RA 11037)
Kalusugan at Nutrisyon ng Magnanay Act (F1KD, RA 11148)
Special Protection of Children Against Child Abuse, Exploitation and Discrimination Act (RA 9231)
Special Protection of Children in Situations of Armed Conflict Act (RA 11188)
Data Source: Sangguniang Bayan / Panlungsod

5.4. Budget allocated and utilized for children's PPAs

5.4.1. Approved Local Investment Program for Children or Annual Work and Financial
Plan for Children (AWFPC) Score
Resolution 0.00

5.4.2. Budget allocation for children's PPAs Allocation Rate

LGU's Total Budget P -


Internal Revenue Allotment Score
Revenue from local sources #DIV/0!

CFLGA Form 1-E Governance | Page 11


CFLGA Form 1-E: Governance (40%)
LGU:

Budget Allocated for Children's PPAs #DIV/0!

5.4.3. Utilization of budget for children's PPAs Utilization Rate Score


X Budget utilized for children's PPAs #DIV/0! #DIV/0!

(please fill out)


Revenue from Real Property Tax Collection
Budget allocated for the Special Education Fund #DIV/0!
Budget utilized for the Special Education Fund #DIV/0!

CFLGA Form 1-E Governance | Page 12


CFLGA Form 1-E: Governance (40%)
LGU:

Data Source: LSWDO / Budget Office / Accounting Office

5.5. Functional LCPCs

5.5.1. Functional City/Municipal LCPC Score


Ideal Mature Progressive Basic 0.00

5.5.2. Functional Barangay LCPCs Percentage Score


Total Number of Barangays #DIV/0!
Barangays with Ideal Functionality #DIV/0!
X Barangays with Mature Functionality #DIV/0!
Barangays with Progressive Functionality #DIV/0!
Barangays with Basic Functionality #DIV/0!
Data Source: LCPC Functionality Assessment Report, DILG City/Municipal Field Office

5.6. Child-Friendly Facilities in all Barangays Score


Designated Play / Recreational Area
No. of Brgys. with play/recreational area #DIV/0! #DIV/0!
Library/ Reading Center
X No. of Brgys. with library/reading center #DIV/0! #DIV/0!
Data Source: Monitoring Report - Brgy. Facilities and Workers, DILG City/Municipal Field Office

Remarks:

CFLGA Form 1-E Governance | Page 13


CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
City/Municipality:
Province:
Date Accomplished:

Audit Summary

Survival #DIV/0!
1.1. Percentage coverage of Fully Immunized Children (FIC) aged 12 months old #DIV/0!
1.2. Prevalence coverage
Percentage of malnutrition amongadolescents
of pregnant children aged 0-59 months
provided old and
with prenatal #DIV/0!
1.3. postpartum services
1.3.1. Percentage coverage of pregnant adolescents with prenatal services #DIV/0!
1.3.2. Percentage coverage of pregnant adolescents with postpartum services #DIV/0!
Development #DIV/0!
2.1. Percentage coverage of children aged 3-4 years old provided with early
childhood care and development (ECCD) services, both public and privately #DIV/0!
managed, and may be facility, home, or community-based
2.2. Presence of ECCD services in all barangays
2.2.1. Percentage of barangays with at least one (1) ECCD service #DIV/0!
2.2.2. Percentage of accredited or recognized center-based ECCD services #DIV/0!
2.3. Percentage of OSCY assisted for enrolment/re-enrolment to school, ALS or
other flexible learning options.
2.3.1. Percentage of children who have dropped out from school that were reintegrated
in the academic year being audited #DIV/0!
2.3.2. Percentage of OSCY registered/enrolled to schools, ALS, or other flexible
learning options #DIV/0!

Protection #DIV/0!
3.1. Management of reported cases of children in need of special protection (CNSP)
3.1.1. Percentage coverage of Case Management #DIV/0!
3.1.2. Case management preparation -
3.1.3. Established referral network -
Participation #DIV/0!
4.1. Child representation in the Local Council for the Protection of Children
4.1.1. Child Representative in the City/Municipality CPC -
4.1.2. Child Representative Selection Process at the City/Municipal level -
4.1.3. Child Representative in the Barangay CPC #DIV/0!
4.2. Development of program, project, activity (PPA) or policy with children's
#DIV/0!
participation in the planning, implementation or monitoring phase
Governance #DIV/0!
5.1. Database on children
5.1.1. Established and updated database on children -
5.1.2. Annual Local State of Children Report -
5.2. Available and implemented Local Plans for Children -
5.3. Updated LCC adopting recently issued national laws on children -
5.4. Budget allocated and utilized for children's PPAs
Approved Local Investment Program for Children or Annual Work and
5.4.1. -
Financial
5.4.2. Budget allocation for children's PPAs #DIV/0!
5.4.3. Utilization of budget for children's PPAs #DIV/0!
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
City/Municipality:
Province:
Date Accomplished:

Audit Summary
5.5. Functional LCPCs
5.5.1 Functional City/Municipal LCPC -
5.5.2 Functional Barangay LCPCs #DIV/0!
5.6. Child-Friendly Facilities in all Barangays #DIV/0!
TOTAL #DIV/0!
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
City/Municipality:
Province:
Date Accomplished:

Audit Summary

Prepared by the City/Municipal Inter-Agency Monitoring Task Force


Composition Name Position/Designation Signature

Chairperson

Vice-Chairperson
Members:
Planning and Development
Office
Health and Nutrition Office
Department of Education /
Academe
Nongovernment or
Interfaith Oganization

Noted by:

Hon.
Mayor
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Province: _______________
C.Y.: _______________

Provincial Audit Summary

Categories
City/Municipality Survival Development Protection Participation Governance
Total

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28
29
30

Average Rating

Prepared by the Provincial Inter-Agency Monitoring Task Force


CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Province: _______________
C.Y.: _______________

Provincial Audit Summary

Composition Name Position/Designation Signature

Chairperson

Vice-Chairperson

Members:
Planning and
Development Office
Health and Nutrition
Office
Department of
Education
Academe
Nongovernment or
Interfaith Oganization

Noted by:

Hon.
Governor
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Region: _______________
C.Y.: _______________

Regional Audit Summary

Province City/Municipality
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28
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30
Average Rating
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Region: _______________
C.Y.: _______________

Regional Audit Summary

Prepared by the Regional Inter-Agency Monitoring Task Force

Composition Name Position / Designation

Chairperson

Vice-Chairperson

Members:
Planning and
Development Office
Health and Nutrition
Office
Department of
Education
Academe
Nongovernment or
Interfaith Oganization

Endorsed by:

Name Name
RIMTF Chairperson RC/SCWC Chairperson
Regional Director, DILG Regional Director, DSWD
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Region: _______________
C.Y.: _______________

Regional Audit Summary


(Reference for Technical Assistance )

Province City/Municipality Survival Development Protection Participation Governance Total


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Average Rating

Prepared by the Regional Inter-Agency Monitoring Task Force


Position Name Position/Designation Signature
Chairperson

Vice-Chairperson
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Region: _______________
C.Y.: _______________

Regional Audit Summary


(Reference for Technical Assistance )

Members:
Planning and Development
Office
Health and Nutrition Office

Department of Education

Academe
Nongovernment or Interfaith
Oganization

Noted by:

Name
RC/SCWC Chairperson
Regional Director, DSWD
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
C.Y.: _______________

National Audit Summary

Region Province City/Municipality Rating


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Reviewed by the CWC Secretariat (Localization and Institutionalization Division)

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CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
C.Y.: _______________

National Audit Summary

Name Position Signature


1

10

Noted by:

MARIA ALPHA LARGA


OIC-Head, LID
Council for the Welfare of Children

Endorsed by:

MARY MITZI CAJAYON-UY


Executive Director
Council for the Welfare of Children

Page 24 of 26
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
C.Y.: _______________

Seal of Child Friendly Local Governance Conferees

SCFLG Code Region Province City/Municipality


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As reviewed by the CWC Secretariat on _______________;

Page 25 of 26
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
C.Y.: _______________

Seal of Child Friendly Local Governance Conferees

Endorsed by the CWC Technical Management Group on _______________; and


Approved by the CWC Board on _______________.

Noted by:

MARY MITZI CAJAYON-UY KARL CAESAR RIMANDO, CESO V


Executive Director Director, National Barangay Operations Office
Council for the Welfare of Children Department of the Interior and Local Governance

Page 26 of 26

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