2019 CFLGA - Data Capture Form (DCF)
2019 CFLGA - Data Capture Form (DCF)
2019 CFLGA - 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
1.3. Percentage coverage of pregnant adolescents provided with prenatal and postpartum
services
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:
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
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
2.3. 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!
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:
Remarks:
4.1. Child representation in the Local Council for the Protection of Children
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)
Remarks:
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
5.4.1. Approved Local Investment Program for Children or Annual Work and Financial
Plan for Children (AWFPC) Score
Resolution 0.00
Remarks:
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
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.: _______________
Categories
City/Municipality Survival Development Protection Participation Governance
Total
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Average Rating
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.: _______________
Province City/Municipality
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Average Rating
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Region: _______________
C.Y.: _______________
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.: _______________
Average Rating
Vice-Chairperson
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
Region: _______________
C.Y.: _______________
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.: _______________
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CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
C.Y.: _______________
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Noted by:
Endorsed by:
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CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
C.Y.: _______________
Page 25 of 26
CHILD FRIENDLY LOCAL GOVERNANCE AUDIT
C.Y.: _______________
Noted by:
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