PERFORMANCE GOALS TRACKER & EVALUATION TOOL
Country Program UGANDA
Employee Name & Designation NAKADDU TEDDY BEATRICE STAFF NURSE
Supervisor Name & Designation OKORI BONIFACE CLINICAL OFFICER
Performance Review Period Oct 2022 - Sept 2023
Date of Review 12th Sept 2023
Instructions:
1. Schedule performance review date
2. Appraiser (supervisor/line manager) gives the appraisee (employee) the performance review form 7 days in advance.
3. Appraisee (employee) fills in their self-appraisal comments and sends back to the appraiser (supervisor/line manager) 2 days before the appraisal
date.
4. Employee and supervisor/line manager meet for joint review. (Meeting may be face-to-face, phone or conference calls. No text messaging).
5. Supervisor/line manager makes final comments and sends to HR.
6. Moderation is conducted if need be.
7. Final appraisal score is shared with employee and appraisal document is filed in employees’ personnel file.
Goal Measurement Employee Comment Supervisor/Line Manager
Comment
Quantitative Goals 1. Our patient waiting time is
A..Quality of service delivery < 1hour according to the
time in motion survey. 1. Client waiting time
1. Client satisfaction. 1.90 percent satisfaction and 2. We have a functional hand has greatly improved
reduction in clients waiting time. washing facility at every compared to
The target is <2 hours wait time. service point, there is previous review
available stock of IPC period
2. Evidence of implementation of material eg waste bins,
2.Infection control implementation
IC protocols, participation in IPC gloves sanitizers 2. With IPC here is
activities and championing IPC antibacterial soap etc and evidence of a
practices within the facility. CME are regularly functional IPC
3. Make sure all clients attending the conducted. implementation on
3. Ensure clients vitals are taken
clinic have been screened for Non including B.Ps, Weight and Height 3. All our client were being ground evidenced by
Communicable Disease HTN,DM and and documented in client's file screened for NCDS on each IPC material available
Depression. facility visit until April this like gloves,
year when our BP detergent, and hand
machines broke down. washing facility
3. The facility is
screening for DM but
not hypertension due
to faulty B.P
machines
B Comprehensive HIV/AIDS Care and 1. Lets keep up the
treatment Services. good performance in
making sure every
1. TPT Scale uptake . 1. 80% TPT completion rate 1. All our clients started on eligible client started
TPT have completed TPT on TPTcompletes
2. Follow up of the elicited family 2. Making sure that the familly treatment. 2. The family tracking
members to ensure they are tracking tool is updated on each 2. 90% of our clients have tool is well filled
tested visit. their files updated. among new clients
3. Ensure>85% cllients are linked
3. Linkage of newly diagnosed HIV 3. Our linage is at 98% as per and old clients but
positive clients into care & some old clients files
the chart audit report.
initiated on ART. have this section not
4. Ensure >95% of women are
screened
4. There was a shortage of filled.
4. Ensure eligible newly enrolled HPV Cartridges in the 3. linkage of clients is
women are screened for facility between the excellent
CACX,and positive ones are
months of June and July 4. since we now have
followed up.Data source CACX
register and clients ART card thus affecting our targeted HPV cartridges we
output. expect much more
number of HIV+
women screened for
HPV
1. Endevor to have all
1. 95%Assessment and completeness 1. The PSS side of the clients’ clients assessed for
Patient monitoring & retention of psychosocial supports chart for chart is not filled promptly. PSS charts are well
1. Assessment of psychosocial clients managed Only new and non- filled and completed.
issues. 2. Forming up to 10 CDDPs , enrolling
suppressing clients have
up to 366 clients in CCLAD,
this side filled.
2. Inrease uptake of community 3. stable approaches ,>70%receive
DSDM MMD refills
approachesCCLAD,CDDPs,CRPD 2. We have formed upto 13 2. There has been a
DP CDDPS,enrolled over 700 good enrollment of
clients in CRPDDP. The clients onto the
3. Increase uptake to Multi month number of cients in CCLAD pharmacy model;
drug
has reduced for they have keep it up
chosen to enroll into other
approaches like CRPDDP
and CDDPs.
3. We have over 75% of our 3. Let’s continue multi
clients receiving multi month dispensing
month drug refills.
Qualitative Goals: Teddy has been an excellent
team player, accepts
Responds within given timelines and responsibility and always
contributes to team efforts positive to improving self
during this review period
Responds positively to suggestions &
instructions and constructive feedback
Effectively collaborates with supervisor
and other departments to meet set
objectives. Expresses facts and ideas
orally and/or in writing in clear and
concise manner
Adapts well to changing circumstances
Continuously seeks ways to improve self
and others
Accepts responsibility in a competent
manner for own areas of work and those
of subordinates
Learns from mistakes and takes up
capacity building initiatives for
continuous improvement.
Willingness to take up initiatives that
improve performance of self and the
team
