Q6 Did you receive sub-district micro plans from all the sub-districts 1. Yes, from all sub-districts prior to the last campaign? 2. Yes, but not from all sub-districts 3. No, none of the sub-districts submitted. Q7 1. Yes, from all sub-districts Did the key informant sign and date all the sub-district plans in 2. Yes, but not from all sub-districts advance of the last campaign? (observation) 3. No, none of the sub-districts submitted. Funding and Logistics Ask the key informant the following questions. Q8 Is there written 1. Yes 2. No evidence of when s/he If when (DD/MM/YY)? “yes,” received funds before the last campaign? Compare this date with the date of the onset of the last campaign, how many days does this precede the campaign? Q9 Is there written 1. Yes 2. No evidence of when s/he If when (DD/MM/YY)? “yes,” released funds before the last campaign? Compare this date with the date of the onset of the last campaign, how many days does this precede the campaign? Q10 Were there any 1. Yes 2. No with insufficient If list below the sub-districts with an unreasonable workload for vaccination teams, “yes”, number of vaccination and ensure these sub-district plans are reviewed in part B. teams in your district during the last campaign? Q11 Have you seen 1. Yes 2. No of OPVs in any If list the sub-districts with below and review the OPV plans in part B: “yes”, during the last campaign? Training Q 12 Was there a training plan and materials for the district for the last SIA? 1. Yes 2. No If describe the reason below: “no,” If review the plan for the last campaign and assess the following: “yes,” a Were the training materials in accordance with national 1. Yes 2. No guidelines? b Was there a specific module on IPC included, which was 1. Yes 2. No facilitated by a focal point? c How many trainees (sub-district trainers) are identified? d Is there a record of the last 1. Yes 2. No training? If yes, answer the following questions based on the record. If no, skip to the following section.
Q6 Did you receive sub-district micro plans from all the sub-districts prior to the last campaign? 1. Yes, from all sub-districts 2. Yes, but not from all sub-districts 3. No, none of the sub-districts submitted. Q7 Did the key informant sign and date all the sub-district plans in advance of the last campaign? (observation) 1. Yes, from all sub-districts 2. Yes, but not from all sub-districts 3. No, none of the sub-districts submitted. Funding and Logistics Ask the key informant the following questions. Q8 Is there written evidence of when s/he received funds before the last campaign? 1. Yes 2. No If “yes,” when (DD/MM/YY)? Compare this date with the date of the onset of the last campaign, how many days does this precede the campaign? Q9 Is there written evidence of when s/he released funds before the last campaign? 1. Yes 2. No If “yes,” when (DD/MM/YY)? Compare this date with the date of the onset of the last campaign, how many days does this precede the campaign? Q10 Were there any with insufficient number of vaccination teams in your district during the last campaign? 1. Yes 2. No If “yes”, list below the sub-districts with an unreasonable workload for vaccination teams, and ensure these sub-district plans are reviewed in part B. Q11 Have you seen of OPVs in any during the last campaign? 1. Yes 2. No If “yes”, list the sub-districts with below and review the OPV plans in part B: Training Q 12 Was there a training plan and materials for the district for the last SIA? 1. Yes 2. No If “no,” describe the reason below: If “yes,” review the plan for the last campaign and assess the following: a Were the training materials in accordance with national guidelines? 1. Yes 2. No b Was there a specific module on IPC included, which was facilitated by a focal point? 1. Yes 2. No c How many trainees (sub-district trainers) are identified? d Is there a record of the last training? 1. Yes 2. No If yes, answer the following questions based on the record. If no, skip to the following section.