WAS A MONTHLY MEETING HELD WITH THE CHWs AND MINUTES AVAILABLE? 24 (PLEASE IN THE APPROPRIATE BOX, CHECK √ MINUTES) WAS THERE ANY SUPPORTIVE SUPERVISONS 25 from PHU STAFF (HEALTH FACILITY) THAT THE CHWS HAVE RECEIVED FOR THE FOLLOWING MONTHS? (PLEASE IN THE APPROPRIATE BOX) √ DID YOU HAVE SUPPORTIVE SUPERVISIONS 26 FROM SUPERIOR LEVEL? (PLEASE IN THE APPROPRIATE BOX) √ (PLEASE REFER THE VISITOR’S BOOK) IF 27 During the past FOUR MONTHS (OCT 2014 TO JAN ALWAYS AVAILABLE……………….……. 1 2015), was WATER available at all times when the OFTEN AVAILABLE (INTERRUPTIONS OF LESS THAN 2 facility was open for services? HOURS PER 29 RARELY AVAILABLE……………….……. 3 NEVER AVAILABLE……………….……. 4 DON’T 28 STATE THE REASONS FOR NON-AVAILABILITY WATER SOURCE NOT FUNCTIONAL 1 OF WATER DURING THE LAST FOUR MONTHS (OCT 2014 TO JAN 2015)? NO SUPPLY 2 CIRCLE ALL RESPONSES WATER CONTAMINATED 3 OTHERS (SPECIFY) _________________________________96 DON’T KNOW 999
24 WAS A MONTHLY MEETING HELD WITH THE CHWs AND MINUTES AVAILABLE? (PLEASE √ IN THE APPROPRIATE BOX, CHECK MINUTES) 25 WAS THERE ANY SUPPORTIVE SUPERVISONS from PHU STAFF (HEALTH FACILITY) THAT THE CHWS HAVE RECEIVED FOR THE FOLLOWING MONTHS? (PLEASE √ IN THE APPROPRIATE BOX) 26 DID YOU HAVE SUPPORTIVE SUPERVISIONS FROM SUPERIOR LEVEL? (PLEASE √ IN THE APPROPRIATE BOX) (PLEASE REFER THE VISITOR’S BOOK) 27 During the past FOUR MONTHS (OCT 2014 TO JAN 2015), was WATER available at all times when the facility was open for services? ALWAYS AVAILABLE……………….……. 1 OFTEN AVAILABLE (INTERRUPTIONS OF LESS THAN 2 HOURS PER RARELY AVAILABLE……………….……. 3 NEVER AVAILABLE……………….……. 4 DON’T IF 29 28 STATE THE REASONS FOR NON-AVAILABILITY OF WATER DURING THE LAST FOUR MONTHS (OCT 2014 TO JAN 2015)? CIRCLE ALL RESPONSES WATER SOURCE NOT FUNCTIONAL 1 NO SUPPLY 2 WATER CONTAMINATED 3 OTHERS (SPECIFY) _________________________________96 DON’T KNOW 999
mohs_unicef_march_2015_hfa_sl_report_may5.docx