B-2: Information to be kept in the County Supervisor’s Logbook/Diary Logbook information for contacts with PAs during the month State: County: Payam: Date of Name of PA and/or Location of Reason of contact* Follow-up action Signature contact other persons contact of PA * Reason for contact can be: a) Routine visit by PA, b) Report of suspect case by KI, or c) Other Logbook information for meetings conducted/attended during the month Date of Meeting Purpose of Type of Number Main issues Follow-up actions meeting Location Meeting attendees attended discussed Other information:
B-2: Information to be kept in the County Supervisor’s Logbook/Diary Logbook information for contacts with PAs during the month State: County: Payam: Date of contact Name of PA and/or other persons Location of contact Reason of contact* Follow-up action Signature of PA * Reason for contact can be: a) Routine visit by PA, b) Report of suspect case by KI, or c) Other Logbook information for meetings conducted/attended during the month Date of meeting Meeting Location Purpose of Meeting Type of attendees Number attended Main issues discussed Follow-up actions Other information:
Field-Guide-for-Community-Based-Surveillance.docx