5. Monitoring and Supervision 5.1 CVs supervised by Project Officer Date of Name of Kebele Villages Reporting IEC No HH No of AFP No people Knowledge of supervision CVs format material visited last cases received polio/AFP available available month reported heath (poor, average, (Y/N) (Y/N) last month education good, last month Excellent) 5.2 HP supervised by Project Officer Date of Name of Name of Name of List of CVs Minute of Report file Monitoring AFP cases No. Functional supervision HP HEWs Keblele available CVs available chart reported Cold Chain contacted (Y/N) meeting (Y/N) updated last month available (Y/N) 6. General Comment
5. Monitoring and Supervision 5.1 CVs supervised by Project Officer Date of supervision Name of CVs Kebele Villages Reporting format available (Y/N) IEC material available (Y/N) No HH visited last month No of AFP cases reported last month No people received heath education last month Knowledge of polio/AFP (poor, average, good, Excellent) 5.2 HP supervised by Project Officer Date of supervision Name of HP Name of HEWs contacted Name of Keblele List of CVs available (Y/N) Minute of CVs meeting available (Y/N) Report file available (Y/N) Monitoring chart updated AFP cases reported last month No. Functional Cold Chain 6. General Comment
Project-Field-Staff-Monthly-Reporting-Format.docx