Funding Q5 Is there written 1. Yes 2. No evidence of when If when (DD/MM/YY)? “yes,” s/he received funds for the last campaign Compare this date with the date of the onset of the last campaign, how from UNICEF? many days does this precede the campaign? Q6 Is written 1. Yes 2. No evidence of when If when (DD/MM/YY)? “yes,” s/he received funds for the last campaign Compare this date with the date of the onset of the last campaign, how from WHO? many days does this precede the campaign? Q7 Is there written 1. Yes 2. No evidence of when If when (DD/MM/YY)? Operations “yes,” s/he released funds for the last campaign? Social Mobilization Compare this date with the date of the onset of the last campaign, how many days does this precede the campaign? Operations Social Mobilization Any additional comments: Key informant 2: District Polio Focal Point Review date (DD/MM/YY) Reviewer’s name District Polio focal point’s Name Official title
Funding Q5 Is there written evidence of when s/he received funds for the last campaign from UNICEF? 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? Q6 Is written evidence of when s/he received funds for the last campaign from WHO? 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? Q7 Is there written evidence of when s/he released funds for the last campaign? 1. Yes 2. No If “yes,” when (DD/MM/YY)? Operations Social Mobilization Compare this date with the date of the onset of the last campaign, how many days does this precede the campaign? Operations Social Mobilization Any additional comments: Key informant 2: District Polio Focal Point Review date (DD/MM/YY) Reviewer’s name District Polio focal point’s Name Official title
Special-Investigation-Tool-Assessment-of-Reasons-for-Missed-Children-Part-A_Feb2015_EN.docx