14 Knows WHO surveillance staff Total Compilation of monthly activities by Payam Assistants Name of Payam Total Total # of KIs # KI visited during the month % of KI visited during the month # Planned community meeting # Conducted community meetings % of community meeting conducted # of Participants attended meetings County meetings SN Location Planned Actual If meeting not # of people Purpose Main of date of date of conducted attended of points meeting meeting meeting explain why? meetings meeting discussed 1 2 3 4 5 Summary of monthly activities by County Supervisor Total # of PAs # PA visited during the month % of PAs visited during the month # Planned county-level meetings # Conducted county-level meetings % of county-level meetings conducted # of Participants attended meetings implemented activities -Other Challenges experienced during the month
14 Knows WHO surveillance staff Total Compilation of monthly activities by Payam Assistants Name of Payam Total Total # of KIs # KI visited during the month % of KI visited during the month # Planned community meeting # Conducted community meetings % of community meeting conducted # of Participants attended meetings County meetings SN Location of meeting Planned date of meeting Actual date of meeting If meeting not conducted explain why? # of people attended meetings Purpose of meeting Main points discussed 1 2 3 4 5 Summary of monthly activities by County Supervisor Total # of PAs # PA visited during the month % of PAs visited during the month # Planned county-level meetings # Conducted county-level meetings % of county-level meetings conducted # of Participants attended meetings -Other implemented activities Challenges experienced during the month
County-Supervisor-Monthly-Report-Form.docx