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Submit the investigation findings using form below
PART A: District Level Assessment - Key informant 1: DHMT (CEO Health/ DHO-PS)
PART A: District Level Assessment – Key informant 1: DHMT (CEO Health/ DHO-PS)
Date of interview
District
Interviewee’s Designation
Q1 How Knowledgeable is h/she about Polio situation in district in general
– Select –
very knowledgeable
somewhat knowledgeable
needs improvement
Q2 How Knowledgeable is h/she about Polio situation in village/settlement specifically
– Select –
very knowledgeable
somewhat knowledgeable
needs improvement
Q3 How knowledgeable is s/he about IDIMS & data transfer process?
– Select –
very knowledgeable
somewhat knowledgeable
needs improvement
What is his/her level of leadership and involvement in polio activities? (e.g. chairing a meeting, inaugurating a campaign, etc.)
– Select –
very good
moderate
needs improvement
What does s/he think are the main obstacles to reducing the number of missed children in the village/settlement?
1. Limited financial resources
2. Poor management, inadequate supervision, or poor accountability
3. Inadequate/inappropriate IEC materials and messages
4. Poor team performance
5. Poor social mobilization performance
6. Poor community support (community leaders do not support, etc)
7. Inaccessibility (due to geographic complexity, security issues, etc)
8. Mobility of the population
Other
What does he/she think are the main obstacles that contribute to the +ES in the district?
Is there evidence of when s/he received IEC for the last campaign from EOC?
– Select –
Yes
No
Is there written evidence of when s/he received DDM payments for the last campaign from EOC
– Select –
Yes
No
Were there any Tehsil/Towns with insufficient number of vaccination teams in last campaign?
– Select –
Yes
No
Have you seen stock out of OPV in any UC during last campaign?
– Select –
Yes
No
District map with clear identification of high risk areas?
– Select –
Yes
No
An integrated communications and operational plan?
– Select –
Yes
No
Identification of challenges based on most recent campaign data?
– Select –
Yes
No
District level social maps?
– Select –
Yes
No
Identification of events (such as festivals) for the last vaccination?
– Select –
Yes
No
A logistics plan for OPV
– Select –
Yes
No
A logistic plan for cold chain equipment
– Select –
Yes
No
A logistic plan for transportation
– Select –
Yes
No
Did you receive UC micro plans from all the Tehsil/ Towns prior to the last campaign?
– Select –
Yes, From all tehsil/towns
Yes, but not From all tehsil/towns
No, None of the tehsil/towns submitted
If yes,did the key informant sign and date all the plans in advance of the last campaign? (observation)
– Select –
Yes, From all tehsil/towns
Yes, but not From all tehsil/towns
No, None of the tehsil/towns submitted
Was there a training plan and materials for the district for the last SIA?
– Select –
Yes
No
Were the training materials in accordance with national guidelines? (What are guidelines)?
– Select –
Yes
No
Was there a specific Session on IPC included which was facilitated by a COMNet supported focal point)?
– Select –
Yes
No
How many trainers are identified? (Town/Tehsil)
Is there a record of the last training?
– Select –
Yes
No
When was the training? (DD/MM/YY)
How many actually participated?
Are need based agendas developed for SIAs?
– Select –
Yes
No
Are there minutes and clear action points from the last district meeting (DPEC) held in advance of the last campaign?
– Select –
Yes
No
If “yes,” check all the agencies which participated the meeting based on the minutes.
WHO
COMNet
BMGF
PEOC
All of the Above
None of the Above
Any additional comments?
Submit Form
Polio OBR Survey
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