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Social investigation survey forms
OBR Follow-up
- Desk
- Field
- UCMO/AIC
- CCO/CBO
- Influencer
- FLW
- CM
- Household

Submit the investigation findings using form below

OBR Follow-up: FGD with Frontline Workers

OBR Follow-up: FGD with Frontline Workers 6

Date of interview

District

Union Council

Q1 What training did you receive? *

IPC

Process of Vaccine Administration, Cold Chain Management & Finger Marking

Process of Door Marking

Data recording ,Zero Dose Recording & Reporting & Tally sheet filling

AFP Surveillance & DDM

Mock Exercise/ Walkthrough Activity

Q2 Programme Knowledge regarding SMC, PMC, NA, AFP

Good

Moderate

Needs improvement

What are the main reasons that children are missed in vaccination campaigns in your community?

Caregivers refuse to vaccinate their children

Lack of community support

Child at daycare/mothers workplace

Parents are separated

child was out of district/ sleeping

Mobile populations

Were you able to cover refusals in your area during last campaign?

Yes

What are the main reasons for refusals in your area?

Medical reasons

Religious reasons

Repeated campaigns/knocks

Misconceptions

Rumors regarding vaccine safety

What do you do in order to try to overcome these issues?

Counseling of refusal caregivers about the importance of Polio vaccination

Follow up of vaccination on mobile phones

Pre campaign social mobilization activities & influencer engagement

Repeated catch up visits

Home visit during evening hours

Have videos & testimonials been shared by your supervisors?

Yes

If answer to above is no, please explain

Q12 During household visits do you ask questions regarding AFP?

Q13 Is there is any AFP case in your community?

Q14 How would you report the AFP Case? *

Report on tally sheet

Inform UCMO/AIC

Dont Know

Any Additional Commnets/Suggestions by FLW.

Polio OBR Survey

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