Polio Eradication Toolkit

Monthly Report Form for Community Volunteers/Mobilizers

Length: 1 page (A4)
Year: 2013
Organization: CGPP South Sudan
Country: South Sudan
Language: English

This reporting form is specifically tailored to meet the needs of illiterate community volunteers and mobilizers. Presented in a pictorial format, the document enables uneducated mobilizers or those with low literacy skills to accurately record data by indicating completed activities. Community mobilizers then submit the form to Payam Assistants. The form records data on maternal health, newborns, child vaccination, cases of acute flaccid paralysis, health education and home visits. CGPP County Supervisors and project officers use the data to monitor the performance of the essential community health volunteer component of the program.