Polio Eradication Toolkit

In House Data Collection Tool

Length: 1 page (A4)
Year: 2014
Organization: CGPP South Sudan
Country: South Sudan
Language: English

This form is used for collecting data during house-to-house polio campaigns. It records the immunization status of children under five years within selected areas based on finger marks. It also records data to monitor the work of social mobilizers before the polio immunization campaign and the work of vaccinators who move from house to house immunizing children. This form is divided into two sections: the first part collects information on geographical characteristics of the clusters/boma, and the second part contains a series of questions on the vaccination status of children, reasons for missed children and social mobilization activities.