Polio Eradication Toolkit
County Supervisor Monthly Report Form (Template)
Size: 3 pages (A4)
Year: 2016
Organization: CGPP South Sudan
Country: South Sudan
Languages: English
County Supervisors use this monthly reporting form to record the work of Payam Assistants (PAs). County Supervisors submit the completed form on the fifth day of the subsequent month to partner’s project officers for review. It is then forwarded to M&E officers for compilation into a consolidated partners report. This report contains support supervision visits to payams, summary of field supervision check list scores, county-level activities and consolidation of Payam Assistants monthly activities, information on suspected AFP cases reported during the month, summary budget of received and spent funds, and challenges encountered during the month.

