Strengthening Tuberculosis and HIV&AIDS Responses in East Central Uganda (STAR-EC) Activity Reporting Form

Instructions: 1. The main purpose of this form is to provide key technical information about activities that have been carried out by an implementing partner. 2. An Activity Reporting Form should be filled in by implementers for all STAR-EC funded activities that are laid out in the approved Work Plan. 3. It is recommended that an Activity Reporting Form should be filled in by the person responsible for implementing the activity not later than 2 days after the completion of the planned activity this is to assist accurate recall of what was done. 4. At the end of each month, all Activity Reports for activities that have been implemented in that particular month will be attached to the summary Monthly Program Reporting Form and sent to the Field Technical Coordinator (FTC) Field Technical Coordinator (FTC) at the STAR-EC Office not later than 7th day after the end of the reporting month 5. It is recommended that this Report be precise and filled in soft copy to enable expansion of space, but delivered in hard signed copies. ACTIVITY DETAILS Implementing Partner: Youth Alive Uganda District: Intervention Area: HIV Prevention through AB intervention Site of Activity:

Nature of Activity: <Please state whether activity was done at an outreach or static site:

Activity Code and brief description of activity:

Commencement Date: June

Closing

Date:

OBJECTIVES OF THIS PARTICULAR ACTIVITY <Please show linkage to Work Plan>:

METHODOLOGY OF IMPLEMENTATION <Please explain if this differs from work plan description>:

ACHIEVEMENTS <Please compare achievements against what was planned and include numbers whenever applicable e.g., met ___ people out of __ expected>:

Some participants willingly signed commitment cards and committed themselves to abstaining till they get married and other personal, social and spiritual values. Participants requested to have follow-up programs so that all their social and health concerns are addressed. This is an indicator that the programs impacted on the lives of the beneficiaries. Youth Alive clubs were formed at the end of each program and executive committees were put in place for sustainability purposes.

CHALLENGES/CONSTRAINTS <e.g., Technical and operational factors that affected what was planned but not achieved>:

SOLUTIONS TO THESE CHALLENGES/CONSTRAINTS <Please note that these could be adopted at next session of this activity>: .

LESSONS LEARNED AND RECOMMENDATIONS:

ANY OTHER COMMENTS:

Implementer(s): Youth Alive Uganda Busoga Region

Facilitator(s): Byangi Paddy, Ofwono Tomson,

Nabbanja Rachael, Mboneireku Sanon, Namwase Ziadah, Herbert, Akello Joan & Rachael Namuwoola.

STAR-EC Staff who attended <Please include how many where invited (If any) and how many actually attended>:

This activity Report was filled in by: Name: Signature: Date: Position:

Please attach list of participants in case of training, workshop, meeting etc.