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Unit: _________________________________

Objective

Activity/Intervention

Product: ____________________________________
Inputs/Resources
needed (Funds,
Human resource,
Legal, etc)

Risk/Issues
Intervention
Risk

Responsible
Persons
Issues

1.

2.

1.

Objective

Activity/Intervention

Inputs/rResources
needed(Funds,
Human resource,
Legal, etc)

Risk/Issues
Intervention
Risk

Responsible
Persons
Issues

3.

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