Professional Documents
Culture Documents
Name of Facilitator: 1.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 2.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 3.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 4.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 5.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 6.
Designation: Regional TOT attended: Yes / No
3 Whether training sessions were conducted as per standard State training agenda ? Yes / No
4 Whether hands on training with vaccine vial and dropper conducted ? Yes / No
6 Were the standard flex for the station approach used in the training? Yes / No
Remarks :
IEC Nodal
State Officers
ICDS Representatives
Monitoring Format for District Level RVV Training Assessment - 2019
Name of State: Name of District: Place of training:
Name of Monitor:
Name of Organization: Govt / WHO / JSI / UNICEF / UNDP/ Others: ____________________________
Designation: Date:
Name of Facilitator: 1.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 2.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 3.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 4.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 5.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 6.
Designation: State/Regional TOT attended: Yes / No
1 Which training material distributed to participants in training ? Operation Guidelines / FAQ (English) / FAQ (Local
language)
3 Whether training sessions were conducted as per standard District training agenda ? Yes / No
4 Whether hands on training with vaccine vial and droppers conducted ? Yes / No
5 Was the non applicability of open vial policy on RVV stressed upon? Yes / No
8 Were the standard flex for the station approach used in the training? Yes / No
Remarks :
DPHNO
Monitoring format for Block Level RVV Training Assessment - 2019
State: Name of District: Name of Block:
Start time: End time: Duration:
Name of Monitor: Name of Organization: Govt / WHO / JSI / UNICEF / UNDP/ Others:
Designation:
Date: Place of training:
Name of Facilitator: 1. Designation: District TOT attended: Yes / No
Name of Facilitator: 2. Designation: District TOT attended: Yes / No
Name of Facilitator: 3. Designation: District TOT attended: Yes / No
Name of Facilitator: 4. Designation: District TOT attended: Yes / No
Name of Facilitator: 5. Designation: District TOT attended: Yes / No
Name of Facilitator: 6. Designation: District TOT attended: Yes / No
11 Did the trainer cover Use of tracking bag and due list cum tally Yes / No
sheet for tracking
12 Discussion on non applicability of open vial policy on RVV Yes / No
13 Discussion on AEFI and immunization waste management Yes / No
14 Participants signed on attandance sheet Yes / No
Remarks :