Monitoring Format for State Level RVV Training Assessment - 2019

Name of State: Place of training: Date:

Start time: End time: Duration:
Name of Monitor: Name of Organization: Govt / WHO / UNICEF / UNDP / JSI /Others: ____________________________
Designation:

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

S.No. Questions Responses

Operation Guidelines / FAQ (English) / FAQ (Local

1 Which training material distributed to participants in training ?
language)/ Leaflet

2 What was the mode of presentation? PPT / Discussion / Role Play

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

5 Whether Station approach followed during training? Yes / No

6 Were the standard flex for the station approach used in the training? Yes / No

7 Was the session on FAQ interactive? Yes / No

8 Was the Pre-test and Post test conducted? Yes / No

9 Was any National level official present in training ? Specify: Yes / No

10 Was any State level official present in training ? Specify: Yes / No

11 Was the participant feedback collected in the standard format? Yes / No

12 Was the Master Roll/Attendance properly maintained? Yes / No

Remarks :

Type of Participants Expected Actual Type of Participants Expected Actual

DIO/DRCHO Others (please specify) …

District Medical officers

IEC Nodal

State Officers

State NHM Staff

ICDS Representatives