Monitoring Format for District Level RVV Training Assessment - 2019

Name of State: Name of District: Place of training:

Start time: End time: Duration:
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

S.No. Questions Responses

Operation Guidelines / FAQ (English) / FAQ (Local

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

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

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

6 Was the session on FAQ interactive? Yes / No

7 Whether Station approach followed during training? Yes / No

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

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

10 Was the Pre-test and Post test conducted? 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

Medical Officers District Social Wefare Officer

District Program Manager (NHM) CDPO

District Data Manager ICDS Supervisor

District Cold chain handler District M & E Coordinator (NHM)

District Cold chain technician District Accounts Manager (NHM)

District ASHA Coordinator Others (please specify) …

DPHNO