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  • TB ECHO Attendance Form - Rev

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    Massawe E
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    This document is an attendance form for tuberculosis (TB) echo sessions held at health facilities. It collects information such as the name and cadre of attendees, their working site at the health facility, and their phone number. Space is also provided for comments on the TB echo session and for the TB focal person's signature.

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    TB ECHO Attendance form_rev (1)

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    This document is an attendance form for tuberculosis (TB) echo sessions held at health facilities. It collects information such as the name and cadre of attendees, their working site at the health facility, and their phone number. Space is also provided for comments on the TB echo session and for the TB focal person's signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    TB ECHO Attendance Form - Rev

    Uploaded by

    Massawe E
    This document is an attendance form for tuberculosis (TB) echo sessions held at health facilities. It collects information such as the name and cadre of attendees, their working site at the health facility, and their phone number. Space is also provided for comments on the TB echo session and for the TB focal person's signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    TB ECHO ATTENDANCE FORM

    HEATH FACILITY NAME: …………….………… DISTRICT: ……………… REGION: ……………..


    ECHO SESSION TOPIC: ………………………………………………….…… DATE: ……………….

    Working Site
    S/N Full Name Cadre1 Phone #
    at the HF2
    1

    10

    11

    12

    Any Comments on TB ECHO Session:


    ………………………………………………………………………………………………………………………

    ………………………………………………………………………………………………………………………

    ……………………………………………………………………………………………………………………...

    TB Focal Person: ………………………………………… Signature: ……………………..….

    1
    e.g: Med Doctor, AMO, CO, NO, ANO, NA, Lab Scientist, Lab Tech, Pharmacist, Pharm Tech, Others
    2
    e.g: TB Clinic, IPD, OPD, Lab, Pharmacy, X-ray, Others

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