Tool

This tool has consisted M&E Plan and Indicator Tracking.

This is created for location Cox's Bazar, Bangladesh.

Updation

created by: Rajan and Susan

Used by: Susan and Shakwat

This tool would be updated on monthly basis according to achievement and sending to CO/ HQ.
The tool need to be updated by GK team by each of 10th and submit to MI. The review time for MI team has been
allocated 2 days and final adjustment and clarification time 1 day form GK. Everything should be finalised by 14 of
Each fo the month.

Program Location Comment

Comment/Suggestion by CO and others (very much welcome to put your comment here)
M&E Plan
Cox's Bazar, Bangladesh
Main Indicators
Indicators

German Federal For

Impact Indicator
Improving the health, nutritional (1) Three fully equiped and functioning health
and psychosocial situation of facilities operate on 6 days per week
refugees and support of host throughout the project period
communities contribution
through regular health education
in schools

(2) Increased number of Children 6-

59months,PLW and elderly screened for
malnutrition in the camp community and health
facility.
(3) % of students are actively involve in global
and national thematic day celebration

(4) % of increase in the use of project planning

and implementation tools by the partner
organisation (M&E, finance, procurement and
work plans in place and used during quarterly
project review meetings)

Output
Output 1: (1) Total Number of Consultations
Provide access to quality medical
services and psychosocial support
through three fully established
and functionning health posts 6
days a week in three communities (2) Number of ANC Consultations
of the FDMN Camp in Cox´s
Bazar.

(3) Number of Individual MHPSS Couselling

Sessions

(4) 3 Emergency Health Prearedness Plan in

Health Facilities

Output
Output 2:
Provide access to nutritional
services for malnourished people
by providing screening, referral
and IYCF.
(5) % of saff members improved their
knowledge and skills on Emergency Health
Preparedness
(1) Total Number of Screening for Children 6-
59 Month, PLWs and Elderly People
(2) Total Number of referrals (SAM and MAM)
from next level feeeding centers

(3) Number of IYCF Individual Counselling

(4) % of increase in the rate of exclusive

breastfeeding within 0-180 days (0-6 month)
children

Output
Output 3: (1) Number of School children in 5 schools
Strenghtening the host received the Health and Hygiene Education
communities through health and Sessions
hygiene education for school
children

(2) Number of sanitation facilities repaired

(3) Number of thematic events implemented at

the schools

(4) % of school children that improved their

hygiene related knowledge and behaviour at
the end of the project

Output
Output 4: (1) % of regular timely and comprehensive
Strengthen the administrative, project progress reports from GK to MI
technical and management
capacities of the local partner
organization to manage
international institutional
fundings.

(3) Number of quarterly review and planning

meetings conducted

Specific Objective

Performance Indicator

Result 1

Performance Indicator
Definition Baseline Target Data Source

German Federal Foreign Office- Humanitarian Assistanxe (AA)

Out of 3 Health Facility 2 are

fully equiped and 1 needs to be
equipped furthermore (75%)

2000 as per the June 2018
montlyh nutrition screening
database
This is the new Activity, We do
not have any base line yet (0)
Partner Organization las limited
capacity to organize the project
planning, review and
reformulation process.
3 Service provided to
beenficieries to be recorded on
daily, weekly and monthly basis
including all the diferent
services from Health facilities
37000
Nutrotion activities monthly
data
85%
event reports
90% M&E reports, monthly updates,
Interim reports, Budget control
report, procuremwnt plana dn
tarcking, meeting minuets

6500/month on the basis of

current consultation
120250
Monthly data sheet
300 as per the current trend, this
might incresase after the
effective outreach services 5550
Monthly data sheet
117 / month as per the May-
June Monthly tracking report,
This might increase somehow. 2200
Monthly data sheet

0 3
hardcopy and soft copy of
plans
 0 80%
Satff survey

1900 / months as per May-June

data of Nutrition acivities 45000
monthly secrrning data
140 as per the May-June
Referral data from health
facilities
2500

monthly referal data sheet

250 individuals as per May-June
data from Nutrition team
4500

monthly IYCF reporting sheet

Baseline was supposed to taken
from Nutrition sector at the
beginning of the project: update
55% sample survey report of
information now
breastfeeding practice within
the IYCF participating mothers

New Activity for 5 government

schools in host communities

1000

Monthly activity report form field

5
completion report and updates,
photographs

Eevnt reports and photographs

80%

sample survey with school

choldren
50% 90%

monthly updates, interim

reports, even reports
review and planing meeting
0 6
minutes

Donor 2
Frequency Responsible Analysis Reporting Period

Monthly,
Quarterly, Interim Clinic Managers Programme
and Final and Data officer data manager Officer

programme
monthly Nutritionist data manager officer

school health and programme

quaterly nutrition officer data manager officer

Programme
Programme Project Coordinator
quarterly officer (GK) coordinator (GK) (GK)

programme
monthly data officer data manager officer

programme
monthly data officer data manager officer

programme
monthly data officer data manager officer

programme proejct programme

1 time officer cooerdinator coordinator
 programme proejct programme
1 time officer cooerdinator coordinator

programme
monthly nutritionist data manager officer

programme
monthly nutritionist data manager officer

programme
monthly nutritionist data manager officer

programme proejct
1 time nutritionist officer coordinator

school health and programme

monthly hygiene officer data manager officer

school health and programme

anually hygiene officer data manager officer

school health and programme

monthly hygiene officer data manager officer

school health and programme project

2 times hygiene officer officer coordinator
half yearly GK PC PO (MI) PPC MI

yearly GK PC PO - MI PPC - MI
Results

Result 1

1.1

1.1.1
1.1.1.a
1.1.1.b
1.1.2
1.1.3
1.1.4
1.1.5

1.1.6

1.1.7
1.1.8
1.1.9

1.2

1.2.1
1.2.1.1
1.2.1.2
1.2.1.3
1.2.2
1.2.2.1
1.2.2.2
1.2.2.3
1.2.2.4
1.2.2.5
1.2.2.6
1.2.2.7
1.2.2.8
1.2.3
1.2.3.1
1.2.3.2
1.2.3.3
1.2.4
1.2.4.1
1.2.4.2
1.2.4.3
1.2.5
1.2.5.2
1.2.5.3

1.3

1.3.1
1.3.1.a
 1.3.2
1.3.2.a
1.3.3
1.4

1.4.1
1.4.2

1.5
1.5.1
1.5.2
1.5.3
1.5.4

Result 2

2.1.a

2.1.1.a
2.1.2.a
2.1.3.a

2.1.b

2.1.1.b
2.1.2.b

2.2

2.2.1
2.2.1.a
2.2.2
2.2.3
2.2.3.1
2.2.3.2

2.3

2.3.1
2.3.2
2.4
2.4.1
2.4.2
2.4.3
2.4.4
2.4.5
2.4.6

Result 3
 3.1

3.1.a
3.1.a.1
3.1.a.2
3.1.b
3.1.b.1
3.2
3.2.a
3.2.a.1
3.2.a.2
3.2.a.3
3.2.a.4
3.2.b
3.2.b.1
3.2.b.2

3.3

3.3.1

3.3.2

3.4

3.4.a
3.4.a.1
3.4.a.2
3.4.a.3
3.4.a.4
3.4.a.5
3.4.a.6
3.4.a.7
3.4.a.8
3.4.a.9
3.4.a.10
3.4.a.11
3.4.a.12
3.4.b
3.4.b.1

3.4.b.2
3.4.b.3
3.4.b.4

Result 4

4.1

4.1.1
4.1.1.a
 4.1.1.b
4.1.1.c
4.1.1.d
4.1.1.e
4.1.1.f
4.1.1.g
4.1.1.h
4.1.1.i
4.1.1.i
4.1.1.k
4.1.1.l
4.1.1.m
4.1.1.n
4.1.1.o
4.1.1.p
4.1.1.q
4.1.1.r
4.1.1.s
4.1.1.t
4.1.1.u
4.1.1.v
4.1.1.w
4.1.1.x
4.1.1.y
4.1.1.z
4.1.1.aa

4.1.2
4.1.2.a
4.1.2.b
4.1.2.c

4.1.2.d

4.1.2.e
4.1.2.f
4.1.2.g
4.1.2.h
4.1.2.i
4.1.2.j
4.2
4.2.1
4.2.2
4.2.3
4.2.4
4.2.5
4.2.6

4.3
4.3.1
4.3.2
4.3.3
4.3.4
4.3.5
4.3.6
4.3.7
4.3.8

4.4
4.4.1
4.4.2
 Indicators list (taken from the indicators summary)
Provide access to quality medical services and psychosocial support through three fully established
and functionning health posts 6 days a week in three communities of the FDMN Camp in Cox´s Bazar.

Number of patients that are provided with basic health care services delivery and related equipement/
consumables in three Health posts by focusing MNCH, laboratory and emergency services
Total Outpatient Medical Consultations
Outpatient Medical Consultations given to Rohingya Community
Outpatient Medical Consultations given to Host Community
ANC Consultations
PNC Consultations
No. of people received Lab Test
No. of people received Medicine
No of people (PLW, adolecent girls 10-19yrs, children under 5 yrs and old aged people (60+ yrs)) recieved Iron
folic acid and vitamins
No. of people provided with emergency services
No of children vaccinated
No of PLW vaccinated

Number of people that are reached through Community Outreach on Health, Hygiene and MHPSS and
timely transfer / treatment in the health centers, with a focus on pregnant/ breastfeeding women and
malnourished people. (Baseline 6000 people per month)

Community Level Follow Up

ANC Follow Up
PNC Follow Up
Neonatal Follow Up
Identification and Referral
Severe/Chronic diseases
communicable/infectious diseases
ANC
PNC
Neonatal Care
Delivery
EPI
MHPSS
Hygiene Practices
Hand Wash
Nail Cutting
Oral Hygiene(activity not done anymore was stopped Maybe due to logistics purposes by GK management)
Community Surveillance
Morbidity
Mortality
Live Birth
Health &Hygiene Education Sessions
No of Sessions conducted
No of Participants
Number of persons that are taking part in individual or group MHPSS sessions and are referred to
secondary level treatment centres
Individual MHPSS Counselling Sessions
No of people assisted through individual counselling
Group MHPSS Counselling Session
No of people attended group counselling session
No of MHPSS cases referred to secondary level treatment centers
Number of patients that are referred for emergency / SRH cases

No Emergency Cases Reffered

No of SRH Cases reffered

Number of trainings in Emergency Health Prepardness in Health Facilities

Number Training on emergency disaster/health prevention
No. of staff attended training
No of disaster and emergency plan prepared
No of disaster and emergency plan implemented

Provide access to nutritional services for malnourished people by providing screening, referral and
IYCF.

Number of biometric screening for nutritional deficiencies (MUAC and WFH), especially for children 6 to
59 months, PWL and elderly (Health Facility)

Screening children (6-59 months)

Screening PLW
Screening Elderly

Number of biometric screening for nutritional deficiencies (MUAC), especially for children 6 to 59
months, PWL and elderly (Outreach Level)

Screening children (6-59 months)

Screening PLW

Number of IYCF education and counseling sessions for breastfeeding mothers and mothers of children
of up to 2 years children (incl cooking demonstrations )

No of IYCF Education and Counselling sessions

Total Number of people participating in IYCF Counselling Session
No. of Breastfeeding mothers up to 2 yrs of children attended the session (CFD)
Cooking Demonstration sessions and No of People reached
No. of Sessions
No. of Mothers/Caregivers attended the session

Number of referrals of severely under-nourished patients From GK health facility to special nutritional centers.

Children (SAM & MAM) referred to special nutrition centers

PLW referred to special nuturition centres
Outreach Level- Nutrition (Referrals to Health Facility)
IYCF Rapid Assessment using checklist
IYCF cases referred
MAM cases referred
SAM cases referred
No. of Sessions Nutritional Messagening and Awarness
No of people reached by nutritional messagening and awarness
Improve the health, hygiene and nutritional status of the most vulnerable women and children from the host comm
through health, hygiene and nutrition education.
Health and Hygiene awareness Sessions and Distribution of Hygiene Materials in Schools and in the
Community
Health and Hygiene awareness sessions for children at School and in the Community
No. of health & hygiene awareness sessions conducted
No. of students/children participated in health & hygiene awareness sessions
Distribution of Hygiene and Sanitation materials among students/children
No of students/children received hygiene materials in school and community
Children participating in different events in schools and communities
Different events in Schools
No of Thematic Events (Name should be saperate in Narrative part)
No of students actively involved in thematic event
No. of sport events, physical exercise and competition for children and adloescents
No of children and adolescents participated in sport events, physical exercise and competition
Different events in the Community
No. of different learning events for Chilcren in Comunities (Games, competition, other events for children
in communities)
No of Children actively involved/participated in those events
Number of sanitation facilities that are repaired or maintained in 21 schools and community clinics
(15 Schools and 6 Community Clinics)
No. Sanitation facilities repaired in schools, community clinics and public places
No. of Community Clinic & Union Sub Centre, Schools, public places assessed for WASH infrastructure
development

Health and Hygiene awareness sessions and distribution of Hygiene Materials in community

Health and Hygiene awareness Sessions in the Community

No. of health and hygiene awareness Sessions
No. of person participated in the health and hygiene awareness sessions
No. of health and hygiene awareness & practical sessions for the mothers
No. of mothers participated in the health and hygiene awareness & practical sessions
No. of health & hygiene awareness & practical sessions for Adolescent
No. of adolescents participated in health & hygiene awareness & practical sessions
No. of health & hygiene awareness & practical sessions for Children
No. of children participated in health & hygiene awareness & practical sessions
No. of awareness sessions on COVID-19
No. of community people participated in awareness sessions on COVID-19
No. of patients Referred to nearest hospitals/clinics
Screening Children (06-59) Months
Distribution of Health and Hygiene materials in the community
No of mothers and adolescents from poorest vulnerable communities received hygiene materials

No of community Clinics received essential medicines and sanitation items and medical equipment
No of schools received sanitation items and medical equipment
No of saplings distributed to mothers

Strengthen the administrative, technical and management capacities of the local partner
organization to manage international institutional fundings.

Number of trained field staff / volunteers in Health, Hygiene, Nutrition, MHPSS and other related subjects such as c
works, GBV, DRR and safe delivery
Number of Staff Trained on different technical area
Training on Minimum Standards in Humanitarian Respons ( SPHERE Project)
Selected Management Development Skill Training
Training on CMAM TOT
General CH Outreach activitie and general Protection principle
Humanitarian Principle for NGO Sector
Actors Training on site management
Training on Psychological Support and Resource Maping
Training on Cyclon Disaster Management
Procurement Workshop or Cash Advance Guideline
Training on problem to Planning
Training on Office Culure and Behavior
Training on Leaders are not Born
Training on Gender based Healh Focus
Community Based Survellance an EWARS Repoting
Training on WASH FiT
Training on Pschological First-Aid
Training on General First-Aid
Training on Bio-sefety and Handling Infectious Material
Training on Community Facility Strengthening
Training on mhGap
Interpreter Training
Training on Primary Treatment of Eye Disease
Project Cycle maagement Training
Gender Based Violence and Sexual Reproductive Health Training
Microsoft Excel Training
Quick Book Training
Training on viability of trauma Therapy in Bangladesh

No of trained volunteers trained for different thematic issues and mobilizations

Training on Acute Watery Diarrohea (AWD)
Training on School Health & Hygiene for volunteer
Curriculam Development Workshop for School Health & Hygiene Volunteer

Training on Community Volunteers on Facilatation of Health and Hygiene Awareness Session using flip Chart

Basic training CMAM for Volunteer

Curriculam Development Workshop for School Health & Hygiene Volunteer
Volunteer Training ( Thematic and Orientation on Nutrition)
Comprehencive outreach Activities for Volunteers
Fire fighting Trainig
Training on IYCF-E for Volunteer
Number of On- the-Job Training of GK management and support staff in Cox´s Bazar office
OJT for HR Manager on HR systems, procedures and functions
OJT for Project coordination on project management, finance and HR management, coordination and networking
OJT for Programme Officer on reporting, accountability mecanism and production of IEC materials
OJT for Warehouse manager on stock management and dispensing including the cold chain management
OJT for Finance Manager on Budget control and financial management
OJT for Log Manager on procurement planning, trecking and documentation

Number of regular coordination meetings with GK Cox's Bazar and Headquarters

Weekly Meeting
Monthly Meeting
Management Quaterly Meeting
Quarterly Project Review and Planning Meeting
Half Yearly Proejct Review Meeting
Interim Project review and Learning Meeting
Annual Project Meetnig
Staff Retreat and Events

Capacity Building of staff and volunteers engaged for Host Community

No. of Training for Host Community Volunteers and Supervisors.
No. of participants in the Training
y) Oct'18 Nov'18 Dec'18 Jan'19 Feb'19 Mar'19 Apr'19 May'19
established
Focal person
Cox´s Bazar.

equipement/
s 5204 11167 9515 15675 17300 21093 18888 19936
Razak/Shawkat 4089 8492 7225 6531 7404 8852 8044 8804
Razak/Shawkat 6202 7007 8187 7339 8065
Razak/Shawkat 329 397 665 705 739
Razak/Shawkat 223 573 436 535 494 652 455 323
Razak/Shawkat 108 242 184 187 172 248 155 78
Razak/Shawkat 385 1051 943 1032 951 1397 1327 1037
Mahmud/Shawkat 6531 7404 8852 8044 8804
s)) recieved Iron
Mahmud/Shawkat 399 809 727 859 875 1092 863 890

Razak/Shawkat 0 19 80 71 44 59 41 39
Razak/Shawkat
Razak/Shawkat

MHPSS and
women and 0 10788 13209 10241 8580 11918 18915 54208

163 296 276 449 387 521 475 344

Onik/Shawkat 90 181 185 259 271 324 314 246
Onik/Shawkat 49 70 55 96 74 103 75 60
Onik/Shawkat 24 45 36 94 42 94 86 38
182 477 354 571 371 380 394 600
Onik/Shawkat 0 0 0 0 0 0 0 48
Onik/Shawkat 0 0 0 0 0 0 0 336
Onik/Shawkat 81 200 183 323 186 174 215 112
Onik/Shawkat 77 142 135 154 143 112 93 32
Onik/Shawkat 24 135 36 94 42 94 86 7
Onik/Shawkat 0 0 0 0 0 0 0 1
Onik/Shawkat 0 0 0 0 0 0 0 35
Onik/Shawkat 0 0 0 0 0 0 0 29
3710 5757 6849 5102 4448 8480 10376 20367
Onik/Shawkat 1926 3167 3761 2900 2333 4731 5373 11986
Onik/Shawkat 1784 2590 3088 2202 2115 3749 5003 8381
anagement)
0 0 0 0 0 0 0 944
Onik/Shawkat 825
Onik/Shawkat 30
Onik/Shawkat 89
8158 4258 5730 4119 3374 2537 7670 31953
Onik/Shawkat 1269 980 1362 791 466 504 1134 9930
Onik/Shawkat 8158 4258 5730 4119 3374 2537 7670 31953
ferred to
94 136 120 121 78 134 128 123
Razak/Shawkat 67 152 90 135 132 172 170 143
Razak/Shawkat 54 70 67 67 44 90 95 67
 Razak/Shawkat 7 11 8 8 4 6 5 10
Razak/Shawkat 40 66 53 54 34 44 33 56
Razak/Shawkat 2 4 3 0 2 0 0 1
0 35 14 17 22 28 21 25
Razak/Shawkat 30 9 14 22 14 17 25
Razak/Shawkat 5 5 3 0 14 4 0

Dr.Razaak/Shawkat
Dr.Razaak/Shawkat
Dr.Razaak/Shawkat
Dr.Razaak/Shawkat

eferral and

or children 6 to
15738 11803 9093 7869 7908 10317 7387 10586

San/Shawkat 12329 9051 6847 5592 5713 7908 5907 8499

San/Shawkat 2923 2026 1550 1517 1569 1750 1113 1649
San/Shawkat 486 726 696 760 626 659 367 438

n 6 to 59
7654 11077 8397 7109 7282 9658 7020 10148

Onik/Shawkat 6224 9051 6847 5592 5713 7908 5907 8499

Onik/Shawkat 1430 2026 1550 1517 1569 1750 1113 1649

ers of children
862 2816 2408 2262 2056 1172 1660 1820

San/Shawkat 456 1556 1304 1240 1112 1083 886 998

San/Shawkat 406 1260 1104 1022 944 89 774 822
346 837 706 586 725 740 665 683
San/Shawkat 51 145 120 126 127 126 124 123
San/Shawkat 346 837 706 586 725 740 665 683

al nutritional centers. 21 94 55 78 81 82 56 56
San/Shawkat 16 78 45 55 64 73 51 41
San/Shawkat 5 16 10 23 17 9 5 15
149 444 312 339 315 320 205 219
Onik/Shawkat
San/Shawkat 133 366 267 284 251 247 154 166
San/Shawkat 14 73 38 50 62 70 45 44
San/Shawkat 2 5 7 5 2 3 6 9
San/Shawkat
Onik/Shawkat 4403 8023 5899 5342 5083 3116 7005 24370
dren from the host communities
s and in the

Zafar/Shawkat 25 75
Zafar/Shawkat 1100 1410

Zafar/Shawkat

Zafar/Shawkat
Zafar/Shawkat 1 0
Zafar/Shawkat 1500 0
Zafar/Shawkat 0 0

children
Zafar/Shawkat
Zafar/Shawkat
nity clinics

Zafar/Shawkat
tructure
Zafar/Shawkat

nity

Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat

s Zafar/Shawkat

ent Zafar/Shawkat
Zafar/Shawkat
Zafar/Shawkat

related subjects such as community

1 26 2 2 24 19 7 77
10
 15 1
2
1 1 2
1
1
2
3
10
10
11
25
27
2
3
1
1

3
2
1
3

2
15
3
2

0 0 0 180 20 5 60 70
60 5
5
5
sing flip Chart

60
60

60
20
60

n and networking
Zafar/Shawkat
Zafar/Shawkat
Jun'19 Jul'19 Aug'19 Sep'19 Oct'19 Nov'19 Dec'19 Jan'20 Feb'20 Mar'20

19934 19159 19948 23608 22831 29767 20357 31846 24802 16840
8743 8356 8575 10091 9792 12400 8584 13579 10194 6888
8194 7644 8098 9550 9251 11698 8066 12822 9547 6408
549 712 477 541 541 702 518 757 647 480
471 392 489 391 484 450 399 715 620 498
148 118 137 115 143 170 128 216 138 83
1123 1234 1567 1584 1428 2092 1224 2056 1633 1094
8743 8356 8575 10091 9792 13197 9000 13579 10781 7335
706 703 605 1336 1192 1458 1022 1701 1436 942
30 27 37 117 182 268 260 264 182 102

43855 44401 38079 29486 31096 36604 17697 25266 12447 17154

198 222 315 368 397 305 167 222 102 231
130 160 171 248 271 187 80 134 54 170
34 43 106 64 75 71 44 54 28 37
34 19 38 56 51 47 43 34 20 24
897 1316 712 1151 1238 870 539 633 534 748
39 58 102 343 357 222 147 129 179 103
528 860 196 219 270 77 53 25 37 97
171 204 190 291 286 201 94 169 73 183
25 62 100 78 96 131 64 70 35 43
9 23 41 61 49 45 40 32 20 27
3 1 0 1 0 3 2 2 2 0
28 11 24 39 35 35 26 53 57 188
94 97 59 119 145 156 113 153 131 107
16034 17599 17853 14160 15104 17342 8488 11786 5437 7715
9098 10230 10575 8040 9128 10523 5242 7196 3233 5812
6936 7369 7278 6120 5976 6819 3246 4590 2204 1903

669 1457 629 551 537 423 199 489 801 1768
626 1415 504 465 454 326 123 404 761 1721
4 4 15 10 8 8 2 9 9 2
39 38 110 76 75 89 74 76 31 45
26057 23807 18570 13256 13820 17664 8304 12136 5573 6692
8304 8505 6428 5357 6623 7720 3533 5094 2400 2986
26057 23807 18570 13256 13820 17664 8304 12136 5573 6692
99 122 112 191 135 194 90 174 124 78
125 146 122 229 128 274 156 234 201 147
68 91 84 137 100 148 68 114 89 56
 5 5 4 11 7 9 5 13 8 5
31 31 28 54 35 46 22 60 35 22
2 2 1 4 5 8 3 0 0 3
14 36 59 43 81 146 100 101 100 93
14 36 49 30 55 104 79 43 44 58
0 0 10 13 26 42 21 58 56 35

7908 8407 6753 7029 2111 3413 2364 3539 2571 1850

6360 6808 5167 5519 1125 1784 1190 1819 1336 994
1220 1302 1225 1011 518 764 589 936 656 492
328 297 361 499 468 865 585 784 579 364

7580 8120 7104 6530 6278 6546 4793 5347 4325 3982

6360 6818 5879 5519 5534 5690 4173 4649 3763 3492
1220 1302 1225 1011 744 856 620 698 562 490

1176 1421 1589 1510 1228 1826 2008 2179 1590 1187

658 869 938 842 677 1141 1543 1246 935 691
518 552 651 668 551 685 465 933 655 496
579 700 675 782 768 1000 794 1065 796 471
103 118 120 136 127 173 132 176 138 90
579 700 675 782 768 1000 794 1065 796 471

21 43 32 63 50 34 12 40 31 13
19 36 28 59 50 32 11 38 26 10
2 7 4 4 0 2 1 2 5 3
119 205 198 125 170 181 59 1167 944 768

114 178 191 87 139 175 52 1060 858 709

5 15 6 28 28 5 4 107 85 57
0 12 1 10 3 1 3 0 1 2
3365 3415 4997 2120 2822 2288 2353
20268 21533 17946 7817 7165 12213 5030 6667 5473 5498
 25 80 50 92 86 0 0 0 6 25
1500 1705 1300 3668 2702 0 0 0 294 1250

0 0 0 1 1
0 0 0 1300 992
0 5 17 336 201
125 400 6794 4110

10

3 2 7

222 484
2106 3388
145
1050

330
996
25

8 0 0 0 0 0 0 0 0 0
 8

60 60 0 0 0 0 0 0 0 0

60

60
 1 1
13 11
Apr'20 May'20 June'20 July'20 August'20 September'20 October'20

1704 3011 4164 8189 11378 18633 22373

722 1234 1587 3119 4466 7388 9029
582 1103 1408 2909 4220 6972 8544
140 131 179 210 246 416 485
43 77 199 393 467 485 616
0 11 57 86 84 88 102
114 227 271 561 786 1102 1244
768 1306 1747 3493 4911 8356 9631
57 156 303 537 664 773 1091
9 5 10 24 66 77 122
253 378
111 160

22140 14424 17561 23890 14739 17936 22340

0 36 160 215 185 234 335

0 18 78 119 114 162 211
0 13 52 63 42 35 59
0 5 30 33 29 37 65
0 60 317 449 688 1186 1322
0 16 87 91 80 154 132
0 5 16 65 90 105 108
0 18 98 136 158 196 255
0 13 53 64 47 45 81
0 5 28 28 29 37 77
0 0 0 2 2 2 5
0 3 35 61 256 621 651
0 0 0 2 26 26 13
0 509 0 0 0 0 0
0 464 0 0 0 0 0
0 45 0 0 0 0 0

0 1250 1544 2239 1608 2133 2708

0 1235 1495 2187 1559 2061 2610
0 2 4 6 6 7 8
0 13 45 46 43 65 90
22140 12569 15540 20987 12258 14383 17975
10482 5839 7641 10870 6936 8371 9719
22140 12569 15540 20987 12258 14383 17975

0 18 18 58 191 182 246

0 22 30 97 163 191 163
0 18 18 58 95 95 87
 0 0 0 0 13 13 21
0 0 0 0 96 87 159
0 0 0 0 1 2 4

5 4 17 108 187 250 181

5 4 13 91 167 218 153
0 0 4 17 20 32 28

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 162 480 923 1765 1649 1371

0 105 308 526 962 889 716

0 57 172 397 803 760 655
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 103 0 74 40

0 0 0 103 0 74 40
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10482 5839 7641 10870 6936 8371 9719
22140 12569 15540 20987 11855 14383 17975
 0 0 0
0 0 0

291 625 1087 643 1831 2121

1539 3637 5594 2220 5169 6212
220 95 70 419 643 735 893
641 171 153 575 2220 2550 3297
56 225 538 779 476 563 582
134 788 3304 2815 1123 1208 1345
538 913 518 563 646
3304 5133 1358 1411 1570
653 507 709 1179 606 671 801
3088 2890 3859 6171 4133 4483 5540
32 46 75 113 176 369 168
0 0 0 0 0

300 7644 6142 5843 509 4110 3879

7 0 0 7 0 0 0

0
 9

29
November'20 December'20 January'21 February'21 March'21 Total

21233 26438 21586 19227 464993

8692 11131 8538 7528 220077
8259 10449 8021 6971 187516
433 682 517 464 12662
494 654 585 550 13163
112 101 104 99 3614
1024 1263 1229 1237 32216
9172 11666 9109 8041 190134

888 1206 1056 1012 23290

202 158 149 179 2823

488 206 650 528 2503
161 53 166 146 797

20754 25665 23414 18504 1029778

276 415 408 342 0 8044

199 310 287 226 5199
41 56 63 73 1635
36 49 58 43 1210
1028 1454 1488 1348 0 19959
63 177 212 204 2943
110 219 153 135 3704
223 356 346 265 3497
50 70 75 76 2166
34 50 54 42 1249
6 9 14 27 82
533 565 627 596 4479
9 8 7 3 1297
0 0 0 0 0 197116
0 0 0 0 111766
0 0 0 0 81398
0 0
2209 3009 2881 2320 0 30368
2139 2914 2797 2255 28876
9 12 13 4 172
61 83 71 61 1320
17241 20787 18637 14494 774291
8328 10212 8189 6922 166895
17241 20787 18637 14494 400689

122 197 231 159 0 206707

128 192 219 170 4028
68 87 112 67 2147
 14 19 19 15 200532
54 110 119 92 198177
7 4 6 2 64

150 209 245 250 0 2291

131 181 208 211 195822

19 28 37 39 516
0
0 195306
1 0 0 195286
20 0 0 20
0 0 0
0 0 195266
0

0 0 0 1526 195266

0 0 0 1066 162108
0 0 0 460 23270
0 0 0 0 9888

0 0 0 0 0 128950

0 0 0 0 107618
0 0 0 0 21332

979 1499 1096 1197 40694

613 823 619 663 24399

366 676 477 534 17492
0 0 0 0 12918
0 0 0 0 2255
0 0 0 0 12918
0 0 0 20 862
0 0 0 19 732
0 0 0 1 130
81 116 6653

81 116 101 65 6011

0 0 0 0 736
0 0 0 0 72
8328 10324 8187 3762 111819
17241 21008 17342 8130 352021
 0 0
0 0

0 0

0 0
0 0
0 0
0 0

0 0
0 0

0 0

0 0

2113 1961 2265 2008

7573 8110 8948 6831
895 1046 954 851
3585 4381 4257 3463
626 629 641 544
1947 2469 2407 1626
592 796 670 613
2041 2469 2284 1742
856 953 847 733
6642 7549 6926 6190
132 140 83 57
0 0 0

4586 1939 2893 4250

0 7 0 0
0 0
0 0

0 0

0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
36 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Percentage Yearly achievement

0
 M&E Tool-MI
INDICATOR
Number of patients that are provided with basic health care services
1.1 delivery and related equipement/ consumables in three Health posts
by focusing MNCH, laboratory and emergency services
1.1.1 Total Outpatient Medical Consultations
1.1.1.a Outpatient Medical Consultations given to Rohingya Community
1.1.1.b Outpatient Medical Consultations given to Host Community
1.1.2 ANC Consultations
1.1.3 PNC Consultations
1.1.4 No. of people received Lab Test
1.1.5 No. of people received Medicine
No of people (PLW, adolecent girls 10-19yrs, children under 5 yrs and old
1.1.6
aged people (60+ yrs)) recieved Iron folic acid and vitamins
1.1.7 No. of people provided with emergency services
Number of people that are reached through Community Outreach on
Health, Hygiene and MHPSS and timely transfer / treatment in the health
1.2
centers, with a focus on pregnant/ breastfeeding women and malnourished
people. (Baseline 6000 people per month)
Page 46 of 53
CASE DEFINITION
All patients treated as outpatient(excluding routine SRH consultations
that don’t need treatment for other illnesses ANC/PNC)
All Rohingya patients treated as outpatient(excluding routine SRH
consultations that don’t need treatment for other illnesses ANC/PNC)
All Host community patients treated as outpatient(excluding SRH
consultations that don’t need treatment for other illnesses)
All pregnant women receiving routine ANC care in the HP
(NEW+FOLLOW UP) NB:Pregnant women coming for medical
care(sick) should not be included here count as OPD
All PNC cases received care in the HP (NEW+FOLLOW UP) NB:Sick
PNC women that need medical consultation should be recorded in
OPD consultations.
No.individual people who got lab tests.
No.individual people who got medicine.
Total PLW,adolescent girl 10-19,children<5yrs,ederly >60yrs receiving
iron folic,Calcium,Ascorbic acid and Vit B complex.
NB:If adolescent girl 10-19yrs is pregnant or lactating count
once only under adolescent.
No.of individuals treated in emergency room for life threateing
conditions.
 1.2.1 Community Level follow up NB:All community SRH follow ups are only to check if any problems
and refer including updates on vacination for babies and refer.
No.pregnant women visited at household level due for routine ANC
1.2.1.1 ANC Follow Up
follow up visit and sent to health facility.

1.2.1.2 PNC Follow Up No.postnatal women visited at household level due for routine PNC
follow up visit and sent to health facility

1.2.1.3 Neonatal Follow Up No.babies 0-7days old visited at household level and refered to health
facility for newborn care.
1.2.2 Identification and Referral

1.2.2.1 Severe/Chronic diseases Diabetis,Hypetension,Asthma/NCD

Fever+sore throat,fever+rash+fatigue,yellow discolouration of
1.2.2.2 communicable /Infectious diseases
skin,AWD
1.2.2.3 ANC No.pregnant women refered to HP from community.
1.2.2.4 PNC No.postnatal women refered to HP from community.
1.2.2.5 Neonatal Care No.babies 0-7days old refered to HP from community.
1.2.2.6 Delivery No.pregnant women in labour send to health facility for delivery.
1.2.2.7 EPI No.children sent to health facility for vaccination.
1.2.2.8 MHPSS No.patients sent to HP for MHPSS services.
1.2.3 Hygiene practices

1.2.3.1 Hand Wash No.individuals receiving handwashing services/attending handwashing

demonstarion sessions.
1.2.3.2 Nail Cutting No.individuals receiving nail cutting services.
1.2.4 Community Surveillance

1.2.4.1 Morbidity No.any sick individual in the household during visit.

1.2.4.2 Mortality No.any dead individual in the last 2weeks in the household.

1.2.4.3 Live Birth No.any birth of alive baby(in the health facility or at home) in the last 2
weeks within the house hold.

Page 47 of 53
 1.2.5 Health &Hygiene Education Sessions

1.2.5.2 No of Sessions conducted Total number of sessions conducted.

1.2.5.3 No of Participants Total number of individuals who attended total sessions.

Number of persons that are taking part in individual or group MHPSS

1.3
sessions and are referred to secondary level treatment centres

1.3.1 Individual MHPSS Counselling Sessions

Total number of individuals attended one on one counselling sessions.
1.3.1.a No of people assisted through individual counselling Total number of Individuals assisted through one on one sessions.

1.3.2 Group MHPSS Counselling Session Total number of group counselling sessions in facility and
community(include family/couple sessions).
1.3.2.a No of people attended group counselling session Total number of individuals who attended total sessions.

1.3.3 No of MHPSS cases referred to secondary level treatment centers Total number of all cases refered for further care (include all referals
for other services related to MHPSS e.g. protection)
1.4 Number of patients that are referred for emergency / SRH cases

1.4.1 No Emergency Cases Reffered No.individuals refered for medical or surgical care.
1.4.2 No of SRH Cases reffered No.Individuals refered for obtetric or gynae care.
Number of trainings in Emergency Health Prepardness in Health
1.5
Facilities

1.5.1 Number Training on emergency disaster/health prevention No.training conducted in preparation for health or natural
disaster(include facility strengthening trainings).

1.5.2 No. of staff attended training No.staff that attended training on health natural disaster
prevention/mitigation(include facility strenghthening training).
1.5.3 No of disaster and emergency plan prepared No.drafted emergency preparedness plans.
1.5.4 No of disaster and emergency plan implemented No.emergecy preparedness plans implemented.

Page 48 of 53
 Provide access to nutritional services for malnourished people by providing
Result 2
screening, referral and IYCF.
Number of biometric screening for nutritional deficiencies (MUAC,Z- Total Individuals screened (MUAC,Z-SCORE,BMI) in health facility
2.1.a score and WFH), especially for children 6 to 59 months, PWL and NB:If one child receives both MUAC and Zscore count as one
elderly (Health Facility) screening

2.1.1.a Screening children (6-59 months) Total children screened (MUAC+Z-SCORE) NB:If
one child receives both MUAC and Zscore count as one screening
2.1.2.a Screening PLW Total pregnant and lactating women screened.
2.1.3.a Screening Elderly Total elderly >60yrs screened in facility.
Number of biometric screening for nutritional deficiencies (MUAC)
2.1.b especially for children 6 to 59 months, PWL and elderly (Outreach
Level)
2.1.1.b Screening children (6-59 months) Total children screened at community level (MUAC)
2.1.2.b Screening PLW Total pregnant and lactating women screened at community level
Number of IYCF education and counseling sessions for breastfeeding
2.2 mothers of children of up to 2 years children (incl cooking
demonstrations )

2.2.1 IYCF Education and Counselling sessions
Total Number of people participating in IYCF Education and Counselling
2.2.1.a
Session
2.2.2 No. of Breastfeeding mothers up to 2 yrs of children attended the session
2.2.3 Cooking Demonstration sessions and No of People reached
Total IYCF Education and Counselling sessions done in facility level
by IYCF counsellor
Total no.people attending IYCF eductation and counselling sessions
in facility level by counsellor
No.lactating women with children upto 2yrs attending IYCF education
and counselling sessions in facility level by counsellor.

Page 49 of 53

2.2.3.1 Sessions
2.2.3.2 Mothers/Caregivers attended the session
Number of referrals of severely under-nourished patients from GK
2.3
health facility to special nutritional centers.
2.3.1 Children (SAM & MAM) referred to special nutrition centers
2.3.2 PWL referred to special nuturition centres
Outreach Level- Nutrition (Referrals from community to GK Health
2.4
Facility)
2.4.1 IYCF Rapid Assessment using checklist
2.4.2 IYCF cases referred
2.4.3 MAM cases referred
2.4.4 SAM cases referred
2.4.5 No. of Sessions Nutritional Messagening and Awarness
2.4.6 No of people reached by nutritional messagening and awarness
Total cooking demonstration and education sessions done at facility
level by cooking demonstrator.
Total individuals (mothers and caregivers) that attended CFD sessions
at facility.
Total children <5yrs with SAM+MAM refered from GK facility to other
nutrition centres for malnutrition treatment.(Get data from nutrition
data tool on children referals).
Total malnourished PLW refered from GK facility to other nutrition
centres for malnutrition treatment.(Get data from nutrition data tool
PLW referals)
Total screening using checklists done in the field for IYCF rapid
assessment
Total no.children refered to HP after rapid assessment
Total no.MAM children refered to GK health facility for further
screening from community. (Get data from outreach data tool)
Total no.SAM children refered to GK health facility for further
screening from community. (Get data from outreach data tool)
No.nutrition key messaging sessions
No.individuals attending the nutrition key messaging sessions

Page 50 of 53
Facility Name:
Month/Year Reporter
vitamin B Multiple
No.Persons received Iron folic complex Calcium Ascorbic Acid drugs
PLW 1
Adolecents 10-19yrs 1
Children <5yrs 1
Elderly >60yrs
Total 0 0 1 0 2

Total number of
persons that received
Iron folic+vitamins
1.1.6 3

Total no. of people

received Medicine

Note below: 1.
count number of persons not number of drugs given 2.If
adolescent girl 10-19yrs is pregnant or lactating count once only under
adolescent. 3.If an
individual receives more than one drug count as only one person under multiple
drugs.
 WEEK WK-36 WK-37 WK-38
Facility Name:

Month/Year September 2019

Group Iron folic/Vitamins, Calcium, Ascorbic Acid(1

PLW 103 68 129

Adolecents 10-19yrs 96 74 89

Children <5yrs 42 12 27

Elderly >60yrs 135 96 124

Total number of persons that received Iron

376 250 369
folic+vitamins, Calcium, Ascorbic Acid(1.1.6)

Total no. of people who received Medicine all

2610 2384 2613
medicine

Note below: 1. count number of persons not number of drugs given

2.If adolescent girl 10-19yrs is pregnant or lactating count once only under adolescent.
3.If an individual receives any vitamin (Iron folic,Vitamin B complex,Calcium,Ascorbic Acid) Ta
 WK-39 Total(monthly)

2019

Calcium, Ascorbic Acid(1.1.6)

107 407

74 333

24 105

136 491

341 1336

2737 10344

n
nt.
mplex,Calcium,Ascorbic Acid) Tally once.