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  • FMVs Monthly Report Format

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    Pari Sedna
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    This document provides vaccination and health services data from female mobilizers and vaccinators at health facilities in an unnamed province for an unspecified monthly reporting period. The data includes the number of female mobilizers and vaccinators, health education sessions conducted, children receiving various vaccines including OPV, polio, and Penta3, the number of pregnant women receiving TT2+ vaccines, and items distributed including blankets, soap, hygiene kits, clean delivery kits, RUTF, and RUSF. The compiled report was received and signed by a named individual in an unspecified receiving position.

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    This document provides vaccination and health services data from female mobilizers and vaccinators at health facilities in an unnamed province for an unspecified monthly reporting period. The data includes the number of female mobilizers and vaccinators, health education sessions conducted, children receiving various vaccines including OPV, polio, and Penta3, the number of pregnant women receiving TT2+ vaccines, and items distributed including blankets, soap, hygiene kits, clean delivery kits, RUTF, and RUSF. The compiled report was received and signed by a named individual in an unspecified receiving position.

    Copyright:

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

    FMVs Monthly Report Format

    Uploaded by

    Pari Sedna
    This document provides vaccination and health services data from female mobilizers and vaccinators at health facilities in an unnamed province for an unspecified monthly reporting period. The data includes the number of female mobilizers and vaccinators, health education sessions conducted, children receiving various vaccines including OPV, polio, and Penta3, the number of pregnant women receiving TT2+ vaccines, and items distributed including blankets, soap, hygiene kits, clean delivery kits, RUTF, and RUSF. The compiled report was received and signed by a named individual in an unspecified receiving position.

    Copyright:

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

    Health Facilities - Female Vaccinator Monthly

    Province: ------------------------ Reporting Period: Month ------, Year -------


    Reporting Compilation
    Children Pregnant

    No. of Female Mobilisers Vaccinators


    Health Education HF Manager
    RI
    Session OPV/Polio TT Vaccines Blankets Soap Hygiene kits Clean Delivery Kits RUTF RUSF Signature
    Health Facility Name

    Vaccination
    Health Facility Type
    District

    FMVs

    Distributed to women
    Total

    who delivered at HF
    pregnant women in
    # children Received

    # children Received

    # children Received

    # children Received

    # children Received
    Children
    Total Received

    Distributed to
    Children Penta3 / Total

    Participants

    Distributed

    Distributed

    Distributed

    Distributed

    Distributed
    Received OPV3 Pregnant
    Sessions

    ANC4
    OPV by vaccine by Received
    FMV FMVs TT2+

    Date/Signature (Compiled By):


    Received By (Name): ----------------- Receiver Position: ----------------------- Receiver Signature/Date: ---------------------------------
    ---------------------------

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