GAVI COVID 19 Audit C

Roll out
Hard Copy Soft Copy
S.no Document Type Yes No Yes
1 Available Micro plan at PHCU,woreda ,zonal and regional level 1
2 TOR for TWG should be available
3 TWG Meeting Minutes document
4 COVID 19 Budget Proposal document
5 Financial Break down,utilization and liquidation document
Totall 1 0 0
Human Resource and Capacity Building Training

6 COVID 19 training material (Regional,zonal,& woreda level) 1

7 Training Proposal & reports with particpants list for each round 1
8 Recruitment process document of COVAX TAs (Regional level) 1
Total 3
Guidelines
9 The regional customized NDVP
COVID 19 Vaccination letters & guidance shared from region to zones,
10 zones to woredas,& woredas to HCs
11 Standard Operating Procedures
Total
Advocacy,social mobilization & Communication

12 COVID 19 communication materials prepared,distributed & utilized

13 Communication activity report for all rounds
Total
Monitoring & Evaluation
COVID Vaccination report available for all rounds (Google sheet and
14 hard copy report)
Covid 19 vaccination performance analysis feed back provided for all
15 rounds
16 Admin reports submitted to the next higher level for all rounds

17 Technical reports submitted to the next higher level

18 AEFI reports submitted in each round
19 Copy AEFI line list submitted to higher level
20 Minute of review meeting at the end of each round
List of participants attended Review meeting after each round of
21 campaign
22 Presentation of Review meeting for each round
 Supportive supervision plan, Supportive supervision completed
23 Checklist ,Feed back and action plan prepared in each round
24 Supportive supervison conducted
25 Feed back and action plan prepared for each ss conducted
26 ODK findings report for R2 and R3

27 Supportive supervision feed back received from next higher level

28 Supportive supervision feed back given to lower level
29 COVID 19 vaccination data management SOP available?
Completed and blank daily reporting format available at woreda &
30 PHCU level
COVID 19 Vaccination the Standard registration and tally sheet
31 available at PHCU level

32 Tally sheet and Registration separately documented for each round

Does the report and tally sheet /register matches for each round? First
Complete Data quality assesment sheet for each round of roll out and
33 check if it matches

Does the vaccine adiministered less than the vaccine recieved? First
34 complete vaccine utilization sheet and compare and take action
35 Admin data on google sheet entered on DHIS2
Data entered on DHIS 2 matches on google sheet? Compare data on
36 google sheet and DHIS2 and confirm
Total
I COVID 19 Audit Checklist
Roll out R1 Campaign R2 Campaign R3 Campaign Status of document pr
Soft Copy Hard Copy Soft copy Hard Copy Soft Copy Hard Copy Soft Copy
No Yes No Yes No Yes No Yes No Yes No YesNo expected
1 1 1 1 8
8
8
8
8
0 1 0 1 0 1 0 0 0 1 0 0 0 40

8
8
24

8
8
24

8
8
16

8
8

8
8
8
8

8
8
8
8
8
8

8
8
8

8
8

8
184
Status of document prepared

Available Percent
3 37.5
 GAVI COVI 19 Vaccination Checklist
s.n COVID 19 Vaccines stock management and storage
Is a COVID 19 vaccine stock register/Vaccine ledger book available?
1
If Q1 yes, is a vaccine stock register/stock card updated ? (The record of 4 types of antigens, ) .Does it reco
(Complete ledger data accuracy sheet and check it) (Woreda ,HC and Health post level)
2
Are all the COVID 19 vaccines received from EPSA recorded on vaccine ledger book (Complete reconcilin
3 EPSA sheet and check it)
4 Is Fridge tags and tempreture recording tools available and update?
5 Are COVID vaccines stored at recommended tempreture if available in the store

6 Are there guidelines or job aids (should be on the wall) to ensure good storage conditions of COVID 19 Va
7 SOP of COVID 19 vaccines Waste managemen available at woreda?
8 Confirm if the Woreda has proper waste handling and storage materials like Safety boxes, Biohazard bags

9 Are damaged and expired COVID 19 vaccines registered and documented?

10 Vaccine utilization data properly recorded in standard format and documented in all rounds of campaign?
11 If Yes ,AZ Vaccine received doses______ Adiministered________

12 Johnson and Johons Received____________ Adiministered_________

13 Pfizer Received____________ Adiministered_________

14 Sino pharm Received____________ Adiministered_________

16 Does the EPI focals knows How to Handle COVID 19 Vaccines?

17 Did the Covid 19 Vaccines received and issued correctly registered on Model 19 & 22?

18 Did the Woreda/HC Conduct Monthly Physical count and update on Ledger book?

21 Did the Woreda/HC registred Covid 19 Vaccines Expired/Damaged with full information and properly filed?

22 Was Wastage rate of Covid 19 Vaccines Monitored regularly?

Did the Woreda/HC register Covid 19 Vaccines status during receiving from EPSA(Qty,BN,ED,VVM,Tempratur
23 it?
 GAVI COVI 19 Vaccination Checklist
orage Yes (1) No(0) Remark
available?

(The record of 4 types of antigens, ) .Does it reconcile ?

da ,HC and Health post level)

ded on vaccine ledger book (Complete reconciling Qty issue from

d update?
f available in the store

ensure good storage conditions of COVID 19 Vaccines?

t woreda?
rage materials like Safety boxes, Biohazard bags

nd documented?
mat and documented in all rounds of campaign?
Adiministered________

stered_________

stered_________

stered_________

cines?

tered on Model 19 & 22?

date on Ledger book?

maged with full information and properly filed?

?
receiving from EPSA(Qty,BN,ED,VVM,Temprature) & properly file
Check COVID 19 vaccines accurately recorded on Vaccines Ledger Book
If the ending Balance match to Balance found by physical count , the ledger record is accur

Vaccine Type: ___________________

Date Qty received (dosesQty Returned(DosesQty Issued (doses)
accines Ledger Book
unt , the ledger record is accurate. Other wise; it needs to recheck and correct it ASAP

With drawn/Disacrded (Doses) Balance (Doses)

0 500
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
 Record the receipts from EPSA Hub in the table below
All Covid 19 vaccines issued from EPSA Hubs should match to Vaccine received on the Le
If there is variance it should be corrected and Written Justification document should be ava

Checked at woreda store level

EPSA-HUB Delivery

Delivery Record

Vaccine Type Unit of measurement

Date Document No. Batch No.

Astrazeneca Vaccine As per presentation

Johnson & Johnson (I Vial= 5 doses)

Pfizer Vaccine (1 Vial = 6 doses)

Sinopharm As per presentation

below
ne received on the Ledger Book
ument should be available

Checked at Health Center store

at woreda store level level
ry Woreda Woreda HC

Stock Ledger VARIANCE Stock Stock VARIANCE

Ledger Ledger
Stock Ledger Quantity Stock Stock Quantity
Quantity received Ledger Ledger
Quantity Quantity
Issued received
Quantity Date
100 50 -50 50 50
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
 Checked at Health Post level
HC HP

Stock Ledger Stock Ledger VARIANCE

Stock Ledger Stock Ledger Quantity

Quantity Issued Quantity
Received

Date
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
 Roll out/R1/R2/R3 COVID 19 vaccination

Vaccine

Vaccine received Usable stock on hand

Antigens (doses) (dose) Used dose
Pfizer
Janssen & Janssen
Sinopharm
Astrazeneca
Total
2/R3 COVID 19 vaccination

Vaccine Utilization

Unopenned Vial wastage

Damaged By
tempreture excursion Breakage Expired Open vial wasted Total dose wasted
COVID 19 Vaccination data quality assessment sheet at HC and HP

AZ adiministered report
Name of zone Name of woreda Name of HC/HP submitted from HC/HP
t sheet at HC and HP

AZ adiministered
AZ adiministered count count from tally Variance(AZ Report-AZ Variance(AZ Report-AZ
from Register at HC/HP sheet at HC/HP Register) )tally sheet
#REF! #REF!
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
 Roll out phase/R1/R2

JJ adiministered JJ adiministered
report submitted count from Register Variance (Report-
Variance(Repo
from HC/HP at HC/HP Register) rt-Tally sheet) Variance
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Roll out phase/R1/R2/R3 Campaign

Pfizer Pfizer
Pfizer adiministered adiministered adiministered Variance
report submitted at count from tally count Register at (Report-
HC/HP sheet at HC/HP HC/HP Registration)
Variance(Report-Tally
sheet)
Sinopharm adiministered Sinopharm adiministered Sinopharm adiministered
report submitted at count from Register at count from Register at
HC/HP HC/HP HC/HP
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Variance (Report- Variance(Report-
Register) Tally sheet)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 COVID 19 Vac

Total AZ vaccine
Name of zone Name of woreda Name of HC/HP received (doses)

Check if the vaccine received doses is greater than doses adiministered. If the doses of vaccine rece
 COVID 19 Vaccination data quality assessment for received vs ad
Roll out phase/R1/R2/R3 Campa

Total AZ vaccine Total JJ vaccine Total JJ

adiministered Variance received adiministered Variance
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

diministered. If the doses of vaccine received is less than doses of vaccine adiministered , check for transfer o
or received vs adiministered
t phase/R1/R2/R3 Campaign

Total doses of Total doses of

Pfizer vaccine Total Pfizer doses Sinopharm vaccine
received adiministered Variance received
0
0
0
0
0
0
0
0
0
0
0
0
0
0

ed , check for transfer of vaccine from other woredas or additional vaccine received not recorded on the ledg
 Total doses of
Sinopharm
adiministered Variance
0
0
0
0
0
0
0
0
0
0
0
0
0
0

ne received not recorded on the ledger book

 Data from
COVAC first dose COVAC second dose COVAC Booster
Name of woreda Astrazeneca Astrazeneca dose Astrazeneca
 Comparing Googl
Roll out/R1/R2/R3
Data from Google sheet
COVAC first COVAC COVAC second COVAC
dose Johnson & Booster dose COVAC first dose COVAC Booster first dose
Johnson JJ dose sinopharm Sinopharm dose Sinopharm Pfizer
Comparing Google sheet Data vs DHIS 2 Data

COVAC second COVAC Booster COVAC first dose COVAC second COVAC Booster
dose Pfizer dose Pfizer Astrazeneca dose Astrazeneca dose Astrazeneca
 Data from DHIS2
COVAC
COVAC first dose COVAC COVAC first second dose COVAC Booster
Johnson & Johnson Booster dose JJ dose sinopharm Sinopharm dose Sinopharm
 COVAC COVAC
COVAC first second dose Booster dose
dose Pfizer Pfizer Pfizer
 Operation Bu

Letterof budget
transfer sent from
Name of Budget transferred Bureau Budget proposal
Name of zone zones/Towns/Woreda (ETB) Yes No yes
 Operation Budget Utilization and liquidation

Attendance for
Budget Breakdown for training/review
Budget proposal woreda Activity report meeting Utilized Liquidate
No yes no yes No Yes No yes No yes
Liquidate If "yes",percent of
No liquidated
 Letterof budget Communication Budg
transfer sent from
Name of Budget transferred Bureau Budget proposal
Name of zone zones/Towns/Woreda (ETB) Yes No yes
 Communication Budget Budget Utilization and liquidation Attendance for
Budget Breakdown for training/review
Budget proposal woreda Activity report meeting Utilized Liquidate
No yes no yes No Yes No yes No yes
Liquidate If "yes",percent of
No liquidated
 Action Plans for identified problems

s.n Thematic Area Major problem idnetified

 Action Plans for identified problems

Action Points Responsible person Time frame