Typhoid Conjugate Vaccine Catch-up Campaign, Pakistan 2022

Microplan Desk Review Checklist

District: ________________________ Tehsil/Town/Taluka: ____________________________ UC: __________________________

Name of Reviewer: _________________________________ Date of Review: _________________ Total Reviewers: ____________

Sr. Major Component Indicators Assessed (Yes = 1 and No = 0) Score Remarks
1. Background information
2. Human Resource Microplan Form
3. Consolidation Form
4. Vaccine & Logistics Plan
5. List of schools/Madarassa
6. Team Transportation Plan
7. Hard to Reach/High Risk Areas Plan
Availability of
1 8. Social Mobilization Plan
Filled Components
9. Waste Management Plan
10. Supervisors Plan
11. Training Plan
12. UCMO Area Map
13. UCMO Day-wise Maps (12)
14. Team Area Map
15. Team Route Maps (12)
16. Is there a map for the entire UC divided into 12 blocks
17. Is there a map for every block, well defined all types of
boundaries
18. Major landmarks market area, high risk areas, etc
19. Schools, Madarassas
2 UC Map
20. Location of planned outreach sessions
21. Are there daily team route maps for 12 days
22. Is the kit stations well identified on Team Route Map?
23. Is there starting and ending point for Daily ROUTE Map of
SMs of each team
24. Are all columns filled correctly
3 Basic Data Form 25. Are all towns, villages/ mohallahs, targets in schools,
community & kit station included in the Basic Data Form?
26: Are the exact vaccination sites identified
27. Is the work load rational (within parameters; uniform in
Vaccination same type of area for different teams)
4
Session Plan 28. Are all villages/ mohallahs with starting and end points of
area attached to kit station included?
29. Is team support center identified?
Hard to reach & 30. All hard to reach and high risk areas identified?
5
High Risk Area Plan 31. Is the strategy for their coverage identified
32. Mosque identified for announcements
Social Mobilization 33. Plan for vehicle use for announcements
6
plan 34. Are the actvities/contributions have been identified for the
stakeholders?
35. Does vaccination distribution plan show distribution for
7 Vaccine & Logistic each team and all days
36. Is calculation OK? Desk & Field check
Waste 37. Is waste management focal person & responsible person
8
Management Plan identified?
38. Is AEFI focal person identified?
9 AEFI Plan
39. Is contact number of Ambulance driver identified?
40. Is all the required Skilled workers identified and enlisted?
10 HR Plan
41. Is level specific training plan developed?
Total Score
Desk Review percentage
100 % Pass, 90-99% needs improvement and < 90% fail
Signature of Reviewer: _____________________ Submitted To: _____________________