Form A - District Level Summary - Excel Version

Medium	Form
Description	This form is filled out each month and after each polio immunization round by the district mobilization coordinator (DMC) on a computer, summarizing the information provided in form B by the block mobilization coordinators. It is a snapshot of the social mobilization activities in the district; the number of CMCs and BMCs, the number of children in the target age group, the number of vaccine refusals and the reasons, interpersonal communication work done, polio classes held in schools, details of mosque announcements, routine immunization sessions scheduled, training conducted and meetings attended. The form is sent to the state office, where it is analyzed, and presented back to the district in the form of a district profile and a power point presentation. It allows the DMC to assess the quality of the communication work done, and areas in need of improvement.
Language(s)	English
Details	14 pages
Date Created	2004
Categories	Forms & Tables, Monitoring & Evaluation
Office	New Delhi
File Type	XLS
File Size	2.09 MB