esurv.afro.who.int

Submission Time

start

end

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Date

Round

Select Name of Country:

Select Name of State:

Select Name of County:

Select Name of the Facility

Enter number of Payams you want to report for today:

Target Population: Residents

Target Population: IDPs/Refugees

Number of Teams in Payam

Number of Teams Reporting

Number of Children 6 – 11 Months Vaccinated

Number of Children 12 – 59 Months Vaccinated

Vaccine Used (Vials)

Diluents Used (Vials)

Minor AEFIs