Date of Reporting Update:
Select Name of the Facility
1. Has a micro-plan been developed at this level? Tick "YES" if you observe a copy of the micro-plan and the plan clearly addresses the target populations, vaccine requirements, personnel, transport, cold chain, injection safety and waste management plan
2. Has a detailed Payam map showing the vaccination posts been developed at this level? Tick "YES" if you observe a copy of the detailed Payam map showing all vaccination posts, catchment areas, all settlements and schools
3. Has a detailed vaccination post daily implementation plan been developed at this level? Tick "YES" if you observe a copy of the detailed vaccination post daily implementation plan
4. Is this level up to date in the implementation of planned activities? Review the micro-plan with the Focal Person at this level to see if planned activities have been or are being implemented as planned. Tick "YES" if you are convinced that activities are being implemented as scheduled
5. Have adequate arrangements been made for covering schools, hard to reach areas and special populations or groups such as POCs, IDPs, Cattle Camps, nomads, etc.? Each level is expected to identify hard to reach areas and special populations and plan specially for them. Tick "YES" if you are satisfied that this level has identified hard to reach areas and populations and that plans are in place to ensure that they are adequately covered during the campaign
6. Is there an effective inter-sectoral coordination mechanism at this level? Each level is expected to hold regular inter-sectoral meetings (must include Education and Community Development) to coordinate planning and implementation of the campaign. Tick "YES" if you observe a copy of the minutes, attendance, pictures, etc. of such meeting held not later than 1 month ago
7. Have all required funds been made available to this level? Tick "YES" if after a review of the micro-plan budget, the Focal Person at this level confirms that all required funds have been received.
8. Has this level secured all the personnel needed for the measles follow up campaign? And is the list available? Tick "YES" if you observe the list of all identified – 1 Supervisor for 3 vaccination teams, 2 Health Workers as Vaccinators, 2 Recorders, and 1 Mobilizer/Crowd Controller.
9. Have the personnel at this level been trained for the measles follow up Campaign? Tick "YES" if you observe records confirming training of all the personnel for the campaign
10. Has an operation unit been set up for this campaign at this level? State and County levels must have an operation team to coordinate preparation; implementation and daily feedback for the campaign. Tick "YES" if you are convinced that the operation team has been established.
