Monitoring Format for State Level RVV Training Assessment - 2019

Name of State: Place of training: Date:

Start time: End time: Duration:
Name of Monitor: Name of Organization: Govt / WHO / UNICEF / UNDP / JSI /Others: ____________________________
Designation:

Name of Facilitator: 1.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 2.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 3.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 4.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 5.
Designation: Regional TOT attended: Yes / No
Name of Facilitator: 6.
Designation: Regional TOT attended: Yes / No

S.No. Questions Responses

Operation Guidelines / FAQ (English) / FAQ (Local

1 Which training material distributed to participants in training ?
language)/ Leaflet

2 What was the mode of presentation? PPT / Discussion / Role Play

3 Whether training sessions were conducted as per standard State training agenda ? Yes / No

4 Whether hands on training with vaccine vial and dropper conducted ? Yes / No

5 Whether Station approach followed during training? Yes / No

6 Were the standard flex for the station approach used in the training? Yes / No

7 Was the session on FAQ interactive? Yes / No

8 Was the Pre-test and Post test conducted? Yes / No

9 Was any National level official present in training ? Specify: Yes / No

10 Was any State level official present in training ? Specify: Yes / No

11 Was the participant feedback collected in the standard format? Yes / No

12 Was the Master Roll/Attendance properly maintained? Yes / No

Remarks :

Type of Participants Expected Actual Type of Participants Expected Actual

DIO/DRCHO Others (please specify) …

District Medical officers

IEC Nodal

State Officers

State NHM Staff

ICDS Representatives
 Monitoring Format for District Level RVV Training Assessment - 2019
Name of State: Name of District: Place of training:

Start time: End time: Duration:

Name of Monitor:
Name of Organization: Govt / WHO / JSI / UNICEF / UNDP/ Others: ____________________________
Designation: Date:

Name of Facilitator: 1.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 2.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 3.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 4.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 5.
Designation: State/Regional TOT attended: Yes / No
Name of Facilitator: 6.
Designation: State/Regional TOT attended: Yes / No

S.No. Questions Responses

1 Which training material distributed to participants in training ? Operation Guidelines / FAQ (English) / FAQ (Local
language)

2 What was the mode of presentation? PPT / Discussion / Role Play

3 Whether training sessions were conducted as per standard District training agenda ? Yes / No

4 Whether hands on training with vaccine vial and droppers conducted ? Yes / No

5 Was the non applicability of open vial policy on RVV stressed upon? Yes / No

6 Was the session on FAQ interactive? Yes / No

7 Whether Station approach followed during training? Yes / No

8 Were the standard flex for the station approach used in the training? Yes / No

9 Was any State level official present in training ? Specify: Yes / No

10 Was the Pre-test and Post test conducted? Yes / No

11 Was the participant feedback collected in the standard format? Yes / No

12 Was the Master Roll/Attendance properly maintained? Yes / No

Remarks :

Type of Participants Expected Actual Type of Participants Expected Actual

Medical Officers District Social Wefare Officer

District Program Manager (NHM) CDPO

District Data Manager ICDS Supervisor

District Cold chain handler District M & E Coordinator (NHM)

District Cold chain technician District Accounts Manager (NHM)

District ASHA Coordinator Others (please specify) …

DPHNO
 Monitoring format for Block Level RVV Training Assessment - 2019
State: Name of District: Name of Block:
Start time: End time: Duration:
Name of Monitor: Name of Organization: Govt / WHO / JSI / UNICEF / UNDP/ Others:
Designation:
Date: Place of training:
Name of Facilitator: 1. Designation: District TOT attended: Yes / No
Name of Facilitator: 2. Designation: District TOT attended: Yes / No
Name of Facilitator: 3. Designation: District TOT attended: Yes / No
Name of Facilitator: 4. Designation: District TOT attended: Yes / No
Name of Facilitator: 5. Designation: District TOT attended: Yes / No
Name of Facilitator: 6. Designation: District TOT attended: Yes / No

S.No. Questions Responses

1 Which training material used in training ? FAQ in local language / Others
Discussion with FAQ in local
2 Mode of presentation
language / PPT / Others
3 Whether training sessions were conducted as per standard Yes / No
Block training agenda ?
Whether hands on training with vaccine vial and dropper
4 Yes / No
conducted ?
5 Was the session on FAQ interactive? Yes / No
6 Whether IEC material for RI displayed during training? Yes / No
Was any district level official present in training ?
7 Yes / No
(DHO/DIO/DPM)
Did the trainer cover basic facts about Rotavirus vaccine
8 (Schedule, dosage, administration etc.) Yes / No

Handling Rotavirus vaccine during immunization sessions

9 (Scenarios in immunization session, recording of vaccine Yes / No
details, cold chain maintenance at session site)

10 Did the trainer cover Immunization component of the MCP Yes / No

card

11 Did the trainer cover Use of tracking bag and due list cum tally Yes / No
sheet for tracking
12 Discussion on non applicability of open vial policy on RVV Yes / No
13 Discussion on AEFI and immunization waste management Yes / No
14 Participants signed on attandance sheet Yes / No

Remarks :

Type of Participants Expected Actual Type of Participants Expected Actual

Medical Officers LHV
Block Program Manager
ANM - Regular
(NHM)
Block Data Manager ANM - Contractual
Block Cold chain handler ASHA
Health Supervisors - Male AWW
Health Supervisors - Female Others (please specify) …