Community Health Volunteer's Training Manual - Population Council

Table 2.2.1: Community Surveillance Register
Major religious groups:
Major occupations:
Cultural practices:
Major festivals:
Community Based Surveillance
Entertainment and pastimes:
WATER SOURCES
Pipe Borne Water: Yes/No Number of Hand dug well:
Number of functional hand pumps: Number of hand pumps not functional:
Number of Dams: Number of Ponds:
Streams/Rivers Yes/No Other sources:
INFRASTRUCTURE
No of Pre-Schools: No of Primary Schools
No of JHS: No of SHS:
Nearest Health facility:
Type of Road:
Telephone (Landline) Yes/No Mobile Phone Yes/No
Electricity Yes/No
Type of refuse disposal
No of KVIPs No of Pit latrines
Police Station Yes/No Post Office Yes/No
Number of Churches: No of Mosques:
You need to have information on the influential persons in the community. There are
several people you can include in this list, for example, the village chief, queen mother,
pastor, teachers, TBAs, and traditional healers. These are people who can help mobilise the
community to reach target groups with essential health messages. You need to find them and
keep a record of them so that they can be called upon as and when necessary.
Table 2.2.2. Form for listing influential individuals in community…..
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Name of Village Name of Individual Position of Individual
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