Refresher Training for Frontline Health Workers in Expanded ... - RHO
Refresher Training for Frontline Health Workers in Expanded ... - RHO
Refresher Training for Frontline Health Workers in Expanded ... - RHO
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TALLY SHEET<br />
DATE STARTED_______<br />
HEALTH INSTITUTION_____________ REGION___________ DATE ENDED_______<br />
VACCINATIONS<br />
Type of vacc<strong>in</strong>ation 0-11 months (1 year) Total 12 months &<br />
Over<br />
BCG<br />
Polio at Birth<br />
Polio 1<br />
Polio 2<br />
Polio 3<br />
DPT 1<br />
DPT 2<br />
DPT 3<br />
Measles<br />
Fully Vacc<strong>in</strong>ated<br />
TT 1 (women 15-49)<br />
TT 2<br />
TT 3<br />
TT4<br />
TT5<br />
Total<br />
FAMILY PLANNING<br />
Type of Contraception First Visit Total Revisits Total<br />
Pills<br />
IUDS<br />
Condoms<br />
Other<br />
Total<br />
ANTENATALS<br />
First Visit Total Revisits Total<br />
POSTNATALS<br />
First Visit Total Revisits Total<br />
CDD<br />
ARI<br />
Children