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Refresher Training for Frontline Health Workers in Expanded ... - RHO

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TT Vacc<strong>in</strong>ation Monthly <strong>Health</strong> Facility Report<strong>in</strong>g Form, Ethiopia (Revised 1994 EC)<br />

Page 2<br />

Region/Zone ________________________ Woreda _______________________ <strong>Health</strong> Facility______________ Month________ Year_______<br />

Tetanus Toxoid Vacc<strong>in</strong>ation Given<br />

Pregnant Women<br />

Non-Pregnant Women<br />

No. Kebele TT1 TT2 TT3 TT4 TT5 TT2+ TT1 TT2 TT3 TT4 TT5 TT2+<br />

Vit. A cap.<br />

Given 6-8<br />

wks post<br />

partum<br />

Total<br />

77

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