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

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Small group exercise<br />

“Cumulative immunization coverage monitor<strong>in</strong>g chart”<br />

Refer to the cumulative immunization coverage monitor<strong>in</strong>g chart:<br />

- What is the monthly target?<br />

- How many children should have DPT1 between 1 January and 30 April?<br />

- How many children actually did have DPT1 between 1 January and 30 April?<br />

- What percentage of the target population <strong>for</strong> the first four months of the year<br />

had received DPT1 by the end of that period?<br />

- Answer the same questions <strong>for</strong> DPT3.<br />

Summary<br />

At the end of each month, you will be able to compare the actual cumulative<br />

number of <strong>in</strong>terventions given by the health worker with the diagonal l<strong>in</strong>e on the<br />

graph. Very quickly you will see if your coverage achievements are above, below<br />

or close to the target. If the dot is below the diagonal l<strong>in</strong>e, then you are not on<br />

track to reach 100% of the target population. The difference between the<br />

diagonal l<strong>in</strong>e and the upper dot represents the left-out target population. The<br />

space between the two plotted l<strong>in</strong>es on the graph is the visual equivalent of the<br />

dropout figures. Analysis of the data at each level should lead to action. To<br />

re<strong>in</strong><strong>for</strong>ce the monthly use of this chart, supervisors should ask to see the data on<br />

each visit and provide encouragement <strong>for</strong> the cont<strong>in</strong>ued use of the chart.<br />

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