MONITORING AND EVALUATION PLAN - TBC India

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Tool 7: BCC Toolkit Roll-out Report Name of SR: Date: dd/mm/yy Name of State: Sl. No. Name of District BCC tool kit rolled out If yes, No. of Community Volunteers oriented Successes: Challenges: _______________________ Signature Note: Attach detailed list of participants for each District Yes No Male Female Total © World Vision India, Axshya India Project Monitoring and Evaluation Plan, October 2010 Page No 88
Tool 8: Monthly Report of MDR-TB patients initiated on DOTS-Plus Name of SR: Date: dd/mm/yy Name of State: Name of District: Sl. No. Name Age Gender Name of referring M F facility Date of diagnosis` Date of starting treatment (DST) © World Vision India, Axshya India Project Monitoring and Evaluation Plan, October 2010 Page No 89 TB No. Was patient put on community support (Y/N)
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MONITORING AND EVALUATION PLAN THE
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1. LIST OF DIAGRAMS Diagram Number
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3. EXECUTIVE SUMMARY The Global Fun
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Following are the objectives behind
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4. INTRODUCTION World Vision India
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the former head of the National Mon
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� Skills like capacity to conduct
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5.3 Action Step Recommendation PLAN
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6. INDICATOR DEFINITIONS AND MEASUR
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7. ROUTINE DATA COLLECTION, ANALYSI
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where at least 40% of registered TB
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Diagram 2 Finance information/repor
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7.4 Infrastructures available for d
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Other information products as menti
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disseminate the findings of pilot s
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the performance of the ACSM program
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9. DATA QUALITY ASSURANCE MECHANISM
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appropriately inclusive. informatio
Page 37 and 38: RNTCP schemes Checklist 9 Percentag
Page 39 and 40: Table below describes the Supportiv
Page 41 and 42: 14. Whether the amounts reported as
Page 43 and 44: on various occasions to coordinate
Page 45 and 46: Diagram 4 © World Vision India, Ax
Page 47 and 48: Action Plan Activity 1.1 M&E Assess
Page 49 and 50: 1.5.3 Develop reporting format X WV
Page 51 and 52: Tool workshop with the partners. No
Page 53 and 54: 2. Collaboration with Coordination
Page 55 and 56: 13.2 Monitoring and Evaluation Budg
Page 57 and 58: ANNEXURE A: M&E Framework Template
Page 59 and 60: Percentage of population with corre
Page 61 and 62: ANNEXURE B: Indicator Reference She
Page 63 and 64: Data collection Quarterly frequency
Page 65 and 66: Other relevant information disease
Page 67 and 68: Other relevant information proximit
Page 69 and 70: Method of Quarterly reporting and r
Page 71 and 72: 20 Number of sputum samples collect
Page 73 and 74: The following report format should
Page 75 and 76: Narrative summary of progress (Maxi
Page 77 and 78: 20 Number of sputum samples collect
Page 79 and 80: Most significant change story (Maxi
Page 81 and 82: ANNEXURE D: Data Collection Tools T
Page 83 and 84: Tool 2: Minutes of Meeting format N
Page 85 and 86: Sample identification No.: Name of
Page 87: Tool 6: MDR-TB patients initiated o
Page 91 and 92: Name of SR: Name of State: Name of
Page 97 and 98: E Monitoring plan 1 Does the Progra
Page 99 and 100: 3 Did you find cash in the cash box
Page 101 and 102: 13 Have TB forums been formed in th
Page 103 and 104: Tool 4: Supportive Supervision Chec
Page 105 and 106: Tool 6: Supportive Supervision Tool
Page 107 and 108: E SL. FINANCIAL RECORDS AND REPORTS
Page 109 and 110: 19 Are Leave records updated in the
Page 111 and 112: SL. ADVANCES/LOANS & OTHER RECEIVAB
Page 113 and 114: TOOL 7: SUPPORTIVE SUPERVISION TOOL
Page 115 and 116: NO . 1 Is BRS prepared regularly,da
Page 117 and 118: . 1 Are the Manager and Accountant
Page 119 and 120: 6 Are adequate records kept for loc
Page 121 and 122: Table 2: Communication Matrix SN Is
Page 123 and 124: Standard: Each SR is expected to be
Page 125 and 126: © World Vision India, Axshya India
Page 127 and 128: 3.4.4.1 3 Training 3.4.4.2 3 Traini
Page 129 and 130: 4.5.4.2 4 4.5.4.3 4 4.5.4.4 4 4.5.4
Page 131: ANNEXURE I: Operations Research Des
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MONITORING AND EVALUATION PLAN - TBC India

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