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Sub Center level Monitoring Checklist Name of District: Name of Block: Name of SC: Catchment Population: Total Villages: Distance from PHC: Date of last supervisory visit: Date of visit: Name & designation.

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How to fill out the Sub Centre Level Monitoring Checklist online

Filling out the Sub Centre Level Monitoring Checklist online is an important task that helps ensure the quality of healthcare delivery at the sub-centre level. This guide provides clear and concise instructions to assist users in accurately completing each section of the form.

Follow the steps to complete the checklist successfully.

  1. Click the ‘Get Form’ button to obtain the checklist and open it in your preferred online editor.
  2. Begin filling out the basic information at the top of the form, including the name of the district, name of the block, and the name of the sub-centre.
  3. Enter the catchment population and total number of villages served by the sub-centre, along with the distance from the primary healthcare centre.
  4. Document the date of the last supervisory visit along with the name, designation, and date of visit for the monitor responsible.
  5. List the names of staff present on the day of the visit and record any staff members who were absent, including the reasons for their absence.
  6. Proceed to Section I, Physical Infrastructure, and answer each question regarding the facilities and infrastructure available, marking 'Yes' or 'No' as appropriate.
  7. In Section II, Human Resource, indicate the number of personnel available for various roles and specify the training they have received.
  8. For Section III, Equipment, mark the availability and functionality of required equipment by selecting the appropriate column.
  9. Continue to Sections IV and V to report on essential drugs and medical supplies, ensuring that you accurately indicate availability with 'Yes' or 'No.'
  10. In Section VI, fill out the service delivery parameters for the last two quarters with estimated numbers and percentages.
  11. Assess the quality parameters in Section VII by noting the essential skill sets of the nursing staff. Indicate their knowledge and skills accurately.
  12. In Section VIII, check the maintenance of records by marking them according to their availability and accuracy.
  13. Complete Section IX by recording the number of transports for sick children and women during the last two quarters.
  14. Fill in Section X regarding IEC displays, ensuring you provide necessary information about the materials present.
  15. Document previous supervisory visits in Section XI, including the names and designations of supervisors, their place of posting, and the date of their visit.
  16. Finally, clarify any key findings and actions taken. Ensure the monthly report of monitoring visits and action points is submitted to the appropriate authority.
  17. Once all sections are completed, you can save changes, download, print, or share the completed checklist as necessary.

Complete your Sub Centre Level Monitoring Checklist online today for effective healthcare management.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232