Vaccination Coverage Surveys – Forms & Variable Lists (FVL) Structured for Compatibility with VCQI

Language
Published
2016

This document is a modified version of Annex H from the 2015 draft WHO EPI vaccination coverage cluster survey reference manual. The document provides the following eight sample survey forms: 1. Form HH – Sample Questions for a Household Listing Form 2. Form HM – Sample Questions for a Household Members Listing Form 3. Form RI – Sample Questions for a Routine Immunization Form (12-23 months) 4. Form TT – Sample Questions for a Maternal Tetanus Immunization Form 5. Form SIA – Sample Questions for a Post Campaign Survey Form 6. Form RIHC – Sample Questions for a Routine Immunization Health Centre Form 7. Form TTHC – Sample Questions for a Maternal Tetanus Health Centre Form 8. Form CM – Cluster Metadata