report forms-physical data collection forms[1]

7/31/2019 Report Forms-physical Data Collection Forms[1]

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FORM 1: PHYSICAL REPORTING FORM

Province District Division Financial Year Quarter

FILL IN THE FORM WITH ACTIVITIES ONLY RELEVANT TO YOUR STATION (USE APPENDIX 1AS YOUR GUIDE)

Activity Indicators TargetTarge

tAchieved

Achieved

OldFasNewFas

OldFas

NewFas

Coordination of operations Amount allocated funds utilized on proj.activities

Semi annual report completedAnnual report completedNo. of internal audits carried outNo. of external audits carried outNo. of documentaries produced

Carry out AppraisedBBS/PAPOLD No. of BBS surveys

FADC training No. of Male farmersNo. of female farmers

FADC Tour (farmers) No. of toursNo. of Male farmersNo. of female farmers

Training school children &

youthNo of Male children &Youth trained

No of Female children &Youth trainedCIG formation No. of CIGs formed

No. of male members of the groupsNo. of female members of the groups

CIG Training No. of CIG members trainedNo. of male farmers trainedNo. of female farmers trained

Target individual farmers No. of individual farmers offered advisory

Data collection form 1 (19)


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service

No. of male farmers offered advisoryservice

No. of female farmers offered advisory

service

Farmers field days No. of farmer field days carried out.No. of male farmers who attendedNo. of female farmers who attended

Demonstrations No. of demos organized on demand byfarmers

STHF No. of Fora formed.No. of meetings heldNo of male participants in meetingsNo of female participants in meetings

Extension research meetings No. of meetingsNo of male participants in meetingsNo of female participants in meetings

Provide supervision & tech. b-stopping No. of man days on supervision

Professional consultations No. of professional consultations with SMSNo. of professional consultations w.external experts

Technical staff training

No. trained - maleNo. trained - femaleNo. of trainings that included cross

cutting issues of gender, HIV/AIDS, drugsand substance abuse, human rights andadvocacy in their courses

Activity Indicators TargetTarget

Achieved

Achieved

OldFasNewFas

OldFas

NewFas

Farmers tours No. of Tours



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No. of male farmers attendingNo. of female farmers attending

Staff tours No. of Tours No. of male staff attending

No. of female staff attendingProf. Group. meeting No. of professional group meetings held

No. of participants covered No. of professional group meeting reports

Management meetings No. of programme management meetings held No. of MOUs signed

Procure & distributeequipmt. No. of poultry vaccination kits purchased

No. of kits distributed Corruption eradication No. of sensitization meetings held

No. of complaints received No. of complaints dealt with No. of posters distributed

Service deliveryinnovations No. of farmer resource centers developed

Work Environment No. of working desks per officer Email in use No. of male toilets No. of female toilets

Safety measure No. of times information is backed up per month Security locks in place

No. of car alarms No of office equipment labeled Fire equipment available First aid kit available No. of injured cases reported No of vehicles labeled

Compliance Statutoryobligation No of contracts signed

Are procurement procedures being followed



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Wealth declaration forms signed

Cross cutting issues No. of trainings on human rights and governancecarried out

No. of trainings on environment impact

assessment carried out.

Impact study on effect of drugs on food security No. of staff training on counseling skill onHIV/AIDS

No. of messages on human rights andgovernance developed

No. of gender sensitive technologies documented

FORM 2: FINANCIAL REPORTING FORM

Province District Division Financial Year Quarter

C o or d i n

at i on

of

o er at i on

s

C ar r y

o ut B B

S

F A D

C t r ai ni n

g

T r ai ni n

g s c h o ol

F A D

C T

o ur

( f ar m

er s

C I Gf or m

at i on

&t r ai ni n

T ar g

et

F ar m

er s f i el d

D em

on

s t r at i on

s

S T HF m

e et i n

g s

E xt en

s i on

P r ovi d

et e

c h .

P r of e

s s i on

al

c on

s ul t at i on

s

T e c h ni c al

s t af f

t r ai ni n

g

S t af f t o

ur s

P r of .

Gr p.

m e et i n

g

M an

a g em

ent

m e et i n

s

Communication- 22102001.1.1

2.1.1

1.4.1

1.4.3

1.4.2

1.4.4

1.4.5

1.4.6

1.4.7

1.1.2

1.4.8

1.4.9

4.1.1

1.4.13

1.4.11

1.4.12

1.1.3



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Tel. Telex. Facsmile andMobile phones serv.

2210201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Courier and postal services 2210203 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Domestic Travel andSubsist,

2210300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Travel cost 2210301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Night Out 2210302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Daily subsistenceallowance

2210303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rentals of ProducedAssets

2210600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hire of transport, Eq. Plant& Mach.

2210604 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Training Expenses 2210700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Trav. Accom, Tuition andtrain allow

2210701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Remuneration of instructors 2210702 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0Production and Printing of

Training Materials22107

03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hire of training facilitiesand equip.

2210704 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Office Gen.Suppl &Serv.

2211100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

General office supplies 2211101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Supplies & accessories forcomputer & Printer

2211102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Fuel Oils & Lubricants 2211200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Refined Fuels and Lubs.For Transp.

2211201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Other Oper. Expenses 2211300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bank Charges 2211301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Routine Maint. Vehicles 2220100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Maint. Expences - MotorVehicles

2220101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Routine Maint.- OtherAssets

2220200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0



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Maintplant/machine/equipm.

2220201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Maint officefurniture/equipm.

2220202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Maint. of buildings andstations - non resid

2220205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Minor alterations tobuildings

2220209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Maint Computers/ software/ communic. Equipm.

2220210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Purch. Of Spec Equip. 3111100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Agric. Machine/equip 3111103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Educational aids relatedequipm.

3111109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rehabilitation andrenovation of plant,machinery andequipment

3111200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Overhaul of plant,machinery and equipment 3111201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0



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FORM 3: GENERAL/QUALITATIVE REPORTING PER ACTIVITY

Province District Division

Financial Year

Quarter

Activities(Select from form 1)

Challenges Effects They Have Lessons Learnt Remarks



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FORM 4: REPORTING ON LFA INDICATORS

Province District Division

Financial Year

Quarter

OUTPUTS Indicator MOV BaselineData(wher eapplicable)

(Jan 2007)

Target for reportingperiod

CumulativeAchievement (Since Jan.2007)

Remarks

OUTPUTAREA 1.Institutionalsetup

Institutions PCU PMT DMT DET

No of meetings

Membershipby sex

7 Indicate attendanceby sex

Transport for ExtensionImproved

No of vehicles As per wp Indicate condition

No of MC As per wp Indicate conditionOthers As per wp Indicate condition

Equipment for ExtensionImproved

PC Indicate conditionLaptops Indicate conditionLCD Indicate conditionPrinters Indicate conditionOthers Indicate condition



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(Jan 2007)



Remarks

Program M&Eimproved

Delivery of reports

Semi-annual Date of delivery

Annual

Capacity of staff No of FEW bysex

As per work-plan

Capture any changes

No of Div staff by sex

As per work-plan

Capture any changes

No of Districtstaff by sex

As per work-plan

Capture any changes

No of Province bysex

As per work-plan

Capture any changes

No of PCU bysex

As per work-plan

Capture any changes

Output Area 2 No of oldfunctionalFADCsNOTE : afunctional FADCshould beregistered

No of capissuesaddressed

Specify issuesaddressed

No of meetings

Indicate attendance of the meetings

Membershipby sex



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(Jan 2007)



Remarks

No functionalnew FADCs

No of capissuesaddressed

Specify issuesaddressed

No of meetings

Indicate attendance of the meetings

Membershipby sex

As per wp

Clients Reachedby sex

% reached bysex

As per wp Indicate methods of reach( field days,demonstrations etc)

No of new CIGsformed andrunning

livestockcropsothers

New CIGsformed andrunning

livestock Category 1 State membership(M/F)

Category 2 State membership(M/F)



Crop Category 1 State membership(M/F)

Category 2 State membership



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(Jan 2007)



Remarks

(M/F)Category 3 State membership


(M/F)Other Category 1 State membership




(M/F)Old CIGscontinuing tooperate

Livestock As per wp

Crop As per wpOther As per wp

No. and type of ext. groups andother farmer groups

environment Membership by sex

crops Membership by sexlivestock Membership by sexLandmanagement

Membership by sex

Value additionand marketing

Membership by sex

Individual farmtargeting



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(Jan 2007)



Remarks

Output Area 3. Innovations/ITKs andtechnicalpackages for production,processing andmarketingintroduced.

No of innovations

Indicate types andpercentage uptake bygender

Promotionalevents for technicalpackages andtechnologiesheld.

No of events Specify events

No of clientsreached bysex

New valueadditionactivitiesadoptedFollowing

exposure totechnicalpackages.

No of activities

Specify the activities

No of clients

reached bysex

Output Area 4(Collaborationstructures

Formalized SHFat each level

No of meetingsNo of initiatives

Specify theinitiatives(e.g formal



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(Jan 2007)



Remarks

establishedandstrengthened)

MOUs, joint activitiesetc)

Registered

Composition Specify %composition (e.g.CBOs. FBOs, NGOs,private, GoK, farmers)

Collaborative

research andext. activitiesundertaken

No of

initiatives

Specify

types(workshops,demos etc)No of researchableareasidentified andimplemented

Specify type of areas

Collaborativeeffort withprivate andpublic sectors

No of interventionsidentified andimplemented

Specify type of interventions andcollaborators

No of MOUsdrawnGroups linkageswith privatesector resultingfromcollaborativeefforts.

No of groupslinked

Specify the groupactivities

Number involved



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(Jan 2007)



Remarks

Beneficiariesaccessingcredit, marketsand valueadditionservices

No of beneficiariesby sexaccessingcredit

No of beneficiariesby sexaccessingmarket

No of beneficiariesby sexaccessingskills in valueaddition

Beneficiariesaccessingmarketinformation

No of beneficiariesaccessingNAFIS by sex

No of beneficiariesaccessing

Specify other sources



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(Jan 2007)



Remarks

other sourcesby sex

5: OUTPUTAREA 5(Cross cutting

issuesmainstreamedin the programcycle

Beneficiarypopulationclassified asresource poor

Percentage of total pop.

Specify categoriesbased on papold

Initiativesdealing withsubstanceabuse and HIV

No of initiatives

Specify type of initiatives

Clientsreached bysex

Environmentaldisastersrecorded in thearea.

No of disasters

Specify types of disasters

Anticorruption

measures put inplace

No of audits

No of clientcomplainboxes

OUTPUT area6.Disaster riskmanagementand mitigation

Alternativelivelihoodspromoted

No of livelihoods

Specify type of livelihoods(eg. Gumsand resins, hides andskins etc)



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(Jan 2007)



Remarks

in ASAL areaEmbedment of basic needs inextensionservices

No of basicneedsinitiatives

Specify initiatives (e.g.dams, pans etc)

FORM 5: NALEP STAFF TRAINING SUMMARY

National Province District DivisionNo. Training

activity(Selectfromappendix

2)

Target Achieved Traininginstitutioncategory( Ministrystaff, Other

governmentinstitutions,Private sector)

Numberof trainers

Trainersassessment(Very good,good, average,poor)

Training periodIn days

Venueassessment( Very good,good, average,poor)

male female male female

123



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8

APPENDIX 1: NALEP Activities being reported at different implementation levels

Activity Division District Province PCUCarry out BBS XFacilitation of Divisional Implementationteams

X

FADC training XTraining of school children and youth XFADC Tour (farmers) XWork in previous Focal Areas XCIG formation and training XProvide extension targeting individual farmers X

Hold farmers field days XCarry out demonstrations XFacilitate STHF meetings X X X XHold extension research meetings X X XProvide technical back stopping X X XGo for professional consultations X X XCarry out technical staff training X X X



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Carry out staff tours X X XHold professional group meeting X X XHold/participate in management meetings X X X X

APPENDIX 2: NALEP Staff trainings

CODE TRAININGTR001 Stakeholder FORATR002 Management meetingsTR003 Extension research meetingsTR004 FADC trainingTR005 Professional group meetingsTR006 Farmers tour TR007 FADC toursTR008 CIG trainingTR009 Training school childrenTR010 Technical staff meetingsTR011 Training on HIV/AIDS and counselingTR012 Training on Human RightsTR013 Staff toursTR014 Training on environmentTR015 Farmers field daysTR016 Training of farmers, pastoralists and fisher folksTR017 Carry out on-farm trials and demonstrationsTR018 Training of vulnerable groupsTR019 PAPOLD and poverty mapping and targetingTR020 Training of staff on PM&ETR021 Entrepreneurship



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CODE TRAININGTR022 Resource mobilizationTR023 Emerging cropsTR024 Emerging livestock

TR025 Farming as a business

TR026Cross cutting issues(gender, HIV/AIDS, Drugs and alcoholabuse, advocacy, rights and governance)

TR027 Early warning systems and disaster managementTR028 Agro processing and value additionTR029 Project development and managementTR030 Environmental impact assessmentTR031 Natural resource managementTR033 Feed ration formulationTR034 Conservation agricultureTR035 Crop technologies

TR036 Livestock technologiesTR037 Organizational developmentTR038 PAPOLD/ targeting resource poor TR039 Conflict managementTR040 BiotechnologyTR041 Biodiversity and alternative energy sourcesTR042 Performance management.TR043 Strategic planning


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