Progress report for the month of -----------, 2001. Basic Information a. Micro- watershed name: Micro- watershed code no.: Block name: District name: b. Scheme: c. Project period: from Date of sanction:
to
d. Total project outlay: Total expenditure till date: Unutilized balance: e. Watershed details: name and code no. No. of of MWS villages
name of villages
total geographical total treatable area area (Ha) (Ha)
f. User groups details: no. of groups
male
g. self help groups details: no. of groups functional defunct new
no. of members female
total
total
no. of members male female total
male
population female total
SC
ST
households others total
BPL
WORKS DETAILS: A. TREE- PLANTATION Name of village
private
land area covered(ha) community forest nonforest gochar
total
No. of saplings planted community private forest nonforest gochar
total
total TREE PLANTATION (contd.) Name of village
costs incurred (Rs.) till last during the total month month
contribution to WDF till last during the total month month
households benefitted SC
ST
others
total
employment generated no. of BPL rupees man days
works details (contd.) B. AREA TREATMENT Name of village
Name of village
SC measures created (no.s)
private
costs incurred (Rs.) till last during the total month month
area treated (Ha) community forest nonforest gochar
contribution to WDF till last during the total month month
total
private
area benefitted (Ha) community forest nonforest gochar
households benefitted SC
ST
others
total
BPL
total
employment generated no. of rupees man days
works details (contd.) C. DRAINAGE LINE TREATMENT Name of village
Name of village
activity/treatment
No.s
contribution to WDF till last during the total month month
private
SC
area benefitted (Ha) community forest nonforest gochar
households benefitted ST others total
total
BPL
costs incurred (Rs.) till last during the total month month
employment generated no. of rupees man days
works details (contd.) D. IRRIGATION INFRASTRUCTURE Name of village
Name of village
land area covered (Ha) Nature of structure
private
community
total
irrigation potential created (Ha)
households benefitted Nature of structure
SC
ST
others
total
BPL
till last month
costs incurred (Rs.) during the total month
employment generated rupees no. of man days contract/ daily wage
works details (contd.) E. LIVESTOCK INTERVENTIONS Name of village
nature of activity
costs incurred till last during the total month month
contribution to WDF till last during the proportion total month month of expense
households benefitted SC
ST
others
total
BPL
works details (contd.) F. AGRICULTURE Name of village
Name of village
activity
quantity area covered (Ha)
households benefitted SC
ST
others
total
BPL
costs incurred till last during the total month month
till last month
contribution to WDF during the proportion total month of expense
proportion of expense
WDF AND USERS GROUP WDF opening balance
activities
contributions during the month rupees
USERS GROUPS DETAILS: NO. till last month
during the month
total
members enrolled
till last month
male during the month
total
till last month
female during the month
total
WDF closing balance
WDF as proportion of total expense
SAVINGS/CREDIT AND SELF HELP GROUPS SHGs without external assistance members enrolled sl.no.
name of group
male till last during the month month
SAVINGS/CREDIT AND SELF HELP GROUPS
total
female till last during the month month
opening balance total
cash in hand
cash in bank
loans total outstanding balance
SHGs without external assistance deposits sl.no.
name of group
current interest savings from bank
loan repaid
interest from loanee
fine
payment sl.no.
name of group
loan disbursal
expenses
other income
total
closing balance total
cash in hand
cash in bank
loans outstanding
total balance
SAVINGS/CREDIT AND SELF HELP GROUPS SHGs without external assistance
sl.no.
name of group
activity
income generating activity proportion of members no. of meetings held nature involved
SAVINGS/CREDIT AND SELF HELP GROUPS SHGs with external assistance members enrolled sl.no.
sl.no.
name of group
name of group
till last month
male during the month
current interest savings from bank
total
loan repaid
till last month
female during the month
interest from loanee internal external
opening balance total
cash in hand
deposits revolving fine fund
cash in bank
loans outstanding internal external
loan / grant amount source of assistance
other income
total
total
SAVINGS/CREDIT AND SELF HELP GROUPS SHGs with external assistance payments sl.no.
name of group
sl.no.
name of group
external loan repaid
activity
loan disbursal
income generating activity proportion of members nature involved
revolving fund expenses repayment
no. of meetings held
total
cash in hand
cash in bank
closing balance loan outstanding external group
total
TRAININGS DETAILS FOR BENEFICIARIES / COMMUNITY sl.no.
purpose
date
venue
duration
no. of participants male female
resource persons
remarks
purpose
date
venue
duration
no. of participants male female
resource persons
remarks
FOR STAFF sl.no.
MEETINGS DETAILS FOR BENEFICIARIES / COMMUNITY type/ committee
date
venue
duration
participants male female
issues discussed
decisions taken
follow-up actions
date
venue
duration
participants male female
issues discussed
decisions taken
follow-up actions
FOR STAFF type
TREATMENT DETAILS name and code no. of MWS till last year
total area treated during the year
total
total area treated till last month during the month
total
total works expenses till last month during the month
total
FINANCIAL DETAILS name and code no. of MWS
opening balance with PIA with WC by PIA
funds received by WC
current year position expenditure total by PIA total
closing balance with PIA with WC total
A. PIA FUNDS: name and code no. of MWS
name and code no. of MWS
till last year
funds received by PIA till last cumulative month
during month
cumulative
expenses by the PIA till march, last year Training CO admin total
name and code no. of MWS till last month
name and code no. of MWS
during the year
training
training during month
cumulative
cumulative expenditure by the PIA CO admin
expenses by the PIA during the year upto this month CO administration till last during till last during cumulative month month month month
total
till last year
UC submitted by the PIA during this year
cumulative
cumulative
till last month
total during month
cumulative
FINANCIAL DETAILS B. WATERSHED COMMITTEE FUNDS name and code no. of MWS
funds received by WC till last year
during year
name and code no. of MWS
expenses by the WC upto march, last year
name and code no. of MWS
till last year
cumulative
till last month
during month
cumulative
expenses by the WC during year upto this month till last month during the month cumulative
UC submitted by WC during this year
cumulative
cumulative expenditure by WC
EDUCATION DETAILS: CHILDREN EDUCATION name of village
school type
days open
enrolled boys
enrolled girls
attendance 0 days boys girls
attendance 1-9 days attendance 10-15 days boys girls boys girls
attendance 16-20 days boys girls
ADULT EDUCATION year, month
learning males
learning females
improving males
improving females
literate males
literate females
attendance >20 days boys girls
HEALTH DETAILS: GROWTH MONITORING name of village
eligible male female
normal male female
average male female
malnourished male female
absent male female
ILLNESSES name of village
name of village
name of village
Fever checked detected
checked
checked
treated
checked
Night Blindness newly under detected registered treatment
Leprosy newly under detected registered treatment
Malaria detected
cured
cured
treated
checked
checked
Typhoid checked detected
treated
Scabies newly under detected registered treatment
Other newly under detected registered treatment
Jaundice checked detected
cured
cured
checked
treated
Diarrhoea checked detected
TB newly under detected registered treatment
treated
cured
other checked detected
treated
HEALTH DETAILS: BIRTH DETAILS: year month
parents name father
HH code
mother
sex
live or still birth
DEATHS year month
name
age
sex
HH code head of household
cause of death
HEALTH DETAILS: IMMUNISATION name of village
BCG male eligible benefitted
BCG female eligible benefitted
name of village
DPT/ OPV3 male DPT/ OPV3 female eligible benefitted eligible benefitted
DPT/ OPV1 male DPT/ OPV1 female eligible benefitted eligible benefitted
DPT/OPV2 male eligible benefitted
DPT/OPV2 female eligible benefitted
Measles male eligible benefitted
Measles female eligible benefitted
Booster male eligible benefitted
Booster female eligible benefitted
TT1 given
TT TT booster not given
Iron given
ANTE- NATAL CARE name of previous delivered aborted village total
new total
TT2 given
Calcium given