Ots 24 > 24041 > Annexure > Mprdatae
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Progress report for the month of -----------, 2001.Basic Information: a. village name: block name: district name: b. micro-watershed name: micro-watershed code no.: c. scheme:
WORKS (DETAILS)
1. TREE- PLANTATION: species
private
land area covered (ha) community forest non-forest gochar
no.of saplings total
total
private
community
total
plantation (contd.) cost details costs incurred (Rs.)
species
species
till last month plant labour seedling other protection charges
total
contribution to WDF amount(rupees) proportion of total costs(%)
during the month plant labour seedling other protection charges
total
cumulative plant labour seedling other protection charges
total
plantation (contd.) benefits households benefitted species
SC
ST
general
total
BPL
employment generated rupees no. of man days contract/daily wage
AREA TREATMENT physical progress: quantity(no.s) land area treated(ha) treatment common undertaken till last during the cumulative private month month forest nonforest gochar total
total
land area benefitted(ha) common private forest non-forest gochar total
total
AREA TREATMENT (CONTD.) financial details: treatment undertaken
material
costs incurred (rupees) labour other total
Amount
contribution to WDF proportion of total costs(%)
area treatment (contd.) benefits treatment undertaken
households benefitted SC
ST
general
total
BPL
employment generated rupees no. of man-days contract/daily wage
DRAINAGE LINE TREATMENT physical progress Treatment undertaken & (no.s)
till last month
quantity(no.s) during the cumulative month
private
land area benefitted(ha) common forest non-forest gochar
total
total
drainage line treatment (contd.) financial details: Treatment undertaken
material
costs incurred labour other
total
Amount
contribution to WDF proportion of total costs(%)
drainage line treatment (contd.) treatment undertaken
households benefitted SC
ST
GEN
total
BPL
employment generated rupees no. of man days contract/ daily wage
IRRIGATION INFRASTRUCTURE physical progress work undertaken
individual/ community
land area covered(ha)
conservation capacity
irrigation infrastructure(contd.) financial details: work undertaken
material
costs incurred (Rs.) labour other
total
Amount (Rs.)
contribution to WDF proportion of total costs (%)
irrigation infrastructure(contd.) benefits work undertaken
irrigation potential created(Ha s of land)
households benefitted SC
ST
GEN
Total
BPL
employment generated rupees no. of man days contract/ daily wage
LIVESTOCK INTEVENTIONS activity undertaken
costs incurred (Rs.)
contribution to WDF amount proportion (Rs.) of expense(%)
no. of households benefitted SC
ST
general
total
BPL
AGRICULTURE activity undertaken
quantity no.s/kg
area to be covered (ha)
costs incurred (Rs.)
contribution to WDF amount proportion of (Rs.) expense(%)
SC
households benefitted ST general total BPL
WDF and user groups details WDF status: WDF activities
opening balance
contributions during the month amount proportion nature of users group (Rs.) of expense (%) contribution
USERS GROUPS DETAILS: No. till last month
during the month
total
total
till last month
members enrolled
till last month
male during the month
female during the month
total
WDF closing balance
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
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.
SELF HELP GROUPS self help groups without external assistance name of group
name of group
no. of members male
cash in female hand
opening balance cash in loan bank outstanding
total
payment loan disbursal
expenses
total
cash in hand
current interest savings from bank
closing balance cash in loan bank outstanding
deposits loan interest from repaid loanee
total
fine
other income
total
SELF HELP GROUPS self help groups with external assistance name of group
name of group
no. of members male
female
cash in hand
opening balance cash in loan outstanding bank external group
total
deposits current interest savings from bank
loan repaid
interest from loanee internal external
fine
revolving loan / grant fund amount source of assistance
other income
total
SELF HELP GROUPS self help groups with external assistance
name of group
payment external loan repaid
loan disbursal
revolving fund expenses repayment
total
cash in hand
closing balance cash in loan outstanding bank external group
total
SHG(CONTD.)
Name
name
nature group/individual
no. of meetings held
income generating activity (if any) no. of members activity involved
mode of collection
record maintenance (by whom)
proportion of members involved
linkage with financial institutions
EDUCATION DETAILS: CHILDREN EDUCATION school type
days enrolled enrolled attendance 0 days attendance 1-9 days attendance 10-15 days attendance 16-20 days attendance >20 days open boys girls boys girls boys girls boys girls boys girls boys girls
ADULT EDUCATION year, month
learning males learning females
improving males
improving females
literate males
literate females
HEALTH DETAILS: GROWTH MONITORING year month
eligible male female
normal male female
average male female
malnourished male female
absent male female
ILLNESSES year Fever Malaria Typhoid Jaundice month checked detected treated checked detected treated checked detected treated checkeddetected treated
year Diarrhoea month checked detected treated
other checked detected treated
specify other
year month
Night Blindness Scabies newly under newly under checked detected cured checked detected cured registeredtreatment registeredtreatment
year month
TB Leprosy Other newly under newly under newly under checked detected cured checked detected cured checked detected cured registeredtreatment registeredtreatment registered treatment
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 year month
BCG male eligible benefitted
BCG female eligible benefitted
year month
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 year month
previous delivered aborted total
new total
TT2 given
Calcium given
WORKS (DETAILS)
1. TREE- PLANTATION: species
private
land area covered (ha) community forest non-forest gochar
no.of saplings total
total
private
community
total
plantation (contd.) cost details costs incurred (Rs.)
species
species
till last month plant labour seedling other protection charges
total
contribution to WDF amount(rupees) proportion of total costs(%)
during the month plant labour seedling other protection charges
total
cumulative plant labour seedling other protection charges
total
plantation (contd.) benefits households benefitted species
SC
ST
general
total
BPL
employment generated rupees no. of man days contract/daily wage
AREA TREATMENT physical progress: quantity(no.s) land area treated(ha) treatment common undertaken till last during the cumulative private month month forest nonforest gochar total
total
land area benefitted(ha) common private forest non-forest gochar total
total
AREA TREATMENT (CONTD.) financial details: treatment undertaken
material
costs incurred (rupees) labour other total
Amount
contribution to WDF proportion of total costs(%)
area treatment (contd.) benefits treatment undertaken
households benefitted SC
ST
general
total
BPL
employment generated rupees no. of man-days contract/daily wage
DRAINAGE LINE TREATMENT physical progress Treatment undertaken & (no.s)
till last month
quantity(no.s) during the cumulative month
private
land area benefitted(ha) common forest non-forest gochar
total
total
drainage line treatment (contd.) financial details: Treatment undertaken
material
costs incurred labour other
total
Amount
contribution to WDF proportion of total costs(%)
drainage line treatment (contd.) treatment undertaken
households benefitted SC
ST
GEN
total
BPL
employment generated rupees no. of man days contract/ daily wage
IRRIGATION INFRASTRUCTURE physical progress work undertaken
individual/ community
land area covered(ha)
conservation capacity
irrigation infrastructure(contd.) financial details: work undertaken
material
costs incurred (Rs.) labour other
total
Amount (Rs.)
contribution to WDF proportion of total costs (%)
irrigation infrastructure(contd.) benefits work undertaken
irrigation potential created(Ha s of land)
households benefitted SC
ST
GEN
Total
BPL
employment generated rupees no. of man days contract/ daily wage
LIVESTOCK INTEVENTIONS activity undertaken
costs incurred (Rs.)
contribution to WDF amount proportion (Rs.) of expense(%)
no. of households benefitted SC
ST
general
total
BPL
AGRICULTURE activity undertaken
quantity no.s/kg
area to be covered (ha)
costs incurred (Rs.)
contribution to WDF amount proportion of (Rs.) expense(%)
SC
households benefitted ST general total BPL
WDF and user groups details WDF status: WDF activities
opening balance
contributions during the month amount proportion nature of users group (Rs.) of expense (%) contribution
USERS GROUPS DETAILS: No. till last month
during the month
total
total
till last month
members enrolled
till last month
male during the month
female during the month
total
WDF closing balance
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
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.
SELF HELP GROUPS self help groups without external assistance name of group
name of group
no. of members male
cash in female hand
opening balance cash in loan bank outstanding
total
payment loan disbursal
expenses
total
cash in hand
current interest savings from bank
closing balance cash in loan bank outstanding
deposits loan interest from repaid loanee
total
fine
other income
total
SELF HELP GROUPS self help groups with external assistance name of group
name of group
no. of members male
female
cash in hand
opening balance cash in loan outstanding bank external group
total
deposits current interest savings from bank
loan repaid
interest from loanee internal external
fine
revolving loan / grant fund amount source of assistance
other income
total
SELF HELP GROUPS self help groups with external assistance
name of group
payment external loan repaid
loan disbursal
revolving fund expenses repayment
total
cash in hand
closing balance cash in loan outstanding bank external group
total
SHG(CONTD.)
Name
name
nature group/individual
no. of meetings held
income generating activity (if any) no. of members activity involved
mode of collection
record maintenance (by whom)
proportion of members involved
linkage with financial institutions
EDUCATION DETAILS: CHILDREN EDUCATION school type
days enrolled enrolled attendance 0 days attendance 1-9 days attendance 10-15 days attendance 16-20 days attendance >20 days open boys girls boys girls boys girls boys girls boys girls boys girls
ADULT EDUCATION year, month
learning males learning females
improving males
improving females
literate males
literate females
HEALTH DETAILS: GROWTH MONITORING year month
eligible male female
normal male female
average male female
malnourished male female
absent male female
ILLNESSES year Fever Malaria Typhoid Jaundice month checked detected treated checked detected treated checked detected treated checkeddetected treated
year Diarrhoea month checked detected treated
other checked detected treated
specify other
year month
Night Blindness Scabies newly under newly under checked detected cured checked detected cured registeredtreatment registeredtreatment
year month
TB Leprosy Other newly under newly under newly under checked detected cured checked detected cured checked detected cured registeredtreatment registeredtreatment registered treatment
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 year month
BCG male eligible benefitted
BCG female eligible benefitted
year month
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 year month
previous delivered aborted total
new total
TT2 given
Calcium given
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