keyissues(編輯修改稿)
2025-08-13 15:13 本頁面
【文章內(nèi)容簡介】 12yrHPV2= 00000 00000 00000 00000 00000 00000 00000 00000 12yrHPV3= = 13 00000 00000 00000 00000 00000 00000 00000 00000 13yrHPV1= 00000 00000 00000 00000 00000 00000 00000 00000 13yrHPV2= 00000 00000 00000 00000 00000 00000 00000 00000 13yrHPV3= = 14 00000 00000 00000 00000 00000 00000 00000 00000 14yrHPV1= 00000 00000 00000 00000 00000 00000 00000 00000 14yrHPV2= 00000 00000 00000 00000 00000 00000 00000 00000 14yrHPV3= = ≥15 00000 00000 00000 00000 00000 00000 00000 00000 15yrHPV1= 00000 00000 00000 00000 00000 00000 00000 00000 15yrHPV2= 00000 00000 00000 00000 00000 00000 00000 00000 15yrHPV3= = Unknown 00000 00000 00000 00000 00000 00000 00000 00000 UknHPV1= 00000 00000 00000 00000 00000 00000 00000 00000 UknHPV2= 00000 00000 00000 00000 00000 00000 00000 00000 UknHPV3= = OPTIONAL CHECK ROW (sum up columns) = = = Grand total = Recording and Monitoring of HPV Vaccine, Module 5 CervarixTM I 14 August 2022 10 | Monitoring tool 4: Monthly Record Sheet Month/Year of report: 01/2022 District: ________________________________ Town/Village:____________________________ Service delivery site: _____________________ Age (years) No. of HPV1 doses given No. of HPV2 doses given No. of HPV3 doses given 9 year old 9yrHPV1: 9yrHPV2: 9yrHPV3: 1. 2. 3. 4. 5. Total 1. 2. 3. 4. 5. Total 1. 2. 3. 4. 5. Total 8 10 3 10 year old 10yrHPV1: 10yrHPV2: 10yrHPV3: 1. 2. 3. 4. 5. Total 1. 2. 3. 4. 5. Total 1. 2. 3. 4. 5. Total 0 15 4 11 year old 11yrHPV1: 11yrHPV2: 11yrHPV3: 1. 2. 3. 4. 5. Total 1. 2. 3. 4. 5. Total 1. 2. 3. 4. 5. Total 12 year old 12yrHPV1: 12yrHPV2: 12yrHPV3: 1. 2. 3. 4
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