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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
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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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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since 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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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since 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)
Category 3 State membership(M/F)
Category 4 State membership(M/F)
Crop Category 1 State membership(M/F)
Category 2 State membership
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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since Jan.2007)
Remarks
(M/F)Category 3 State membership
(M/F)Category 4 State membership
(M/F)Other Category 1 State membership
(M/F)Category 2 State membership
(M/F)Category 3 State membership
(M/F)Category 4 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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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since 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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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since 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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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since 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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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since 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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OUTPUTS Indicator MOV BaselineData(wher eapplicable)
(Jan 2007)
Target for reportingperiod
CumulativeAchievement (Since 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
Data collection form 19 (19)