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  <h:head>
    <h:title>ISS-Survey</h:title>
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      <instance>
        <ISS-Survey id="ISS-Survey" version="201808170922">
          <formhub>
            <uuid/>
          </formhub>
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          <SA2/>
          <SA3/>
          <SA4.0>
            <SA4.1/>
            <SA4.2/>
            <SA4.3/>
            <SA4.4/>
            <SA4.5/>
          </SA4.0>
          <SA4/>
          <SA5/>
          <SA6/>
          <SB1/>
          <SB1.1/>
          <SB2/>
          <SB3/>
          <SB4/>
          <S1/>
          <meta>
            <instanceID/>
          </meta>
        </ISS-Survey>
      </instance>
      <bind nodeset="/ISS-Survey/SA1" type="int"/>
      <bind nodeset="/ISS-Survey/SA2" type="int"/>
      <bind nodeset="/ISS-Survey/SA3" type="int"/>
      <bind nodeset="/ISS-Survey/SA4.0/SA4.1" type="int"/>
      <bind nodeset="/ISS-Survey/SA4.0/SA4.2" type="int"/>
      <bind nodeset="/ISS-Survey/SA4.0/SA4.3" type="int"/>
      <bind nodeset="/ISS-Survey/SA4.0/SA4.4" type="int"/>
      <bind nodeset="/ISS-Survey/SA4.0/SA4.5" type="int"/>
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      <bind nodeset="/ISS-Survey/SA5" type="int"/>
      <bind calculate=" /ISS-Survey/SA1  +  /ISS-Survey/SA2  +  /ISS-Survey/SA3  +  /ISS-Survey/SA4  +  /ISS-Survey/SA5 " nodeset="/ISS-Survey/SA6" type="string"/>
      <bind nodeset="/ISS-Survey/SB1" type="int"/>
      <bind nodeset="/ISS-Survey/SB1.1" type="binary"/>
      <bind nodeset="/ISS-Survey/SB2" type="int"/>
      <bind nodeset="/ISS-Survey/SB3" type="int"/>
      <bind calculate=" /ISS-Survey/SB1  +  /ISS-Survey/SB2  +  /ISS-Survey/SB3 " nodeset="/ISS-Survey/SB4" type="string"/>
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  </h:head>
  <h:body>
    <input ref="/ISS-Survey/SA1">
      <label>Is complement of staff adequate?</label>
      <hint>The PHC department should have the following staff (cadre): Director PHC, Head Training &amp; Manpower Development, Head Planning/M&amp;E, Heads PHC Services Division, Head Nutrition, WATSAN, Head, Essential drugs
 Each staff worth 2 points)</hint>
    </input>
    <input ref="/ISS-Survey/SA2">
      <label>Is there an archive of LGA operational plans for PHC?</label>
      <hint>The state should have the plans (workplans) of all the LGAs stored in a safe and accessible plac).
&gt; The current work plan available and approved
&gt; Verify the last two years work plans</hint>
    </input>
    <input ref="/ISS-Survey/SA3">
      <label>Is there a dedicated Monitoring and Evaluation team?</label>
      <hint>The state should have a M&amp;E team:
&gt; It should be multidisciplinary
&gt; Current quarter activity plan available
&gt; Reports of previous year and last two quarters available</hint>
    </input>
    <group ref="/ISS-Survey/SA4.0">
      <label>Is there a state PHC Technical committee?</label>
      <input ref="/ISS-Survey/SA4.0/SA4.1">
        <label>i. The committee meets regularly</label>
      </input>
      <input ref="/ISS-Survey/SA4.0/SA4.2">
        <label>ii. Notice of meeting, whether different from agreed date from previous meeting or not, is sent out at least five working days before the meeting</label>
      </input>
      <input ref="/ISS-Survey/SA4.0/SA4.3">
        <label>iii. The minute of last quarter meeting available</label>
      </input>
      <input ref="/ISS-Survey/SA4.0/SA4.4">
        <label>iv. The attendance is signed by all present</label>
      </input>
      <input ref="/ISS-Survey/SA4.0/SA4.5">
        <label>v. The minute of meeting is circulated to the stakeholders within four days of the meeting</label>
      </input>
    </group>
    <input ref="/ISS-Survey/SA5">
      <label>Conduct of monthly LGA supervisory visit</label>
      <hint>The state conduct monthly LGA supervisory visits
&gt; The supervisory visit follow the schedule
&gt; The supervisory visit is regular and/or follows the identified gaps from previous visits
&gt; The report of the supervision is available
&gt; The report is circulated: NPHCDA zonal office, SPHCDA, SMoH, partners, etc
 Its all or nothing</hint>
    </input>
    <input ref="/ISS-Survey/SB1">
      <label>Does the state conduct health works analysis?
&gt; The analysis showed
 --&gt; required number
 --&gt; number available
 --&gt; gap</label>
      <hint>The state documented the health sector human resource profile by facility and by cadre.
&gt; A list and number available plus number needed</hint>
    </input>
    <upload mediatype="application/*" ref="/ISS-Survey/SB1.1">
      <label>Attach a copy of the list</label>
    </upload>
    <input ref="/ISS-Survey/SB2">
      <label>Health worker deployment</label>
      <hint>The state has record of deployment of health workers
&gt; Deployment and/engagement is based on the need as identified from gap analysis
Supervisor check the last employment/deployment batch with the gap analysis</hint>
    </input>
    <input ref="/ISS-Survey/SB3">
      <label>Health worker training</label>
      <hint>&gt; The state has
 --&gt; training plans
 --&gt; records/reports of training conducted for PHC
 workers in the last quarter</hint>
    </input>
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