KMTC Cha Logbook PDF
KMTC Cha Logbook PDF
KMTC Cha Logbook PDF
Logbook
For
1.0 Introduction
This logbook captures a record of Community Health Assistants’ competences.
1.1 Course Competencies and Outcomes
Students Details
Name: .........................................................................................................................
College Number: ............................................................................................................
Signed: .........................................................Date: ......................................................................
___________________________________________________________________________
This document is issued to the student in compliance with the training requirement and should
be submitted when duly completed prior to the end of course examination.
Field Supervisor:
Name: __________________________Signature: _______________ Date: ______________
Course Coordinator:
Name: __________________________Signature: _______________ Date: ______________
Head of Department:
Name: _________________________signature: ________________Date______________
Official Stamp
A Community Dialogue
B Health Education
Sessions(Household Visits,
Community & Facility)
Communicable diseases
Competence Remarks
Community Engagement
Supervision skills
Report writing
Student
Name................................................................... College number..............................................
Signature.............................................................. Date.........................................
Field Supervisor
Name.................................................................. Designation....................................................
Signature............................................................ Date.........................................
Assessor
Name.................................................................. Designation....................................................
Co-assessor
Name.................................................................. Designation....................................................
Signature........................................................... Date.............................................................
Head of department
Name.........................................................…Signature................................Date.........................