18
Appendix 1
Template of Company Monthly Report
HIV AIDs and STDs Campaign *
Month:
Company Name:__________________________________________________________________
# Total Manpower:
# HIV Test
requested
Short comments:
HSE Manager name:
[1] The theme could be HIV AIDs or akind of STIs or prevention strategies or all of the above.
[2] Tools could be visual aids, wooden penis for condom demonstration, powerpoint slides etc..
* Please use MS Excel when you will send this report to
and
at end of each period.
You may send the participants list in PDF format
Total
Date
Theme of
session[1]
Number of
participants
Man
Woman
Tools
used[2]
Amount of
time taken
# of
condoms
distributed
# of posters
and
brochures
distributed
Name of
enterprise if
different than the
company listed
above
