WEEKL

NAME OF CENTRE: MONTH / YEAR

FROM ---- TO

NUMBER OF
Number FULL IYCF
of other ASSESSMENTS
Number of caregive DONE BY IYCF
NEW r/ COUNSELLOR / ACTION 1
Number of Number of infant NURSE Number of
caregivers Number
mother/ father/ (Should be ALL caregiver/
(mothers, infant pairs pairs of
infant pairs
fathers, other (e.g. pregnant new caregivers - infant pairs
already already grandmo using
caregivers, mothers use the IYCF
registered registered individual breastfeedi
pregnant ther, (E)
(B) (C ) registration ng area
mothers) aunt, form; simple, (F)
(A) sister, rapid IYCF
etc) assessment;
(D) B.R.E.A.S.T
forms)
 WEEKLY IYCF DATA FORM
MONTH / YEAR
FROM ---- TO

ACTION 2 ACTION 3 & 4

NUMBER OF 1 TO 1 SESSIONS UNDERTAKEN by Breastfeeding or IYCF / PREGNANCY SUPPORT GRO
IYCF counsellor

Number of Number of Number of Key messages

Number of
individual individual individual TOTAL Total number covered in
counselling
counseling counseling counselling NUMBER of support sessions this
sessions
sessions sessions sessions to OF 1 TO 1 group week (Put
over 24
(0 up to 6 (7 up to 24 pregnant SESSIONS this sessions number e.g. 4,
months week
months) months) mothers (G) 6, 11)
(G3) *
(G1) (G2) (G4)
 ACTION 3 & 4
CF / PREGNANCY SUPPORT GROUPS TOTAL NUMBER
OF
CAREGIVER /
INFANT PAIRS
USING IYCF
FACILITIES THAT
WEEK (Note there
Total will be some double
number of Total number TOTAL counting as some
of male CAREGIVER/IN caregivers will attend
female different activities)
caregivers in caregivers in FANT PAIRS
support support ATTENDING (F+G+H)
groups that SUPPORT
groups that week GROUPS
week (H2) (H)
(H1)
 Burco Ainabo
WEEKLY OUTPUT TRACKER FFO FFO

# New Caregivers (mothers,

fathers, other caregivers, TOTAL # Caregivers
pregnant mothers

# of mother/
infant pairs already registered TOTAL # Mother/Infant

# Number of father/
infant pairs already registered TOTAL # Father/Infant

# Number of other
caregiver/infant pairs
(e.g. grandmother, aunt, sister, TOTAL # Other Caregiver/Infant
etc)

# Number of pregnant mothers TOTAL # Pregant Mothers

# New Caregivers (mothers,

fathers, other caregivers, # New Caregivers
pregnant mothers

NUMBER OF FULL IYCF

ASSESSMENTS DONE BY IYCF # of Full IYCF Assessments
COUNSELLOR / NURSE

ACTION 1
Number of caregiver/
infant pairs using breastfeeding # Caregiver/Infant
area

# of individual counseling
sessions (0 up to 6 months)

# of individual counseling
# ACTION 2 sessions (7 up to 24 months)
NUMBER OF 1 TO 1
SESSIONS UNDERTAKEN # of counselling sessions
by Breastfeeding or IYCF over 24 months
counsellor
# of individual counselling
sessions to pregnant mothers

Total # OF 1 TO 1 SESSIONS

Total number of support group

sessions this week

#ACTION 3 & 4
IYCF / PREGNANCY
 Key messages covered in
sessions this week (Put number
e.g. 4, 6, 11)

#ACTION 3 & 4 Total number of female

IYCF / PREGNANCY caregivers in support groups
SUPPORT GROUPS that week

Total number of male caregivers

in support groups that week

TOTAL CAREGIVER/INFANT
PAIRS ATTENDING SUPPORT
GROUPS
TOTAL # of Caregiver/Infant
Pairs Using IYCF facilities
TOTAL # Caregiver/Infant
that week
0 0
ceel afweyn Taleex 1 Taleex 2 Buhoodle Lasanod Total

FFO FFO FFO FFO FFO FFO

0
0

0
 0

0 0 0 0 0 0
 Baki-MT Lughaya MT
WEEKLY OUTPUT TRACKER OFDA OFDA

# New Caregivers (mothers,

fathers, other caregivers, TOTAL # Caregivers
pregnant mothers

# of mother/
infant pairs already registered TOTAL # Mother/Infant

# Number of father/
infant pairs already registered TOTAL # Father/Infant

# Number of other
caregiver/infant pairs
(e.g. grandmother, aunt, sister, TOTAL # Other Caregiver/Infant
etc)

# Number of pregnant mothers TOTAL # Pregant Mothers

# New Caregivers (mothers,

fathers, other caregivers, # New Caregivers
pregnant mothers

NUMBER OF FULL IYCF

ASSESSMENTS DONE BY IYCF # of Full IYCF Assessments
COUNSELLOR / NURSE

ACTION 1
Number of caregiver/
infant pairs using breastfeeding # Caregiver/Infant
area
# of individual counseling
sessions (0 up to 6 months)

# of individual counseling
# ACTION 2 sessions (7 up to 24 months)
NUMBER OF 1 TO 1
SESSIONS UNDERTAKEN # of counselling sessions
by Breastfeeding or IYCF over 24 months
counsellor # of individual counselling
sessions to pregnant mothers

Total # OF 1 TO 1 SESSIONS

Total number of support group

sessions this week

#ACTION 3 & 4
IYCF / PREGNANCY
SUPPORT GROUPS
 Key messages covered in
sessions this week (Put number
e.g. 4, 6, 11)

#ACTION 3 & 4 Total number of female

IYCF / PREGNANCY caregivers in support groups
SUPPORT GROUPS that week
(H1)
Total number of male caregivers
in support groups that week

TOTAL CAREGIVER/INFANT
PAIRS ATTENDING SUPPORT
GROUPS
TOTAL # of Caregiver/Infant
Pairs Using IYCF facilities
TOTAL # Caregiver/Infant
that week
0 0
Zeila MT Haddi MCH Damal MCH Asha Addo MCH AbdiGuedi Total

OFDA OFDA OFDA OFDA OFDA OFDA

0
0

0
 0

0 0 0 0 0 0
 Gabiley Team 1
WEEKLY OUTPUT TRACKER IRF-5

# New Caregivers (mothers,

fathers, other caregivers, TOTAL # Caregivers
pregnant mothers

# of mother/
infant pairs already registered TOTAL # Mother/Infant

# Number of father/
infant pairs already registered TOTAL # Father/Infant

# Number of other
caregiver/infant pairs
(e.g. grandmother, aunt, sister, TOTAL # Other Caregiver/Infant
etc)

# Number of pregnant mothers TOTAL # Pregant Mothers

# New Caregivers (mothers,

fathers, other caregivers, # New Caregivers
pregnant mothers

NUMBER OF FULL IYCF

ASSESSMENTS DONE BY IYCF # of Full IYCF Assessments
COUNSELLOR / NURSE

ACTION 1
Number of caregiver/
infant pairs using breastfeeding # Caregiver/Infant
area
# of individual counseling
sessions (0 up to 6 months)

# of individual counseling
# ACTION 2 sessions (7 up to 24 months)
NUMBER OF 1 TO 1
SESSIONS UNDERTAKEN # of counselling sessions
by Breastfeeding or IYCF over 24 months
counsellor # of individual counselling
sessions to pregnant mothers

Total # OF 1 TO 1 SESSIONS

Total number of support group

sessions this week

#ACTION 3 & 4
IYCF / PREGNANCY
SUPPORT GROUPS
 Key messages covered in
sessions this week (Put number
e.g. 4, 6, 11)

#ACTION 3 & 4 Total number of female

IYCF / PREGNANCY caregivers in support groups
SUPPORT GROUPS that week
(H1)
Total number of male caregivers
in support groups that week

TOTAL CAREGIVER/INFANT
PAIRS ATTENDING SUPPORT
GROUPS
TOTAL # of Caregiver/Infant
Pairs Using IYCF facilities
TOTAL # Caregiver/Infant
that week
0
Gabiley Team 2 Total

IRF-5 IRF-5

0
0

0
 0

0 0
 NAME OF Project:

Number of
NEW
caregivers Number of
(mothers, mother/
fathers, infant pairs
other already
caregivers, registered
pregnant (B)
mothers)
Region District Sites (A)

W. Galbed Gabiley Bocda 15 45

W. Galbed Gabiley Botor 2 19

W. Galbed Gabiley Bus 17 41

W. Galbed Gabiley caada

W. Galbed Gabiley Ceel Bardaale 4 34

W. Galbed Gabiley Duburuha 3 25

W. Galbed Gabiley Galoolay

W. Galbed Gabiley Gashamo

W. Galbed Gabiley Geed abeera

W. Galbed Gabiley Gogaysa 2 9

W. Galbed Gabiley Gogol wanag 13 40

W. Galbed Gabiley idhanka 3 45

W. Galbed Gabiley Ijo waqi

W. Galbed Gabiley Kidiiga dhanaan

W. Galbed Gabiley Laan barwaqo 4 45

W. Galbed Gabiley laaye 9 20

W. Galbed Gabiley Mashruuca

W. Galbed Gabiley Sh maxamud yare 2 26

W. Galbed Gabiley Taysa

W. Galbed Gabiley Xidiinta

 IRF 5
NUMBER
OF FULL
IYCF
ASSESSME
NTS DONE
BY IYCF
COUNSELL
Number of OR /
other NURSE ACTION 1
Number of caregiver/ Number of
(Should be
father/ infant pairs Number of caregiver/
ALL new
infant pairs pregnant caregivers - infant pairs
(e.g.
already grandmother mothers using
use the
registered , aunt, sister, (E) breastfeeding
IYCF
(C ) area
etc) individual (F)
(D) registration
form;
simple,
rapid IYCF
assessmen
t;
B.R.E.A.S.T
3 20 20 forms)102 5

5 4 3 2 15

3 19 21 100 14

2 0 5 1 18

3 2 4 2 20
2 8 3 2 35

5 19 22 98 18

2 4 5 2 21

5 6 3 2 13

3 12 12 57 6

3 1 4 1 9
 IYCF Report
MONTH / YEAR 2017-2018
FROM ---- TO

ACTION 2
NUMBER OF 1 TO 1 SESSIONS UNDERTAKEN by Breastfeeding or IYCF
counsellor

Number of Number of Number of

individual individual Number of individual
counseling counseling counselling counselling
sessions sessions sessions over sessions to
(0 up to 6 (7 up to 24 24 months pregnant mothers
months) months) (G3) (G4)
(G1) (G2)

11 20 51 20

4 5 10 3

12 21 46 21

6 9 19 5

3 4 14 2
 3 6 17 9

12 21 45 21

3 7 9 2

5 8 43 4

7 12 21 12

1 5 19 2
 ACTION 3 & 4
IYCF / PREGNANCY SUPPORT GROUPS
tfeeding or IYCF

Total
Key messages number of Total number of
TOTAL Total number covered in female male caregivers
NUMBER of support sessions this caregivers in in support
OF 1 TO 1 group week (Put support groups that
SESSIONS sessions this number e.g. 4, groups that week
(G) week 6, 11) week (H2)
* (H1)

102 23 4 20 3

22 2 2 14 5

100 17 21 21 3

39 2 3 32 2

23 1 1 22 3
35 14 2 10 4

98 26 3 21 3

21 2 1 49 21

60 7 2 7 0

57 12 10 12 2

22 1 1 26 3
 TOTAL NUMBER
OUPS OF
CAREGIVER /
INFANT PAIRS
USING IYCF
FACILITIES THAT
WEEK (Note
there will be
TOTAL some double
CAREGIVER/I counting as
NFANT PAIRS some caregivers
ATTENDING will attend
SUPPORT different
GROUPS activities)
(H) (F+G+H)

23 130

19 56

21 135

34 91

25 68

0
14 84

26 142

51 93

7 80

12 75

29 60

0
Botor
2 19 5 4 3 2 15 4

Ceel Bardale 4 34 2 0 5 1 18 6

Indhanka 3 45 2 4 5 2 21 3

Duburaha 3 25 3 2 4 2 20 3

Sh. Mohamud Yare 2 26 3 1 4 1 9 1

Gogaysa 2 9 2 8 3 2 35 3

Laan Barwaqo 4 45 5 6 3 2 13 5
5 10 3 22 2 2 14 5 19 56

9 19 5 39 2 3 32 2 34 31

7 9 2 21 2 1 49 21 51 97

4 14 2 23 1 1 22 3 25 63

5 19 2 22 1 1 26 3 29

6 17 9 35 14 2 10 4 14 34

8 43 4 60 7 2 7 0 7 80
 NAME OF Project :

Number of
NEW Number of
caregivers mother/
(mothers, infant pairs
fathers, other already
caregivers, registered
pregnant (B)
mothers)
(A)
Region District Sites

Sool Ainabo Samakab

Sool Ainabo Dhudhubka

Sool Ainabo Gun Bur caro

Sool Ainabo Bali caraale

Sool Ainabo Kala baydh

Sool Ainabo Geesa haye

Sool Ainabo Wirir

Sool Ainabo Celel

Sool Ainabo Xangeeyo

Sool Ainabo Karimo

Sool Ainabo Ceel lahelay

Togdheer Burao Gaadle one

Togdheer Burao Kuryaale

Togdheer Burao Gatama

Togdheer Burao Magala yar

Todheer Burao Fadhi yar

Togdheer Burao Dhakool

Togdheer Burao Ununlay

Togdheer Burao Jableh

Togdheer Burao Faqayub

Togdheer Burao Ilcarmo

Togdheer Burao Gabo gabo

Togdheer Burao Dawacaale

Togdheer Burao Afwayne

Togdheer Burao Wabo Cado

Togdheer Burao Ceel dheere

Sanaag El afwayn Godcaanood

Sanaag El afwayn Dambas wayn

Sanaag El afwayn Ceel midgaan

Sanaag El afwayn Lasdoomare

Sanaag El afwayn Haluul

Sanaag El afwayn Balan baal

Snaag El Afwayne Kari biyood

Sanaag El afwayn Tuulo dhabiinjo

Sanaag El Afwayn Wargundi

Sanaag El afwayn Dhoomo

Sanaag Elafwayn Kalbooco

Sanaag El afwayn Jidbaale

Sool Lascanood Dhumay

Sool lascanod Tuurta saag

Sool Lascanod Daba taag

Sool Lascanod Xidhxidh

Sool Lascanood Geed dheer

Sool Lascanood Dhaban saar

Sool Lascaanood Laasa daar

Sool Lascanood Bali hadhac

Sool Lascanood Saaxdheer

Sool Lascanood Qaydarka

Sool Taleex Barda wanle

Sool Taleex Godolo

Sool Taleex Qori xaar

Sool Taleex Lasocurdin

Sool Taleex Caday jaale

Sool Taleex Dhumay

sool Taleex Shaxda

Sool Taleex Gabidheero

Sool Taleex Dofar qod

Sool Taleex Wala Mugle

Sool Taleex Kaam Ali

Sool Taleex Sarmaayo

Sool Taleex damalka

Sool Taleex Bardaha

Sool Taleex Fadhigaab

Sool Taleex Kalcad

Sool Taleex Labaas buuqdheer

Sool Taleex Dhidarka

Sool Taleex Kaamka Aw amuu

Sool Taleex Faraskule

Togdheer Buhoodle Jacaylka

Togdheer Buhoodle Dhilaalo

Togdheer Buhoodle Farjano

Togdheer Buhoodle Ceegag

Togdheer Buhoodle Horufadhi

Togdheer Buhoodle Sool joogto

Togdheer Buhoodle Maygaagle

Togdheer Buhoodle Gocondhaale

Togdheer Buhoodle Haagoogane

Togdheer Buhoodle Qaydar

 IYCF Rep
FFO MONTH / YEAR
FROM ---- TO

ACTION
NUMBER OF 1 TO 1 SESSIONS UNDER
counsell
NUMBER OF FULL
IYCF
Number of ASSESSMENTS
other ACTION 1
Number of DONE BY IYCF Number of
caregiver/ COUNSELLOR / caregiver/
father/ Number of
infant pairs infant pairs NURSE
pregnant infant pairs
(e.g. (Should be ALL new
already mothers using
registered grandmother, (E) caregivers - use the breastfeedi
aunt, sister, IYCF individual
(C ) ng area Number of
etc) registration form;
(F)
(D) simple, rapid IYCF individual
assessment; counseling
B.R.E.A.S.T forms) sessions
(0 up to 6
months)
(G1)
 IYCF Report
2017- 2018

ACTION 2 ACTION 3 & 4

UMBER OF 1 TO 1 SESSIONS UNDERTAKEN by Breastfeeding or IYCF IYCF / PREGNANCY SUPPORT GR
counsellor

Number of Number of
Number of Key messages
individual individual
counselling TOTAL Total number of covered in
counseling counselling
sessions NUMBER OF 1 support group sessions this week
sessions sessions to
over 24 TO 1 SESSIONS sessions this (Put number e.g. 4,
(7 up to 24 pregnant
months (G) week 6, 11)
months) mothers *
(G3)
(G2) (G4)
 ACTION 3 & 4
IYCF / PREGNANCY SUPPORT GROUPS

TOTAL NUMBER
OF
CAREGIVER /
INFANT PAIRS
USING IYCF
FACILITIES THAT
WEEK (Note there
will be some double
Total number of Total number of counting as some
TOTAL caregivers will attend
female different activities)
caregivers in male caregivers in CAREGIVER/INFANT
support groups support groups PAIRS ATTENDING (F+G+H)
that week SUPPORT GROUPS
that week (H2) (H)
(H1)
 NAME OF Project :

Number of
NEW Number of
caregivers mother/
(mothers, infant pairs
fathers, other already
caregivers, registered
pregnant (B)
mothers)
(A)
Region District Sites

Awdal Baki Nadhi

Awdal Baki Daray quruxsan

Awdal Baki Badanbad

Awdal Baki Qolqol

Awdal Baki Ciye

Awdal Baki Saray

Awdal Baki Guriga cad

Awdal Baki Cadaad dhadher

Awdal Baki Cad cad

Awdal Baki sitiile

Awdal Lughaya Garaaca

Awdal Lughaya Xoog Faras

Awdal Lughaya Xayaabley

Awdal Lughaya Kalajabka

Awdal Lughaya Bildhaley

Awdal Lughaya Idacaday

Awdal Lughaya Hadayta

Awdal Lughaya Shacable/Fuguxo

Awdal Lughaya Foodka

Awdal Zeila khadar iyo ilyas

Awdal Zeila Cadaawe iyo Bookh

Awdal Zeila Garboqawle

Awdal Zeila Wadajir

Awdal Zeila Hooroone/Boor

Awdal Zeila xoosh muse

Awdal Zeila Labile

Awdal Zeila Sawer area

Awdal Zeila Markasa

Awdal Zeila dharkayn

Awdal Borama Haddi (Borama)

Awdal Lughaya Damal MCH (Lugahaya)

Awdal Lughaya Abdigeedi (Lugahaya)

Awdal Zeila Asha Addo MCH (Zeila)

 IYCF Repor
OFDA MONTH / YEAR
FROM ---- TO

A
NUMBER OF NUMBER OF 1 TO 1 SESSIONS UNDE
FULL IYCF
ASSESSMENTS
Number of DONE BY IYCF
other COUNSELLOR / ACTION 1
Number of NURSE Number of
father/ caregiver/ Number of (Should be ALL caregiver/
infant pairs infant pairs pregnant new caregivers - infant pairs
(e.g.
already mothers use the IYCF using
registered grandmother, (E) individual breastfeeding
aunt, sister,
(C ) registration area Number of
etc) form; simple, (F)
(D) individual
rapid IYCF counseling
assessment; sessions
B.R.E.A.S.T (0 up to 6
forms) months)
(G1)
 IYCF Report
2017-2018

ACTION 3 & 4
ACTION 2 IYCF / PREGNANCY SUPPORT GR
MBER OF 1 TO 1 SESSIONS UNDERTAKEN by Breastfeeding or IYCF counsellor

Number of Key messages

Number of TOTAL
individual Number of individual NUMBER OF Total number covered in
counselling sessions this
counseling sessions sessions over 24 counselling sessions of support
1 TO 1
(7 up to 24 to pregnant mothers SESSIONS group sessions week (Put
months number e.g. 4,
months) (G4) this week
(G3) (G) 6, 11)
(G2) *
 ACTION 3 & 4
CF / PREGNANCY SUPPORT GROUPS

TOTAL NUMBER
OF
CAREGIVER /
INFANT PAIRS
USING IYCF
FACILITIES THAT
WEEK (Note there
Total will be some double
number of Total number TOTAL counting as some
of male CAREGIVER/IN caregivers will attend
female different activities)
caregivers in caregivers in FANT PAIRS
support support ATTENDING (F+G+H)
groups that SUPPORT
groups that week GROUPS
week (H2) (H)
(H1)