Cha Level 5 Mentoring Tool

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TVET CURRICULUM DEVELOPMENT, ASSESSMENT AND CERTIFICATION COUNCIL (TVET CDACC)

MENTORING TOOL

FOR

COMMUNITY HEALTH

LEVEL 5
Foreword

This mentoring tool has been developed by TVET Curriculum Development, Assessment and Certification Council (TVET CDACC) in partner-
ship with trainers and industry experts in Community Health.

Mentoring relationships have demonstrated to be an excellent way of enhancing professional growth. Both the mentor and the mentee give and
grow in the mentoring process. The mentee can learn valuable knowledge from the mentor’s expertise and past mistakes and competencies can
be strengthened in specific areas. Mentees will have the opportunity to establish valuable connections with higher level employees. The success
of mentoring will depend on clearly defined roles and expectations in addition to the mentee’s awareness of the benefits of participating in the
mentoring program.

This mentoring tool is an assessment tool used to assess whether a mentee meets the National Occupational Standards for Community Health
Level 5. Whilst there is no agreement or finite evidence as to how many times this supervised exercise should occur, both the mentor and the
mentee should feel confident that the mentee has the necessary skills, knowledge and attitudes (worker behaviors) to work as Assistant Commu-
nity Health Officer.

The Mentoring will facilitate the experienced mentors in the world of work to share knowledge and experiences with mentees working under
them towards a mutually beneficial professional development relationship. Mentors will be helpful in building competencies of mentees in areas
of practice.

DR. LAWRENCE GUANTAI, PHD


CEO/COUNCIL SECRETARY

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TRAINEE (MENTEE) DETAILS
Name of Trainee (Mentee)

Registration Code of Trainee (Mentee)

Trainee’s/mentee’s Institution Details Name:

Physical & postal address:

Phone and email address:

Date of Commencement of Mentoring Period


(dd/mm/yyyy)

Date of Completion of Mentoring Period


(dd/mm/yyyy)

Organization Name:

Physical & postal address:

Phone and email address:

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1.0 Information for Users
1.1 Role of a Mentor
A mentor is someone who provides support and advice that empowers the mentee to achieve skills, knowledge and attitudes (worker behaviors).
This may be a supervisor, manager or a worker who is an expert in a particular field.
The role of the mentor includes:
• Assisting mentee understand the organisation’s requirements
• Assigning mentee tasks
• Observing mentee performance and record areas where the mentee needs improvement
• Assisting the mentee to come up with action plan for areas where he/she needs improvement

1.2 Role of Mentee


A mentee is a trainee who is on work placement (attachment) or is on-job training in an organization.
The role of the mentee includes:
• Completing the assessment tasks assigned by the mentor and filling out the self-assessment section
• Keeping the company’s information confidential
• Being aware that he/she may be working with people from different backgrounds and cultures, so there is a need to respect those differ-
ences
• Asking for feedback and giving feedback when required.

2.0 How to use the mentoring tool

• Where a skill, knowledge or attitude is not applicable in a particular workplace, the mentee should indicate not applicable (NA)

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• The mentor should ask the mentee oral questions to gauge the knowledge of the mentee

• The mentee should fill the self-assessment section upon self-evaluation

• The mentor should fill the mentor review record upon observing and evaluating the mentee

• Action plan should be filled by the mentee after agreeing with the mentor for any item assessed as needs to improve

3.0 Mentoring Period


The attachment period should be at least three months. Mentee should spend at least two thirds of the attachment in mmonitoring community
health care, monitoring gender, orphans and vulnerable groups, maintaining community health information systems, conducting community
health linkages, conducting community health service strategies and conducting community-based health care. Time spent in each
section/department should be documented using form in Appendix 1.

4.0 Number of Assessments

Three assessments are to be conducted using the mentoring tool: one within the first month of the attachment where the mentor assesses the
mentee to assess their initial level of competence; another assessment will be conducted within the second month of the attac hment period to
gauge the progress of the mentee and the third one will be conducted within the third month of the attachment.

5.0 Submission of Mentoring Reports

The mentor is required to submit each of the three mentoring reports (in hard or soft copy) to the Industrial Liaison Officer of the respective in-
stitution. The Industrial Liaison Officer is required to submit to TVET CDACC offices the three mentor’s summary reports (Appendix 2). The
filled mentoring tools for each trainee are to be kept in the institution and made available to TVET CDACC on request.

5
Table of Contents
1. DEMONSTRATE COMMUNICATION SKILLS .............................................................................................................................................. 7
2. DEMONSTRATE NUMERACY SKILLS ........................................................................................................................................................ 15
3. DEMONSTRATE DIGITAL LITERACY ........................................................................................................................................................ 21
4. DEMONSTRATE ENTREPRENEURIAL SKILLS ......................................................................................................................................... 27
5. DEMONSTRATE EMPLOYABILITY SKILLS .............................................................................................................................................. 36
6. DEMONSTRATE ENVIRONMENTAL LITERACY ...................................................................................................................................... 44
7. DEMONSTRATE OCUPATIONAL SAFETY AND HEALTH PRACTICES ................................................................................................ 51
8. APPLY NUTRITION IN COMMUNITY HEALTH ........................................................................................................................................ 57
9. APPLY EPIDEMIOLOGY IN COMMUNITY HEALTH WORKS................................................................................................................. 63
10. APPLY HUMAN ANATOMY AND PHYSIOLOGY .................................................................................................................................. 69
11. APPLY BASIC MICROBIOLOGY AND PARASITOLOGY ...................................................................................................................... 75
12. MONITOR COMMUNITY HEALTH CARE ............................................................................................................................................... 81
13. CONDUCT COMMUNITY-BASED HEALTH CARE ................................................................................................................................ 89
14. MAINTAIN COMMUNITY HEALTH INFORMATION SYSTEMS ......................................................................................................... 97
15. CONDUCT COMMUNITY HEALTH LINKAGES ................................................................................................................................... 104
16. CONDUCT COMMUNITY HEALTH SERVICE STRATEGIES ............................................................................................................. 111
17. MONITOR GENDER, ORPHANS AND VULNERABLE GROUPS ........................................................................................................ 118

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1. DEMONSTRATE COMMUNICATION SKILLS

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the
header below.
S/N. Items for evaluation (knowledge, skills and Not Self- Mentor Record action plan Evidence e.g.,
attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To Need to Need to agreed with mentor) observation
current improve improve (NI) checklist, products,
area of (NI) Or met photos and videos of
practice Or met (initials & products and
(date) date) processes e.t.c.
KNOWLEDGE Self- Mentor
The mentee demonstrates knowledge of: assessment review
1. Communication process
2. Dynamics of groups and different styles of
group leadership
3. Communication skills relevant to client
groups
4. Flexibility in communication
5. Communication skills relevant to client
groups
SKILLS
The mentee:
6. Accesses specific and relevant information
from appropriate sources
7. Uses effective questioning, active listening

7
S/N. Items for evaluation (knowledge, skills and Not Self- Mentor Record action plan Evidence e.g.,
attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To Need to Need to agreed with mentor) observation
current improve improve (NI) checklist, products,
area of (NI) Or met photos and videos of
practice Or met (initials & products and
(date) date) processes e.t.c.
and speaking skills to gather and convey
information
8. Uses appropriate medium to transfer
information and ideas
9. Uses appropriate non- verbal
communication.
10. Identifies and follows appropriate lines of
communication with supervisors and
colleagues.
11. Uses defined workplace procedures for the
location and storage of information.
12. Carries out personal interaction clearly and
concisely andparticipates in simple
conversations on familiar topics with work
colleagues
13. Responds to simple verbal instructions or
requests and makes simple requests
according to workplace guidelines and

8
S/N. Items for evaluation (knowledge, skills and Not Self- Mentor Record action plan Evidence e.g.,
attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To Need to Need to agreed with mentor) observation
current improve improve (NI) checklist, products,
area of (NI) Or met photos and videos of
practice Or met (initials & products and
(date) date) processes e.t.c.
procedures.
14. Describes routine procedures in accordance
with workplace policy.
15. Expresses likes, dislikes and preferences
16. Identifies different forms of expression in
English
17. Attends team meetings on time
18. Expresses own opinions clearly and those of
others are listened to without interruption
19. Consistent meeting inputs with the meeting
purpose and established protocols
20. Conducts workplace interactions in a
courteous manner
21. Asks and responds to questions about simple
routine workplace procedures and maters
concerning working conditions of

9
S/N. Items for evaluation (knowledge, skills and Not Self- Mentor Record action plan Evidence e.g.,
attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To Need to Need to agreed with mentor) observation
current improve improve (NI) checklist, products,
area of (NI) Or met photos and videos of
practice Or met (initials & products and
(date) date) processes e.t.c.
employment
22. Interprets and implements meetings
outcomes
23. Completes range of forms relating to
conditions of employment accurately and
legibly
24. Records workplace data on standard
workplace forms and documents
25. Uses basic mathematical processes for
routine calculations
26. Identifies and properly acts upon errors in
recording information on forms/ documents
27. Completes reporting requirements to
supervisor according to organizational
guidelines

10
Note:
To be declared competent, the mentee must get:
1. 14 of the 27 (50%) items of evaluation correct and
2. Items 6, 7, 8, 10, 11, 12, 13, 16, 17, 18, 19, 21, 22, and 24 correct.

11
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

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APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ……………………………………….…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ……………………………………….…………….…………….…………….

NAME OF MENTOR …………………………………………………………….…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

13
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

14
2. DEMONSTRATE NUMERACY SKILLS

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the
header below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
KNOWLEDGE Self- Mentor
The mentee demonstrates knowledge of: assessment review
1. Basic mathematical formulas
2. Types and purpose of measuring
instruments/ devices
3. Units of measurement and abbreviations
4. Fundamental operations (addition,
subtraction, division, multiplication)
5. Rounding techniques
6. Types of fractions
7. Different types of tables and graphs
8. Meaning of graphs, such as increasing,
decreasing, and constant value

15
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
9. Preparation of basic data, tables &
graphs
SKILLS
The mentee:
10. Measures objects or materials as per job
requirements
11. Uses calculator to perform the four
fundamental operations (addition,
subtraction, division, multiplication)
12. Performs calculations and currency
conversions involving money
13. Performs conversions between hours,
minutes and seconds
14. Calculates area and volume of regular
shapes
15. Creates tables and graphs to represent
and interpret information

Note:

16
To be declared competent, the mentee must get:
1. 8 of the 15 (50%) items of evaluation correct and
2. Items 14 and 15 correct.

17
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

18
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ……………………………………….…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ……………………………………….…………….…………….…………….

NAME OF MENTOR …………………………………………………………….…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

19
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

20
3. DEMONSTRATE DIGITAL LITERACY

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the
header below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
KNOWLEDGE Self- Mentor
The mentee demonstrates knowledge of: assessment review
1. Functions of computer software and
hardware.
2. Security and privacy of data.
3. Computer security threats and control
measures.
4. Computer crimes.
5. Detection and protection of computer
crimes.
6. Laws governing protection of ICT.
7. Word processing
8. Spread sheet
9. Networking, internet, and social media

21
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
10. Emerging trends and issues in ICT
SKILLS
The mentee:
11. Identifies input, output, CPU and storage
media devices of computers in
accordance to computer specification
12. Identifies concepts, types and functions
of computer software according to
operation manual
13. Identifies security threats and applies
security and control measures.
14. Detects and protects computer crimes
15. Applies word processing in office tasks
16. Prepares work sheet and applies data to
the cells in accordance to workplace
procedures
17. Uses Electronic Mail for office
communication as per workplace

22
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
procedure
18. Applies internet and World Wide Web
for office tasks in accordance with office
procedures
19. Determines network configuration and
uses in accordance with office operations
procedures
20. Applies laws governing protection of
ICT

Note:
To be declared competent, the mentee must get:
1. 10 of the 20 (50%) items of evaluation correct and
2. Items 11, 12, 13, 15, 16, 17 and 18 correct.

23
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

24
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………...…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ……………………………………….…………….…………….…………….

NAME OF MENTOR …………………………………………………………….…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

25
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

26
4. DEMONSTRATE ENTREPRENEURIAL SKILLS

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the
header below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
KNOWLEDGE Self- Mentor
The mentee demonstrates knowledge of: assessment review
1. Public relations concepts
2. Basic product promotion strategies
3. Basic market and feasibility studies
4. Basic business ethics
5. Building customer relations
6. Business models and strategies
7. Types and categories of businesses
8. Business internal controls
9. Relevant national and local legislation
and regulations

27
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
10. Basic quality control and assurance
concepts
11. Building relations with customer and
employees
12. Building competitive advantage of the
enterprise
SKILLS
The mentee:
13. Identifies factors that promote or inhibit
entrepreneurial development and
identifies ways of managing factors that
inhibit development of entrepreneurial
culture in accordance with cultural
background and national social economic
situation
14. Undertakes identification of sources of
business ideas and generation of business
ideas in accordance with the existing

28
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
procedure
15. Undertakes evaluation of business
opportunities and matches competencies
with business opportunities in
accordance with business practices.
16. Identifies factors to consider when
starting a small business according to
business sector.
17. Identifies forms of business ownership
and stipulates procedure of starting a
small business according to relevant
legal requirements
18. Identifies challenges faced when starting
a small business and provides mitigating
factors for in accordance prevailing legal
and regulatory requirement
19. Specifies resource requirement for a
small business according to nature of
business
20. Projects business life cycle as per the
nature of business and national social

29
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
economic situation
21. Maintains and keeps small business
records for decision making purposes
22. Sets up business support services in
accordance with the nature and size of
business
23. undertakes marketing activities
according to the nature and size of
business
24. Prepares small enterprise business plan
depending on the size and nature of
business and the client specification
25. Demonstrates ability to run small
business resources for efficiency and
profitability
26. Identifies and implements methods of
growing/expanding a small business in
accordance with growth schedule
27. Identifies and implements resources for
growing small business.

30
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
28. Prepares small business growth plans and
schedules in accordance with office
procedures
29. Identifies and implements basic business
growth strategies for increased
profitability
30. Builds community interest in
product/service according to growth plan
31. Incorporates use of computers and
technology in small scale business
growth schedule in accordance with
technological trends
32. Enhances business communication
according to business communication
plan and profitability
33. Applies word processing concepts in the
management and growing of small
business according to office procedures
34. Applies basic computer application
software, programming and emerging
trends and concerns in small business

31
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
management and growth in accordance
with office procedures for growth and
profitability

Note:
To be declared competent, the mentee must get:
1. 17 of the 34 (50%) items of evaluation correct and
2. Items 14, 15, 16, 17, 18, 19, 21, 23, and 26 correct.

32
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

33
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ……………………………………….…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ……………………………………….…………….…………….…………….

NAME OF MENTOR …………………………………………………………….…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

34
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

35
5. DEMONSTRATE EMPLOYABILITY SKILLS

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the
header below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
KNOWLEDGE Self- Mentor
The mentee demonstrates knowledge of: assessment review
1. Work values and ethics
2. Company policies
3. Company operations, procedures and
standards.
4. Occupational Health and safety
procedures.
5. Personal hygiene
6. Team work
7. Communication in workplace
8. Problem solving

36
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
9. Time management
10. Fundamental rights at work
11. Technology in the workplace
12. Decision making
13. Leadership
14. Professional growth and development
15. Safe work habits
16. Learning
SKILLS
The mentee:
17. Formulates personal vision, mission and
goals based on potential and in relation
to organization objectives
18. Handles emotions as per workplace
requirements
19. Develops and maintains assertiveness,
Self-esteem and a positive self-image.

37
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.

20. Demonstrates accountability and


responsibility for own actions.
21. Demonstrates and observes time
management, attendance and punctuality
as per the organization policy.
22. Demonstrates interpersonal
communication and shares information
as per communication structure.
23. Manages stress in accordance with
workplace procedures.
24. Collects feedback on performance based
on established team learning process
25. Observes abstinence from drug and
substance abuse as per workplace policy.
26. Deals with emerging issues in
accordance with organization policy.
27. Demonstrates awareness of HIV& AIDS
and safety consciousness.
28. Identifies personal training needs and
Learning opportunities in line with job

38
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
requirement and with organization
policy.
29. Carries out contribution to the learning
community at the workplace.
30. Demonstrates application of learning in
both technical and non-technical aspects
based on requirements of the job
31. Demonstrates enthusiasm for ongoing
learning and willingness to learn in
different context based on available
learning opportunities arising in the
workplace.
32. Demonstrates awareness of personal role
in workplace innovation
33. Observes policies, guidelines and code of
conduct as per the workplace
requirements
34. Exercises self-worth and profession in
line with personal goals and
organizational policies

39
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
35. Demonstrates commitment to
jurisdictional laws as per the workplace
requirements

Note:
To be declared competent, the mentee must get:
1. 18 of the 35 (50%) items of evaluation correct and
2. Items 17, 19, 21, 27, 28, 30, and 33 correct.

40
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

41
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ……………………………………….…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ……………………………………….…………….…………….…………….

NAME OF MENTOR …………………………………………………………….…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

42
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

43
6. DEMONSTRATE ENVIRONMENTAL LITERACY

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the
header below.
S/N. Items for evaluation (knowledge, Not Self- Mentor Record action plan Evidence e.g.,
skills and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
KNOWLEDGE Self- Mentor
The mentee demonstrates knowledge assessment review
of:
1. Storage methods of environmentally
hazardous materials
2. Disposal methods of hazardous wastes
3. Use of PPEs
4. Occupational Safety and Health
Services
5. Types of pollution and Environmental
pollution control measures
6. Different solid waste, solid waste
management and solid waste act.

44
S/N. Items for evaluation (knowledge, Not Self- Mentor Record action plan Evidence e.g.,
skills and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
7. Waste management procedures
8. Methods for minimizing wastage
9. Different noise pollution and methods
of minimizing noise pollution
10. Economizing of resource consumption
11. Principle of 3Rs (Reduce, Reuse,
Recycle)
SKILLS
The mentee:
12. Uses PPE according to OSHS.
13. Follows strictly storage and handling
methods for environmentally
hazardous materials according to
environmental regulations and OSHS.
14. Follows disposal methods of
hazardous wastes at all times
according to environmental regulations
and OSHS.

45
S/N. Items for evaluation (knowledge, Not Self- Mentor Record action plan Evidence e.g.,
skills and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
15. Complies with environmental
pollution control measures following
standard protocol.
16. Observes procedures for solid waste
management according
Environmental Management and
Coordination Act 1999
17. Complies with methods for
minimizing noise pollution following
environmental regulations.
18. Complies with methods for
minimizing wastage.
19. Employs waste management
procedures following principles of 3Rs
(Reduce, Reuse, Recycle)
20. Practices methods for economizing or
reducing resource consumption.

Note:
To be declared competent, the mentee must get:

46
1. 10 of the 20 (50%) items of evaluation correct and
2. Items 12, 13, 14, 16, 17, 18, 19 and 20 correct.

47
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

48
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ……………………………………….…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ……………………………………….…………….…………….…………….

NAME OF MENTOR …………………………………………………………….…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

49
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

50
7. DEMONSTRATE OCUPATIONAL SAFETY AND HEALTH PRACTICES
Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the
header below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
KNOWLEDGE Self- Mentor
The mentee demonstrates knowledge of: assessment review
1. Safety requirements of own work and of
other workers.
2. Standard emergency plan and procedures
in the workplace
3. Different Occupational Safety and Health
control measures
4. General Occupational Safety and Health
principles
5. Work standards and procedures
6. Safe handling procedures of tools,
equipment’s and materials.
7. Standard emergency plan and procedures
in the workplace
8. Standard accident and illness reporting

51
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
procedures in the workplace
9. Monitoring system on compliance to
work safety and health
SKILLS
The mentee:
10. Emphasizes awareness of legislation that
outlines the minimum standards for
occupational safety and health
requirements/ regulations.
11. Identifies benefits of implementing an
occupational safety and health program.
12. Familiarizes safety requirements/
regulations of own work and of other
workers.
13. Adheres to workplace standards and
procedures for incidents and
Emergencies.
14. Applies prevention and control measures,
including use of safety gears/PPE
(Personal Protective Equipment) to avoid
accident, injuries and sickness

52
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation
area of improve improve (NI) checklist, products,
practice (NI) Or met photos and videos of
Or met (initials & products and
(date) date) processes e.t.c.
15. Follows safety instructions and safety
signs and disseminates to co-workers.
16. Learns safe handling of tools, equipment
and materials and shares with co-
workers.
17. Monitors execution of own work and of
co-workers in according to safe work
procedures.
18. Monitors use of safe guards and safety
devices.
19. Reports hazards, incidents, injuries and
sickness in the workplace properly
following standards and procedures.

Note:
To be declared competent, the mentee must get:
1. 10 of the 19 (50%) items of evaluation correct and
2. Items 10, 11, 12, 13, 14, 15, 16, 17, 18 and 19 correct.

53
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

54
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ……………………………………….…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ……………………………………….…………….…………….…………….

NAME OF MENTOR …………………………………………………………….…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

55
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

56
8. APPLY NUTRITION IN COMMUNITY HEALTH
Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Significance of food Security and nutri-
tion
2. Nutrition needs for different populations
(children, lactating mothers, pregnant
mothers)
3. Determinants of Food Security
4. Application of nutrition in human devel-
opment
5. Nutrition in Disease management
6. Stakeholder involvement in Food securi-
ty

57
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
7. Localization of Food security interven-
tions
8. Identification of human nutritional needs
9. Diversification of Food groups
10. Assessment of community nutrition sta-
tus/ nutrition care process
11. Anthropometric measures
12. Nutrition related conditions
SKILLS
The mentee:
13. Assesses and evaluates community nutri-
tion status
14. Conducts growth monitoring require-
ments according to health standards
15. Conducts and interprets anthropometric
measures
16. Identifies food security issues in the
community

58
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
17. Develops specific food security interven-
tions based on the identified health needs
18. Identifies indicators of food security
19. Establishes nutritional requirements in
human development according to the
health standards
20. Assesses nutrition related conditions ac-
cording to health standards
21. Manages identified nutrition related con-
ditions according to standards
22. Identifies nutrition health needs for spe-
cial groups/vulnerable according to the
health standards

Note:
To be declared competent, the mentee must get:
1. 11 of the 22 (50%) items of evaluation correct and

2. Items 2, 3, 5, 7, 8, 10, 11, 14, 16, 17 and 22 correct.

59
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

60
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

61
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

62
9. APPLY EPIDEMIOLOGY IN COMMUNITY HEALTH WORKS

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Notifiable diseases
2. Community health research
3. Disease occurrence
4. Health determinants
5. Disease surveillance systems
6. Community diseases surveillance
7. MoH Diseases surveillance tools
8. Population screening
9. Prevention and control measures for dis-
eases

63
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
10. Reporting and referral of cases
11. Data management and analysis
SKILLS
The mentee:
12. Conducts diseases surveillance according
to health standards
13. Prepares disease surveillance report ac-
cording to protocols
14. Disseminates disease surveillance report
according to MOH guidelines
15. Identifies notifiable diseases according to
health protocols
16. Develops preventive measures for dis-
eases based on standard procedures
17. Develops reports and referral cases ac-
cording to standard procedures
18. Collates epidemiology data as per health
guidelines
19. Develops action plan according to health

64
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
guidelines
20. Carries out health intervention strategies
according to epidemiological data

Note:
To be declared competent, the mentee must get:
1. 10 of the 20 (50%) items of evaluation correct and

2. Items 1, 3, 5, 9, 10, 12, 14, 15, 16, 17, 19 and 20 correct.

65
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

66
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

67
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

68
10. APPLY HUMAN ANATOMY AND PHYSIOLOGY

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Primary healthcare
2. First Aid
3. Human body systems
• Skeletal
• Muscular
• Digestive
• Circulatory/cardiovascular
• Lymphatic/Immune
• Endocrine
• Urinary/Renal
• Respiratory
• Reproductive
• Nervous
• Integumentary

69
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
4. The functions of human body systems
5. Common disorders of human body sys-
tems
6. Homeostasis
SKILLS
The mentee:
7. Identifies the structure of the human
body systems
8. Identifies the functions of the human
body systems
9. Identifies common disorders in human
body systems
10. Applies human anatomy and physiology
in primary health care

Note:
To be declared competent, the mentee must get:
1. 5 of the 10 (50%) items of evaluation correct and

70
2. Items 3, 4, 5, 8 and 9 correct.

71
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

72
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

73
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

74
11. APPLY BASIC MICROBIOLOGY AND PARASITOLOGY

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Common parasites and microbes
2. Classification of human parasites
3. Growth of microbes and parasites
4. Microbial and parasitic diseases
5. Prevention and control measures of mi-
crobes and parasites
6. Communicable diseases
7. Immunization programmes
8. Water and Sanitation and Hygiene
(WASH)

75
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
9. Human nutrition
10. Essential drug supplies
SKILLS
The mentee:
11. Classifies different types of parasites and
microbes based on morphological fea-
tures
12. Identifies sites of parasites and microbes
based on host characteristics
13. Identifies growth of microbes and para-
sites
14. Applies parasitology and microbiology in
disease prevention and control measures
15. Identifies microbial and parasitic diseas-
es based on signs and symptoms
16. Identifies risk factors of disease trans-
mission according to type of microbe and
parasites
17. Identifies mode of disease transmission

76
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
according to the type of microbes and
parasites

Note:
To be declared competent, the mentee must get:
1. 9 of the 17 (50%) items of evaluation correct and

2. Items 1, 2, 3, 4, 5, 8, 11, 14 and 17 correct.

77
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

78
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

79
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

80
12. MONITOR COMMUNITY HEALTH CARE

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Community health education
2. Community diagnosis
3. Principles of community-based health
care
4. Management of common ailments and
minor injuries
5. Community disease surveillance
6. Essential drugs and supplies for CHVs
kits
7. Maternal, new born, child and adolescent

81
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
health
8. Maternal and perinatal death audits
9. Responsive services
10. Behavior-change communication
11. Community health care report writing
12. Community Diseases prevention and
control measures
13. Research methods
14. Monitoring and evaluation of community
health care programmes
SKILLS
The mentee:
15. Carries out community diagnosis
16. Prepares community health assessment
report
17. Plans and conducts community health
training & education

82
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
18. Conducts home visits
19. Manages common ailments and minor
injuries as per health protocols
20. Manages essential drugs and supplies for
CHV kits
21. Prepares community health reports
22. Utilizes Mother & child booklets
23. Conducts maternal and perinatal audits
and suggested areas for improvement
(Verbal autopsy)
24. Performs andragogy
25. Negotiates for behavioural change and
communication
ATTITUDES (WORKER BEHAV-
IOURS)
The mentee is:
26. Punctual

83
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
27. Able to work under minimal supervision
28. Analytical
29. Informed
30. Accommodative
31. Accountable
32. Transparent
33. Team player
34. Organised
35. Hard working
36. Effective communicator
37. Problem solver
38. Self-driven
39. Honest
40. Integrity

Note:

84
To be declared competent, the mentee must get:
1. 20 of the 40 (50%) items of evaluation correct and

2. Items 1, 2, 4, 7, 8, 10, 14, 15, 17, 18, 24, 26, 27, 31, 33 and 36 correct.

85
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

86
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

87
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

88
13. CONDUCT COMMUNITY-BASED HEALTH CARE

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of improve improve (NI) list, products, photos
practice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Community-based health care
2. Community disaster preparedness
3. Palliative care
4. HIV and TB Management
5. Management of mental health and psycho-
social support
6. Mental patients’ rights and equity
7. Integrated community case management
(ICCM)
8. Causes of childhood illnesses and mortality

89
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of improve improve (NI) list, products, photos
practice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
9. Malaria and zoonotic diseases
10. Disease control programs for malaria and
zoonotic diseases
11. Psycho-active drugs
12. Psycho-active drugs demand reduction
strategies
SKILLS
The mentee:
13. Assesses community emergency prepared-
ness
14. Develops emergency preparedness report
15. Organizes referrals for non-manageable
conditions in the community-based health
care systems
16. Provides palliative care needs
17. Carries outHIV and TB risk assessment
and screening

90
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of improve improve (NI) list, products, photos
practice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
18. Identifies, counsels and manages co-
infected patients with active TB
19. Monitors adherence to HIV and TB treat-
ment
20. Monitors and regulates HIV and TB inci-
dences in the community
21. Conducts assessment of patients with men-
tal disorders and provides mental health
and psychosocial support
22. Manages child care ICCM
23. Develops malaria and zoonotic disease
prevention and control programs and pro-
cedures
24. Carries out disease control programs
25. Conducts and identifies psycho-active
drugs needs assessment in the community
26. Executes psycho-active drugs demand re-
duction strategies

91
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of improve improve (NI) list, products, photos
practice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
27. Monitors use of psycho-active drugs and
prepares a report
ATTITUDES (WORKER BEHAV-
IOURS)
The mentee is:
28. Punctual
29. Accommodative
30. Independent
31. Accountable
32. Transparent
33. Team player
34. Organised
35. Hard working
36. Effective communicator
37. Problem solver
38. Informed

92
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of improve improve (NI) list, products, photos
practice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
39. Self-driven
40. Honest
41. Negotiator
42. Professional

Note:
To be declared competent, the mentee must get:
1. 21 of the 42 (50%) items of evaluation correct and

2. Items 1, 3, 4, 5, 7, 9, 11, 15, 16, 19, 21, 22, 25, 28, 33, 36, 38, 41 and 42 correct.

93
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

94
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

95
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

96
14. MAINTAIN COMMUNITY HEALTH INFORMATION SYSTEMS

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Primary health-care
2. Community Health Information System
3. Collection of community health data
4. CHIS reporting tools
5. Community Health data analysis and re-
porting of community health information
6. Community Health data indicators
7. Community Health Routine Data Quality
Audit

97
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
8. Utilization of community health infor-
mation system
9. Master community health unit listing
SKILLS
The mentee:
10. Identifies CHIS indicators
11. Assesses CHIS indicator performance
12. Interprets CHIS indicators
13. Identifies CHIS reporting tools
14. Collates and analyses CHIS data
15. Carries out results-based monitoring and
analysis of CHIS and establishes its per-
formance
16. Reviews and updates CHIS tools
17. Utilizes master community health unit
list
ATTITUDES (WORKER BEHAV-

98
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
IOURS)
The mentee is:
18. Time conscious
19. Independent
20. Accountable
21. Innovative
22. Creative
23. Team player
24. Organised
25. Analytical
26. Committed
27. Effective communicator
28. Honest
29. Integrity
30. Keen to details

99
Note:
To be declared competent, the mentee must get:
1. 15 of the 30 (50%) items of evaluation correct and
2. Items 2, 4, 6, 7, 9, 10, 12, 13, 16, 18, 19, 21, 25, 29 and 30 correct.

100
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

101
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

102
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

103
15. CONDUCT COMMUNITY HEALTH LINKAGES

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Primary health care
2. Community health needs
3. Community health defaulter tracing sys-
tems
4. Community Health services and pro-
grams
5. Community health linkages
6. Community partnerships and inter-
agency collaborations
7. Advocacy, communication and social
mobilization

104
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
8. Integrated Community Health outreaches
9. Determinants of health
10. Universal Health Coverage (UHC)
11. Health insurance schemes
SKILLS
The mentee:
12. Conducts defaulter tracing
13. Reviews and updates defaulter tracing
registers
14. Identifies health service programs at the
community
15. Identifies community determinants of
health
16. Develops strategies for community par-
ticipation and mobilization
17. Coordinates integrated community health
outreaches
18. Conducts advocacy, communication and

105
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
social mobilization
19. Identifies and categorizes community
health care needs
20. Establishes partnership and inter-agency
collaborations
21. Develops enrolment strategies and links
the community to available health insur-
ance
22. Coordinates community access to health
services
23. Conducts, coordinates and maintains re-
ferral cases
ATTITUDES (WORKER BEHAV-
IOURS)
The mentee is:
24. Able to communicate
25. Negotiator
26. Resilient

106
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
27. Team player
28. Accountable
29. Assertive
30. Critical thinker
31. Time conscious
32. Innovative
33. Creative
34. Transparent
35. Organized
36. Determined

Note:
To be declared competent, the mentee must get:
1. 18 of the 36 (50%) items of evaluation correct and
2. Items 2, 3, 5, 6, 7, 8, 10, 12, 16, 17, 18, 20, 23, 24, 25, 26, 31 and 35 correct.

107
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

108
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

109
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

110
16. CONDUCT COMMUNITY HEALTH SERVICE STRATEGIES

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Community health policies
2. Community health units
3. Community annual work plan
4. Community entry process
5. Community health needs
6. Community health work force
7. Role of community health work force
8. Training needs and modules for commu-
nity health work force
9. Kenya Essential Package for Health

111
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
(KEPH)
10. Community governance and leadership
11. Community health work force perfor-
mance reviews
12. Supportive supervision
13. Community health unit functionality as-
sessment
14. Community dialogue and health action
days
SKILLS
The mentee:
15. Assesses community health needs
16. Establishes community health units
17. Prepares effective community units an-
nual work plan
18. Defines role of community health work
force

112
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
19. Trains CHVs and CHCs as per the
Health guidelines
20. Monitors the community health work
force performance
21. Carries out performance appraisal
22. Carries out supportive supervision
23. Conducts advocacy, communication and
social mobilization
24. Organizes community dialogue and
health action days
ATTITUDES (WORKER BEHAV-
IOURS)
The mentee is:
25. Able to communicate
26. Time conscious
27. Organized
28. Transparent

113
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
29. Accountable
30. Team player
31. Focused
32. Problem solver
33. Knowledgeable
34. Attentive to details

Note:
To be declared competent, the mentee must get:
1. 17 of the 34 (50%) items of evaluation correct and
2. Items 2, 3, 6, 7, 8, 9, 11, 12, 14, 16, 21, 22, 23, 24, 25, 26, 30 and 33 correct.

114
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

115
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

116
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

117
17. MONITOR GENDER, ORPHANS AND VULNERABLE GROUPS

Mentor and mentee: Please fill information for each of the three sections in the respective columns. Initials should be used as given in the head-
er below.
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
KNOWLEDGE Self- Mentor re-
The mentee demonstrates knowledge of: assessment view
1. Vulnerable groups in the community
2. Vulnerability factors
3. Sexual and Gender-based Violence
(SGBV)
4. Community Health needs assessment
5. Societal support groups
6. Health interventions for vulnerable
groups
7. Community-based rehabilitation
8. Sexual and reproductive health (SRH)

118
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
9. Health care and social services linkages
10. Integrated social protection systems
11. Partnerships and inter-agency
collaborations
12. Civic education
13. Determinants of health
14. Health care policies and guidelines for
the vulnerable groups
SKILLS
The mentee:
15. Conducts situational analysis and identi-
fies issues of interest at the community
16. Identifies vulnerable groups in the com-
munity
17. Identifies factors contributing to vulnera-
bility in the community
18. Assesses signs of SGBVs

119
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
19. Conducts post rape care services
20. Provides referral for sexual violence sur-
vivors
21. Provides health care and social service
linkages for the vulnerable
22. Conducts civic education in the commu-
nity
23. Monitors support groups
ATTITUDES (WORKER BEHAV-
IOURS)
The mentee is:
24. Supportive
25. Keen to details
26. Empathetic
27. Effective communicator
28. Analytical
29. Time conscious

120
S/N. Items for evaluation (knowledge, skills Not Self- Mentor Record action plan Evidence e.g.,
and attitudes) applicable assessment review for any assessed as marked scripts
(NA) record: record: needs to improve (as (written and/oral),
To current Need to Need to agreed with mentor) observation check-
area of prac- improve improve (NI) list, products, photos
tice (NI) Or met (ini- and videos of prod-
Or met tials & date) ucts and processes
(date) e.t.c.
30. Responsive
31. Honest
32. Committed
33. Problem solver
34. Sensitive

Note:
To be declared competent, the mentee must get:
1. 17 of the 34 (50%) items of evaluation correct and
2. Items 1, 3, 6, 8, 9, 10, 11, 14, 15, 18, 19, 21, 24, 25, 26, 30 and 34 correct.

121
APPENDIX 1

SUMMARY OF TOTAL PERIOD OF MENTORING

S/N Section/ Department Period (Weeks/days)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

122
APPENDIX 2

MENTOR SUMMARY REPORT

NAME OF TRAINEE: …………………………………………………………….…………….…………….…………….

REGISTRATION CODE OF TRAINEE: ………………………………………..…………….…………….…………….

NAME OF TRAINEE’S INSTITUTION: ………………………………………..…………….…………….…………….

NAME OF MENTOR ……………………………………………………………..…………….…………….…………….

DESIGNATION ………………………………………………………………………………….…………….…………….

ORGANIZATION ……………………………………………………………………………….…………….…………….

DATE ……………………………………………………………………………….…………….…………….…………….

SIGNATURE AND STAMP …………………………………………………………………….…………….…………….

123
Evaluation Remarks

Please tick as appropriate

The mentee was found to be:

Competent

Not Yet Competent

(If not yet competent, please specify in the remarks


column which areas the mentee need to improve on)

124

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