Reporting - Malaria Partners International

Community Impact Grant Reporting

Please use this form to complete your interim and/or final report for your Malaria Partners International Community Impact Grant project. As you complete the form, branching logic will guide you through the questions that apply to your project. If you have any questions, please contact your MPI grant representative.

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Grant ID(Required)

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Report Type(Required)

Interim Report (For projects exceeding 12 months. Due at the halfway point of the project)

Final Report (Required for all projects. Due within 60 days of project completion)

Project Title(Required)

Host Rotary Club(Required)

Project Budget (Total $)(Required)

MPI Grant + host club contributions + any additional contributions

Contact Person(Required)

First Name Last Name

Contact Email Address(Required)

Project Information

Is your Community Impact Grant project part of a Global Grant?(Required)

Yes

Global Grant ID(Required)

Project Start Date(Required)

Project Completion Date(Required)

Estimated Project Completion Date(Required)

Project Country(Required)

Project City(ies),Town(s) or Region(s)(Required)

Project Context/ Rationale(Required)

Baseline malaria data (explain the need for this project using your original application, for 'why this project is needed')

Rotary Project Partners(Required)

List all Rotary/Rotaract/Interact Clubs that supported this project

Non-Rotarian Project Partners(Required)

List all Non-Rotary Partners that supported this project.

Interim Outcome Framework Reporting

*Please use the attached interim logarithm framework provided in an Excel spreadsheet to describe the activities and outcomes for your grant.
Download the Interim Outcome Framework Here

Upload Interim Outcome Framework with detailed outputs/outcomes(Required)

Drop files here or

Accepted file types: docx, xlsx, pdf, jpg, gif, png, Max. file size: 256 MB.

Final Outcome Framework

*Instructions:
1. Please download the Final Outcome Framework template linked below (Excel spreadsheet).
2. Using the Outcome Framework that you submitted with your application, report on the activities and outcomes in the Final Outcome Framework.
Download the Final Outcome Framework Template Here

Upload Final Outcome Framework(Required)

Drop files here or

Accepted file types: docx, xlsx, pdf, jpg, gif, png, Max. file size: 256 MB.

Quantitative Project Achievements / Outputs

Total # of DIRECT project beneficiaries served(Required)

Direct Beneficiaries: Individuals or groups who are directly involved with a project and receive immediate benefits from it. They are easily identifiable and their benefits can be directly measured.

Estimated # of INDIRECT project beneficiaries(Required)

Indirect Beneficiaries: These are individuals or groups who benefit from a project but are not directly involved. Their benefits may arise from the positive effects of the project on the community or environment.

Total # of Rotarians and Rotaractors involved in this project(Required)

Includes project planning, execution, reporting, general support, etc.

Total # of ITNs/ Bed Nets Distributed(Required)

Insecticide-treated bed nets (ITNs) | (Write N/A if not applicable)

Total # of RDTs Administered/Distributed(Required)

Malaria rapid diagnostic tests (RDTs) | (Write N/A if not applicable)

Total # of Homes Treated through IRS(Required)

Indoor Residual Spraying (IRS) | (Write N/A if not applicable)

Quantitative Project Achievements / Outputs - CHW/VHT Data

Quantitative indicators (mandatory when applicable), write N/A if not applicable

Did your project activities include CHW/VHT Trainings, Refresher Trainings, or Supplying?(Required)

Yes

Total # of Community Health Workers (CHWs) or Village Health Teams (VHTs) Trained(Required)

Provide the total number of individuals.

Total # of CHWs/VHTs Provided with Supplies(Required)

EX: 30 health workers received a bike, cell phone, monitoring tools, and malaria test and treat kits. | (Write N/A if not applicable)

Qualitative Project Achievements

(stories, examples, photos)

Project Storytelling(Required)

Tell us a story, or recount an event/activity, from your club’s work on this project, and include labeled photos and any participant quotes in the box below.

Photos + Media (with captions)(Required)

Upload photos with detailed captions, that are attributable, and free of copyright restrictions.

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Accepted file types: docx, xlsx, pdf, jpg, gif, png, Max. file size: 256 MB.

Media: Articles/Social Media Posts/Videos/Press Releases/Testimonials(Required)

Lessons Learned(Required)

Was there anything that should have been done differently. Were there negative impacts or unintended consequences that you can describe. Did you feel you could have been more effective if you took a different approach. Please describe fully so that we and others can learn.

Global Grant Reporting

Upload - Global Grant Final Report(Required)

Please upload the complete project summary, including the budget and report, that you are submitting to the The Rotary Foundation

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Accepted file types: docx, xlsx, pdf, jpg, gif, png, Max. file size: 256 MB.

Photo Journal(Required)

Final Reports must include 10 photos with detailed captions, that are attributable, and free of copyright restrictions. These must be separate from any photos submitted to Rotary International/The Rotary Foundation.

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Accepted file types: docx, xlsx, pdf, jpg, gif, png, Max. file size: 256 MB.

Media: Articles/Social Media Posts/Videos/Press Releases/Testimonials(Required)

Financial Reporting

Budget Statements(Required)

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Accepted file types: excel, docx, xlsx, pdf, Max. file size: 256 MB.

Bank Statements(Required)

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Accepted file types: excel, docx, xlsx, pdf, Max. file size: 256 MB.

Receipts/Invoices $200 or above(Required)

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Accepted file types: excel, docx, xlsx, pdf, Max. file size: 256 MB.

List of all expenses(Required)

(how the funds were spent) compared to Budget to date

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Accepted file types: excel, docx, xlsx, pdf, Max. file size: 256 MB.

Report Submission Confirmations

Full Name(Required)

First Last

Signature(Required)

Use your cursor to enter your signature here.