Visit to Non-Governmental Organization (NGO) Objectives: * To identify the role and contribution of non-governmental organizations (NGO) in promoting health. NameofNGO: Established In Year; ‘Address of Organization / Location: Number of Distance from main road in km en Objectives of organization: Functions / Services Available: Services provided to whom: Financial support provided by whom a. Govt b, International Agency c. Charity o d. Private @. Anyother_Structure Yes No Signboards Building Maintained Approach Road Carpeted Canteen / Mess Alternate Power Supply Safe Drinking Water Clean Toilets Staff Appointed Yes No BOM Executive staff Director Honorary staff ‘Support Staff Enlist deficiencies observed in organization during your visit Sr.No Deficiencies 1. 2. Signature of Inchargi Dated: