Sd Y TE KIEN GIANG C Q N G H O A X A H O I C H U N G H I A V I E T N A M C H I cue D A N S O - K H H G D Doc lap - Tu do - Hanh phuc

So : H")^ /CCDS ^ Kien Giang, ngay 01 thdng II nam 2012 V/v Gidm sat mo hinh Tu van

vd khdm site khoe tien hon nhan nam 2012)

Kinh gui: - Trung tam Dan s6-KHHGD cac huyen, thi: Kien Hal, Hon Dat, Ha Tien va Go Quao.

Thuc hien ke hoach kiem tra, giam sat mo hinh Tu van va kham sue khoe tien hon nhan nam 2012, Chi cue Dan s6-KHHGD tinh Kien Giang se kiem tra giam sat cac xa, phuang, thi tran trien khai mo hinli cua 04 huyen, thi, la: Kien Hai, Hon Dat, Ha Tien va Go Quao. De chuan bi cho dot kiem tra, giam sat dat

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ket qua tot, Chi cue Dan s6-KHHGD tinh yeu cau cac dia phuang mot so noi dung sau:

1- Chi cue Dan s6-KHHGD tinh se giam sat tai cac truang THCS, PTTH tren dia ban cac xa, phuang, thi tran trien khai mo hinh, kiem tra diem tu van, tu sach, tong hop toan bo van ban, tai lieu c6 lien quan den mo hinh.

2- Trung tam Dan s6-KHHGD huang dan Ban chi dao cac xa, phuang, thi tran to chuc hop danh gia ket qua cac hoat dong da trien khai thuc hien trong nam 2012; dong thai bao cao so lugng tung loai tai lieu, trang thiet bi (neu c6) nhan tu Ban quan ly mo hinh tinh. Trong bao cao cac hoat dong chu y danh gia tinh phu hop hay chua phu hgp cua tung hoat dong va de xuat kien nghi nham trien khai hoat dong mo hinh hieu qua han trong nam 2013.

(Phu luc phieu gidm sat kem theo cong van) f t r

3- De chuan bi noi dung phuc vu cho doan giam sat cua Chi cue Dan s6-K H H G D tinh yeu cau Trung tam Dan s6-KHHGD cac huyen, thi cu lanh dao va can bo phu trach mo hinh giam sat chung. Thanh phan tham gia lam viec vh phia dia phuang: moi Ban chi dao mo hinh xa va dai dien Ban lanh dao cac nhom ky nang song, thai gian cu the:

- Ngay 12/11/2012 tai xa Binh San, huyen Hon Di t . - Ngay 13/11/2012 tai phuang Phao Dai, thi xa Ha Tien. - Ngay 14/11/2012 tai xa Dinh An, huyen Go Quao. -Ngay 15/11/2012 tai xa Hon Tre, huyen Kien Hai

^ De chuan bi cho dot ki&ti tra, giam sat cua Chi cue Dan s6-KHHGD tinh dat ket qua t6t, r4t mong Trung tam Dan s6-KHHGD cac huyen, thi chu4n bi tot cac noi dung \xhx\J<^

Noi nhan: -l^hu tren; -Ban Lanh dao; -Phong TCHCKH&TV, TGT; -Liw VT.

PHIEU GIAM SAT TRIEN KHAI M o hinh Tu van va kham sue khoe tien hon nhan

Nam 2012 , r

{Phieu gidm sat ddnh cho xa, phuang, thi tran)

Dia diem giam sat:

Can bp giam sat:...

Thai gian thirc hien mo hinh: tii' ngay den ngay: Thai gian giam sat:

1. Thong tin chung: r

- Dan so: -S6 V T N - T N t u 15-24 tu6i:

+ 15-19 tuoi: ; trong do niJ': + 20-24 tuoi: ; trong do nu: + So vi thanh nien trong tru-ang hoc: + So V T N - T N tre ngoai cong dong: + Tong so Nhom ky nang song: + Tong so V T N - T N sinh hoat Nhom ky nang song: + Tong so V T N - T N tren dia ban dugc tac dong:

2. Cac hoat dong trien khai mo hinh (tinh den thai diem gidm sat): 2.1- Xay dung ke hoach thuc hien de an nam 2012:(7V^p; dung ke hoach, cdc hoat dong, kinh phi)

2.2- Cung cap cac san pham truyen thong: (so luang, dSi twang cung cdp, tinh phu hap ciia san pham truyen thong, ddnh gid nhu cau...)

- Su dung kinh phi: (ke hoach, thuc hien, ddnh gid ve viec cdp vd su dung kinh phi, kinh phi dia phuang ho tra):

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- Cong tac ph6i hgp chi dao, giam sat thuc hien mo hinh: (bien phdp phoi hap, ddnh gid cong tac phoi hop, kien nghi):

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13- Duy tri hoat dong cua nhom ky nang song: + So nhom: + So lugng thanh vien: ; nu: + Thanh phin nhom: tu 15-19: • tu 20-24: + Danh gia buoi sinh hoat gan nhat: Uii diem:

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Han chi:

+ S6 V T N - T N dia ban dugc tac dong + Thong bao van dong doi tugng den sinh hoat: (hinh thuc ndo)

+ Chuan bi dia diem, trang tri, nuac uong

+ Tuyen truyen vien + Da sinh hoat: ; so Ian sinh hoat: ; chua sinh

hoat: + So V T N - T N dia ban dugc tac dong + Tinh phu hgp cua hoat dong Nhom:

2.4- Xay dung cac diem tu van va cung cap dich vu: + Dia diem: + Trang thiet bi: (tu sach, ti vi, ddu may ):

+ Nguoi phu trach chinh: + Hoat dong:

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PHAN NHAN X E T CUA GIAM SAT VIEN

Ve dia ban trien khai:

Ve suphdi hap trong trien khai thuc hien mo hinh

Ve quan ly vd su dung kinh phi:

Cdc van de khdc:

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Khuyen nghi cua gidm sat vien:

Ngay thdng nam 2012 Xac nhan cua dia phu'o*ng Giam sat vien

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