Contract for ANC mobile Phones

Between (Facility Name) ________________________ and Pathfinder International

Telephone Serial Number: ________________________________

Telephone number_ __ ____________________________________


Pathfinder International Nigeria provides you with a telephone (Nokia C2-01), charger, sim-card and telephone software to use for your work as a 'Community Health Extension Worker' (CHEW).
The telephone comes with responsibilities; this contract will describe the ownership, usage and maintenance of the telephone.  
1)   Ownership:

  • The phone will be property of Pathfinder International Nigeria
  • All telephones have a unique identification number and are registered by Pathfinder International Nigeria
  • All phones will come with a sim-card. Pathfinder International Nigeria will register all sim-card according to the Nigerian Law.

The phone can become property of the Facility after a period of (1) year when the phone has be maintained and used correctly.
2)   Usage:

  • The phone will be used as a job aid for clinical based work for Pathfinder International Nigeria
  • The phone will be used solely by the assigned CHEWs
  • The phone will be used during all ANC client visits following the instructions from the trainings and the CHEW telephone guideline (attached)
  • The data will be sent after every visit in case of no/limited connectivity the data will be send as soon as the connectivity is back
  • The phone may be used for private use as long as it does not interfere with the clinical work. Private use credit will be required to be provided by the CHEWs

3)   Maintenance and credit

  • The CHEW is responsible for the maintenance of the phone
  • The CHEW will assure sufficient battery before ANC days
  • The CHEW will assure there is sufficient credit for sending the data
  • Pathfinder International Nigeria will provide the CHEW with credit for data sending
  • Pathfinder International Nigeria will check the number of data sets send against the credit spend, the difference for private use will be reduced from the total.

 

 

4)   Lost, stolen and/or broken

  • The phone will be protected against stealing, losing and breaking by the CHEW
  • In case the telephone breaks, Pathfinder International Nigeria will check the cause of the problem and solves the problem if possible. If the problem is not related to mis-use of the phone, the telephone will be replaced
  • Where the telephone is stolen, lost or broken due to negligence of the CHEW Then the CHEW SHALL be responsible for the replacement of the phone. This will be done by deducting “amount” from your monthly allowance till the total amount is recovered.

    Please read this contract carefully, or have it read to you, and sign the contract. When you sign the contract you agree with the telephone rules and regulations  


I agree with the rules and regulations and as stated above.

INCHARGE


Name................................................................................. Signature................................

 

CHEWs (that conduct ANC in facility):

Name…………………………………………………………………………..Signature…………………………………

Name…………………………………………………………………………..Signature…………………………………

Name…………………………………………………………………………..Signature…………………………………

Name…………………………………………………………………………..Signature…………………………………

Name…………………………………………………………………………..Signature…………………………………

Name…………………………………………………………………………..Signature…………………………………

 

PATHFINDER INTERNATIONAL

Name…………………………………………………………………………..Signature…………………………………