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Regardless of what the plan is for dealing with broken or stolen phones, we recommend that our partners create a Contract for their CommCare mobile phone users to sign regarding responsibility for any loss or damage to the phone.

Many examples are attached.

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File Name

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Country

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Language

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Description

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CHW Contract - India

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India

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English

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Simple agreement to sign. Main text:

"I receive the Nokia 2730 phone along with the charger for the use of protocols on the field and will return it back after completion of the pilot project. I take the responsibility of the proper use of the phone and charger for the time period of the pilot."

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CHW Contract - India (Hindi)

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India

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Hindi

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Same as above, in Hindi

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CHW Contract - Tanzania

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Tanzania

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English

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More detailed agreement outlining rules for ownership, usage, maintenance/credit, and what to do about lost/stolen/broken phones

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Contract with the ASHAs_sample

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India

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English

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Similar to above but tailored for ASHAs in India

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Entrega del telefono

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Nicaragua

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Spanish

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Similar to the "CHW Contract - India" file but in Spanish

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Final Contract for CHEW telephone - PI Nigeria

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Nigeria

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English

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Similar to "CHW Contract - Tanzania"

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Example Contract

Expand
titleOpen to read example contract

Sample of short draft

Contract for CHW telephone

Between:

Name and 'NAME OF NGO"

___________________________________________________________________

Telephone IDTelephone number

___________________________________________________________________

'NAME OF NGO" (further 'NAME OF NGO") provides you with a telephone (Phone model), charger, sim-card and telephone software to use for your work as a 'Community Health Volunteers' (further CHW).
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 'NAME OF NGO"

  • All telephones have a unique identification number and a 'NAME OF NGO" inscription and are registered by 'NAME OF NGO"

  • All phones will come with a sim-card. 'Name of NGO" will register all sim-card according to the Tanzanian Law

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

Usage:

  • The phone will be used as a job aid for Home Based Care work for 'NAME OF NGO"

  • The phone will be used solely by the assigned CHW

  • The phone will be used during all HBC visits following the instructions from the trainings and the CHW 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 HBC work. Private use credit will be reduced from the CHW's monthly incentives

3) Maintenance and credit

  • The CHW is responsible for the maintenance of the phone

  • The CHW will assure sufficient battery while visiting the clients

  • The CHW will assure there is sufficient credit for sending the data

  • 'NAME OF NGO" will provide the CHW with credit for data sending

  • 'NAME OF NGO" will check the number of data sets sent against the credit spent, the difference for private use will be deducted from the next payment

4) Lost, stolen and/or broken

  • The phone will be protected against stealing, losing and breaking by the CHW

  • In case the telephone breaks, 'NAME OF NGO" 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 CHW Then the CHW 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.
Name .................................................................................
Signature ...........................................................................

Example Attachments

Attachments

 

 

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