The designated MOH marks the item(s) that they don’t agree with and indicate the reason for disapproval.  The MOH and the country-level sub-partner responsible for data submission should then begin a dialogue to address the issue(s).  Once the sub-partner updates/edits data, where necessary, and the data are again ready for the USAID NTD Database, the MOH can log in to the database to indicate its approval for the final data.  Alternatively, Summary worksheets can be printed, signed, scanned, and sent to ENVISION M&E team to indicate MOH approval.