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Barangay Data Capture Form Monitoring of Incidence On Violence Against Children (Vac) During The Covid-19 Pandemic

This barangay data capture form summarizes reported incidents of violence against children (VAC) in the barangay during the COVID-19 pandemic. It shows that there was 1 reported male child victim of physical and sexual abuse by an immediate family member. The barangay took action by referring the case to the local social welfare department and the police. No other incidents of VAC were reported in the reporting period.
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100% found this document useful (2 votes)
425 views1 page

Barangay Data Capture Form Monitoring of Incidence On Violence Against Children (Vac) During The Covid-19 Pandemic

This barangay data capture form summarizes reported incidents of violence against children (VAC) in the barangay during the COVID-19 pandemic. It shows that there was 1 reported male child victim of physical and sexual abuse by an immediate family member. The barangay took action by referring the case to the local social welfare department and the police. No other incidents of VAC were reported in the reporting period.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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VAC Form 1

BARANGAY DATA CAPTURE FORM


MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
For the period:

Region:
Province:
City/Municipality:
Barangay:

GENDER TYPES OF VIOLENCE PERPETRATORS ACTIONS TAKEN BY THE BARANGAY/BCPC


(2) (4) (5) (6)
VAC Immediate Referred for Referred for Others
AGE Physical Sexual Psychological/ Other Close Local Law Others Referred to Referred Referred
VICTIM/S Male Female Neglect Family Acquaintance Stranger Medical Legal (ex: Referred to
(3) Abuse Abuse Emotional Abuse Relative Official Enforcer (ex: Guardian) LSWDO to PNP to NBI
(1) (2a) (2b) (4d) Member (5c) (5d) Treatment Assistance NGOs, FBOs)
(4a) (4b) (4c) (5b) (5e) (5f) (5g) (6a) (6b) (6c)
(5a) (6d) (6e) (6f)
✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify
Child 1

Child 2

Child 3

TOTAL
*If ✔, encode "1" on the applicable fields *Immediate Family Member/s – parents and siblings
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.

Submitted by: Name and Signature


Punong Barangay

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