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Barangay Data Capture Form: Monitoring of Incidence On Violence Against Women (Vaw) During The Covid-19 Pandemic

The VAW Form 1 is a barangay data capture form used to monitor incidents of violence against women during the COVID-19 pandemic, which collects information on the types of violence experienced by victims, as well as the actions taken by the barangay in response, including referrals to various support services. The form includes fields to identify the region, province, city/municipality, and barangay, and collects data on up to 3 victims in each reporting period, indicating whether they experienced physical, sexual, psychological, economic abuse and more.

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Christopher Gatdula
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809 views1 page

Barangay Data Capture Form: Monitoring of Incidence On Violence Against Women (Vaw) During The Covid-19 Pandemic

The VAW Form 1 is a barangay data capture form used to monitor incidents of violence against women during the COVID-19 pandemic, which collects information on the types of violence experienced by victims, as well as the actions taken by the barangay in response, including referrals to various support services. The form includes fields to identify the region, province, city/municipality, and barangay, and collects data on up to 3 victims in each reporting period, indicating whether they experienced physical, sexual, psychological, economic abuse and more.

Uploaded by

Christopher Gatdula
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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VAW Form 1

BARANGAY DATA CAPTURE FORM


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

Region:
Province:
City/Municipality:
Barangay:

TYPES OF VIOLENCE (2) ACTIONS TAKEN BY THE BARANGAY (3)

VAW Referred for Referred for Others


Physical Psychological/ Economic Referred to Referred to Referred to Referred to
VICTIM/S Sexual Abuse Issued BPO Medical Legal (ex: Referred to
Abuse Emotional Abuse Abuse LSWDO PNP NBI Court
(1) (2b) (3a) Treatment Assistance NGOs, FBOs)
(2a) (2c) (2d) (3b) (3c) (3d) (3g)
(3e) (3f) (3h)
✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify
Victim 1

Victim 2

Victim 3

TOTAL

*If ✔, encode "1" on the applicable fields


*If "Others," please specify

Submitted by:
Punong Barangay

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