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IDP Profiling Form

At group level v.4

SECTION 1: RAP IDP

1. Assessment Information 2. Mode of Assessment


1.1 Form Number
1.2 UNHCR Sub-Office/Field Office:

1.3 Date of assessment:


1.4 Date of displacement 2.6 Brief description of the group
1.5 Assessment team code:
1.6 Data entry clerk code:
1.7 Basis of information:

2.4 Information received through other sources


2.1 Direct visit to place of displacement
1.8 Source of Information:

3. Place of Displacement
Location
Province District District ID Village Location Type
Name

3.1 If IDPs
Gardiz
are in Secondary Displacement - where were the IDPs before they came to this Place of Displacem
Mazar-i-Sharif 2.2 Partners visit to place of displacement
Kabul Jalalabad Hirat 2.5 Please indicate the source of no.4
Location
Province District District ID Village Location Type
Name
Bamyan Kandahar
Kunduz Islam Qala
Maimana
Zaranj
2.3 Information received through IDP representative

3.2 If yes, how long were they there? month(s)

4. Place of origin
Origin A Origin B Origin C Origin D Origin E Origin F Origin G
Province
4.1 - Place
of Origin

District
Village
FAM
Before 31 Dec.
Displacement

Persecution and
Protracted

conflict-induced
IND
2002
4.2 -

Natural FAM
disaster-
inducedEstimate IND

Persecution and FAM


Post - 31 Dec.
Displacement

conflict-induced Registrition
IND
2002
4.3 -

Natural FAM
disaster-
IND
induced
Suvey
Various / Other

Total Individuals

NGO Government
Other
5. Ethnicity of the IDP Populations (number of individuals) (please
Pashtun Tajik Hazara Turkman Uzbek Baloch specify) Total
UNHCR Various / Other
0

6. Age and Sex of the IDP Populations


0-4 5-11 12-17 18-59 60+
M F M F M F M F M F

Page 1 of 160
Camp/settlement urban
Camp/settlement
Lives withrural
relatives
Livesinwith
urbanrelatives in rural
7. Number of vulnerable individuals in the group:
7.1 UAM: Unaco. Minor 7.4 UE: Unaccompanied Elderly 7.7 CI: Chronically Ill
7.2 SF: Single Female 7.5 PD: Physically Disabled 7.8
7.9 PF:
DA: Very
DrugPoor Family
Addicted head of
7.3 SP: Single Parent 7.6 MI: Mentally Ill
family

8. Top 3 primary reasons (in order of priority) of displacement?


Protection Natural Disaster:
Insecurity: 8.16 - Drought/dryness
Camp/settlement urban
Camp/settlement
Lives withrural Livesinwith
relatives urbanrelatives in rural
8.1 - Armed conflict / Hostilities 8.17 - Floods
8.2 - General deterioration of security 8.18 - Sand Storm
8.3 - Targeted Persecution 8.19 - Landslide
8.4 - Land dispute/land occupation 8.20 - Earthquake
8.5 - Intimidation/threats 8.21 - Snow avalanche
8.6 - Extortion Social Services
8.7 - Illegal taxation 8.22 Absence of Social Services (Hea
8.8 - Forced Recruitment 8.23 Existing Social Services recently
8.9 - Blood feud 8.24 Absence of sources of potable w
8.10 - Cessation of traditional nomad movemen 8.25 Shelter/house destroyed
8.11 - Presence of mines, IEDs or other UXOs 8.26 Community/Family displaced
8.12 - Inter-tribal dispute Livelihoods
8.13 - Impact of Cross border shelling 8.27 Loss of daily labour work
8.14 - Military Operations 8.28 Loss of animals
8.15 - Other human rights violations 8.29 Arable land not available
8.30 Pasture land not available
8.15.1 If the above is yes, who was the perpetrator? 8.31 Looking for better labour oppor
1. AGEs 2. ANA 3. ANP 4. IMF 5. Arbakai 6. ALP 8.32 Heard of assistance available in
7. Local commander 8. Other (specify) 8.33 Other (please specify)

Page 2 of 160
SECTION 2: PROTECTION

9. PROTECTION
Right to physical safety and security
Are IDPs affected by armed conflict or the presence of armed groups at their present location? If
9.1
yes, please
Does elaborate.
the presence of IEDs, landmines and UXOs present a threat to the IDPs at their present
9.2
location?
Did any person from the group members suffer from injury, death, sexual violence, abduction,
9.3
forced recruitment, discrimination, extortion, intimidation?
Who did you seek support from in case of above risks? 1. Police 2. Community leader 3. IDP
9.4
representative 4. Other (specify)

Right to documentation
Are there any obstacles to IDPs access to national identity documents on an equal basis with other
9.5
locals? No/Yes)
9.6 Are newborn IDP children issued an ID Card (Tazkira) by competent authorities?
Services
Are there any facilities to provide services to IDPs with vulnerabilities or other special protection
9.7
need? If so, please describe.
Are there protection mechanisms in place for victims of domestic violence and rape?(No/Yes), if so
9.8
what?
Education
9.9 Do IDP children attend school in place of displacement? If not why? please elaborate?
Living Condition in Place of Displacement
Rented house Tent/open space
9.10 House without paying rent Makeshift
Sharing house with host families Other
9.11 Average IDP persons living in one room?
Protection Need
9.12 Have the Immediate Protection needs of IDPs been identified ?
9.13 Are any interventions being planned or implemented?
9.14 If yes, by whom?

10. COMMUNITY SERVICES / DEVELOPMENT


General
10.1 Has a Participatory Assessment been conducted?

11. EMERGENCY SHELTER


Shelter & Physical planning
11.1 Total surface area (m2)
11.2 Total population
11.3 No. of households with adequate dwellings
11.4 Total no. of households
11.5 Average dwelling floor size per person (m2)
11.6 Distance from border (by air, km)
11.7 Distance to main population center/main routes (km)

SECTION 3: PROTECTION

12. ASSISTANCE
Assistance provided in displacement
12.1 Assistance type Food Items Non food items
12.2 Assistance provider
12.3 Date of assessment
12.4 Date of assistance
Number beneficiary (families and
12.5 Families Individuals
individuals)
12.6 Data entry by
12.7 Assistance remark

Page 3 of 160
SECTION 4: DURABLE SOLUTION

13. DURABLE SOLUTIONS


Return, local integration and relocation

13.1 Do IDPs have access to information about conditions in their place of origin which allows them to
make a free and informed choice about whether to return or not? (No/Yes) if yes, by whom?
13.2 Do you have plan to return to your place of origin?
13.3 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
13.4 Are conditions in the area of origin conducive for return in safety and dignity?
13.5 Are the IDPs planning to locally integrate?

13.6 if so what are the obstacles? 1.Lack of land/shelter 2.Insecurity 2.Pressure by local authority
4.Pressure by local community 5.Lack of livelihood 6. Other (specify)
13.7 Are the IDPs considering relocation to a third place?
13.8 If so where?
13.9 Why?
Durable Solutions Events
IDP return/Local integration/
13.10 IDP return Local integration
Relocation
13.11 If IDP return? Organized Spontaneous
13.12 Date of assessment
13.13 Date of return

14. Place of returning


Origin A Origin B Origin C Origin D Origin E Origin F Origin G
Province
Place of
Origin
14.1 -

District
Village
FAM
Before 31 Dec.

Persecution and
Displacement Post Displacement
Protracted

conflict-induced
IND
14.2 -

2002

Natural FAM
disaster-
induced IND
FAM
- 31 Dec. 2002

Persecution and
conflict-induced
IND
14.3 -

Natural FAM
disaster-
IND
induced

Total Individuals
Other
15. Ethnicity of the IDP Populations (number of individuals) found dur
(please
Pashtun Tajik Hazara Turkman Uzbek Baloch specify) Total

16. Age and Sex of the IDPs found durable solutions


0-4 5-11 12-17 18-59 60+
M F M F M F M F M F

17. Durable solutions remarks

Declaration:

Signature ________________________

Page 4 of 160
Name of the team leader:
_________________________________

Page 5 of 160
e group

Longitude Latitude
GPS coordinates
(East/West (North/Sou
) th)

ce of Displacement? Longitude Latitude


GPS coordinates
(East/West (North/Sou
) th)

Origin H Origin I Origin J Origin K

Total
0

Page 6 of 160
7.10 MC: Medical Case
7.11 SC: Special Case

yness

nche

ial Services (Health/Education, other)


Services recently destroyed or no longer
rces of potable water
destroyed
mily displaced

bour work
s
t available
ot available
ter labour opportunities
ance available in place of displacement
cify)

Page 7 of 160
Response Observations

Response Observations

Response Observations

Response Observations

Response Observations

Response Observations

Please describe:

Response Observations

Response Observations

Response Observations
Other

Page 8 of 160
Response Observations

Observations

Relocation

Origin H Origin I Origin J Origin K

Total

Page 9 of 160
Page 10 of 160
DRAFT - PMT Questionnaire
3 Feb. 2013

1. Assessment Information
1.1 Form Number
1.2 UNHCR Sub-Office/Field Office:
Kabul Gardiz Jalalabad Hirat Mazar-i-Sharif Islam Qala

Bamyan Kandahar Kunduz Maimana Zaranj

1.3 Date of initial assessment:


1.4 Date of last assessment:
1.5 Date of displacement
1.6 Assessment team code:
1.6 Data entry clerk code:
1.7 Basis of information: Estimate Registrition Information received through IDP representative

Survey Various / Other

1.8 Source of Information: NGO Government UN Agency

UNHCR Community leaders Information received through IDP representative

Direct visit to place of displacement Various / Other and specify

1.9 Mode of assessment: Partners visit to place of displacement

Joint assessment with IDP TF members

2. Brief Description of the group

in order to avoid big long stories writing, we would like to recommend to write only the "Red Flags"
regarding the caseloads which needs special attention

3. Place of Displacement
Sub-village /
province District Village
Ward
Rural

GPS coordinates
Longitude Latitude
(East/West) (North/South)

City subdistrict
province District
City (Nahiya)
Urban

GPS coordinates
Urban
Longitude Latitude
(East/West) (North/South)

3.1 Is the last place you moved from, your place of origin?
3.2. If IDPs are in Secondary Displacement - where were the IDPs before th

Sub-village /
province District Village
Rural

Ward

subdistrict
Urban

province District City


(Nahiya)

3.3. If yes, how long were they there?


1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one yea
3.4. Do you have any future movement intentions?
3.4.1 If, yes, where to?

Sub-village /
province District Village
Rural

Ward

subdistrict
Urban

province District City


(Nahiya)

3.4.2. if yes, what is the estimated timeframe? Chose from options below:
1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one yea
4. Place of origin
Origin A Origin B
Province
District
Rural

Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban

city
subdistrict (Nahiya)
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals

5. Ethnicity of the IDP Populations (number of individuals)

Pashtun Tajik Hazara Turkman Uzbek

6. Age and Sex of the IDP Populations


0-4 5-11 12-17
M F M F M

7. Number of PSNs in the group:


7.1 SC-UC:
7.4 ER-NF: Single older person
Unaccompanied child

7.2 WR-SF: Single women


7.5 DS: Physically Disability
at risk

7.3 SP-PT: Single Parent 7.6 DS-MM: Mentally Ill

7.13 Discription:

8. Top 3 primary reasons (in order of priority) of displacement?


Protection

1. Causes

8.1 Armed conflict / Military Operations


8.2 Generalized Violence
8.2.1 lack of protection by police (ANP) and/or the army (ANA) and
8.2.2 lawlessness, prevalence of criminal gangs
8.2.3 civilian deaths from suicide bombers or IEDs
8.2.4 executions including acts of extreme brutality (e.g. beheadin
8.3 Human Rights violations and Targeted Persecution
8.3.1 threats against, or violence directed at, people working for
8.3.2 threats against, or violence directed at, children (especially
8.3.3 forced recruitment
8.3.4 threats against, or violence directed at, persons participati
8.3.5 GBV or threats against women
8.3.6 extortion or illegal taxation
8.3.7 other specify under number 8.16
8.4 Inter-tribal or factional fighting
8.5 Land dispute /Land occupation
8.6 Blood feuds
8.7 presence of mines, IEDs or other UXOs
8.8 Cross border shelling
8.9 other specify under number 8.16
If the above is yes, who was the perpetrator?
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.governme
8.11 international armed forces 1.coalition/international forces
1.AGEs 2.Local
commanders
3.Afghan
Taliban
4.Haqqani
Network
8.12 non-governamental armed forces 5.Islamic party
8.13 domestic/community actors 1.NGOs 2.Religious leaders 3.eld
8.14 pakistani armed forces
8.15 criminal gangs
8.16 Other (please specify)
9. PROTECTION

Right to physical safety and security


1.0 Are there any security risks present at the current location?
2.0 if yes, by whom?
2.1
government associated armed forces
2.2
international armed forces

2.3
non-governamental armed forces
2.4 domestic/community actors
2.5 pakistani armed forces
2.6 criminal gangs
3.0 Did any person from the group members suffer from injury?
4.0 Did any person from the group members suffer from sexual violence?
5.0 Did any person from the group members suffer from death?
6.0 Did any person from the group members suffer from abduction?
7 Did any person from the group members suffer from forced recruitment?
8 Did any person from the group members suffer from discrimination?
9 Did any person from the group members suffer from extortion?
10 Did any person from the group members suffer from intimidation?
11 Did any person from the group members suffer from disappearances?
12 Does the presence of IEDs, landmines and UXOs present a threat to the IDPs?
13 Did you seek support in case of above risks/incidents?
report to
report to
14 if yes, where? community report to elders
police
leader
15 Did the authorities respond?
if yes, which
16 authority did police elders
respond?
Situation at the place of Displacement
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an eq
18.0 Do you have to pay more money for the Tazkera than the host community?
19.0 Are newborn IDP children issued an ID Card (Tazkira) by competent authorities?
20.0 Do you face problems related to a lack of documentation?
Services
21 Is basic health care available?
22 Is mother and child health care available?
23 Is potable water available?
24 Are hygienic latrine available?
25 Do you have to pay for the services more than the host community?
Education
26 Is Grade 1-6 education facility available?
27 Do school age girls/boys attend school?
28 If not, which of the below reasons prevent children for attending school?
too soon
Lack of
school is after school has not
Access denied primary
too far displacemen started yet
school
t
NFIs / Livelihood
29 Are there enough basic household items for the IDPs?
30 Is there sufficient food available for the IDPs?
31 Do IDPs have access to employment in the place of displacement?
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage
33 Do IDPs get support from others?
34 1. by the government 2. Community leader
If yes, by whom?
10. Housing, land and property in the Place of Displacement
1 Do you have access to shelter or accommodation at the place of displacement?
what kind of accommodation do the IDPs have access to:
Rented house
House without paying rent
2 Own shelter
Sharing house with host families
Self established camp
other, specify:
To whom does the land belong to?
3 2. host
1. family community 3. landlord
4 No. of households with adequate dwellings

5
Shelter concerns: 1. overcrowde2. no privacy
6 Are there threats of eviction?
7
1. host
If yes, by whom? community 2. landlord

11. Humanitarian Assistance


Assistance provided in displacement

Food Items

Water
11.1 Assistance type
Latrines

Winterization kits

Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance

12. DURABLE SOLUTIONS


Return, local integration and relocation
12.1 Do IDPs have access to information about conditions in their place of origin?
12.2 have IDPs visited their place of origin since the displacement?
12.3 Do IDPs have plan to return to their place of origin?
12.3.1 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months
12.3.2. If occupation of threat by ongoing
insecurity
not, why: land AGEs fighting
12.4 Are the IDPs planning to stay in the currentl place of displacement?
if yes, what are lack of insecurity pressure by
12.4.1 the obstacles? land/shelter local authority
to leave
12.5 Are the IDPs considering relocation to a third place?
if yes, why? Please explain:
12.5.1

province District Village


12.5.2 If yes, where to?

12.5.3 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months
Durable Solutions Events

12.6 IDP return/Local integration/ Relocation IDP return

12.7 If IDP have returned, in which way? Organized

12.8 Date of return dd/mm/yyyy


Place of Relocation
Location A Location B
Province
Rural

District
Village
subvillage
province
district
Urban

city
subdistrict (Nahiya)
Ghozar
FAM
IND
Total Individuals
ormation received through IDP representative

UN Agency

Information received through IDP representative

Various / Other and specify

write only the "Red Flags"


on

Ghozar
origin?
were the IDPs before they came to this Place of Displacement?

Ghozar

6 -12 months, 4. > one year

Ghozar

from options below:


6 -12 months, 4. > one year
Origin C

Baloch

12-17
F

der person

sability

y Ill

cement?

d/or the army (ANA) and


brutality (e.g. beheadin

at, people working for


at, children (especially

at, persons participati

ANSF 2.ANP 3.government officials 4.ALP


on/international forces

2.Religious leaders 3.elder/village authority 4.landlord


ation?

1.ANA 2.ANP 3.government officials 4.ALP

1.coalition/international forces

1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani Network 5.Islamic party


1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord

njury?
sexual violence?
death?
abduction?
orced recruitment?
discrimination?
extortion?
ntimidation?
disappearances?
ent a threat to the IDPs?
?
report to
religious
leaders

religious
leaders

entity documents on an equal basis with other locals?


the host community?
by competent authorities?
tion?
st community?

r attending school?

Burning of
girls schools

splacement?
DPs from engaging in wage earning employment?

mmunity leader 34.


.O
Uth
Ner
H(s
Cp
Re
/ cif
Dy)
o
R
R
34.
.O
Uth
Ner
H(s
Cp
Re
/ cif
Dy)
o
he place of displacement?
R
R

to:

4. government
3. no
protection
from weather
elements

3. government

ms

zation kits

ms

elter

n their place of origin?


cement?

, 3. between 6 -12 months, 4. > one year


personal
enmity
displacement?
pressure by
local
community to
leave

Sub-village /
Ward

, 3. between 6 -12 months, 4. > one year

number of families

number of families
epresentative Various / Other and specify
before they came to this Place of Displacement?
GPS coordinates
Latitude
Longitude (East/West) (North/South)

GPS coordinates
Latitude
Longitude (East/West) (North/South)

. > one year

GPS coordinates
Latitude
Longitude (East/West) (North/South)

GPS coordinates
Latitude
Longitude (East/West) (North/South)

below:
. > one year
Origin D Origin E

Other (please
Arab specify) Total

18-59 60+
M F M F

7.7 SM-CI: Chronically illness

while the title


7.8 SA-PF: Very Poor Family indicates
INDIVIDUALS

7.9 SM-AD: Addiction

To what extent was your deci


Estimation of number of families

2. Aggravating Factor
8.17
8.18
8.19
8.2 0
8.21
8.22
8.22.1
8.22.2
8.22.3
8.23
8.24
Other (please specify)

.government officials 4.ALP

ders 3.elder/village authority 4.landlord

3. Incident information - time


8.25
8.26
8.27
8.28
8.29
2.ANP 3.government officials 4.ALP

tion/international forces

s 2.Local commanders 3.Afghan Taliban 4.Haqqani Network 5.Islamic party


s 2.Religious leaders 3.elder/village authority 4.landlord

ent?

?
he IDPs?

see medical
professional/visit medical IDP representative other, specify:
facility

others, specify:

ts on an equal basis with other locals?


unity?
uthorities?
ool?
Prevention of girls from
children have to too no female
attending school by
work expensive teacher
family members

ing in wage earning employment?


placement?

Tent
Makeshift
Public building
Open space

5. other, specify:

4. partially destroyed 5. other, specify:

4. other, specify:

fill in number of fill in


fam./ind. Non food items number of
fam./ind.
fill in number of fill in
fam./ind. hygiene kits number of
fam./ind.
fill in number of Tent/shelter
fam./ind.
fill in
fill in number of Others (specify) number of
fam./ind. fam./ind.
provider Non food items provider
provider hygiene kits provider
provider Winterization kits provider

origin?

-12 months, 4. > one year


inability to
no land available no work/livelihood no house
travel

lack of livelihood lack of basic faciliaty discriminati


on

GPS coordinates
Latitude
Longitude (East/West) (North/South)

-12 months, 4. > one year

number of
Local integration families Relocation
number of
Spontaneous families
Yes No

Yes No
Total
M F

7.10 SM-CC: Medical Case

7.11 SA-SC: Special Case

7.12 ER - MC: Older person with children

what extent was your decision to leave influenced by the following AGGRAVATING FACTOR

Aggravating Factors
presence of drought / natural disaster
absence of social services (health, education, other)
absence of sources of potable water
absence of shelter (house destroyed)
community / family displaced
no livelihood opportunities in the place of origin
arable land, irrigation system, inaccesssible/damaged/polluted pasture land in
loss of animals
looking for better labor opportunities
IDPs heard of assistance available in place of displacement
other, specify below..
er (please specify)

ncident information - time & location ONLY FOR THE NUMBER 1 REASON OF DISPLACEMEN
provide the primary reason according to the list of "causes"
when did the incident begin dd/mm/yyyy
is this event still ongoing?
if not, end date: dd/mm/yyyy
Give the location where the incident did occur:

Sub-
Rural

province District Village village


/ Ward

subdist
rict
Urban

province District City


(Nahiy
a)
At the place of
During the Flight
Displacement
Yes all Yes some No Yes all Yes some No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No
Yes No

Yes No Yes No

Yes No Yes No

Response Observations
Yes No

Yes No

Yes all Yes some No

Yes No

Response Observations
Yes No

Yes No
Yes No

Yes No

Yes No

Response Observations
Yes No

Yes Yes some No

Response Observations
Yes No

Yes No

Yes No

Yes No

Yes No
Response Observations
Yes No

[number of families]

Yes No

Response Observations

Response
Yes No
Yes No
Yes No
Yes No
landmines/U
XOs
Yes
Yes Yes some No
No

Other
(specify)

Yes Yes some No

number of families
GGRAVATING FACTORS?

Estimation of number
of families
polluted pasture land inaccessible

ON OF DISPLACEMENT!
number

Yes No

GPS
coordinates
Longitu Latitud
de e
(East/W (North/
est) South)

GPS
coordinates
Longitu Latitud
Ghozar de e
(East/W (North/
est) South)
DRAFT - PMT Question
3 Feb. 2013

1. Assessment Information
1.1 Form Number
1.2 UNHCR Sub-Office/Field Office:
Kabul Gardiz Jalalabad Hirat Mazar-i-Sharif Islam Qala

Bamyan Kandahar Kunduz Maimana Zaranj

1.3 Date of initial assessment:


1.4 Date of last assessment:
1.5 Date of displacement
1.6 Assessment team code:
1.6 Data entry clerk code:
1.7 Basis of information: Estimate Registrition Information received through IDP representative

Survey Various / Other

1.8 Source of Information: NGO Government UN Agency

UNHCR Community leaders Information received through IDP representative Various / Other and specify

Direct visit to place of displacement Various / Other and specify

1.9 Mode of assessment: Partners visit to place of displacement

Joint assessment with IDP TF members

3. Place of Displacement

province District Village Sub-village / Ward


Rural
province District Village Sub-village / Ward

Rural

City
Urban

province District subdistrict (Nahiya)


City

3.1 Is the last place you moved from, your place of origin?
3.2. If IDPs are in Secondary Displacement - where were the IDPs before they came to this Place of Displacemen

province District Village Sub-village / Ward


Rural
Urban

province District City subdistrict (Nahiya)

3.3. If yes, how long were they there?


1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
3.4. Do you have any future movement intentions?
3.4.1 If, yes, where to?

province District Village Sub-village / Ward


Rural
Urban

province District City subdistrict (Nahiya)


Urban
province District City subdistrict (Nahiya)

3.4.2. if yes, what is the estimated timeframe? Chose from options below:
1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
4. Place of origin
Origin A Origin B
Province
District
Rural

Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban

city
subdistrict (Nahiya)
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals

5. Ethnicity of the IDP Populations (number of individuals)

Pashtun Tajik Hazara Turkman Uzbek

6. Age and Sex of the IDP Populations


0-4 5-11 12-17
M F M F M

7. Number of PSNs in the group:


7.1 SC-UC:
7.4 ER-NF: Single older person
Unaccompanied child
7.2 WR-SF: Single women
7.5 DS: Physically Disability
at risk

7.3 SP-PT: Single Parent 7.6 DS-MM: Mentally Ill

7.13 Discription:

8. Top 3 primary reasons (in order of priority) of displacement?


Protection

1. Causes

8.1 Armed conflict / Military Operations


8.2 Generalized Violence
8.2.1 lack of protection by police (ANP) and/or the army (ANA) and the courts
8.2.2 lawlessness, prevalence of criminal gangs
8.2.3 civilian deaths from suicide bombers or IEDs
8.2.4 executions including acts of extreme brutality (e.g. beheadings, stoning, throwing of acid)
8.3 Human Rights violations and Targeted Persecution
8.3.1 threats against, or violence directed at, people working for government
8.3.2 threats against, or violence directed at, children (especially girls) attending school
8.3.3 forced recruitment
8.3.4 threats against, or violence directed at, persons participating in humanitarian work
8.3.5 GBV or threats against women
8.3.6 extortion or illegal taxation
8.3.7 other specify under number 8.16
8.4 Inter-tribal or factional fighting
8.5 Land dispute /Land occupation
8.6 Blood feuds
8.7 presence of mines, IEDs or other UXOs
8.8 Cross border shelling
8.9 other specify under number 8.16
If the above is yes, who was the perpetrator?
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.government officials 4.ALP
8.11 international armed forces 1.coalition/international forces
1.AGEs 2.Local commanders 3.Afghan Taliban
8.12 non-governamental armed forces 4.Haqqani Network 5.Islamic party
8.13 domestic/community actors 1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord
8.14 pakistani armed forces
8.15 criminal gangs
8.16 Other (please specify)
9. PROTECTION

Right to physical safety and security


1.0 Are there any security risks present at the current location?
2.0 if yes, by whom?
2.1
government associated armed forces
2.2
international armed forces

2.3
non-governamental armed forces
2.4 domestic/community actors
2.5 pakistani armed forces
2.6 criminal gangs
3.0 Did any person from the group members suffer from injury?
4.0 Did any person from the group members suffer from sexual violence?
5.0 Did any person from the group members suffer from death?
6.0 Did any person from the group members suffer from abduction?
7 Did any person from the group members suffer from forced recruitment?
8 Did any person from the group members suffer from discrimination?
9 Did any person from the group members suffer from extortion?
10 Did any person from the group members suffer from intimidation?
11 Did any person from the group members suffer from disappearances?
12 Does the presence of IEDs, landmines and UXOs present a threat to the IDPs?
13 Did you seek support in case of above risks/incidents?
report to
report to
14 if yes, where? community report to elders
police
leader
15 Did the authorities respond?
if yes, which
16 authority did police elders
respond?
Situation at the place of Displacement
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an equal basis with other locals?
18.0 Do you have to pay more money for the Tazkera than the host community?
19.0 Are newborn IDP children issued an ID Card (Tazkira) by competent authorities?
20.0 Do you face problems related to a lack of documentation?
Services
21 Is basic health care available?
22 Is mother and child health care available?
23 Is potable water available?
24 Are hygienic latrine available?
25 Do you have to pay for the services more than the host community?
Education
26 Is Grade 1-6 education facility available?
27 Do school age girls/boys attend school?
28 If not, which of the below reasons prevent children for attending school?

too soon
Lack of
school is after
Access denied primary school has not started yet
too far displacemen
school
t

NFIs / Livelihood
29 Are there enough basic household items for the IDPs?
30 Is there sufficient food available for the IDPs?
31 Do IDPs have access to employment in the place of displacement?
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage earning employment?
33 Do IDPs get support from others?
34 1. by the government 2. Community leader 4. Other (specify)
If yes, by whom? 3. UNHCR/ DoRR
10. Housing, land and property in the Place of Displacement
1 Do you have access to shelter or accommodation at the place of displacement?
what kind of accommodation do the IDPs have access to:
Rented house
House without paying rent
2 Own shelter
Sharing house with host families
Self established camp
other, specify:
To whom does the land belong to?
3 2. host
1. family community 3. landlord
4 No. of households with adequate dwellings

5
Shelter concerns: 1. overcrowde2. no privacy
6 Are there threats of eviction?
7
1. host
If yes, by whom? community 2. landlord

11. Humanitarian Assistance


Assistance provided in displacement

Food Items

Water
11.1 Assistance type
Latrines
11.1 Assistance type

Winterization kits

Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance

12. DURABLE SOLUTIONS


Return, local integration and relocation
12.1 Do IDPs have access to information about conditions in their place of origin?
12.2 have IDPs visited their place of origin since the displacement?
12.3 Do IDPs have plan to return to their place of origin?
12.3.1 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year

12.3.2. If occupation of threat by


insecurity ongoing fighting
not, why: land AGEs

12.4 Are the IDPs planning to stay in the currentl place of displacement?
if yes, what are lack of insecurity pressure by local authority to leave
12.4.1 the obstacles? land/shelter

12.5 Are the IDPs considering relocation to a third place?


if yes, why? Please explain:
12.5.1

province District Village


12.5.2 If yes, where to?

12.5.3 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
Durable Solutions Events
12.6 IDP return/Local integration/ Relocation IDP return

12.7 If IDP have returned, in which way? Organized

12.8 Date of return dd/mm/yyyy


Place of Relocation
Location A Location B
Province
Rural

District
Village
subvillage
province
district
Urban

city
subdistrict (Nahiya)
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013

2. Brief Description of the group

in order to avoid big long stories writing, we would like to recommend to write only the "Red Flags"
regarding the caseloads which needs special attention

GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)

GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)

Yes No

his Place of Displacement?


GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)

GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)

Yes No

GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)

GPS coordinates
Ghozar
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Origin C Origin D Origin E

(pleas
e
specif
Baloch Arab y) Total

18-59 60+ Total


F M F M F M F

7.7 SM-CI:
7.10 SM-CC: Medical Case
Chronically illness
7.8 SA-PF: Very while the title
indicates 7.11 SA-SC: Special Case
Poor Family INDIVIDUALS

7.9 SM-AD: 7.12 ER - MC: Older person with


Addiction children

Estimation of number To what extent was your decision to leave influenced by the following A
of families

2. Aggravating Factors
8.17 presence of drought / natural disaster
8.18 absence of social services (health, education, other)
8.19 absence of sources of potable water
8.2 0 absence of shelter (house destroyed)
owing of acid) 8.21 community / family displaced
8.22 no livelihood opportunities in the place of origin
8.22.1 arable land, irrigation system, inaccesssible/damaged
8.22.2 loss of animals
8.22.3 looking for better labor opportunities
8.23 IDPs heard of assistance available in place of displacement
8.24 other, specify below..
Other (please specify)
hority 4.landlord

3. Incident information - time & location ONLY FOR THE NUMBER 1 REAS
8.25 provide the primary reason according to the list of "causes"
8.26 when did the incident begin dd/mm/yyyy
8.27 is this event still ongoing?
8.28 if not, end date: dd/mm/yyyy
8.29 Give the location where the incident did occur:

Sub-

Rural
province District Village village
/ Ward

subdist
rict

Urban
province District City
(Nahiy
a)
At the place of
During the Flight
Displacement
Yes all Yes some No Yes all Yes some No

1.ANA 2.ANP 3.government officials 4.ALP

1.coalition/international forces
1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani
Network 5.Islamic party
1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No
Yes No

Yes No Yes No

see medical
report to IDP
professional/visi
religious represe other, specify:
t medical
leaders ntative
facility
Yes No Yes No

religious
others, specify:
leaders

Response Observations
h other locals? Yes No

Yes No

Yes all Yes some No

Yes No

Response Observations
Yes No

Yes No

Yes No

Yes No

Yes No

Response Observations
Yes No

Yes Yes some No

Prevention of
girls from childre
Burning of too no female
attending n have
girls schools expensive teacher
school by family to work
members
Response Observations
Yes No

Yes No
Yes No

ployment? Yes No

Yes No

fy)
Response Observations
Yes No

Tent
Makeshift
Public building
Open space

4. government 5. other, specify:


3. no [number of families]
protection
from weather
elements 4. partially destroyed 5. other, specify:
Yes No

3. government 4. other, specify:

Response Observations
fill in number fill in
of fam./ind. Non food items number of
fam./ind.
fill in number fill in
of fam./ind. hygiene kits number of
fam./ind.
fill in number Tent/shelter
of fam./ind.
fill in
fill in number Others (specify) number of
of fam./ind. fam./ind.
provider Non food items provider
provider hygiene kits provider
provider Winterization kits provider

Response
Yes No
Yes No
Yes No
Yes No

ar
no
personal no land work/li inability to landmines/U
no house
enmity available velihoo travel XOs
d Yes
Yes Yes some No
No

pressure by lack of lack of basic discriminati Other


local livelihood faciliaty on (specify)
community to
leave Yes Yes some No

GPS coordinates
Latitud
Sub-village / e
Ward Longitude (North/
(East/West) South)

ar
number of
number of families Local integration families Relocation number of families

number of
number of families Spontaneous families
by the following AGGRAVATING FACTORS?

Estimation of number
of families

other)

n
ccesssible/damaged/polluted pasture land inaccessi

ties
isplacement
HE NUMBER 1 REASON OF DISPLACEMENT!
t of "causes" number

Yes No

GPS
coordinates
Longitu Latitud
de e
(East/W (North/
est) South)

GPS
coordinates
Longitu Latitud
Ghozar de e
(East/W (North/
est) South)
DRAFT - PMT Question
3 Feb. 2013

1. Assessment Information
1.1 Form Number
1.2 UNHCR Sub-Office/Field Office:
Kabul Gardiz Jalalabad Hirat Mazar-i-Sharif Islam Qala

Bamyan Kandahar Kunduz Maimana Zaranj

1.3 Date of initial assessment:


1.4 Date of last assessment:
1.5 Date of displacement
1.6 Assessment team code:
1.6 Data entry clerk code:
1.7 Basis of information: Estimate Registrition Information received through IDP representative

Survey Various / Other

1.8 Source of Information: NGO Government UN Agency

UNHCR Community leaders Information received through IDP representative Various / Other and specify

Direct visit to place of displacement Various / Other and specify

1.9 Mode of assessment: Partners visit to place of displacement

Joint assessment with IDP TF members

3. Place of Displacement

province District Village Sub-village / Ward


Rural
province District Village Sub-village / Ward

Rural

City
Urban

province District subdistrict (Nahiya)


City

3.1 Is the last place you moved from, your place of origin?
3.2. If IDPs are in Secondary Displacement - where were the IDPs before they came to this Place of Displacemen

province District Village Sub-village / Ward


Rural
Urban

province District City subdistrict (Nahiya)

3.3. If yes, how long were they there?


1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
3.4. Do you have any future movement intentions?
3.4.1 If, yes, where to?

province District Village Sub-village / Ward


Rural
Urban

province District City subdistrict (Nahiya)


Urban
province District City subdistrict (Nahiya)

3.4.2. if yes, what is the estimated timeframe? Chose from options below:
1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
4. Place of origin
Origin A Origin B
Province
District
Rural

Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban

city
subdistrict (Nahiya)
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals

5. Ethnicity of the IDP Populations (number of individuals)

Pashtun Tajik Hazara Turkman Uzbek

6. Age and Sex of the IDP Populations


0-4 5-11 12-17
M F M F M

7. Number of PSNs in the group:


7.1 SC-UC:
7.4 ER-NF: Single older person
Unaccompanied child
7.2 WR-SF: Single women
7.5 DS: Physically Disability
at risk

7.3 SP-PT: Single Parent 7.6 DS-MM: Mentally Ill

7.13 Discription:

8. Top 3 primary reasons (in order of priority) of displacement?


Protection

1. Causes

8.1 Armed conflict / Military Operations


8.2 Generalized Violence
8.2.1 lack of protection by police (ANP) and/or the army (ANA) and the courts
8.2.2 lawlessness, prevalence of criminal gangs
8.2.3 civilian deaths from suicide bombers or IEDs
8.2.4 executions including acts of extreme brutality (e.g. beheadings, stoning, throwing of acid)
8.3 Human Rights violations and Targeted Persecution
8.3.1 threats against, or violence directed at, people working for government
8.3.2 threats against, or violence directed at, children (especially girls) attending school
8.3.3 forced recruitment
8.3.4 threats against, or violence directed at, persons participating in humanitarian work
8.3.5 GBV or threats against women
8.3.6 extortion or illegal taxation
8.3.7 other specify under number 8.16
8.4 Inter-tribal or factional fighting
8.5 Land dispute /Land occupation
8.6 Blood feuds
8.7 presence of mines, IEDs or other UXOs
8.8 Cross border shelling
8.9 other specify under number 8.16
If the above is yes, who was the perpetrator?
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.government officials 4.ALP
8.11 international armed forces 1.coalition/international forces
1.AGEs 2.Local commanders 3.Afghan Taliban
8.12 non-governamental armed forces 4.Haqqani Network 5.Islamic party
8.13 domestic/community actors 1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord
8.14 pakistani armed forces
8.15 criminal gangs
8.16 Other (please specify)
9. PROTECTION

Right to physical safety and security


1.0 Are there any security risks present at the current location?
2.0 if yes, by whom?
2.1
government associated armed forces
2.2
international armed forces

2.3
non-governamental armed forces
2.4 domestic/community actors
2.5 pakistani armed forces
2.6 criminal gangs
3.0 Did any person from the group members suffer from injury?
4.0 Did any person from the group members suffer from sexual violence?
5.0 Did any person from the group members suffer from death?
6.0 Did any person from the group members suffer from abduction?
7 Did any person from the group members suffer from forced recruitment?
8 Did any person from the group members suffer from discrimination?
9 Did any person from the group members suffer from extortion?
10 Did any person from the group members suffer from intimidation?
11 Did any person from the group members suffer from disappearances?
12 Does the presence of IEDs, landmines and UXOs present a threat to the IDPs?
13 Did you seek support in case of above risks/incidents?
report to
report to
14 if yes, where? community report to elders
police
leader
15 Did the authorities respond?
if yes, which
16 authority did police elders
respond?
Situation at the place of Displacement
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an equal basis with other locals?
18.0 Do you have to pay more money for the Tazkera than the host community?
19.0 Are newborn IDP children issued an ID Card (Tazkira) by competent authorities?
20.0 Do you face problems related to a lack of documentation?
Services
21 Is basic health care available?
22 Is mother and child health care available?
23 Is potable water available?
24 Are hygienic latrine available?
25 Do you have to pay for the services more than the host community?
Education
26 Is Grade 1-6 education facility available?
27 Do school age girls/boys attend school?
28 If not, which of the below reasons prevent children for attending school?

too soon
Lack of
school is after
Access denied primary school has not started yet
too far displacemen
school
t

NFIs / Livelihood
29 Are there enough basic household items for the IDPs?
30 Is there sufficient food available for the IDPs?
31 Do IDPs have access to employment in the place of displacement?
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage earning employment?
33 Do IDPs get support from others?
34 1. by the government 2. Community leader 4. Other (specify)
If yes, by whom? 3. UNHCR/ DoRR
10. Housing, land and property in the Place of Displacement
1 Do you have access to shelter or accommodation at the place of displacement?
what kind of accommodation do the IDPs have access to:
Rented house
House without paying rent
2 Own shelter
Sharing house with host families
Self established camp
other, specify:
To whom does the land belong to?
3 2. host
1. family community 3. landlord
4 No. of households with adequate dwellings

5
Shelter concerns: 1. overcrowde2. no privacy
6 Are there threats of eviction?
7
1. host
If yes, by whom? community 2. landlord

11. Humanitarian Assistance


Assistance provided in displacement

Food Items

Water
11.1 Assistance type
Latrines
11.1 Assistance type

Winterization kits

Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance

12. DURABLE SOLUTIONS


Return, local integration and relocation
12.1 Do IDPs have access to information about conditions in their place of origin?
12.2 have IDPs visited their place of origin since the displacement?
12.3 Do IDPs have plan to return to their place of origin?
12.3.1 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year

12.3.2. If occupation of threat by


insecurity ongoing fighting
not, why: land AGEs

12.4 Are the IDPs planning to stay in the currentl place of displacement?
if yes, what are lack of insecurity pressure by local authority to leave
12.4.1 the obstacles? land/shelter

12.5 Are the IDPs considering relocation to a third place?


if yes, why? Please explain:
12.5.1

province District Village


12.5.2 If yes, where to?

12.5.3 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
Durable Solutions Events
12.6 IDP return/Local integration/ Relocation IDP return

12.7 If IDP have returned, in which way? Organized

12.8 Date of return dd/mm/yyyy


Place of Relocation
Location A Location B
Province
Rural

District
Village
subvillage
province
district
Urban

city
subdistrict (Nahiya)
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013

2. Brief Description of the group

in order to avoid big long stories writing, we would like to recommend to write only the "Red Flags"
regarding the caseloads which needs special attention

GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)

GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)

Yes No

his Place of Displacement?


GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)

GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)

Yes No

GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)

GPS coordinates
Ghozar
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Origin C Origin D Origin E

(pleas
e
specif
Baloch Arab y) Total

18-59 60+ Total


F M F M F M F

7.7 SM-CI:
7.10 SM-CC: Medical Case
Chronically illness
7.8 SA-PF: Very while the title
indicates 7.11 SA-SC: Special Case
Poor Family INDIVIDUALS

7.9 SM-AD: 7.12 ER - MC: Older person with


Addiction children

Estimation of number To what extent was your decision to leave influenced by the following A
of families

2. Aggravating Factors
8.17 presence of drought / natural disaster
8.18 absence of social services (health, education, other)
8.19 absence of sources of potable water
8.2 0 absence of shelter (house destroyed)
owing of acid) 8.21 community / family displaced
8.22 no livelihood opportunities in the place of origin
8.22.1 arable land, irrigation system, inaccesssible/damaged
8.22.2 loss of animals
8.22.3 looking for better labor opportunities
8.23 IDPs heard of assistance available in place of displacement
8.24 other, specify below..
Other (please specify)
hority 4.landlord

3. Incident information - time & location ONLY FOR THE NUMBER 1 REAS
8.25 provide the primary reason according to the list of "causes"
8.26 when did the incident begin dd/mm/yyyy
8.27 is this event still ongoing?
8.28 if not, end date: dd/mm/yyyy
8.29 Give the location where the incident did occur:

Sub-

Rural
province District Village village
/ Ward

subdist
rict

Urban
province District City
(Nahiy
a)
At the place of
During the Flight
Displacement
Yes all Yes some No Yes all Yes some No

1.ANA 2.ANP 3.government officials 4.ALP

1.coalition/international forces
1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani
Network 5.Islamic party
1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No
Yes No

Yes No Yes No

see medical
report to IDP
professional/visi
religious represe other, specify:
t medical
leaders ntative
facility
Yes No Yes No

religious
others, specify:
leaders

Response Observations
h other locals? Yes No

Yes No

Yes all Yes some No

Yes No

Response Observations
Yes No

Yes No

Yes No

Yes No

Yes No

Response Observations
Yes No

Yes Yes some No

Prevention of
girls from childre
Burning of too no female
attending n have
girls schools expensive teacher
school by family to work
members
Response Observations
Yes No

Yes No
Yes No

ployment? Yes No

Yes No

fy)
Response Observations
Yes No

Tent
Makeshift
Public building
Open space

4. government 5. other, specify:


3. no [number of families]
protection
from weather
elements 4. partially destroyed 5. other, specify:
Yes No

3. government 4. other, specify:

Response Observations
fill in number fill in
of fam./ind. Non food items number of
fam./ind.
fill in number fill in
of fam./ind. hygiene kits number of
fam./ind.
fill in number Tent/shelter
of fam./ind.
fill in
fill in number Others (specify) number of
of fam./ind. fam./ind.
provider Non food items provider
provider hygiene kits provider
provider Winterization kits provider

Response
Yes No
Yes No
Yes No
Yes No

ar
no
personal no land work/li inability to landmines/U
no house
enmity available velihoo travel XOs
d Yes
Yes Yes some No
No

pressure by lack of lack of basic discriminati Other


local livelihood faciliaty on (specify)
community to
leave Yes Yes some No

GPS coordinates
Latitud
Sub-village / e
Ward Longitude (North/
(East/West) South)

ar
number of
number of families Local integration families Relocation number of families

number of
number of families Spontaneous families
by the following AGGRAVATING FACTORS?

Estimation of number
of families

other)

n
ccesssible/damaged/polluted pasture land inaccessi

ties
isplacement
HE NUMBER 1 REASON OF DISPLACEMENT!
t of "causes" number

Yes No

GPS
coordinates
Longitu Latitud
de e
(East/W (North/
est) South)

GPS
coordinates
Longitu Latitud
Ghozar de e
(East/W (North/
est) South)
Protection Monitoring During Displacement

1. Basic information
1.1 Group Number 1.2 Date of Monitoring: 1.3 Monitoring visit #
1.4 Monitoring Team Members:
1.5 Monitoring Name of Institutions:
2. IDP Population changes in location of displacement
2.1 Have new families arrived to the location due to conflict in the place where they lived? Yes No
Individual Individual Individual
2.1.1 If yes, how Families Families Families
s From the same district s From other district: s
many?

How many arrived during the Families Individuals How many arrived during the last sixe Families Individuals
2.1.2
last month? months?

If new families arrived from outside this district, please list the provinces and districts they came from

How many families from the Families Individuals 2.3 How many families remain in the Families Individuals
2.2
group left the location? location?

Part 2: Group Population in current location of displacement


3. Age and Sex of the IDPs still in the location Estimate Exact details confirmed

0-4 5-11 12-17 18-59 60+ Total


Male Female Male Female Male Female Male Female Male Female Male Female

4. Number of PSNs in the Group (individuals)


Children Woman at risk (women Older person at risk Person with Single Other(specify)
separated from Children Serious
heading HH, widow, women (old person heading physical or male
their parents heading medical
without community HH, single old mental head of
0-5 HH condition
All years
support) person) disability HH

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Further info on PSN cases:

5. Ethnicity of the IDPs still in the location

5.1 Ethnicities in the group (mark all that apply)

Pashtun Tajik Hazara Uzbek Turkman Baluch Other-Specify:

5.2 Of those, what is the main ethnicity (mark only one)


No main
Pashtun Tajik Hazara Uzbek Turkman Baluch Other-Specify:
group

Part 3: Durable Solutions Estimate Exact details confirmed

6. Returned to place of origin/ info


Families Individuals
6.1 How many people returned to the place of origin?

6.2 Majority of families returned Entire families Only with part of their members
6.2.1 In case the majority of families returned with "part of their members", More
More women? Approximately equal number?
were they men?

6.3 For what reasons did the IDPs return (mark all that apply)?

Situation improved in place of Forced by military Dispute with local community (over
Forced by civilian authorities Forced by AGEs
origin authorities land/resources)

No adequate shelter Insufficient livelihood Other (Please specify)

Please indicate the places of return:

Province District/ City Rural Urban Families Individuals Return Date (M/Y)

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Further details /info/elaboration on the causes of return.

7. Moved to another location


Families Individuals
7.1 How many people moved to another location?

7.2 Majority of families moved Entire families Only with part of their members

7.2.1 In case the majority of families moved with "part of their members", More
More women? Approximately equal number?
men?
were they
7.3 For what reasons did the IDPs move (mark all that apply)?

Forced by military Forced by AGEs Dispute with local community (over


Forced by civilian authorities
authorities land/resources)

No adequate shelter Insufficient livelihood Other (Please specify)

Please indicate the places of return:

Province District/ City Rural Urban Families Individuals Return Date (M/Y)

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Further details /info/elaboration on the causes of return.

Other reasons (other than the two above-mentioned) for the changes in the number of IDPs since initial assessment:

Part 3 Protection

8. PROTECTION (Applies to the current place of displacement)

8.1 What are the main current protection concerns for IDPs (mark all that apply)?

Arrest or
Insecurity Presence Mines/UXOs/IEDs Armed Hostilities Intimidation by AGEs Intimidation by ANSF
detention
Land Intercommoned Theft, common Attacks against school and
Separation of family
dispute dispute crimes hospital

Disappearance/ Risk of forced Other (Please


kidnaping recruitment specify)
Please give details on the selection opti

8.2 Source of insecurity/harm

International Local armed


ANSF ALP AGEs Others(specify):
forces groups/militias

Are the law enforcement agencies present in the current location? If yes, which agencies? Mark the right options below.
8.3
Afghan National Afghan local Afghan National security
Others (specify):
Police police forces

Are there any movement restrictions for the IDPs?


8.4 Presence of checkpoints Presence of checkpoints
No restriction Other restrictions (specify)
(ANSF) (AGEs)

8.5 Since when you were displaced, has the security situation Improved Deteriorated Remained the same

9. Education and Child Protection

9.1 Since displacement, did children stop attending primary school (from 1 st to 6th class)?
Yes No Some

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9.2 if some children stopped attending school, they were more boys more girls

9.3 Since being displaced, how many of the children are attending school/learning space (from 1 st to 6th class)?

Boys Up to 25 % Up to 50 % Up to 75 % Up to 100 %

Girls Up to 25 % Up to 50 % Up to 75 % Up to 100 %

What are the main reasons for children not attending school (mark all that apply)?

9.4 Distance Lack of Lack of female


Security Parents can Children are No low
(school is far documentatio teachers/female Other (specify)
issues not afford working rate
away) n friendly facilities.
Boys

Girls

9.5 Since the displacement, has school attendance:


Improved Worsened Remained the same

Please comment on education needs:

Killing or Forced Attacks against


What are the main concerns for children (mark all that apply)?
maiming recruitment
Abduction
schools
9.6
Psychological Other type of Harmful/hazardous
distress/trauma violence labour Other (specify)

9.7 How many children have been injured or killed by land mines/UXO/IED in the current area of displacement?

9.8 Have injured children (from mines, etc.) been able to access medical care? Yes No Some

In case of children separated from their parents, to which institution were they referred (mark all that apply)?
9.9 Authority of Government UN/NGO Do not
community authority know

9.10 Does child marriage occur in the community? Yes No

9.11 If answer in 9.10 is "yes", did it increase during the displacement?


Yes No

9.12 If answer in 9.11 is "yes", was it More for girls More for boys Same for girls and boys

9.15 Do children under 18 work (except regular family chores)? Yes No

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9.14 If answer in 9.15 is "yes", did it increase due to displacement? Yes No

9.15 If answer in 9.14 is "yes", was it More for girls More for boys Same for girls and boys

Please describe any child protection needs:

10. Documentation

10.1 Have families who did not have ID documents been able to obtain them during their displacement
Yes period? No

10.2 Percentages of people without national ID cards?

Male Up to 25 % Up to 50 % Up to 75 % Up to 100 %

Female Up to 25 % Up to 50 % Up to 75 % Up to 100 %

Are there any obstacles to IDPs' access to national ID card (mark all that apply)?
Costs or fees Lack of knowledge on procedure
10.3 IDPs have to pay more than local
Have to go to place of origin Other (specify)
residents

10.4 Are newborn IDP children issued a birth certificate by competent authorities? Yes No

Do IDPs face problems related to lack of national ID card (mark all thatAccess
apply)?
to health services Access to school
10.5 education
Access to assistance Security problems Other (specify)

Any comments on documentation:

11. Access to Justice


In case of incident, to whom do IDPs report (mark all that apply)? Authorities Police Community/Leader Elders
11.1 IDP
Representative Religious Leader Shura Others(specify):

11.2 Has any specific incident occurred or dispute been brought to a formal justice mechanism? Yes No

11.2.1 If yes, which of the following (mark all that apply): Arbitrary arrest and Physical or sexual Land
Criminal act
detention assault dispute
Other
Forced recruitment
(specify)

11.2.2 Please briefly describe the incident:

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11.3 Was the response adequate? Yes No

11.4 Since when you were displaced, has the access to justice Improved Deteriorated Remained the same

Please comment on access to justice, including for women:

12. Food Security and Nutrition


Yes No Some
12.1 Do IDPs have access to food stocks in the current location?
Work (adult family Sharing with
Buying in market Sell assets
In case of lack of food, how do the families members) others
12.2
cope (mark all that apply)? Borrow money
Sending children to
Other specify:
work
1 to 2 More than 2
Less than a week
12.3 How long will existing food stocks last on average?
weeks weeks

12.4 Any change in the amount or quality of food people are eating since displaced? Yes No Some

Yes No Some
12.5 Do the IDPs have access to a functioning market?

12.6 If the community relies on the market, does it have enough money to buy food?Yes No Some

Please comment on the food security and nutrition situation (If answer to any of the above questions is "Some", clarify it here):

Remained the
12.7Since when you were displaced, has the food security and nutrition situation Improved Deteriorated
same

13. Health and Sanitation (mark the right answer)

13.1 Is there enough water for drinking? Yes for all No For some

Yes for all No For some


13.2 Is there enough water for cooking?

13.3 Is there enough water for washing? Yes for all No For some

13.4 Since when you were displaced, has the water situati Improved Deteriorated Remained the same

Yes for all No For some


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Improved Deteriorated Remained the same

Yes for all No For some


13.5 Do IDPs have access to latrines?
Yes for all No For some
13.6 Do women/girls have access to separate latrines?

13.7Since when you were displaced, has the sanitation situation Improved Deteriorated Remained the same

13.8 Is basic health care accessible within 5 Km or 1 hour walking? Yes for all No For some

13.9 Is mother and child health care accessible within 5 Km or 1 hour walking? Yes for all No For some

13.1 Do IDPs have to pay for the health services more than the host community? Yes No

Yes No
13.11 Do vulnerable groups (women, old person, persons with disabilities) experience difficulties in accessing health facilities?

What are the 2 most common illnesses in the community? Mark the answers in below.
13.12 Respiratory Skin
Diarrhea/vomiting Measles Other (specify):
disease infections

13.13 Since when you were displaced, has the health situation Improved Deteriorated Remained the same

Please comment on water quality, sanitation and health situation:

14. Shelter, Accommodation and Property in the Place of Displacement

Where do IDPs live? (number of families)

With host Spontaneous Purchased Makeshift Public Other (Specify):


14.1 Rented
families or camp/settlement accommodati Tent Dwelling shelter building
house
relatives on

How are the HHs now Mostly Both scattered and


14.2 Mostly scattered
aggregated aggregated
distributed?
For
14.3 Yes
Is it common for families of this group to change their accommodation during the displacement? No
some

Not able to pay Conflict with Conflict with the


14.3.1 If yes, why (mark all that apply)? Evictions Other (specify):
rent owenr community

Page 136 of 160


For
Yes No
14.4 Has the land property changed since initial displacement? some

14.5 If "yes" or "for some", how has the land property changed (to whom does the land where the IDPs are living generally belong)?
Relatives Host community Private Landlords Government Other (specify)

No good protection from weather/ bad quality Partially


What are the shelter concerns for Overcrowded No privacy
shelter destroyed
14.6 IDPs (mark all that apply)? No money to pay rent No
Evictions Other (specify)
concern

14.7 No. of HHs with adequate dwellings:


14.8 Average number of HHs per shelter:
Yes No
14.9 Were there evictions of IDPs from the group?
If yes,
14.9.1 By whom/which cause?
Dispute with host Dispute with Government order to Private land
landlords No means to pay rent owner Other (specify)
community vacate

14.9.2 How many families were affected?


Are there perspective for shelter solution?
Yes No 14.10.1 If yes, mark all that apply below.
14.10 Self construction (no
Government Relatives Assistance IC/INGOs Other (specify)
help)

14.10.1 How many families applied for land with MORR?

14.10.2 How many received the land?


Yes No
14.11 Are there displaced families in the group who have acquired land during displacements?
Do not
Yes No
If yes, how many (if known Have they been give a title? know

Increased Decreased Remained the same


14.12 Have land disputes between communities and IDPs?

Improved Deteriorated Remained the same


14.13 Since when you were displaced, has the shelter situat

Please comment on the housing, land and property situation of IDPs:

Page 137 of 160


15. NFIs / Livelihood
Yes for all No For some
15.1 Are there enough basic household items for the IDPs?
Hygiene
Bedding/blankets Clothing Kitchen sets
items
What are the most needed items?
15.2 Specific items for women and
Other (specify)
girls

Yes for all No Some


15.3 Do IDPs have access to livelihood opportunities in the place of displacement?
Yes for all No Some
15.4 Do IDPs have livestock?

Improved Deteriorated Remained the same


15.5Since when you were displaced, has the NFIs/livelihood situation

Please comment on the NFIs / Livelihood situation

16. Humanitarian Assistance


Yes No
16.1 Did the IDPs receive at least once assistance in this location? If yes, when was it the last time?Date:

Regularly Occasionally Only once


16.2 What frequency on average?
16.3 Indicate the details of the distributed assistance in below:

To how many families? By whom (mark all that apply)? Last date (Month/Year):
Type of Assistance
None Some All Gov UN INGO LNGO ICRC/ ARC Other (Specify):

NFI

Hygiene Kits

Tents/shelter

Latrine

Water

Winterization

Page 138 of 160


Food

Cash
Other (Specify):
Specific groups Distribution methods exclude vulnerable
16.4 Do IDPs face problems in Not enough Unequal Political interference
excluded groups
receiving assistance (mark all that
apply)?
People with no ID Non responding to actual Non-affected groups
Other (specify)
excluded needs assisted

Any comments on the assistance:

17. Assessment of Protection Needs

17.1 What are the prioritized protection concern of the IDP group?

Concern 1

Concern 2

Concern 3
Any additional comments/ detail

18. Emergency Assistance Needs

18.1 What are the prioritized emergency assistance needs of the IDP group (specify maximum 3 choices)?
Health
Specific Civil Specific
services Education
Sanitation assistance for documentatio assistanc Other (Specify):
Needs Food NFIs Shelter Water (including /
/ Latrines people with n/ legal e for
psychological schooling
disabilities services children
Priority )
(1, 2, 3)

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Detail:

Any additional comments:

19. Future Intention of remaining families

Primary Reason (mark only one reason)

individuals
families
Requeste

No. of

No of
Livelihood Access to d/forced
Securit Shelte
Family / basic by Others
y r
economic services Authoritie
s
19.1 How many families intend to return to their place of origi
19.2 How many families intend to stay and integrate in this loc
19.3 How many families intend to move forward from this location?

Comments on reasons:

When do you intend to move?


Choose from options below.
Province District/ City Village/Nayia Rural Urban Families Individuals
in < 3 In 3-6 In 6 -12
In > one year
months months months

Page 140 of 160


Page 141 of 160
Individual
s

dividuals

dividuals

male

Page 142 of 160


onfirmed

viduals

er

e (M/Y)

Page 143 of 160


viduals

e (M/Y)

Page 144 of 160


nt:

Page 145 of 160


ify)

irls and boys

Page 146 of 160


irls and boys

ocedure

No

Page 147 of 160


Some

Some

Some

Some

ed the

or some

or some

or some

or some
Page 148 of 160
or some

or some

or some

or some

No
s?

Page 149 of 160


belong)?

Page 150 of 160


ome

Some

Month/Year):

Page 151 of 160


nerable

):

Page 152 of 160


n)

Others

e?
w.

> one year

Page 153 of 160


Page 154 of 160
Protection Monitoring During Displacement
To be used at least 3 months after initial displacement and for follow up monitoring of protracted displacement
Methodology: Focus Group Discussion
A. Basic Data
1. Basic information
1.1 Group 1.3 Monitoring visit 2017_ARAA_HRT_Pro
2016_HRT_ARAA # 69 1.2 Date of Monitoring visit: 22-Jan-2017
Number number Moni #008

1.4 Date of initial displacement Month Jan Year 2016 20-Jan-2016

One Third One 3 4


Second
1.5 Number of weeks/months week Week Month Month Month
5 Week
6 6-9 10-12 13-18
after displacement
19-24
Months
Over Months Months Month Months Months
Two
In location of initial
Years
In l ocation other
displacement
1.6 Are families: than initial
In place of origin (use
displacement
monitoring after return
form) Different village, same Different district, same
1.7 If displaced in location other than
district; province;
initial place of displacement Different province, same Different
region; region
1.8 Current place of Poshton
Region West Province Hirat District Village Zaman Abad
displacement Zarqon
1.8.1 GPS Coordinates Latitude N/A Longitude N/A

1.9 Place of Origin Region West Province Ghor District Shinkot Village Mob.Arghan

1.9.1 GPS Coordinates (only in


Latitude N/A Longitude N/A
case of return)
Position in the Name:Mohabat- Contact:
Male Key 19- community:Represen Sadaddin 0786166575,078


Informant 18 59 60 tative 6403781

Female Key 19-Position in the Name: Contact: N/A


18 community:
informant 59 60
1.10 Information collected Persons with Single Female
Child headed
through (select all that applies) 13-18 19-39 40-59 60 + physical or mental Headed
household
disability Household
Focus group
M F M F M F M F M F M F
discussion
0
2 3 2 3 2 1 1 0 0 0 0 0
Exact
2. Age and Sex of the IDPs in the monitoring location Estimat
details
e
0-4 5-11 12-17 18-59 60+ confirmed Total
Male Female Male Female Male Female Male Female Male Female Male Female
9 3 3 1 1 1 8 10 1 0 22 15

3. Ethnicity of the IDPs in the monitoring location


3.1 Ethnicities in the group (#of families)
# # Other,
# Pashtun # Tajik 9 # Hazara # Uzbek # Baluch
Turkman specify
4. Top 3 primary reasons for initial displacement

Causes Priority (put 1,2 or 3) No. of families being displaced due to this cause

4.1 Armed conflict / military operation 1 All 9 families


4.2 Clashes among AGEs
4.3 Intimidation and harassment by AGEs 3 All 9 families
4.4 Intimidation and harassment by government

4.5 Inter-tribal or factional fighting

4.6 Land dispute/land occupation

4.7 Cross-border rocket shelling

4.8 Kidnapping /abduction


Nobody in this group moved for causes related to
4.9
violence/conflict
4.10 Other - please specify ____Generalized Violence_______ 2 All 9 families

B. Population movement

5. Returned to place of origin

5.1 Have some families returned to place of


If YES, continue with section 5; if NO go to section 6
origin? Yes No
Families Individuals
5.2 How many people returned to the place of origin?
Entire Only with part of
5.3 Majority of families returned
families More
their members
5.3.1 In case the majority of families returned with "part of their More Approximately
members", were they women? equal number?
men?
5.4 For what reason have the families returned to place of origin?
Improvement of security Forced by military authorities; Forced by Municipal
conditions in place of origin authorities;
Forced by district authorities; Forced by provincial authorities; Evicted by landlord;
Security incidents in place of Armed conflict in place of Harrassment/threats by
diaplacement diaplacement non state actors
Harrassment/threats by state Dispute with local community
actors No adequate shelter
No access to livelihood; Other, specify below
Describe further the reason and circumstances under which some of the families returned to place of origin:

5.5 Please indicate the places of return:


Individual Return Date
Region Province District Village Families Return Date Year
s Month

6. Moved to another location

6.1 Have some families moved to place other Ye N If YES, continue with section 6; if NO go to section 7

than place of origin? s o
Families Individuals
6.2 How many people moved to another location?
9 34
Entire Only with part of
6.3 Majority of families moved
families More
their members
More Approximately
6.3.1 In case the majority of families moved with "part of their
women? equal number?
members", were they men?
6.
For what reasons did some of the IDPs move (mark all that apply)?
4
mprovement of security
Forced by military authorities; Forced by Municipal authorities;
conditions in place of origin
Forced by district authorities; Forced by provincial authorities; Evicted by landlord;
Security incidents in place of Armed conflict in place of AHarrassment/threats by non
diaplacement diaplacement state actors
Harrassment/threats by state
Dispute with local community No adequate shelter
actors
No access to livelihood; Other, specify below
Describe further the reason and circumstances under which some of the families moved to another location: Number of 9 families
moved to Pashton Zarqon district of Hirat province based on the following reasons:
1. They dont pay rent of house on the place where they are.
2. They can find work better than the initial displacement location.
3. Their children also can easily participate to the schools.

6.5 Please indicate the location where some of the families moved:
Unknow
Known (please fill below table)
m
Individual Movement Date
Region Province District Village Families Movement Date Year
s Month

West Hirat Pashton Zarqon N/A 9 34 Dec 2016

6.6 Other reasons (other than the two above-mentioned) for the changes in the number of IDPs since initial assessment:

C. Protection

7. Protection from violence and exploitation


What are the main current protection concerns for IDPs (mark all that apply)? No one, the families live in current location
7.1
with no any problem.
Presence of
Mines/UXOs;
PArbitrary Presence of
arrest/detention Mines/UXOs;
Presence of
Armed hostilities Mines/UXOs;
PAttacks against schools Presence of
and/or hospitals Mines/UXOs;
ByAG ByAN By local by other
Intimidation
Es SFs authorities armed groups
Illegal taxation & ByAN By local by other
ByAG
deprivation of SFs authorities armed groups
Es
resources
ByAG ByAN By local by other
Kidnapping
Es SFs authorities armed groups
Enforced ByAG ByAN By local by other
disappearance Es SFs authorities armed groups
Forced ByAG ByAN By local by other
recruitment Es SFs authorities armed groups
Child ByAG ByAN by other
recruitment Es SFs armed groups
Gender based ByAG ByAN By local by other
violence Es SFs authorities
by armed groups
by hosting Within the IDP
humanitarian
community;ByAN community
Violence against ByAG By local
agencies by other
girls and boys Es SFs authorities
by armed groups
by hosting Within the IDP
humanitarian
community; community
ByAG ByAN By local
agencies by other
Threat of SFs authorities armed groups
Es
eviction by hosting by private
community; landlord;
Land dispute with private with hosting
with local authorities
landlord community
Community with hosting Within the IDP
tension community; community
Thefts, common by hosting by members of
crimes community the IDP community
Family Requires family
separation tracing
Please give details on the selected main protection concerns, indicating whether incidents occurres and under what
circumstances or explaining the reason behind perceived threats: None of the above points happened to the IDP families.

Are the law enforcement agencies present in the current location? If yes, which agencies?
Yes No
Mark the right options below.
7.2
Afghan National Afghan National
Other____________
Police Army
Afghan National Afghan National District

Police Army; authorities
IDP Religious Elders
7.3
Representative; Leader;
Provintial Shura; Others

authorities;
Since displacement, has any incident occurred within or against the IDP community that would require intervention of
local security forces?
Yes No
7.4 If yes, please describe the incident, if the response was appropriate, if the problem was solved and if IDPs felt their
rights were protected:

Are there any movement restrictions for the Yes


IDPs? No If yes, selecct the applicable options
below
ANSF check- AGE check- Abduction/kidnapp
7.5 points; points ing
Murder Criminal acts Other
Please indicate when the selected restrictions apply (day time, night time) and the impact that such restrictions have on the daily
life of IDPs:
Since you were displaced, has the security Impro Deterio Remained

situation ved rated the same
7.6 Please elaborate on the reasons of the deterioration or imporvement of the security situation: As communicated with
the families representative, it was clearly found that they dont have any security problem on current location, as the government
security forces are on the location and do their best to bring safety to the residents.
8. Persons with Specific Needs (PSN)

8.1 Number of PSN in the group: The IDPs group don't contains a PSN to be reportable.

Separated Persons with Others


children Older person at risk Person with Single legal needs
Woman at risk (women Children Serious
(old person heading physical or male (arrest,
headed HH, widow, women headed medical
0-5 HH, single old mental head of detention)
All without community support) HH condition
years person) disability HH

Further info on PSN cases:

8.2 Compared to the last monitoring visit, has the Increa Decre Remained
number of PSN sed ased the same
Please explain which categories of PSN increased/decrease and the circumstance:

8.3 Have the PSN cases identified in the first monitoring Yes No Only Some
been assisted?

For those assisted, please describe if and how assistance has mitigated the risk:

For those not assisted, please describe what impact the lack of assistance had on the individual/family:

9. Education & Child Protection

Since displacement, did children stop attending primary school (from 1Yes
st
No
to 6th class)?
9.1
9.1
If yes: # of boys # of girls

How many children are attending primary school (from 1 st to 6th class)?
9.2
# of boys 6 # of girls 4
What are the main reasons for children not attending school (mark all that apply)? The IDP's children are attending to
scool.
9.3 Distance Lack of Lack of female
Security Parents can Children are Harrasment at
(school is far documentatio teachers/female Other (specify)
issues not afford working school place
away) n friendly facilities.

Boys

Girls
Please describe the reason children are not attending school: The IDP's children are attending to scool.

What are the main concerns for children (mark all that apply)?
Killing and Forced Kidnapping/a Psychological Child labour Harrasment Harrasment Abuse & Other
9.4 maiming recruitment bduction trauma within the IDP from host Neglect
community community

Boys All
Girls
Please elaborate on the selected child protectioon concerns: As the head of households can't provide all the needs of families, so the
children have to collect garbage/ firewood for cooking and heating purpose.

How many children have been injured or killed by land mines/UXO/IED in the current area of displacement?. No one injured or
9.5 S
killed. Y
N o
9.6 Have injured children (from mines, etc.) been able to access medical care? e
o m
In case Authority
of children separated from UN/ s
their parents, to which institution were they referred (mark all that apply)? e
Governmen Do
NG
9.7 of t not
O
community authority Y know
N
9.8 Does child marriage occur in the community? e
Ys o
N
9.9 If answer in 9.10 is "yes", did it increase during the displacement? e
o
s
More More Same for
9.10 If answer in 9.11 is "yes", was it
for girls N
Y for boys girls and boys
9.11 Do children under 18 work (except regular family chores)? eY o
N
9.12 If answer in 9.11 is "yes", did it increase due to displacement? s e
o
s
More More Same for
9.13 If answer in 9.14 is "yes", was it
for girls for boys girls and boys
Please describe any child protection needs: The one concern regarding of the children is child labour as they involved in garbage firewood
and no any problem they have in current location.
9.14

10. Documentation
Y
N
10.1 e
Have families who did not have ID documents been able to obtain them during their displacement period?
o
s
10.2 Percentages of people without national ID cards?

Up to Up to Up to Up to
Male
25 % 50 % 75 % 100 %
Up to Up to Up to Up to
Female
25 % 50 % 75 Costs
% 100 %
Are there any obstacles to IDPs' access to national ID card (mark all that apply)? Lack of knowledge
IDPs have to pay or fees on procedure
10.3 Have to go to Other

place of origin more than local
(specify) Y
residents N
10.4 Are newborn IDP children issued a birth certificate by competent authorities? e
Access to Access to o
Do IDPs face problems related to lack of national ID card (mark all that apply)? s
health services school
10.5 Access to Security Other
education
assistance problems (specify)
Any comments on documentation: All members exception of women and children have NID.

11. Access to Justice


In case of incident, to whom do IDPs report (mark all that apply)? Authori Poli
Community Elder
IDP ties ce
/Leader s
11.1 Religious Others(spe
Represen Shur
Leader cify): Y
tative a N
11.2 Has any specific incident occurred or dispute been brought to a formal justice mechanism? e
Arbitrary Physical or o
Crimina
11.2.1 If yes, which of the following (mark all that apply): s Land
Other arrest and sexual
Forced l act dispute
(specify detention assault
recruitment
)
11.2.2 Please briefly describe the incident:
Y
N
11.3 Was the response adequate? e
o
s
11.4 Since when you were displaced, has the access to justice Impro Deterio Remained

ved rated the same
Please comment on access to justice, including for women: All the IDPs have access to justic system.

12. Food Security and Nutrition


Y
N So
12.1 Do IDPs have access to food stocks in the current location? e
o me
s
Work (adult Sharing
Buying Sell
In case of lack of food, how do the families family
with
12.2 Sending in market assets
cope (mark all that apply)? Borrow
members) others Other
Less children to 1 to More
money specify:
than a work 2 than 2
12.3 How long will existing food stocks last on average?
week Y weeks weeks
N So
12.4 Any change in the amount or quality of food people are eating since displaced? e
Y o me
s N So
e
12.5 Do the IDPs have access to a functioning market? o me
s
Y
N So
12.6 If the community relies on the market, does it have enough money to buy food? e
o me
s
Please comment on the food security and nutrition situation (If answer to any of the above questions is "Some", clarify it here):
As it was mentioned the head of households are not able to provide all the needs of family members, so the amount of money which they earn
is not in a level that they can buy enough food.
Remained
Since when you were displaced, has the food security and nutrition Impro Deterio
12.7 the
situation ved rated
same
13. Health and Sanitation (mark the right answer)
Yes For
13.1 Is there enough water for drinking? No
for all some
Yes For
13.2 Is there enough water for cooking? No
for all some
Yes For
13.3 Is there enough water for washing? No
for all some
Impro Deterio Remained

13.4 Since when you were displaced, has the water situation ved rated the same
Yes For
13.5 Do IDPs have access to latrines? No
for all some
Yes For
13.6 Do women/girls have access to separate latrines? No
for all some
Since when you were displaced, has the sanitation Impro Deterio Remained
13.7
situation ved rated the same For
Yes
No
13.8 Is basic health care accessible within 5 Km or 1 hour walking? for all some
Yes For
No
13.9 Is mother and child health care accessible within 5 Km or 1 hour walking? for all some
Y
N
13.10 Do IDPs have to pay for the health services more than the host community? e
Y o
s N
13.11 e
Do vulnerable groups (women, old person, persons with disabilities) experience difficulties in accessing health facilities? o
s
What are the 2 most common illnesses in the community? Mark the answers in below.
13.12 Respirator Skin
Diarrhea/ Measl Other
y infectio
vomiting es (specify):
diseasehas the health
Since when you were displaced, ns Impro Deterio Remained
13.13
situation ved rated the same
Please comment on water quality, sanitation and health situation: All families have access to the local health clinics which built
through government in current location, and about the water, it is common on the villages that they use from open wells.

14. Shelter, Accommodation and Property in the Place of Displacement

Where do IDPs live? (number of families)

With host families Spontaneous Purchased Makeshift Public Other (Specify):


14.1 Rented
house or relatives camp/settlement accommodati Tent Dwelling shelter building
on
9
Mostly Both
Mostly For
14.2 How are the HHs now distributed? aggregat Y scattered and
scattered N
ed e aggregated

14.3 Is it common for families of this group to change their accommodation during the displacement? o som
Conflict sEvicti
Not able Conflict with Other e
If yes, why (mark all that with
14.3.1
apply)? to pay rent the community ons For (specify):
owenr Y
N
e
14.4 Has the land property changed since initial displacement? o som
s
e
14.5 Host
If "yes" or "for some", how has the land property changed (to whom does the land where the IDPs are living generally belong)?
Relativ Private Govern Other
communit Partially
es LandlordsNo ment (specify)
y concerns for
What are the shelter
Overcr No good protection from

No weather/ bad quality shelter
14.6 IDPs (mark all that apply)? owded
No moneyprivacy Evicti Other destroye
conce d
to pay rent ons (specify)
14.7
rn
No. of HHs with adequate dwellings: 9 families had shelter concern/ the shelters belongs to the local community members.
14.8 Average number of HHs per shelter: 1 HHs
Y per shelter.
N
14.9 e
Were there evictions of IDPs from the group?
o
If yes, s

Dispute Dispute Private


No means Government Other
with host with land
to pay rent order to vacate (specify)
community landlords owner
14.9.2 How many families were affected?
Y
N
Self
Are there perspective for shelter solution? e 14.10.1 If yes, mark all that apply below.
14.10 Govern Relati o Assistance Other
construction
s
ment ves IC/INGOs (specify)
14.10.1 How many families applied for land wit(no No
help)
one is applied for land with MORR.
14.10.2 How many received the land? No one. Y
N
14.11 Are there displaced families in the group who have acquired land during displacements? e Do
o
If yes, how many (if known Have they been give a title? Yes No s not
Increa Decrea Remained
know
14.12 Have land disputes between communities and IDPs?
sed sed the same
Impro Deterio Remained

ved rated the same
Decrea
Impro sed
Deterio
Remained
Since when you were displaced, has the shelter
14.13 ved rated the same
situation
Please comment on the housing, land and property situation of IDPs: All 9 families live in a house as sharing, each family live in a room
that has no privacy.
15. NFIs / Livelihood
Yes For
15.1 Are there enough basic household items for the IDPs? No
for all some
Bedding/b Hygie
What are the most needed items? Clothi Kitche
lankets ne
15.2 Specific items for Other ng n sets
items
women and girls (specify) Yes
15.3 Do IDPs have access to livelihood opportunities in the place of displacement?
No Some
for all
Yes
15.4 Do IDPs have livestock? No Some
for all
15.5
Since when you were displaced, has the NFIs/livelihood Impro Deterio Remained
situation
ved rated the same
Please comment on the NFIs / Livelihood situation: The 9 families food and NFI items are not satisfactory. Also the weather is too
cold and families do not have enough blankets.

16. Humanitarian Assistance Y


Did the IDPs receive at least once N
16.1 e If yes, when was it the last time?Date:
assistance in this location? Regula o Only
16.2 What frequency on average? s Occasi
rly onally once
16.3 Indicate the details of the distributed assistance in below:
To how many families? By whom (mark all that apply)? Last date (Month/Year):
Type of Assistance
None Some All Gov UN INGO LNGO ICRC/ ARC Other (Specify):
NFI

Hygiene Kits

Tents/shelter

Latrine

Water

Winterization P P Dec.2016

Food

Cash P P May.2016
Other (Specify): Specific
Not Political Distribution methods
16.4 Do IDPs face problems in receiving Une groups
enough interference exclude vulnerable groups
assistance (mark all that apply)? qual excluded
Non
People with Non-affected Other
responding to
no ID excluded groups assisted (specify)
actual needs
Any comments on the assistance: However they received assistance and appreciate, but they wishes more assistance because the assisted
items were not enough and still they were in need of shelter, NFI and food items.

17. Assessment of Protection Needs

17.1 What are the prioritized protection concern of the IDP group?

Concern 1 They use from open well water, that it is not clean and safe for drinking.

Concern 2 They need NID.

Concern 3 They need NFI.

Any additional comments/


details:
18. Assessment of Protection Interventions

18.1 What are the prioritized interventions for the IDP group?
Intervention
N/A
1
Intervention
N/A
2
Intervention
N/A
3
Any additional comments/
details:
19. Future Intention of remaining families
Primary Reason (mark toonly one reason)
famil

idual
indiv

Livelihood Access Requested/


No.

ies
No

Securi Shelt
of

of

Family / basic forced by Others


ty er
economic services Authorities
19.1 How many families intend to return to their place of origin? 0 0
How many families intend to stay and integrate in this
19.2 9 34 P
location?
How many families intend to move forward from this
19.3 0 0
location?
Comments on reasons:
When do you intend to move?
Province District/ City Village/Nayia Rural Urban Families Individuals in < 3 Choose
In 3-6fromInoptions
6 -12 below.
In > one year
months months months

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