MAPPING TOOL

Mapping of Violence Against Women (VAW) Services, Programs and Facilities in the
Philippines

FORM B | VAW RESOURCE INFORMATION

This part should be accomplished by key officers of identified service providers, facilities, and
shelters run by government, non-government and civil society organizations (NGO/CSO), private
sector, faith-based organizations, and others.

Please provide complete information. These will be the basis in preparing the National Resource
Directory of Available VAW Services. Write NO DATA if the required data are not available or Not
Applicable (NA) if the question is not applicable to your locality or organization.

Part I: Directory Information

A. Full Name and Acronym of the Agency/Organization:

B. Type of Agency/Organization C. Address of the Agency/Organization

☐ Government Number and Street Name:

☐ NGO/CSO
☐ Faith-based organization Barangay:
☐ Private
Municipality:
☐ Schools/Universities/Colleges
☐ Other service providers: Province:
__________
Zip Code:

D. Contact Information of the Agency/Organization

Official Mobile: Official Landline (for Greater Metro Manila, indicate the correct
8-digit phone number [ex. 8735-1654] and for provinces, indicate
the local area code [ex. (053) 785-6825]):

Official Facsimile: Official E-mail:

Social Media: Website:

E. Head of Agency/Organization

Name

Position Title
F. Organization Profile

Date
established

Registration: ☐ Securities and Exchange Mandate: ☐ Executive Order _______

(for NGOs/CSOs Commission (For ☐ Memorandum _________
and private ☐ DSWD-registered/licensed Government ☐ Ordinance ____________
sectors only) ☐ DSWD-accredited agencies; please ☐ Resolution ____________
☐ Others: _______________ provide a copy) ☐ Others: ______________

Total number of staff in the
organization: _____________
No. of staff handling
VAW-related cases: ________
Position title of VAW staff:
_________________________
_________________________
_________________________
_________________________
_________________________
Trainings attended by staff
related to violence against
women, case management,
etc.
_______________________
________________________
________________________
_______________________
_______________________

G. Profile of clients served

Please select all ☐ Women in crisis

applicable ☐ IP Women
characteristics of ☐ Clients with no visible means of support
the clients served ☐ Abused women
by your agency/ ☐ Persons with disability (PWD)
organization ☐ Women Migrant Workers/OFW
☐ Muslim women
☐ Lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI+)
☐ Others (please enumerate): _________________________________

H. Communication channels in promoting/informing the women and the general public

regarding your services

☐ Website ☐ Local radio stations

o own website
o other government website
o women NGO websites
☐ Leaflets/flyers in public places
like capitols, assembly halls, community
centers, and schools
☐ Local TV stations
☐ Social media (Facebook, Twitter, etc.)
☐ Forums, seminars, assembly, etc.
☐ Others:
_____________________________

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I. Types of Services and Procedure/Requirements/Criteria/Cost for Obtaining Types of
Services
(please select all that apply and describe the procedure, requirements, and cost (if any) per type of
service, use extra sheet if necessary)

☐ Information and advice

Procedure
(covers initial information on
helplines and service Requirements/
providers, including advice on criteria
what steps to take, etc.)
Cost of availing
service (if any)

☐ Legal/prosecution
Procedure
(includes provision of legal
advice and assistance in filing
of complaint in court, including Requirements/
Temporary Protection Order – criteria
TPO and Permanent
Protection Order – PPO) Cost of availing
service (if any)

☐ Health/medical
Procedure
(includes medical examination,
treatment, and hospitalization Requirements/
if necessary) criteria

Cost of availing
service (if any)

☐ Psychosocial
Procedure
(refers to a series of
intervention that promote and Requirements/
enhance the coping criteria
capabilities of VAW victim-
survivors such as
Cost of availing
psychological effect, trauma
service (if any)
and need for resources/
immediate financial relief and
support services)

☐ Safety and security

Procedure
(covers rescue, arrest and
apprehension of alleged
perpetrator, and investigation) Requirements/
criteria

Cost of availing

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 service (if any)

☐ Shelter (a place of temporary

Procedure
refuge and support for women
escaping violent or abusive
Requirements/
situations, which may also criteria
include their young children)
Cost of availing
service (if any)

☐ VAW advocacy (covers

Procedure
activities to increase public
awareness on VAW, including Requirements/
its impact on the victim, their criteria
family, and society in general;
as well as the development, Cost of availing
production, and dissemination service (if any)
of IEC on VAW)

☐ Training for service

Procedure
providers (includes gender-
sensitive handling/ Requirements/
management of VAWC cases) criteria

Cost of availing
service (if any)

☐ Economic empowerment
Procedure
(includes skills/livelihood
training and other support Requirements/
intervention to help the victim- criteria
survivor gain financial freedom
and earn a living independent Cost of availing
of the abusive partner) service (if any)

☐ Referral (pertains to the act

Procedure
of recommending a VAW
victim-survivor to another Requirements/
institution which has criteria
appropriate facility and
service/s that are not available Cost of availing
in the referring organization) service (if any)

☐ Outreach (refers to the act of

reaching women who do not
Procedure
have access to appropriate

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 VAW services, such as those Requirements/
living in geographically isolated criteria
and disadvantaged areas, IP
women, and Muslim women; Cost of availing
this may come in the form of a service (if any)
community outreach, home
visitation, etc.)

☐ Other services (please

Procedure
specify) ____________________

Requirements/
criteria

Cost of availing
service (if any)

Part II: Nature of VAW Services

This set of questions covers the details and nature of VAW services, including challenges
encountered by concerned service providers

☐ Confined only to our city/municipality

A. In which geographical area do
☐ Covers nearby cities/municipalities (please specify
you provide your service?
requirements if clients are from other localities):
_____________________________________________

☐ National government, please specify:

B. Where do you get funding for
_____________________________________________
your VAW services?
☐ Local government
☐ Foreign aid/donors
☐ Local donations
☐ National/local socio-civic and charitable organizations
☐ Others, please specify: ________________________

☐ Yes
C. Do you refer VAW victim-
Name the agency/organization/s and their location
survivors to agencies outside
____________________________________________
the locality to receive VAW
_
services?
____________________________________________
_
☐ No

☐ No
D. Are you using referral
☐ Yes, please specify the protocols, manuals, or
protocols, manuals, or
pathways:
pathways for referring VAW

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 ____________________________________________
victim-survivors to alternative
____________________________________________
services they may need?
__

☐ Yes
E. Do you have referral or request
☐ None, how do you refer clients to other service
form for assistance with other
providers? Please
organizations?
____________________________________________
____________________________________________
__

F. What services do you offer to VAW perpetrators? Please tick all that apply.

☐ Individual counseling (educates or ☐ Family therapy/counseling (involves all members

makes the perpetrator realize that inflicting
harm on his wife/partner is a violation of
women’s human rights)
☐ Couple counseling (for the parties to
recognize, manage or reconcile differences
and repeating pattern of distress or abuse)
☐ Mediation
☐ Assistance in employment
of the family of the perpetrator, particularly young children
to address the trauma caused by violence in the family)
☐ Anger management (counsels the perpetrator on
how to deal with his negative emotions)
☐ Gender sensitivity
☐ Values orientation
☐ Others, please specify: _____________________

☐ Lack of budget to support victim

G. Do you experience challenges
in providing VAW services?
(Please tick all that apply)
☐ Desistance of victim in pursuing the case
☐ Peace and Order
☐ Lack of staff to provide psycho-social and legal services
☐ Others ___________________________________

☐ Use of monitoring tool (ex. Client Satisfaction Tool)

H. How does your organization
☐ Focus Group Discussion
monitor and evaluate your ☐ Feedback meeting
VAW-related services? ☐ Others ____________________________________

☐ Yes
I. Does your organization use
standard form to record or o Intake form (please provide a copy)
document VAW-related o Logbook
cases? o Others _______________________________
☐ No

Part III: Recommendations

Based on your experiences, what specific support or intervention should be implemented by

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 national and regional line agencies, and local government agencies to improve your
organization’s services for VAW victim-survivors?

National and regional line agencies:

Availability
and
Accessibility
Local government agencies:
of services

Funding
support

Others, please
specify:

Questions for Have you encountered challenges in referring VAW victim-survivors to

NGOs/ CSOs, concerned service providers?
FBOs, etc.
☐ No
☐ Yes. Please describe observed gaps/weakness per service provider:

Recommendations to address the problem:

Have you adopted protocols, policies and/or programs that respond to the
needs of most vulnerable and marginalized women, girls, LGBTQI
sectors?

☐ No
☐ Yes. Please list and describe the adopted protocols, policies and/or
programs

Part IV: Best practices

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 Describe your best practice (s) related to addressing violence against women which other
agencies could replicate. Mention also why it has been effective.

Part V: Information Source (person who accomplished the form)

Name

Position/designation
Office/Department
Contact number Official Mobile No.: Official Email address:
Official Landline No.: Official Facsimile:
Date accomplished
(mm/dd/yyyy)

By using this form, you are giving consent as Data Subject to the Inter-Agency Council on Violence
Against Women and their Children (IACVAWC) to process your contact information in accordance to
Data Privacy Act of 2012 (Republic Act No. 10173), and its Implementing Rules and Regulation.

I hereby acknowledge that I have been fully informed of the foregoing and that I give my consent with
regards to the sharing of my contact information by the IACVAWC.

________________________
Name and Signature

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