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  • Vaw DCF Monthly

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    Barangay 719 Zone 78
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    This document is a barangay data capture form used to monitor incidents of violence against women during the COVID-19 pandemic. It collects information on the types of violence experienced by victims, which include physical, sexual, psychological, and economic abuse. It also records the actions taken by the barangay to assist victims, such as referring them to local social welfare offices, police, and legal and medical services. The form is submitted by the local barangay captain.

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    Vaw Dcf Monthly

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    This document is a barangay data capture form used to monitor incidents of violence against women during the COVID-19 pandemic. It collects information on the types of violence experienced by victims, which include physical, sexual, psychological, and economic abuse. It also records the actions taken by the barangay to assist victims, such as referring them to local social welfare offices, police, and legal and medical services. The form is submitted by the local barangay captain.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    29 views1 page

    Vaw DCF Monthly

    Uploaded by

    Barangay 719 Zone 78
    This document is a barangay data capture form used to monitor incidents of violence against women during the COVID-19 pandemic. It collects information on the types of violence experienced by victims, which include physical, sexual, psychological, and economic abuse. It also records the actions taken by the barangay to assist victims, such as referring them to local social welfare offices, police, and legal and medical services. The form is submitted by the local barangay captain.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    VAW Form 1

    BARANGAY DATA CAPTURE FORM


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

    Region:___________________
    Province:______________________________________
    City/Municipality:_______________________________
    Barangay:____________________________________

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

    Referred for Referred for Others


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

    ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify

    Victim 1

    Victim 2

    Victim 3

    TOTAL

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


    *If "Others," please specify

    Submitted by: Name and Signature


    Punong Barangay

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