Professional Documents
Culture Documents
2017 - ARAA - HRT - Pro Moni #038
2017 - ARAA - HRT - Pro Moni #038
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
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
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
Page 1 of 176
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
Page 2 of 176
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?
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 176
SECTION 4: DURABLE SOLUTION
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
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
Declaration:
Signature ________________________
Page 4 of 176
Name of the team leader:
_________________________________
Page 5 of 176
e group
Longitude Latitude
GPS coordinates
(East/West (North/Sou
) th)
Total
0
Page 6 of 176
7.10 MC: Medical Case
7.11 SC: Special Case
yness
nche
bour work
s
t available
ot available
ter labour opportunities
ance available in place of displacement
cify)
Page 7 of 176
Response Observations
Response Observations
Response Observations
Response Observations
Response Observations
Response Observations
Please describe:
Response Observations
Response Observations
Response Observations
Other
Page 8 of 176
Response Observations
Observations
Relocation
Total
Page 9 of 176
Page 10 of 176
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
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
Sub-village /
province District Village
Rural
Ward
subdistrict
Urban
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
7.13 Discription:
1. Causes
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
Food Items
Water
11.1 Assistance type
Latrines
Winterization kits
Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance
12.5.3 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months
Durable Solutions Events
District
Village
subvillage
province
district
Urban
city
subdistrict (Nahiya)
Ghozar
FAM
IND
Total Individuals
ormation received through IDP representative
UN Agency
Ghozar
origin?
were the IDPs before they came to this Place of Displacement?
Ghozar
Ghozar
Baloch
12-17
F
der person
sability
y Ill
cement?
1.coalition/international forces
njury?
sexual violence?
death?
abduction?
orced recruitment?
discrimination?
extortion?
ntimidation?
disappearances?
ent a threat to the IDPs?
?
report to
religious
leaders
religious
leaders
r attending school?
Burning of
girls schools
splacement?
DPs from engaging in wage earning employment?
to:
4. government
3. no
protection
from weather
elements
3. government
ms
zation kits
ms
elter
Sub-village /
Ward
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)
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
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)
tion/international forces
ent?
?
he IDPs?
see medical
professional/visit medical IDP representative other, specify:
facility
others, specify:
Tent
Makeshift
Public building
Open space
5. other, specify:
4. other, specify:
origin?
GPS coordinates
Latitude
Longitude (East/West) (North/South)
number of
Local integration families Relocation
number of
Spontaneous families
Yes No
Yes No
Total
M F
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
subdist
rict
Urban
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 No
Response Observations
Yes No
Yes No
Yes No
Yes No
Yes No
Response Observations
Yes 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)
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
UNHCR Community leaders Information received through IDP representative Various / Other and specify
3. Place of Displacement
Rural
City
Urban
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
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
7.13 Discription:
1. Causes
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
Food Items
Water
11.1 Assistance type
Latrines
Winterization kits
Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance
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
12.5.3 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
District
Village
subvillage
province
district
Urban
city
subdistrict (Nahiya)
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013
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
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
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
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.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 No
Response Observations
Yes No
Yes No
Yes No
Yes No
Yes No
Response Observations
Yes 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
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 number of
Others (specify)
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
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
UNHCR Community leaders Information received through IDP representative Various / Other and specify
3. Place of Displacement
Rural
City
Urban
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
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
7.13 Discription:
1. Causes
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
Food Items
Water
11.1 Assistance type
Latrines
Winterization kits
Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance
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
12.5.3 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
District
Village
subvillage
province
district
Urban
city
subdistrict (Nahiya)
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013
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
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
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
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.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 No
Response Observations
Yes No
Yes No
Yes No
Yes No
Yes No
Response Observations
Yes 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
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 number of
Others (specify)
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
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?
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)
Province District/ City Rural Urban Families Individuals Return Date (M/Y)
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)?
Province District/ City Rural Urban Families Individuals Return Date (M/Y)
Other reasons (other than the two above-mentioned) for the changes in the number of IDPs since initial assessment:
Part 3 Protection
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
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
8.5 Since when you were displaced, has the security situation Improved Deteriorated Remained the same
9.1 Since displacement, did children stop attending primary school (from 1 st to 6th class)?
Yes No Some
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)?
Girls
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
9.12 If answer in 9.11 is "yes", was it More for girls More for boys Same for girls and boys
9.15 If answer in 9.14 is "yes", was it More for girls More for boys Same for girls and boys
10. Documentation
10.1 Have families who did not have ID documents been able to obtain them during their displacement
Yes period? No
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)
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)
11.4 Since when you were displaced, has the access to justice Improved Deteriorated Remained the same
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
13.1 Is there enough water for drinking? Yes for all No For some
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
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
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)
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
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
17.1 What are the prioritized protection concern of the IDP group?
Concern 1
Concern 2
Concern 3
Any additional comments/ detail
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)
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:
dividuals
dividuals
male
viduals
er
e (M/Y)
e (M/Y)
ocedure
No
Some
Some
Some
ed the
or some
or some
or some
or some
Page 148 of 176
or some
or some
or some
or some
No
s?
Some
Month/Year):
):
Others
e?
w.
1.7 If displaced in location other than Different village, same district; Different distric
initial place of displacement
Different province, same region; Different region
Position in the
Female Key informant 18 19-59 community: 60
B. Population movement
5.3 Majority of families returned Entire families Only with part of their m
5.3.1 In case the majority of families returned with "part of their More
More wo
members", were they men?
5.4 For what reason have the families returned to place of origin?
Describe further the reason and circumstances under which some of the families returned to
security in the origin place caused that the families decide to return to the origin place.
6.3 Majority of families moved Entire families Only with part of their m
More
6.3.1 In case the majority of families moved with "part of their men? More wo
members", were they
6.
For what reasons did some of the IDPs move (mark all that apply)?
4
mprovement of security conditions in place of origin Forced by military authorities;
Describe further the reason and circumstances under which some of the families moved to another locati
6.5 Please indicate the location where some of the families moved:
Individual
Region Province District Village Families
s
6.6 Other reasons (other than the two above-mentioned) for the changes in the number of ID
C. Protection
7.1 What are the main current protection concerns for IDPs (mark all that apply)?
Presence of Mines/UXOs;
Illegal taxation & deprivation of ByAGEs ByANSFs By local authorities by other armed group
resources
Please give details on the selected main protection concerns, indicating whether incidents oc
circumstances or explaining the reason behind perceived threats:
Shura; Others
Provintial authorities;
Since displacement, has any incident occurred within or against the IDP community
local
Yes security
Noforces?
7.4 If yes, please describe the incident, if the response was appropriate, if the problem
rights were protected:
Please indicate when the selected restrictions apply (day time, night time) and the impact that
life of IDPs:
8.1 Number of PSN in the group: There are three PSN between the IDPs.
Separated
children Older person at risk Person with
Woman at risk (women Children Serious
(old person heading physical or
headed HH, widow, women headed medical
0-5 HH, single old mental
All without community support) HH condition
years person) disability
8.3 Have the PSN cases identified in the first monitoring Yes No Only
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:
Since displacement, did children stop attending primary school (from Yes
1 st 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 # of girls
What are the main reasons for children not attending school (mark all that apply)?
Boys
Girls
What are the main concerns for children (mark all that apply)?
Killing and Forced Kidnapping/a Psychological Child labour Harrasment
9.4 maiming recruitment bduction trauma within the IDP
community
Boys
Girls
Please elaborate on the selected child protectioon concerns:
9.5 How many children have been injured or killed by land mines/UXO/IED in the current area of di
9.6 Have injured children (from mines, etc.) been able to access medical care? Yes
In case of children separated from their parents, to which institution were they referred (mark
Authority of Government UN/NGO Do not
9.7 community know
authority
9.14
10. Documentation
10.1 Have families who did not have ID documents been able to obtain them during their displacem
Male Up to 25 % Up to 50 % Up to 75 %
Female Up to 25 % Up to 50 % Up to 75 %
Are there any obstacles to IDPs' access to national ID card (mark all that Costs
apply)?
or fees
10.4 Are newborn IDP children issued a birth certificate by competent authorities?
Do IDPs face problems related to lack of national ID card (mark all that apply)?
Access to health services
10.5
Access to assistance Security problems Other (specify)
11.2 Has any specific incident occurred or dispute been brought to a formal justice mechanism?
11.2.1 If yes, which of the following (mark all that apply):
Criminal act
Arbitrary arrest and
detention
Other
Forced recruitment
(specify)
11.4 Since when you were displaced, has the access to justice Improved Deteriorated
12.4 Any change in the amount or quality of food people are eating since displaced? Yes
Yes
12.5 Do the IDPs have access to a functioning market?
Yes
12.6 If the community relies on the market, does it have enough money to buy food?
Please comment on the food security and nutrition situation (If answer to any of the above questions is "S
Since when you were displaced, has the food security and nutrition
12.7 Improved
situation
13. Health and Sanitation (mark the right answer)
Since when you were displaced, has the water Improved Deteriorated
13.4
situation
13.9 Is mother and child health care accessible within 5 Km or 1 hour walking?
13.10 Do IDPs have to pay for the health services more than the host community?
13.11 Do vulnerable groups (women, old person, persons with disabilities) experience difficulties in a
What are the 2 most common illnesses in the community? Mark the answers in below.
13.12
Respiratory Skin
Diarrhea/vomiting Measles Other
disease infections
Yes
14.3 Is it common for families of this group to change their accommodation during the displacemen
Not able to pay Conflict with Conflict with the
If yes, why (mark all that owenr community Eviction
14.3.1 rent
apply)?
Yes No
14.4 Has the land property changed since initial displacement?
14.5 If "yes" or "for some", how has the land property changed (to whom does the land where the ID
Relatives Host community Private Landlords Government Other
No privacy
No good protection from weather/ b
What are the shelter concerns for Overcrowded No privacy
shelter
14.6 IDPs (mark all that apply)? No
No money to pay rent Evictions Other (sp
concern
Are there perspective for shelter solution? Yes No 14.10.1 If yes, mar
14.10 Self construction (no
Assistance IC/INGOs
Government Relatives Other (specif
help)
14.10.1 How many families applied for land wit
14.10.2 How many received the land? Just one family.
14.11 Are there displaced families in the group who have acquired land during displacements?Yes
If yes, how many (if knownOne family Have they been give a title? Yes No
14.12 Have land disputes between communities and IDPs? Increased Decreased
Since when you were displaced, has the shelter Improved Deteriorated
14.13
situation
Please comment on the housing, land and property situation of IDPs:
15. NFIs / Livelihood
Yes for all
15.1 Are there enough basic household items for the IDPs?
Bedding/blankets Clothing
What are the most needed items?
15.2 Specific items for women and
Other (specify)
girls
Hygiene Kits
Tents/shelter
Latrine
Water
Winterization
Food
Cash
Other (Specify):
Specific groups
Not enough Unequal Political interference
excluded
Specific groups
16.4 Do IDPs face problems in receiving Not enough Unequal Political interference
excluded
assistance (mark all that apply)?
People with no ID Non responding to actual Non-affected groups
Other (specify)
excluded needs assisted
17.1 What are the prioritized protection concern of the IDP group?
Concern 1
Concern 2
Concern 3
18.1 What are the prioritized interventions for the IDP group?
Intervention
1
Intervention
2
Intervention
3
Any additional comments/
details:
19. Future Intention of remaining families
Primary Reas
famil
indiv
idual
Livelihood
No.
ies
No
Securi
of
of
s
Family
ty
How many families intend to return to their place of economic
19.1 0 0
origin?
How many families intend to stay and integrate in this
19.2
location?
How many families intend to move forward from this
19.3 0 0
location?
Comments on reasons:
10-Oct-2016
3 Month 4 Month
fferent region
Village
Village
60+ Total
Female Male Female
0 0
# Other,
luch
specify
tion 5; if NO go to section 6
Families Individuals
10 50
art of their members Approximately equal number?
More women?
Evicted by landlord;
No adequate shelter
tion 6; if NO go to section 7
Families Individuals
Evicted by landlord;
No adequate shelter
her location:
armed groups
armed groups
armed groups
armed groups
armed groups
armed groups
e IDP community
armed groups
e IDP community
armed groups
ders
hers
ituation:
Only Some
/family:
6th class)?
No
apply)?
ale
Harrasment at
male Other (specify)
school place
ties.
area of displacement?.
No Some
Up to 100 %
Up to 100 %
Yes No
Community/Leader Elders
anism? Yes No
No Some
Other specify:
1 to 2 More than 2
weeks weeks
No Some
No Some
No Some
Remained the
Deteriorated
same
Yes for all No For some
Yes No
Yes No
ulties in accessing health facilities?
Other (specify):
For
some
nts?Yes No
Do not
know
No For some
Hygiene
Kitchen sets
items
ary Reason
Livelihood (mark
Access toonly one reason)
Requested/
Shelt
/ basic forced by Others
er
economic services Authorities