2017 - ARAA - HRT - Pro Moni #039

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 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
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 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?
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 176
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 176
Name of the team leader:
_________________________________
Page 5 of 176
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 176
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 176
Response Observations
Please describe:
Other
Page 8 of 176
Observations
Relocation
Origin H Origin I Origin J Origin K
Total
Page 9 of 176
Page 10 of 176
DRAFT - PMT Questionnaire
3 Feb. 2013
1. Assessment Information
1.1 Form Number
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
1.7 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
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 /
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 /
Rural
Ward
subdistrict
Urban

(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

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:

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

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
2.6 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?
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

Food Items
Water
11.1 Assistance type
Latrines
Winterization kits
Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance

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
if yes, why? Please explain:
12.5.1

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
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
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
. > one year
GPS coordinates
Latitude
GPS coordinates
Latitude
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 number of
Others (specify)
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
-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

(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
Yes No
Yes No
Yes all Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
[number of families]
Yes No
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
1.1 Form Number

UNHCR Community leaders Information received through IDP representative Various / Other and specify
province District Village Sub-village / Ward

Rural
Rural
City
Urban
province District subdistrict (Nahiya)

City
3.2. If IDPs are in Secondary Displacement - where were the IDPs before they came to this Place of Displacemen

Rural
Urban
province District City subdistrict (Nahiya)

1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year

Rural
Urban

Urban
4. Place of origin
Origin A Origin B
Province
District
Rural
Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban
city
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals

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

7.1 SC-UC:
Unaccompanied child
at risk
7.13 Discription:

Protection
1. Causes

8.2.1 lack of protection by police (ANP) and/or the army (ANA) and the courts
8.2.4 executions including acts of extreme brutality (e.g. beheadings, stoning, throwing of acid)
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
8.3.4 threats against, or violence directed at, persons participating in humanitarian work
8.6 Blood feuds
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.government officials 4.ALP
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
8.15 criminal gangs
9. PROTECTION

2.1
2.2
2.3
2.6 criminal gangs
report to
report to
police
leader
if yes, which
respond?
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an equal basis with other locals?
Services
Education
too soon
Lack of
school is after
Access denied primary school has not started yet
too far displacemen
school
t
NFIs / Livelihood
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage earning employment?
34 1. by the government 2. Community leader 4. Other (specify)
If yes, by whom? 3. UNHCR/ DoRR
Rented house
2 Own shelter
other, specify:
3 2. host
5
7
1. host

Food Items
Water
Latrines
Winterization kits
Food Items
Tent/shelter
Date of assistance

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
if yes, what are lack of insecurity pressure by local authority to leave
12.4.1 the obstacles? land/shelter

12.5.1


Place of Relocation
Province
Rural
District
Village
subvillage
province
district
Urban
city
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013
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:
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..
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
/ Ward
subdist
rict
Urban
(Nahiy
a)
At the place of
During the Flight
Displacement
1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani
Network 5.Islamic party
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
h other locals? Yes No
Yes No
Yes all Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
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
Yes No
Yes No
Yes No
ployment? Yes No
Yes No
fy)
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
fill in number fill in
of fam./ind. Non food items number of
fam./ind.
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.
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?
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
1.1 Form Number

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

Rural
Rural
City
Urban
province District subdistrict (Nahiya)

City
3.2. If IDPs are in Secondary Displacement - where were the IDPs before they came to this Place of Displacemen

Rural
Urban


Rural
Urban

Urban
4. Place of origin
Origin A Origin B
Province
District
Rural
Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban
city
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals

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

7.1 SC-UC:
Unaccompanied child
at risk
7.13 Discription:

Protection
1. Causes

8.2.1 lack of protection by police (ANP) and/or the army (ANA) and the courts
8.2.4 executions including acts of extreme brutality (e.g. beheadings, stoning, throwing of acid)
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
8.3.4 threats against, or violence directed at, persons participating in humanitarian work
8.6 Blood feuds
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.government officials 4.ALP
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
8.15 criminal gangs
9. PROTECTION

2.1
2.2
2.3
2.6 criminal gangs
report to
report to
police
leader
if yes, which
respond?
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an equal basis with other locals?
Services
Education
too soon
Lack of
school is after
Access denied primary school has not started yet
too far displacemen
school
t
NFIs / Livelihood
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage earning employment?
34 1. by the government 2. Community leader 4. Other (specify)
If yes, by whom? 3. UNHCR/ DoRR
Rented house
2 Own shelter
other, specify:
3 2. host
5
7
1. host

Food Items
Water
Latrines
Winterization kits
Food Items
Tent/shelter
Date of assistance

12.3.2. If occupation of threat by

insecurity ongoing fighting
not, why: land AGEs
if yes, what are lack of insecurity pressure by local authority to leave
12.4.1 the obstacles? land/shelter

12.5.1


Place of Relocation
Province
Rural
District
Village
subvillage
province
district
Urban
city
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013
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:
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..
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
/ Ward
subdist
rict
Urban
(Nahiy
a)
At the place of
During the Flight
Displacement
1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani
Network 5.Islamic party
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
h other locals? Yes No
Yes No
Yes all Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
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
Yes No
Yes No
Yes No
ployment? Yes No
Yes No
fy)
Yes No
Tent
Makeshift
Public building
Open space

3. no [number of families]
protection
from weather
elements 4. partially destroyed 5. other, specify:
Yes No
of fam./ind. Non food items number of
fam./ind.
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.
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?
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
Page 129 of 176

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)
Page 130 of 176

Further details /info/elaboration on the causes of return.
7. Moved to another location

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
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)
Page 131 of 176

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
Page 132 of 176

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
Page 133 of 176

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:
Page 134 of 176

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

Page 135 of 176
Improved Deteriorated Remained the same

13.5 Do IDPs have access to latrines?
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 176

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?

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 176

15. NFIs / Livelihood
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?

15.5Since when you were displaced, has the NFIs/livelihood situation
Please comment on the NFIs / Livelihood situation

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 176

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)
Page 139 of 176

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 176

Page 141 of 176
Individual
s
dividuals
dividuals
male
Page 142 of 176

onfirmed
viduals
er
e (M/Y)
Page 143 of 176

viduals
e (M/Y)
Page 144 of 176

nt:
Page 145 of 176

ify)
irls and boys
Page 146 of 176

irls and boys
ocedure
No
Page 147 of 176

Some
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?
Page 149 of 176

belong)?
Page 150 of 176

ome
Some
Month/Year):
Page 151 of 176

nerable
):
Page 152 of 176

n)
Others
e?
w.
> one year
Page 153 of 176

Page 154 of 176
Annex 3: Protection Monitoring During Displacement
To be used at least 3 months after initial displacement and for follow up monitoring o
Methodology: Focus Group Discussion
A. Basic Data
1. Basic information
1.1 Group 1.3 Moni
2016_HRT_ARAA # 282 1.2 Date of Monitoring visit: 30-Mar-2017
Number number
1.4 Date of initial displacement Month Oct Year 2016 1
One week Second Week Third Week One Month

1.5 Number of weeks/months
after displacement 5 Months 6 Months 6-9 Months 10-12 Month
Over Two Years
In location of initial displacement
1.6 Are families: In l ocation other than initial

displacement
In place of origin (use monitoring after return

form)
1.7 If displaced in location other than Different village, same district; Different distric
initial place of displacement
Different province, same region; Different region
1.8 Current place of

Region Province District
displacement
1.8.1 GPS Coordinates Latitude Longitude
1.9 Place of Origin Region Province District
1.9.1 GPS Coordinates (only in

Latitude Longitude
case of return)
Position in the
18 19-59 60 community:
Male Key Informant
Position in the
Female Key informant 18 19-59 community: 60
1.10 Information collected Persons with

through (select all that applies) 13-18 19-39 40-59 60 + physical or menta
disability
Focus group
M F M F M F M F M
discussion
2. Age and Sex of the IDPs in the monitoring location Estimate
0-4 5-11 12-17 18-59 60+

Male Female Male Female Male Female Male Female Male
3. Ethnicity of the IDPs in the monitoring location
3.1 Ethnicities in the group (#of families)
#
# Pashtun # Tajik # Hazara # Uzbek # Baluch
Turkman
4. Top 3 primary reasons for initial displacement
Causes Priority (put 1,2 or 3) No. of famil
4.1 Armed conflict / military operation 1

4.2 Clashes among AGEs
4.3 Intimidation and harassment by AGEs 2
4.4 Intimidation and harassment by government
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_______ 3
B. Population movement
5. Returned to place of origin
5.1 Have some families returned to place of

Yes No If YES, continue with section 5; if NO
origin?
5.2 How many people returned to the place of origin?
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?
Improvement of security conditions in place of origin Forced by military authorities;
Forced by district authorities; Forced by provincial authorities;
Security incidents in place of diaplacement Armed conflict in place of diaplacement
Harrassment/threats by state actors Dispute with local community
No access to livelihood; Other, specify below
Describe further the reason and circumstances under which some of the families returned to
waiting for improvement of security situation to return to the origin place, so when they recognized that t
they all returned.
5.5 Please indicate the places of return:
Individual
Region Province District Village Families
s
West Farah Center Center of Farah 9 66
6. Moved to another location
6.1 Have some families moved to place other

Yes No If YES, continue with section 6; if NO
than place of origin?
6.2 How many people moved to another location?
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;
Forced by district authorities; Forced by provincial authorities;
Security incidents in place of diaplacement Armed conflict in place of diaplacement
Harrassment/threats by state actors Dispute with local community
No access to livelihood; Other, specify below
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:
Unknowm Known (please fill below table)
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. Protection from violence and exploitation
7.1 What are the main current protection concerns for IDPs (mark all that apply)?
Presence of Mines/UXOs;
PArbitrary arrest/detention Presence of Mines/UXOs;
Armed hostilities Presence of Mines/UXOs;
PAttacks against schools and/or hospitals Presence of Mines/UXOs;
Intimidation ByAGEs ByANSFs By local authorities by other armed group
Illegal taxation & deprivation of ByAGEs ByANSFs By local authorities by other armed group
resources
Kidnapping ByAGEs ByANSFs By local authorities by other armed group
ByAGEs ByANSFs By local authorities by other armed group

Enforced disappearance
Forced recruitment ByAGEs ByANSFs By local authorities by other armed group
Child recruitment ByAGEs ByANSFs by other armed groups

Gender based violence
by hosting community; by humanitarian agencies Within the IDP commu

Violence against girls and boys
by hosting community; by humanitarian agencies Within the IDP commu

Threat of eviction
by hosting community; by private landlord;
Land dispute with hosting community with local au

with private landlord
with hosting community; Within the IDP community

Community tension
Thefts, common crimes by hosting community by members of the IDP community
Family separation Requires family tracing
Please give details on the selected main protection concerns, indicating whether incidents oc
circumstances or explaining the reason behind perceived threats:
Are the law enforcement agencies present in the current

Yes
location?
No
Mark the right options below.
7.2
Afghan National Police Afghan National Army Other____________
Afghan National Police Afghan National Army; District autho
Religious Leader; Elders

7.3 IDP Representative;
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:
Are there any movement restrictions for theYesIDPs? No If yes

below
ANSF check-points; AGE check-points Abduction/kidnapping
7.5
Murder Criminal acts Other
Please indicate when the selected restrictions apply (day time, night time) and the impact that
life of IDPs:
Since you were displaced, has the security Improved Deteriorated

situation
7.6
Please elaborate on the reasons of the deterioration or imporvement of the security situation:
8. Persons with Specific Needs (PSN)
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
Further info on PSN cases:
8.2 Compared to the last monitoring visit, has the

Increased Decreased Remained the
number of PSN
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
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 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)?
9.3 Distance Lack of Lack of female

Security Parents can Children are
(school is far documentatio teachers/female
issues not afford working
away) n friendly facilities.
Boys
Girls
Please describe the reason children are not attending school:
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
9.8 Does child marriage occur in the community? Yes No
9.9 If answer in 9.10 is "yes", did it increase during the displacement?Yes No
9.10 If answer in 9.11 is "yes", was it More for girls More
9.11 Do children under 18 work (except regular family chores)? Yes No
9.12 If answer in 9.15 is "yes", did it increase due to displacement? Yes No
9.13 If answer in 9.14 is "yes", was it More for girls More
Please describe any child protection needs:
9.14
10. Documentation
10.1 Have families who did not have ID documents been able to obtain them during their displacem
10.2 Percentages of people without national ID cards?
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
10.3 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?
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)
Any comments on documentation:
11. Access to Justice

In case of incident, to whom do IDPs report (mark all that apply)? Authorities Police
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?
11.2.1 If yes, which of the following (mark all that apply):
Criminal act
Arbitrary arrest and
detention
Other
Forced recruitment
(specify)
11.2.2 Please briefly describe the incident:
11.3 Was the response adequate? Yes No
11.4 Since when you were displaced, has the access to justice Improved Deteriorated
Please comment on access to justice, including for women:
12. Food Security and Nutrition

Yes
12.1 Do IDPs have access to food stocks in the current location?
Work (adult family Sharing with
In case of lack of food, how do the families members) others
12.2
cope (mark all that apply)? Sending children to
Borrow money
work
1 to 2
Less than a week
12.3 How long will existing food stocks last on average? weeks
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)
13.1 Is there enough water for drinking?
13.2 Is there enough water for cooking?
13.3 Is there enough water for washing?
Since when you were displaced, has the water Improved Deteriorated
13.4
situation
13.5 Do IDPs have access to latrines?
13.6 Do women/girls have access to separate latrines?

Since when you were displaced, has the sanitation
13.7 Improved Deteriorated
situation
13.8 Is basic health care accessible within 5 Km or 1 hour walking?
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
Since when you were displaced, has the health

13.13 Improved
situation
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)
14.1 With host families Spontaneous Purchased Makeshift

Rented
house or relatives camp/settlement accommodati Tent Dwelling shelter
on
How are the HHs now Mostly

14.2 Mostly scattered
distributed? aggregated
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
14.7 No. of HHs with adequate dwellings:

14.8 Average number of HHs per shelter:
14.9 Were there evictions of IDPs from the group?Yes No
If
ye
s,
Dispute with host Dispute with Government order to Private la
landlords No means to pay rent owner
community vacate
14.9.2 How many families were affected? One family.
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
15.3 Do IDPs have access to livelihood opportunities in the place of displacement?
15.4Do IDPs have livestock?

Since when you were displaced, has the NFIs/livelihood
15.5 Improved
situation
Please comment on the NFIs / Livelihood situation:

Did the IDPs receive at least once
16.1 Yes No If yes, when was it th
assistance in this location?
16.2 What frequency on average? Regularly Occasionally Only onc
16.3 Indicate the details of the distributed assistance in below:

To how many families? By whom (mark all that apply)?
Type of Assistance
None Some All Gov UN INGO LNGO ICRC/ ARC Other (Sp
NFI
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
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/

details:
18. Assessment of Protection Interventions
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:
Province District/ City Village/Nayia Rural Urban Families Individuals in < 3

months
ment
itoring of protracted displacement
1.3 Monitoring visit 2017_ARAA_HRT_Pro

number Moni #039
15-Oct-2016
3 Month 4 Month
th 13-18 Months 19-24 Months
fferent district, same province;
fferent region
Village
Village
in the Name: Contact:

nity:
in the Name: Contact:

nity:
with Single Female
Child headed
l or mental Headed
household
y Household
F M F
0
0 0 0
Exact details confirmed
60+ Total
Female Male Female
0 0
# Other,
luch
specify
o. of families being displaced due to this cause
tion 5; if NO go to section 6
9 66
art of their members
Approximately equal number?

More women?
Forced by Municipal authorities;
Evicted by landlord;
Harrassment/threats by non state actors
No adequate shelter
urned to place of origin: The families were

zed that the security condition become better
Individual Return Date

Return Date Year
s Month
66 Dec 2016
tion 6; if NO go to section 7
art of their members
Forced by Municipal authorities;
Evicted by landlord;
AHarrassment/threats by non state actors
No adequate shelter
her location:
Individual Movement Date

Movement Date Year
s Month
ber of IDPs since initial assessment:

y)?
armed groups
armed groups
armed groups
armed groups
armed groups
armed groups
e IDP community
armed groups
e IDP community
armed groups
with local authorities
dents occurres and under what
If yes, which agencies?

strict authorities
ders
hers
mmunity that would require intervention of
problem was solved and if IDPs felt their
If yes, selecct the applicable options
mpact that such restrictions have on the daily
rated Remained the same
ituation:
Persons with Others

Single legal needs
rious
male (arrest,
edical
head of detention)
dition
HH
mained the same
Only Some
/family:
6th class)?
No
apply)?
ale
Harrasment at
male Other (specify)
school place
ties.
Harrasment Abuse & Other

from host Neglect
community
area of displacement?.
No Some
ed (mark all that apply)?
More for boys Same for girls and boys
More for boys Same for girls and boys

displacementYes
period? No
Up to 100 %
Up to 100 %
Lack of knowledge on procedure
Yes No
h services Access to school

education
Community/Leader Elders
anism? Yes No
Physical or sexual Land

assault dispute
No Some
Buying in market Sell assets
Other specify:
1 to 2 More than 2
weeks weeks
No Some
No Some
No Some
tions is "Some", clarify it here):
Remained the
Deteriorated
same
Yes No
Yes No
ulties in accessing health facilities?
Other (specify):
Deteriorated Remained the same
keshift Public Other (Specify):

elter building
Both scattered and

aggregated
For
Yes No
placement? some
Evictions Other (specify):
For
some
here the IDPs are living generally belong)?

Other (specify)
m weather/ bad quality Partially
destroyed
Other (specify)
Private land
owner Other (specify)
f yes, mark all that apply below.

ther (specify)
nts?Yes No
Do not
know
sed Remained the same
No For some
Hygiene
Kitchen sets
items
Yes for all No Some
Yes for all No Some
Deteriorated Remained the same
n was it the last time?Date:

Only once
apply)? Last date (Month/Year):

Other (Specify):
ups Distribution methods exclude vulnerable

groups
ups Distribution methods exclude vulnerable
groups
ary Reason
Livelihood (mark
Access toonly one reason)
Requested/
Shelt
/ basic forced by Others
er
economic services Authorities
When do you intend to move?

in < 3 Choose
In 3-6fromInoptions
6 -12 below.
In > one year
months months months

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IDP Profiling Form

At group level v.4

SECTION 1: RAP IDP

1. Assessment Information 2. Mode of Assessment

1.3 Date of assessment:

2.4 Information received through other sources

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

Persecution and FAM

6. Age and Sex of the IDP Populations

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

10. COMMUNITY SERVICES / DEVELOPMENT

11. EMERGENCY SHELTER

13. DURABLE SOLUTIONS

14. Place of returning

16. Age and Sex of the IDPs found durable solutions

17. Durable solutions remarks

ce of Displacement? Longitude Latitude

Origin H Origin I Origin J Origin K

ial Services (Health/Education, other)

Origin H Origin I Origin J Origin K

Bamyan Kandahar Kunduz Maimana Zaranj

1.3 Date of initial assessment:

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

province District City

3.3. If yes, how long were they there?

province District City

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

Pashtun Tajik Hazara Turkman Uzbek

6. Age and Sex of the IDP Populations

7. Number of PSNs in the group:

7.2 WR-SF: Single women

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

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

8.1 Armed conflict / Military Operations

Right to physical safety and security

11. Humanitarian Assistance

12. DURABLE SOLUTIONS

province District Village

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

Information received through IDP representative

Various / Other and specify

write only the "Red Flags"

6 -12 months, 4. > one year

from options below:

d/or the army (ANA) and

at, people working for

at, persons participati

ANSF 2.ANP 3.government officials 4.ALP

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

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

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

entity documents on an equal basis with other locals?

mmunity leader 34.

n their place of origin?

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