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VAW Form 1

BARANGAY DATA CAPTURE FORM


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

Region:
Province:
City/Municipality:
Barangay:

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

VAW Referred for Referred for Others


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

Victim 2

Victim 3

TOTAL

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


*If "Others," please specify

Submitted by:
Punong Barangay

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