LCAT-VAWC Form 1 Annex B

LCAT-VAWC FUNCTIONALITY ASSESSMENT FORM

Indicator Rating Remarks

A. ORGANIZATION (10%)
1. Organization/ Reorganization of LCAT-VAWC with the
membership in accordance with DILG MC No. _____
The LCAT-VAWC is organized/ reorganized with the
membership in accordance with DILG MC No. _____
The LCAT-VAWC is organized/ reorganized but the
membership is not in accordance with DILG MC No. _____
LCAT-VAWC is not organized/reorganized.
2. Participation/ Attendance of LCAT-VAWC Members to
Capacity-Building Activities
50% of the members of the LCAT-VAWC have attended
capacity-building activity/ies.
Less than 50% of the members of the LCAT-VAWC have
attended capacity-building activity/ies.
Bonus:

Add 2 points for expanded membership in addition to the

prescribed LCAT-VAWC composition.
B. MEETINGS (10%)
3. Conduct Regular Quarterly Meetings with a Quorum
The LCAT-VAWC conducted 4 regular quarterly meetings.
The LCAT-VAWC conducted 3 regular quarterly meetings.
The LCAT-VAWC conducted 2 regular quarterly meetings.
The LCAT-VAWC conducted 1 regular quarterly meeting.
No regular meetings conducted.
Bonus:

Add 2 points if the LCAT-VAWC conducted at least 1 special

meeting.
C. POLICIES, PLANS AND BUDGET (30%)
Formulation of the LCAT-VAWC Annual Work and Financial
Plan (AWFP)
The LCAT-VAWC has an approved Annual Work and
Financial Plan (AWFP).
The LCAT-VAWC has no approved Annual Work and
Financial Plan (AWFP).
Integration of AWFP in the Annual Investment Program
The approved AWFP is integrated into the AIP of the LGU.
The approved AWFP is not integrated into the AIP of the
LGU.
Formulation of a policy on the prevention of TIP, VAWC,
OSAEC and CSAEM, GBSH in streets and public spaces and
other forms of GBV, protection of victim-survivor, or
rehabilitation and reintegration of victim-survivor within the
term of the LCAT-VAWC.
The LCAT-VAWC formulated at least one (1) identified
policy.
The LCAT-VAWC has not formulated any identified policy.
Presence of a resolution recommending to enact any LCAT-
VAWC related policy or ordinance on the prevention of TIP,
VAWC, OSAEC and CSCAEM, GBSH in streets and public
spaces and other forms of GBV, protection of victim-
 Indicator Rating Remarks
survivor, or rehabilitation and reintegration of victim-
survivor within the term of the LCAT-VAWC.
Presence of an LCAT-VAWC resolution recommending to
enact Anti-TIP and Anti-VAWC-related policy or ordinance
Absence of an LCAT-VAWC resolution recommending to
enact Anti-TIP and Anti-VAWC-related policy or ordinance
D. ACCOMPLISHMENTS (50%)
Provision of Mandatory Services to Victim-Survivors, such as
but not limited to psycho-social services/counseling, medical,
legal, education or livelihood assistance, skills training, and
emergency/ temporary shelter.
76-100% of victim-survivors are provided with services.
51-75% of victim-survivors are provided with services.
26-50% of victim-survivors are provided with services.
1-25% of victim-survivors are provided with services.
No services were provided to the victim-survivor/s.
Conduct Capacity-Building Activities for stakeholders
involved in handling cases or working on issues related to
TIP, VAWC, OSAEC and CSAEM, GBSH in streets and public
spaces, or other forms of GBV.
Conducted two (2) or more capacity-building activities for
stakeholders
Conducted one (1) capacity-building activity for stakeholders.
No capacity-building activity was conducted.
Bonus:

Add 2 points if the LCAT-VAWC engaged/partnered with other

non-government organizations/civil society organizations/private
sector for support in the conduct of the capacity-building
activity/ies.
Presence of LCAT-VAWC Database on cases of TIP, VAWC,
OSAEC and CSAEM, GBSH in streets and public spaces, and
other forms of GBV.
The database of LCAT-VAWC is updated.
The database of LCAT-VAWC is not updated.
The LCAT-VAWC has no database.
Conduct of information, education, and advocacy campaign
activities against TIP, VAWC, OSAEC and CSAEM, GBSH in
streets and public spaces, or other forms of GBV.
Conducted two (2) or more information, education, and
advocacy campaign activities.
Conducted one (1) information, education, and advocacy
campaign activity.
No information, education, and advocacy campaign activity
was conducted.
Bonus:

Add 2 points if the LCAT-VAWC engaged/partnered with other

non-government organizations/civil society organizations/private
sector for support in the conduct of the information, education, and
advocacy campaign activity/ies.
Submission of Annual Accomplishment Report based on the
approved AWFP
Physical Accomplishment Report

81%-100%
51%-80%
 Indicator Rating Remarks
50% and below
No accomplishment
Financial Accomplishment Report

81%-100%
51%-80%
50% and below
No accomplishment
Bonus:

Add 2 points if the accomplishments of LCAT-VAWC are included

in the LGU annual report, newsletter, or any similar document, or
posted on the official website or social media accounts of the LGU
GRAND TOTAL: 100
*Total bonus points: 10 points