Beruflich Dokumente
Kultur Dokumente
Barangay of:_________________________
District and area:________________________
City/Province of:________________________
Land Area:_____________________________
Topographic characteristic (e.g. upland,
coastal)
______________________________________
IRA share of province:
Php________________
Main economic activity (check as many
as applicable)
Farming/fishing commerce
Mining
corporations
manufacturing
others
Total population:________ Male:________:
Female:_________
last 3 years:
2013:_______
2014__________2015________
Date
Accomplished:________________________
Accomplished
by:__________________________
Position:_________________________________
_
Address:________________________________
__
Contact
Numbers:__________________________
FAX:_____________________________________
Website:________________________________
__
INDICATORS
A. Policy
Related
N= 5
A.1
A.2
A.3
A.4
A.5
B.
Physical
Facilities
VAW
B.1
Pa No Remarks
rtl
y
Barangay mandate (vision/mission)conforms with and clearly
articulates international standards and principles of womens
human rights based on:
Universal Declaration of Human Rights
Convention on the Elimination of All
Forms of Discrimination Against Women
(CEDAW)
Beijing Platform for Action (BPA)
Philippine laws pertinent to addressing
VAW.
The barangay has standards, guidelines,
resolutionsand ordinances supporting
womens human rights and actions
against VAW and trafficking of women
and children.
The Barangay VAW Desk/Womens Desk has the following physical
facilities:
Has powerlines (e.g. electricity,
Ye
s
Desk/Wo
mens
Desk
B.2
B.3
B.4
B.5
B.6
B.7
B.8
B.9
B.1
0
B.1
1
B.1
2
B.1
3
B.
14
B.1
5
B.1
6
B.1
7
B.1
8
B.1
9
The
Counselli
ng Room
B.2
0
B.2
1
B.2
2
B.2
3
B.2
4
B.2
5
B.2
6
B.2
7
B.2
8
B.2
9
B.3
0
B.3
1
B.3
2
B.3
3
B.3
4
B.3
5
Barangay
Health
Center
B.3
6
B.3
7
B.3
8
B.3
secure
It has an alternative entrance from the
main entrance of the barangay hall
People in the room cannot be seen from
the outside
Sounds inside the counselling room are
not heard outside and vice-versa.
Room can be locked from the inside
Has power lines (e.g. electricity,
generator, vehicle battery) 24 hours a
day, 7 days a week.
Has clean water 24 hours a day, 7 days a
week (e.g. from the tap or in covered
water storage bins)
Is clean and orderly and well ventilated.
Has clothing for use of VAW
victims/survivors
Has toiletries (e.g. tissue paper, sanitary
napkins, rubbing alcohol, cotton) for use
of VAW victims/survivors
Has a folding bed or mat for use of VAW
victims/survivors
Has beddings (e.g. pillows, blankets) for
use of VAW victims/survivors
Has drinking water and glasses for use of
VAW victims/survivors
Has provisions for child minding,
including:
Toys and books for children and
A separate room or space within the
counselling room, designated for child
minding or for children to be entertained.
The Barangay health center:
Has a specific area or room designated
for attending to womens health
counselling (e.g. relating to VAW and
reproductive health)
The area Is clean and orderly
Is well ventilated (e.g. has windows,
electric fan, aircon)
Has adequate space for people to move
9
B.4
0
B.4
1
B.4
2
B.4
3
B.4
4
B.4
5
B.4
6
B.4
7
B.4
8
B.4
9
B.5
0
B.5
1
B.5
2
B.5
3
B.5
4
B.5
5
B.5
6
B.5
7
freely
Has audio and visual privacy
Has power lines (e.g.electricity,
generator, vehicle battery) 24 hours
aday, 7 days a week
Has clean water 24 hours a day,7 days a
week (e.g. from the tap or in covered
water storage bins.
Has clothing for use of VAW
victims/survivors
Has toiletries (e.g. tissue paper,sanitary
napkins, rubbing alcohol, cotton) for use
of VAW victims/survivors
Has a folding bed or mat for use of VAW
victims/survivors
Has beddings (e.g. pillows, blankets) for
use of VAW victims/survivors
Has drinking water and glasses for use of
VAW victims/survivors
Has provisions for child minding,
including
Toys and books for children
A separate room or space within the
counselling room designated for child
minding or for children to be entertained.
Has a first aid kit
Has basic materials needed for evidence
preservation (e.g. paper bags, tissues,
clean vials, plastic bags)
Has referral forms for barangay, health,
and social service facilities
Displays anti-VAW posters, banners,
leaflets, brochures, and other IEC
materials
Displays flowchart of anti-VAW services
Displays flowchart on how to get a
barangay protection order.
Has materials related to reproductive
health, including
Pregnancy test kit
Posters on reproductive health on display
B.5
8
B.5
9
B.6
0
C.
PERSONN
EL
No.=25
C.1
Staff
C.2
Training
B.6
1
C.1
C.2
C.3
C.4
C.5
C.6
C.7
C.8
How many?
State current
provider-client
ratio
C.9
C.1
C.1
1
C.1
2
C.1
3
C.1
7
C.1
8
C.1
4
C.1
5
C.1
6
C.1
9
Characte
ristics of
VAW
Desk
Staff
N =6
D.
SERVICES
D.1. AntiVAW
programs
and
services
C.2
0
C.2
1
C.2
2
C.2
3
C.2
4
C.2
5
D.1
D.1
D.2
D.3
D.4
D.5
D.6
D.7
D.8
D.9
D.1
0
D.1
1
D.1
2
D.1
3
D.2
Service
Procedur
es and
Protocols
D.1
4
D.1
5
D.1
6
D.1
7
D.1
8
D.1
9
D.2
0
D.3
Referral
system
and
D.2
1
D.2
2
D.2
3
linkages
D.2
4
D.2
5
D.2
6
E.RESEAR
CH,
MONITOR
ING AND
EVALUATI
ON
E.1.Datab
ase of
cases
D.2
7
D.2
8
D.2
9
D.3
0
D.3
1
E.1
E.2
E.3
E.4
E.5
E.6
E.7
E.8
E.8
E.9
E.1
0
individual/group therapy
For medical services
For medico-legal services
For livelihood development and
employment assistance for VAW
victims/survivors
The barangay has a a Memorandum of Agreement
(MOA)/Understanding (MOU) with these agencies/groups for antiVAW services:
Government agencies and facilities (e.g.
hospitals, training centyers)
Civil Society organizations (NGOs, Pos)
Other institutions (academic institutions,
religious institutions)
Civil organizations
Private corporations and facilities
There is an existing database of VAW cases reported in the
barangay:
Database of all VAW cases reported in the
barangay, taking particular note of cases
of trafficking of women and girl children
and VAWC (i.e. abuse of women by their
intimate partners)
Database of profile and needs of VAW
victims/survivors
Intake forms are always available
Data base of cases include data on
Victim/survivor
Perpetrator
Interventions and
Case status
Other documentation systems and procedures are in place to
manage the following information:
Database of anti-VAW programs/project
files
Accomplishments and impact report
Financial status (e.g. budget allocation,
donations and other resources available
vis-a-vis resource use)
E.2
System
of
monitorin
g of
cases
E.1
1
E.1
2
E.1
3
E.1
4
E.1
5
E.1
6
E.1
7
E.1
8
E.1
9
E.2
0
E.2
1
E.2
2
Media
E.2
3
E.2
4
E25
E.2
6
Case conferences
Sangguniang Barangay
e.3 Data
utilization
Feedback
mechanis
m
E.2
7
E.2
8
E.2
9
E.3
0
F.
INFORMA
TION
AND
ADVOCA
CY
F.1
F.2
F.3
F.4
Training
&
Orientati
on
F5
F.6
F.7
F.8
F.9
Activities
For
special
F.10
F.11
dates
F.12
F.13
F.14
G.
FINANCIA
L
RESOURC
ES
G.1
G.2
G.3
G.4
G.5
G.6
G.7