100% found this document useful (8 votes)
4K views

Barangay Data Capture Form: Monitoring of Incidence On Violence Against Women (Vaw) During The Covid-19 Pandemic

The barangay data capture form summarizes violence against women cases reported in Barangay 04 Poblacion, San Luis, Aurora from June 16 to July 15, 2020. It shows that there was one victim who experienced physical, psychological, economic, and sexual abuse. For this case, the barangay referred the victim for legal assistance, medical treatment, and to the LSWDO, PNP, NBI, and court. No other cases of violence against women were reported during this period.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
100% found this document useful (8 votes)
4K views

Barangay Data Capture Form: Monitoring of Incidence On Violence Against Women (Vaw) During The Covid-19 Pandemic

The barangay data capture form summarizes violence against women cases reported in Barangay 04 Poblacion, San Luis, Aurora from June 16 to July 15, 2020. It shows that there was one victim who experienced physical, psychological, economic, and sexual abuse. For this case, the barangay referred the victim for legal assistance, medical treatment, and to the LSWDO, PNP, NBI, and court. No other cases of violence against women were reported during this period.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 1

VAW Form 1

BARANGAY DATA CAPTURE FORM


MONITORING OF INCIDENCE ON VIOLENCE AGAINST WOMEN (VAW) DURING THE COVID-19
PANDEMIC
For the period: June 16, 2020 - July 15, 2020

Region: III
Province: AURORA
City/Municipality: SAN LUIS
Barangay: 04 POBLACION

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


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

✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify
Victim 1

Victim 2 NONE FOR THE PERIOD COVERED


Victim 3

TOTAL

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


*If "Others," please specify

Submitted by: HIPOLITO B. GARCIA, JR.


Punong Barangay

You might also like