questionnaire covid-19 impact analysis
TRANSCRIPT
JNA Phase 1 – Upazila Assessment Format (Feb 2014)
NAWG-Multi Sectoral Anticipatory Impact Analysis of COVID-19 Key Informants Level Assessment Format
The objective of Multi Sectoral Anticipatory Impact Analysis is to provide a rapid overview of the impact on other
sectors and the need for assistance. Information collected through this format is the basis for decision making in the
initial stages of a lock down, including the need for more detailed assessments. In the country plan, it is clear that
everyone who is affected by Corona virus are dire needs of health support. But other than these due to the current lock
down situation, the multi-dimensional impacts prevailed over marginalized people.
Data collection process:
This format is not a survey, rather it:
combination of key informant interviews, field visits, and direct observation:
When there is conflicting information, the team or person should fill the format in using their best idea at the time,
based on their understanding of scenarios, their own professional experience, secondary data, and lessons learned
from similar disasters
When accessibility is challenged, but where phone communication is possible, the format can be completed over
the phone with the permission of the organization/team coordinating the assessment.
Conduct Survey of-
05 health personnel from selected city corporation and municipality (Can be government and Non-Government)
05 public representatives or administrative ( GoB officials )
Outlines how the impact is likely to unfold in the days and weeks to follow
Uses information based on local knowledge and past experiences
Basic Information
1. Name of the District: 2. Name of the Upazila/city corporation/municipality:
3. Name of the Union/ward
4. Contact information for person completing this report (Team Leader): 5. Date of this format (DD/MM/YY): Name: Designation/ organization: Contact number:
6. Category of the area (Predominantly):
City Corporation Paurashava Rural/Upazila
7. Description of the Key respondent ( please multiple if there is any)
Health Professional (Doctors)
Nurse, Midwife
Local Administration (DC/ADC/UNO/DRRO/PIO)
Public Representative
leader of Social service group
Other service provider (GoB)
Others :
About Respondent and general impact
8. Do your area following the staying at home:
Yes fully Some people are going out Most of the people going out
Not at all
9. From which date you area is following the advised to stay in the home:
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10. What are the most common top 3 occupations in your area?(rank 1.2.3
Day laborer Rickshaw/van puller Transport worker
Small business Domestic Worker Beggar
Business Services
Informal service (who has no income now) sex worker, transgender group
Any other (Please mention)
Small Business = peddlers, local grocery shop kipper/worker, rickshaw mechanics, street
food/vegetable sellers, beauty salon/parlor, tailoring, small garments, transport worker, sex
worker, transgender group….)
11. Due to this current situation , do you think people’s livelihood are impacted
Yes No Do not Know
12. Which livelihood are being impacted or has no income now? Select Top 3 3
Day laborer Rickshaw/van puller Transport worker
Small business/hawker Domestic Worker Beggar
Business Services
sex worker, transgender group
Any other (Please mention)
Small business/wage earners: Peddlers, local grocery shop kippers, Farmer who sells vegetables, rickshaw mechanics, street food/vegetable sellers, beauty salon/parlor, tailoring, small garments,
13. Are there any hygiene or cleaning or
distancing measures taken or being applied in
the markets?
Yes fully In some market
Most of the market Not at all
Don’t Know
14. Do you anticipate (or already happening)
increase of social unrest, theft, robbery,
abduction?
Already happening Happening (very limited cases
Wil increase No Probability in future
Medium Risk in Future Very High Risk in future
15. Whats are the current major challenges for your area now?
Financial accessibility Physical accessibility Price of daily essential is too high People has no work People are not aware Basic services are not available General health service are hindered Daily Income of the Small business/wage earners People are not staying at Home
Other……………………………….
Health Service Provider Only
16. Are you or your organization still open and treating patient?
Yes, except patient with COVID-19 symptoms
Yes, for all patients
No
Currently not providing any services, but will start very soon.
17. Do you know how highly contagious COVID-19 is?
Yes No
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18. Has your organization provided you with PPE (Personal Protective Equipment)?
Yes No Not applicable
19. has the number of patients accessing you or your facility changed?
Similar as before
less than normal time
Higher than normal time
Others…
20. Do you feel safe while you are serving people as
the COVID-19 situation is evolving. Not at all
Somehow
Totally safe
I am confused
Not Applicable 21. Do you have these facilities? Are you using them
as instructed by WHO?
Washing Hands with soap for 20 seconds
Have hand sanitizer
Keep social and physical distances
Maintain cold and cough time hygiene Universal screening of all patients for fever and respiratory
symptoms and separating those possibly contagious from those who seem healthy
Provided PPE
Provided mask
All of these
I don’t know
22. Are you interested/comfortable to serve COVID-19 affected people?
Yes, If I have proper PPE
No, its too risky
Depends on the decision of higher authority
I don’t know
Others
23. Are you treating COVID-19 or people with COVID-19 Symptoms?
Yes No Not applicable
24. Have you ever been trained or given guidance on COVID19 infection control and prevention measures when caring for patients?
Yes No Not applicable
25. Number of people from Different age group Hospitalized or quarantined at facility. (Only ask to Government Hospital or staff from Civil Surgeon office)
0 to 59 month 5 to 18 Years
18 to 49yrs 49 to60 years
Above 60 years
Don’t Know
26. Number of people affected by corona virus? (Only ask to Government Hospital or staff from Civil Surgeon office)
0 to 59 month 5 to 18 Years
18 to 49yrs 49 to60 years
Above 60 years
Don’t Know
29. Any other concern
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WASH (Ask both Health Professional and Public representatives)
30. Do you think that water supply, sanitation will be disrupted in your areas due to the lock down restriction?
Yes No Do not know
32. Do the people in your areas know about the proper hygiene and practices to stay safe from COVID-19?
Washing Hands with soap for 20 seconds Wash hand with soap when we arrive home. Wash hands after touching anything that might get touched
by other people. Use hand sanitizer when go out After coming home keep your shoes in different box, wash
your hands first, then clean the parts of the house you have touched (door lock, light switch, keys), clean the packets you brought from outside, then get a clean shower with chlorinated water.
Avoid touching eyes, nose and mouth with bare hands. Wash hands after touching money Keep money into a different disposable packet temporarily
for this period. (If money carries virus, it might infect the moneybag and other things attached)
Keep social distance Don't go to public places Maintain cold and cough time hygiene Use properly chlorinate water Drink purified water Clean the toilet at least once a day with bleaching powder.
Clean the toilet of a sick person twice a day with bleaching powder. Use reusable hand-gloves while cleaning.
Flash your toilets properly.
33. Are hygiene materials easily accessible? Yes No Do not know
30.1 If No, please mention the reason like closed shop, cost etc
Closed shops
There are no hygiene materials in market
Price is too high
People are not aware and sensitive to buy
People don’t have financial solvency to buy
Other
Do not know
Shelter and Essential Non-food Items( Ask both Health Professional and Public representatives)
35. Do you have information about floating or displaced people?
Yes No Do not know
36. Do you think people have sufficient living space at their home?
Yes No Do not know
37. Is there any need or plan to prepare safe site which can be used as quarantine or isolation facilities? (e.g setup a camp in open ground, transform indoor stadium/ auditorium, hall room
Yes No Do not know
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into temporary isolation facilities)
34. Is there any need of essential Non Food Items (Bed, uthesil
Yes No Do not know
35. If yes, what are the NFIs Bed
Mosquito Net
Kitchen utensils
Other (Please mention)
Food Security and Livelihoods (Ask only Public representatives)
38. Do you think people have sufficient food at their home?
Yes No Do not know
Some People don’t have
39. If No, which income group are lacking with food?
Day laborer Rickshaw/van puller Transport work
Small business Beggar Business
Services (GoB) Services (Non-GoB)
Domestic Worker) Sex worker, transgender group…
Other (Please mention)
Small Business = peddlers, local grocery shop kippers, rickshaw mechanics, street
food/vegetable sellers, beauty salon/parlor, tailoring, small garments, ,.)
40. If No, What type of challenges you they are facing
for food? Don’t have money to purchase food
Market is close
Food item is not available in the market
Transportation is closed (can’t go to the market)
Other (Please mention)
41. Are markets in the affected area generally functioning?
Fully Partly
Not functioning Do not know
42. Do markets have stocks of food? Yes No Do not know
43. Are markets generally accessible by the local community?
Yes No Do not know
44. What is the status of the price in your local market?
Price of Daily essential food remain same
Price of Daily essential food is very high
Price is low
Price of hygiene materials is high
Don’t know
Other (Please mention)
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Gender-based Violence (Ask both Health Professional and Public representatives)
If possible ask (appropriate for Officials from DWA, Police, Legal Aid Service Provider, Women CBOs Leader, Loal Government)
45. Are the One Stop Crisis Center / centers in your locality functional?
Yes No Do not know
46. Are the Women Help Desk at police station open?
Yes No Do not know
47. Are you receiving incidences/reports of domestic violence, child abuse, child marriage and violence against women since the past two weeks?
Yes No Do not know
48. Has the occurrence increased due to the COVID19 outbreak situation?
Yes No Do not know
49. Are you aware of any incidences of gender based violence/ violence against women and girls in your locality?
Yes No Do not know
50. How are you monitoring the safety of women, girls and the persons with disability, third gender and ethnic minority?
We having regular updates
We are not monitoring
Do not know
51. Has there been any incidences of stigma and discrimination associated with COVID19 against women, girls, persons with disability, third gender and ethnic minority?
Yes No Other
Child Protection (Ask both Health Professional and Public representatives)
52. Are children staying at home in your areas? Yes No, they are playing with other kids
Do not know
53. Do you think cases of children abused, violence, neglect, abandoned increased as a result of coronavirus Yes No Do not know
54. Do you think beating by parents or guardians have increased due to this lock down?
Yes No Sometimes Do not know
Health and Nutrition (Ask both Health Professional)
55. Do all people know where to contact if you show COVID-19 symptoms?
Yes No Do not know
56. Are all the health facilities are providing similar support like normal time?
No Yes Do not know
57. Is/are health/nutrition facilities accessible by all? Yes No Do not know
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58. Are the people facing mental stress due to this situation?
Yes No Do not know
SRHE (Ask both Health Professional Only)
59. What is the status of the regular SRH and birth services pregnant and/ or lactating mothers are receiving ?
Remains the same, meeting the need
This service is not enough now, not meeting the need
women are not coming to the health care facility
Do not know
60. Are there stock or availability of sufficient personal dignity items (ex. Underwear, Essential Covering Garments, Menstrual hygiene kit)?
Yes No Do not know
61. Do you 24/7 availability of EmONC (emergency obstetric and newborn care ) services?
Yes No Do not know
62. Have you heard of any mothers dying during last week birth in your area?
Yes No Do not know
Logistics
63. Do all the road are accessible in you areas? Yes No Do not know
64. Are the market is accessible in your areas? Yes No Do not know
Early recovery
65. Does small business/organization get affected I your area due to this situation?
Fully Partially Not
significantly 66. What are your most important SMEs/business functions and how quickly can they resume?
a Name: 1
Week
2 Weeks 3 Weeks Longer
B Name:
C Name:
D Name:
E Name:
F Name:
G Name:
Available Resources, Coping Strategies and Support Required
67. Outline resources available at the Upazila level in the following sectors:
Sector Is extra assistance required?
Comment on what assistance is required.
a. WASH
Yes
No
Do not know
b. Shelter and non-food items
Yes
No
Do not know
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c. Food
Yes
No
Do not know
d. Livelihoods Yes
No
Do not know
e. Education
Yes
No
Do not know
f. Gender-based Violence
Yes
No
Do not know
g. Health
Yes
No
Do not know
h. Nutrition Yes
No
Do not know
i. SRH Yes
No
Do not know
j. General Protection and Security
Yes
No
Do not
68. How do you describe the immediate overall relief needs in this area (needs in coming days and weeks):
Serious need of assistance
Some need of assistance
Needs can be managed with resources available at Upaziladistrict level
69. Which appear to be the highest priority for immediate assistance? (rank up to, but no more than three)
Water Sanitation and Hygiene
Shelter Bedding and blankets
Clothing Food
Livelihoods Education
Health Gender-based Violence
Information Child Safety
SRH Others
70. How would you describe the recovery needs in this area (needs in coming three or more months):
Serious need of assistance
Some need of assistance
Upazila and communities coping strategies will be enough
71. Any further comments or observations:
72. Information sources (please indicate the sources of information used in compiling this report)
Deputy Commissioner Upazila Parishad Chairman
DRRO
Upazila Parishad/ Ward Member
Civil Surgeon
Other………………………………………………………………………
UNO (please name agency)
Zila Parishad Chairman
PIO
Government Hospital Doctor
Doctor, Non-Government Hospital
Multi Sectoral Anticipatory Impact Analysis of COVID-19 Community Level Format
The objective of Multi Sectoral Anticipatory Impact Analysis is to provide a rapid overview of the impact on other
sectors and the needs for assistance. Information collected through this format is the basis for decision making in the
initial stages of a restricted movement and social distances, including the need for more detailed assessments. In the
country plan, it is clear that everyone who is affected by Corona virus are dire needs of health support. But other than
these due to the current lock down situation, the other impacts prevailed over marginalized people.
Data collection process:
Target people who lost their livelihood (wage earners, small business, peddlers, local grocery shop kippers &
workers, women domestic workers, workers in eatery/hotel business, carpenter, tanner/shoemaker,
rickshaw/van/CNG puller, rickshaw/van/CNG/automobile mechanics, bus/truck drivers, street food/vegetable
sellers, beggar, beauty salon/parlor, tailoring, small garments, transport worker, sex worker, transgender group….)
If possible, please interview the people in the hard to reach areas
Fill in one format for each family
When there is conflicting information, the team or person should fill the format in using their best idea at the time,
based on their understanding of scenarios, their own professional experience, secondary data,
When accessibility is challenged, but where phone communication is possible, the format can be completed over the phone with the permission of the organization/team coordinating analysis First Introduce yourself and then make it clear that we are only collecting information for understanding the situation. Never promise them about the support.
Basic Information
1. Name of the District: 2. Name of the Upazila/Municipality
3. Name of the Union/Municipal ward
4. Contact information for person completing this report (Team Leader): 5. Date of this format (DD/MM/YY): Name: Designation/ organization: Contact number:
6. Category of the area (Predominantly):
City Corporation Paurashava Rural/Upazila
7. Description of the household ( please multiple if there is any)
Male Headed Female headed
Elderly headed Child head
PWD(Disable HH) Marginal occupation
Ethnic/ minority Floating
Others :
About Respondent and general impact
8. Are you following govt advised lockdown
Yes No
9. From which date you are advised to stay at home):
10. What’s are the occupation of your household head
Day laborer Rickshaw/van puller Transport worker
Small business Domestic Worker Beggar
Business Services
Sex worker, transgender group
Any other (Please mention)
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Small Business = peddlers, local grocery shop kipper/worker, rickshaw mechanics, street
food/vegetable sellers, beauty salon/parlor, tailoring, small garments, transport worker, sex
worker, transgender group….)
11. Due to this current situation , is your livelihood affected?
Yes No
12. How much is your household income affected?
I have no income now
I have less income than before
My income is not affected
13. Does you or your family have saved money in your hand.
Yes No Other………………………………………………………………………..
13.1 If yes, how long your family can survive with that saving. (Meeting basic needs)
Can survive more than one month Can survive only one month Can survive only 15 days Can survive only 7 days Other………………………………………………………………………..
14. What’s is the current major challenges for you and your family now?
Financial accessibility Physical accessibility Price of daily essential is too high Family members are not following
stay at home Not getting medical treatment Other……………………………….
15. Do you have any family members who work in the city/abroad and came back to your home or to your village/town
Yes No Other………………………………………………………………………..
16. Are you maintaining the stay home rules or maintaining social distance?
Yes No
16.1 No, please state ? For livelihood For purchasing groceries
For Prayer Don’t like to stay in the home
For treatment I don’t believe this
Others (Please mention)
17. Are there any hygiene or cleaning or distancing measures taken or being applied in the markets?
Yes fully In some market
Most of the market Not at all
Don’t Know 18. Do you anticipate (or already
happening) increase of social unrest, theft, robbery, abduction?
Already happening Happening (very limited cases
Will increase No Probability in future
Very High Risk Very High Risk
WASH
19. Do you have a water point? If yes is it functional? What to do if not functional?
Yes No Limited accessibility to WASH facilities Non availability of hygiene products Insufficient number of water point in the community
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Water point is too far
Higher que or waiting time at water point
others
21. Do you know the barrier measures to prevent against COVID-19?
Washing Hands with soap for 20 seconds
Wash hand with soap when we arrive home.
Wash hands after touching anything that might get touched by other people.
Use hand sanitizer when go out Use mask when go out After coming home keep your shoes in different box, wash
your hands first, then clean the parts of the house you have touched (door lock, light switch, keys), clean the packets you brought from outside, then get a clean shower with chlorinated water.
Avoid touching eyes, nose and mouth with bare hands. Wash hands after touching money Keep money into a different disposable packet temporarily
for this period. (If money carries virus, it might infect the moneybag and other things attached)
Keep social distance Don't go to public places Maintain cold and cough time hygiene Use properly chlorinate water Drink purified water Clean the toilet at least once a day with bleaching powder.
Clean the toilet of a sick person twice a day with bleaching powder. Use reusable hand-gloves while cleaning.
Flash your toilets properly. Keep the required distance with the sick people. Be very careful while disposing the waste of the sick people. Keep your house and latrine clean Avoid spitting, as it spreads potentially infected water
particles Know all of these I don’t have to I do not know
22. Do you maintain proper hygiene practice? Washing Hands with soap for 20 seconds Use hand sanitizer when go out Have bleaching powder/detergent or any alkali materials. Maintain cold and cough time hygiene Keep your house and latrine clean Don’t wash hands Don’t have soap or hand sanitizer Others
23. Are hygiene materials (soap/ hand sanitizer) easily accessible? If No, please mention the reason like closed shop, cost etc
Yes No
Shelter and Essential Non-food Items
26. Do you have sufficient living space at their home in consideration to stay at home ?
Yes No Do not know
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27. Is there any need or plan to prepare safe site which can be used as quarantine or isolation facilities? (e.g setup a camp in open ground, transform indoor stadium/ auditorium, hall room into temporary isolation facilities)
Yes No Do not know
28. Is there any need of essential Non Food Items Yes No Do not know
29. If yes, what are the Non Food Items Bed
Mosquito Net
Kitchen utensils
Other (Please mention)
Food Security and Livelihoods
30. Do you have sufficient food at your home?
Yes No Do not know
If Yes How many days _____ Rice ____Days, Oil______ Days, Pulses /Lentil _____ Days
31. How many food item do you have in a meal? Number of meal
32. If you do not have sufficient food, What type of challenges you are having for food
Don’t have money to purchase food
Market is closed
Food item is not available in the market
Transportation is banned (can’t go to the market)
Other (Please mention)
33. Are markets functioning for procuring food items?
Fully Partly
Not functioning Do not know
34. Are markets functioning for procuring agriculture inputs (seeds, fertilizer, animal feed, veterinary medicine, vaccines, tools etc.)?
Fully Partly
Not functioning Do not know
35. Can you sell your products at the market Yes No
Partly N/A
If no why _________
37. What is the status of the essential food (prices of
rice, lentils and oil)price in your local market? Price of Daily essential food remain same
Price of Daily essential food is very high
Price is low
Don’t know
Other (Please mention) 38. What is the status of the vegetable price in your
local market? Price of Daily essential food remain same
Price of Daily essential food is very high
Price is low
Don’t know
Other (Please mention) 39. What is the status of the protein food price in
your local market (eg. Milk Egg, Chicken, Fish? Price of Daily essential food remain same
Price of Daily essential food is very high
Price is low
Don’t know
Other (Please mention)
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40. Is cooking fuel for households are available (supply gas, LPG, wood)?
Yes No Partly
Education
41. Do you have any school going children at your home?
Yes No Do not know
42. Have you heard of any home-based remote learning initiatives (TV, online, radio, mobile) for your children?
Yes No Do not know
42.1 If Yes, Which One( TV, online Radio
mobile Other
43. Does your child attend any learning activities
while at home through above mentioned platforms?
Yes No Do not know
43.1. If Yes, Which One( TV online Radio mobile Other
44. Do you (as parent) support your child for his/her continuous learning (homework, school lessons etc)
Yes No Do not know
45. Have you engaged any private tutor to assist your children in these school closer days?
Yes No Do not know
46. Is there any regular communication from school/college to your family about learning continuity of your children;
Yes No Do not know
47. Are there children of the early grades (PPE. Lower primary education) in your family?
Yes No Do not know
48. What kind of support do you think would be most
beneficial to support continuation of your
children’s education/learning?
_______________________________
Gender Relation Gender-based Violence ( ask female member of the households and please ensure interview take place without presence of husband on interview time)
47. Is the safety and security of women and girls an issue in this current lock down situation?
Yes No Do not know
48. Do you have sufficient personal hygiene item?
Yes No Do not know
49. If no, what items do you need? Please mention.
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50. Do you know where to ask for help in case of personal health/ women health issues?
Yes No Do not know
51. Do you know where to ask for support / help, in case you are abused or ill-treated by someone in the family or outside anywhere?
Yes No Do not know
52. If yes, where do you seek help? Please mention.
53. Do you have access to phone or internet to call someone for support?
Yes No Other
54. As a result of COVID19, has the number of hours devoted to the following activities increased?
Cooking Cleaning
Taking care of children Taking care of
sick/disabled/elderly
Collecting/buying food and other essential items
Remain Same
Child Protection
63. Is child staying at home? Yes No, they are playing with other kids
64. Do you think beating by parents or guardians have increased due to this lock down?
Yes No Sometimes Do not know
Health and Nutrition
65. Do you know where to contact if you show COVID-19 symptoms?
Yes No
66. Do you know if the health facilities are providing
regular services, as they did prior to covid-19? No Yes Do not know
67. Is/are health/nutrition facilities accessible? Yes No Do not know
68. Are there any underlying health concerns at you households?
(information should come from normal knowledge; if other, please specify)
Malnutrition Communicable diseases
Do not know Asthma Respiratory tract issues infections No underlying concerns Other……………………………………………………………………………….
69. Are there facing mental stress due to this situation? Yes No Do not know
70. If there is lactating woman in the house, are they
able to breastfeed their child?
Yes No Do not know
71. If you have a small child between 6-23 months are you able to provide diverse food (give example)
Yes No Do not know
Example: 72. Are women and children able to access health and
nutrition services at the health facilities
Yes No Do not know
73. If you have a small child between 0-23 months, when did you last went for immunization -
Yes No Do not know
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Sexual Reproductive health in Emergency (SRHE)
74. Do you have any family member who is pregnant or lactating mother ?
Yes No Not Applicable
75. If yes, do they need regular checkup or have critical condition?
Yes No Not Applicable
76. Do you have accesss to Doctor or medical if any health support required?
Yes No We depend on local doctor
Local birth attendant
77. Are women likely to be without sufficient personal dignity items (ex. Underwear, Essential Covering Garments, Menstrual hygiene kit)?
Yes No Do not know
Logistics
17. Do all the roads are accessible by you? Yes No
18. Are the markets are accessible by you? Yes No
Early recovery
19. Does your business/organization get affected due to this situation?
Fully Partially Not
significantly 20. What are your most important SMEs/business functions and how quickly can you resume?
Name: 1
Week
2 Weeks 3 Weeks Longer
21. Household average Monthly Income in January-February 2020
22. Household total Monthly Expenditure in January-February 2020
Communication 23. What type of information do you need to help you
to cope up with the current situation? This would be a multiple response questions. (Tick on the appropriate)
24. Where are you currently getting information to cope with the situations? (Tick on the appropriate)
How to stay safe from COVID-19
General news on what is happening here
Security here
Where to contact if I have COVID-19 Symptoms
What are treatment for COVID-19
What is Corona Virus
How to communicate with people who are in a different
place
How to register for aid
Information on health
Food prices
Local crop/livestock prices
Weather
How to get healthcare/medical attention
How to stay safe to prevent attack, sexual violence or
harassment
How to stay safe to from Domestic Violence
How to access education
How to find work
How to get transport
Television
Newspaper
Mobile Phone (Call or SMS)
Facebook Pages
Community/religious leaders
Local Government Leaders
NGO workers
SW/FM Radio
Community Radio
Sign Boards
Internet
Word of Mouth (friends, family, neighbors)
Other (please specify)
___________________
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How to get money/financial support
Information about relocation
Do not know
Other (please specify)
_______________________
Assistance, Unmet needs and current Priorities (overall)-8 Question
Questions Option / Checklist Observations/ Other
25. Since the movement shut down or lock down, has there been any assistance provided your areas.
Yes No I don’t need support
26. If yes, by whom? (Tick all that are appropriate)
Religious group Government
NGO / UN / BDRCS Other groups (e.g. neighbor, CBO, nearby village, local philanthropist)
Do not know
27. If you received any What Type of supports/assistances you received?
Food Cash Education Livelihood
Health Shelter Community infrastructures
Water Sanitation and Hygiene (Soap. Detergent etc.) Other (Please specify)…
I didn’t receive any
28. Were the supports /assistances timely and enough to meet the needs in your household?
Fully met the needs for now Partially met the needs
Only met some needs Not at all
80. If you didn’t receive any support, how your household managed to meet those needs or what were the challenges? Or what were the Negative coping mechanism.
Put tick all that apply and Rank accordingly: 1st, 2nd, 3rd, 4th, Only………………….. )
Distress selling of livestock Migrate to other place
Distress selling of land Skip meal
didn’t access medical treatment Child labor / daily labor
Start begging Seeking support from neighbor
Unhygienic life Taking Loan (micro Credit)
Borrowing Money Selling other resources (E.g. shop, household materials) Sell transport Vehicle Reduce meal portion Others (Please specify)…………
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81. What are the top priorities (needs) right now for this community? (Put tick of utmost need and Rank accordingly: 1st, 2nd, 3rd, 4tt, 5th, 6th , 7th 8th ………………….. )
Food support Hygiene support
Restoration of livelihood activities Access to markets to sell
Access to markets to buy goods Health care services (incl.
reproductive health )
Support for safety and security (feelings of fear and insecurity)
Alternative education for children Transport and access to
markets
Health and hygiene materials/commodities (incl. menstrual hygiene materials) Protection of children and adolescent girls and women from violence and exploitation
Clothing, footwear, bedding Feed for livestock
Fuel and cooking materials Information about COVID-19
Other (specify)………………………………………………………
Please write others here and ranked accordingly…
82. Should lockdown continue for longer, what do you anticipate to be your top priorities?
Rank accordingly: 1st, 2nd, 3rd, 4tt, 5th, 6th , 7th 8th ………………….. )
Food support Hygiene support
Restoration of livelihood activities Access to markets to sell
Access to markets to buy goods Health care services (incl.
reproductive health )
Support for safety and security (feelings of fear and insecurity
Children returning to school Transport and access to
markets
Health and hygiene materials/commodities (incl. menstrual hygiene
materials) Protection of children and adolescent girls
and women from violence and exploitation
Clothing, footwear, bedding Feed for livestock
Fuel and cooking materials Information about COVID-19
Other (specify)………………………………………………………
Please write others here and ranked accordingly…
83. What types of intervention modalities would be more effective?
Direct money Mobile based money
In kind food support In kind NFI support
Hints: Don’t
tell them the
options
84. How would you describe the needs in this household(needs in coming three or more months):
Serious need of assistance
Some need of assistance
No Need, Communities coping strategies will be enough
34. Any further comments or observations: