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Barangay Data Capture Form Monitoring of Incidence On Violence Against Children (Vac) During The Covid-19 Pandemic

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VAW FROM 1

BARANGAY DATA CAPTURE FORM


MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
For the period: January 5, 2022 to February 5, 2022

Region : NCR
Province: NCR
City/Municipality: MANILA
Barangay: 608 ZONE 61 DISTRICT VI
GENDER (2) TYPE OF VIOLENCE(3) PERPETRATORS (5) ACTIONS TAKEN BY THE BARANGAY (6)

Others (ex. Others (ex.


Guardian) Referred for
VAC Immediate Other Referred Referred for Referred
Male Female Physical Sexual Psychologica Neglect Local Law Referred Medical
VICTIM/S Family Close Acquainta to Referred to Legal NGOs,
Abuse Abuse l/ Emotional Official Enforcer (5g) to PNP Treatment
(1) Age Member Relative nce (5c) LSWDO NBI (3c) Assistance FBOs)
(2A) (2B) (4a) (4b) Abuse (4c) (4d) (5e) (5f) (3c)
(3) (5a) (5b) (3b) (3f)
(3e)
(3h)

/ =1 / =1 / =1 / =1 / =1 / =1 / =1 / =1 / =1 / =1 / =1 Pls. Specify. / =1 / =1 / =1 / =1 / =1 Pls. Specify.

Child 1

Child 1 AS OF TODAY, FEBRUARY 5, 2022 NO VAC CASE REPORTED

Child 1

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

*If , encode “1” on the applicable fields *Immediate family Member/s - parents and siblings
* If “Others,”, please specify *Other Close Relative/s- uncles, aunts, grandparents, cousins, etc.

Submitted by :

MA. CRISTINA D. ZARA

PUNONG BARANGAY

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