Vaw & Vac Reporting Template

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 3

BARANGAY SUMMARY

MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC)

__ Quarter of Year 2023


PROVINCE: SOUTHERN LEYTE
MUNICIPALITY: SILAGO
BARANGAY: ______________

VAC VICTIMS GENDER AGE TYPES OF VIOLENCE PERPETRATORS ACTIONS TAKEN BY THE BARANGAY/BCPC
(1) (2) (3) (4) (5) (6)

18 Y.O. and above Referred for Referred for Others


Psychological/ Immediate Family Others Referred to Referred to Referred to
Male 0-4 Y.O. 5-9 Y.O. 10-14 Y.O 15-17 Y.O. with physical or Physical Abuse Sexual Abuse Neglect Close Relative Acquaintance Stranger Local Official Law Enforcer Medical Legal (ex: Referred to
Female (2b) Emotional Abuse Member (ex: Guardian) LSWDO PNP NBI
Total No. of VAC (2a) (3a) (3b) (3c) (3d) mental disability (4a) (4b) (4d) (5b) (5c) (5d) (5e) (5f) Treatment Assistance NGOs, FBOs)
(4c) (5a) (5g) (6a) (6b) (6c)
Victims (3e) (6d) (6e) (6f)

Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total Total

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PREPARED BY:
________________________________________________
BARANGAY SECRETARY

NOTED BY:
_________________________________________________
BARANGAY VAWC DESK OFFICER

APPROVED BY:
_________________________________________________
PUNONG BARANGAY

USE THIS SAMPLE TEMPLATE


VAW Form 2
BARANGAY SUMMARY
MONITORING OF INCIDENCE ON VIOLENCE AGAINST WOMEN (VAW)
__ Quarter of Year 2023

PROVINCE: SOUTHERN LEYTE


MUNICIPALITY: SILAGO
BARANGAY: ______________________

VAW VICTIMS TYPES OF VIOLENCE ACTIONS TAKEN BY THE BARANGAY


(1) (2) (3)

Referred for Others


Psychological/ Referred to Referred for Legal
Total No. of VAW Physical Abuse Sexual Abuse Economic Abuse Issued BPO Referred to PNP Referred to NBI Medical Referred to Court (ex: Referred to
Emotional Abuse LSWDO Assistance
Victims (2a) (2b) (2d) (3a) (3c) (3d) Treatment (3g) NGOs, FBOs)
(2c) (3b) (3f)
(3e) (3h)

0 0 0 0 0 0 0 0 0 0 0 0 0

PREPARED BY:
________________________________________________
BARANGAY SECRETARY

NOTED BY:
_________________________________________________
BARANGAY VAWC DESK OFFICER

APPROVED BY:
_________________________________________________
PUNONG BARANGAY
USE THIS SAMPLE TEMPLATE

You might also like