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VAC Form 1: Child Violence Data Capture

(1) A Barangay Data Capture Form was completed for a case of violence against children during the COVID-19 pandemic. (2) The form indicates there was 1 male and 1 female victim between the ages of 1-18 who experienced physical and psychological abuse from an immediate family member. (3) The barangay referred the case to DSWD and PNP and provided medical assistance to the victims.

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Angela Tabudlong
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151 views1 page

VAC Form 1: Child Violence Data Capture

(1) A Barangay Data Capture Form was completed for a case of violence against children during the COVID-19 pandemic. (2) The form indicates there was 1 male and 1 female victim between the ages of 1-18 who experienced physical and psychological abuse from an immediate family member. (3) The barangay referred the case to DSWD and PNP and provided medical assistance to the victims.

Uploaded by

Angela Tabudlong
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

VAC Form 1

BARANGAY DATA CAPTURE FORM


MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
For the period:

Region: VIII
Province: LEYTE
Municipality: ALBUERA
Barangay:

GENDER TYPES OF VIOLENCE PERPETRATORS ACTIONS TAKEN BY THE BARANGAY/BCPC


(2) (4) (5) (6)
Psychologica Referred Others
VAC Immediate Other Others Referred Referred for
Physica Sexual l/ Acquaintanc Local Law Referred Referred for Legal (ex: Referred
VICTIM/S Male Female AGE Neglect Family Close Stranger (ex: to Medical
(2a) (2b) (3) l Abuse Abuse Emotional (4d) Member Relative
e
(5d)
Official Enforcer
Guardian) LSWDO
to PNP to NBI
Treatment
Assistanc to NGOs,
(1) (4a) (4b) Abuse (5c) (5e) (5f) (6b) (6c) e FBOs)
(5a) (5b) (5g) (6a) (6d)
(4c) (6e) (6f)
✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify

TOTAL
*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.

Prepared by: JOSE F. AUTIDA/MA. CRISTINA C. CABILING Submitted by: RENE GILBERT C. ESTACIO
VAW Desk Officer Punong Barangay

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