Cfhb annex 13 rapid village assessment-vers0.1

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This document provides a template for conducting a rapid village assessment to collect key information about a village. The template includes sections to collect data on road access, population breakdown, internally displaced persons, community leaders, assistance distribution, damage to buildings and infrastructure, electricity, education, water and sanitation, health facilities, food and cooking, sources of food, and recommendations. The assessment is meant to gather high-level information about essential services and needs in the village.

CIMIC Field Handbook Annex 13
Annex 13-1 Version 3.0.0
Annex 13 Rapid Village Assessment
Municipality Village MGRS Grid Ref
Agency Name of assessor Date
Source of information (give as much detail as possible – give a telephone of someone in the village if possible)
ROAD ACCESS Car 4WD Light Truck Heavy Truck ROAD ACCESS Car 4WD Light Truck Heavy Truck
IN SUMMER Y / N Y / N Y / N Y / N IN WINTER Y / N Y / N Y / N Y / N
CURRENT Persons BREAKDOWN Locals Returnees IDPs Refugees
POPULATION
INTERNALLY DISPLACED PERSONS (IDPs) – one record per village of former residence
Number of
IDPs
from MUNICIPALITY
(NAME)
from VILLAGE (NAME) WHAT’S PREVENTING THEIR RETURN HOME?
(See constraints to return box below for possible issues)
CONSTRAINTS TO RETURN: Transport / house damaged / house occupied / village empty / insecurity / fear of other ethnic groups / access to food and basic needs /
healthcare / education / water / electricity / etc.
COMMUNITY MTS ACTIVIST TEACHER HEALTH WORKER IMAM/PRIEST OTHER OTHER
LEADERS Name:
PRESENT
Tel:
ASSISTANCE Who is responsible for distribution? (circle or specify) Local warehouse / storage facilities?
DISTRIBUTION MTS UCK Mayors
Office
Mosque/C
hurch
NGO (specify) Other (specify) Y / N Type Size
(m2)
SECONDARY
DISTRIBUTION
Is this village used for
secondary distribution?
If so, which villages receive assistance from this village?
Y / N
DAMAGE TO
HOUSES
Total Houses in
village
Category 1
(Undamaged /
unfinished)
Category 2 Category 3 Category 4 Category 5
(see category guide
below)
Was there any new war damage to buildings since JANUARY 1999? Y / N
Was there any new war damage to buildings since NATO arrived? Y / N
DAMAGE TO MTS WAREHOUSE SCHOOL MOSQUE/CHURCH SHOPS BAKERY HEALTH FAC.
COMMUNITY None / Category None / Category None / Category None / Category None / Category Category
BUILDINGS
 Broken windows, door locks and
hinges, roof tiles
 Cut-off from electricity, water
 Can be repaired
 Up to 30% roof damage
 Light shelling or bullet impact on walls
 Partial fire damage
 Can be repaired
 Over 30% roof damage
 Severe fire damage
 Need for replacement of floors
 Doors and windows destroyed
 All piping, wiring destroyed
 Destroyed
 Needs reconstruction
 Cannot be repaired

CIMIC Field Handbook Annex 13
Version 3.0.0 Annex 13-2
ELECTRICITY Working? Yes / No /
Intermittent
If intermittent, approx. hours
working per day
EDUCATION School
functioning?
Yes / No Number of classrooms
WATER & % of Households using CURRENT PERCEIVED WATER… REMARKS
SANITATION Pre-Conflict Current STATUS* QUALITY QUANTITY
Wells Good / Bad Adequate / Inadequate
Springs Good / Bad Adequate / Inadequate
Piped distribution Good / Bad Adequate / Inadequate
Electric Pumps Good / Bad Adequate / Inadequate
*STATUS (more than one if necessary): (W)orking / (D)amaged / (C)ontaminated / d(E)stroyed
HEALTH (for TYPE, if Ambulanta circle one: MTS = Mother Theresa; S = State; P = Private;
for Personnel: (D)octor, (N)urse, (M)ed. Tech for Drugs and Equipment: (A)dequate; (I)nadequate.)
TYPE (see above) Daily Consultations Working Personnel (number) Drugs Equipment Water Sanitation
Hospital
Shtepia e Shendetit (DZ)
Ambulanta: MTS / S / P
Number:
Number:
Number:
Y / N
Y / N
Y / N
_____D _____N _____M
_____D _____N _____M
_____D _____N _____M
A / I A / I Y / N Y / N
FOOD AND COOKING
% of dairy cattle remaining % of farms expecting to harvest this summer
% of families with cooking facilities: Is there a bakery? Y / N Is it operational? Y / N
SOURCES OF FOOD AVAILABLE IN VILLAGE Food Item AVAILABLE PRICE
Humanitarian distribution Y / N Wheat flour Y / N DM / Din Kg
Household garden / farm Y / N Oil Y / N DM / Din Litre
Household stores Y / N Sugar Y / N DM / Din Kg
Shops or market Y / N Meat Y / N DM / Din Kg
Nearest village with market Fruit & vegetables Y / N DM / Din Kg
Coffee Y / N DM / Din Kg
ACTION TAKEN
REMARKS and RECOMMENDATIONS

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Cfhb annex 24 rapid public communication - civil information assessment-vers0.1

Cfhb annex 23 labor force assessment-vers0.1

Cfhb annex 22 rapid transportation assessment-vers0.1

Cfhb annex 21 rapid water assessment-vers0.1

Cfhb annex 20 rapid sanitation assessment-vers0.1

Cfhb annex 19 rapid energy assessment-vers0.1

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Cfhb annex 11 cimic project proposal template-vers0.1

Cfhb annex 17 agricultural production assessment-vers0.1

Cfhb annex 15 rapid food sources consumption assessment-vers0.1

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Cfhb annex 13 rapid village assessment-vers0.1

1. CIMIC Field Handbook Annex 13 Annex 13-1 Version 3.0.0 Annex 13 Rapid Village Assessment Municipality Village MGRS Grid Ref Agency Name of assessor Date Source of information (give as much detail as possible – give a telephone of someone in the village if possible) ROAD ACCESS Car 4WD Light Truck Heavy Truck ROAD ACCESS Car 4WD Light Truck Heavy Truck IN SUMMER Y / N Y / N Y / N Y / N IN WINTER Y / N Y / N Y / N Y / N CURRENT Persons BREAKDOWN Locals Returnees IDPs Refugees POPULATION INTERNALLY DISPLACED PERSONS (IDPs) – one record per village of former residence Number of IDPs from MUNICIPALITY (NAME) from VILLAGE (NAME) WHAT’S PREVENTING THEIR RETURN HOME? (See constraints to return box below for possible issues) CONSTRAINTS TO RETURN: Transport / house damaged / house occupied / village empty / insecurity / fear of other ethnic groups / access to food and basic needs / healthcare / education / water / electricity / etc. COMMUNITY MTS ACTIVIST TEACHER HEALTH WORKER IMAM/PRIEST OTHER OTHER LEADERS Name: PRESENT Tel: ASSISTANCE Who is responsible for distribution? (circle or specify) Local warehouse / storage facilities? DISTRIBUTION MTS UCK Mayors Office Mosque/C hurch NGO (specify) Other (specify) Y / N Type Size (m2) SECONDARY DISTRIBUTION Is this village used for secondary distribution? If so, which villages receive assistance from this village? Y / N DAMAGE TO HOUSES Total Houses in village Category 1 (Undamaged / unfinished) Category 2 Category 3 Category 4 Category 5 (see category guide below) Was there any new war damage to buildings since JANUARY 1999? Y / N Was there any new war damage to buildings since NATO arrived? Y / N DAMAGE TO MTS WAREHOUSE SCHOOL MOSQUE/CHURCH SHOPS BAKERY HEALTH FAC. COMMUNITY None / Category None / Category None / Category None / Category None / Category Category BUILDINGS  Broken windows, door locks and hinges, roof tiles  Cut-off from electricity, water  Can be repaired  Up to 30% roof damage  Light shelling or bullet impact on walls  Partial fire damage  Can be repaired  Over 30% roof damage  Severe fire damage  Need for replacement of floors  Doors and windows destroyed  All piping, wiring destroyed  Destroyed  Needs reconstruction  Cannot be repaired

2. CIMIC Field Handbook Annex 13 Version 3.0.0 Annex 13-2 ELECTRICITY Working? Yes / No / Intermittent If intermittent, approx. hours working per day EDUCATION School functioning? Yes / No Number of classrooms WATER & % of Households using CURRENT PERCEIVED WATER… REMARKS SANITATION Pre-Conflict Current STATUS* QUALITY QUANTITY Wells Good / Bad Adequate / Inadequate Springs Good / Bad Adequate / Inadequate Piped distribution Good / Bad Adequate / Inadequate Electric Pumps Good / Bad Adequate / Inadequate *STATUS (more than one if necessary): (W)orking / (D)amaged / (C)ontaminated / d(E)stroyed HEALTH (for TYPE, if Ambulanta circle one: MTS = Mother Theresa; S = State; P = Private; for Personnel: (D)octor, (N)urse, (M)ed. Tech for Drugs and Equipment: (A)dequate; (I)nadequate.) TYPE (see above) Daily Consultations Working Personnel (number) Drugs Equipment Water Sanitation Hospital Shtepia e Shendetit (DZ) Ambulanta: MTS / S / P Number: Number: Number: Y / N Y / N Y / N _____D _____N _____M _____D _____N _____M _____D _____N _____M A / I A / I Y / N Y / N FOOD AND COOKING % of dairy cattle remaining % of farms expecting to harvest this summer % of families with cooking facilities: Is there a bakery? Y / N Is it operational? Y / N SOURCES OF FOOD AVAILABLE IN VILLAGE Food Item AVAILABLE PRICE Humanitarian distribution Y / N Wheat flour Y / N DM / Din Kg Household garden / farm Y / N Oil Y / N DM / Din Litre Household stores Y / N Sugar Y / N DM / Din Kg Shops or market Y / N Meat Y / N DM / Din Kg Nearest village with market Fruit & vegetables Y / N DM / Din Kg Coffee Y / N DM / Din Kg ACTION TAKEN REMARKS and RECOMMENDATIONS

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