DILG-NBOO
VAW Desk Form 5
BARANGAY VIOLENCE AGAINST WOMEN (VAW) DESK
Quarterly Accomplishment Report
Covered Period: (Ex. January – March 2018)
Barangay: ________________________
City/Municipality: _________________
Province: ________________________
Region: __________________________
Total Population: __________________
No. of Males: _______ No. of Females: _______
No. of Adults: (18 years old and above) No. of Minors: (Below 18 years old)
I. Summary of Cases Received and Actions Taken
Total No. of Clients Served: _________
Total No. of Cases Received by the Barangay: ________
Total No. of Cases Acted Upon: _______
Nature of Case Total Total No. of Cases Referred Total No. Total
No. of C/MSWDO PNP Court Hospital Others of Victims No. of
Victims (i.e. NBI, PAO, etc.) Who BPOs
Applied Issued
for BPO
Violence Against
Women and their
Children
(RA 9262)
Physical
Sexual
Psychological
Economic
Rape (RA 8353)
Trafficking in
Persons
(RA 9208/10364)
Sexual Harassment
(RA 7877)
II. Programs/Projects/Activities implemented to address VAW issues in the barangay
(Pls. specify)
Training Advocacy Others Remarks
Submitted by: Noted by:
________________________ ______________________
Barangay VAW Desk Person Punong Barangay
Date: ___________________
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