Nepal Assessment Form

IDENTIFICATION AND LOCATION

I2 DATE OF ASSESSMENT * I3 ENUMERATOR NAME *

yyyy­mm­dd

I4 DISTRICT * I5 VDC/MUNICIPALITY * I5 VDC/MUNICIPALITY * Please specify Gorkha

Lho Prok

Sirdibas Uhya Other (specify)

I6 WARD * I7 VILLAGE NAME *

1 2 3

4 5 6

7 8 9

Do not know

I8 GPS COORDINATES GPS coordinates can only be collected when outside.

latitude (x.y °) longitude (x.y °) altitude (m) accuracy (m) I9 SOURCE(S) FOR THIS ASSESSMENT None 1 2 3 or more Select the number of people you spoke to for each category

. * Official (administrative)

. * Village representative

. * Religious leader

. * Army or police

. * Health worker

. * Social worker

. * International NGO / development partner

. * Teacher

. * Other local person

I10 HOW MANY OF THOSE KEY INFORMANTS WERE WOMEN? *

COMMUNITY PROFILE

» Total population

P1 ENTER THE PERCENTAGE OF THE OVERALL POPULATION WHO ARE IN THE FOLLOWING CATEGORIES. Needs to add up to 100%

* * * % in normal situation % requiring assistance % requiring immediate assistance » Male

P2 ENTER THE PERCENTAGE OF THE MALE POPULATION WHO ARE IN THE FOLLOWING CATEGORIES. Needs to add up to 100%

* * * % in normal situation % requiring assistance % requiring immediate assistance

» Female

P3 ENTER THE PERCENTAGE OF THE FEMALE POPULATION WHO ARE IN THE FOLLOWING CATEGORIES. Needs to add up to 100%

* * * % in normal situation % requiring assistance % requiring immediate assistance

» Children

P4 ENTER THE PERCENTAGE OF CHILDREN WHO ARE IN THE FOLLOWING CATEGORIES. Needs to add up to 100%

* * * % in normal situation % requiring assistance % requiring immediate assistance

P5 ENTER THE PERCENTAGE OF CHILDREN WHO ARE IN THE * * FOLLOWING CATEGORIES (SHOULD ADD UP TO 100%) Over 5 Under 5

CASELOADS

C1 FOR THIS VDC, ENTER THE NUMBER OF PEOPLE WHO DIED, ARE MISSING, OR ARE INJURED BY GENDER

* * * * Men ­ Dead Women ­ Dead Men ­ Missing Women ­ Missing

* * Men ­ Injured Women ­ Injured

COMMUNITY BUILDINGS

B1 STATUS OF VDC BUILDING *

No damage Some damage Destroyed, debris cleaned up

Destroyed, debris NOT cleaned up Do not know B2 NUMBER AND STATUS OF SERVICE CENTRES, COMMUNITY OR COOPERATIVE BUILDINGS? Number of buildings

* * No damage Some damage Destroyed, debris cleaned up Destroyed, debris NOT cleaned up

» Household Buildings

B3 NUMBER AND STATUS OF MAIN HOUSEHOLD BUILDINGS? Number of buildings

* * No damage Some damage Destroyed, debris cleaned up Destroyed, debris NOT cleaned up

VULNERABLE GROUPS

V1 ENTER THE PERCENTAGE OF HOUSEHOLDS THAT FALL INTO THE FOLLOWING CATEGORIES %, Write 0 if none

* * * * * % Single headed % Female headed % Child headed % Elderly headed % with pregnant/lactating women

* * * * % with disabled persons % with chronically ill persons % with % of marginalized ethnicity or separated/unaccompanied caste children V2 IN THIS AREA, WHAT ARE THE THREE MOST VULNERABLE GROUPS? Rank up to 3

* Rank 1

Single headed Female headed Child headed

Elderly headed with pregnant/lactating women with disabled persons

with chronically ill persons with separated/unaccompanied Of marginalised caste or ethnic children group

NONE Do not know

* Rank 2

Single headed Female headed Child headed

Elderly headed with pregnant/lactating women with disabled persons

with chronically ill persons with separated/unaccompanied Of marginalised caste or ethnic children group

NONE Do not know

* Rank 3

Single headed Female headed Child headed

Elderly headed with pregnant/lactating women with disabled persons

with chronically ill persons with separated/unaccompanied Of marginalised caste or ethnic children group

NONE Do not know

INCIDENTS SINCE EVENT

R1 INCREASE OF OBSERVED INCIDENTS SINCE EARTHQUAKE * * Describe the other incident You can select more than one

Inter­community Related to presence of Child trafficking tension/violence security forces

Discrimination by caste Any disease outbreak Other (specify below) or ethnicity or unusual increase in cases / deaths

NONE Do not know

ACCESS A1 ROAD ACCESS AVAILABLE BEFORE AND AFTER Pre earthquake Post earthquake Do not know THE EARTHQUAKE

. * Motorbike

. * Foot

. * Horse

. * Yak

. * Helicopter

A2 HOW LONG DOES IT TAKE FOR YOUR COMMUNITY TO REACH THE FOLLOWING PLACES? (walking distance in hrs)

* * * * * Primary School High School College Nearest market / shops Road head with transport services

* * * * Health post / hospital VDC office PCO Police Station

A3 ARE MEMBER OF THE COMMUNITY USING ALTERNATIVE TRAILS SINCE THE EARTHQUAKE? *

Yes No Do not know A4 ACCESS PROBLEMS High Medium Low None Do not know

. * Physical access by relief work

. * Aid delivery interference

. * Aid worker safety

. * Lack of aid provision

. * Fear of accessing aid

. * Denial of aid because of lack of documentation

. * Denial of aid due to ethnicity or caste

SANITATION

S1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES WITH REGARDS TO SANITATION. Needs to add up to 100%

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance

S2 BEFORE THE EARTHQUAKE, WHAT WAS THE MOST COMMON TYPE OF TOILET?

Flush toilet household Flush toilet community Pit toilet household

Open defecation Do not know

S3 % OF TOTAL POPULATION PRACTICING OPEN DEFECATION * * After earthquake (%) Before earthquake (%) S4 % OF TOTAL POPULATION USING SHARED, NON­ * * EMERGENCY TOILETS After earthquake (%) Before earthquake (%)

S5 % OF POPULATION USING * S6 % OF HOUSEHOLDS WITH * S7 % OF HOUSEHOLDS WITH TOILET FACILITIES DAMAGED * EMERGENCY TOILETS TOILET FACILITIES WITH ABOVE AND BELOW GROUND DAMAGED After earthquake (%) WALLS/ROOF/DOORS ONLY After earthquake (%) After earthquake (%)

S7 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO SANITATION IN THIS COMMUNITY?

FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

S9 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE SANITATION SECTION? * Do not read

Very high High Acceptable Low

HYGIENE

HY1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES WITH REGARDS TO HYGIENE. Needs to add up to 100%

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance

HY2 % OF POPULATION ABLE TO ACCESS HANDWASHING * * SOAP LOCALLY After earthquake (%) Before earthquake (%)

HY3 % OF WOMEN AND GIRLS WITH ACCESS TO MENSTRUAL * * HYGIENE MATERIALS After earthquake (%) Before earthquake (%)

HY4 % OF POPULATION WITH WATER CONTAINER WITH LID * * After earthquake (%) Before earthquake (%) HY5 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO HYGIENE MATERIALS IN THIS COMMUNITY?

FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

HY6 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE HYGIENE SECTION? * Do not read

Very high High Acceptable Low

WATER

W1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES Needs to add up to 100%

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance

W2 % OF POPULATION ACCESSING AS PRIMARY DRINKING * * WATER SOURCE: OPEN WELL / DUG WELL After earthquake (%) Before earthquake (%)

W3 % OF POPULATION ACCESSING AS PRIMARY DRINKING * * WATER SOURCE: TUBE WELL/HAND PUMP After earthquake (%) Before earthquake (%)

W4 % OF POPULATION ACCESSING AS PRIMARY DRINKING * * WATER SOURCE: SPRING After earthquake (%) Before earthquake (%)

W5 % OF POPULATION ACCESSING AS PRIMARY DRINKING * * WATER SOURCE: POND After earthquake (%) Before earthquake (%)

W6 % OF POPULATION ACCESSING AS PRIMARY DRINKING * * WATER SOURCE: STREAM/RIVER After earthquake (%) Before earthquake (%)

W7 % OF POPULATION ACCESSING AS PRIMARY DRINKING * * WATER SOURCE: PIPED WATER SYSTEM After earthquake (%) Before earthquake (%) W8 % OF POPULATION ACCESSING AS PRIMARY DRINKING * * WATER SOURCE: OTHER After earthquake (%) Before earthquake (%)

W9 % OF HOUSEHOLDS IN THE SERVICE AREA OF WATER * * SYSTEMS IN NEED OF REPAIR After earthquake (%) Before earthquake (%)

W10 % OF HOUSEHOLDS PRACTICING HOUSEHOLD WATER * * TREATMENT After earthquake (%) Before earthquake (%)

W11 HAS THE QUALITY OF THE WATER CHANGED SINCE THE * W12 HAS THE QUANTITY OF THE WATER CHANGED SINCE THE * EARTHQUAKE? EARTHQUAKE?

Less turbid same more Less Same More turbid Do not know Do not know W13 ARE THE FAMILIES THAT HAVE MOVED AWAY FROM THEIR PROPERTY LIVING IN A CAMP (ASSUME MORE THAN 10HH)? IF SO DESCRIBE THE WASH CONDITIONS AT THESE SITES.

W14 PLEASE DESCRIBE THE CONDITION OF WASH AT THE HEALTH FACILITIES.

W15 PLEASE DESCRIBE THE CONDITION OF WASH AT THE SCHOOLS AND/OR TEMPORARY LEARNING SPACES.

W16 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO WATER IN THIS COMMUNITY?

FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

W17 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE WATER SECTION? * Do not read

Very high High Acceptable Low

HEALTH AND NUTRITION

H1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES WITH REGARDS TO HEALTH / NUTRITION. Needs to add up to 100%

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance H2 IS THERE A HEALTH FACILITY IN THIS AREA? *

Yes No Do not know

H3 WHAT IS THE STATUS OF THIS FACILITY?

* * * Staffed: Supplied: Services:

Yes No Interrupted Partially Normalized restored (including No Partially birthing Do not know Fully (for next 3 center if months) present)

Do not know Do not know

* Building:

No damage Some damage Destroyed, debris cleaned up

Destroyed, debris NOT cleaned up Do not know

IF DAMAGED, FACILITY H4 WHAT IS THE STATUS OF THE HEALTH WORKER RESIDENCE: IF DAMAGED, WORKER CURRENTLY FUNCTIONING CURRENTLY RESIDING IN: FROM: No Some Destroyed, Own building Own building damage damage debris cleaned Other building Other building up Tent Tent Destroyed, Do not debris know Do not know Do not know NOT cleaned H5 WHAT ARE THE THREE MOST COMMOuNpLY REPORTED HEALTH CONDITIONS SINCE THE EARTHQUAKE AMONGST ADULTS? Rank up to 3

* Rank 1

Fever or Malaria Diarrhea Acute Respiratory Infections

Injuries Do not know NONE

* Rank 2

Fever or Malaria Diarrhea Acute Respiratory Infections

Injuries Do not know NONE

* Rank 3

Fever or Malaria Diarrhea Acute Respiratory Infections

Injuries Do not know NONE H6 WHAT ARE THE THREE MOST COMMONLY REPORTED HEALTH CONDITIONS SINCE THE EARTHQUAKE AMONGST CHILDREN? Rank up to 3

* Rank 1

Fever or Malaria Diarrhea Acute Respiratory Infections

Injuries Do not know NONE

* Rank 2

Fever or Malaria Diarrhea Acute Respiratory Infections

Injuries Do not know NONE

* Rank 3

Fever or Malaria Diarrhea Acute Respiratory Infections

Injuries Do not know NONE

H7 HAS CHILD NUTRITION WORSENED SINCE THE EARTHQUAKE? *

Same Worse Do not know

H8 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO HEALTH AND NUTRITION IN THIS COMMUNITY?

FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

H9 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE HEALTH AND NUTRITION SECTION? * Do not read

Very high High Acceptable Low

NFIS, MARKET & CASH

N1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES WITH REGARDS TO NFIS, MARKETS, CASH. Needs to add up to 100%

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance

N2 PERCENTAGE OF MARKET * N3 WHICH NFIS ARE AVAILABLE LOCALLY? * SHOPS OPEN % Construction materials Construction tools Shelter equipment Food­preparation or Sleeping equipment Personal hygiene water storage items equipment

NONE Do not know N4 WHAT NFIS ARE THE THREE MOST REQUIRED IN THIS COMMUNITY AT THE MOMENT? Rank up to 3

* Rank 1

Construction materials Construction tools Shelter equipment

Food­preparation or water storage Sleeping equipment Personal hygiene items equipment

NONE Do not know

* Rank 2

Construction materials Construction tools Shelter equipment

Food­preparation or water storage Sleeping equipment Personal hygiene items equipment

NONE Do not know

* Rank 3

Construction materials Construction tools Shelter equipment

Food­preparation or water storage Sleeping equipment Personal hygiene items equipment

NONE Do not know

N5 WHAT WERE THE MOST IMPORTANT CASH ACCESS METHODS BEFORE THE EARTHQUAKE? Rank up to 3

* Rank 1

Banks Remittances Informal

Borrowing Trading Do not know

None

* Rank 2

Banks Remittances Informal

Borrowing Trading Do not know

None

* Rank 3

Banks Remittances Informal

Borrowing Trading Do not know

None N6 WHAT ARE THE MOST IMPORTANT CASH ACCESS METHODS SINCE THE EARTHQUAKE? Rank up to 3

* Rank 1

Banks Remittances Informal

Borrowing Trading Do not know

None

* Rank 2

Banks Remittances Informal

Borrowing Trading Do not know

None

* Rank 3

Banks Remittances Informal

Borrowing Trading Do not know

None

N7 WHAT PERCENTAGE OF AVERAGE NEEDS CAN BE FILLED WITH CASH ONLY? * %

N8 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO NFIS, MARKETS & CASH IN THIS COMMUNITY?

FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

N9 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE NFIS, MARKETS & CASH SECTION? * Needs to add up to 100%

Very high High Acceptable Low

EDUCATION

E1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES WITH REGARDS TO EDUCATION. %

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance E2 NUMBER OF FACILITIES BEFORE THE EARTHQUAKE

* * * Open and staffed Open without staff Closed

E3 NUMBER OF FACILITIES AFTER THE EARTHQUAKE

* * * Open and staffed Open without staff Closed due to damage, Closed due to damage, Closed due to debris cleaned debris not cleaned occupation by displaced people

E4 PERCENTAGE OF ATTENDANCE BEFORE THE EARTHQUAKE %

* * % of Boys % of Girls

E5 PERCENTAGE OF ATTENDANCE AFTER THE EARTHQUAKE %

* * % of Boys % of Girls

E6 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO EDUCATION IN THIS COMMUNITY?

FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

E7 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE EDUCATION SECTION? * Do not read

Very high High Acceptable Low

DISPLACEMENT AND SHELTER

D1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES WITH REGARDS TO DISPLACEMENT / SHELTER. Needs to add up to 100%

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance D2 ENTER THE PERCENTAGE OF HOUSEHOLDS THAT SLEEP IN EACH OF THE FOLLOWING LOCATIONS Needs to add up to 100%

* * * * * % Home, undamaged % Home, with damage % Makeshift shelter ­ % Makeshift shelter ­ % Displacement site single family multiple families (tents)

* * * * % Displacement site % Host Family % Renting % Departed Area (bldng)

D3 FOR THOSE HH STILL STAYING, * D4 PERCENTAGE OF DISPLACED HH * D5 PERCENTAGE OF DISPLACED HH * PERCENTAGE INTENDING TO MOVE IN EXPECTED TO BE DISPLACED MORE EXPECTED TO BE DISPLACED MORE SHORT/MEDIUM TERM THAN 1 MONTH THAN 6 MONTHS % % %

D6 WHAT ARE THE THREE MOST IMPORTANT REASONS WHY DISPLACED PEOPLE ARE NOT RETURNING? Rank up to 3

* Rank 1

Damage Fear of damage Aftershocks

Looting Do not know

* Rank 2

Damage Fear of damage Aftershocks

Looting Do not know

* Rank 3

Damage Fear of damage Aftershocks

Looting Do not know

D7 ENTER THE PERCENTAGE OF HOUSEHOLDS WHOSE PERMANENT SHELTER IS… Needs to add up to 100%

* * * * % of households with shelters % of households with shelters % of households with shelters % of households with shelters Destroyed Severely damage Minor damage Undamaged

D8 PERCENTAGE OF HH THAT ALREADY STARTED TO REPAIR OR RECONSTRUCT * % D9 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO DISPLACEMENT AND SHELTER IN THIS COMMUNITY? FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

D10 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE DISPLACEMENT & SHELTER SECTION? * Do not read

Very high High Acceptable Low

FOOD SECURITY & LIVELIHOODS

F1 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO ARE IN THE FOLLOWING CATEGORIES WITH REGARDS TO FOOD SECURITY / LIVELIHOODS. Needs to add up to 100%

* * * % in normal situation % of people requiring assistance % of people requiring immediate assistance

F2 ENTER THE PERCENTAGE OF HOUSEHOLDS WHO HAVE LOST …. OF THEIR FOOD STOCKS Needs to add up to 100%

* * * * % of HH who have lost ALL % of HH who have lost more % of HH who have lost less % of HH who have lost NONE than half than half

F3 HOW LONG WILL THE COMMUNITY'S CURRENT FOOD STOCKS LAST? * In WEEKS

F4 DAMAGE TO AGRICULTURE FIELDS / CROPS *

None Less than 25% 25­50%

50­75% 75­100% Do not know

F5 WHAT ARE THE MAIN AGRICULTURE CROPS YOU PLANT?

CEREAL CROP Production quantity (per harvesting season) ­ in Muri Local seed varieties

VEGETABLE Production quantity (per harvesting season) ­ in Muri Local seed varieties

CASH CROPS Production quantity (per harvesting season) ­ in Muri Local seed varieties F6 SEEDS STOCK FOR NEXT CROP CYCLE *

Available Available but not sufficient for all Not available the community

Do not know

F7 IMPACT OF EARTHQUAKE ON LIVESTOCK

YAK * * * % killed by earthquake % of grazing land damaged Number before earthquake

DONKEYS * * * % killed by earthquake % of grazing land damaged Number before earthquake

GOATS * * * % killed by earthquake % of grazing land damaged Number before earthquake

SHEEP * * * % killed by earthquake % of grazing land damaged Number before earthquake

CHICKENS * * * % killed by earthquake % of grazing land damaged Number before earthquake

F8 WHAT WERE THE THREE MOST IMPORTANT LIVELIHOOD ACTIVITIES BEFORE THE EARTHQUAKE? Rank up to 3

* Rank 1

Casual labour agriculture Casual labour non­agriculture Agriculture sales

Livestock sales Trade and business Salaried regular job

NONE Do not know

* Rank 2

Casual labour agriculture Casual labour non­agriculture Agriculture sales

Livestock sales Trade and business Salaried regular job

NONE Do not know

* Rank 3

Casual labour agriculture Casual labour non­agriculture Agriculture sales

Livestock sales Trade and business Salaried regular job

NONE Do not know F9 IMPACT ON LIVELIHOOD ACTIVITIES High Medium Low None Do not know

. * Casual labour agriculture

. * Casual labour non­agriculture

. * Agriculture sales

. * Livestock sales

. * Trade and business

. * Salaried regular job

F10 WHAT KIND OF NEW F11 WHAT ARE THE COPING MECHANISMS THAT MOST HOUSEHOLDS IN THIS COMMUNITY ARE * OPPORTUNITY DO YOU SEE USING? TO ENGAGE YOURSELF IN THE GIVEN SITUATION OR Borrow money or food Sell more animals (non Sell household assets ALTERNATIVE INCOME GENERATION POSSIBILITIES? productive) than usual or goods

Sell productive assets Withdraw children from Harvest immature school crops

Sell house or land Rely on less preferred, Borrow food or relied less expensive food on help from friends or relatives

Reduce the number of Reduce the portion None meals eaten per day size of meals

Do not know F12 WHAT ARE THE COMMUNITY'S THREE MOST PRESSING PROBLEMS RELATED TO FOOD SECURITY IN THIS COMMUNITY?

FIRST * * Why hasn't this been addressed yet sufficiently?

SECOND * * Why hasn't this been addressed yet sufficiently?

THIRD * * Why hasn't this been addressed yet sufficiently?

F13 WHAT LEVEL OF CONFIDENCE DO YOU HAVE IN THIS INFORMATION FOR THE FOOD SECURITY & LIVELIHOODS SECTION? * Do not read

Very high High Acceptable Low

COMMUNICATION AND INFORMATION

CI1 RANK THE 3 MOST IMPORTANT SOURCES OF INFORMATION SINCE THE EARTHQUAKE Rank up to 3

* Rank 1

Official channels TV Radio

Social Media Telephone Community leaders

Religious leaders Family or friends Aid Workers or NGOs

Do not know NONE

* Rank 2

Official channels TV Radio

Social Media Telephone Community leaders

Religious leaders Family or friends Aid Workers or NGOs

Do not know NONE

* Rank 3

Official channels TV Radio

Social Media Telephone Community leaders

Religious leaders Family or friends Aid Workers or NGOs

Do not know NONE

CI2 DESCRIBE THE TOP THREE PRIORITIES RELATED TO INFORMATION IN THIS COMMUNITY

* * * 1 2 3 CROSS­SECTOR PRIORITIES

Y1 IN THIS AREA, WHAT ARE THE TOP THREE PRIORITY NEEDS? Rank up to 3

* Rank 1

Health Food Security Water

Shelter Livelihoods Sanitation ­ Hygiene

Protection / Safety and Dignity Education Non­food Items

Communication NONE Do not know

* Rank 2

Health Food Security Water

Shelter Livelihoods Sanitation ­ Hygiene

Protection / Safety and Dignity Education Non­food Items

Communication NONE Do not know

* Rank 3

Health Food Security Water

Shelter Livelihoods Sanitation ­ Hygiene

Protection / Safety and Dignity Education Non­food Items

Communication NONE Do not know

NOTES