b g d n p m s it e a s s es s m en t r 1 0 v 4...5/24/2018 bgd_npm_site_assessment_r10_v4 1/ 51 b g...
TRANSCRIPT
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BGD_NPM_Site_Assessment_R10_V4
Interview
» Location Information
Hello, My name is _. I work for the Needs and Population Monitoring Unit of the International Organization for Migration. Weconduct assessments on the number, location and needs of Rohingya refugees in Cox’s Bazar. We share this information withother humanitarian organizations who are working to provide assistance and only with the purpose of delivering aid. Thesource of information is kept anonymous.
We do not share your personal details publicly, but only with organizations that request a contact person to reach out in orderto deliver assistance
The purpose of this interview is to collect as much information as possible to inform the humanitarian response. However,NPM is not directly involved in the provision of services and assistance.
You have the right to refuse to participate in this assessment. Your participation or nonparticipation in the assessment has noimpact on the assistance you will receive.
OK
A1- By providing a verbal consent to participate to this interview, I hereby authorize IOM and any authorized person or entityacting on behalf of IOM to process my personal data for the purpose of data collection for IOM’s Displacement TrackingMatrix. I agree to be contacted by IOM in case further data verification is considered necessary. I also agree that my personaldata is shared by IOM to humanitarian organizations for the purpose of providing humanitarian assistance. I hereby release,discharge and agree to hold harmless IOM, its officers, employees and agents from any liability or damage caused, directly orindirectly, to me, my family or relatives in connection with this authorization by virtue of the use or disclosure of my personaldata for the specified purpose as described above.
If first interview with Key Informant you must get Data Collection Conset form signed
If KI does not agree the interview ends. Please make a note of why they do not want to participate.
*
Yes
No
A2- We are doing NPM round 10. Have you been interviewed by IOM in the past three days as part of the NPM SiteAssessment?If 'Yes' make sure Key Informant was interviewed by IOM and within the last 2 week
OK
A3- Locations include all villages, formal and informal camps and settlements, and any other types of known locations inwhich the Rohingya are living.
One form questionnaire is to be use to document one particular location i.e. one form per block or village.
Always make sure to record full name of the location, including any subdivisions, blocks, and zones.
*
A4- Record Geo-coordinate
GPS coordinates can only be collected when outside.
Accuracy should be 8m or less.
latitude (x.y °) longitude (x.y °) altitude (m) accuracy (m)
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Chakaria
Teknaf
Ramu
Pekua
Maheshkhali
Cox's Bazar Sadar
Ukhia
Kutubdia
A5- Location Upazila
A6- Location Union
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HCU-3024
HCU-3025
HCU-3028
HCU-3029
HCU-3033
HCU-3034
HCU-3035
HCU-3036
HCU-3037
HCU-3044
HCU-3046
HCU-3054
HCU-3056
HCU-3057
HCU-3063
HCU-3067
HCU-3068
HCU-3069
HCU-3076
HCU-3082
HCU-3085
MEG-3086
MEG-3087
MEG-3088
MEG-3089
MEG-3090
MEG-3091
MEG-3092
MEG-3093
MEG-3094
MEG-3095
MEG-3096
MEG-3097
MEG-3098
MEG-3099
MEG-3100
MEG-3101
MEG-3102
MEG-3103
MEG-3104
B2ID
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MEG-3105
MEG-3106
MEG-3107
MEG-3108
MEG-3109
MEG-3110
MEG-3111
MEG-3112
MEG-3113
MEG-3114
MEG-3115
MEG-3116
MEG-3117
MEG-3118
MEG-3119
MEG-3120
MEG-3121
MEG-3122
MEG-3123
MEG-3124
MEG-3125
MEG-3126
MEG-3127
MEG-3128
MEG-3129
MEG-3130
MEG-3131
MEG-3132
MEG-3133
MEG-3134
MEG-3135
MEG-3136
MEG-3137
MEG-3138
MEG-3139
MEG-3140
MEG-3141
MEG-3142
MEG-3143
MEG-3144
MEG-3145
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MEG-3146
MEG-3147
MEG-3148
MEG-3149
MEG-3150
MEG-3151
MEG-3152
MEG-3153
MEG-3154
MEG-3156
MEG-3157
MEG-3158
MEG-3160
MEG-3161
MEG-3162
MEG-3164
MEG-3165
MEG-3166
MEG-3167
MEG-3168
MEG-3169
MEG-3170
MEG-3171
MEG-3172
MEG-3173
MEG-3174
MEG-3175
MEG-3176
MEG-3177
MEG-3178
MEG-3179
MEG-3180
MEG-3181
MEG-3182
MEG-3183
MEG-3184
MEG-3185
MEG-3186
MEG-3187
MEG-3188
MEG-3189
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MEG-3190
MEG-3191
MEG-3192
MEG-3193
MEG-3194
MEG-3195
MEG-3196
MEG-3197
MEG-3198
MEG-3199
MEG-3200
MEG-3201
MEG-3202
MEG-3203
MEG-3204
MEG-3205
MEG-3206
MEG-3207
MEG-3208
MEG-3209
MEG-3210
MEG-3211
MEG-3212
MEG-3213
MEG-3214
MEG-3215
MEG-3216
MEG-3217
MEG-3218
MEG-3219
MEG-3220
MEG-3221
MEG-3222
MEG-3223
MEG-3224
MEG-3225
MEG-3226
MEG-3227
MEG-3228
MEG-3229
MEG-3230
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MEG-3231
MEG-3232
MEG-3233
MEG-3234
MEG-3235
MEG-3236
MEG-3237
MEG-3238
MEG-3239
MEG-3240
MEG-3241
MEG-3242
MEG-3243
MEG-3244
MEG-3245
MEG-3247
MEG-3248
MEG-3249
MEG-3250
MEG-3251
MEG-3252
MEG-3254
MEG-3255
MEG-3256
MEG-3257
MEG-3258
MEG-3259
MEG-3260
MEG-3261
MEG-3262
MEG-3263
MEG-3264
MEG-3265
MEG-3266
MEG-3267
MEG-3268
MEG-3269
MEG-3270
MEG-3272
MEG-3273
MEG-3274
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MEG-3275
MEG-3276
MEG-3277
MEG-3278
MEG-3279
MEG-3280
MEG-3281
MEG-3282
MEG-3283
MEG-3284
MEG-3285
MEG-3286
MEG-3289
MEG-3290
MEG-3291
MEG-3292
MEG-3293
MEG-3294
MEG-3295
MEG-3296
MEG-3297
MEG-3298
MEG-3299
MEG-3301
MEG-3302
MEG-3303
MEG-3304
MEG-3305
MEG-3309
MEG-3310
MEG-3311
MEG-3312
MEG-3313
MEG-3314
MEG-3315
MEG-3316
MEG-3317
MEG-3318
MEG-3319
MEG-3320
MEG-3321
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MEG-3322
MEG-3323
MEG-3324
MEG-3325
MEG-3326
MEG-3327
MEG-3328
MEG-3329
MEG-3330
MEG-3331
MEG-3332
MEG-3333
MEG-3334
MEG-3335
MEG-3336
MEG-3337
MEG-3338
MEG-3339
MEG-3341
MEG-3342
MEG-3446
MEG-3447
MEG-3448
MEG-3449
MEG-3451
MEG-3453
MEG-3454
MEG-3455
MEG-3456
MEG-3457
MEG-3458
MEG-3459
MEG-3460
MEG-3461
MEG-3462
MEG-3463
MEG-3464
MEG-3465
MEG-3466
MEG-3467
MEG-3468
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MEG-3469
MEG-3470
MEG-3471
MEG-3472
MEG-3473
MEG-3474
MEG-3475
MEG-3476
MEG-3477
MEG-3478
MEG-3479
MEG-3480
MEG-3481
MEG-3482
MEG-3483
SCS-3077
SCS-3078
SCS-3079
SCS-3080
SCS-3081
SCS-3343
SCS-3344
SCS-3345
SCS-3346
SCS-3347
SCS-3348
SCS-3349
SCS-3350
SCS-3351
SCS-3352
SCS-3353
SCS-3354
SCS-3355
SCS-3356
SCS-3357
SCS-3358
SCS-3359
SCS-3360
SCS-3361
SCS-3363
SCS-3364
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SCS 3364
SCS-3365
SCS-3366
SCS-3367
SCS-3368
SCS-3369
SCS-3370
SCS-3372
SCS-3373
SCS-3374
SCS-3375
SCS-3376
SCS-3377
SCS-3378
SCS-3379
SCS-3380
SCS-3381
SCS-3382
SCS-3383
SCS-3384
SCS-3385
SCS-3386
SCS-3387
SCS-3388
SCS-3389
SCS-3390
SCS-3391
SCS-3392
SCS-3393
SCS-3394
SCS-3395
SCS-3396
SCS-3397
SCS-3398
SCS-3399
SCS-3400
SCS-3401
SCS-3402
SCS-3403
SCS-3404
SCS-3405
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SCS-3406
SCS-3407
SCS-3408
SCS-3409
SCS-3410
SCS-3411
SCS-3412
SCS-3413
SCS-3414
SCS-3415
SCS-3416
SCS-3417
SCS-3418
SCS-3419
SCS-3420
SCS-3421
SCS-3422
SCS-3423
SCS-3424
SCS-3425
SCS-3426
SCS-3427
SCS-3428
SCS-3429
SCS-3430
SCS-3431
SCS-3432
SCS-3433
SCS-3434
SCS-3435
SCS-3436
SCS-3437
SCS-3438
SCS-3439
SCS-3440
SCS-3441
SCS-3442
SCS-3443
SCS-3444
SCS-3445
SCS-3450
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» Full Assessment
» » Main Key Informants
SCS-3452
SCS-3484
SCS-3485
SCS-3486
SCS-3487
SCS-3488
SCS-3489
SCS-3490
SCS-3491
SCS-3492
New Location
Information correction needed
This location or block does not exist anymore, the block has been mereged with other block, or there are no Rohingya
here anymore
Is this a new location, or is this a location where information has to be amended?
Block name (reference or Point ID)
B1- Name of Key InformantPlease add the name in Bengali alphabet
Majhee
Member or leader of local Rohingya community (no official appointment)
Member or leader of local Bangladeshi community (no official appointment)
Humanitarian/Social Organization Representative
Military representative
Representative of government office/ local authority
Representative of education facilities
Representative of health facilities
Other
B2- Type of Key Informant
B2_Other- Other, please specify
Male
Female
Third gender
B3- Sex of Key Informant
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» » Secondary KI
B4- Phone number of KI
B5- Address of KI
B6- If there is a head majhee, what is their name?Please add the name in Bengali alphabet
B7- If there is a camp majhee, what is their name?Please add the name in Bengali alphabet
Yes
No
C1- Would you like to add a second key informant?
C2- Name of secondary KI
Majhee
Member or leader of local Rohingya community (no official appointment)
Member or leader of local Bangladeshi community (no official appointment)
Humanitarian/Social Organization Representative
Military representative
Representative of government office/ local authority
Representative of education facilities
Representative of health facilities
Other
C3- Type of secondary KI
C3_Other- Other, please specify
Male
Female
Third gender
C4- Sex of secondary KI
C5- Phone number of secondary KI
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» » Site Management
C6- Address of secondary KI
Accessible by foot only
Accessible by motorbike, bicycle
Accessible by CNG/Tomtom
Accessible by car, 4x4
Accessible by large truck
D1 Currently, how is your location accessed?
Public/government
Private land
Don't know
Other
D2- Who owns the land in this location?
D2_Other- Other, please specify
Local government
Host community
Camp management committee / Block management committee
NGO / Civil Society organisation
No management structure
Don't know
Other
D3- Who is currently responsible for the management of your location?
D3_Other- Other, please specify
Appointed by local authority
Elected by local community
Volunteer basis
Don't know
Other
D4- How is the management structure in your location set up?
D4_Other- Other, please specify
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Yes
No
Don't know
D5- Are any females currently involved in the management structure in your location?
Yes
No
D6- Are there currently any committees established in your location?
Camp committee
WASH committee
Security and safety committee
Logistics committee
Women's committee
Youth committee
Elderly committee
Persons with disabilities committee
Health committee
Education committee
Religious committee
Local NGO
International NGO/UN
Majhee
Don't know
Other
D7- If yes, which committees are currently established?
D7_Other- Other, please specify
Yes
No
Don't know
D8- Is there currently a complaint or feedback mechanism in your area?
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» » Rohingya Displacement Information
Camp committee
WASH committee
Security and safety committee
Logistics committee
Women's committee
Youth committee
Elderly committee
Persons with disabilities committee
Health committee
Education committee
Religious committee
Local NGO
International NGO/UN
Majhee
Don't know
Other
D9- If yes, who is currently managing this mechanism?
D9_Other- Other, please specify
E1- How many HOUSEHOLDS currently live in this location?
E2- How many INDIVIDUALS currently live in this location?
E3- Average of household Size =
Rakhine
E4- What is the state of origin of the majority of households in this location?
Kyaunkpyu
Maungdaw
Sittwe
Thandwe
Mrauk-U
E5- What is the district of origin of the majority of households in this location?
E6- What is the township of origin of the majority of families in this location?
Yes
No
Don't know
E7- Did the majhee show enumerator written list of Rohingya in his/her area ?
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Yes
No
Don't know
E8- Are there Rohingy currently living in this location who were previously living elsewhere in Cox's Bazar?
E9- If yes, what is the estimated number of INDIVIDUALS who arrived in the past 30 days?
Another shelter/block inside the same camp
Another site in Cox's Bazar District
Other places in Bangladesh
Prefer not to answer
Don’t know
E10- If yes, from where did they arrive?
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Camp 10
Camp 11
Camp 12
Camp 13
Camp 17
Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 2E
Camp 2W
Camp 3
Camp 4
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Chakmarkul
Hakimpara
Jadimura
Jamtoli-Baggona
KRC
Leda A
Leda B
Leda C
Leda D
Leda MS
Nayapara EXP
Naypara RC
Palong Khali
Safiullahkata-Putibonia
Shamlapur
Unchiprang
union Baharchhara
union Garjania
union Haldia Palong
union Idgaon
E11- If yes, do you know which sites?
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union Idgar
union Jalia Palong
union Jhilwanja
union Joarianala
union Khuniapalong
union Khurushkul
union Palong Khali
union Raja Palong
union Ratna Palong
union Sabrang
union Teknaf
union Teknaf Paurashava
union Nhilla
union Whykong
Yes
No
Don't know
E12- Have any Rohingya left this location in the past 30 days to live elsewhere?
E13- If yes, What is the estimated number of INDIVIDUALS who left?
Another shelter/block inside the same camp
Another site in Cox's Bazar District
Other places in Bangladesh
Another country
Back to Myanmar
Prefer not to answer
Don’t know
E14- If yes, where did they travel to?
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Camp 10
Camp 11
Camp 12
Camp 13
Camp 17
Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 2E
Camp 2W
Camp 3
Camp 4
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Chakmarkul
Hakimpara
Jadimura
Jamtoli-Baggona
KRC
Leda A
Leda B
Leda C
Leda D
Leda MS
Nayapara EXP
Naypara RC
Palong Khali
Safiullahkata-Putibonia
Shamlapur
Unchiprang
union Baharchhara
union Garjania
union Haldia Palong
union Idgaon
E14- If yes, do you know which sites?
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union Idgar
union Jalia Palong
union Jhilwanja
union Joarianala
union Khuniapalong
union Khurushkul
union Palong Khali
union Raja Palong
union Ratna Palong
union Sabrang
union Teknaf
union Teknaf Paurashava
union Nhilla
union Whykong
Yes
No
Don't know
E15- Do any households plan to leave your location in the next 30 days?
Reunification with family/ relatives
Poor condition of shelter
Current location is unsafe
Access to food/basic services is perceived to be better elsewhere
Household doesn't feel welcome in current locations
Household was asked to settle elsewhere
Prefer not to answer
Don’t know
Other
E16- If yes, what is their primary reason leaving?
E16_Other- Other, please specify
Another shelter/block inside the same camp
Another site in Cox's Bazar District
Other places in Bangladesh
Another country
Back to Myanmar
Prefer not to answer
Don’t know
Other
E17- If yes, where do these households plan to travel to in the next 30 days?
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E17_Other- Other, please specify
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Camp 10
Camp 11
Camp 12
Camp 13
Camp 17
Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 2E
Camp 2W
Camp 3
Camp 4
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Chakmarkul
Hakimpara
Jadimura
Jamtoli-Baggona
KRC
Leda A
Leda B
Leda C
Leda D
Leda MS
Nayapara EXP
Naypara RC
Palong Khali
Safiullahkata-Putibonia
Shamlapur
Unchiprang
union Baharchhara
union Garjania
union Haldia Palong
union Idgaon
E17- If yes, do you know which sites?
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» » Vulnerable HH Members
» » Shelter & NFI
union Idgar
union Jalia Palong
union Jhilwanja
union Joarianala
union Khuniapalong
union Khurushkul
union Palong Khali
union Raja Palong
union Ratna Palong
union Sabrang
union Teknaf
union Teknaf Paurashava
union Nhilla
union Whykong
F1- What is the current number of female headed households in this location?A household in which there is no adult male present. This might be due to death, divorce, or long periods of absence.
F2- What is the current number of elderly headed households in this location?Elderly heads of household should be 60yrs old or more.
F3- What is the current number of child headed households in this location?A child headed household is one in which the household head I under the age of 18.
F4- What is the current number of unaccompanied minors in this location?Children under the age of 18 who are separated from their parents and are not being cared for by anyone with, by law or custom, theresponsibility to do so.
F5- What is the current number of pregnant and lactating women in this location?This includes women who are pregnant and all women who are currently breastfeeding.
F6- What is the current number of people with disabilities in this location?This includes intellectual (Down Syndrome, Autism), mental health problems (bipolar, schizophrenia), physical and sensorial (hearing, visual,physical, speech).
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Jhupri shacks, made of temporary materials, bamboo, stick, plastic sheets, etc.
Kutcha - temporary: walls made of mud/ brick , roof made of sun-grass/wood
Pukka - Permanent, walls of bricks and roofs of concrete
Semi-Pukka - Semi-permanent, brick walls, floors are cemented and roofs of corrugated galvanized iron
Other
G1- What is the main type of shelter found in this location?
G1_Other- Other, please specify
Yes
No
Don't know
G2- Are any Rohingya households in your location currently paying to rent their property or land?
Purchased firewood
Self-collected firewood
Cooking gas cylinder
Dried animal dung/manure
Don’t Know
Other
G3- What is the current main source of cooking fuel in your location?
G3_Other- Other, please specify
Inside the shelter
In an open space outside the shelter (private)
In a communal cooking space or facility
The majority do not cook food
I don't know
Other
G4- Where do the majority of households in your location currently cook?
G4_Other- Other, please specify
Yes
No
Don't know
G5- Has this location received any shelter or non-food item assistance to the past 30 days?
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Tarpaulin
Bamboos
Rope
Nothing
Other
G6- What materials have been received in this location?
G6_Other- Other, please specify
Blanket
Mats
Mosquito nets
Nothing
Other
G7- What bedding materials have been received in this location?
G7_Other- Other, please specify
Pots & pans
Utensils
Stove
Cooking fuel
Torch
Nothing
Other
G8- What kitchen materials have been received in this location?
G8_Other- Other, please specify
Hygiene kit/Dignity kit
Nothing
Other
G9- What hygiene materials have been received in this location?A dignity kit includes basic necessary items that women and girls require to maintain feminine hygiene, dignity, and respect. It may includepanties, sanitary napkins, soap, toothbrushes, towels etc.
G9_Other- Other, please specify
G10- Please specify if there are other materials received
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Government/local authorities
Military/Police
United Nations/INGO
Local Organization/charity
Religious institutions
Bangladeshi host community
Prefer not to answer
Other
G11- Who provided this assistance ?
G11_Other- Please specify if there are other materials received
Lighting
Plastic sheet (not for roofing)
Blankets
Floor mats
Kitchen sets
Provision of cash to pay rent
Provision of cash to buy shelter materials
Provision of training in shelter construction
Labour or support to help construct shelter
Labour or support to help repair shelter
Provision of shelter materials/tools
Cooking items
Clothing
Fuel
Nothing/no more
Prefer not to answer
Don't know
Other
G12- What are the three most important modalities of assistance people in your location most urgently needs toaddress their shelter needs?Select Top 3
G12_Other- Other, please specify
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» » WASH
Unstable structure
No locks
No adequate lighting
Fear of Break-in
Sharing space with strangers
Exposure to landslides
Wild animals
Flooding
No safety concerns
Prefer not to answer
Don't know
Other
G13- What is the current primary safety concern for households in your location?
G13_Other- Other, please specify
Piped water tap / tapstand
Storage Tanks tap / tapstand
Tube wells / handpump
Protected spring
Unprotected Well
Unprotected spring
Surface water pond, stream, etc.
Don’t Know
No water accessible
Other
H1- In your location, what is currently the most commonly accessed source of water for drinking?
H1_Other- Other, please specify
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Piped water tap / tapstand
Storage Tanks tap / tapstand
Tube wells / handpump
Protected spring
Unprotected Well
Unprotected spring
Surface water pond, stream, etc.
Don’t Know
No water accessible
Other
H2 What other sources of water for drinking are currently accessed by people in your location?
H2_Other- Other, please specify
Piped water tap / tapstand
Storage Tanks tap / tapstand
Tube wells / handpump
Protected spring
Unprotected Well
Unprotected spring
Surface water pond, stream, etc.
Don’t Know
No water accessible
Other
H3- In your location, what is currently the most commonly accessed source of water for household use?
H3_Other- Other, please specify
Piped water tap / tapstand
Storage Tanks tap / tapstand
Tube wells / handpump
Protected spring
Unprotected Well
Unprotected spring
Surface water pond, stream, etc.
Don’t Know
No water accessible
Other
H4- What other sources of water for household use are currently accessed by people in your location?
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H4_Other- Other, please specify
Everyone or nearly everyone
Most people
About half of people
Some people
No-one or almost no-one
H5- What proportion of people in your location currently have enough water to meet their drinking needs?
Everyone or nearly everyone
Most people
About half of people
Some people
No-one or almost no-one
H6- What proportion of people in your location currently have enough water to meet their household needs?
Lack of sufficient water points
Water points not functioning
Waiting time at water points
Distance to water points
Lack of water storage containers
Don’t like taste / quality / etc.
No access problems
Don't know
Other
H7- What problems are people in your location currently facing in accessing water?
H7_Other- Other, please specify
Reduce drinking water consumption
Reduce water consumption for hygiene practices (bathe less, etc)
Go fetch water to a further water point than the usual one
Forces household to take drinking water with less desirable water sources
Don't know
Other
H8- In what way do community members in your location currently cope with the lack of water?
H8_Other- Other, please specify
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Everyone or nearly everyone
Most people
About half of people
Some people
No-one or almost no-one
H9- What proportion of people in your location currently treat their drinking water?
Boiling
Disinfection (Aqua tabs / PUR / Tab10s / etc.)
Cloth filters
Household filters
Leave bottled water in the sun / Solar disinfection
Don’t Know
Other
H10- Currently, what are the most commons methods of drinking water treatment used by people in your location?
H10_Other- Other, please specify
Everyone or nearly everyone
Most people
About half of people
Some people
No-one or almost no-one
H11- What proportion of people in your location currently have enough jerrycans and buckets with lids for waterstorage?
Yes
No
Don't know
H12- Do people in your location regularly wash their hands with soap (by habit)?
Soap is not available
Soap is too expensive
People use an alternative (ash, other)
People don't wash their hands regularly
Other
H13- If no, why?
H13_Other- Other, please specify
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Everyone or nearly everyone
Most people
About half of people
Some people
No-one or almost no-one
H14- What proportion of people in your location currently have access to bathing facilities?
There are not enough facilities/too crowded
Facilities are too far away
Physical access is difficult (sitting)
Absence/insufficiency of water
Bathing facilities are unclean/unhygienic
No separation between men and women
It is not safe / private (no door, no lock, etc)
People prefer to wash outdoors
Bathing facilities do not have sufficient lighting
Other
H15- What are the current problems related to bathing facilities access?
H15_Other- Other, please specify
Yes
No
Don't know
H16- Are bathing facilities separated between men and women?Separated means that mens and womens bathing facilitiess are situated a few metres away from each other and NOT side by side.
Yes
No
Don't know
H17- Do bathing facilities have locks on the inside?
Yes
No
Don't know
H18- Is there adequate lighting surrounding all bathing facilities?
Everyone or nearly everyone
Most people
About half of people
Some people
No-one or almost no-one
H19- What proportion of people in your location currently have access to latrines?
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There are not enough facilities/too crowded
Facilities are too far away
Physical access is difficult (sitting)
Absence/insufficiency of water
Latrines are unclean/unhygienic
No separation between men and women
It is not safe / private (no door, no lock, etc)
Toilets are full / non-functional
People prefer to defecate outdoors
Toilet areas do not have sufficient lighting
Other
H20- What are the current problems related to latrines access?
H20_Other- Other, please specify
Yes
No
Don't know
H21- Are latrines separated between men and women?Separated means that mens and womens latrines are situated a few metres away from each otherand NOT side by side.
Yes
No
Don't know
H22- Do latrines have locks on the inside?
Yes
No
Don't know
H23- Is there adequate lighting surrounding all latrine facilities?
Yes
No
No schools, child-friendly spaces, or health facilities in location
Don't know
H24- Do schools/learning spaces, child-friendly spaces, and health facilities have child-appropriate WASH facilities inplace?
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» » Food Security and Livelihoods
It is a problem in this community
It is a problem in some areas of the community
It is normal practice in this community
It is normal practice for men in this community
It is normal practice for women in this community
It is a normal practice for children in this community
It is not an issue in this community
Don’t know
H25- Which statement would best describe people in your locations current view on open defecation?
All areas of the community are clean (garbage is in designated areas)
Most of the community is clean (some garbage outside designated areas)
About half the community is clean
Most of the community is dirty (most garbage outside designated areas)
All of the community is dirty (no designated areas for garbage)
Don't know
H26- Which statement would best describe your location with regards to garbage?
Purchase (cash)
Purchase (credit)
Food distribution/assistance
Support from friends/relatives/host community
Barter and exchange
Borrowing
Begging/scavenging
Gathering of wild foods, foraging (plants/insects)
Hunting/fishing
Own production
Other
I1- Currently what are the two main sources of food for people in your location?
I1_Other- Other, please specify
Yes
No
Don't know
I2- In the past 30 days have their been any changes in regards to accessing food?
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Increase in food prices
Decrease in food prices
Improved physical accessed
Worse physical access
Improved access to assistance
Reduced access to assistance
Decrease in movement restrictions
Increase in movement restrictions
Prefer not to answer
Other
I3- If yes, what are the changes?
Other, please specify:
Yes
No
Don't know
I4- Are stoves, pots and pans sufficient for cooking needs?
Yes
No
Don't know
I5- If not, are households currently sharing them?
Yes
No
Don't know
I6- Are people currently facing challenges in cooking food due to a lack of cooking pots, pans?
Yes
No
Don't know
I7- Are people currently facing challenges in cooking food due to a lack of cooking fuel?
I8- What percentage of people in your location have only one meal a day?
I9- What percentage of people in your location have two meals a day?
I10- What percentage of people in your location have three meals or more a day?
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I11- What percentage of people in your location have eaten food from more than three food groups in the past twoweeks? (eg. cereals, pulses, vegetables, fruits, meat, fish, milk and dairy products, eggs, sweets)
Basic needs assistance (cash, in-kind, voucher)
Non-agricultural casual day labour
Agricultural casual day labour
Unskilled wage labour
Skilled wage labour
Petty trade / street vendor
Small business
Fishing
Remittances from abroad
Agricultural production and sales
Savings
Begging
Sale of humanitarian assistance
Gathering and selling of firewood or other natural resources
Zakat
Selling assets brought from Myanmar eg. Jewellery, gold etc.
No income source
Other
I12- In the past 30 days, what were the three main income sources for the majority of households in your location?
I12_Other- Other, please specify
Yes
No
Don't know
I13- Has there been any change in regards to income sources in your location compared to 30 days ago?
Increase of labour opportunities
Decrease of labour opportunities
Increase in movement restrictions
Decrease in movement restrictions
Increase or improvement in food or other basic needs assistance
Decrease or worsening of food or other basic needs assistance
Increase or improvement of livelihood programmes
Decrease of worsening of livelihood programmes
Other
I14- If yes, what changes have their been?
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» » Nutrition
» » Health
I14_Other- Other, please specify
No problems accessing supplements
Supplement service available, but there are problems accessing it
No supplement service available
Don't know
J1- Do people in your location currently face problems/challenges accessing nutritional supplements for pregnant andlactating women ?Nutritional supplements are pills or powder solutions that are not food, but contain a number of vitamins and amino acids in order tosupplement one's diet.
No problems accessing supplements
Supplement service available, but there are problems accessing it
No supplement service available
Don't know
J2- Do people in your location currently face problems/challenges accessing nutritional supplement for children ?
Yes
No
Don't know
J3- Do children in your location currently have access to a School Feeding programme with the distribution of HighEnergy Biscuit?
Yes
No
Don't know
J4- Are any breast milk substitutes such as baby formula, powder milk, or any other food presented as a partial or totalreplacement for breast milk, whether or not suitable for that purpose, currently distributed in your location?
Government/local authorities
Military/Police
United Nations/INGO
Local Organization/charity
Religious institutions
Bangladeshi host community
Prefer not to answer
Other
J5- If yes, who distributes it?
J5_Other- Other, please specify
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Under 30 minutes walk
Over 30 minutes walk
No access to any health facilities
Don't know
K1- For households in your location, how far away by walking is the nearest accessible static health facility?
Yes
No
Don't know
K2- Are households in your location able to access mobile health clinics?
Yes
No
Don't know
K3- Do people in your location current face problems accessing health facilities during the night?
Local health facility closed at night
Difficult geographical terrain and lack of roads
Distance and lack of transport/ambulance
Security concerns
Do not feel comfortable with staff at health facility
Don't know
Other
K4- If yes, what are the main problems?
K4_Other- Other, please specify
Buy medicine form local pharmacy
Go to the Kabiraz (herbal healer who prescribes local remedies)
Go to the local village doctor (not qualified but prescribes medicine)
Go to a local health facility
Nothing
Don't know
Other
K5- In your location, what do people do most often when they or one of their family members get sick?
K5_Other- Other, please specify
Yes
No
Don't know
K6- In your location do people currently face problems accessing Antenatal care?
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» » Education
Yes
No
Don't know
K7- Do pregnant women in your location currently give birth in health facilities?
Local health facility closed at night
Difficult geographical terrain and lack of roads
Distance and lack of transport/ambulance
Security concerns
Do not feel comfortable giving birth at a health facility
Feel satisfied with traditional birth attendants' services
Don't know
Other
K8- If not, why not?
K8_Other- Other, please specify
Yes
No
Don’t Know
K9- In your location are people in distress or with mental health issues currently facing problems accessing assistance?
Yes
No
Don’t Know
K10- In your location do people currently face problems accessing psychosocial care?
Yes
No
Don’t Know
K11- In your location do persons with disabilities currently face problem accessing rehabilitation support?Physio and occupational therapy to assist someone with a disability to live a full life.
Yes
No
Don’t Know
K12- In your location do people currently face problem accessing vaccination services ?
Under 30 minutes walk
Over 30 minutes walk
Not available
Don't know
L1- For children in your location, how far away by walking is the nearest formal education centre?Formal education includes recognised Bangladeshi state schools and madrassa schools.
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Under 30 minutes walk
Over 30 minutes walk
Not available
Don't know
L2- For children in your location how far away by walking is the nearest non-formal education centre?
Non-formal educations includes child learning spaces and moktabs.
Yes
No
Don't know
L3- Are there children in your location that are currently prevented from accessing education services?
Children with special needs
Children without caregivers
Girls
Boys
Other
L4- If yes, which groups of children?
L4_Other- Other, please specify
Yes
No
Don't know
L5- In your location do teenage girls currently face any barriers in accessing education?
Social norms & values (family/community restriction)
Safety and security risks
Lack of appropriate education programme
Need to engage in other livelihood activities
Lack of toilet separation for girls and boys
No school equipment and books
Language of tuition not understood or difficult to understand
Unable to continue education due to marriage
Distance and/or lack of transport
Lack of teachers
Other
L6- If yes, what is the main reason?
L6_Other- Other, please specify
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» » Protection
Yes
No
Don't know
L7- In your location do teenage boys currently face any barriers in accessing education?
Social norms & values (family/community restriction)
Safety and security risks
Lack of appropriate education programme
Need to engage in other livelihood activities
Lack of toilet separation for girls and boys
No school equipment and books
Language of tuition not understood or difficult to understand
Unable to continue education due to marriage
Distance and/or lack of transport
Lack of teachers
Other
L8- If yes, what is the main reason?
L8_Other- Other, please specify
Distance
Safety
Weather
Transport
Don't know
Other
L9- What are the risks/challenges for children travelling to learning spaces/schools?
L9_Other- Other, please specify
Yes
No
Don't know
L10- Are there trained teachers in the site, who are not currently working in a school/learning space?
Yes
No
Don’t Know
No service currently in location
M1- If there is a child friendly space in this location, do you know the services provided?
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Yes
No
Don’t Know
No service currently in location
M2- If there is a safe space for women and girls, do you know the services provided?
Bathing/Washing facility
Market
Transportation
Waterpoints
Distribution site
Where firewood collection happen
Prefer not to answer
Don't know
Other
M3- In the last 30 days have there been any safety problems for children in any of the following places?
M3_Other- Other, please specify
Bathing/Washing facility
Market
Transportation
Waterpoints
Distribution site
Where firewood collection happen
Prefer not to answer
Don't know
Other
M4- In the last 30 days Have there been any safety problems for women in any of the following places?
M4_Other- Other, please specify
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Bathing/Washing facility
Market
Transportation
Waterpoints
Distribution site
Where firewood collection happen
Prefer not to answer
Don't know
Other
M5- In the past 30 days have there been any safety problems for men in any of the following places?
M5_Other- Other, please specify
Army
The majhee
Local government official
The police or the court
Local NGO
International NGO/UN
Healthcare point
Family, friends or neighbours
Religious leader
Prefer not to answer
Don't know
Other
M6- If there is a protection incident in your location, where do people currently report it?
M6_Other- Other, please specify
Going to work (in any)
Going to market
At distribution site
While collecting fire wood in the forest
While crossing the check points
Moving from one camp to another
Prefer not to answer
Don't know
Other
M7- Do the Rohingya currently experience any difficulties or feel restricted to move in any of the following places oroccasions?
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» » Information and Communication
M7_Other- Other, please specify
Yes
No
Don't know
M8- Do you know of any children in your location who were separated from their usual caregivers in the past 30 daysand have not since returned?
Yes
No
Don't know
M9- Do you know of any children who have gone missing from your community in the past 30 days and have not sincereturned?
M10- If yes, the number of missing boys
M11- If yes, the number of missing girls
Yes
No
Don't know
M12- Are there children who currently have no access to food distribution, healthcare, education, etc…
Yes
No
Prefer not to answer
Don't know
M13- Have you heard about anybody recently offering opportunities for people in your location to marry, work, orstudy away?
Men
Women
Children
M14- If yes, which people in your location?
From within community
From outside the community
Both
Don’t know
M15- Were the people offering opportunities from within or outside your community?
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Speak to someone working for the UN or NGO
Speak to a majhee
Speak to army
Ask friends
Speak to religious leader
Speak to local community leader
Prefer not to answer
Don't know
Other
N1- If people need something or a service that is not available in your location what do they currently do?
N1_Other- Other, please specify
Yes frequently
Yes sometimes
No
Prefer not to answer
Don't know
N2- Do households in your location feel they are able to speak to aid providers about their needs, to ask themquestions, or tell them if they have complaints?
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Majhee
Face to face (office/info desk)
Television
Newspaper
Mobile phone - calls, SMS, WhatsApp
Community or religious leaders
Local government leaders
NGO workers
SW/FM Radio
Community Radio
Microphone or speaker announcements
Sign boards
Social media (incl. Facebook)
Printed flyers
Community meetings
Tea stall sessions
Cleaning Campaign
Focus group discussions
Home visits from volunteers/staff
YouTube
Word of mouth friends, family
23
Prefer not to answer
Don’t Know
Other
N3- How would households in your location like to be communicated with by aid organisations?
N3_Other- Other, please specify
Rohingya
Chittagongian
Burmese
Bengali
English
N4- In what languages would households in your location prefer to receive information?
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General news on what is happening here
Finding missing people
Security updates
How to communicate with people who are in a different place
How to access services
Information about health and nutrition
Information about sanitation and hygiene
Food prices
How to get cooking fuel/firewood
Weather
How to get help after attack or harassment
How to stay safe to prevent attack/harassment
How to replace/get personal documentation (e.g. ID, birth certificate)
How to find work
How to get transport
How to get money/financial support
Information about relocation
Family planning
Do not Know
Other
N5- What are the three main topics of information that are currently most needed by households in your location?
N5_Other- Other, please specify
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» » Needs Prioritization
Please rate the severity of the needs of the people living in your location from not severe to extremely severe?
Not Severe Somewhat
Severe
Moderately
Severe
Very
Severe
Extremly
Severe
O1.1- Cash
O1.2- Food
O1.3- improved quality drinking water
O1.4 - improved quality wash facilities
O1.5- improved quality shelter
O1.6- education
O1.7- health facilities
O1.8- hygiene items
O1.9- psychosocial support
O1.10- clothing footwear
O1.11- cooking utensils
O1.12- cooking fuel firewood
O1.13- job opportunities
O1.14- vocational training
O1.15- access registration
O1.16- transport
O1.17- safety security
O1.18- Other
Other, please specify
O2.1 - Of the needs with the highest severity rating, what is the first most important?
Cash Food
Improved quality/quantity drinking water
Improved quality/quantity WASH facilities (eg. Latrines, washrooms)
Improved quality/quantity shelter Education for children
Health facilities Hygiene items
Psychosocial support Clothing and footwear
k l k f l d fi d
Other, please specify
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» » Credibility
O2.2 - Of the needs with the highest severity rating, what is the second most important?
Cash Food
Improved quality/quantity drinking water
Improved quality/quantity WASH facilities (eg. Latrines, washrooms)
Improved quality/quantity shelter Education for children
Health facilities Hygiene items
Psychosocial support Clothing and footwear
k l k f l d fi d
Other, please specify
O2.3 - Of the needs with the highest severity rating, what is the third most important?
Cash Food
Improved quality/quantity drinking water
Improved quality/quantity WASH facilities (eg. Latrines, washrooms)
Improved quality/quantity shelter Education for children
Health facilities Hygiene items
Psychosocial support Clothing and footwear
k l k f l d fi d
Other, please specify
Yes, all of them
Yes, majority
Only some
Not at all
No new key informant
P1- If information was provided by a new or secondary key informant, was it consistent with previous findings?
Yes, all of them
Yes, majority
Only some
Not at all
P2- Is the information provided consistent with your own observations?
High
Medium
Low
Very low
P3- In overall, how credible do you think the information provided by key informants for this location is?
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No_Interview
Final Comments
P4- Any final remarks or comments
This key informant has already been interviewed, please move onto the next key informant on your list and make sure toexplain to NPM operations staff that this is a duplicate
Please move onto the next block on your list and make sure to add a comment about the reason of this block deactivation(moved, merged, ..etc) or any other comments
Deactivation/Correction/New points comments