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UNHCR - RAPID WASH ASSESSMENT

WASH IN CAMPS/SETTLEMENT - ASSESSMENT FORM

NAMES of the ASSESSMENT TEAM


Full name Organization/Agency Title/position

GENERAL INFO
Date(s) of field assessment:
Location name:
GPS coordinates:

Host community around? (Y/N) Pls specify whether refugees are installed within the host community or in a separate designated area

Current Population (# and source):


Expected
# of currentpopulation (# and
households source):
(# and
source):
Role/name of accompanying persons
from the affected area:

SKETCH OF THE AREA/CAMP ASSESSED

Existing capacities and activities

Only present in
Organisation Since Normal / current the Country/Area
SECTOR responsible when? activities but not yet
involved

Water supply
Sanitation
Hygiene

1. WATER SUPPLY
UNHCR - RAPID WASH ASSESSMENT

Water source Water


# of Water
most used source
water sources Estimated
for human most
1.1 Water sources sources producing dirty yield/flow rate
consumption used
of each looking (m3/day)
at for
type water
this site animals

Borehole or well with


functioning motor pump

Borehole or well with


functioning handpump

Protected spring
Protected open well

Piped water

Unprotected spring

Unprotected open well

Surface water (specify if


lake, river or other)

Traditional water sellers


(specify the source)
_______________
Other (specify)
________________

Borehole or well with non-


functioning handpump

Borehole or well with non-


functioning motor pump

WHATEVER THE SOURCE:

1.2 (Observation): majority of water storage containers at water collection location Type

20 l jerrycans

10 litre jerrycans

bucket
basin
bottles
other

1.3 (Observation): # of people queuing at water collection points less than 5

between 5 and 10
UNHCR - RAPID WASH ASSESSMENT

between 10 and
20
between 20 and
50
more than 50

2. SANITATION

2.1 (FGDs): % of POCs currently using each of the places listed below to go to defecate
Adults Children
In the open, not in a defined and managed defecation area
In a defined and managed defecation area
In public toilets (pit latrines, pour-flush latrines, flushing toilets
etc.)
In family toilets and shared family toilets (pit latrines, pour-flush
latrines, flushing toilets etc.)
Check that each column adds up to 100%
Don’t know

2.2 (Estimate & random households sampling): Average number of users per functioning toilet
Total # of functioning toilets:
Source of the information (observation/estimate or …)
If there are latrines, are there separate facilities for girls and women?
Is there adequate lighting?
Presence of handwashing facilities (with water and soap)?
If there are latrines, are the openings small enough to prevent children falling in?

2.3 (Observation): Presence of human faeces on the ground and around the households

2.4 (Observation): What is the type of soil (clay/sandy/black cotton/rocky, etc):

2.5 (Observation): Which depth is the shallow water table (m)?

2.6 (Observation & questions to locals): What local construction material is available?

2.7 (Observation & FGDs): WASH NFIs available:

<25% 25-50% 50-75% >75% 100%


Soap
Mosquito nets (in good
condition)
Narrow-necked water
container (e.g. Jerrycan)

3. HYGIENE
3.1 (FGDs): What do POCs use to drink water (hands/scoop/gobelet/pouring)?
UNHCR - RAPID WASH ASSESSMENT

3.2 (FGDs): When do people wash their hands?


<25% mentioned 3 out of
25-50% mentioned 3 out of 5 50-75% mentioned 3 out of 5 critical
5 critical handwashing
critical handwashing time handshing time
time

3.3 (FGDs, mention the top 5): What is the cause of diarrhoea?

3.4 (FGDs): Define the main 3 needs (any sector):


1.
2.
3.
UNHCR - RAPID WASH ASSESSMENT

ENT FORM

Role

st community or in a separate designated area

Limitations to capacity or performance


(lack of staff, materials/equipment,
funds, access etc.)
UNHCR - RAPID WASH ASSESSMENT

Check if likely that the quantity


of water available will decrease in the
near future or by season

Status (broken, uncovered, not


narrowed necked)

thick as appropriate (drop down menu)


UNHCR - RAPID WASH ASSESSMENT

Comments:

Select one

Select one
Select one

Select one

(Yes or No)

Don't know
UNHCR - RAPID WASH ASSESSMENT

>75% mentioned 3 out of 5 critical


handshing time
UNHCR - RAPID WASH ASSESSMENT

WASH IN TRANSIT CENTRES - ASSESSMENT FORM

NAMES of the ASSESSMENT TEAM


Full name Organization/Agency Title/position

GENERAL INFO
Date(s) of field assessment:
Transit Centre ID/name:
GPS coordinates:

Host community around? (Y/N) Pls specify whether refugees are installed within the host community or in a separate designated area

Current Population (# and source):


#Expected
of currentpopulation (# and
households source):
(# and
source):
Role/name of accompanying persons
from the affected area:

SKETCH OF THE TRANSIT CENTRE ASSESSED

Existing capacities and activities


Only present in
Organisation Since Normal / current the Country/Area
SECTOR responsible when? activities but not yet
involved

Water supply
Sanitation
Hygiene

1. WATER SUPPLY
UNHCR - RAPID WASH ASSESSMENT

Water source Water


# of Water
most used source
water sources Estimated
for human most
1.1 Water sources sources producing dirty yield/flow rate
consumption used
of each looking (m3/day)
at for
type water
this site animals

Borehole or well with


functioning motor pump

Borehole or well with


functioning handpump

Protected spring
Protected open well

Piped water

Unprotected spring

Unprotected open well

Surface water (specify if


lake, river or other)

Traditional water sellers


(specify the source)
_______________
Other (specify)
________________

Borehole or well with non-


functioning handpump

Borehole or well with non-


functioning motor pump

WHATEVER THE SOURCE:

1.2 (Observation): majority of water storage containers at water collection location Type

20 l jerrycans

10 litre jerrycans

bucket
basin
bottles
other

1.3 (Observation): # of people queuing at water collection points less than 5

between 5 and 10
UNHCR - RAPID WASH ASSESSMENT

between 10 and
20
between 20 and
50
more than 50

2. SANITATION

2.1 (FGDs): % of POCs currently using each of the places listed below to go to defecate
Adults Children
In the open, not in a defined and managed defecation area
In a defined and managed defecation area
In public toilets (pit latrines, pour-flush latrines, flushing toilets
etc.)
In family toilets and shared family toilets (pit latrines, pour-flush
latrines, flushing toilets etc.)
Check that each column adds up to 100%
Don’t know

2.2 (Estimate): Average number of users per functioning toilet


Total # of functioning toilets:
Source of the information (observation/estimate or …)
If there are latrines, are there separate facilities for girls and women?
Is there adequate lighting?
Presence of handwashing facilities (with water and soap)?
If there are latrines, are the openings small enough to prevent children falling in?

2.3 (Observation): Presence of human faeces on the ground and around the households

2.4 (Observation): What is the type of soil (clay/sandy/black cotton/etc):

2.5 (Observation): Which depth is the shallow water table (m)?

2.6 (Observation & questions to locals): What local construction material is available?

2.7 (Observation & FGDs): WASH NFIs available:

<25% 25-50% 50-75% >75% 100%


Soap
Mosquito nets (in good
condition)
Narrow-necked water
container (e.g. Jerrycan)

3. HYGIENE
3.1 (FGDs): What do POCs use to drink water (hands/scoop/gobelet/pouring)?
UNHCR - RAPID WASH ASSESSMENT

3.2 (FGDs): When do people wash their hands?


<25% mentioned 3 out of
25-50% mentioned 3 out of 5 50-75% mentioned 3 out of 5 critical
5 critical handwashing
critical handwashing time handshing time
time

3.3 (FGDs, mention the top 5): What is the cause of diarrhoea?

3.4 (FGDs): Define the main 3 needs (any sector):


1.
2.
3.
UNHCR - RAPID WASH ASSESSMENT

NT FORM

Role

st community or in a separate designated area

Limitations to capacity or performance


(lack of staff, materials/equipment,
funds, access etc.)
UNHCR - RAPID WASH ASSESSMENT

Check if likely that the quantity


of water available will decrease in the
near future or by season

Status (broken, uncovered, not


narrowed necked)

thick as appropriate (drop down menu)


UNHCR - RAPID WASH ASSESSMENT

Comments:

Select one

Select one
Select one

Select one

(Yes or No)

Don't know
UNHCR - RAPID WASH ASSESSMENT

>75% mentioned 3 out of 5 critical


handshing time
UNHCR - RAPID WASH ASSESSMENT

WASH IN SCHOOLS - ASSESSMENT FORM


NAMES of the ASSESSMENT TEAM
Full name Organization/Agency Title/position

GENERAL INFO
Date(s) of field assessment:
School ID/Name
GPS coordinates:

Host community also benefitting? (Y/N) Pls specify % of refugees and % of host community

Maximum holding capacity & Total number of student Based on the classrooms capacity Current # of students
Students Female & Students Male # of Female students # of Male stude
Total number of teachers/staff members
Comments:

1. WATER SUPPLY IN THE SCHOOL

Type of water point Estimated


# of Water storage tank
1.1 Water sources yield/flow rate
water points # of handpumps # taps inside the facility (m3)
(m3/day)
Water points for students
(3 l/p/d standard)

Water points for kitchen


etc
Comments:

2. SANITATION
Students Toilets Staffing Toile
# of functioning latrines (1:30 standard for female, # Female toilets # Male toilets # Female toilets
1:60 standard for male)
TOTAL Students toilets: TOTAL Staffing toilets:
Who is in charge for cleaning the latrines?
Comments:
UNHCR - RAPID WASH ASSESSMENT

Presence of handwashing facilities (with water and soap)?

Clean up mech in place Dust bins Waste pits


Solid waste management:
Yes/no Yes/no Yes/no
UNHCR - RAPID WASH ASSESSMENT

Role

Current # of students enrolled


# of Male students

Comments (include whether solar or


engined systems are in place or any
disfunctional systems)

Staffing Toilets
# Male toilets

L Staffing toilets:
UNHCR - RAPID WASH ASSESSMENT

Other
UNHCR - RAPID WASH ASSESSMENT

WASH IN HEALTH CENTRES / NUTRITION CENTRES - ASSESSMENT FORM


NAMES of the ASSESSMENT TEAM
Full name Organization/Agency Title/position

GENERAL INFO
Date(s) of field assessment:
Health Centre / Nutrition Centre ID/name:
GPS coordinates:

Host community also benefitting? (Y/N) Pls specify % of refugees and % of host community

Adults consultations/day (# and source):


Children <5yrs consultation/day (# and source):
Dhiarrhea cases/week 1, 2, 3 (past 3 weeks)
Out of which, children < 5yrs cases (past 3 weeks)
Top 5 diseases
Comments:

1. WATER SUPPLY IN THE HEALTH / NUTRITION CENTRE

Type of water point Estimated


# of Water storage tank
1.1 Water sources # of yield/flow rate
water points # taps inside the facility (m3)
handpumps (m3/day)
Water points for out-
patients (5l/p/d standard)
Water points for in-
patients (50 l/p/d
standard)
Comments:

2. SANITATION

# of beds for IPs:


Patients Toilets Staffing Toilets
# of functioning latrines for OPs: (1:20 standard # Female toilets # Male toilets # Female toilets
for OPs)
TOTAL OPs toilets: TOTAL Staffing toilets:

# of functioning latrines for IPs: (1:10 beds for # Female toilets # Male toilets
IPs)
UNHCR - RAPID WASH ASSESSMENT

TOTAL IPs toilets:


Who is in charge for cleaning the latrines?

Presence of handwashing facilities (with water and soap)?

Incinerator Placenta pit Sharp containers


Medical solid waste management:
Yes/no Yes/no Yes/no
UNHCR - RAPID WASH ASSESSMENT

ESSMENT FORM

Role

Comments (include whether solar or


engined systems are in place or any
disfunctional systems)

Staffing Toilets
# Male toilets

L Staffing toilets:
UNHCR - RAPID WASH ASSESSMENT

Other
WASH IN URBAN - ASSESSMENT FORM

NAMES of the ASSESSMENT TEAM


Full name Organization/Agency/Gvt bodies Title/position

GENERAL INFO
Date(s) of assessment:
Region ID/name:
Community ID/name:
GPS coordinates:
Mapping available (pls attach):
# of refugee population:
# of host population:
Expected population (# and source):
# of current households (# and source): estimate

Rented housing Rented housing


Unfinished
with utilities with no utilities Tent Garage
Housing (pls select/tick) building
included included

Role/name of accompanying persons from


the affected area:

Existing capacities and activities

Normal / current
SECTOR Organisation responsible Since when?
activities

Water supply
Sanitation
Hygiene

1. WATER SUPPLY
Water source Water
Water source
# of most used sources
most used
Water sources water sources for human producing dirty
for animals/agriculture/
of each type (if applicable) consumption at looking
construction
this site water
Private
borehole
% % %

Piped water % % %

Water trucking % % %

Traditional
water % % %
sellers/kiosks

Other (specify)

Disfunctional
# of Avg m3
Water storage tanks (pls Comments
storage tanks available available/day
specify)
if difficult to assess,
Private tank
estimate %
Family-shared if difficult to assess,
tank estimate %
if difficult to assess,
Communal tank
estimate %
Other (specify)

Water treatment % Comments

No treatment

HH Filter
(specify)

Boiling

Chlorine

Other (specify)

2. SANITATION

Family-shared Private toilets/in


Sludge disposal Communal type toilets Neighbour Comments
toilets house

Sewerage specify % specify % specify % specify % Specify condition/need for improvem


Septic tanks specify % specify % specify % specify % Specify condition/need for improvem

Other (specify) specify % specify % specify % specify % Specify condition/need for improvem

SWM %
Garbage
Collection
specify %
Private
arrangement
specify %

Other (specify) specify %


Title/position Role

Communal
Other (specify)
space

Limitations to
Only present in capacity or
the performance
Country/Area (lack of staff,
but not yet materials/equip
involved ment, funds,
access etc.)
Estimated
yield/flow rate Comments
(m3/day)

Comments

Comments

dition/need for improvement-rehab


dition/need for improvement-rehab

dition/need for improvement-rehab


WASH IN URBAN - DATA S

THEME INFO NEEDED INDICATOR


Access to safe drinking water % of affected population with a need to
(in quantity, quality, location) access safe water source (in quantity,
quality and location)
Water

Safe water chain (collection, % of affected population practicing


treatment and storage) safe water management (collection,
treatment and/or storage)

Access to safe and user % of affected population with a need for


friendly sanitation facilities safe excreta disposal facilities
Sanitation

% of affected population with a need for


safe bathing to support good hygiene
practices
Sanita
% of affected population with a need for
safe bathing to support good hygiene
practices

Level of knowledge regarding % of affected population with a need to


good hygiene practices improve knowledge regarding good
hygiene practices

Access to hygiene promotion % of affected population with a need for


Hygiene

materials hygiene materials to support good


hygiene practices

Risk of disease (water and % of population at risk of disease


Disease

sanitation related or vector- (water and sanitation related or vector-


related) related)

Access to safe solid waste % of population with a need to access


disposal safe solid waste disposal (quantity of
Management

refuse containers, frequency of removal


Solid Waste

and distance)

Risk of flooding % of infrastructure that require


Drainage

drainage to prevent stagnant water


WASH IN URBAN - DATA SETS

DATA REQUIRED DATA SOURCE


# and type of water source available HH survey
# of litres per person per day (l/p/d) HH survey
# of water sources that are functional / non functional (hours per HH survey
day)
# of water sources with acceptable / minimum standards for Water quality testing and monitoring
water quality
# of water sources located inside of dwelling or shelter / # of HH survey
water sources location outside of dwelling or shelter (within 500
m)
#, type, capacity and condition of water storage HH survey
# of HHs paying for water and cost (time or quantity) HH survey

# of HHs safely collecting and storing water (containers: type HH survey


and # per HH)

# of HHs with distributed water storage containers HH survey

# of HHs with acceptable water quality Water quality testing and monitoring
# of HHs with access to water treament chemcials and practicing HH survey
water treatment
# of HHs with distributed water treatment chemicals HH survey

12
% of observed feces in the immediate proximity of dwellings / KII / FGD
shelter (within 500m) Direct observation
# and type of available latrines / toilets (access in hours per day, HH survey, direct observation
distance from dwelling or shelter, ease of use for vulnerable
groups)
# of people per latrines / toilets KII, direct observation
# of a latrines / toilets that are functional / non-functional HH survey, FGD, direct observation
(condition of operation and maintenance)

# of latrine / toilets that are gender seperated HH survey, FGD, direct observation
# of latrine / toilets with doors, locks, lighting HH survey, FGD, direct observation
# of bathing units available (access in hours per day, distance KII, FGD, direct observation
from dwelling or shelter, ease of use for vulnerable groups)

# of people per bathing units KII, FGD, direct observation


# of a bathing units that are functional / non-functional (condition HH survey, FGD, direct observation
of operation and maintenance)

# of bathing units that are gender seperated HH survey, FGD, direct observation
# of bathing units that with hot water heaters, doors, locks, HH survey, FGD, direct observation
lighting
11
# of people practicing handwashing with soap at critical times HH survey, FGD

# of people that identify cause and prevention of water and HH survey, FGD, direct observation
sanitation related disease
# of HHs with access to soap HH survey, FGD, direct observation

# of HHs soap distributed HH survey, FGD, direct observation


# of HHs with access to materials for menstrual hygiene / HH survey, FGD (women and girls)
sanitary protection
# of menstrual hygiene / sanitary protection distributed HH survey, FGD (women and girls)

5
# of cases of diseases (e.g. diarrhoea: within last 2 wks and skin HH survey, FGD, KII, direct observation
diseases: within last 2 months)

1
# and type of waste disposal practices (HH level) HH survey, FGD, direct observation
# of refuse bins per person (100 litre per 10 HHs) HH survey, FGD, direct observation
Frequency of collection (min twice weekly) HH survey, FGD

Distance of collection sites to dwelling or shelter (100m) HH survey, FGD, direct observation

4
# of WASH facilities at risk of damage due to poor drainage / KII, FGD, direct observation
stagnant water / flooding

34
COMMENTS

Direct observation especially for safe storage of


water (water storage containers are covered/state
of storage containers itself/way of decanting
water)
Knowledge on diarhhoea management

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