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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
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
Protected spring
Protected open well
Piped water
Unprotected spring
1.2 (Observation): majority of water storage containers at water collection location Type
20 l jerrycans
10 litre jerrycans
bucket
basin
bottles
other
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
2.6 (Observation & questions to locals): What local construction material is available?
3. HYGIENE
3.1 (FGDs): What do POCs use to drink water (hands/scoop/gobelet/pouring)?
UNHCR - RAPID WASH ASSESSMENT
3.3 (FGDs, mention the top 5): What is the cause of diarrhoea?
ENT FORM
Role
Comments:
Select one
Select one
Select one
Select one
(Yes or No)
Don't know
UNHCR - RAPID WASH ASSESSMENT
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
Water supply
Sanitation
Hygiene
1. WATER SUPPLY
UNHCR - RAPID WASH ASSESSMENT
Protected spring
Protected open well
Piped water
Unprotected spring
1.2 (Observation): majority of water storage containers at water collection location Type
20 l jerrycans
10 litre jerrycans
bucket
basin
bottles
other
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
2.3 (Observation): Presence of human faeces on the ground and around the households
2.6 (Observation & questions to locals): What local construction material is available?
3. HYGIENE
3.1 (FGDs): What do POCs use to drink water (hands/scoop/gobelet/pouring)?
UNHCR - RAPID WASH ASSESSMENT
3.3 (FGDs, mention the top 5): What is the cause of diarrhoea?
NT FORM
Role
Comments:
Select one
Select one
Select one
Select one
(Yes or No)
Don't know
UNHCR - RAPID WASH ASSESSMENT
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:
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
Role
Staffing Toilets
# Male toilets
L Staffing toilets:
UNHCR - RAPID WASH ASSESSMENT
Other
UNHCR - RAPID WASH ASSESSMENT
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
2. SANITATION
# of functioning latrines for IPs: (1:10 beds for # Female toilets # Male toilets
IPs)
UNHCR - RAPID WASH ASSESSMENT
ESSMENT FORM
Role
Staffing Toilets
# Male toilets
L Staffing toilets:
UNHCR - RAPID WASH ASSESSMENT
Other
WASH IN URBAN - ASSESSMENT FORM
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
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)
No treatment
HH Filter
(specify)
Boiling
Chlorine
Other (specify)
2. SANITATION
Other (specify) specify % specify % specify % specify % Specify condition/need for improvem
SWM %
Garbage
Collection
specify %
Private
arrangement
specify %
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
and distance)
# 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 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
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