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Report - Bernard van Leer Foundation

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Research Tool:Background Information Data SheetsAppendix 6Background Information Data Collection SheetsA. About the CommunityCommunity Name: _____________________ Rural ? Semi Urban ? Date of Field Visit: ________Informants:COMMUNITY: Local Govt leaders - ? ; Traditional Leaders - ? ; Elders - M ? F ?; TBA - ? ;Youth - M ? F ?; Children - M ? F ?;PRE-SCHOOL: Bibi - ?; Preschool Teacher M ? F ?; Preschool Committee ?; Parents - M ? F ?; Women’sGroup - ?; Children - M ? F ?;SERVICE PROVIDERS: Community Health Worker ?; Clinic Nurse ?; Doctor ?;Community Socio-cultural Composition Population by age level Economic Status – sources of familyincomeSeasonal migration patterns?Literacy / education levelsmen _______________________________women _____________________________Active Adult Education programmes?Status of women & girlsLevel of interest in Formal schoolLevel of participation in COBET(out-of-school programmes)Availability, accessibility (distances, costs),challenges re social services:Water: _________________________Clinic: ______________________________Primary School: _______________________Existing Community Development InitiativesCommunity Participation inLocal government – men/womenExisting Day-Care and / or PreschoolInitiativesOther NGO’s Working in thiscommunity – give detailsImpact of HIV/AIDS in theCommunityAny Other Comments:57

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