Prevention and Response to Sexual Exploitation & Abuse in Liberia

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GBV CASES/INCIDENTS MONTHLY REPORT FORM PSYCHOSOCIAL County: ___________________________________________ District: __________________________________ Organization/Agency: ________________________________ Reporting Month: _______________ Year: ________ Referrals Cases Reported Cases Occurred Follow ups Security/ Protection Legal Med. Number of NEW Cases Reported Perpetrator Information PEP 25 yrs Unknown Start 72 25 yrs Unknown ’04 M F M F M F M F M F M F hrs hrs M F M F M F M F M F M F Type of Incident Attempted Rape Rape Gang Rape D/Violence FGM Complication Sexual Assault S/Exploitation F/Prostitution Forced marriage Total 24 Please report below if you have any cases/incidents that do not belong to the above listed categories, and if you observe certain noteworthy trends in cases/incidents reported to you. Cases Referred to Other Oganiation/Agency Cases Received by Referral 25 yrs Unknown Organization/Agency No. of Cases Organization/Agency No. of Cases M F M F M F M F M F M F Type of Incident Note: The number of cases/incidents reported reflects services provided to GBV survivors and not the actual number of GBV cases/incidents; i.e. different services providers can report on the same cases/incidents. GBV Cases/Incident Report Form 2007
Number of Persons Total Persons Profile of Audience Subjects covered < 18 > 18 Number of sessions/ Durations/Distributions Type of activity M F M F Workshop/Seminar Mass Info/Awareness TOT Group Sessions Dissemination of IEC Materials Other Support # of Beneficiaries Describe Materials Cash Support Skills Training 25 Any additional information to share with the GBV Task Force or achievements this month? Policy issues to be clarified at the national level. Do not include any confidential patient information in this or any section.
Page 1 and 2: Prevention and Response to Sexual E
Page 3 and 4: Table of Contents Executive Summary
Page 5 and 6: 1.0 Introduction This note starts b
Page 7 and 8: Within the UN system, implementatio
Page 9 and 10: are incorporated into the work of t
Page 11 and 12: Anti Rape Campaign Since January 20
Page 13 and 14: a major gap countrywide. As a resul
Page 15 and 16: 4.0 Annexes 4.1 UNCT Letters to Sta
Page 17 and 18: United Nations Country Team 13
Page 19 and 20: Qualifications and Experience: •
Page 21 and 22: . Record the details of the allegat
Page 23 and 24: 4.5 TOR for SEA Sub-Clusters of Cou
Page 25 and 26: 11. Forced (Early) Marriage: occurs
Page 27: Number of Persons Total Persons Pro
Page 31 and 32: Number of Persons Total Persons Pro
Page 33 and 34: 4.8 SEA Campaign Work Plan SEA Camp
Page 35 and 36: SEA Campaign Workplan 2007 Funds Re
Page 37 and 38: SEA Campaign Workplan 2007 Funds Re
Page 39 and 40: 4.10 Press Release, 30 June 08 Thou
Page 41 and 42: Outputs Status Responisble Organiza
Page 43 and 44: 4.12 Next Steps for PCGs on PSEA in
Page 45 and 46: 4.13 SEA Reporting Template 1. Date
Page 47 and 48: Photographs: Christopher Herwig Des

Prevention and Response to Sexual Exploitation & Abuse in Liberia

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