2017 - ARAA - HRT - Pro Moni #018

IDP Profiling Form
At group level v.4
SECTION 1: RAP IDP
1. Assessment Information 2. Mode of Assessment

1.1 Form Number
1.2 UNHCR Sub-Office/Field Office:
1.3 Date of assessment:

1.4 Date of displacement 2.6 Brief description of the group
1.5 Assessment team code:
1.6 Data entry clerk code:
1.7 Basis of information:
2.4 Information received through other sources

2.1 Direct visit to place of displacement
1.8 Source of Information:
3. Place of Displacement
Location
Province District District ID Village Location Type
Name
3.1 If IDPs
Kabul Gardiz are in Secondary
Jalalabad Hirat
Displacement - where were the IDPs before they came to this Place of Displacem
Mazar-i-Sharif 2.2 Partners visit to place of displacement
2.5 Please indicate the source of no.4
Location
Province District District ID Village Location Type
Name
Bamyan Kandahar
Kunduz Islam Qala
Maimana
Zaranj
2.3 Information received through IDP representative
3.2 If yes, how long were they there? month(s)
4. Place of origin
Origin A Origin B Origin C Origin D Origin E Origin F Origin G
Province
4.1 - Place
of Origin
District
Village
FAM
Before 31 Dec.
Displacement
Persecution and
Protracted
conflict-induced
IND
2002
4.2 -
NaturalEstimate FAM
disaster-
induced IND
Persecution and FAM
Registrition
Post - 31 Dec.
Displacement
conflict-induced
IND
2002
4.3 -
Natural
Suvey
FAM
Various / Other
disaster-
IND
induced
Total Individuals
NGO Government
Other
5. Ethnicity of the IDP Populations (number of individuals) (please
UNHCR
Pashtun Tajik Hazara
Various / Other Turkman Uzbek Baloch specify) Total
0
6. Age and Sex of the IDP Populations

0-4 5-11 12-17 18-59 60+
M F M F M F M F M F
Camp/settlement urban
Camp/settlement
Lives withrural
relatives
Livesinwith
urban
relatives in rural
Page 1 of 160
Camp/settlement urban
Camp/settlement
Lives withrural
relatives
Livesinwith
urban
relatives in rural
7. Number of vulnerable individuals in the group:

7.1 UAM: Unaco. Minor 7.4 UE: Unaccompanied Elderly 7.7 CI: Chronically Ill
7.2 SF: Single Female 7.5 PD: Physically Disabled 7.8
7.9 PF:
DA: Very
DrugPoor Family
Addicted head of
7.3 SP: Single Parent 7.6 MI: Mentally Ill
family
8. Top 3 primary reasons (in order of priority) of displacement?

Protection Natural Disaster:
Livesinwith relatives in rural
Insecurity: Camp/settlement urban
Camp/settlement
Lives withrural
relatives urban 8.16 - Drought/dryness
8.1 - Armed conflict / Hostilities 8.17 - Floods
8.2 - General deterioration of security 8.18 - Sand Storm
8.3 - Targeted Persecution 8.19 - Landslide
8.4 - Land dispute/land occupation 8.20 - Earthquake
8.5 - Intimidation/threats 8.21 - Snow avalanche
8.6 - Extortion Social Services
8.7 - Illegal taxation 8.22 Absence of Social Services (Hea
8.8 - Forced Recruitment 8.23 Existing Social Services recently
8.9 - Blood feud 8.24 Absence of sources of potable w
8.10 - Cessation of traditional nomad movemen 8.25 Shelter/house destroyed
8.11 - Presence of mines, IEDs or other UXOs 8.26 Community/Family displaced
8.12 - Inter-tribal dispute Livelihoods
8.13 - Impact of Cross border shelling 8.27 Loss of daily labour work
8.14 - Military Operations 8.28 Loss of animals
8.15 - Other human rights violations 8.29 Arable land not available
8.30 Pasture land not available
8.15.1 If the above is yes, who was the perpetrator? 8.31 Looking for better labour oppor
1. AGEs 2. ANA 3. ANP 4. IMF 5. Arbakai 6. ALP 8.32 Heard of assistance available in
7. Local commander 8. Other (specify) 8.33 Other (please specify)
Page 2 of 160
SECTION 2: PROTECTION
9. PROTECTION
Right to physical safety and security
Are IDPs affected by armed conflict or the presence of armed groups at their present location? If
9.1
yes, please
Does elaborate.
the presence of IEDs, landmines and UXOs present a threat to the IDPs at their present
9.2
location?
Did any person from the group members suffer from injury, death, sexual violence, abduction,
9.3
forced recruitment, discrimination, extortion, intimidation?
Who did you seek support from in case of above risks? 1. Police 2. Community leader 3. IDP
9.4
representative 4. Other (specify)
Right to documentation
Are there any obstacles to IDPs access to national identity documents on an equal basis with other
9.5
locals? No/Yes)
9.6 Are newborn IDP children issued an ID Card (Tazkira) by competent authorities?
Services
Are there any facilities to provide services to IDPs with vulnerabilities or other special protection
9.7
need? If so, please describe.
Are there protection mechanisms in place for victims of domestic violence and rape?(No/Yes), if so
9.8
what?
Education
9.9 Do IDP children attend school in place of displacement? If not why? please elaborate?
Living Condition in Place of Displacement
Rented house Tent/open space
9.10 House without paying rent Makeshift
Sharing house with host families Other
9.11 Average IDP persons living in one room?
Protection Need
9.12 Have the Immediate Protection needs of IDPs been identified ?
9.13 Are any interventions being planned or implemented?
9.14 If yes, by whom?
10. COMMUNITY SERVICES / DEVELOPMENT

General
10.1 Has a Participatory Assessment been conducted?
11. EMERGENCY SHELTER

Shelter & Physical planning
11.1 Total surface area (m2)
11.2 Total population
11.3 No. of households with adequate dwellings
11.4 Total no. of households
11.5 Average dwelling floor size per person (m2)
11.6 Distance from border (by air, km)
11.7 Distance to main population center/main routes (km)
SECTION 3: PROTECTION
12. ASSISTANCE
Assistance provided in displacement
12.1 Assistance type Food Items Non food items
12.2 Assistance provider
12.3 Date of assessment
12.4 Date of assistance
Number beneficiary (families and
12.5 Families Individuals
individuals)
12.6 Data entry by
12.7 Assistance remark
Page 3 of 160
SECTION 4: DURABLE SOLUTION
13. DURABLE SOLUTIONS

Return, local integration and relocation
13.1 Do IDPs have access to information about conditions in their place of origin which allows them to
make a free and informed choice about whether to return or not? (No/Yes) if yes, by whom?
13.2 Do you have plan to return to your place of origin?
13.3 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
13.4 Are conditions in the area of origin conducive for return in safety and dignity?
13.5 Are the IDPs planning to locally integrate?
13.6 if so what are the obstacles? 1.Lack of land/shelter 2.Insecurity 2.Pressure by local authority
4.Pressure by local community 5.Lack of livelihood 6. Other (specify)
13.7 Are the IDPs considering relocation to a third place?
13.8 If so where?
13.9 Why?
Durable Solutions Events
IDP return/Local integration/
13.10 IDP return Local integration
Relocation
13.11 If IDP return? Organized Spontaneous
13.12 Date of assessment
13.13 Date of return
14. Place of returning

Origin A Origin B Origin C Origin D Origin E Origin F Origin G
Province
Place of
Origin
14.1 -
District
Village
FAM
Before 31 Dec.
Persecution and
Displacement Post Displacement
Protracted
conflict-induced
IND
14.2 -
2002
Natural FAM
disaster-
induced IND
FAM
- 31 Dec. 2002
Persecution and
conflict-induced
IND
14.3 -
Natural FAM
disaster-
IND
induced
Total Individuals
Other
15. Ethnicity of the IDP Populations (number of individuals) found dur
(please
Pashtun Tajik Hazara Turkman Uzbek Baloch specify) Total
16. Age and Sex of the IDPs found durable solutions

0-4 5-11 12-17 18-59 60+
M F M F M F M F M F
17. Durable solutions remarks
Declaration:
Signature ________________________
Page 4 of 160
Name of the team leader:
_________________________________
Page 5 of 160
e group
Longitude Latitude
GPS coordinates
(East/West (North/Sou
) th)
ce of Displacement? Longitude Latitude

GPS coordinates
(East/West (North/Sou
) th)
Origin H Origin I Origin J Origin K
Total
0
Page 6 of 160
7.10 MC: Medical Case
7.11 SC: Special Case
yness
nche
ial Services (Health/Education, other)

Services recently destroyed or no longer
rces of potable water
destroyed
mily displaced
bour work
s
t available
ot available
ter labour opportunities
ance available in place of displacement
cify)
Page 7 of 160
Response Observations
Please describe:
Other
Page 8 of 160
Observations
Relocation
Origin H Origin I Origin J Origin K
Total
Page 9 of 160
Page 10 of 160
DRAFT - PMT Questionnaire
3 Feb. 2013
1. Assessment Information
1.1 Form Number
Kabul Gardiz Jalalabad Hirat Mazar-i-Sharif Islam Qala
Bamyan Kandahar Kunduz Maimana Zaranj
1.3 Date of initial assessment:

1.4 Date of last assessment:
1.5 Date of displacement
1.7 Basis of information: Estimate Registrition Information received through IDP representative
Survey Various / Other
1.8 Source of Information: NGO Government UN Agency
UNHCR Community leaders Information received through IDP representative
Direct visit to place of displacement Various / Other and specify
1.9 Mode of assessment: Partners visit to place of displacement
Joint assessment with IDP TF members
2. Brief Description of the group
in order to avoid big long stories writing, we would like to recommend to write only the "Red Flags"
regarding the caseloads which needs special attention
Sub-village /
province District Village
Ward
Rural
GPS coordinates
Longitude Latitude
(East/West) (North/South)
City subdistrict
province District
City (Nahiya)
Urban
GPS coordinates
Urban
Longitude Latitude
(East/West) (North/South)
3.1 Is the last place you moved from, your place of origin?
3.2. If IDPs are in Secondary Displacement - where were the IDPs before th
Sub-village /
Rural
Ward
subdistrict
Urban
province District City

(Nahiya)
3.3. If yes, how long were they there?

1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one yea
3.4. Do you have any future movement intentions?
3.4.1 If, yes, where to?
Sub-village /
Rural
Ward
subdistrict
Urban

(Nahiya)
3.4.2. if yes, what is the estimated timeframe? Chose from options below:
1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one yea
4. Place of origin
Origin A Origin B
Province
District
Rural
Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban
city
subdistrict (Nahiya)
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals
5. Ethnicity of the IDP Populations (number of individuals)
Pashtun Tajik Hazara Turkman Uzbek

0-4 5-11 12-17
M F M F M
7. Number of PSNs in the group:

7.1 SC-UC:
7.4 ER-NF: Single older person
Unaccompanied child
7.2 WR-SF: Single women

7.5 DS: Physically Disability
at risk
7.3 SP-PT: Single Parent 7.6 DS-MM: Mentally Ill
7.13 Discription:

Protection
1. Causes
8.1 Armed conflict / Military Operations

8.2 Generalized Violence
8.2.1 lack of protection by police (ANP) and/or the army (ANA) and
8.2.2 lawlessness, prevalence of criminal gangs
8.2.3 civilian deaths from suicide bombers or IEDs
8.2.4 executions including acts of extreme brutality (e.g. beheadin
8.3 Human Rights violations and Targeted Persecution
8.3.1 threats against, or violence directed at, people working for
8.3.2 threats against, or violence directed at, children (especially
8.3.3 forced recruitment
8.3.4 threats against, or violence directed at, persons participati
8.3.5 GBV or threats against women
8.3.6 extortion or illegal taxation
8.3.7 other specify under number 8.16
8.4 Inter-tribal or factional fighting
8.5 Land dispute /Land occupation
8.6 Blood feuds
8.7 presence of mines, IEDs or other UXOs
8.8 Cross border shelling
8.9 other specify under number 8.16
If the above is yes, who was the perpetrator?
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.governme
8.11 international armed forces 1.coalition/international forces
1.AGEs 2.Local
commanders
3.Afghan
Taliban
4.Haqqani
Network
8.12 non-governamental armed forces 5.Islamic party
8.13 domestic/community actors 1.NGOs 2.Religious leaders 3.eld
8.14 pakistani armed forces
8.15 criminal gangs
8.16 Other (please specify)
9. PROTECTION

1.0 Are there any security risks present at the current location?
2.0 if yes, by whom?
2.1
government associated armed forces
2.2
international armed forces
2.3
non-governamental armed forces
2.4 domestic/community actors
2.6 criminal gangs
3.0 Did any person from the group members suffer from injury?
4.0 Did any person from the group members suffer from sexual violence?
5.0 Did any person from the group members suffer from death?
6.0 Did any person from the group members suffer from abduction?
7 Did any person from the group members suffer from forced recruitment?
8 Did any person from the group members suffer from discrimination?
9 Did any person from the group members suffer from extortion?
10 Did any person from the group members suffer from intimidation?
11 Did any person from the group members suffer from disappearances?
12 Does the presence of IEDs, landmines and UXOs present a threat to the IDPs?
13 Did you seek support in case of above risks/incidents?
report to
report to
14 if yes, where? community report to elders
police
leader
15 Did the authorities respond?
if yes, which
16 authority did police elders
respond?
Situation at the place of Displacement
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an eq
18.0 Do you have to pay more money for the Tazkera than the host community?
20.0 Do you face problems related to a lack of documentation?
Services
21 Is basic health care available?
22 Is mother and child health care available?
23 Is potable water available?
24 Are hygienic latrine available?
25 Do you have to pay for the services more than the host community?
Education
26 Is Grade 1-6 education facility available?
27 Do school age girls/boys attend school?
28 If not, which of the below reasons prevent children for attending school?
too soon
Lack of
school is after school has not
Access denied primary
too far displacemen started yet
school
t
NFIs / Livelihood
29 Are there enough basic household items for the IDPs?
30 Is there sufficient food available for the IDPs?
31 Do IDPs have access to employment in the place of displacement?
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage
33 Do IDPs get support from others?
34 1. by the government 2. Community leader
If yes, by whom?
10. Housing, land and property in the Place of Displacement
1 Do you have access to shelter or accommodation at the place of displacement?
what kind of accommodation do the IDPs have access to:
Rented house
House without paying rent
2 Own shelter
Sharing house with host families
Self established camp
other, specify:
To whom does the land belong to?
3 2. host
1. family community 3. landlord
4 No. of households with adequate dwellings
5
Shelter concerns: 1. overcrowde2. no privacy
6 Are there threats of eviction?
7
1. host
If yes, by whom? community 2. landlord
11. Humanitarian Assistance

Food Items
Water
11.1 Assistance type
Latrines
Winterization kits
Food Items
11.2 Assistance provider Latrines
Tent/shelter
Date of assistance

12.1 Do IDPs have access to information about conditions in their place of origin?
12.2 have IDPs visited their place of origin since the displacement?
12.3 Do IDPs have plan to return to their place of origin?
12.3.1 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months
12.3.2. If occupation of threat by ongoing
insecurity
not, why: land AGEs fighting
12.4 Are the IDPs planning to stay in the currentl place of displacement?
if yes, what are lack of insecurity pressure by
12.4.1 the obstacles? land/shelter local authority
to leave
if yes, why? Please explain:
12.5.1

12.5.2 If yes, where to?
12.5.3 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months
12.6 IDP return/Local integration/ Relocation IDP return
12.7 If IDP have returned, in which way? Organized
12.8 Date of return dd/mm/yyyy

Place of Relocation
Location A Location B
Province
Rural
District
Village
subvillage
province
district
Urban
city
Ghozar
FAM
IND
Total Individuals
ormation received through IDP representative
UN Agency
Information received through IDP representative
Various / Other and specify
write only the "Red Flags"

on
Ghozar
origin?
were the IDPs before they came to this Place of Displacement?
Ghozar
6 -12 months, 4. > one year
Ghozar
from options below:

6 -12 months, 4. > one year
Origin C
Baloch
12-17
F
der person
sability
y Ill
cement?
d/or the army (ANA) and

brutality (e.g. beheadin
at, people working for

at, children (especially
at, persons participati
ANSF 2.ANP 3.government officials 4.ALP

on/international forces
2.Religious leaders 3.elder/village authority 4.landlord

ation?
1.ANA 2.ANP 3.government officials 4.ALP
1.coalition/international forces
1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani Network 5.Islamic party

1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord
njury?
sexual violence?
death?
abduction?
orced recruitment?
discrimination?
extortion?
ntimidation?
disappearances?
ent a threat to the IDPs?
?
report to
religious
leaders
religious
leaders
entity documents on an equal basis with other locals?

the host community?
by competent authorities?
tion?
st community?
r attending school?
Burning of
girls schools
splacement?
DPs from engaging in wage earning employment?
mmunity leader 34.

.O
Uth
Ner
H(s
Cp
Re
/ cif
Dy)
o
R
R
34.
.O
Uth
Ner
H(s
Cp
Re
/ cif
Dy)
o
he place of displacement?
R
R
to:
4. government
3. no
protection
from weather
elements
3. government
ms
zation kits
ms
elter
n their place of origin?

cement?
, 3. between 6 -12 months, 4. > one year

personal
enmity
displacement?
pressure by
local
community to
leave
Sub-village /
Ward
, 3. between 6 -12 months, 4. > one year
number of families
number of families
epresentative Various / Other and specify
before they came to this Place of Displacement?
GPS coordinates
Latitude
Longitude (East/West) (North/South)
GPS coordinates
Latitude
. > one year
GPS coordinates
Latitude
GPS coordinates
Latitude
below:
. > one year
Origin D Origin E
Other (please
Arab specify) Total
18-59 60+
M F M F
7.7 SM-CI: Chronically illness
while the title

7.8 SA-PF: Very Poor Family indicates
INDIVIDUALS
7.9 SM-AD: Addiction
To what extent was your deci

Estimation of number of families
2. Aggravating Factor
8.17
8.18
8.19
8.2 0
8.21
8.22
8.22.1
8.22.2
8.22.3
8.23
8.24
Other (please specify)
.government officials 4.ALP
ders 3.elder/village authority 4.landlord
3. Incident information - time

8.25
8.26
8.27
8.28
8.29
2.ANP 3.government officials 4.ALP
tion/international forces
s 2.Local commanders 3.Afghan Taliban 4.Haqqani Network 5.Islamic party

s 2.Religious leaders 3.elder/village authority 4.landlord
ent?
?
he IDPs?
see medical
professional/visit medical IDP representative other, specify:
facility
others, specify:
ts on an equal basis with other locals?

unity?
uthorities?
ool?
Prevention of girls from
children have to too no female
attending school by
work expensive teacher
family members
ing in wage earning employment?

placement?
Tent
Makeshift
Public building
Open space
5. other, specify:
4. partially destroyed 5. other, specify:
4. other, specify:
fill in number of fill in

fam./ind. Non food items number of
fam./ind.
fill in number of fill in
fam./ind. hygiene kits number of
fam./ind.
fill in number of Tent/shelter
fam./ind.
fill in
fill in number of Others (specify) number of
fam./ind. fam./ind.
provider Non food items provider
provider hygiene kits provider
provider Winterization kits provider
origin?
-12 months, 4. > one year

inability to
no land available no work/livelihood no house
travel
lack of livelihood lack of basic faciliaty discriminati

on
GPS coordinates
Latitude
-12 months, 4. > one year
number of
Local integration families Relocation
number of
Spontaneous families
Yes No
Yes No
Total
M F
7.10 SM-CC: Medical Case
7.11 SA-SC: Special Case
7.12 ER - MC: Older person with children
what extent was your decision to leave influenced by the following AGGRAVATING FACTOR
Aggravating Factors
presence of drought / natural disaster
absence of social services (health, education, other)
absence of sources of potable water
absence of shelter (house destroyed)
community / family displaced
no livelihood opportunities in the place of origin
arable land, irrigation system, inaccesssible/damaged/polluted pasture land in
loss of animals
looking for better labor opportunities
IDPs heard of assistance available in place of displacement
other, specify below..
er (please specify)
ncident information - time & location ONLY FOR THE NUMBER 1 REASON OF DISPLACEMEN
provide the primary reason according to the list of "causes"
when did the incident begin dd/mm/yyyy
is this event still ongoing?
if not, end date: dd/mm/yyyy
Give the location where the incident did occur:
Sub-
Rural
province District Village village

/ Ward
subdist
rict
Urban

(Nahiy
a)
At the place of
During the Flight
Displacement
Yes all Yes some No Yes all Yes some No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No
Yes No
Yes No Yes No
Yes No Yes No
Yes No
Yes No
Yes all Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
[number of families]
Yes No
Response
Yes No
Yes No
Yes No
Yes No
landmines/U
XOs
Yes
Yes Yes some No
No
Other
(specify)
Yes Yes some No
number of families
GGRAVATING FACTORS?
Estimation of number
of families
polluted pasture land inaccessible
ON OF DISPLACEMENT!
number
Yes No
GPS
coordinates
Longitu Latitud
de e
(East/W (North/
est) South)
GPS
coordinates
Longitu Latitud
Ghozar de e
(East/W (North/
est) South)
DRAFT - PMT Question
3 Feb. 2013
1.1 Form Number

UNHCR Community leaders Information received through IDP representative Various / Other and specify
province District Village Sub-village / Ward

Rural
Rural
City
Urban
province District subdistrict (Nahiya)

City
3.2. If IDPs are in Secondary Displacement - where were the IDPs before they came to this Place of Displacemen

Rural
Urban
province District City subdistrict (Nahiya)

1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year

Rural
Urban

Urban
4. Place of origin
Origin A Origin B
Province
District
Rural
Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban
city
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals

0-4 5-11 12-17
M F M F M

7.1 SC-UC:
Unaccompanied child
at risk
7.13 Discription:

Protection
1. Causes

8.2.1 lack of protection by police (ANP) and/or the army (ANA) and the courts
8.2.4 executions including acts of extreme brutality (e.g. beheadings, stoning, throwing of acid)
8.3.1 threats against, or violence directed at, people working for government
8.3.2 threats against, or violence directed at, children (especially girls) attending school
8.3.4 threats against, or violence directed at, persons participating in humanitarian work
8.6 Blood feuds
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.government officials 4.ALP
1.AGEs 2.Local commanders 3.Afghan Taliban
8.12 non-governamental armed forces 4.Haqqani Network 5.Islamic party
8.13 domestic/community actors 1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord
8.15 criminal gangs
9. PROTECTION

2.1
2.2
2.3
2.6 criminal gangs
report to
report to
police
leader
if yes, which
respond?
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an equal basis with other locals?
Services
Education
too soon
Lack of
school is after
Access denied primary school has not started yet
too far displacemen
school
t
NFIs / Livelihood
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage earning employment?
34 1. by the government 2. Community leader 4. Other (specify)
If yes, by whom? 3. UNHCR/ DoRR
Rented house
2 Own shelter
other, specify:
3 2. host
5
7
1. host

Food Items
Water
Latrines
Winterization kits
Food Items
Tent/shelter
Date of assistance

12.3.1 If yes, when: 1. in <3months, 2. between 3-6 months, 3. between 6 -12 months, 4. > one year
12.3.2. If occupation of threat by

insecurity ongoing fighting
not, why: land AGEs
if yes, what are lack of insecurity pressure by local authority to leave
12.4.1 the obstacles? land/shelter

12.5.1


Place of Relocation
Province
Rural
District
Village
subvillage
province
district
Urban
city
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013
GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)
GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Yes No
his Place of Displacement?

GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)
GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Yes No
GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)
GPS coordinates
Ghozar
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Origin C Origin D Origin E
(pleas
e
specif
Baloch Arab y) Total
18-59 60+ Total

F M F M F M F
7.7 SM-CI:
Chronically illness
7.8 SA-PF: Very while the title
indicates 7.11 SA-SC: Special Case
Poor Family INDIVIDUALS
7.9 SM-AD: 7.12 ER - MC: Older person with

Addiction children
Estimation of number To what extent was your decision to leave influenced by the following A
of families
2. Aggravating Factors
8.17 presence of drought / natural disaster
8.18 absence of social services (health, education, other)
8.19 absence of sources of potable water
8.2 0 absence of shelter (house destroyed)
owing of acid) 8.21 community / family displaced
8.22 no livelihood opportunities in the place of origin
8.22.1 arable land, irrigation system, inaccesssible/damaged
8.22.2 loss of animals
8.22.3 looking for better labor opportunities
8.23 IDPs heard of assistance available in place of displacement
8.24 other, specify below..
hority 4.landlord
3. Incident information - time & location ONLY FOR THE NUMBER 1 REAS
8.25 provide the primary reason according to the list of "causes"
8.26 when did the incident begin dd/mm/yyyy
8.27 is this event still ongoing?
8.28 if not, end date: dd/mm/yyyy
8.29 Give the location where the incident did occur:
Sub-
Rural
/ Ward
subdist
rict
Urban
(Nahiy
a)
At the place of
During the Flight
Displacement
1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani
Network 5.Islamic party
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No
Yes No
Yes No Yes No
see medical
report to IDP
professional/visi
religious represe other, specify:
t medical
leaders ntative
facility
Yes No Yes No
religious
others, specify:
leaders
h other locals? Yes No
Yes No
Yes all Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes Yes some No
Prevention of
girls from childre
Burning of too no female
attending n have
girls schools expensive teacher
school by family to work
members
Yes No
Yes No
Yes No
ployment? Yes No
Yes No
fy)
Yes No
Tent
Makeshift
Public building
Open space
4. government 5. other, specify:

3. no [number of families]
protection
from weather
elements 4. partially destroyed 5. other, specify:
Yes No
fill in number fill in
of fam./ind. Non food items number of
fam./ind.
of fam./ind. hygiene kits number of
fam./ind.
fill in number Tent/shelter
of fam./ind.
fill in
fill in number Others (specify) number of
of fam./ind. fam./ind.
Response
Yes No
Yes No
Yes No
Yes No
ar
no
personal no land work/li inability to landmines/U
no house
enmity available velihoo travel XOs
d Yes
Yes Yes some No
No
pressure by lack of lack of basic discriminati Other

local livelihood faciliaty on (specify)
community to
leave Yes Yes some No
GPS coordinates
Latitud
Sub-village / e
Ward Longitude (North/
(East/West) South)
ar
number of
number of families Local integration families Relocation number of families
number of
number of families Spontaneous families
by the following AGGRAVATING FACTORS?
of families
other)
n
ccesssible/damaged/polluted pasture land inaccessi
ties
isplacement
HE NUMBER 1 REASON OF DISPLACEMENT!
t of "causes" number
Yes No
GPS
coordinates
Longitu Latitud
de e
(East/W (North/
est) South)
GPS
coordinates
Longitu Latitud
Ghozar de e
(East/W (North/
est) South)
DRAFT - PMT Question
3 Feb. 2013
1.1 Form Number

UNHCR Community leaders Information received through IDP representative Various / Other and specify

Rural
Rural
City
Urban
province District subdistrict (Nahiya)

City
3.2. If IDPs are in Secondary Displacement - where were the IDPs before they came to this Place of Displacemen

Rural
Urban


Rural
Urban

Urban
4. Place of origin
Origin A Origin B
Province
District
Rural
Village
subvillage
FAMILIES
INDIVIDUALS
province
district
Urban
city
Ghozar
FAMILIES
INDIVIDUALS
Total Individuals

0-4 5-11 12-17
M F M F M

7.1 SC-UC:
Unaccompanied child
at risk
7.13 Discription:

Protection
1. Causes

8.2.1 lack of protection by police (ANP) and/or the army (ANA) and the courts
8.2.4 executions including acts of extreme brutality (e.g. beheadings, stoning, throwing of acid)
8.3.1 threats against, or violence directed at, people working for government
8.3.2 threats against, or violence directed at, children (especially girls) attending school
8.3.4 threats against, or violence directed at, persons participating in humanitarian work
8.6 Blood feuds
8.1 0 government associated armed forces 1.ANA/ANSF 2.ANP 3.government officials 4.ALP
1.AGEs 2.Local commanders 3.Afghan Taliban
8.12 non-governamental armed forces 4.Haqqani Network 5.Islamic party
8.13 domestic/community actors 1.NGOs 2.Religious leaders 3.elder/village authority 4.landlord
8.15 criminal gangs
9. PROTECTION

2.1
2.2
2.3
2.6 criminal gangs
report to
report to
police
leader
if yes, which
respond?
Documentation
17.0 Are there any obstacles to IDPs access to national identity documents on an equal basis with other locals?
Services
Education
too soon
Lack of
school is after
Access denied primary school has not started yet
too far displacemen
school
t
NFIs / Livelihood
32 Are there legal or practical barriers that prevent the IDPs from engaging in wage earning employment?
34 1. by the government 2. Community leader 4. Other (specify)
If yes, by whom? 3. UNHCR/ DoRR
Rented house
2 Own shelter
other, specify:
3 2. host
5
7
1. host

Food Items
Water
Latrines
Winterization kits
Food Items
Tent/shelter
Date of assistance

12.3.2. If occupation of threat by

insecurity ongoing fighting
not, why: land AGEs
if yes, what are lack of insecurity pressure by local authority to leave
12.4.1 the obstacles? land/shelter

12.5.1


Place of Relocation
Province
Rural
District
Village
subvillage
province
district
Urban
city
Ghozar
FAM
IND
Total Individuals
MT Questionnaire
3 Feb. 2013
GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)
GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Yes No
his Place of Displacement?

GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)
GPS coordinates
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Yes No
GPS coordinates
Latitud
e
Longitude (North/
(East/West) South)
GPS coordinates
Ghozar
Latitud
Ghozar e
Longitude (North/
(East/West) South)
Origin C Origin D Origin E
(pleas
e
specif
Baloch Arab y) Total
18-59 60+ Total

F M F M F M F
7.7 SM-CI:
Chronically illness
7.8 SA-PF: Very while the title
indicates 7.11 SA-SC: Special Case
Poor Family INDIVIDUALS
7.9 SM-AD: 7.12 ER - MC: Older person with

Addiction children
Estimation of number To what extent was your decision to leave influenced by the following A
of families
2. Aggravating Factors
8.17 presence of drought / natural disaster
8.18 absence of social services (health, education, other)
8.19 absence of sources of potable water
8.2 0 absence of shelter (house destroyed)
owing of acid) 8.21 community / family displaced
8.22 no livelihood opportunities in the place of origin
8.22.1 arable land, irrigation system, inaccesssible/damaged
8.22.2 loss of animals
8.22.3 looking for better labor opportunities
8.23 IDPs heard of assistance available in place of displacement
8.24 other, specify below..
hority 4.landlord
3. Incident information - time & location ONLY FOR THE NUMBER 1 REAS
8.25 provide the primary reason according to the list of "causes"
8.26 when did the incident begin dd/mm/yyyy
8.27 is this event still ongoing?
8.28 if not, end date: dd/mm/yyyy
8.29 Give the location where the incident did occur:
Sub-
Rural
/ Ward
subdist
rict
Urban
(Nahiy
a)
At the place of
During the Flight
Displacement
1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani
Network 5.Islamic party
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No
Yes No
Yes No Yes No
see medical
report to IDP
professional/visi
religious represe other, specify:
t medical
leaders ntative
facility
Yes No Yes No
religious
others, specify:
leaders
h other locals? Yes No
Yes No
Yes all Yes some No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes Yes some No
Prevention of
girls from childre
Burning of too no female
attending n have
girls schools expensive teacher
school by family to work
members
Yes No
Yes No
Yes No
ployment? Yes No
Yes No
fy)
Yes No
Tent
Makeshift
Public building
Open space

3. no [number of families]
protection
from weather
elements 4. partially destroyed 5. other, specify:
Yes No
of fam./ind. Non food items number of
fam./ind.
of fam./ind. hygiene kits number of
fam./ind.
fill in number Tent/shelter
of fam./ind.
fill in
fill in number Others (specify) number of
of fam./ind. fam./ind.
Response
Yes No
Yes No
Yes No
Yes No
ar
no
personal no land work/li inability to landmines/U
no house
enmity available velihoo travel XOs
d Yes
Yes Yes some No
No
pressure by lack of lack of basic discriminati Other

local livelihood faciliaty on (specify)
community to
leave Yes Yes some No
GPS coordinates
Latitud
Sub-village / e
Ward Longitude (North/
(East/West) South)
ar
number of
number of families Local integration families Relocation number of families
number of
number of families Spontaneous families
by the following AGGRAVATING FACTORS?
of families
other)
n
ccesssible/damaged/polluted pasture land inaccessi
ties
isplacement
HE NUMBER 1 REASON OF DISPLACEMENT!
t of "causes" number
Yes No
GPS
coordinates
Longitu Latitud
de e
(East/W (North/
est) South)
GPS
coordinates
Longitu Latitud
Ghozar de e
(East/W (North/
est) South)
Protection Monitoring During Displacement
1. Basic information
1.1 Group Number 1.2 Date of Monitoring: 1.3 Monitoring visit #
1.4 Monitoring Team Members:
1.5 Monitoring Name of Institutions:
2. IDP Population changes in location of displacement
2.1 Have new families arrived to the location due to conflict in the place where they lived? Yes No
Individual Individual Individual
2.1.1 If yes, how Families Families Families
s From the same district s From other district: s
many?
How many arrived during the Families Individuals How many arrived during the last sixe Families Individuals
2.1.2
last month? months?
If new families arrived from outside this district, please list the provinces and districts they came from
How many families from the Families Individuals 2.3 How many families remain in the Families Individuals
2.2
group left the location? location?
Part 2: Group Population in current location of displacement

3. Age and Sex of the IDPs still in the location Estimate Exact details confirmed
0-4 5-11 12-17 18-59 60+ Total

Male Female Male Female Male Female Male Female Male Female Male Female
4. Number of PSNs in the Group (individuals)

Children Woman at risk (women Older person at risk Person with Single Other(specify)
separated from Children Serious
heading HH, widow, women (old person heading physical or male
their parents heading medical
without community HH, single old mental head of
0-5 HH condition
All years
support) person) disability HH
Page 129 of 160

Further info on PSN cases:
5. Ethnicity of the IDPs still in the location
5.1 Ethnicities in the group (mark all that apply)
Pashtun Tajik Hazara Uzbek Turkman Baluch Other-Specify:
5.2 Of those, what is the main ethnicity (mark only one)

No main
Pashtun Tajik Hazara Uzbek Turkman Baluch Other-Specify:
group
Part 3: Durable Solutions Estimate Exact details confirmed
6. Returned to place of origin/ info

Families Individuals
6.1 How many people returned to the place of origin?
6.2 Majority of families returned Entire families Only with part of their members
6.2.1 In case the majority of families returned with "part of their members", More
More women? Approximately equal number?
were they men?
6.3 For what reasons did the IDPs return (mark all that apply)?
Situation improved in place of Forced by military Dispute with local community (over
Forced by civilian authorities Forced by AGEs
origin authorities land/resources)
No adequate shelter Insufficient livelihood Other (Please specify)
Please indicate the places of return:
Province District/ City Rural Urban Families Individuals Return Date (M/Y)
Page 130 of 160

Further details /info/elaboration on the causes of return.
7. Moved to another location

7.1 How many people moved to another location?
7.2 Majority of families moved Entire families Only with part of their members
7.2.1 In case the majority of families moved with "part of their members", More
More women? Approximately equal number?
men?
were they
7.3 For what reasons did the IDPs move (mark all that apply)?
Forced by military Forced by AGEs Dispute with local community (over

Forced by civilian authorities
authorities land/resources)
No adequate shelter Insufficient livelihood Other (Please specify)
Please indicate the places of return:
Province District/ City Rural Urban Families Individuals Return Date (M/Y)
Page 131 of 160

Further details /info/elaboration on the causes of return.
Other reasons (other than the two above-mentioned) for the changes in the number of IDPs since initial assessment:
Part 3 Protection
8. PROTECTION (Applies to the current place of displacement)
8.1 What are the main current protection concerns for IDPs (mark all that apply)?
Arrest or
Insecurity Presence Mines/UXOs/IEDs Armed Hostilities Intimidation by AGEs Intimidation by ANSF
detention
Land Intercommoned Theft, common Attacks against school and
Separation of family
dispute dispute crimes hospital
Disappearance/ Risk of forced Other (Please

kidnaping recruitment specify)
Please give details on the selection opti
8.2 Source of insecurity/harm
International Local armed

ANSF ALP AGEs Others(specify):
forces groups/militias
Are the law enforcement agencies present in the current location? If yes, which agencies? Mark the right options below.
8.3
Afghan National Afghan local Afghan National security
Others (specify):
Police police forces
Are there any movement restrictions for the IDPs?

8.4 Presence of checkpoints Presence of checkpoints
No restriction Other restrictions (specify)
(ANSF) (AGEs)
8.5 Since when you were displaced, has the security situation Improved Deteriorated Remained the same
9. Education and Child Protection
9.1 Since displacement, did children stop attending primary school (from 1 st to 6th class)?
Yes No Some
Page 132 of 160

9.2 if some children stopped attending school, they were more boys more girls
9.3 Since being displaced, how many of the children are attending school/learning space (from 1 st to 6th class)?
Boys Up to 25 % Up to 50 % Up to 75 % Up to 100 %
Girls Up to 25 % Up to 50 % Up to 75 % Up to 100 %
What are the main reasons for children not attending school (mark all that apply)?
9.4 Distance Lack of Lack of female

Security Parents can Children are No low
(school is far documentatio teachers/female Other (specify)
issues not afford working rate
away) n friendly facilities.
Boys
Girls
9.5 Since the displacement, has school attendance:

Improved Worsened Remained the same
Please comment on education needs:
Killing or Forced Attacks against

What are the main concerns for children (mark all that apply)?
maiming recruitment
Abduction
schools
9.6
Psychological Other type of Harmful/hazardous
distress/trauma violence labour Other (specify)
9.7 How many children have been injured or killed by land mines/UXO/IED in the current area of displacement?
9.8 Have injured children (from mines, etc.) been able to access medical care? Yes No Some
In case of children separated from their parents, to which institution were they referred (mark all that apply)?
9.9 Authority of Government UN/NGO Do not
community authority know
9.10 Does child marriage occur in the community? Yes No
9.11 If answer in 9.10 is "yes", did it increase during the displacement?

Yes No
9.12 If answer in 9.11 is "yes", was it More for girls More for boys Same for girls and boys
9.15 Do children under 18 work (except regular family chores)? Yes No
Page 133 of 160

9.14 If answer in 9.15 is "yes", did it increase due to displacement? Yes No
9.15 If answer in 9.14 is "yes", was it More for girls More for boys Same for girls and boys
Please describe any child protection needs:
10. Documentation
10.1 Have families who did not have ID documents been able to obtain them during their displacement
Yes period? No
10.2 Percentages of people without national ID cards?
Male Up to 25 % Up to 50 % Up to 75 % Up to 100 %
Female Up to 25 % Up to 50 % Up to 75 % Up to 100 %
Are there any obstacles to IDPs' access to national ID card (mark all that apply)?
Costs or fees Lack of knowledge on procedure
10.3 IDPs have to pay more than local
Have to go to place of origin Other (specify)
residents
10.4 Are newborn IDP children issued a birth certificate by competent authorities? Yes No
Do IDPs face problems related to lack of national ID card (mark all thatAccess
apply)?
to health services Access to school
10.5 education
Access to assistance Security problems Other (specify)
Any comments on documentation:
11. Access to Justice

In case of incident, to whom do IDPs report (mark all that apply)? Authorities Police Community/Leader Elders
11.1 IDP
Representative Religious Leader Shura Others(specify):
11.2 Has any specific incident occurred or dispute been brought to a formal justice mechanism? Yes No
11.2.1 If yes, which of the following (mark all that apply): Arbitrary arrest and Physical or sexual Land
Criminal act
detention assault dispute
Other
Forced recruitment
(specify)
11.2.2 Please briefly describe the incident:
Page 134 of 160

11.3 Was the response adequate? Yes No
11.4 Since when you were displaced, has the access to justice Improved Deteriorated Remained the same
Please comment on access to justice, including for women:
12. Food Security and Nutrition

Yes No Some
12.1 Do IDPs have access to food stocks in the current location?
Work (adult family Sharing with
Buying in market Sell assets
In case of lack of food, how do the families members) others
12.2
cope (mark all that apply)? Borrow money
Sending children to
Other specify:
work
1 to 2 More than 2
Less than a week
12.3 How long will existing food stocks last on average?
weeks weeks
12.4 Any change in the amount or quality of food people are eating since displaced? Yes No Some
Yes No Some
12.5 Do the IDPs have access to a functioning market?
12.6 If the community relies on the market, does it have enough money to buy food?Yes No Some
Please comment on the food security and nutrition situation (If answer to any of the above questions is "Some", clarify it here):
Remained the
12.7Since when you were displaced, has the food security and nutrition situation Improved Deteriorated
same
13. Health and Sanitation (mark the right answer)
13.1 Is there enough water for drinking? Yes for all No For some
Yes for all No For some

13.2 Is there enough water for cooking?
13.3 Is there enough water for washing? Yes for all No For some
13.4 Since when you were displaced, has the water situati Improved Deteriorated Remained the same

Page 135 of 160
Improved Deteriorated Remained the same

13.5 Do IDPs have access to latrines?
13.6 Do women/girls have access to separate latrines?
13.7Since when you were displaced, has the sanitation situation Improved Deteriorated Remained the same
13.8 Is basic health care accessible within 5 Km or 1 hour walking? Yes for all No For some
13.9 Is mother and child health care accessible within 5 Km or 1 hour walking? Yes for all No For some
13.1 Do IDPs have to pay for the health services more than the host community? Yes No
Yes No
13.11 Do vulnerable groups (women, old person, persons with disabilities) experience difficulties in accessing health facilities?
What are the 2 most common illnesses in the community? Mark the answers in below.
13.12 Respiratory Skin
Diarrhea/vomiting Measles Other (specify):
disease infections
13.13 Since when you were displaced, has the health situation Improved Deteriorated Remained the same
Please comment on water quality, sanitation and health situation:
14. Shelter, Accommodation and Property in the Place of Displacement
Where do IDPs live? (number of families)
With host Spontaneous Purchased Makeshift Public Other (Specify):

14.1 Rented
families or camp/settlement accommodati Tent Dwelling shelter building
house
relatives on
How are the HHs now Mostly Both scattered and

14.2 Mostly scattered
aggregated aggregated
distributed?
For
14.3 Yes
Is it common for families of this group to change their accommodation during the displacement? No
some
Not able to pay Conflict with Conflict with the

14.3.1 If yes, why (mark all that apply)? Evictions Other (specify):
rent owenr community
Page 136 of 160

For
Yes No
14.4 Has the land property changed since initial displacement? some
14.5 If "yes" or "for some", how has the land property changed (to whom does the land where the IDPs are living generally belong)?
Relatives Host community Private Landlords Government Other (specify)
No good protection from weather/ bad quality Partially

What are the shelter concerns for Overcrowded No privacy
shelter destroyed
14.6 IDPs (mark all that apply)? No money to pay rent No
Evictions Other (specify)
concern
14.7 No. of HHs with adequate dwellings:

14.8 Average number of HHs per shelter:
Yes No
14.9 Were there evictions of IDPs from the group?
If yes,
14.9.1 By whom/which cause?
Dispute with host Dispute with Government order to Private land
landlords No means to pay rent owner Other (specify)
community vacate
14.9.2 How many families were affected?

Are there perspective for shelter solution?
Yes No 14.10.1 If yes, mark all that apply below.
14.10 Self construction (no
Government Relatives Assistance IC/INGOs Other (specify)
help)
14.10.1 How many families applied for land with MORR?
14.10.2 How many received the land?

Yes No
14.11 Are there displaced families in the group who have acquired land during displacements?
Do not
Yes No
If yes, how many (if known Have they been give a title? know
Increased Decreased Remained the same

14.12 Have land disputes between communities and IDPs?

14.13 Since when you were displaced, has the shelter situat
Please comment on the housing, land and property situation of IDPs:
Page 137 of 160

15. NFIs / Livelihood
15.1 Are there enough basic household items for the IDPs?
Hygiene
Bedding/blankets Clothing Kitchen sets
items
What are the most needed items?
15.2 Specific items for women and
Other (specify)
girls
Yes for all No Some

15.3 Do IDPs have access to livelihood opportunities in the place of displacement?
Yes for all No Some
15.4 Do IDPs have livestock?

15.5Since when you were displaced, has the NFIs/livelihood situation
Please comment on the NFIs / Livelihood situation

Yes No
16.1 Did the IDPs receive at least once assistance in this location? If yes, when was it the last time?Date:
Regularly Occasionally Only once

16.2 What frequency on average?
16.3 Indicate the details of the distributed assistance in below:
To how many families? By whom (mark all that apply)? Last date (Month/Year):
Type of Assistance
None Some All Gov UN INGO LNGO ICRC/ ARC Other (Specify):
NFI
Hygiene Kits
Tents/shelter
Latrine
Water
Winterization
Page 138 of 160

Food
Cash
Other (Specify):
Specific groups Distribution methods exclude vulnerable
16.4 Do IDPs face problems in Not enough Unequal Political interference
excluded groups
receiving assistance (mark all that
apply)?
People with no ID Non responding to actual Non-affected groups
Other (specify)
excluded needs assisted
Any comments on the assistance:
17. Assessment of Protection Needs
17.1 What are the prioritized protection concern of the IDP group?
Concern 1
Concern 2
Concern 3
Any additional comments/ detail
18. Emergency Assistance Needs
18.1 What are the prioritized emergency assistance needs of the IDP group (specify maximum 3 choices)?
Health
Specific Civil Specific
services Education
Sanitation assistance for documentatio assistanc Other (Specify):
Needs Food NFIs Shelter Water (including /
/ Latrines people with n/ legal e for
psychological schooling
disabilities services children
Priority )
(1, 2, 3)
Page 139 of 160

Detail:
Any additional comments:
19. Future Intention of remaining families
Primary Reason (mark only one reason)
individuals
families
Requeste
No. of
No of
Livelihood Access to d/forced
Securit Shelte
Family / basic by Others
y r
economic services Authoritie
s
19.1 How many families intend to return to their place of origi
19.2 How many families intend to stay and integrate in this loc
19.3 How many families intend to move forward from this location?
Comments on reasons:
When do you intend to move?

Choose from options below.
Province District/ City Village/Nayia Rural Urban Families Individuals
in < 3 In 3-6 In 6 -12
In > one year
months months months
Page 140 of 160

Page 141 of 160
Individual
s
dividuals
dividuals
male
Page 142 of 160

onfirmed
viduals
er
e (M/Y)
Page 143 of 160

viduals
e (M/Y)
Page 144 of 160

nt:
Page 145 of 160

ify)
irls and boys
Page 146 of 160

irls and boys
ocedure
No
Page 147 of 160

Some
Some
Some
Some
ed the
or some
or some
or some
or some
Page 148 of 160
or some
or some
or some
or some
No
s?
Page 149 of 160

belong)?
Page 150 of 160

ome
Some
Month/Year):
Page 151 of 160

nerable
):
Page 152 of 160

n)
Others
e?
w.
> one year
Page 153 of 160

Page 154 of 160
Protection Monitoring During Displacement
To be used at least 3 months after initial displacement and for follow up monitoring of protracted displacement
Methodology: Focus Group Discussion
A. Basic Data
1. Basic information
1.1 Group 1.3 Monitoring visit 2017_ARAA_HRT_P
2016_HRT_ARAA # 127 1.2 Date of Monitoring visit: 16-Feb-2017
Number number ro Moni #018
1.4 Date of initial displacement Month Mar Year 2016 10-Mar-2016
One Second Third One

3 Month 4 Month
1.5 Number of weeks/months week Week Week Month
after displacement 5 6-9 10-12 13-18 19-24
6 Months
Months
Over Months Month Months Months
Two
In location of initial
Years

displacement
In l ocation other than
1.6 Are families:
initial
In placedisplacement
of origin (use monitoring
after return form)
Different district, same
1.7 If displaced in location other than Different village, same district; province;
initial place of displacement Different
Different province, same region;
region
1.8 Current place of
Region West Province Hirat District Hirat City Village Khaja Abdul Misr
displacement
1.8.1 GPS Coordinates Latitude Longitude
1.9 Place of Origin Region West Province Ghor District Saghar Village Yakka Gonbad
1.9.1 GPS Coordinates (only in

Latitude N/A Longitude N/A
case of return)
Position in the Name:Moham Contact:
19-
Male Key 18 60 community:Repres mad S/O Abdul 0780356229_0
59 entatives Majid 744035199
Informant
Female Key 19- Position in the Name: F.G.D Contact: N/A
60 community: IDP
informant 18 59
1.10 Information collected Persons with Single Female
Child headed
through (select all that applies) 13-18 19-39 40-59 60 + physical or mental Headed
household
disability Household
Focus group
M F M F M F M F M F M F
discussion
0
2 2 0 3 3 0 0 0 0 0 0 0
2. Age and Sex of the IDPs in the monitoring location Exact details
Estimate
confirmed
0-4 5-11 12-17 18-59 60+ Total
Male Female Male Female Male Female Male Female Male Female Male Female
2 2 2 2 1 0 4 4 0 0 9 8
3. Ethnicity of the IDPs in the monitoring location

3.1 Ethnicities in the group (#of families)
# # Other,
# Pashtun # Tajik 4 # Hazara # Uzbek # Baluch
Turkman specify
4. Top 3 primary reasons for initial displacement
Causes Priority (put 1,2 or 3) No. of families being displaced due to this cause
4.1 Armed conflict / military operation 1 All 8 families
4.2 Clashes among AGEs
4.3 Intimidation and harassment by AGEs 2 All 8 families
4.4 Intimidation and harassment by government
4.6 Land dispute/land occupation
4.7 Cross-border rocket shelling
4.8 Kidnapping /abduction
4.9 Nobody in this group moved for causes related to violence/conflict
4.10 Other - please specify ____Generalized Violence_______ 3 All 8 families
B. Population movement
5. Returned to place of origin
5.1 Have some families returned to place of origin? If YES, continue with section 5; if NO go to section 6
No
Yes
No
Yes
5.2 How many people returned to the place of origin?
0 0
Entire Only with part of
5.3 Majority of families returned
families their members
5.3.1 In case the majority of families returned with "part of their More More
members", were they men? women?
5.4 For what reason have the families returned to place of origin?
Improvement of security conditions in Forced by military authorities; Forced by Municipal
place of origin authorities;
Forced by district authorities; Forced by provincial authorities; Evicted by landlord;
Security incidents in place of Armed conflict in place of Harrassment/threats by non
diaplacement diaplacement state actors
Harrassment/threats by state actors Dispute with local community No adequate shelter
No access to livelihood; Other, specify below
Describe further the reason and circumstances under which some of the families returned to place of origin:
5.5 Please indicate the places of return:

Individual Return Date
Region Province District Village Families Return Date Year
s Month
6. Moved to another location

6.1 Have some families moved to place other than Ye N If YES, continue with section 6; if NO go to section 7
place of origin?
s o
6.2 How many people moved to another location?
Entire Only with part of

6.3 Majority of families moved
families their members
6.3.1 In case the majority of families moved with "part of their members", More More Approximately
were they men? women? equal number?
6.
For what reasons did some of the IDPs move (mark all that apply)?
4
mprovement of security conditions in
Forced by military authorities; Forced by Municipal authorities;
place of origin
Forced by district authorities; Forced by provincial authorities; Evicted by landlord;
Security incidents in place of Armed conflict in place of AHarrassment/threats by non state
diaplacement diaplacement actors
Harrassment/threats by state actors Dispute with local community No adequate shelter
No access to livelihood; Other, specify below
Describe further the reason and circumstances under which some of the families moved to another location:
6.5 Please indicate the location where some of the families moved:
Unknow
Known (please fill below table)
m
Individual Movement Date
Region Province District Village Families Movement Date Year
s Month
6.6 Other reasons (other than the two above-mentioned) for the changes in the number of IDPs since initial assessment:
C. Protection
7. Protection from violence and exploitation
7.1 What are the main current protection concerns for IDPs (mark all that apply)?
Presence of
Mines/UXOs;
PArbitrary Presence of
arrest/detention Mines/UXOs;
Presence of
Armed hostilities Mines/UXOs;
PAttacks against schools Presence of
and/or hospitals Mines/UXOs;
Intimidation ByAGE ByANS By local by other armed
s Fs authorities groups
Illegal taxation & ByAGE ByANS By local by other armed
deprivation of resources s Fs authorities groups
ByAGE ByANS By local by other armed
Kidnapping
Enforced ByAGE ByANS By local by other armed
disappearance s Fs authorities groups
Forced recruitment
ByAGE ByANS by other armed
Child recruitment
s Fs groups
Gender based
s Fs authorities
by groups
violence by hosting
humanitarian Within the IDP
community; community
ByAGE ByANS agencies
By local by other armed
Violence against
girls and boys s Fs authorities
by groups
by hosting Within the IDP
humanitarian
community; community
ByAGE ByANS agencies
By local by other armed
Threat of eviction s Fs authorities groups
by hosting by private
community; landlord;
Land dispute with private with hosting
with local authorities
landlord community
Community with hosting Within the IDP
tension community; community
Thefts, common by hosting by members of the
crimes community IDP community
Requires family
Family separation
tracing
Please give details on the selected main protection concerns, indicating whether incidents occurres and under what circumstances
or explaining the reason behind perceived threats: The families live in current location with none of the above protection concerns.
Are the law enforcement agencies present in the current location? If yes, which agencies? Mark
the right options below. Yes No
7.2
Afghan National Afghan National
Other____________
Police Army
In case of incident, which of the following would IDPs approach to report the incident and seek help?
Afghan National Afghan National
District authorities
7.3 Police
IDP Army;
Religious Leader; Elders
Representative;
Provintial
Shura; Others
authorities;
Since displacement, has any incident occurred within or against the IDP community that would require intervention of
local security forces?
Yes No
7.4
If yes, please describe the incident, if the response was appropriate, if the problem was solved and if IDPs felt their
rights were protected: N/A
Are there any movement restrictions for the IDPs?

Yes No If yes, selecct the applicable options
below
ANSF check- Abduction/kidnappin
points; AGE check-points
7.5 g
Murder Criminal acts Other
Please indicate when the selected restrictions apply (day time, night time) and the impact that such restrictions have on
the daily life of IDPs: N/A
Since you were displaced, has the security situation Improv Deterior Remained

ed ated the same
7.6 Please elaborate on the reasons of the deterioration or imporvement of the security situation: The families live in center of
Hirat (city) where all the low enforcement agencies are accessible, since the displacement the families could know better the low
enforcement agencies and will directly share any security point if they stricken.
8. Persons with Specific Needs (PSN)
8.1 Number of PSN in the group: This group of IDPs have no PSN case to be repotable.
Separated Persons with Others

Person with Single legal needs
children Woman at risk (women Older person at risk (old Children Serious
physical or male (arrest,
headed HH, widow, women person heading HH, headed medical
0-5 mental head of detention)
All without community support) single old person) HH condition
years disability HH
Further info on PSN cases:
8.2 Compared to the last monitoring visit, has the

number of PSN Increas Decrea Remained
ed sed the same
Please explain which categories of PSN increased/decrease and the circumstance:
8.3 Have the PSN cases identified in the first monitoring been
assisted? Yes No Only Some
For those assisted, please describe if and how assistance has mitigated the risk: It was not found any PSN case during the first
monitoring visit to reportable.
For those not assisted, please describe what impact the lack of assistance had on the individual/family:
9. Education & Child Protection

Since displacement, did children stop attending primary school (from 1 st to 6th class)? No
Yes
9.1
If yes: # of boys 5 # of girls 3
How many children are attending primary school (from 1st to 6th class)? No one.
9.2
# of boys # of girls
What are the main reasons for children not attending school (mark all that apply)?
9.3 Distance Lack of Lack of female Other (The familiew

Security Parents can not Children are Harrasment at
(school is far documentatio teachers/female newly displaced to
issues afford working school place
away) n friendly facilities. Hirat)
Boys 5
Girls 3
Please describe the reason children are not attending school: The families displaced to Hirat in March of 2016, on that time the schools
were started and they couldnt' enroll their children to school, but they have plan to enroll them in upcoming year.
What are the main concerns for children (mark all that apply)? No any.
9.4 Killing and Forced Kidnapping/abdu Psychological Child labour Harrasment Harrasment Abuse & Other
maiming recruitment ction trauma within the IDP from host Neglect
community community
Boys
Girls
Please elaborate on the selected child protectioon concerns: Within the close observation of the families it was found that no children
protection concern is that they suffer, the only point is that they are not attending to school in this time but have plan to go in upcoming year.
9.5 How many children have been injured or killed by land mines/UXO/IED in the current area of displacement?. No one is injured.
Y So
9.6 Have injured children (from mines, etc.) been able to access medical care? e No m
s
In case of children separated from their parents, to which institution were they referred (mark all that apply)? e
9.7
Authority UN/ Do
Government
of NGO not
authority
community Y know
9.8 Does child marriage occur in the community? e No
Ys
9.9 If answer in 9.8 is "yes", did it increase during the displacement? e No
s
More for More for Same for
9.10 If answer in 9.9 is "yes", was it
girls
Y boys girls and boys
9.11 Do children under 18 work (except regular family chores)? e No
Y
9.12 If answer in 9.11 is "yes", did it increase due to displacement? se No
s
More for More for Same for girls
9.13 If answer in 9.12 is "yes", was it
girls boys and boys
Please describe any child protection needs: No any child protection concern.
10. Documentation
Ye N
10.1 Have families who did not have ID documents been able to obtain them during their displacement period?
s o
10.2 Percentages of people without national ID cards?
Male
Up to Up to Up to Up to
25 % 50 % 75 % 100 %
Female
Up to Up to Up to Up to

25 % 50 % 75 % 100 %
Costs
Are there any obstacles to IDPs' access to national ID card (mark all that apply)? Lack of knowledge on

10.3 or fees procedure
Have to go to IDPs have to pay more Other

place of origin than local residents (specify) Y
10.4 Are newborn IDP children issued a birth certificate by competent authorities? e No
Access to Access
s to
Do IDPs face problems related to lack of national ID card (mark all that apply)? No school
10.5 Access to Security Other health services
education
assistance problems (specify)
Any comments on documentation: All male have NID but female don't.
11. Access to Justice

In case of incident, to whom do IDPs report (mark all that apply)? Authorit Polic Community/
IDP Elders
11.1 ies e Leader
Represent Religious Others(spec
Shura
ative Leader ify): Ye N
11.2 Has any specific incident occurred or dispute been brought to a formal justice mechanism?
s o
Criminal
11.2.1 If yes, which of the following (mark all that apply): Arbitrary arrest Physical or Land
Forced Other act and detention sexual assault dispute
recruitment (specify)
11.2.2 Please briefly describe the incident:
Y
N
11.3 Was the response adequate? e
o
s
11.4 Since when you were displaced, has the access to justice Improv Deterior Remained

ed ated the same
Please comment on access to justice, including for women: They have full access to justice system and since the displacement they got
better familiar now then the previous days.
12. Food Security and Nutrition

Y
N So
12.1 Do IDPs have access to food stocks in the current location? e
o me
Work (adult Sharing s Buying Sell
In case of lack of food, how do the families cope with others
12.2
(mark all that apply)?
family members)Sending
Borrow
in market
Other
assets
Less children to More
money 1 specify:
to 2
12.3 How long will existing food stocks last on average? than a work than 2
weeks
week Y weeks
N So
12.4 Any change in the amount or quality of food people are eating since displaced? e
Y o me
s So
12.5 Do the IDPs have access to a functioning market? e No
Y me
s So
12.6 If the community relies on the market, does it have enough money to buy food? e No
me
s
Please comment on the food security and nutrition situation (If answer to any of the above questions is "Some", clarify it here):
The families have no problem in this section.
Since when you were displaced, has the food security and nutrition Improv Deterior Remained
12.7
situation ed ated the same
13. Health and Sanitation (mark the right answer)
Yes For
13.1 Is there enough water for drinking? No
for all some
13.2 Is there enough water for cooking? Yes For
No
for all some
13.3 Is there enough water for washing? Yes For
No
for all some
13.4 Since when you were displaced, has the water situation Improv Deterior Remained

ed ated Yes the same For
13.5 Do IDPs have access to latrines? No
for all some
Yes For
13.6 Do women/girls have access to separate latrines? No
for all some
Since when you were displaced, has the sanitation Improv Deterior Remained
13.7
situation ed ated the same For
Yes
13.8 Is basic health care accessible within 5 Km or 1 hour walking? No
for all some
Yes For
13.9 Is mother and child health care accessible within 5 Km or 1 hour walking? No
for all some
13.10 Do IDPs have to pay for the health services more than the host community? Ye No

s
Ye
No
13.11 Do vulnerable groups (women, old person, persons with disabilities) experience difficulties in accessing health facilities?
s
What are the 2 most common illnesses in the community? Mark the answers in below. None of them
13.12 Skin
Diarrhea/v Respiratory Measle Other
infection
omiting disease s (specify):
s Improv Deterior Remained
13.13 Since when you were displaced, has the health situation
ed ated the same
Please comment on water quality, sanitation and health situation: No problem in this section.
14. Shelter, Accommodation and Property in the Place of Displacement
Where do IDPs live? (number of families)

Purchased
14.1 Rented With host families Spontaneous Makeshift Public Other (Specify):
or relatives camp/settlement accommodati Tent Dwelling shelter building
house
on
4
Mostly Both
How are the HHs now Mostly
14.2 aggregate scattered and
distributed? scattered Y For
d aggregated
14.3 Is it common for families of this group to change their accommodation during the displacement? e No
Conflict with s some

If yes, why (mark all that Not able Conflict Evictio Other
14.3.1 Y the community
apply)? to pay rent with owenr ns For (specify):
14.4 Has the land property changed since initial displacement? e No
some
s
14.5 If "yes" or "for some", how has the land property changed (to whom does the land where the IDPs are living generally belong)?
Relative Host Private Governm Other
s community Landlords No ent (specify)
Overcro No good protection from Partially
What are the shelter concerns for
No
wded
No money privacy weather/ bad
Evictio quality shelter destroyed
14.6 IDPs (mark all that apply)? Other
to pay rent concer
ns (specify)
n
14.7 No. of HHs with adequate dwellings:
14.8 Average number of HHs per shelter: 2 HHs per
Y shelter.
N
14.9 Were there evictions of IDPs from the group? e
o
s
If Dispute with Dispute
yes, No means Government Private Other
host with
to pay rent order to vacate land owner (specify)
community landlords
14.9.2 How many families were affected? Y
N
Are there perspective Self
for shelter solution? e 14.10.1 If yes, mark all that apply below.
14.10 Govern Relativ o Assistance Other
s
construction
ment es IC/INGOs (specify)
14.10.1 How many families applied for land (no
wit help)
No one is applied for land with MORR.
14.10.2 How many received the land? None Y
N
14.11 Are there displaced families in the group who have acquired land during displacements? e Do o
If yes, how many (if known Have they been give a title? Yes No s not
Increas Decreas Remained
know
14.12 Have land disputes between communities and IDPs? ed ed the same
Improv Deterior Remained

14.13 Since when you were displaced, has the shelter situation ed ated the same
Please comment on the housing, land and property situation of IDPs: Each two families live in one home (shelter) which shows that they
have no privacy.
15. NFIs / Livelihood Yes For
No
15.1 Are there enough basic household items for the IDPs? for all some
Bedding/bl
Clothin Kitchen Hygien
What are the most needed items? ankets
15.2 Specific items for Other g sets e items

women and girls (specify)
Yes
No Some
15.3 Do IDPs have access to livelihood opportunities in the place of displacement? for all
Yes
No Some
15.4 Do IDPs have livestock? for all
Since when you were displaced, has the NFIs/livelihood Improv Deterior
Remained
15.5
situation ed ated
the same
Please comment on the NFIs / Livelihood situation: The families need to hiygine kit for women and also lack of opportunity for finding work is
one of their problesm. They can find 2-3 days work in a week that earn 200-300Afs/day.
16. Humanitarian Assistance Y
Did the IDPs receive at least once N
16.1 e If yes, when was it the last time Date: Dec. 2016
assistance in this location? o Only
Regular s Occasio
16.2 What frequency on average?
ly nally once
16.3 Indicate the details of the distributed assistance in below:
To how many families? By whom (mark all that apply)? Last date (Month/Year):
Type of Assistance
None Some All Gov UN INGO LNGO ICRC/ ARC Other (Specify):
NFI
Hygiene Kits
Tents/shelter
Latrine
Water
Winterization P P Dec 2016
Food
Cash P P July.2016
Other (Specify): Specific
Not Political Distribution methods
16.4 Do IDPs face problems in receiving Une groups
enough interference exclude vulnerable groups
assistance (mark all that apply)? People withqual
no Non responding excluded Non-affected

ID excluded to actual needs groups assisted
Other
(specify)
Any comments on the assistance: However they all received cash and winterization assistance, but due to lack of permanent job and livelihood
they sold some of their household items, so still they are in need of assistance.
17. Assessment of Protection Needs
17.1 What are the prioritized protection concern of the IDP group?
Concern 1 National identity card
Concern 2 Sanitation
Concern 3
Any additional comments/ N/A
details:
18. Assessment of Protection Interventions
18.1 What are the prioritized interventions for the IDP group?
Intervention
N/A
1
Intervention
N/A
2
Intervention
N/A
3
Any additional comments/ They have not mentioned any intervention of agencies in regard of their needs.
details:
19. Future Intention of remaining families
No. of No of Primary Reason (mark
familie individ Livelihood Access toonly one reason)
Requested/
Securi Shelt
Family / basic forced by Others
s uals ty er
economic services Authorities
19.1 How many families intend to return to their place of origin? 0 0
How many families intend to stay and integrate in this
19.2
location?
4 17 P
How many families intend to move forward from this location?
19.3 0 0
Comments on reasons:
When do you intend to move?
Province District/ City Village/Nayia Rural Urban Families Individuals in < 3 Choose
In 3-6fromInoptions
6 -12 below.
In > one year
months months months

2017 - ARAA - HRT - Pro Moni #018

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IDP Profiling Form

At group level v.4

SECTION 1: RAP IDP

1. Assessment Information 2. Mode of Assessment

1.3 Date of assessment:

2.4 Information received through other sources

3.2 If yes, how long were they there? month(s)

6. Age and Sex of the IDP Populations

7. Number of vulnerable individuals in the group:

8. Top 3 primary reasons (in order of priority) of displacement?

10. COMMUNITY SERVICES / DEVELOPMENT

11. EMERGENCY SHELTER

13. DURABLE SOLUTIONS

14. Place of returning

16. Age and Sex of the IDPs found durable solutions

17. Durable solutions remarks

ce of Displacement? Longitude Latitude

Origin H Origin I Origin J Origin K

ial Services (Health/Education, other)

Origin H Origin I Origin J Origin K

Bamyan Kandahar Kunduz Maimana Zaranj

1.3 Date of initial assessment:

Survey Various / Other

1.8 Source of Information: NGO Government UN Agency

UNHCR Community leaders Information received through IDP representative

Direct visit to place of displacement Various / Other and specify

1.9 Mode of assessment: Partners visit to place of displacement

Joint assessment with IDP TF members

2. Brief Description of the group

province District City

3.3. If yes, how long were they there?

province District City

5. Ethnicity of the IDP Populations (number of individuals)

Pashtun Tajik Hazara Turkman Uzbek

6. Age and Sex of the IDP Populations

7. Number of PSNs in the group:

7.2 WR-SF: Single women

7.3 SP-PT: Single Parent 7.6 DS-MM: Mentally Ill

8. Top 3 primary reasons (in order of priority) of displacement?

8.1 Armed conflict / Military Operations

Right to physical safety and security

11. Humanitarian Assistance

12. DURABLE SOLUTIONS

province District Village

12.6 IDP return/Local integration/ Relocation IDP return

12.7 If IDP have returned, in which way? Organized

12.8 Date of return dd/mm/yyyy

Information received through IDP representative

Various / Other and specify

write only the "Red Flags"

6 -12 months, 4. > one year

from options below:

d/or the army (ANA) and

at, people working for

at, persons participati

ANSF 2.ANP 3.government officials 4.ALP

2.Religious leaders 3.elder/village authority 4.landlord

1.ANA 2.ANP 3.government officials 4.ALP

1.AGEs 2.Local commanders 3.Afghan Taliban 4.Haqqani Network 5.Islamic party

entity documents on an equal basis with other locals?

mmunity leader 34.

n their place of origin?

, 3. between 6 -12 months, 4. > one year