[x] The last time was an unexpected, urgent household expense (e.g. emergency medical expense or house repair), was someone in the household able to pay for that expense?
[x] What is the main source of drinking water for members of your household?
[x] Do AGYW in the household have access to sanitary products?
[x] Has the household eaten at least 2 meals a day, every day, for the last month?
[x] In the past 6 months, have you or any child in the household had the following happen to him/her, in or outside of the household?
Teenage Pregnancy
Neglect
Sexual Abuse
Physical abuse that causes body harm
Child marriage or teenage mother/father
Other obvious issues
[x] During the last 12 months, did you do any of the following:
Drink any alcohol (more than a few sips)?
Smoke any marijuana or hashish?
Use anything else to get high?
HIV Risk Assessment Form
[x] Has the beneficiary had new HIV exposure since the last test?
Household Enrolment Form
[x] Specify Relationship (On the relationship between the caregiver and the emergency contact)
Caregiver Vulnerability Assessment Form
[x] Date of last VL test
[x] The last time was an unexpected, urgent household expense (e.g. emergency medical expense or house repair), was someone in the household able to pay for that expense?
[x] What is the main source of drinking water for members of your household?
[x] Do AGYW in the household have access to sanitary products?
[x] Has the household eaten at least 2 meals a day, every day, for the last month?
[x] In the past 6 months, have you or any child in the household had the following happen to him/her, in or outside of the household?
Teenage Pregnancy
Neglect
Sexual Abuse
Physical abuse that causes body harm
Child marriage or teenage mother/father
Other obvious issues
[x] During the last 12 months, did you do any of the following:
Drink any alcohol (more than a few sips)?
Smoke any marijuana or hashish?
Use anything else to get high?
HIV Risk Assessment Form
Household Enrolment Form