Data Collection Form
Organisation / NGO
Development Area of Interest
Agriculture & Rural Development
Labor & Social Protection
Science & Technology
Village, Settlement, Town or City
Development Issue Identified (max 400 words)
Has the Report Been Assessed Locally?
Number of Population Affected
100 - 1000
Education level of the concerned populations
Low e.g. None of the populations in the village go to school
Middle e.g. Some of the populations in the village go to school
High e.g. Most of the populations in the village go to school
Local capacity level of the concerned populations
Weak: no action, no guidance, no engagement or no mobilization
Fair: some action, some guidance, some engagement or some mobilization
Good: Previous action, guidance, engagement and mobilization
Supporting Evidence (video links)
Lack of Action
Lack of Guidance
Little or no engagement by donor agencies / IFIs
Insufficient mobilization of funds
Please provide the name(s) of donor organisations involved
Name of Responsible Authorities on a local level
Name of Responsible Authorities on a District level
Name of Responsible Authorities on a National level
Can you provide a Development Case Study (DSC) of the situation?
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