Please Wait...
Pri Template -Form Fill
Identification
Q01
Date of Assessment
Q02
Name of the State
Q03
Name of the District
Q04
Name of the Village
Q05
Name of the Respondent
Q06
Gender of the respondent
Q07
Designation of Respondent (Panchayati Raj Institutions)
Q08
Number of months/years serving in this designation
Q09
Name of Investigator
Q10
Code of Investigator
Key Questions
A01
What according to you are the top three major problems in the women and child development sector as a whole?
coverage of all eligible beneficiaries
system inefficiencies
coordination challenges with other department
lack of NGO support
local social issues
lack of political will
insufficient fund allocation
some sector areas left out
Other issues (Mention ________________)
A02
What are the top five areas do you think require more attention for both women and child respectively? Tick from the following options mentioned below.
sex selection at birth
physical and mental development of child
pre-school education
disparity in education of girl child
physical and mental development of school dropouts
Physical and mental harassment at work place
physical and mental harassment at home
physical and mental harassment at public place
child marriage
Property rights
Creche facilities
Sanitation
Adolescent health
women safety
Nutrition and health (PW
Nutrition and health(LM)
livelihood and job opportunities (including MGNREGA)
SHGs
skill building training/programs
Other issues (Mention ________________)
A03
Do you discuss about various WCD related issues in Gram Sabha/village level meetings?
Yes
No
A04
Tell us about various WCD issues discussed in those meetings?
A05
Do you see more women participating and raising their voice in Gram Sabha/SHG/other village level meetings?
Yes
No
A06
Can you suggest measures to be taken to motivate them for larger participation?
A07
Among the following medium what do you find most effective in spreading awareness, and increase motivation of women (1 being least effective and 10 being most effective)
TV
Radio
Newspaper
Textbook
ICE materials/pamphlets
Street Play
Rallies
Awareness programs/events (NGOs/Govt officials)
Anganwadi Visits (Messaging/awareness activities)
Exposure visits
Internet/messages
Local influencers communication
A08
Do you think there is a need for continuation of Anganwadi services?
Yes
No
A09
Kindly rank the extent of demand of the services offered in the long run.
very low
low
Neither high nor low
high
very high
A10
How do you rate the contribution of Anganwadi services on woman and child development in your village.
very low
low
Neither high nor low
high
very high
A10A
Improvement in maternal health
very low
low
Neither high nor low
high
very high
A10B
Improvement in child health
very low
low
Neither high nor low
high
very high
A10C
Development of child through pre-school activities
very low
low
Neither high nor low
high
very high
A10D
Mainstreaming drop-out Adolescent girls
very low
low
Neither high nor low
high
very high
A10E
Improvement in overall awareness of Adolescent health
very low
low
Neither high nor low
high
very high
A11
In the last 3 months how many days did you involve yourself in AWS?
A12
From the following in which activities did you participate
Ensuring availability of AWW& AWH at AWC
Ensuring participation of the target group in ICDS activities
Monitoring of AWC by visiting the centre once a month
Involvement in decision making in the running of AWC
Help in organizing VHSND’s
Others (please specify______)
A13
Can you tell us about the major challenges in effective delivery services and implementation of the following schemes
Supply issues- Supplementary food
Supply issues- drugs for various categories, availability and functional equipment (like growth monitoring instruments, IEC materials etc)
Infrastructure issues- sanitary facilities/ adequate spaces/ fans & lights/electricity supply, water supply
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
HR issues
Coordination issues
Capacity and training issues
A13_1
Anganwadi Services
Supply issues- Supplementary food
Supply issues- drugs for various categories, availability and functional equipment (like growth monitoring instruments, IEC materials etc)
Infrastructure issues- sanitary facilities/ adequate spaces/ fans & lights/electricity supply, water supply
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
HR issues
Coordination issues
Capacity and training issues
A13_2
National Creche Scheme
Supply issues- Supplementary food
Supply issues- drugs for various categories, availability and functional equipment (like growth monitoring instruments, IEC materials etc)
Infrastructure issues- sanitary facilities/ adequate spaces/ fans & lights/electricity supply, water supply
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
HR issues
Coordination issues
Capacity and training issues
A13_3
Scheme for Adolescent girls
Supply issues- Supplementary food
Supply issues- drugs for various categories, availability and functional equipment (like growth monitoring instruments, IEC materials etc)
Infrastructure issues- sanitary facilities/ adequate spaces/ fans & lights/electricity supply, water supply
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
HR issues
Coordination issues
Capacity and training issues
A13_4
POSHAN Abhiyan
Supply issues- Supplementary food
Supply issues- drugs for various categories, availability and functional equipment (like growth monitoring instruments, IEC materials etc)
Infrastructure issues- sanitary facilities/ adequate spaces/ fans & lights/electricity supply, water supply
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
HR issues
Coordination issues
Capacity and training issues
A13_5
Pradhan Mantri Matru Vandana Yojana (PMMVY)
Supply issues- Supplementary food
Supply issues- drugs for various categories, availability and functional equipment (like growth monitoring instruments, IEC materials etc)
Infrastructure issues- sanitary facilities/ adequate spaces/ fans & lights/electricity supply, water supply
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
HR issues
Coordination issues
Capacity and training issues
A14
Do you think all the above the schemes are able to cover all the sections SC/ST/OBC/Transgender/all Religions?
Yes
No
A15
Have you taken any initiatives from your side to ensure the equitable coverage of the schemes?
Yes
No
A15_1
Anganwadi Services
Yes
No
A15_2
National Creche Scheme
Yes
No
A15_3
Scheme for Adolescent girls
Yes
No
A15_4
POSHAN Abhiyan
Yes
No
A15_5
Pradhan Mantri Matru Vandana Yojana (PMMVY)
Yes
No
A16
If Yes, tell your initiatives taken for each scheme
A16_1
Anganwadi Services
A16_2
National Creche Scheme
A16_3
Scheme for Adolescent girls
A16_4
POSHAN Abhiyan
A16_5
Pradhan Mantri Matru Vandana Yojana (PMMVY)
A17
How do you rate the contribution of NGO’s/CBO’s on the following
very low
low
Neither high nor low
high
very high
A17A
Improving awareness on Health
very low
low
Neither high nor low
high
very high
A17B
Accessing Public services
very low
low
Neither high nor low
high
very high
A17C
Improving gender equality in access to services
very low
low
Neither high nor low
high
very high
A17D
Inclusion of all social groups (SC/ST/OBC/Transgender/all Religions)
very low
low
Neither high nor low
high
very high
A18
According to you, what is the awareness level of village on the following schemes
very low? NIL
low
Neither high nor low
high
very high
A18_1
ICDS
very low? NIL
low
Neither high nor low
high
very high
A18_2
Poshan Abhiyaan
very low? NIL
low
Neither high nor low
high
very high
A18_3
PMMVY
very low? NIL
low
Neither high nor low
high
very high
A18_4
SAG
very low? NIL
low
Neither high nor low
high
very high
A18_5
NCS
very low? NIL
low
Neither high nor low
high
very high
A18_6
ICPS
very low? NIL
low
Neither high nor low
high
very high
A18_7
Working Women hostel
very low? NIL
low
Neither high nor low
high
very high
A18_8
Women helpline
very low? NIL
low
Neither high nor low
high
very high
A18_9
Ujjawala
very low? NIL
low
Neither high nor low
high
very high
A18_10
Swadar Greh
very low? NIL
low
Neither high nor low
high
very high
A18_11
BBBP
very low? NIL
low
Neither high nor low
high
very high
A18_12
MPV
very low? NIL
low
Neither high nor low
high
very high
A18_13
OSC
very low? NIL
low
Neither high nor low
high
very high
A18_14
MSK
very low? NIL
low
Neither high nor low
high
very high
A19
Are you aware of any training/other programs that are being conducted for AG’s in your AWC?
Yes
No
A19A
If yes, how do you think such training programs helps the out of school AG’s who may have been streamlined?
A20A
According to you how has the schemes introduced by the government contributed in a positive way on improving gender roles. - PMMVY
Yes
No
A20A1
Decision making at HH level
Yes
No
A20A2
Health
Yes
No
A20A3
Education of children
Yes
No
A20A4
Decision making at village/community level/Gram Sabha
Yes
No
A20B
According to you how has the schemes introduced by the government contributed in a positive way on improving gender roles. - SAG
Yes
No
A20B1
Decision making at HH level
Yes
No
A20B2
Health
Yes
No
A20B3
Education of children
Yes
No
A20B4
Decision making at village/community level/Gram Sabha
Yes
No
A20C
According to you how has the schemes introduced by the government contributed in a positive way on improving gender roles. - AWS
Yes
No
A20C1
Decision making at HH level
Yes
No
A20C2
Health
Yes
No
A20C3
Education of children
Yes
No
A20C4
Decision making at village/community level/Gram Sabha
Yes
No
A20D
According to you how has the schemes introduced by the government contributed in a positive way on improving gender roles. - NCS
Yes
No
A20D1
Decision making at HH level
Yes
No
A20D2
Health
Yes
No
A20D3
Education of children
Yes
No
A20D4
Decision making at village/community level/Gram Sabha
Yes
No
A21
How are you engaged/involved in the implementation of POSHAN Abhiyan activities?
Awareness generation in Gram Sabha/ Special Gram Sabha
Organizing Mahila Sabha, Children’s Gram Sabha
Meetings with functionaries of AWC, health, sanitation etc
Discussions & implementation plans at Gram Panchayat meetings
Others (Please specify_______)
None
A22
Has there been any training conducted in this panchayat regarding the POSHAN Abhiyan?
Yes
No
A22A
If yes have you ever participated in any training under POSHAN Abhiyan so far
Yes
No
A22B
Did your participation/involvement increase after receiving training?
Yes
No
A22C
Are there any activities happening in your area viz. nutrition rallies/pledges/meetings as a part of Jan Andolan – POSHAN Abhiyan?
Yes
No
A23
Is there any creche in your village?
Yes
No
A23A
If yes, are you satisfied with the creche facilities available
Yes
No
A23B
What all provisions should be incorporated for improved infrastructure ? Get a quote
A24
How important/significant do you think is the role of BBBP in changing the mindset of people on the birth of a girl child?
significant change
moderate change
little change
No change
no comments
A24A
Please tell if you think that there are any scopes for improvement?
A25
How important/significant do you think is the role of BBBP in changing the mindset of people on educating a girl child?
significant change
moderate change
little change
No change
no comments
A25A
Please tell if you think that there are any scopes for improvement?
A26
According to you, how do you rate women safety in the village?
very safe
moderately safe
moderately unsafe
very unsafe
A26A
Girl child
very safe
moderately safe
moderately unsafe
very unsafe
A26B
Adolescent girls
very safe
moderately safe
moderately unsafe
very unsafe
A26C
Adult women
very safe
moderately safe
moderately unsafe
very unsafe
A27
According to you, what are the top 3 personal safety risks concerns with women in your village.
A28
Has the panchayat taken any steps to improve the safety of women?
Yes
No
A28A
If yes, what measures have been taken to improve the safety of women in the panchayat area? (Probe about the area of risk addressed)
A29
Have you provided any help or awareness to women/child access the following services
Yes
No
A29_1
Working women hostel
Yes
No
A29_2
One stop centre
Yes
No
A29_3
Women helpline
Yes
No
A29_4
Ujjawala
Yes
No
A29_5
Swadar Greh
Yes
No
A29_6
ICPS
Yes
No
A29_7
Mahila Police Volunteers
Yes
No
A29_8
Mahila Shakti Kendra
Yes
No
A30
According to you, does Women and Child Development department involve you in the delivery of services under various scheme?
very low
low
Neither high nor low
high
very high
A30A
Do you think this needs to be improved?
Yes
No
A31
How well do you think have the schemes like Ujjawala, Swadar Greh and ICPS scheme have been implemented in your panchayat?
very low
low
Neither high nor low
high
very high
A31A
What measures would you suggest should be taken for a more effective implementation?
A32
According to you, how would you rate the implementation of scheme?
very low
low
Neither high nor low
high
very high
A32A
What measures do you suggest that the scheme is implemented well?
A33C
Less child Marriage
No change
Minor change
Neutral change
Moderate change
Major change
No comments
A33D
Others (please specify_____)
No change
Minor change
Neutral change
Moderate change
Major change
No comments
A34
Please share some best practices.
Dear user, please upgrade your plan to access this feature
See Plans
Please Wait