Register Service Point
Service Point Details
Service Point Name
Physical Location
Contact Person
Phone
Hours of Service
8:00AM - 5:00PM
24 Hours
Other Specify
Specify Hours of Service
Days of Operation
Monday - Friday
7 Day a Week
Other Specify
Specify Days of Operation
Program / Organisation
Non-governmental Organization (NGO)
Community Based Organization (CBO)
Faith Based Organization (FBO)
Private for Profit (PFP) Organization
Private not for profit (PNFP) organization
UN agency
Government Agency/Department
Other Specify
Specify Oganisation Type
Government Agency/ Department
Uganda Police Force
Directorate of Public Prosecution
Courts of Judicature
Community Based Service Department (CBSD)
District Health Department
District Education Department
Public Health facility
Other Specify
Specify Government Agency Department
Sector
Health
Legal and Justice
Education
Social welfare
Social Development
Other Specify
Specify Sector
IPV Prevention Services
Behavioral Change Communication
Community Awareness Raising and Sensitization
Women Economic Empowerment and Livelihoods
Engaging Men and Boys as Agents of Change
Parent Education Programs and Support Groups for Families Affected by IPV
Tool Free Lines
Identification/Screening for IPV
Referral
Other Specify
Specify IPV Prevention Services
IPV Response Services
Clinical Care
Psychosocial Support and Counseling
Mental Health Services
Emergency Shelter Services
Emergency Fund
Legal Aid
Legal and Justice Services
Referral
Other Specify
Specify IPV Response Services
Clinical Care Service
Forensic Examination and Documentation (Including Police Form 3)
HIV Diagnostic Testing and Counselling
Provision of Post-Exposure Prophylaxis (PEP)
Pregnancy Testing
Provision of EC (Emergency Contraception)
Abortion Counselling / Information
Post-Abortion Care
Vaccination for Hepatitis B and Tetanus
Screening for Sexually Transmitted Infections
Treatment for Sexually Transmitted Infections
Trauma Counselling
Evaluation and Treatment of Injuries
Referrals to Police and Social Support Sectors
Signing of the Police Medical Report Form
Legal Representation
Other Specify
Specify Clinical Care Service
Police Response Services
Statement-Taking and Documentation
Investigation
Collection of Forensic Evidence
Storage of Forensic Evidence
Ensuring the Safety of the Survivor
Witness Protection
Issuing the Police Medical Report Form
Psychosocial Counselling
Other Specify
Specify Police Response Service
Area of Operation (District)
Area of Operation(Sub County(ies))
Area of Operation (Parish(es))
Area of Operation(Village(s))
Are the services paid for?
YES, ALL
YES, PARTLY
NO
Account Details
Surname
Other Names
Gender
Male
Female
Phone
Email
Password
Confirm Password
Register Service Point