8:00AM - 5:00PM   24 Hours   Other Specify

Monday - Friday   7 Day a Week   Other Specify

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

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

Health
Legal and Justice
Education
Social welfare
Social Development
Other Specify

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

Clinical Care
Psychosocial Support and Counseling
Mental Health Services
Emergency Shelter Services
Emergency Fund
Legal Aid
Legal and Justice Services
Referral
Other Specify

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

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

YES, ALL   YES, PARTLY   NO

Male Female