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Special Talent Exchange Program (STEP)
A Cross Disability & Development Organization
Disability Job Center (DJC)
Disability Inclusive DRR
Advisory on Disability Policy
Disability Inclusive ICT
News & Media
Disability Volunteer Engagement
Women with Disabilities (WWD) Psychosocial Counselling Sessions on Gender Based Violence
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Matric or Equal
FA, Fsc or Equal
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Client National ID Number
Date of Birth
Date of Session
Duration of Session
Key Discussion Points/Follow-up
REPORTING FORMAT (QUESTIONERS)
Question 1: How you are keeping yourself safe from COVID-19? Have you got the Vaccine , tried to access any tests or treatment for COVID-19, and if so, how did that go?
Question 2: Before Covid-19 you consulted with doctor about your body checkups, or ever meet with gynecologist:?
Question 3: Have you find it difficult to meet doctor during COVID-19?
Question 4: Since COVID-19 began, have you felt safe? Have you been worried about someone hurting you?
Question 5: If someone hurt you at home or in your community, or if someone made you feel unsafe during COVID-19, would you know what to do to get help?
Question 6: How did you receive support from service providers, family, friends, or community members to help with your daily life and overcome barriers due to disability before COVID-19?
A. Meeting Basic Needs
Question A1: Since the COVID-19 pandemic began, has there been any change to your ability to meet your basic needs, such as accessing food and clean water, staying in your own home, or taking care of personal hygiene needs, including during your periods/menstruation?
Question A2: Do you know about any government or other programs to help you meet your basic needs during this time?
B. Employment, Income, and Education
Question B1: Before COVID-19, did you have a job or go to school?
Question B2: How has COVID-19 affected your job, your classes at school, or any other income you had? Do you know about any government programs to help you with money or with school right now?
Question B3: If you were in school before COVID-19, were you receiving information about your body, sex, relationships, and having children (sometimes called sexuality education)? Are you receiving any of this kind of information during COVID-19?
Screen Shot of Session
As you know this information will not be shared with anyone without your agreement, if you want to discuss anything personal please feel free to share with us,