Who What Where (3Ws) Form
 

Please submit a separate form for each Sector

1. Name of  Organization:*                   

 2. Major Donors:                               

3. Implementing Partner(s):           

 

4. Sector, Sub-sector and Regional codes :
Please indicate  applicable sector(s) codes and, if available, list related sub-sectors codes by selecting from the table below. Please also indicate relevant regions (Code) by using the equivalent regional codes stated here below.

                       Codes (1, 2, ...)                                      Codes (1a, 1b, ... )                            Codes (1, 2, ...)
  Sector:    Sub sectors   Region   


 Regional Codes:
Afar=1             Amhara=2       Beneshangul  Gumuz=3      Dire Dawa=4        Gambella=5      Harari=6   Oromiya=7     SNNPR=8         Somali=9                             Federal/Country Wide=10

Sector/Sub-Sector Codes:

1. Agriculture
   a. Animal health and veterinary drug (Emergency)
  b.  Restocking/Destocking
  c.  Emergency seed supply
  d.  Agricultural inputs
  e.  Coordination
 f.   Training/Capacity building
 g.  (Other)		 5. Food
  a.   Cereals (grains)
 b.   Supplementary food
 c.   Oil
 d.   Pulses
 e.   Other commodities
 f.    Training

9.  Water
  a.  Water tankering
 b.  Rehabilitation and maintenance of water schemes   (wells, birkas, boreholes)
 c.  New water schemes development
 d.  Training
 e.  (Other)
     

2.  Disaster Management and
 Capacity  Building
a.  Strengthening regional and federal DPPC
 b.  Strengthening DPPC Information Center
 c.  Strengthening the Emergency Nutrition Coordination Unit
 d.  Strengthening regional  and federal early warning systems
 e.  Strengthening the EFSR
 f.   Non-Food Emergency Contingency Stock (NFECS)
 g.  Training (please specify)
 h.  (Other)

 6. Health
  a.   Emergency drug distribution and monitoring
 b.   Emergency medical kits
 c.   Measles and vitamin A
 d.   Malaria
 e.   Meningitis
 f.    ARI, diarrhoea, and other common diseases control
 g.   Emergency reproductive health
 h.   Screening
 i.     Training
 j.     (Other)

10. Shelter and Household items
  a.  Plastic sheeting
 b.  Household items  - Jerry cans,  cooking utensils, etc. 
 c.  (Other)

 

 
     

3. Coordination
 a.   Strategic emergency coordination
 b.   (Other)

 

 7. Nutrition
  a.  Therapeutic food
 b.  Therapeutic feeding centres (TFC)
 c.  Community Therapeutic Centres (CTC)
 d.  Nutritional surveys
 e.  Training
 f.   (Other)

11. Post emergency recovery
and rehabilitation
  Please specify

 
     
4. Education
 a.   Basic education in emergency context
b.  Provision of educational materials and equipment in emergency context
c.   School feeding
d.   Training of teachers
e.   (Other)		 8. Sanitation
 a.  Construction of latrines
 b.  Sanitation and hygiene education
 c.  Training
  d.  (Other)

12. Logistics and operational  support
 Please specify

13. Food Security/Safety net
      a.  Safety net
       b.  Other food security activities



Regional Contact Person
 Please indicate name,  phone number and email of the person in your organization whom we can contact for your organization's emergency/relief/humanitarian activities information

Name:*                      
Phone Number:*       
Email:                      

 


Field Contact Person
 Please indicate name,  phone number and email of the field contact person in your organization whom we can contact for your organization's emergency/relief/humanitarian activities information

Name:*                      
Phone Number:         
Email:                      


Target beneficiaries (if available) 

*  Required Information