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Page 1: Relief Camp Manual

Relief Camp

Management.

Manual

Page 2: Relief Camp Manual

2

Page

1. Introduction

2. Setting up Relief Camp

3. Shelter- School Building, Community Hall,

Makeshift/Tent.

4. General Administration of Relief Camp

5. Guiding Principle of Management of Relief

Camp

6. Basic Facilities –

(a) Light & Generator Set

(b) Water

(c) Sanction

(d) Food- Storage & Distribution

(e) Clothing

(f) Medical & Psychological Support

7. Special care for Women, Children, Physically

Challenged & Elderly People

8. Vermin Control

9. Security

10. Media Management

11. Donation from Public & Voluntary Organizations

12. Documentation & Reporting

13. Closure of the Camp

14. Annexures

Contents

Page 3: Relief Camp Manual

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Whilst Relief camps are option of last resort, they

sometimes the only choice for the temporary provisions of

protection & assistance to displaced population due to

natural disaster. Those who have lost properties, have lived

through traumatic events and are suddenly left outside of

the safeguards of their communities, Relief Camp offers a

safe place where they can receive medical treatment, food,

shelter, protection & medical treatment.

It is extremely challenging to effectively manage the

highly crowded and adhock settlement of camps where

numbers of people come and leave daily. In such backdrop

a manual containing guidelines and easy to follow steps

become more relevant and necessary.

These guidelines have been formulated to assist District

and Sub-Divisional Civil Administration and also to non state

sector and civil society for effective and smooth

management of Relief Camps. Guideline has been designed

based on field experiences, best practices followed globally

and in tune with the legal provisions in National and

International laws.

Camp management is dynamic and strive for

promoting a holistic approach for physical, psychological,

cultural, social and emotional well being of camp

inhabitants by establishing and maintaining an inclusive

overview of many aspects and stakeholders involved in the

life of a camp.

Guidelines are illustrative and have their own limitations.

Decisions may be taken by the Camp Management

Authorities as per demand of the situation, within the larger

framework of guiding principles incorporated in the manual.

Introduction

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1. On receipt of report from revenue Officials, the

DC/SDO(C) will order to setup relief camp in already

identified locations as per District/ Sub-divisional plan

for Disaster management.

2. In case new location is selected for camp due to

unavoidable circumstances, following points should be

considered.

(a) Camp site should preferably be in existing built up

accommodation like School building or a Community

hall.

(b) It should be located at a safe place which are not

vulnerable to landslides, flood etc.

(C) Site should only be accessible by motor vehicle.

(d) Adequate arrangement for roads, parking, drainage,

lighting etc should be made.

(e) The site should not be prone to endemic diseases like

malaria, Japanese Encephalitis etc.

(d) Wide publicity should be given about the location of

the camp and affected people should be

evacuated and brought to the camp.

3. Emergency relief materials which include drinking water,

food, bedding(mattresses, sheets, blankets), baby food,

mosquito repellents etc should be arranged as early as

possible.

4. Control room/ helpdesk should be setup in the relief

camp immediately.

5. Proper planning, preparedness and rehearsal would make

the arrangement fast & smooth.

2. Setting up of Relief camp

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1. The shelter should be such that people

have sufficient space for protection from

adverse effects of the climate.

2. Ensure sufficient warmth, fresh air, security

and privacy for their health and wellbeing.

3. The covered area available per person

should be on an average 3.5 to 4.5 square

meter.

4. Each family should be provided separate

tent

5. In warm & humid climates, proper

ventilation & protection from direct

sunlight must be ensured.

6. If plastic tents or sheeting are available,

provision of an insulating layer or a double

skinned roof may be considered.

7. Tents should not be constructed too closely

together and reasonable distance should

be kept between the camps to provide

some form of privacy.

8. Priority should be given to widows and

women headed households, disabled and

elderly people in tent/room distribution.

9. Temporary shelter should neatly be planned

and made. It should not look like cattle

sheds than human dwelling.

10. Tents with slanting sides should be avoided

as they leave no space for mobility. Tents

with ventilation facilities may be provided to

the people.

3.Shelter

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1. A technical person, preferably from electricity or

PWD(E) department should be detailed as supervisor to

check the proper lighting arrangement in and around

the compound and also to supervise the operation

and maintenance of generator set.

2. Candle and match box should be provided in every

room / tent.

3. Petromax or emergency light should be arranged in

sufficient numbers in the camp.

4. Approach to toilet and water source should properly be

illuminated.

5. Generator set of required capacity should be installed

in the Relief Camp and operator must be detailed for

24 hours.

6. A register should be maintained by the operator in the

Format as prescribed in Annexure – D

7. Adequate arrangement for illumination inside and

outside of camp should be made.

4.

General Administration of the

Camp

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1) supply in the camp.

2) A separate register should be maintained in the camp

by the officer responsible for water supply and it should

be countersigned daily by the Camp Officer.

3) One Bucket, one Jerican or water container and one

mug should be provided to every family to store the

water for drinking, cooking etc.

4) Format of the Register for water supply in the camp at

Annexure – .

5) Ideally one hand pump should be installed against 200

persons.

6) Hand pumps or water tanks should be minimum 20 ft

away from the toilets.

10).Daily sample of water from tanks, taps & other water

sources should be collected and analysed in the

District lab of PHE deptt. Corrective measures should

be taken as per result of water analyses.

11).Commercially available water filter should preferably

be installed. Makeshift arrangement water purification

may be avoided.

12) Separate bathing units must be constructed for male

& female.

1) Ideally there should be one toilet for 20 persons.

2) Toilet should be minimum 10 mtrs and maximum

50 mtrs away from shelter/ tent/ room.

© Sanitations

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3). For waste disposal, one communal pit of

2mX5mX2m of size for every 500 persons should

be dug.

4). Each family should be provided one soap of 100

gram per week.

5). Separate toilets should be constructed for men &

women and these toilet blocks should be

separately be located at reasonable distance.

1) Sufficient light arrangement should be made in

toilets.

2) Approach from camp to toilets should be also

properly illuminated.

8) Toilet should be cleaned at least twice in a day.

9) Sufficient stock of bleaching powder, harpic and

other items should be maintained.

10) One officer must separately be detailed to

supervise regular cleaning and maintenance of the

toilets.

11) Requirement of disinfectants should be assessed

regularly & sufficient stock of it for week should be

maintained in the camp.

12) A stock register should be maintained by the officer

i/c about disinfectant and other cleaning materials

and it should daily be verified and countersigned by

the Camp Officer.

13) Format of Register for maintenance of cleanliness

in and around camp and toilets is prescribed as

Annexure – .

(d) Food - Storage & Distribution

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1) Initially for few days cooked food should be arranged

for the camp inhabitants. Utensils and cook may be

hired from open market for coding of the fund.

2) Preferably disposable plates and glass may be used to

serve the food and water for hygienic reasons.

3) As far as practicable Food Inspector must be detailed

to certify the food items before they are served.

4) Reputed and trusted Voluntary Organizations may be

allowed to assist in cooking and distribution of meals

but the Relief Officer / Camp Officer will remain

ultimately responsible for all arrangements.

5) If cooked meal is not served dry food like , rice, salt,

pulse etc. may be distributed for one week as per scale

given below :-

a. Adult - 400 grams rice per head per day.

b. 12 year – 250 grams rice per head per day.

c. Pulse - 70 grams per head per day.

d. Salt - 20 grams per head per day.

e. Mustard Oil - 30 ml. per head per day.

6) In case cooked meal is provided to the inhabitants,

above mentioned scale may be maintained.

Storage of Food

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a) Designated dry well- ventilated area in the

Relief Camp for storage of Food items.

b) Storage should be free from rodents and

insects.

c) Boxes/ bags must not lie directly on floor. Use

pallets, boards or heavy branches, or bricks

underneath piles.

d) Keep products at least 40 cm away from the

wall and do not stock them too high.

e) Pile the bags/ boxes two by two crosswise to

permit ventilation. In this way, they are

steadier and easier to count.

f) Keep damaged boxes/ bags away from the

undamaged ones.

g) Maintain updated stock in the register as

prescribed in Annexure – E

1) As for as practicable and as per available space

cooked food may be served in hall or one place for

Distribution of Food & Relief

Aid

Page 11: Relief Camp Manual

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convenience of cleaning, hygienic, disposal of waste

and smooth arrangement.

2) Person perceived to be with political background

should not be engaged for distribution of food and

other relief materials.

3) Sufficient counters with strong barricade may be made

for distribution of relief articles and dry food like rice,

pulse, salt etc.as it is made during general election for

distribution of election materials.

4) Display board should be hanged on each of

the counter showing Village name or ticket serial

numbers of Ticket already distributed to the families

during the registration.

5) Separate que may be allowed for women infirm &

elderly people to collect relief aid.

6) Proper shade and drinking water facility should be there

at food & distribution point to avoid inconvenience

&difficulties to the people who stand in a que for long

hours.

7) In case dry food & utensils are provided to the

inhabitants approx 10 kg firewood per household per

day should be provided for cooking.

3) For longer stay in the camp, families may be provided

kerosene/ gas stoves.

4) Distributed food must be of appropriate quantity and fit

for human consumption.

5) Food must meet nutritional needs and include pulse,

cereals, egg & fats sources.

6) Food should be culture specific and as per food habits

of the community. People of rural area may not like

bread & butter.

12) Packed food like biscuit, tined food, ready to eat

meals, noodles etc should be properly checked that

they are not expired before distribution.

13) Dry food grains should preferably be issued to adult

women in the family to ensure that the same is not

sold in market to collect money for alcohol.

14)Relief Aid meant for women like sanitary pads should

not be distributed by MALE but invariably be handled

by women workers only. Set of 10 pads may be

provided to the woman at a time so that she should

not come again & again to ask for it.

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a. Ensure that the people affected by the disaster

should be provided sufficient clothing to protect

themselves from the adverse effects of the climate.

b. People should have one full set of clothing in

roughly the correct size, appropriate to the

season and climate.

c. Culturally appropriate clothing should be made

available.

d. Women and girls should be provided necessary

sanitary protection.

1) One Doctor along with team of paramedical staff

should be detailed on roster system around the clock in

the camp.

2) A proper register should be maintained for roster of the

duties of Doctors, Nurses & Paramedical staff as

prescribed in Annexure – F

3) A separate room or tent should be made available for

the medical team.

4) Highest standard of hygiene must be maintained at

camp to minimize the chances of people falling sick.

5) As far as possible each and every inhabitant of the

camp should be screened for presence of any disease

immediately upon his arrival or within 24 hrs of his arrival

in relief camp without fail.

6) A rapid health assessment of all the inhabitants in the

camp should be done on weekly basis. They may be

(e) Clothing

(f) Medical facilities & Psychological Support

Page 13: Relief Camp Manual

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divided in 7 groups and weekly rapid health assessment

should be done of one group on a fixed day of a week.

7) Diarrhea, gastroenteritis, conjunctivitis, allergies,

malaria, viral fever are common diseases in the camp.

Preventive measures must be taken in camp and

sufficient store of medicine must be maintain to treat

them timely.

8) If the camp continues for more than a month the

regular health services like DOTS, maternal & childcare

services including immunization should be stored in the

camp.

9) Jt. Director, Health Services should be directed to

arranged adequate stock of medicine from district

store.

10)Detail inventory & stock register of medicine available

within store at camp should be maintained.

11) No prescription will be given to the patient to

purchase any medicine from outside the camp . All

the medicines should invariably be provided free of

charge to the inhabitant. If medicines are not

available in the camp these may be purchased from

outside by the Medical Officer & expenditure may be

reimbursed from relief fund .

12) Some advance fund may be given to the medical

team for purchase of medicine from outside if

required. The team will maintain proper account and

keep all the vouchers, bills etc for record.

13)Barbers may be arranged as per need in camps for

better hygiene of the camp population.

Page 14: Relief Camp Manual

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14) If there are more than 500 persons in the camp, one

ambulance with adviser should be stationed for 24 hrs

in the camp.

15)Cases of snake bites are also reported from relief

camp. Necessary arrangement should be made in

nearest health institution for adequate stock and anti

venom injections.

15) The I/C of the Camp will prepare a checklist for

environmental health/survey (EHS) as per prescribed

format at Annexure –G

16) Medical Officer will prepare a initial report on health

status of camp population as per prescribed format at

Annexure –H.

17) Medical Officer will prepare daily report in a prescribed

format as Annnexure – I and submit to DC/SDO

regularly.

1) Everyone who experience the disaster is affected in

one way or another physically, emotionally and

mentally. Children or among those who are affected

Psycho Social Support

Page 15: Relief Camp Manual

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most. It is in this regard that psychological support is an

important part of response in any disaster situation.

2) Psychological support is best obtained from the family

thus, even in abnormal conditions, family should be

kept together. As a means of psychological support,

activities like religious activities, entertainment and

recreation etc. should be arranged for the inhabitants

of the camp.

3) Professional Psycho-social Therapist should be

arranged to provide counseling to the affected

person. It should be ensured that follow up sessions are

conducted, as a onetime session is not be helpful, but

may even create unpleasant experience or memories

for vulnerable person.

1) Women Officers should also may be detailed in

management of the camp.

7. Special arrangement for Women, Children and disable and elderly persons

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2) Since women are more vulnerable during disaster, their

specific needs must be identified and taken care of.

3) Female gynecologist and obstetrician should be

available at hand to take care of maternity and child

related health concern.

4) Ensure that children inoculated against childhood

disease within the stipulated time period.

5) For safety and security of the women and children

vigilance committees should be formed consisting of

women.

6) Women Police Officer should be stationed within the

camp to record and redress any complaints made by

women.

7) Night security should strictly maintained at camp site.

8) Additional security measures should be taken in the

camps to prevent abduction of women, girls and

children.

9) Widows and women headed household usually are

unable to access food & other relief aid therefore

special volunteers may be engaged to take care of

such families.

10) Self-Help-Groups may be formed among the affected

women to give emotional support to each other.

11)Women participation in the management of camps is

important to ensure that women’s needs are met.

12) Ensure that support including financial compensation

is provided on an individual basis rather than based on

‘head of household concept’. To avoid the scope of

misutilisaiton of the fund made to the male persons

depriving the women and children.

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13)Breast milk substitute should be included to the

affected families with infants as in disaster situation,

under trauma mothers have lactating problems.

14) Sanitary pads should be provided to the women and

girls. Some women of rural areas may not be used to

commercially manufactured sanitary pads therefore

clean white cloths & towels may be arranged for them.

15). Spectacles, hearing aids and walking sticks for people

of special needs many be arranged.

1) Insects and rodents are the unavoidable pests

in the relief camp. They spread diseases, spoil

foods and other materials. They cannot be

totally eliminated but there are measures to

minimize the increase in their population and

their effects on the lives of the displaced

community in the camp.

2) Fogging may be arranged to prevent

mosquitoes and other flying insects.

3) Traps may be placed for rodents

4) Waste segregation should be promoted and

collected on daily basis.

5) Enough Dustbins should be provided in the

camp.

6) Breeding places of mosquitoes and rodents

should be eliminated by keeping the

surrounding clean dry & free of stagnant water.

7).Pits should be dug and waste & garbage food

should be disposed of there daily.

1) Security, peace and order must be maintained in

the relief camp.

8. Vermin control

9. Security

Page 18: Relief Camp Manual

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2) Relief camp is like a community and as one co-

operation among its members is vital for its

survival.

3) Involve the youths in the camp for providing

better security environment.

4) Police personnel should be detailed on roster

basis.

5) Camp may be divided in few parts. Group of

youth may be formed for each part of the camp.

They will do night duty & keep watch & vigil in the

given area. Members of the group may be given

passes, identity cards, lathi, tourch etc.

6) Adequate employment of force should be

ensured on the boundary and gate of the camp.

7) Police should keep vigin on anti-social elements &

criminal in around the camp.

8) Special police officers (SPO) may be appointed in

the camp

9) Special police arrangement should be made

during distribution of the relief materials.

10) Home guards may be detailed for patrolling &

night watch.

11)Store room should properly be guarded by the

police.

12)Anti Riot Squad with teargas, lathi, body

protection etc. should be kept ready in nearest

Police Station.

10. Media Management and

Documentation

Page 19: Relief Camp Manual

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1) Camp Officer should prepare a daily report and submit

to Deputy Commissioner/SDO(C) by 5.00 PM everyday.

2) Deputy Commissioner/SDO(C) will issue press release to

prevent any rumor. He may also issue advisory to the

affected people and arrangement made by the district

administration in the Relief Camp..

3) Deputy Commissioner/DSO(C) may frequently meet

media persons to brief about arrangement made in

relief camp.

4) DIPRO/SDIPRO will visit the camp regularly and take

photographs for record. Some of the photographs may

be released to the media also,

5) DIPRO may arrange conducted tour of media persons

to the camp and explain about the facilities and

arrangement made there.

6) DIPRO should be provided basic information by

DC/SDO(C) about the management of the camps and

he may provide them to media person on daily basis.

1) DC & SDO (C) are authorized to collect donations in

11.Donations from Public and Voluntary

Organizations

Page 20: Relief Camp Manual

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cash and kind from public and Voluntary Organizations.

2) A formal receipt must be issued in each case of

donation so collected to the donor agency or person.

3) A separate bank account should be maintained in joint

signatures of DC/ SDO & FAO/TO. All fund received

should be kept in one accounting. Expenditure may be

incurred for relief purpose out of the fund collected.

4) A separate cashbook should be maintained and

vouchers and bills should properly be kept ready for

inspection and audit.

5) A separate register for receipt and distribution of relief

articles donated by the public or Voluntary

Organizations should be maintained in format as

prescribed at Annexure- J

6) Article distributed to inhabitants of the camp out of

donated item should be adjusted against gratuitous

relief provided from govt. account.

7) No public or voluntary organization should be allowed

to distribute any article directly to the camp

inhabitants.

8) All such donor will approach Camp Officer who will

check the articles, issue receipt, make proper entry in

Stock Register and arrange for equitable distribution of

the articles in the camp.

9) Any edible items which appears to be unfit for human

consumption should not be accepted through

donations.

Entertainment, Recreation & IEC

Progamme

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1) All the activities in the relief camp will succeed

only if inhabitants of the camps are meaningfully

involved in the management of the camp.

2) Camp Officer should chalk out an IEC to

campaign among the inhabitants. IEC of

Campaign should include the following topics –

a) How to maintain hygienic environment in the

camp, how to prevent breeding of flies,

mosquitoes, insects, rodents etc.

b) Information about arrangement in the camp,

scale of the relief items, health facilities,

helpdesk etc.

c) Rehabilitation schemes and entitlement of

affected families.

3) Sahitya sabha, Literary clubs, Organisations may

be promoted to arrange books & magazines for

camp populations.

4) Camp population may be kept engaged by

providing entertainment & recreational facilities to

them.

5) NGOs & Ladies club and other agencies may be

encouraged to provide toys for children.

6) Temporary Anganwadi centers may be opened in

the camp with the help of ICDS project Officers for

small children.

7) Temporary schools may be setup in the camp

involving volunteers from the camp inhabitants.

SSA may provide free textbooks, stationary, Siksha

metra etc.

8) Reputed NGOs may also be allowed to run

temporary schools in the camp.

9) SIRD & DRDA may be asked to arrange training

program for women about tailoring, soft toy

making, pickle & papad making etc.

10)SIRD & DRDA may also arrange one week

training program for youths on piggery, goatary,

poultry, fishery, cane & bamboo items etc.

Master Register of Relief camp (Annexure – A)

Annexures

Page 22: Relief Camp Manual

22

Part A: Profile of the Camp Population :

Name of Village _______________

Name of Mouza _______________

Name of Police Station ________________

Sl. No. Name of the Age Sex

Name of

other Age Sex Total members

Date of

entry

Date

of Remarks

(Same

as

Head of

family family Adult Minor Total in Relief

leaving

of

of

Tickets)

with

father's /

husbands

name members Camp

the

Camp

1 2 3 4 5 6 7 8 9 10 11 12 13

Part B: Details of Relief/ Aid (Annexure –B)

Details of Relief Items Distributed

(Annexure –B) Date Articles Scale for

Adult/Minor

Quantity

given

Name of

Recipient

Signature

of Recipient

Signature of

Distributing Officer

1 2 3 4 5 6 7

Ticket for Receipt of Relief Materials (Annexure – C)

7) Sl. No. ______

8) Name of Ticket holder (Head of Family) ____________

9) Father’s name _____________________

10) Address – Village /GP/Circle/PS _______________

11) No. of Adult Male _________

12) No. of Adult Female __________

13) No. of boys under 12 years _____________

14) No. of girls under 12 year _____________

15) Total Nos of Family members __________

Date Articles Scale for

Adult/Minor

Quantity

Issued

No. of Days For

Which Article

Issued

Remark Signature of Distributing

Officer

1 2 3 4 5 6 7

Note: Printed, Xeroxed or hand written Ticket may be used.

Annexure – D Register for Generator Set.

Date Name of

Operator

Duty hours Time

when

generator

started

Time when

generator

was stopped

Signature of

the Operator

Signature of

Supervisor

Qty. of

POL

received

Remark

From To

Page 23: Relief Camp Manual

23

1 2 3 4 5 6 7 8 9 10

Annexure – E Stock Register for Food Items

Annexure – F Date Name of

the

Doctor

Duty Hours Name of the

Nurses/Parame

dical staff

Duty

Remarks

To

Signature

of the

Doctor

or duty From To From From To

1 2 3 4 5 6 7 8 9

Annexure G

Checklist for environmental health/ Survey (EHS)

Relief Camp address : ________________________________

___________________________________________________

Type : ______ School ______ other buildings _______ makeshift

Date opened : _________________________________

Date of EHS : ____________________ RAS no. _______________

Done by : _______________________________________

Designation: ____________________________________

Contact no. _____________________________________

Population :

o No. of Evacuees (inhabitants) ____________________________

o No. of Families : _____________________________

o New arrivals : __________ Date of arrival :_________

SHELTER :

• For schools/Buildings/tents

No. of rooms/tents occupied : ____________________

No. of Families per room/tents : __________________

Remarks : ______________________________________

________________________________________

___________________________________________

WATER SOURCE :

o Level 1 :______

o Level 2:_______

o Level 3 : ______

o No. of faucets /water points: _____

Receipt Issue Date

&

Time

of

Receip

t

Article Quantit

y

Received

from

Name

of

receivi

ng

Office

r

Name &

Signature

of the

person who

delivered

the Items

Signatu

re of

the

receivin

g

Officer

Date

&

Time

of

Issue

Article Quantit

y

Issue to

whom

(Name

&

Design

ation)

Nam

e &

Sig

nat

ure

of

the

reci

pie

nt

Nam

e o

f th

e Is

suer

Sig

nat

ure

of

the

Issu

er

Page 24: Relief Camp Manual

24

Rate of discharge:_______

o No. Tanks for water : __________

Capacity per tank : ______

o Other source of water :

Rationing : _______ Frequency :__________

Bottled water : _________

o Water safety :

Rapid Testing : _____ Method : ________

_____nth testing Date of test:_________

Results : _____________________________

_______________________________

Bacteriologic :__________

_____nth testing Date of test:_________

Results : _____________________________

_______________________________

Water treatment :

• Chlorine tablets: __________________

• Chlorine solution : _________________

o Remarks : ___________________________

_________________________________

________________________________

LATRINES :

• No of water sealed : ___________________

• No. of pit/kybos : ______________________

• No of portable toilets : __________________

• Soap and water : _______________________

• Toilet papers ( for portable toilets) ________

• Remarks : __________________________________

__________________________________

_______________________________

SOLID WASTE DISPOSAL :

• Segregation practiced : __________________

• No of receptables available : ______

Capacity : _______

• No. of dug pit : __________ Cover : Yes/ No

• Composting : ___________________________

• Open burning : _________________________

• Collected : ___________

o Frequency : ___________________

• Collected by :

Remarks:____________________________________

____________________________________

_____________________________________

WASTE WATER DISPOSAL:

• Presence of drainage Yes/no

• Presence of sewer yes.no

• Other systems present :

____________________________________________

____________________________________________

• Remarks :

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25

_____________________________________________

_____________________________________________

VERMIN and VECTOR

• Presence of accumulated water

( ground, receptacles ) yes/no

• Presence of uncollected garbage yes/no

• Presence of flies, ants, mosquitoes yes/no

• Remarks : _________________________

Anneuxre - H

Health status/ Services

( Baseline/Initial Survey)

Date Accomplished: __________________

Relief Camp: ____________________________________________

Type of Emergency/Disaster :____________________________________

No. of Inhabitants : ___________________ Place of origin:______________

• No. of families : ________

• No. of males : _________

• No. of Females: _______

• No. of children : _______

Accomplished by : _______________________________________

Designation : ___________________ Contact no. ___________

A. Health Personnel :

MHO in charge : _____________________________________________

Other Health personnel :

• Other Physicians

:______________________________________

• Nurses :

______________________________________________

• ASHA:

_______________________________________________

OPD Time in the Camp : ___________________________________

_____________________________________________

_____________________________________________

_____________________________________________

Clinic days: ________________ Time : _________________________

B. Health Profile :

• Immunization coverage :

o Measles :___________________________________

o DPT________________________________________

o Hepatitis B : ________________________________

o BCG : _____________________________________

• No. of TB patients in DOTS program :_________________

• No. of individuals with CVD : _________________________

• No. of individuals with diabetes : _____________________

• No. of pregnant : ___________________________________

• No. of women breastfeeding : ________________________

• No. of elderly : _____________________________________

• No. of person with disability : ________________________

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26

Signature of the Doctor

I/C of Relief Camp

Name of Doctor________________

Annexure I

Form for Communicable Disease Surveillance

Daily Report

Date : ________________

Prepared by : ____________________________

Designation. ____________________________

Relief Camp Location :________________________________________

No. of New Cases with Under 5

yrs

Over 5 yrs Total Cumulative Cases

1)Fever (38 D C)

2)Fever & Cough

3)Diarrhea with blood

4)Fever with diarrhea

5)Vomiting and/or

diarrhea

6)Fever and eash

7)Dog bite

9)Burns

10)Trauma

11)Jaundice and diarrhea

12)Deaths

13)others (specify)

Remarks :

____________________________________________________

Status of inhabitants today:

• No. of New arrivals : ___________

• No. of consults today : ___________________

• Remarks

___________________________________________________

Signature of the Doctor

Name_____________________

Annexure- J Register for receiving donation Date

Name of

donor

person/

agency

Details of Donation

Rec

eip

t N

o.

Remark Signature

of

authorized

person

Amount By cash or

cheque

If donated

through

Name

of

article

s

Quantity

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27

cheque give

cheque No

1 2 3 4 5 6 7 8 9