Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Project Location
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Site name
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Wereda
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Kushet
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Tabia
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GPS northing
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well ID
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Project type and status information
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date/month of construction/Rehablitation
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Project Type
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If rehabilitation, month/year of break down
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Does the water scheme has appropriate fence and lock
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for how long was the water scheme nonfunctional
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Current beneficiaries number
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Type of breakdown
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Institutional strength and WASHCO related information
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is there a guard. Does the water scheme have a bank account
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if yes how much
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what amount of deposit does the water scheme has currently. Is there any fee to use water
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is it ratified?
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, are they trained
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what is their sex composition
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Do they have a bylaw?
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Is there a functional WASHCO
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what is their number
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Water quality related information
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pleasant/unpleasant, if any color
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physical taste of the water
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Is there any quality issue seen/faced in the water supply
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Sanitation related information
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is there any water stored around the well
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Is there appropriate drainage system
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Is there anyone who took sanitation and hygiene training by this program from health staffs of the Tabia?
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Other supplies
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What other supplies were supplied to community members like dignity kit, water treatment chemical etc
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WASHCO members
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Wider scheme view and people collecting water
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Close view showing the plaque