Micah Network Emergency Response Reporting Template
When preparing a report using this template, you will need to refer to the Micah Network Emergency
Response Reporting Guidelines (October 2006 version) as it requires additional details to be provided.
Alongside each heading in the template, you will see the clause reference for the corresponding section of the
Guidelines.
Please note that the template is only to be used for reporting on Emergency Response programmes.
Section A
Basic Information (maximum one half page)
—Emergency Response Reporting Guidelines Part 3A
The title of the programme
The Supporting Partner programme
reference number (if applicable)
The name of the Implementing
Partner receiving funding
Implementing Partner contact
person details:
Name
Role (Job title)
Address
Tel
Fax
E-mail
Website
The name and role of the person
approving the report for the
Implementing Partner. This person
must be duly authorised.
The start date of the programme
and period covered by the report.
The start date of submission of the report
Section B
Situation Report (maximum one half page )
—Emergency Response Reporting Guidelines Part 3B
Section C
Achievements of the Programme (maximum two and a half pages)
—Emergency Response Reporting Guidelines Part 3C
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
1.
Micah Network
The Implementing Partner may use a narrative format or the following logframe format:
Activities
What was Scheduled
Indicators
Progress Made
Explanatory Narrative
Indicators
Progress Made
Explanatory Narrative
Indicator
Progress Made
Explanatory Narrative
Indicator
Progress Made
Explanatory Narrative
Activity 1
Activity 2
Etc
Outputs
What was Scheduled
Output 1
Output 2
Etc
Purpose
What was Scheduled
Purpose
Goal
What was Scheduled
Goal
Section D
Highlights and Impacts (maximum two and a half pages, excluding stories
and case studies)—Emergency Response Reporting Guidelines Part 3D
Section E
Coordination and Networking (maximum one half page)
—Emergency Response Reporting Guidelines Part 3E
Section F
Programme Management (maximum one page)
—Emergency Response Reporting Guidelines Part 3F
Section G
Next Steps (maximum one half page)
—Emergency Response Reporting Guidelines Part 3G
Section H
Lessons Learnt (maximum one page)
—Emergency Response Reporting Guidelines Part 3H
Section I
Financial Report (maximum one page)
—Emergency Response Reporting Guidelines Part 4.8
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
2.
Micah Network
Expenditure
Items
Unit
costs
No of
units
Total Actual
Expenditure
Amount
Budgeted
Percentage
Variance
actual/budget
Activity and material costs
(Relief inputs)
Personnel and related costs
Transport and logistics costs
Capital costs
Evaluation costs
Field support costs —
administration and
communications
Head Office support costs
(limits may be applied by the
Supporting Partner)
Other costs
Total Expenditure
Footnotes explaining variances more than + or – 10% and over US $ 500.
Income
Name other donors/
describe sources of
income
Amount
Committed
Amount
Received
Percentage
Variance
Committed/
Received
Supporting Partner
supporting partner 2
supporting partner 3
supporting partner 4
Other donors
In-kind donations
Local contributions
Other (please specify)
Total Income
Any variance that exceeds 10% of over–or under-receipt must be explained.
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
3.
Micah Network
Annex: Differing Requirements
Section L
The Local Church (maximum one page)
—Emergency Response Reporting Guidelines Annexure 1a
Section M
Method of counting beneficiaries
—Emergency Response Reporting Guidelines Annexure 1b
Section N
Quality Standards Verification
This form requires partners to briefly outline how the quality standards were reflected in the project
implementation.
The questions in normal font refer to core quality standards and all must be answered.
For emergency projects over £100,000, the questions in italics which were considered a priority during the
proposal stage should be answered. Where an emergency project was for £100,000 or less the questions in
italics are optional.
brief responses only:
1. Values
How were staff made familiar with the organisation's values, the types of unacceptable
conduct (eg . exploitation and abuse of children and vulnerable adults, fraud, bribery)
and their disciplinary procedures?
2. Impartiality &
Targeting
How were beneficiaries selected? Describe how this was based on need and on the
most vulnerable people being reached.
3. Accountability
How involved were community groups participating in the planning of the project? How
openly did staff share information about the project's aims and ensure that people
could give feedback about its delivery?
4. Sustainability
What has been the level of sustainability or reliability of the project?
5. Advocacy
How has the project addressed local or national policy issues relevant to the project
objectives?
6. Children
How has the project prevented an increase in the vulnerability of children?
How has the project supported child development and protected them from harm?
7. Gender
How has the project prevented an increase in the vulnerability of women?
How has the project promoted inclusiveness of both men and women, and enhanced
the safety of women and girls?
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
4.
Micah Network
8. HIV
How has the project prevented an increase in the vulnerability of people to HIV?
How has the project reduced people’s likelihood of becoming more vulnerable to HIV?
9. Environment
How has the project ensured it is not contributing to environmental degradation?
How has the project reduced environmental damage and increased positive
environmental outcomes?
10. Disaster Risk
How has the project built up community capacity and addressed long-term
vulnerability to disasters?
11. Conflict
How has the project avoided heightening tension or making people more vulnerable to
physical harm?
How has the project promoted peace and reconciliation?
12. Technical
Standards
How has the project ensured that its outputs are of a good technical standard?
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
5.
Micah Network
Transformation Indicators Report
[to be submitted with the annual narrative and financial report]
Project Reference No:
Reporting Year:
From:______________20__ to:_____________20__
Project Name / Advocacy Initiative:
Partner name:
(or Tearfund Team name,
where appropriate)
The following data is to help Tearfund assess progress towards achieving its long term vision.
Please complete all the following sections:
A: Quantitative data
Section 1 – Church Mobilisation
Section 2 – Beneficiary Numbers
Section 3 – Sectoral Emphasis
B: Qualitative data
Section 4 – Evidence of Transformation
SECTION 1 ~ Mobilisation of Churches:
How many local churches have been envisioned for
Integral Mission for the first time during this
reporting year through the work of this project?
How many local churches have become active in practical
service to their community during this reporting year, as a
result of having been envisioned for Integral Mission by this
project
Box Q
Insert number
Box R
Insert number
(Note: It is not necessary for Tearfund to be supporting the church’s work financially
to be reported in Box R. The issue is whether they are now active in Integral Mission)
Of those churches reported in Box R, how many are
doing work to i)
Reduce the spread and impact of
HIV and AIDS
ii)
iii)
Assist vulnerable people to prevent, prepare
for, respond to and recover from disasters
Influence people in authority or power for
political or social change in favour of
vulnerable people
Insert number
Insert number
Insert number
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
Box S
Box T
Box V
6.
Micah Network
SECTION 2 ~ Beneficiary Numbers:
Beneficiary Numbers:
Total number of beneficiaries served by the project
during the year. (Column A)
Of those in A, how many are new to the project this
year? (Column B)
Total
being
served
this year
A
Number
new to
project
this year
B
Previously
reported
elsewhere
New to
Tearfund
this year
C
D = B-C
Of those in B, how many have already been
reported in this project or in other Tearfund
supported projects since 2007? (Column C)
Hence determine for each year the number of new
Tearfund beneficiaries. (Column D = column B –
column C)
Of the total beneficiaries served by the project
during the year (Column A), what percentage are:
Female and over 18 years
Female and under 18 years
Male and over 18 years
Male and under 18 years
Total
%
%
%
%
100%
SECTION 3 ~ Sectoral Emphasis:
Beneficiaries by Sector:
Please state the number of beneficiaries receiving
assistance during this year in each of the sectors
in the table. It is recognised that the same person
may be receiving benefits in more than one area
so could be recorded more than once, and that
the totals cannot be aggregated. Local level
advocacy will often be connected with support in
one of the other sectors.
HIV
Health and Nutrition
Water and Sanitation
Basic Education and Literacy
Vulnerable children
Livelihoods and Shelter
Environmental Sustainability and
Disaster Risk Reduction
Local level Advocacy
(Others – please state)
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
7.
Micah Network
SECTION 4 ~ Evidence of Transformation - since the start of the project:
Tearfund’s goal is to see the lives of poor people transformed. Our understanding is that
transformation happens where there is evidence of:
i. a material improvement happening in people’s lives (e.g. economic and/ or
physical improvement)
combined with
ii. a social, psychological and/ or political change which promotes greater hope,
confidence and self-esteem, and
iii. spiritual growth towards faith in Jesus
For the purposes of this report Tearfund will consider that beneficiaries will be experiencing
transformation if at least one question in each section of the following questionnaire can be answered
positively.
Your project will address one or more of these development sectors – other agencies and authorities
may be providing support for the others. Answer each question, no matter who provides the support.
Questions should be answered as follows:
Yes – we have provided evidence, stories or statistical data, in the narrative report
Not yet – there is work addressing this aspect but no evidence of change as yet
N/A – there is no support being given to this aspect of transformation
Note:
1. It is unlikely that any assessment will be able to answer “Yes” to all questions and in the early
stages of work with any beneficiary group we would expect there to be little evidence of
transformation.
2. Tearfund recognises that in various circumstances it will not be practical for partners to aim for a
transforming situation as described here.
This is not expected to be a time-consuming task, nor should it require special monitoring procedures,
but it does require you to be well informed about your project’s context.
Your answers should be based on information from your regular project monitoring activities and your
knowledge of the activities being undertaken by other agencies supporting the beneficiary group.
Material (Economic and/or Physical) Improvement:
(please circle the relevant answer)
Is there evidence of an improvement in the physical/
health status of the beneficiaries?
(MDGs 4, 5 & 6)
YES
NOT YET
N/A
Is there evidence that the beneficiaries are better able
to protect themselves against the threat of HIV
infection? (MDG 6)
YES
NOT YET
N/A
Is there evidence of an improvement in the economic
status of the beneficiaries?
(MDG1)
YES
NOT YET
N/A
Is there evidence an improvement in the livelihood and
food security of the beneficiaries?
(MDG 1 & 7)
YES
NOT YET
N/A
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
8.
Micah Network
Psychological/ Social/ Political Change
(please circle the relevant answer)
Is there evidence of an improvement in the confidence
and self-esteem of the beneficiaries, taking particular
account of the empowerment of women?
Is there evidence of an improvement in the
relationships within the beneficiary community, taking
account of the importance of gender equity and the
rights of children? (MDG 3)
Is there evidence of an increase in girls completing
primary education? (MDGs 2 & 3)
Is there evidence of the beneficiaries enjoying greater
justice in terms of their access to services and the
recognition of their rights by decision makers?
YES
NOT YET
N/A
YES
NOT YET
N/A
YES
NOT YET
N/A
YES
NOT YET
N/A
Spiritual Growth
(please circle the relevant answer)
Is there evidence that the beneficiaries are being
prompted to ask who Jesus is as a result of your work
and witness? (Sp.I 01)
YES
NOT YET
N/A
Is there evidence among some of the beneficiaries of a
deepening commitment to living a God-honouring life?
(Sp.I 02)
YES
NOT YET
N/A
Is there evidence among some of the beneficiaries of a
changing world-view and behaviour that is consistent
with living by biblical values? (Sp.I 03)
YES
NOT YET
N/A
Overall Transformation
Having regard to the definition of transformation at the top of page 3,
What proportion of beneficiaries being served by this
project are experiencing transformation?
Insert percentage
Box W
Note: Your narrative report should support your response to the above questions by specifying some
of the evidence (Signs of Transformation) that has led to your answers
Micah Network Emergency Response Reporting Template (Version date: Oct 2006, Tearfund May 2012)
9.