POVERTY AND GENDER ASSESSMENT FORM

This form is meant to be a guide to applicants in providing information on the poverty/vulnerability and gender characteristics of the proposed project beneficiary population. It is not part of the application form.

The Compact states that a key objective of the “Innovation Grant for Pro-Poor Service Delivery” is to “provide significant access by women and vulnerable groups to Project benefits and expand opportunities for entrepreneurship and income generating activities related to water, sanitation and drainage.” Scoring criteria thus consider the profile of proposed project beneficiaries. This form is intended to provide guidance to applicants for fulfilling this requirement.

Applicant Name: / Date:
Proposal Title:
Neighborhood/Geographic Area:
1. Briefly describe the type of benefits/beneficiaries (i.e. recipients of new services; recipients of training or employment, etc.) and number of projected beneficiaries. _ Use as much space as needed / Description of benefit/ service provided / Number of direct beneficiaries
2a. Among the direct beneficiaries, How many are:
(a) Female
(b) Male
(c) Poor
(d) Vulnerable
(e) Total
2b. Among the indirect beneficiaries (cannot overlap with direct), How many are:
(a) Female
(b) Male
(c) Poor (estimate)
(d) Vulnerable (estimate)
(e) Total / (a)
(b)
(c)
(d)
(e)
(a)
(b)
(c)
(d)
3. What is the poverty and vulnerability status of the planned project area/s? (qualitative assessment ok if quantitative info not available) Give source of information if any.
4a. Based on information provided in question 2, approximately what percent of direct beneficiaries are poor or vulnerable?
4b. If known, approximately what percent of total beneficiaries are poor or vulnerable? / (a)
(b)
5a. How will the project ensure the inclusion of poor and vulnerable beneficiaries? (i.e. eligibility criteria for beneficiaries; forms of outreach, etc.)
5b. How will project ensure the inclusion of women, girls, and/or youth beneficiaries?
This next section provides guidance on acceptable evidence to support the assessment of poor, vulnerable, and gender targeting for the project. It serves as guidance to applicants to help fill out the mandatory questions on targeting poor and vulnerable beneficiaries and targeting women and youth in the Small and Large grants applications. The indicators/characteristics below are offered as suggestions. If applicants have answered section 3.3 and 3.4 of the Small Grants application and section 3.3 and 3.4 of Large Grants , then they can optionally fill out the table below to further elaborate their evidence for their answers.
6. Information sources can include quantitative data from national and local data sources and surveys (e.g. CSO, NWASCO, World Bank or other development agency, NGO-collected data, participatory poverty assessments, rapid appraisals, etc.), or qualitative or narrative sources such as any previous assessments undertaken in the area, information from NGOs working in the area, information from local authorities, community-based organisations, ward development committees, direct consultations with beneficiaries, etc. A wide range of data sources will be considered; the key objective is to provide the Innovation Grant evaluation committee with credible information on which to assess the poverty/vulnerability characteristics of the targeted beneficiary population.
The Table below is provided for additional space to explain your support for your answers in section 3.3 & 3.4 of the Small Grants application and section 3.3 & 3.4 of the Large Grants application. It is optional for small beneficiaries, and recommended for large beneficiaries.
Types of Poverty/Vulnerability Indicators that can be used
Optional: Use this table if necessary to further explain your evidence for section 3.3 and 3.4 of SG application and section .. of LG application. / Evidence Sources (use as much space as needed)

Indicators of economic insecurity (e.g. unemployment/ underemployment, income, expenditure, food insecurity (e.g. # meals/day, etc.)
Indicators of gender (e.g. % of female beneficiaries; female-headed households, etc.)
Indicators of other characteristics of vulnerability (e.g. percentage of beneficiary households with elderly, ill, disabled, or AIDS-affected, etc.)
Indicators of living standards (e.g. type or materials of dwelling; homeowners vs. tenants, etc.)
Indicators of beneficiary access to quality water and sanitation services (e.g. networked services or septic tanks vs. latrines, water or sanitation-related illnesses, etc.)