Institutional Utility design preview. Use demonstration or non-identifiable data only. New interface-only copy remains in English pending human-reviewed Nepali wording.

Device-only 5Ws · automatic delivery unavailable 5Ws 0.10 is saved on this device only. Automatic delivery is unavailable. Export JSON/CSV before clearing storage or replacing this device.

MHPSS activity report — the 5Ws

Who did what, where and when, and for whom. One report per session: one activity, at one place, on one day, with how many people took part. Totals are calculated in the dashboard, never entered here.

Begin report · Who is reporting

Who is reporting

saved for next time

Reporting organisation

Focal point name

A staff member, not a service user.

Focal point phone

Focal point email — optional

Cadre delivering the activity

One standard list for health and protection partners, so the same role is never counted under two names.

Joint activity with — optional

Organisations that did this activity with you. Item C of the IASC 4Ws.

Who reports the figures

On a joint activity only the lead fills the counts, so one session is never counted twice. A partner report carries no figures; name the lead above.

Where and when

Date — Gregorian (AD)

This is the date the system sorts and groups on.

Start time — optional

Give it when the same activity runs more than once at one place on one day, so each session is kept as its own report.

Date — Bikram Sambat — optional

Typed as reported. Not converted automatically — automatic conversion needs a verified BS calendar table, which has not been obtained.

Province

All seven provinces are listed. Choosing one shortens the district list; choosing nothing keeps every district available.

District

Choosing a district shortens the site list below to that district.

Site

Choose from the holding-centre roster. Only pick “Other” if the site genuinely is not listed — every “Other” has to be reconciled by hand later.

Service setting — where the activity took place

Holding centre (temporary, during the response), outreach in the community, a facility (health facility, school, hospital, OCMC, other government facility), or by telephone / helpline.

What was done

tick each activity that ran today

Tick each activity that ran at this site today. Its figures open underneath: how many of each age group, by sex. Both totals are worked out for you, so there is nothing to reconcile.

Activities, with the people who took part counted by sex and by age
All activities	Female	Male	Not recorded	0–4	5–9	10–17	18–59	60+	Total
Attendances, added across the activities that ran	Female—	Male—	Not recorded—	0–4—	5–9—	10–17—	18–59—	60+—	Total—

Five age groups: 0–4, 5–9, 10–17, 18–59, 60+. Tick an activity to open its figures. Both totals are worked out for you.

Status

One-line description — optional

0/220 characters.

For whom

counts only, never a list

Target group — select all that apply

Ticking "Persons with disabilities" opens the counts for them just below. That is the only place they are entered.

Persons with disabilities — asked for by CMC-Nepal, 21 September 2026

Persons with disabilities here today, by sex and by age
	Female	Male	Total
under 18			—
18 and over			—
Total	—	—	—

Sex and age are two counts of the same people here too, so the two totals are checked against each other. They sit inside the day’s figure and are never added to it or to the activity rows.

People here today, counted once

Everyone who took part at this site today, each person counted once however many activities they joined. It is never smaller than the largest activity row, and never larger than all the rows added together.

Of whom new today

People here today taking part for the first time. Required every day. It sits inside the day's figure and is never added to it.

Largest activity row0

Adds up to — under 18 · — 18 and over

Seen at the session — count what you can see; already inside the day's figure, never added to it — optional

Children without an adult with them

Pregnant women or women with an infant

Needed help to move or get around

Help needed at the time, not disability status. The disability counts are at the top, under the target groups.

Visibly injured or unwell

In acute distress — needed one-to-one attention

Check and save

Saving the same organisation, place, date, activity and start time twice updates that report rather than creating a second one. The report is kept on this device. Automatic delivery is unavailable for this 5Ws version. Export JSON/CSV and retain the files.English operational wording pending human-reviewed Nepali translation.

Saved on this device

This list is the copy on this device; it does not by itself confirm remote delivery. These 5Ws reports are not sent automatically to the Hub. Export JSON/CSV and retain the files before clearing storage or replacing this device.English operational wording pending human-reviewed Nepali translation.

Date
Date	Site	Organisation	Activity	Attended	ID

No reports saved on this device yet.

Draft instrument, version . Site list derived from the holding-centre roster of the daily reporting workbook, to be replaced by the official list when it arrives; age groups, service settings, cadre list and activity list as agreed on 17 September 2026 (the activity list on the IASC layers, subject to the Ministry's subject expert). Revised draft for field piloting.