1 
Consultancy for the development of the 
Project Baseline
"Wash Response to COVID-19 project in 
Peru" (WCP), in the districts of San Juan de 
Lurigancho and Callao
Final Report
Lorena L. Monsalve Morales
Consultant
30/10/2020
2 
LIST OF ACRONYMS 
ADRA Adventist Development and Relief Agency - Peru
BHA Bureau for Humanitarian Assistance
COVID 19 COVID-19 Disease 2019 
Id National Identification Document
INEI National Institute of Statistics and Informatics 
MEF Ministry of Economy and Finance
MIDIS Ministry of Development and Social Inclusion
MIMP Ministry of Women and Vulnerable Populations
MINSA Ministry of Health
NFIs Non Food items
NGO Non-Governmental Organization
PNUD The United Nations Development Programme 
SEDAPAL Potable Water and Sewerage Service of Lima 
SUNASS National Superintendence of Sanitation Services 
TOR Terms of Reference 
USAID United States Agency for International Development
WASH Water, Sanitation and Hygiene
WCP Sanitation Coordination Project
 
3 
EXECUTIVE SUMMARY 
The COVID-19 pandemic has highlighted specific inequalities between the poor and the rich in cities. 
During the second semester of this year, unemployment in the urban area decreased by 44.3% 
compared to the previous year, that is, 6 million 135 thousand 700 people, which significantly affects 
the poor and the extreme poor1
. Lack of income means that buying soap and other implements to carry 
out hand and respiratory hygiene can be even impossible for many households.
In Lima, the urban poor pay 6 times more for water than a household connected to the SEDAPAL 
network2
. However, this more onerous payment made by poor households is not synonymous of 
continuous and quality service. On the other hand, public markets have been identified by the 
government as a high-risk point for COVID-19 transmission. An important barrier to controlling coVID￾19 transmission in public markets is the lack of public handwashing facilities3
.
As economies begin to reopen, the BHA and ADRA of Peru will establish measures to address the main 
obstacles to compliance with public health measures. The BHA and ADRA will address needs in the water, 
sanitation, and health sectors. WASH activities will provide the physical means to perform 
recommended hand and respiratory hygiene at home and in public markets. Health activities will 
reinforce WASH activities by disseminating life-saving information for vulnerable households, 
information necessary to protect themselves, and others from the virus. Close coordination with other 
agencies operating in the area will ensure consistency of information and language and prevent 
misinformation/rumors.
In this sense the project "WASH Response to COVID -19 in Peru (WCP) located in the Province of 
Lima, in the district of San Juan de Lurigancho; and in the Constitutional Province of Callao, the district 
of Callao", it has as its general objective to provide humanitarian assistance with a Community 
approach to vulnerable populations affected by COVID-19 in Peru, through interventions on water, 
sanitation, and hygiene (WASH) and health. Intervention takes place in two sectors: (a) water, 
sanitation, and hygiene; b) health.
The Baseline presented below collects and organizes the information in accordance with the expected 
performance indicators and scheduled activities of the project subsectors, approved by USAID/BHA,
in coordination with the main actors and beneficiaries and the implementing entity ADRA Peru. The 
study used a mixed method approach to effectively triangulate the results, through two research 
components: the quantitative component, and the qualitative component. Also, a participatory 
design was optimized so that the population to be involved in the project is included as an active 
element of the evaluation. The Baseline study used the following data collection methods: desk 
review, semi-structured interview surveys, key informant interviews with local leaders and officials, 
among others. The random sample covered 194 respondents, also, 27 interviews were conducted. 
The main findings of the study are shown below:
• It is noted that the target population in Callao and especially in San Juan de Lurigancho are 
vulnerable groups, many families with low incomes, and others with no economic income. 
1
 INEI (2020). Informe Técnico: comportamiento de los indicadores de mercado laboral a nivel nacional. July 2019 
– June 2020. https://www.inei.gob.pe/media/MenuRecursivo/boletines/03-informe-tecnico-n03_empleo￾nacional-abr-may-jun-2020.pdf 
2
 SUNASS (2015). Boletín Virtual de la Superintendencia Nacional de Servicios de Saneamiento. June, 2015. 
https://www.sunass.gob.pe/doc/Boletin/2015/junio/notacentral1.html 
3
 ADRA (2020),Wash Response to COVID-19 in Peru (WCP). 
4 
Handwashing and COVID-19 prevention may not be a priority right now for them, given the 
concern to provide themselves with food and income. 
• The random sample determined a majority number of women in the study (71%). The main 
cause is that there are more women registered in the list of beneficiaries. Of the total of 
women included in the sample, at least 80% of women stated that they were heads of 
household. According to interviews conducted, there are many single mothers in vulnerable 
situations. 
• In general, in both districts there are homes with precarious water supply facilities, and 
there are limitations on access to water. 59% of respondents do not have a water 
connection in their home.
• The 73% of respondents have been unable to pay for their basic services (water, electricity, 
and telephone), in the last 3 months.
• In 16% of the households there is a family member who suffers from a mental and / or 
physical disability. During the pandemic, several of them would have been neglected. 
• In 66% of the households no family member suffered from COVID-19. In contrast, there is a 
34% of households where a member has suffered from COVID-19, 35% said that there are 
people with underlying health conditions, and they are not receiving medical care in all 
cases.
• 37% of the total respondents said they do not always have water to wash their hands, a 
dramatic result in the district of San Juan, where out of 99 respondents, 52 considered that 
sometimes there is, and sometimes there is not enough water to perform this practice.
• More than 50% of respondents expressed that they sometimes had and sometimes did not 
have enough soap to wash their hands, even one of the respondents manifested that he 
hardly ever had soap to wash his hands.
• 80% of respondents had not received any hygiene kits for the prevention of COVID 19 during 
2020. Meanwhile, 20% responded positively to this question.
• The average age of community agents identified for the project is 40, with very young 
community agents (20), and others at the age limit to be considered vulnerable (62).
• Although the percentages of recall and information are high regarding the measures to 
prevent COVID-19, this is not consistent with the actual practice of these protection 
measures. Many of those interviewed can identify protective measures, but do not 
necessarily understand the impact on their health and the health of members of their 
household.
• Problems of representation of leaders are perceived. Residents do not feel fully 
represented, especially in Callao, and could be skeptical and distrustful of the intervention.
• Supply markets are not be complying with the minimum number of actions required for their 
operation. Not every market has a hand washing station. And if they do, they are not working 
at 100%, and / or they lack water, soap or paper towels. 
 Recommendations for project implementation are:
• Review, improve and update of beneficiaries list.
• Build joint intervention partnerships with other public and private institutions to provide 
families with care combos, such as health, food, and information, could be a possibility. 
• Carry out the distribution of hygiene kits directly to beneficiaries according to the registry, 
at home and directly with ADRA personnel. 
• Observe the possibility of providing hoses to some high areas of the San Juan de Lurigancho 
district, to facilitate the collection and water transfer. This will help to ensure that the 
buckets that will be delivered by the project are always supplied with water. 
5 
• Form the group of community health agents only with lower risk to COVID-19 people. In 
order to not expose vulnerable groups to situations of risk and contagion. 
• Strengthen communication channels in a creative way during the training stage, since 
neither all beneficiaries are at the same level of knowledge regarding the prevention of 
COVID-19, nor do they have a cell phone, internet access and data. 
• Strengthen the Health Self-Control Committees in supply markets to make the 
implementation of training actions and the operation of handwashing stations sustainable.
6 
TABLE OF CONTENTS 
List of Acronyms ............................................................................................................................................................. 2
Executive Summary ........................................................................................................................................................ 3
Consulting for the baseline of the "Wash Response to COVID-19 in Peru" (WCP) Project, in the districts of San Juan 
de Lurigancho and Callao............................................................................................................................................ 8
I. Introduction and background of the project ....................................................................................................... 8
1.1. Background .................................................................................................................................................. 8
1.2. Justification .................................................................................................................................................. 8
1.3. Project description ....................................................................................................................................... 9
1.4. Consulting objectives ................................................................................................................................. 10
General Objective ................................................................................................................................................ 10
1.5. Scope of assessment .................................................................................... Error! Bookmark not defined.
1.6. Research team ........................................................................................................................................... 12
II. Methodology ........................................................................................................................................................ 12
2.1. Sampling ................................................................................................................................................ 12
2.2. Gather and select data ............................................................................. Error! Bookmark not defined.
2.3. Field research ........................................................................................................................................ 13
2.4. Systematization and analysis of information ....................................................................................... 13
2.5. Present and communicate results........................................................................................................ 13
III. Findings, discussion and analysis ................................................................................................................... 13
3.1. Characteristics of the target population .................................................................................................. 13
3.2. Sector 1. Water, sanitation and hygiene .................................................................................................. 20
Subsector 1. Sanitation ............................................................................................................................................ 20
Subsector 2. Wash NFIs .......................................................................................................................................... 22
3.3. Sector 2. Health ......................................................................................................................................... 25
Subsector 1. International public health emergencies and pandemics ................................................................ 25
IV. Key findings and recommendations .............................................................................................................. 30
V. Annexes ................................................................................................................................................................ 32
Annex 1. List of figures............................................................................................................................................. 32
Annex 2. List table .................................................................................................................................................... 36
Annex 3. List of photos ............................................................................................................................................ 41
Annex 4. Result of Project Indicators Measured on the Baseline ......................................................................... 46
Annex 5. Consulting Terms of Reference ............................................................................................................... 48
Annex 6. Matrix of indicators and questions of the evaluation ............................................................................ 55
Annex 7. LISTS OF BENEFICIARIES SURVEYED IN THE DISTRICT OF SAN JUAN DE LURIGANCHO AND THE 
CONSTITUTIONAL PROVINCE OF CALLAO .................................................................. Error! Bookmark not defined.
Annex 8. List of community agents surveyed ............................................................ Error! Bookmark not defined.
Annex 9. List of stock market representatives, local leaders, public officials and interviewed authorities . Error! 
Bookmark not defined.
7 
Annex 10. Interview guide for local authorities ..................................................................................................... 61
Annex 11. Beneficiary survey .................................................................................................................................. 62
Annex 12. Survey of community health workers .................................................................................................. 69
Annex 13. Checklist and market observation of stocks ......................................................................................... 74
 
8 
CONSULTING FOR THE BASELINE OF THE "WASH RESPONSE TO COVID￾19 IN PERU" (WCP) PROJECT, IN THE DISTRICTS OF SAN JUAN DE 
LURIGANCHO AND CALLAO 
I. INTRODUCTION AND BACKGROUND OF THE PROJECT 
 
1.1. BACKGROUND4
 
 
This pandemic has revealed specific inequalities between the poor and rich in cities that prevent the 
poor from carrying out hygiene practices that could save their lives and those around them. During the 
second semester of this year, unemployment in the urban area decreased by 44.3% compared to the 
previous year, that is, 6 million 135 thousand 700 people, which significantly affects the poor and the 
extreme poor5
. The lack of a daily salary means that the income available to buy soap and other 
implements to carry out hand and respiratory hygiene may simply not be available. 
In Lima, the urban poor pay 6 times more for water than a household connected to the SEDAPAL 
network6
. Limited water supply forces low-income households to prioritize hand washing with this 
valuable resource. There is currently little commitment to low-income communities to remove barriers 
to public health implementation and action. Hygiene campaigns in the media have not addressed these 
barriers that poor and extremely poor households have. On a broader scale, as the economy breaks 
back, more people will interact in public spaces. Public markets have been identified by the government 
as a high-risk point for COVID-19 transmission. An important barrier to controlling COVID-19 
transmission in public markets is the lack of public handwashing facilities.
As economies begin to reopen, the BHA and ADRA of Peru will establish measures to address the main
obstacles to compliance with public health measures. The BHA and ADRA will address needs in the water, 
sanitation, and health sectors. WASH activities will provide the physical means to perform the 
recommended hand and respiratory hygiene at home and in public markets. Health activities will 
strengthen WASH's activities by disseminating life-saving information to vulnerable households that are 
necessary to protect themselves and others from the virus. Close coordination with other agencies 
operating in the area will ensure consistency of information and language and prevent 
misinformation/rumors.
1.2. JUSTIFICATION 
4
 ADRA (2020), Wash Response To COVID-19 in Peru (WCP). 
5
 INEI (2020). Informe Técnico: comportamiento de los indicadores de mercado laboral a nivel nacional. July 2019 
– June 2020. https://www.inei.gob.pe/media/MenuRecursivo/boletines/03-informe-tecnico-n03_empleo￾nacional-abr-may-jun-2020.pdf 
6
 SUNASS (2015). Boletín Virtual de la Superintendencia Nacional de Servicios de Saneamiento. June, 2015. 
https://www.sunass.gob.pe/doc/Boletin/2015/junio/notacentral1.html 
9 
ADRA Peru is an NGO with more than 50 years of presence in Peru, primarily dedicated to sustainable 
development projects for the benefit of populations in poverty, extreme poverty, or high social risk. 
Its strategic allies are public institutions, private institutions, international cooperation, and civil 
society. 
At present, ADRA Peru is the implementing entity of the project "WASH Response to COVID -19 in 
Peru (WCP) located in the Province of Lima, district of San Juan de Lurigancho and the Constitutional 
Province of Callao, Callao district," which aims to provide humanitarian assistance with a community￾focused approach to vulnerable populations affected by COVID-19, in, two districts, through water, 
sanitation and hygiene (WASH) and health interventions. In this scenario, a consultant has been 
contracted to develop the Project Baseline document according to the indicators, expected results and 
scheduled activities in the USAID/BHA approved project.
The purpose of this document is to present the Baseline document of that project, which contains 
introduction and background of the project; methodology; findings; discussion and analysis of results; 
conclusions and recommendations; and appendices. 
1.3. PROJECT DESCRIPTION 
The project "WASH Response to COVID -19 in Peru (WCP) located in the Province of Lima, in the 
district of San Juan de Lurigancho; and in the Constitutional Province of Callao, the district of Callao", 
it has as its general objective to provide humanitarian assistance with a community approach to 
vulnerable populations affected by COVID-19 in Peru, through interventions on water, sanitation and 
hygiene (WASH) and health.
Intervention takes place in two sectors: (a) water, sanitation and hygiene; b) health. Expected results 
are considered by sector: 
 Sector 1: Water, Sanitation and Hygiene (WASH) 
To strengthen the practice of hygiene behaviors with an emphasis on safeguarding health and 
preventing the spread of COVID-19 in the target population. 
 Sector 2: Health 
To reduce the spread of COVID-10 through community-based interventions supporting leaders and 
health workers to improve respiratory and hand hygiene practices. 
EACH SECTOR IS ALSO SUBDIVIDED INTO SUBSECTORS (ANNEX 1. LIST OF FIGURES 
 
FIGURE 9). THE PROJECT INTENDS TO IMPACT A TOTAL OF 17,000 DIRECT AND INDIRECT BENEFICIARIES 
( 
 y Table 1), developing a local strategy to reach a low-income population. This strategy seeks to 
contribute to the efforts of the Peruvian government to contain the spread of COVID-19 in 
accordance with the Resolution Nacional No. 003-2020-INACAL/DN and the recommendations of 
cleaning and disinfection of hands and surfaces of the National Institute of Quality (INACAL).7
 These are 
project activities:
7 Wash Response To COVID-19 in Peru (WCP), Technical Application, July 2, 2020. 
10 
1. Promoting the most effective hand and respiratory hygiene practices to prevent the 
spread of the COVID-19.
2. The installation of hand washing stations in public spaces, such as food markets, which 
attract many of the population.
3. The provision of hygiene products and supplies to facilitate hand washing and respiratory 
hygiene.
1.4. STUDY OBJECTIVES 
 
 GENERAL OBJECTIVE 
Develop a Baseline of the "Wash Response to COVID-19 in Peru Project", in the districts of San Juan 
de Lurigancho and Callao, collecting and organizing the information according to the indicators of 
expected results and programmed activities of the subsectors of the project, approved by USAID / 
BHA in coordination with the main actors and beneficiaries of the project and the implementing 
entity ADRA Peru, and present the document duly ordered and edited, which should constitute a 
project management instrument for monitoring and evaluation, as well as its subsequent 
systematization and monitoring of obtaining objectives and products.
1.5. LOCATION OF THE STUDY 
11 
THE BASELINE WAS CONDUCTED IN THE DISTRICT OF SAN JUAN DE LURIGANCHO (FIGURE 11), IN THE CITY 
OF LIMA METROPOLITANA; AND THE CONSTITUTIONAL PROVINCE OF CALLAO (FIGURE 10. LOCATION OF THE 
STUDY IN THE CONSTITUTIONAL PROVINCE OF CALLAO 
 
 
 
 
 
 
 
 
 
 
 
 
 
12 
). 
1.6. RESEARCH TEAM 
The Technical Team consisted of 6 individuals: 1 Coordinator of base line study; 1 Logistical support; 
and 4 Field researchers (Figure 12), with roles and responsibilities clearly defined (Error! Reference 
source not found.). 
II. METHODOLOGY 
The study used a mixed method approach to effectively triangulate the results, through two research 
components: the quantitative component, and the qualitative component. In addition, a 
participatory design is optimized so that the population to be affected by the project is included not 
only as a source of information but also as an active element of the evaluation. In this way, the 
participants are seen, not only as passive recipients of the assistance but as active agents in the 
response,8 because of the community approach to project intervention. 
Considering the current scenario and the considerations of social isolation established by the State, 
the following work methods and techniques were estimated for the development of the Baseline 
(Table 3). 
2.1. SAMPLING 
For the collection of quantitative information, the sampling was of a simple random type, the 
sample was distributed proportionally by district (district of San Juan de Lurigancho, and the 
Constitutional Province of Callao). Information for contact with the population was provided by 
ADRA. Random selection of respondents was done considering this information. For the collecting 
of qualitative information, the type of sample was of an intentional type, because of the list of key 
informants identified by the ADRA technical team.
The universe of the study was the total of direct beneficiaries registered until the beginning of 
the Baseline study. A total of 6134 beneficiaries; 3,212 beneficiaries in the district of San Juan de 
Lurigancho and 2,922 beneficiaries in Callao. It should be noted that, although initially 9,000 
beneficiaries were considered as the total universe, the size of the sample did not vary 
significantly. The sample calculation was carried out with a confidence level of 95%, and a margin 
of error of 7% (Table 4. Sample for baseline study). 
The development of the Baseline was carried out through 4 complementary processes with each 
other, as shown in the following graphic (Figure 13. Processes for baseline ), and described below:
2.2. IDENTIFY BASELINE DATA COLLECTION NEEDS 
The collection, systematization, and analysis of local and regional secondary information was 
involved; as well as primary information related to the project indicators and produced in situ by 
the different actors. During this stage, the project's indicator matrix has been analyzed, designing 
8
 See: Guide Evaluation of the Humanitarian Action. ALNAP (2009).
https://www.alnap.org/system/files/content/resource/files/main/es-alnap-eha-guide-2016.pdf 
13 
a matrix of indicators and questions for the evaluation (See Annex 1), the instruments for 
collecting information in the field have also been developed, and all of them have been reviewed 
in conjunction with the ADRA team (See Annexes). Technical meetings have also been held to 
observe the planning of the fieldwork and the execution schedule of the consultancy.
During this time, the beneficiary survey was also piloted, the results of which were shared with 
the ADRA Peru technical team. 
2.3. FIELD RESEARCH 
Fieldwork and data collection activities were carried out by qualified personnel with experience 
in the survey of qualitative and quantitative information. All activities were coordinated with ADRA 
Peru.
The information gathering was carried out through on-site observation, in-depth interviews, 
semi-structured interviews, and surveys. For this, the fieldwork included informed consent 
protocols through which the objective of the Baseline was explained, the anonymity condition of 
the testimonies, as well as the commitment of confidentiality and non-use of the information 
except for the purposes of the study.
2.4. SYSTEMATIZATION AND ANALYSIS OF INFORMATION 
The ordering and systematization of the data was carried out as requested in the TOR. The final 
report uses citations in order to present the opinions and experiences of the actors addressed by 
the study, in their own terms and ways of expressing themselves, if necessary; and collects the 
observations and suggestions made by the Project team.
2.5. PRESENT AND COMMUNICATE RESULTS 
At least one presentation of the results of the study has been planned, to be previously 
coordinated with the contractor. This will provide information on the main findings according to 
the sectors and subsectors of the Project, as well as conclusions and recommendations. The final 
report includes an executive summary of the study carried out.
2.6. Limitations on service development (Table 5. Limitations on service development)
III. FINDINGS, DISCUSSION AND ANALYSIS 
3.1. CHARACTERISTICS OF THE TARGET POPULATION 
Gender disaggregation
Most of the beneficiaries surveyed in the Constitutional Province of Callao and the district of San Juan 
de Lurigancho are women (71%, 138 women), compared to 29% of surveyed men (58 men). 
71%
29%
FIGURE 1. PERCENTAGE OF TOTAL POPULATION DESEGGREGATED BY SEX 
14 
This trend can also be seen in each of the intervention zones. In the Constitutional Province of Callao, 
for every three women interviewed, a male has been interviewed. While in the district of San Juan de 
Lurigancho the proportion is 2 female for each male interviewed, as can be seen in the following figures: 
FIGURE 2. PERCENTAGE OF BENEFICIARY POPULATION BY SEX IN THE CONSTITUTIONAL PROVINCE OF CALLAO 
FIGURE 3. PERCENTAGE OF BENEFICIARY POPULATION BY SEX IN SAN JUAN DE LURIGANCHO DISTRICT 
Head of household 
Most households have a woman as head of household. Of the total number of women interviewed (138 
women), 80% claimed to be heads of households (111 women); 18% do not express this condition (25 
women): and 2% preferred not to answer or was not able to answer the question (2 women). This 
detail is relevant because, according to evidence, households that have a woman as head of household 
are more vulnerable. According to the UNDP, it is necessary to pay special attention to households 
headed by women, since poverty affects mainly households headed by women. This situation of the 
disadvantage of women becomes more evident if, also, variables such as residing in a rural area, having 
a mother tongue other than Spanish, if you are a girl, adolescent or elderly woman, are added, this in 
many cases triples the national average levels of poverty in Peru9
.
FIGURE 4. ARE YOU HEAD OF HOME? 
9
 PNUD (2012). Estrategia de igualdad de género, PNUD Perú. August, 2012. 
15 
Age of beneficiaries
The highest number of respondents are adults between the age of 30 and 59 (130 beneficiaries); a 
second group corresponds to a young population between the age of 18 and 29 (36 beneficiaries); while 
the older adult population would correspond to a third group with only 28 beneficiaries. For all cases, 
most of the beneficiaries are women. It is also important to mention that at least 91% of the total 
population (176 beneficiaries) between the ages of 18 and 64 would be of working age, that is, would be 
able to carry out occupations or productive activities. 
FIGURE 5. AGE OF THE BENEFICIARY POPULATION OF THE PROJECT BY STAGES OF LIFE, TOTAL AND PERCENTAGES 
Household size
Since in both districts most households are made up of two to five people, substantial differences are 
observed in households with more than six people. In the case of Callao, for example, households with 
more than six people account for 35% of the total beneficiaries, while in the case of San Juan the 
correspondence is only 21% of the total district. In Callao, there is a higher percentage of households 
made up of more than six people than in the district of San Juan de Lurigancho.
16 
FIGURE 6. INCLUDING YOURSELF, HOW MANY PEOPLE MAKE UP YOUR HOME? TOTAL AND PERCENTAGE PER DISTRICT 
Criteria for inclusion of the project
The baseline measured eight present vulnerability criteria for the inclusion of beneficiaries to the 
project. These were: a) households that do not have drinking water in home; b) households that could 
not afford basic services (water, electricity, and telephone) during the last three months; c) older adults; 
(d) people with disabilities; (e) people with COVID-19 in its family nucleus; (f) people with underlying 
health problems, having had COVID-19; (g) women heads of household; and (h) victims of abuse or 
violence. 
(a) Households that do not have drinking water in the home, 59% of the total beneficiaries (115 
beneficiaries), expressed that they did not have the drinking water service with connection to the 
interior of the house. Critical factor in the district of San Juan de Lurigancho, where out of 100 %, 90% 
of beneficiaries (89 beneficiaries) does not have the service. The supply in this case is mainly done 
through a pylon for public use, and the collection of water through buckets and cylinders for storage 
and family use. The cost of water ranges between 2 and 4 soles per bucket depending on its size. Some 
neighbors who have had the possibility of acquiring a Rotoplast water tank, fill the tank through hoses, 
after coordinating with a neighbor in the lower part of the town who does have water service.
Particularly vulnerable areas are family groups: San Pablo, March 11, Virgen del Carmen, Praderas, Sons 
of Christ the King, Las Casuarinas de Casa Blanca, Sudario, Sons of the Sun, New Youth, 8 October, La 
Planicie, Los Angeles de Cantoral, March 28, and Los Jardines de Santa Rosa. Human settlements: 
February 9, New Progress, Jesus of Nazareth, El Salvador; and various expansions. It should also be 
noted that of the 10% who stated that drinking water (10 beneficiaries) was available, at least 4 of them 
expressed that they did not have the service 24 hours a day. 
17 
 
In Callao, on the other hand, 73% of the total beneficiaries expressed having the drinking water service 
with direct connection to the interior of the house. However, out of the total population that mentioned 
having the service (69 beneficiaries), 26 of them (27%) mentioned not having the service 24 hours a 
day every day. District leaders also state that, although they have potable water service connected to 
the interior of the house, the pressure of the service is not adequate throughout the supply network. 
Homes with more than one story may lack service on the upper floors. 
The 27% of those interviewed in Callao who do not have direct connection of drinking water, are 
located in particularly vulnerable areas, such as the human settlements Sons of Moradors February 25, 
Daniel Alcides Carrión, El Progreso, and the Expansion of the Human Settlement Sarita Colonia.
b) Households that were unable to pay for basic services during the past three months, 73% of the 
interviewed population (141 beneficiaries) said they had had some difficulty or had not paid for 
household services (water, electricity, and telephone), in the last three months. The main cause of 
most respondents is due to a lack of employment due to the COVID-19 pandemic. The largest number 
of beneficiaries who had problems paying for their services were posted in Callao. 
FIGURE 7. DO YOU HAVE DRINKING WATER SERVICE AT HOME? TOTALS AND PERCENTAGE BY DISTRICT? 
 
18 
 
FIGURE 8. WERE YOU ABLE TO PAY FOR ALL THE SERVICES IN YOUR HOUSEHOLD DURING THE LAST THREE MONTHS? TOTALS AND 
PERCENTAGES PER DISTRICT 
c) Population of adults over 65 years of age and older, only 8% of the study population (16 beneficiaries) 
are adults over 65 years of age. Of this total 11 are female and 5 are male. 
d) Persons with disabilities, 16% of households have a person with mental or physical disabilities (32 
households). Older adults who could not fend for themselves, people with difficulty walking, or 
intellectual disability. Most of the households that house a member of the household with some type 
of disability were found in Callao (24 registered households), in San Juan only 8 households have a 
person with some type of mental or physical disability. 
FIGURE 1 DO YOU OR ANY HOUSEHOLD MEMBER SUFFER FROM ANY KIND OF MENTAL OR PHYSICAL DISABILITY? TOTAL AND PERCENTAGE 
BY DISTRICT 
e) People with COVID-19 and their family nucleus, in 66% of households no family member has been 
infected by COVID-19 (128 households). While in 28% of households a family member had had COVID￾19 (54 households). Most of the affected households were found in Callao (32 households). In 6% of 
remaining households (12 households), no contagion information was available. However, respondents 
expressed that they had had any symptoms of the disease, no tests were taken to confirm the infection, 
they only self-medicated and treated at home. 
About the detection of the disease, there is greater action by the Municipality of Callao, who has made 
the purchase of rapid tests. In the case of the Municipality of San Juan de Lurigancho, local authority 
stated that some of the challenges for disease prevention were in the district's low budget to deal with 
19 
the disease, and limited health infrastructure. San Juan de Lurigancho has been one of the 7 most 
affected districts by the pandemic in the city of Lima Metropolitana. 
(f) People with underlying health problems, after having suffered from COVID-19, of the 54 households 
where a member of the household had suffered from COVID-19, 35% (19 households) would have a 
relative with health problems resulting from the disease or its aftermath. Among the underlying 
symptoms identified would respiratory difficulty and shortness of breath, agitation when walking, and 
constant back pain. It should be noted that many of the respondents expressed not having attended a 
health center, have self-medicated and cared for at home, therefore, they do not receive medical 
follow-up for the aftermath of the disease. 
 
 
FIGURE 2 DO YOU OR ANY HOUSEHOLD MEMBER HAVE OR HAVE YOU HAD COVID-19? TOTAL AND PERCENTAGE BY DISTRICT 
FIGURE 3. DO YOU OR ANY MEMBER OF YOUR HOUSEHOLD CURRENTLY HAVE ANY SYMPTOMS OR ILLNESSES 
CAUSED BY COVID-19? TOTAL AND PERCENTAGE BY DISTRICT 
20 
 
 
 
 
(g) Women heads of household, of the total number of women surveyed (138 women), 80% said they 
were heads of households (111 women). 
(h) Victims of abuse or violence, 14% of all respondents said that a member of their household had been 
the victim of abuse and/or violence (28 beneficiaries). This question was answered in the affirmative 
by 22 female and 6 males. Although this issue was not delved into further detail into this issue, some 
of the respondents reported having suffered domestic violence, assault by their neighbors, and even 
violence from theft. In one of the cases one of the respondents reported having suffered emotional 
violence, and being repeatedly insulted by his/her neighbors, for being from a provincial town. 
 
3.2. SECTOR 1. WATER, SANITATION AND HYGIENE 
SUBSECTOR 1. SANITATION 
FIGURE 4. HAVE YOU OR ANY MEMBER OF YOUR HOUSEHOLD BEEN THE VICTIM OF ABUSE OR VIOLENCE INSIDE OR 
OUTSIDE YOUR HOME? 
21 
On May 21st, D.S. 011-2020-PRODUCE was promulgated, which approves the "Guidelines for the 
Regulation of the Functioning of Supply Markets and Temporary Spaces Enabled for food Trade, within 
the framework of COVID-19 prevention and containment actions", which aims to establish measures 
governing the action of food markets and temporary spaces enabled for food trade, within the framework of 
COVID-19 prevention and containment. The guidelines are of national scope and application for all 
entities and all personnel who perform in the operation of the supply markets, and in the temporary 
spaces located for the food trade, as well as the public who are in charge of making their purchases.
Minimum compliance requirements are then established for the operation of supply markets, such as: 
the creation of a Sanitary Self-Control Committee; the creation and implementation of a Plan for the 
surveillance, prevention and control of COVID-19; as well as the elaboration of a register that must 
record information of all the personnel of the food markets, including mention of any risk condition 
before COVID-19; among others. Details present in every one of the establishments considered by the 
project.
However, it was specified that the Committees were not fulfilling the functions assigned to them, 
according to these guidelines, that was made for the 10 collection centers that would be beneficiaries 
of the project (Table 6. 10 collection centers that would be beneficiaries of the project). 
The Committees are fulfilling their role of disseminating and socializing the guidelines to traders or 
sellers, suppliers, and all personnel of the food market for the food trade, with the purpose of 
preventing the spread of COVID-19. However, the "Plan for surveillance, prevention and control of 
COVID 19" is not working at its required minimum 100%:
 Regarding the minimum distance and the capacity of people: It is observed that the distance 
between people is not always enforced, not less than 1 m. In addition, although entry and exit 
gates have been defined according of allowed capacity, in practice the entry and exit protocols 
at each gate are not always respected. The hiring of security personnel in charge of the doors 
is an expense that, although the establishments are assuming, it is not possible to do it for each 
of the entrance doors. It should be noted that the current capacity according to representatives 
of the supply centers is about 40% and 50% of the capacity in a situation prior to COVID-19.
 Regarding cleaning and disinfection; not all establishments have hand-washing stations at each 
entrance door. For this study, the spaces intended and suitable for this purpose are considered as 
handwashing stations, whether permanent and/or portable that have the indispensable factors 
for this task: a container with water, and soap. It is observed that not all stations, when they 
exist, are operating at their expected optimum. As it can be seen in the following table, it is 
possible that almost all hand washing stations need to be rehabilitated, and / or improved. In 
the Reynoso market in Callao, it was even observed that there were no hand washing stations 
at the entrance of the establishments (Table 7. Characteristics of hand washing stations) (Error! 
Reference source not found., Photo 2, Photo 3, Photo 4, Photo 5, Photo 6, Photo 7, Photo 8). 
It is also added that during the observation it was verified that not all the stations had, as 
required, a water, soap, and paper towel dispenser. And when they did, it was not always 
stocked, as can be seen in the following table (Table 8. Maintenance of hand washing stations). 
22 
SUBSECTOR 2. WASH NFIS 
Poor hygiene is a major factor in the spread of infectious diseases. According to the evidence, COVID￾19 spreads through respiratory secretions; therefore, hand hygiene is a central element to prevent its 
spread. Considering this, the baseline includes three factors allied and complementary10 to each other, 
these are the existence of facilities for the water supply, the provision of water, and the coexistence of 
soap for hand washing. In addition, at the request of ADRA, information is collected on the delivery of 
NFIs kits during 2020. 
 Analysis of allied factors for hand washing 
Surveys of direct project beneficiaries and local health managers generally show that in both districts 
there are homes with precarious water supply facilities, there are limitations on access to water, and it 
is not always possible for families to have hand-washing soap.
Home hand washing facilities, as can be seen in the following graphic (Figure 5) more than 50% of the 
beneficiary population of the project does not have optimal facilities for hand washing with soap and 
water. This is particularly evident in the upper parts of the district of San Juan de Lurigancho, where the 
houses do not have water and drainage services such as the Agrupación Familiar 25 de Marzo, and 
Virgen del Carmen, to name a few. 
The facilities for water supply and hand washing are not safe, in addition, its use depends on the 
possibility of getting water and being able to pay for it. The population surveyed performs hand washing 
predominantly through two types of facilities: in the first the hand washing is done with the use of a 
bucket, a ladle, an empty container or any other bowl to collect water and pour it over the hands in 
order to perform the washing; in the second hand washing is done in a bucket, the hands are washed 
in the water of the bucket, the water does not run, and is likely to be used again for this purpose.
Only 81 of the beneficiaries in Callao and San Juan expressed that they have a supply of water and 
washed their hands only through running water from pipes or tanks. However, it is observed that even 
in some homes where the interviewees mentioned providing water through running water or tanks, 
they also mentioned that this is not the only facility used inside the home for hand washing. 
10 The Standards Sphere and the Response to the COVID-19 (Sphere, 2020) 
23 
FIGURE 5. FACILITIES FOR WATER SUPPLY AND HAND WASHING INSIDE THE HOME 
Households do not have enough water to wash their hands, out of 100%, 37% respondents said that they 
do not always have water to wash their hands, dramatic result in the district of San Juan, where 52 of the 99 
respondents considered that sometimes there is, and sometimes there is not enough water to perform 
this practice. Particularly serious situation is evident in the upper areas of the district where there is no 
water or drainage. The water supply is made through tanker trucks, or hoses (depending on the 
possibility and distance). 
The opposite situation is observed in Callao where 76 of the 95 respondents expressed that they always 
had water to wash their hands, the rest of the respondents who stated that sometimes there is, and 
sometimes there is no water to wash their hands are from the shanty towns Daniel Alcides Carrión, 
Sarita Colonia, Hijos Moradores 25 de Febrero, and El Progreso, to name a few. In these areas the water 
supply is done through a public pylon.
24 
Households do not have enough soap to wash their hands at home, more than 50% of respondents 
expressed that sometimes they had and sometimes did not have enough soap to wash their hands;
while one of the express interviewees almost never counts on soap. One of the main causes should be
expressed the lack of economic income, a situation that would have been aggravated by the pandemic.
 Delivery of NFI Hygiene Kits in 2020 for COVID-19 prevention
In 80% of respondents had not received any hygiene kits for the prevention of COVID-19 during 2020. 
Meanwhile, 20% responded positively to this question and stated that the Kits were delivered by 
institutions such as: the Regional Government, the local municipality, and some parishes/churches. In 
all cases the delivery was accompanied by a few small talks with training on health care for the 
prevention of COVID-19. 
FIGURE 6. IN YOUR HOME, IS THERE ENOUGH WATER TO WASH YOUR HANDS? TOTALS AND 
PERCENTAGES PER DISTRICT 
FIGURE 7. IN YOUR HOME, IS THERE ENOUGH SOAP TO WASH YOUR HANDS? 
TOTALS AND PERCENTAGES BY DISTRICTS 
25 
FIGURE 8HAVE YOU OR ANY MEMBER OF YOUR HOUSEHOLD RECEIVED A COVID-19 PREVENTION KIT DURING THE YEAR? TOTALS AND 
PERCENTAGES PER DISTRICT 
When this same consultation was carried out with local health managers, out of 10, 3 respondents 
expressed having received hygiene kits for the care and prevention against COVID-19. Two had received 
the hygiene kits through local churches, because they are families in a vulnerable situation, and one of 
them stated that he had received them from MINSA and the local Municipality in Callao. 
3.3. SECTOR 2. HEALTH 
SUBSECTOR 1. INTERNATIONAL PUBLIC HEALTH EMERGENCIES AND PANDEMICS 
 
This chapter presents information on the situation of community health agents; and information 
related to the total number of beneficiaries who remember, know about, and / or have received 
information on COVID-19 prevention.
 Community Health Agents: 
For this baseline, 10 community health workers were interviewed, all of them volunteers for the 
project. Important differences were found between community agents in the district of San Juan de 
Lurigancho, and those of Callao. These differences lie on that all community agents in San Juan district are 
or have been community health workers formed by MINSA, in these cases there is an explicit interest 
in investigating the issue to be more informed. On the other hand, community health workers, Callao 
volunteers, have not been previously and explicitly trained in the prevention of COVID-19. The following 
are the main results of the survey:
Nine of the community health workers are Peruvian, and one is Bolivian. The average age of the group 
is 40, with community agents very young (20), and others at the age limit to be considered vulnerable 
(62). Nine of the respondents are female and only one is male. Regarding the position of community 
health manager, all the managers of San Juan de Lurigancho affirmed that they are currently holding 
this position in their district, regarding the time they have been carrying out this function, it ranges 
from two months to four and a half years. In Callao, on the other hand, none of the interviewees holds 
the official position of community health agents, four of the interviewees mentioned not exercising the 
26 
position, while one of them preferred not to comment on the matter, because she was not sure if the 
work she had been carrying out implied be a community health agent.
When asking the group if they had received any training on the prevention of COVID-19, four of them, 
in the district of San Juan, stated that they had indeed received training on the subject. However, of 
this total only three had completed the training process. The manager who did not complete the 
training process expressed that she perceived that the information provided had not been sufficient 
and did not feel fully trained. Regarding what to value most of the training received, they stated that:
 I learned how to take care of myself and my family to prevent COVID-19.
 To Identify symptoms a person may have with COVID-19, and care for people with disabilities.
 Received information about social distancing, hand washing, use of masks, disinfecting things 
when leaving and entering the house.
 I learned the right handwashing to prevent COVID-19, parasites and other diseases like 
conjunctivitis.
 The importance of hand washing, cleaning and not touching surfaces on public transport and if 
it is the case, washing your hands then to prevent disease.
Details on whether they replicated the knowledge acquired, and trained other people on what they 
learned, was mentioned only by three of the community agents who had been trained. The training 
would have been provided in one of the cases to people from their community and / or the 
neighborhood; a second case to older adults and people with severe disabilities (use of wheelchairs, 
blind people, older adults with difficulty to move around, and bedridden patients), and a third case to 
children through Whats App, in health patrols promoted by a local church.
All received information regarding some of the protection measures for the prevention of COVID-19: 
use of masks (10 managers); social distancing (9); respiratory hygiene such as covering the mouth and 
nose when sneezing (8); hand washing and signs and symptoms of COVID-19 (6 managers for each 
preventive practice); and when to seek medical attention (4 managers). Regarding the channels through 
which the information was received, they primarily identified television (9 managers) through 
newscasts and the presidential message; social networks like Facebook; and others such as educational 
institutions, NGOs such as ADRA during the presentation of the project; and ministries such as the 
Ministry of Women and Vulnerable Populations (MIMP), the Ministry of Economy and Finance (MEF), 
the Ministry of Health (MINSA), and the Ministry of Development and Social Inclusion (MIDIS), identified 
by one of the managers through the Amachay Program, which has been serving older adults in 
conjunction with the district municipalities.
Considering that several community managers also exercise some form of leadership in the locations 
where they perform, or will perform their duties in the case of Callao's voluntary community workers, 
they were consulted on why some of the locals do not practice protective measures to prevent COVID￾19, with the following answers received :
 Young people by age think it's not going to affect them; people aren't taken care of.
 Lack of knowledge, and the economic situation
 Currently the inhabitants are no longer cared for as before they gave it more importance, the 
population is not well informed, no longer much fear of contagion, protocols are no longer 
performed, masks are no longer used.
 So far, the villagers do not become aware, they think it is a lie because they do not have a close 
relative who has become ill.
27 
 Lack of responsibility for their own body, also for the economy there is a lot of need in the area, 
lack of awareness of the population, they think it is a game.
 Irresponsibility, do not give importance to COVID-19, more knowledge is needed about the 
correct washing of hands and the correct use of the mask that should cover the nose and mouth
 Because people are irresponsible, lack of economy to buy a mask and soap, street vendors do 
not respect social distancing.
 Everyone knows why they report through various means, everyone has information, but people 
think they will not get the disease; they resent having the mask.
 People are irresponsible, lack of education, young people are on the corners.
 Information on the total number of beneficiaries surveyed:
Regarding the protection measures that the total of respondents considered important for the 
prevention of COVID 19, as defined in the indicator, it is noted that all respondents were able to identify the 
6 protective measures considered in the project, either by an immediate memory or with any question 
regarding a particular situation, for example, when you arrive from the street home what you should do/or 
do to prevent COVID-19. This situation is consistent with the question of whether beneficiaries received 
information regarding COVID-19 prevention, which is discussed lines below.
FIGURE 9. TOTAL PERCENTAGE OF MALES AND WOMEN WHO REMEMBER TWO OR MORE PROTECTIVE MEASURES 
The total number of respondents who reported receiving information on COVID-19 prevention, It can be 
seen in the following graph that in general all respondents expressed having received information on 
practices for the prevention of COVID-19, explicitly, through some communication channel. Information 
on the use of masks, respiratory hygiene, hand washing, and social distancing was recognized by 190, 
189, and 188 respondents for the last two cases, respectively. Information that not all received was 
related to the signs and symptoms of COVID-19 (162); and information on when to seek medical 
attention (103 respondents). However, it is important to point out that, although the vast majority of 
respondent’s mention having received information, it was not necessarily well understood, and they 
ask to be better informed. Respondents have a general idea about COVID-19 prevention practices, but 
not necessarily about the reason for these actions.
28 
FIGURE 10. TOTAL NUMBER OF RESPONDENTS WHO RECEIVED INFORMATION ON COVID-19 PREVENTION PRACTICES 
It should be noted that, while the recall and information rates are high with respect to measures to 
prevent COVID-19, this is not consistent with the actual practice of these protective measures. That is, 
many of the interviewees can identify protective measures, but do not necessarily understand the 
impact or implications of implementing them for their health and the health of their household 
members. During the monitoring phase you could perhaps go into detail into other types of questions 
to track and evaluate this scenario. A situation that is evident in asking volunteer health workers about 
whether everyone in their locality practiced COVID-19 prevention measures and the reasons why this 
situation was caused. 
With regard to the communication channels through which the total number of respondents received 
information on coVID-19 protection measures, respondents stated that they had received information on 
COVID-19 prevention first through television (190); Facebook (91); text messages (71); Whats App (65); 
radio (63); megaphone (50); brochures and posters of various institutions (46); the newspaper (36); 
through local leaders (22); through face-to-face community activities (13); through community health 
workers (12); through phone calls to cell phone and/or landline (8); and social networks such as Twitter 
and Instagram (1 for each). In the other section (22 respondents), some noted that they used the 
Internet to search for information on their own, that they received information through their children's 
school virtual classes and/or the "I learn at home" program, through neighbors and/or family members, 
through advertising they can hear on public transport, among others (see figure 12).
29 
FIGURE 11. CHANNELS THROUGH WHICH TOTAL RESPONDENTS RECEIVED INFORMATION ABOUT COVID-19 PREVENTION 
On who provided information for the prevention of COVID-19 to the total of respondents, When asking 
the question about who provided them with information on the prevention of COVID-19, most of the 
interviewees (121) answered that the information was provided to a greater extent through the news 
of television channels such as América Televisión, Frequency Latina, ATV, Panamericana Televisión, RPP 
Noticias, and the presidential speeches, given by President Martín Vizcarra. In addition, in this category 
they also included MINEDU through the "I learn at home" program, educational institutions, and 
teachers who interact with their children. Other categories mentioned in the “others” section were the 
Internet, residents and local leaders, and institutions such as the General Volunteer Fire Department, 
youth centers, markets and community canteens, to name a few. In addition, as can be seen in the 
following graph, information was received from MINSA (88 respondents); the Regional Government 
(35); the Municipality (23); parishes / churches (21); NGOs and MIDIS, 19 respondents respectively; and 
only 7 of the interviewees chose not to answer this question.
30 
FIGURE 12. WHO PROVIDED YOU WITH THIS INFORMATION? 
It is worth noting the work that MINSA has been doing in conjunction with promoters for health 
surveillance. Establishments have started working with local leaders. Similar work had been developed 
from municipalities to monitor iron consumption in early childhood. However, since February the 
Municipality of San Juan has stopped handing over incentives to local leaders and promoters, it has not 
been making payments on a regular basis. In the case of the Municipality of Callao it is observed 
according to interviews conducted that there has been some rapprochement with local leaders; 
however, it has not been strengthened during the pandemic. 
IV. KEY FINDINGS AND RECOMMENDATIONS
 
The main finding of the baseline study is stated below: 
• It is noted that the target population in Callao and especially in San Juan de Lurigancho are 
vulnerable groups, many families with low incomes, and others with no economic income. 
Handwashing and COVID-19 prevention may not be a priority right now for them, given the 
concern to provide themselves with food and income. 
• The random sample determined a majority number of women in the study (71%). The main 
cause is that there are more women registered in the list of beneficiaries. Of the total of 
women included in the sample, at least 80% of women stated that they were heads of 
household. According to interviews conducted, there are many single mothers in vulnerable 
situations. 
• In general, in both districts there are homes with precarious water supply facilities, and 
there are limitations on access to water. 59% of respondents do not have a water 
connection in their home.
• The 73% of respondents have been unable to pay for their basic services (water, electricity, 
and telephone), in the last 3 months.
• In 16% of the households there is a family member who suffers from a mental and / or 
physical disability. During the pandemic, several of them would have been neglected. 
31 
• In 66% of the households no family member suffered from COVID-19. In contrast, there is a 
34% of households where a member has suffered from COVID-19, 35% said that there are 
people with underlying health conditions, and they are not receiving medical care in all 
cases.
• 37% of the total respondents said they do not always have water to wash their hands, a 
dramatic result in the district of San Juan, where out of 99 respondents, 52 considered that 
sometimes there is, and sometimes there is not enough water to perform this practice.
• More than 50% of respondents expressed that they sometimes had and sometimes did not 
have enough soap to wash their hands, even one of the respondents manifested that he 
hardly ever had soap to wash his hands.
• 80% of respondents had not received any hygiene kits for the prevention of COVID 19 during 
2020. Meanwhile, 20% responded positively to this question.
• The average age of community agents identified for the project is 40, with very young 
community agents (20), and others at the age limit to be considered vulnerable (62).
• Although the percentages of recall and information are high regarding the measures to 
prevent COVID-19, this is not consistent with the actual practice of these protection 
measures. Many of those interviewed can identify protective measures, but do not 
necessarily understand the impact on their health and the health of members of their 
household.
• Problems of representation of leaders are perceived. Residents do not feel fully 
represented, especially in Callao, and could be skeptical and distrustful of the intervention.
• Supply markets are not be complying with the minimum number of actions required for their 
operation. Not every market has a hand washing station. And if they do, they are not working 
at 100%, and / or they lack water, soap or paper towels. 
 Recommendations for project implementation are:
• Review, improve and update of beneficiaries list.
• Build joint intervention partnerships with other public and private institutions to provide 
families with care combos, such as health, food, and information, could be a possibility. 
• Carry out the distribution of hygiene kits directly to beneficiaries according to the registry, 
at home and directly with ADRA personnel. 
• Observe the possibility of providing hoses to some high areas of the San Juan de Lurigancho 
district, to facilitate the collection and water transfer. This will help to ensure that the 
buckets that will be delivered by the project are always supplied with water. 
• Form the group of community health agents only with lower risk to COVID-19 people. In 
order to not expose vulnerable groups to situations of risk and contagion. 
• Strengthen communication channels in a creative way during the training stage, since 
neither all beneficiaries are at the same level of knowledge regarding the prevention of 
COVID-19, nor do they have a cell phone, internet access and data. 
• Strengthen the Health Self-Control Committees in supply markets to make the 
implementation of training actions and the operation of handwashing stations sustainable.
 
32 
V. ANNEXES 
ANNEX 1. LIST OF FIGURES 
 
FIGURE 9. PROJECT SECTORS AND SUBSECTORS 
SOURCE: OWN ELABORATION. 
Program Sectors Subsectors
Humanitarian 
assistance with a 
community focus
Sector 1: Water, 
Sanitation and Hygiene 
(WASH) 
Sanitation
Wash NFI
Sector 2: Health
Public health emergencies of 
international concern and 
pandemics
33 
FIGURE 10. LOCATION OF THE STUDY IN THE CONSTITUTIONAL PROVINCE OF CALLAO 
 
 
 
 
 
 
 
 
 
 
 
 
 
34 
FIGURE 11. LOCATION OF THE STUDY IN THE DISTRICT OF SAN JUAN DE LURIGANCHO 
35 
FIGURE 12. TECHNICAL TEAM OF THE BASELINE 
FIGURE 13. PROCESSES FOR BASELINE 
 
Coordinator of 
base line study
Field researcher 1 Field researcher 2 Field researcher 3 Field researcher 4
Logistical support
1. Identify 
baseline data 
collection needs
2. Field research
3. 
Systematization 
and analyse 
data
4. Present and 
communicate 
conclusion
36 
ANNEX 2. LIST TABLE 
 
TABLE 1. DIRECT AND INDIRECT POPULATION BENEFITING FROM THE PROJECT, SECTOR 1: WATER, SANITATION AND HYGIENE 
Subsectors Target population Total of 
beneficiaries
Sex Age
Men Women Children
(0-14)
Adult 
(15-64)
Elderly 
(>65)
WASH NFIs Vulnerable households 
within human 
settlements
9,000 4,451 4,550 1,881 6,372 747
Sanitation Residents of the area 
who use handwashing 
stations
5,000 2,473 2,528 1045 1,045 415
Total: 14,000 6,923 7,077 2926 2,926 1162
TABLE 1. DIRECT AND INDIRECT POPULATION BENEFITING FROM THE PROJECT, SECTOR 2: HEALTH 
Subsectors Target population Total of 
beneficiaries
Sex Age
Men Women Children
(0-14)
Adult 
(15-64)
Elderly 
(>65)
Direct 
beneficiaries
Households vulnerable 
within low-income 
neighborhoods 
objection
9,000 (100% 
superposition with 
WASHNFI)
4,451 4,550 1,881 6,372 747
Direct 
beneficiaries
Community workers in 
low-income 
neighborhoods
300 90 210 0 300 0
 
Indirect 
beneficiaries
Residents of the area 
used by the 
handwashing stations
2,700 1,335 1,365 564 1,912 224
Total: 12,000 5,876 6,125 2,445 8,584 971
 
37 
TABLE 2. ROLES AND RESPONSIBILITIES OF THE TECHNICAL TEAM 
Personal Functions
Coordinator of base line study  Coordination of the team.
 Organizational and communication link function.
 Properly plan and organize the tasks that the consulting team will 
perform.
 Identification, review, and analysis of secondary information.
 Drafting of preliminary and final report.
 Attend coordination meetings.
 Presentation of findings and results.
Support staff for
data collection in the field
 Fieldwork as scheduled.
 Apply instruments and protocols to carry out fieldwork.
 Participate in the systematization of the information collected in the field.
 Participate in the emptying of quantitative information.
 Contribute in the argument on the findings found during fieldwork.
TABLE 3. METHODS AND TECHNIQUES FOR COLLECTING INFORMATION 
Methods and techniques for collecting 
information
Actions to be considered
Documentation Documentation 
review 
 Complete project review. 
 Review of municipal management tools of the districts 
included in the project.
 Review of general conceptual frameworks (livelihood 
frameworks for humanitarian emergencies); sectoral 
standards and guidelines of humanitarian action agencies 
(Sphere Standards, Core Humanitarian Standards); among 
others, to add specificity and detail in the development of 
Baseline instruments.
Interviews Individual 
interviews 
 Design of interview guides.
 Identification of key informants.
 Conducting interviews with:
 ADRA team and technical staff.
 Officials of the Municipalities of San Juan de Lurigancho 
and the Provincial Municipality of Callao.
 Local and/or community leaders. 
Semi-structured 
interviews
Semi-structured 
surveys
 Design of interview guides.
 Application to Community Health Managers.
Numerical data 
analysis
Beneficiary 
surveys
 Survey design according to the project indicator matrix, to 
beneficiaries.
 Pilot for the evaluation of the instruments to be applied during 
field work (survey of beneficiaries).
 Compilation of surveys via telephone regarding the needs and 
satisfaction of the WASH NFIs, using an online application to 
collect the information. 
Checklists and 
observation
 Checklist design.
 Application of on-site observation checklists in 10 stock 
markets.
Observation Direct 
observation
 For obtaining primary data, supported by photographic 
registration, whenever possible, to affirm the key messages to 
be collected during the study. 
 Application of checklists for the evaluation of hand 
washing stations. 
38 
TABLE 4. SAMPLE FOR BASELINE STUDY 
District
Beneficiaries
registered
Sample distribution
Show by district No answer
(+10%)
Total
San Juan de Miraflores 3212 99 11 110
Callao 2922 91 11 102
Total 6134 190 22 212
TABLE 5. LIMITATIONS ON SERVICE DEVELOPMENT 
Situation Impact on job development
Late identification of the beneficiary 
population of the project 
The total number of beneficiaries was not available at 
the beginning of the service, which significantly 
delayed the identification of the sample for the 
development of the baseline.
Outdated and non-neat beneficiary lists or 
registers
Delivered pads presented errors or gaps in beneficiary 
data, such as names and telephones. 
Displacement of beneficiaries as a result of 
the pandemic
It was noted that the beneficiary lists or registers 
incorporated beneficiaries who did not live at baseline 
time in the target districts of the project. Some 
villagers had returned to the province in the absence 
of job opportunities because of the pandemic, others 
as older adults or vulnerable populations moved 
temporarily with other relatives. 
High rejection rate and no response High rejection rate, which exceeded the 10% initially 
expected, unexpectedly delayed collecting 
information during fieldwork, a new random draw of 
beneficiaries had to be made to identify 
replacements. 
Distrust of beneficiaries in answering 
surveys or interviews 
Beneficiaries rejected the surveys and / or interviews 
for fear of being victims of a criminal act that puts 
them in a vulnerable situation, for this reason identity 
verification questions were included in the last part of 
the survey as a solution strategy.
TABLE 6. 10 COLLECTION CENTERS THAT WOULD BE BENEFICIARIES OF THE PROJECT 
Markets Callao San Juan de 
Lurigancho
Total
Asociación de Comerciantes "Su Santidad Juan Pablo II". 1 1
Asociación de Comerciantes del Mercado de Abasto "Primero 
de Setiembre" de Canto Grande.
1 1
Asociación de Comerciantes del Mercado Modelo 10 de 
Octubre.
1 1
Asociación de Propietarios "Plaza Mariscal Cáceres". 1 1
Asociación de Trabajadores del Mercado Huáscar - Canto 
Grande.
1 1
Mercado Inmaculada Concepción ACOMIC 1 1
Mercado Playa Rímac LTDA. 1 1
Mercado Reynoso LTDA 1 1
Mercado Señor del Cautivo 1 1
Mercado Virgen del Rosario 1 1
Total 5 5 10
39 
TABLE 7. CHARACTERISTICS OF HAND WASHING STATIONS 
Name of establishment
District
Current capacity
Average daily 
attention
It has hand 
washing station
Type of hand 
washing facilities
Number of 
stations
No stations / operation
Do you need 
rehabilitation 
(repaired)?
No grey water 
stations?
Asociación de Comerciantes 
"Su Santidad Juan Pablo II".
SJL 350 250 Yes Running water from 
pipes or tank/ Bucket
6 6 6 6
Asociación de Comerciantes 
del Mercado de Abasto 
"Primero de Setiembre" de 
Canto Grande.
SJL 160 120 Yes Running water from 
pipes or tank/ Bucket
2 2 2 2
Asociación de Comerciantes 
del Mercado Modelo 10 de 
Octubre.
SJL 1000 1500 Yes Running water from 
pipes or tank
3 3 1 3
Asociación de Propietarios 
"Plaza Mariscal Cáceres".
SJL 360 300 Yes Running water from 
pipes or tank/Bucket
2 2 1 2
Asociación de Trabajadores 
del Mercado Huáscar - Canto 
Grande.
SJL 500 450 Yes Running water from 
pipes or tank
1 1 1 1
Mercado Inmaculada 
Concepción ACOMIC
Callao 185 200 Yes Water system manually 
poured
2 2 2 0
Mercado Playa Rímac LTDA. Callao 735 400 Yes Running water from 
pipes or tank
1 1 1 1
Mercado Reynoso LTDA Callao 381 381 Yes Running water from 
pipes or tank
1 1 1 1
Mercado Señor del Cautivo Callao 180 480 Yes Running water from 
pipes or tank
2 2 2 2
Mercado Virgen del Rosario Callao 300 250 No 0 0 0 0 0
TABLE 8. MAINTENANCE OF HAND WASHING STATIONS 
Establishment name
How many 
handwashin
g stations is 
there a soap 
dispenser?
How many 
handwashing 
stations is 
there a paper 
towel 
dispenser?
How many 
handwashing 
stations is water 
available for as 
long as the 
observation is 
made?
Is soap 
available 
for as long 
as the 
observatio
n is made?
Is there 
paper 
available for 
as long as 
the 
observation 
is made?
Does the 
property have 
a protocol and 
cleaning times 
of the 
station(s)?
Asociación de 
Comerciantes "Su 
Santidad Juan 
Pablo II".
6 0 6 Yes No Yes
Asociación de 
Comerciantes del 
Mercado de Abasto 
"Primero de 
Setiembre" de 
Canto Grande.
2 1 2 Yes No Yes
Asociación de 
Comerciantes del 
Mercado Modelo 
10 de Octubre.
3 1 3 Yes No Yes
Asociación de 
Propietarios "Plaza 
Mariscal Cáceres".
2 0 2 Yes No Yes
40 
Asociación de 
Trabajadores del 
Mercado Huáscar - 
Canto Grande.
1 0 1 Yes No Yes
Mercado 
Inmaculada 
Concepción 
ACOMIC
0 0 2 No No Yes
Mercado Playa 
Rimac LTDA.
1 0 1 Yes No Yes
Mercado Reynoso 
LTDA 
1 1 1 Yes No Yes
Mercado Señor del 
Cautivo
2 0 2 No No Yes
Mercado Virgen del 
Rosario
0 0 0 0 0 0
41 
ANNEX 3. LIST OF PHOTOS 
PHOTO 1. HAND WASHING STATIONS OF "SU SANTIDAD JUAN PABLO II” MARKET IN SAN JUAN DE LURIGANCHO 
Establishment has 6 hand washing stations. All installed to face the pandemic.
 
 
 
 
PHOTO 2. HAND WASHING STATIONS OF "PRIMERO DE SETIEMBRE" MARKET IN SAN JUAN DE LURIGANCHO 
Establishment has two hand washing stations. The first has no direct connection to water or drainage. The second 
is a bucket with a lid and a spout. The water for hand washing in both stations is filled every day, the used water 
is discarded according to use. 
42 
43 
PHOTO 3. HAND WASHING STATIONS OF "PLAZA MARISCAL CÁCERES" MARKET IN SAN JUAN DE LURIGANCHO 
Has three hand washing stations. One has been donated by the Elite Group, which initially provided soap and 
paper towels to the establishment but is no longer doing so. The other two stations have been implemented by 
the merchants themselves. The water canisters are filled as the water is used. 
PHOTO 4. HAND WASHING STATIONS OF "MODEL 10 DE OCTUBRE" MARKET IN SAN JUAN DE LURIGANCHO 
Establishment has two hand washing stations, both built to deal with the pandemic. 
44 
PHOTO 5. HANDWASHING STATION OF " SEÑOR DEL CAUTIVO" MARKET IN CALLAO 
There is only one handwashing station. This has been acquired by the set of partners of the establishment. 
However, it does not follow the characteristics requested by the technical standard established by the local 
municipality. The pipes do not store 1 meter, and only one is found in operation. Station has liquid soap and 
towel dispenser, but not towels for hand drying. 
PHOTO 6. HAND WASHING STATIONS OF "INMACULADA CONCEPCIÓN-ACOMIC" MARKET IN CALLAO 
Two stations are observed. Two buckets with pipe and lid full of water, for hand washing. Please note that the 
property has no water supply or water connection or drainage. The water is provided by each of the traders. The 
stations are for the particular use of their customers. There is no graywater treatment, 
the water used falls to the floor.
45 
PHOTO 7. HAND WASHING STATIONS OF "PLAYA RIMAC LTDA. " MARKET IN CALLAO 
Handwashing stations have been built and suitable by partners to respond to the COVID 19 pandemic. None of 
them was counted at the time of observation with soap or paper towel to dry their hands. 
 
PHOTO 8. HAND WASHING STATION OF "VIRGEN DEL ROSARIO" MARKET IN CALLAO 
Establishment only has an impromptu hand washing station to respond to the pandemic. For the water supply 
there is a hose placed informally. The grey waters are poured into a punt that is emptied several times a day by 
the security personnel who guards the entrance door. It was not observed that there was paper towel at the time 
of observation. 
46 
ANNEX 4. RESULT OF PROJECT INDICATORS MEASURED ON THE BASELINE 
• Sector 1. Water, sanitation and hygiene
Subsector: Sanitation
Indicator Calculation BL
Indicator 1: Number of people directly using 
enhanced sanitation services provided with 
USAID/BHA funding
 
Total number of men and women making use of 
handwashing stations built, rehabilitated or maintained 
by the project
0
Total number of men and women attending the 
markets 
4331 people attend daily on 
average
% of men and women making use of hand-washing 
stations built, rehabilitated or maintained by the 
project on the total number of people attending each 
market 
0
Indicator 2: Number of hands-lab stations built or 
supplied that operate and have maintenance 
(custom indicator).
Total number of hand washing stations per market. 20 (*)
Sum of the total existing hand washing stations. 20 (*)
Total number of hand washing stations in operation: 20 (*)
Water supply all the time 20
Greywater management. 18 stations
Soap Dispenser. 18 stations
Paper towel dispenser. 3 stations
Total number of hand washing stations requiring 
maintenance or repair:
17 stations
They are kept clean /Cleaning protocol 9 markets
Soap supply. 7 markets
Supply of paper towel. 0
They have been repaired 0
Indicator 3: Number of users per hand washing 
station supplied (custom indicator)
Average of the total number of men and women who 
make use of handwashing stations over the total 
number of staff entering the market.
0
 Subsector: WASF NFIs 
Indicator 1: Total number of people supported by 
WASH NFI's through all modalities
Summary of the total number of men and women 
who have received hygiene kits through direct 
distribution. 
0
Indicator 2: Percentage of households reporting 
satisfaction with WASH NFIs NFI's through direct 
distribution 
% of beneficiaries who are satisfied with the delivery 
of the 34 bars of soap
0
% of beneficiaries who are satisfied with the 20-litre 
bucket with lid and beak
0
% of beneficiaries who are satisfied with the supplies 
for the manufacture of the masks
0
% of beneficiaries who improved their hand washing 
hygiene practices and the use of masks thanks to the 
kits received by the project
0
% of beneficiaries who are satisfied with the card 
received on hand washing
0
% of beneficiaries who are satisfied with the 
instructions received for hand-making of masks 
0
Indicator 3: Percentage of households reporting 
satisfaction with the quality of WASH NFIs received 
through direct distribution
% of beneficiaries who are satisfied with the quality 
of the soap bars received
0
% of beneficiaries who are satisfied with the 20-litre 
bucket with lid and beak
0
% of beneficiaries who are satisfied with the supplies 
for the manufacture of the masks
0
(*) In most markets, due to lack of the characteristics and general conditions of the registered "hand washing stations" for their purpose, 
they are not frequently used by market visitors. 
 
47 
• Sector 2. Health 
Subsector: Public health emergencies of international concern and pandemics 
Indicator Calculation BL 
Indicator 1: Number of trained health care staff Total number of men and women trained by the 
project
0
Indicator 2: Percentage of beneficiary population 
who can remember two or more protective 
measures
Percentage of men and women identifying two or 
more of the following protective measures:
100% (**)
- Social distancing.
- Hand hygiene: hand washing with soap or water 
and/or use of alcohol-based hand sanitizer.
- Respiratory hygiene and cough management, avoid 
touching the eyes, nose, and mouth. 
- Use of mask
- Disinfect surfaces and objects regularly.
Indicator 7: Number of people reached through 
channel risk communication activities
Sum of men and women who report receiving key 
messages about: Hand washing, Respiratory 
hygiene, social distancing, Use of masks, Signs and 
symptoms of the disease, When to seek attention.
0
 Sum of men and women who report receiving key 
messages by information channel. 
0
(**) Although the result of this indicator is high, and all interviewees mentioned remembering and having received information regarding 
prevention measures against COVID-19, a large majority of those interviewed do not understand the reason for these measures and how to 
put them into practice correctly. There is no clarity regarding the impact and implications of the protection measures against COVID-19, for 
their health and the health of their household members. 
48 
ANNEX 5. CONSULTING TERMS OF REFERENCE 
"WASH RESPONCE TO COVIDPROJECT -19 IN PERU"(WCP) IN THE DISTRICTS OF SAN JUAN DE 
LURIGANCHO AND CALLAO
CONSULTANT FOR THE DEVELOPMENT OF THE PROJECT BASELINE
TERMS OF REFERENCE
1. OBJECTIVE
Recruitment of one (01) natural and legal person, who is in charge of developing the document: 
Project Baseline: "WASH Response to COVID -19 in Peru (WCP) located in lima Province the 
district of San Juan de Lurigancho and in the Constitutional Province of Callao, the district of 
Callao", collecting and organizing the information according to the indicators, expected results and 
scheduled activities of the USAID/BHA approved project subsectors in coordination with the main 
actors and beneficiaries of the project and implementing entity ADRA Peru, and present the duly 
ordered and edited document, which should constitute a project management tool for monitoring and 
evaluation, as well as its subsequent systematization and monitoring of objectives and products.
Technical standards of biosecurity provided by Supreme Decree No. 116-2020-PCM, which 
establishes the measures to be observed by citizens in the New Social Cohabitation and extends the State 
of National Emergency by the serious circumstances affecting the life of the Nation as a result of COVID￾19, should be taken into account.
2. DESCRIPTION OF THE SERVICE
A. Work plan including index and methodology to collect project baseline information, 
to attend indicators of approved project subsectors and other indicators deemed 
necessary.
B. The realization of field work will be face-to-face and remote through: virtual 
platforms, telephone calls and interviews with actors and beneficiaries of work areas 1, 
to obtain information on the current state in which they are located, considering the 
outcome indicators that the project subsectors have. Taking established biosecurity 
measures2
.
C. Coordination with designated bodies and officials in the various areas of the 
municipalities of San Juan de Lurigancho and Callao for interviews and to collect 
institutional management tools.
D. Reparation of the final document of the consultancy for review, with numerical goals of results 
to measure the impact and results of the project. Baseline information for results should 
provide a brief narrative description of the prevailing conditions of the beneficiary population 
and/or the situation at the beginning of the project and the magnitude of the problem and/or 
the needs that the project must address.
E. Raising observations made by the procuring entity.
F. Delivery of the final document reset for approval.
G. English language translation by a professional translator.
49 
The activities of the project will be carried out in two districts, Municipality of San Juan de Lurigancho 
and the Provincial Municipality of Callao, and the AAHH.
ADRA will provide the Consultant with a complete copy of the project and contact names in 
Municipalities and AAHH to carry out the coordinations to perform baseline diagnosis.
3. REQUIREMENTS OF THE CONSULTANT IN CHARGE
a. Professional, with experience in baseline development
b. Knowledge in sanitation and hygiene (WASH) and health.
c. Minimum working experience of 10 years, in the public and/or private sector.
d. Experience in document preparation and diagraming, including tables and statistical tables.
e. Knowledge in Microsoft Office (2016) at the user level.
4. TERM OR PERIOD FOR THE PERFORMANCE OF THE REQUIRED SERVICE
The term of service is for a period of sixteen (16) calendar days, from the day after the contract 
is signed.
5. DELIVERABLE PRODUCTS AND/OR
Product Deliverables Delivery date
1 Work plan, including index, indicators to be used and 
methodology to get the line information approved by 
those responsible for Project monitoring and 
evaluation. 
At 3 calendar days signing the 
contract 
2 Baseline document, including Rising de Observations
 that 
monitoring and monitoring managers. 
Project evaluation, and its corresponding translation to the 
English language. 
To the 16 days calendars of signed the 
contract 
Baseline document , including rising of observations that 
USAID/BHA formulate 
Until approval by USAID/BHA 
6. REFERENCE COST AND PAYMENT METHOD
The service will be cancelled in three (03) parts, upon delivery of products and conformity of 
the service, according to the following detail:
25% to the conformity of the first product.
55% to the conformity of the second product.
20% to USAID/BHA's conformity of the third product
7. SUPERVISION AND CONFORMITY OF THE SERVICE
Compliance with each delivery and service in general is subject to compliance with numeral 
5, will be granted by the project manager appointed by ADRA.
50 
8. MODALITY OF CONTRACTING
The contracting of one (01) natural or legal person will be under the modality Location of 
Services (Non-Personal Services). Therefore, the service location is not subject to dependency 
relationship.
9. CALL CALENDAR
9.1 Deadlines
Activity Date
TDR Publication by Invitation. August 17, Agosto 2020
Delivery of technical- Until August 20,
 economic 
proposals. 2020
Selection of consultant. August 20, Agosto 2020
Signing of contract and start of consulting August 21, Agosto 2020
Product Delivery 1 August 24, Agosto 2020
Product Delivery 2 September 7, 2020
9.2 Delivery of proposals
Proposals will be sent to emails:
 Daisy Brañes: daisy.branes@adra.org.pe 
With copy to:
 Elena Malque: elena.malque@adra.org.pe
 Victor Huamán Bailón: huaman@adra.org.pe
 Erick Quispe Mamani: erick.quispe@adra.org.pe
9.3. Products to be delivered
 The Baseline study must delivered in English and Spanish: two copies of each, as well 
as in digital version in MS Word.
 The Baseline study, instruments, tools, database used for analysis, will be delivered 
on 02 CDs at the end of the service, according to the original programs with which it has 
been worked.
10. PROJECT INFORMATION THAT ARE PART OF THE TERMS OF REFERENCE
10.1 Goal
To provide humanitarian assistance with a community seal to vulnerable 
populations affected by COVID-19 in two districts of Peru through water, 
sanitation and hygiene (WASH) and health interventions.
51 
10.2 Expected Results
Objective of Sector 1:
To strengthen the practice of hygienic behaviors with an emphasis on 
safeguarding health and preventing the spread of COVID-19 in the 
target population.
Objective of Sector 2:
To reduce the spread of COVID-19 through community-based 
interventions that help health leaders and workers improve respiratory and 
hand hygiene practices.
Activities:
* According to DIP
11. PRIVACY OF RESPONDENTS General 
Use of Data
ADRA considers it unethical for the consultant or any survey team member to use the information 
collected during the baseline survey for anything other than the project under study. In case there 
is a viable reason to use the information obtained for other purposes, such as assisting another 
study, then ADRA should be consulted to request permission before using the data. The consultant 
must comply with this, especially when the material is controversial and exclusively involves the 
private lives of the beneficiary population of the project. To meet the requirements of THE FFPIB 
02-11, ADRA will send the databases to BHA via the ART electronic system.
12. DISTRIBUTION OF THE BASELINE REPORT
The ultimate responsibility for collecting and disseminating information from all of your USAID-funded 
projects around the world is from ADRA International. Therefore, ADRA International expects the 
consultant to send to ADRA Peru all data and other information
that has been used as the basis for the final conclusions and inferences of the report. ADRA's 
position is that no baseline report is considered final until: 1)it is sent to ADRA Peru and reviewed by 
ADRA International, 2) both the consultant and ADRA have discussed the contents in open form 3) Clarified 
understanding of all conclusions and any differences between the consultant and ADRA have been 
clarified included in the final report, 4) the report has been approved by BHA.
Report Format
Document Cover.
The cover should include the project name, name and title of the consultant, the date and name 
of the document.
List of Acronyms
The acronyms used on the report should be included at the beginning of the east.
Executive Summary
52 
The executive summary should be no more than two pages and should include: project 
background, study methodology, key findings and recommendations.
Contents Box.
The contents should include each main section of the report, appendices, graphs, tables, etc.
Main section of the Report
The main section of the report should include the following sequentially:
Introduction and Project Background 
The introduction and background of the project should include at least: end and objectives 
of the Project, as the Project will be implemented and the purpose of the baseline study, 
schedule and composition of the survey team.
Survey Methodology
The survey methodology will include at least: description of the sampling design used, data 
collection, processes that were used to select survey locations, survey team training.
Findings, Discussion and Analysis
This section is where each sector will be discussed in clear and detail, including the 
demographic part of respondents especially to beneficiary populations. The findings and 
executive summary of the study are based on this section of the document.
53 
10.3. Matrix of project monitoring indicators 
54 
 
55 
ANNEX 6. MATRIX OF INDICATORS AND QUESTIONS OF THE EVALUATION Sector 1. Water, sanitation and hygiene Subsector: Sanitation Indicator Definition of the indicator Calculation Questions Scale Source of information/ Means of verification Indicator 1: Number of people who use directly services improved sanitation provided with funding from the USAID/BHA People counted as beneficiaries of a sanitation program are those targeted by the program and who regularly use constructed, rehabilitated, or maintained sanitation services, whether directly by the project or built by the beneficiaries themselves 
because of the program activities 
to create a community demand for 
sanitation. 
Total number of men and women 
making use of handwashing stations 
built, rehabilitated, or maintained by 
the project 
Total number of men and women 
attending the markets 
% of men and women making use of 
hand-washing stations built, 
rehabilitated, or maintained by the 
project on the total number of 
people attending each market 
How many people have attended 
the market? 
How many men and women have 
made use of handwashing 
stations? 
Observation count 
Observation count 
Checklist 
Indicator 2: Number of washing stations hands built or supplied that work and they have Maintenance. (indicator custom) Total number of hand washing stations built or supplied that work and that have maintenance, disaggregated by location. How it works: it is defined as being in good working state and have soap and water and the management of grey water is 
Appropriate. They have 
maintenance: defined such as hand 
washing facilities that are cleaned, 
supplied with soap and repair if 
necessary 
Total number of hand washing 
stations per market. 
Does the property have a hand 
washing station? 
Does the hand washing station 
need to be rehabilitated 
(repaired)? 
Yes/No Checklist 
Interview with selected 
markets committee 
Sum of the total existing hand 
washing stations. 
Total count How many hand wash 
stations are in the 
property? 
56 
Indicator Definition of the indicator Calculation Questions Scale Source of information/ Means of verification Total number of hand washing 
stations in operation: - Water connection. - Greywater management. - Soap. - Paper towel. 
Is the handwashing station 
running? 
Is there water available at the 
station for as long as the 
observation is made? 
Do you have grey water 
treatment? 
Do you have a soap dispenser? 
Do you have a paper towel 
dispenser? 
Yes/No 
Total number of maintenance 
handwashing stations: - They're kept clean. - Soap supply. - Supply of paper towel. - They've been repaired. 
Does the station need to be 
repaired (rehabilitated)? 
Does the property have a protocol 
and cleaning times of the station? 
Is soap available for as long as the 
observation is made? 
Is towel paper available for as long 
as the observation is made? 
Yes/No 
Indicator 3: Number of users per station handwashing supplied (indicator custom) Total number of users per station hand washing supplied/built. Based observation of the sample and the ability to physical of the supplied unit. Average of the total number of men and women who make use of handwashing stations over the total number of staff entering the market. How many people make use of the handwashing station? What is the daily average of people who come to the markets? Total people count Average of the total number of attendees 
currently attending 
the market. 
Checklist
Interview with Directive of 
the 10 markets 
57 
Subsector: WASF NFIs Indicator Definition of the indicator Calculation Questions Scale Source of information/ Means of verification Indicator 1: Number total, of people who are supported by NFI's WASH NFI through of all the Modalities People: total number of individuals receiving WASH's NFI's support through project activities. NFIs: direct distribution of hygiene kits. Modality: direct distribution Summary of the total number of men and women who have received hygiene kits through direct distribution. Have you or any member of your household received the hygiene kit distributed by ADRA? Yes/No Survey 
Indicator 2: Percentage of households reporting satisfaction with the NFI's content WASH NFIs through direct distribution This indicator assesses the satisfaction of beneficiary households with the content of NFIs WASH (non-edible items) received. "The satisfaction" of the home with the contents is evaluate by 
interviewing a household 
member who has direct 
knowledge of the need for 
home to hygiene items and you 
know that hygiene items were 
received in the kits. The 
content refers to the variety of 
NFIs WASH distributed by the 
project. Be satisfied with the 
content implies that the home 
was able to get the necessary 
items to that they can have safe 
behaviors hygiene. 
% of beneficiaries who are satisfied 
with the delivery of the 34 bars of 
soap 
% of beneficiaries who are satisfied 
with the 20-litre bucket with lid and 
beak 
% of beneficiaries who are satisfied 
with the supplies for the 
manufacture of the masks 
% of beneficiaries who improved 
their hand washing hygiene practices 
and the use of masks thanks to the 
kits received by the project 
How satisfied are you regarding the 
contents of the kit? - Soap bars. - 20-liter bucket with lid and 
beak. - Supplies to produce masks 
Is there enough soap and water in 
your home to wash your hands? 
Did you make your protective 
mask? 
 Do you always wear your mask 
when you leave the house? - Very dissatisfied - Dissatisfied - Satisfied - Very satisfied - Yes, always - Sometimes there are and sometimes there is not. - There's hardly ever enough soap and water. - There is never soap and water to wash your hands. Yes/No 
Yes/No 
Survey 
58 
Indicator Definition of the indicator Calculation Questions Scale Source of information/ Means of verification % of beneficiaries who are satisfied 
with the card received on hand 
washing 
% of beneficiaries who are satisfied 
with the instructions received for 
hand-making of masks 
Are you satisfied with the 
information received in? - Brochure on hand washing. - Mask-making card 
Very dissatisfied 
Dissatisfied 
Satisfied 
Very satisfied 
Survey 
Indicator 3: Percentage of households who 
claim to be satisfied with the 
NFI's quality of water, 
sanitation and hygiene received
through direct distribution 
% of beneficiaries who are satisfied 
with the quality of the soap bars 
received 
% of beneficiaries who are satisfied 
with the 20-litre bucket with lid and 
beak 
% of beneficiaries who are satisfied 
with the supplies for the 
manufacture of the masks 
How satisfied are you regarding the 
quality of the products received in 
the kit? - Soap bars. - 20-liter bucket with lid and 
beak. - Supplies to produce masks 
Very dissatisfied 
Dissatisfied 
Satisfied 
Very satisfied 
Survey 
59 
Sector 2. Health Subsector: Public health emergencies of international interest and pandemics Indicator Definition of the indicator Calculation Questions Scale Source of information/ Means of verification Indicator 1: Number of 
trained health care staff Total number of community health workers trained. disaggregated by sex, training 
topic, and kind of health 
personnel. 
Health personnel: people who 
work in or with a health 
institution, working towards a 
goal to improve the health 
status of the surrounding 
population/settlement area. 
Includes formally and informally 
trained people. 
The total sum of individuals who
completed all specific 
requirements to successfully 
complete a training that may 
include attending and/or 
writing, a verbal or practical 
demonstration of knowledge or 
skills. 
Total number of men and women 
trained by the project 
Have you received any COVID 19 
prevention training? 
Do you finish the training process? 
Who gives you this training? 
Do you talk about what you have 
learned? 
With whom? 
What do you remember or value 
most about this training? 
Yes/No - Government - MINSA - Municipality - NGO - Another 
Yes/No - Family - Friends - Community - Colleagues - Other 
Open response 
Community health 
workers 
Indicator 2: Percentage population beneficiary that can remember two or more protective measures Protective measures: A set of measures prevent the transmission of COVID-19 or encourage health-seeking, as relevant to the outbreak and 
the proposed program, and 
aligned with response-level 
messages and campaigns 
Awareness. You should 
remember at least two or more 
of the protection measures: 
1) Social distancing. 
2) Hand hygiene, washing the 
hands of frequently with soap 
and water or use a
Total number of men and women 
identifying two or more of the 
following protective measures: - Social distancing. - Hand hygiene: hand washing 
with soap or water and/or use 
of alcohol-based hand 
sanitizer. - Respiratory hygiene and 
cough management, - Avoid touching your eyes, 
nose, and mouth. - Using a mask - Disinfect surfaces and objects 
regularly.
What protective measures do you 
consider important to prevent 
COVID 19 from spreading? 
Number all identified 
as mentioned by 
interviewees 
Survey 
60 
Indicator Definition of the indicator Calculation Questions Scale Source of information/ Means of verification alcohol-based hand sanitizer 
3) Respiratory hygiene and 
cough management 
4) avoid touching your eyes, 
nose, mouth 
5) Use of mask 
6) Disinfect surfaces and objects
regularly. 
Remember: May include 
spontaneous mention and/or 
with help. 
Indicator 7: Number of 
people reached through channel risk 
communication Risk communication activities and Community Participation (RCCE): Outreach including key messages about preventing 
COVID-19, including hand 
washing, hygiene respiratory 
distress, social distancing, when 
and where masks, signs and 
symptoms of the disease and 
when to look attention. 
Communication channel: the 
means through which a 
message or information is 
transmitted to your recipient. 
Mass media (excluding social 
media) include: TV, radio, 
newspapers, etc. 
Non-mass media include: 
training, community activities, 
etc. 
Social media: Twitter, 
Facebook, 
Etc. 
Sum of men and women who report 
receiving key messages about: - Handwashing - Respiratory hygiene - Social distancing. - Use of masks. - Signs and symptoms of the 
disease. - When to seek attention 
Have you received information on 
the following regarding COVID 19 
prevention? - Handwashing - Respiratory hygiene - Social distancing. - Use of masks. - Signs and symptoms of the 
disease. - When to seek attention 
Through which channels? - Tv - Radio - Newspaper - Phone - Brochure and posters - Community activities in 
person - Facebook - Whats App - Text messages - Other (specify) 
Who gave you this information? 
Yes/No 
Yes/No - Government - MINSA - Municipality - NGO - Another 
Survey 
61 
ANNEX 07. INTERVIEW GUIDE FOR LOCAL AUTHORITIES 
Date of application: District Code 
 
INTERVIEWER(A): Good morning, my name is... I am part of the team that is making the Baseline of the WASH 
response to COVID-19 project in the districts of San Juan de Lurigancho and Callao, to be implemented by ADRA 
Peru; we would like to know your opinion and experience regarding the issue and prevention measures against 
COVID-19 that are currently being carried out in the district. Would you like to participate in this interview? The 
information you share with us will be used only for the study that is being carried out. May I can take notes or 
record the interview? Thanks a lot. 
NOTE START TIME: __ Hours __ Minutes  AM  PM 
Name of the shaker: 
0. GENERAL INTERVIEWED DATA 
Full names and surnames: 
Sex: 
Age: 
Institution: 
Charge: 
Time to charge: 
I. RELEVANCE
1. What is the current district/ward scenario for the COVID-19 pandemic? 
2. Regarding the district/neighborhood, what do you consider to be your biggest challenges in 
preventing COVID-19? Mention the top three. 
3. Which areas in the district/ward do you consider most vulnerable to the pandemic? Why? 
4. What actions are currently being implemented from the municipality? 
5. Are these activities worked together and in coordination with other national and/or private 
organizations or institutions and civil society? What? 
6. Does the municipality currently organize any coordinated intervention with local and/or 
neighborhood surveillance districts or committees? What interventions? 
7. What positive unforeseen impacts do you consider having led to the intervention? What negative 
impacts could have been generated at the same time? 
8. What elements and/or situations would determine the success of the municipality/neighborhood 
for the prevention of COVID-19? Why? 
9. What achievements do you consider to be the most important so far achieved by the 
municipality/neighborhood in the prevention and fight against COVID-19? 
10. Is there any other aspect we have not asked you about and think it is paramount to know? Could 
you tell me about it? 
Thank you very much for your participation. 
62 
Comments and suggestions:
 
ANNEX 08. BENEFICIARY SURVEY 
FINAL_Project Wash Response to COVID-19 in
Peru_ADRA_ (Beneficiary Survey)
1. Date and time of application: 
yyyy-mm-dd hh:mm
2. Name of pollster
______________________________________________________________________
3. Names and surnames of the respondent (a) Pre-fill with ADRA beneficiary database listing. Fill in the first names first and then only the 
last names..
4. What district do you currently live in?? To mention another district thank you and end the survey..
San Juan de Lurigancho
Callao
Other
4.1. Specify
5. Age. 18 years and older.. 
6. Are you Peruvian or o foreign?/o? Mark as appropriate..
Peruvian
Venezuelan
Colombian
Ecuadorian
Bolivian
Other
6.1. Other (specify)
7. Sex:
Female Male
8. Are you head of household? Evaluation Criterion project.
Yes
No
Doesn't Know / Doesn't Think
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9. Phone number. Fill database provided data by ADRA.
10. Allows me to confirm your address, is your current address...? Check the address of the ADRA register.
11. Including yourself, how many people in total make up your home??
Just me.
2 to 5 people
6 to 9 people
10 to + people
Doesn't Know / Doesn't Think
 
12. Were you able to pay for all the services in your household during the last three months? Project Inclusion Criterion .
Yes
No
Doesn't Know / Doesn't Think
13. Do you or any member of your household suffer from any mental or physical disability?? Project Inclusion Criterion .
Yes
No
Doesn't Know / Doesn't Think
14.Do you or any member of your household have or suffer from COVID-19? Project Inclusion Criterion.
Yes
No
Doesn't Know / Doesn't Think
15. Do you or any member of your household currently suffer from COVID-19 disease? Project Inclusion Criterion 
Yes
No
Doesn't Know / Doesn't Think
16. Have you or any member of your household been the victim of abuse or violence inside or outside your home?? Project Inclusion
Criterion.
Yes
No
Doesn't Know / Doesn't Think
17. Do you have drinking water at home? Project Inclusion Criterion .
Yes
No
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18. What kind of facilities do you use for hand washing inside your home? Expect answer and/or read alternatives.
Running water from pipes or tank
Manually poured water system (from one bucket, bucket, another))
Bucket (hands are washed in bucket, water does not run))
Other (specify)
18.1. Specify
19. Do you have water at home every day?
Yes
No
Doesn't Know / Doesn't Think
3. How many hours a day does the service have at home, on average? ? (Only if I answer 1st alternative of 18)
4. Do you consider that in your home, is there enough water to wash your hands? .
Expect answer and/or read alternatives.
Yes, always 
Sometimes there are and sometimes there isn't
There's hardly ever a hand-washing
There's never to wash your hands.
Doesn't Know / Doesn't Think
22. Do you consider that in your home, is there enough soap to wash your hands? Expect answer and/or read alternatives.
Yes, always 
Sometimes there are and sometimes there isn't
There's hardly ever a hand-washing
There's never to wash your hands.
Doesn't Know / Doesn't Think
23.When you leave the house you use a mask...? Read each alternative
Always
Almost always
Sometimes
Rarely
Never
Doesn't Know / Doesn't Think
24. Have you received any COVID-19 prevention training? Wait for answer..
Yes
No
65 
Doesn't Know / Doesn't Think
25. From what you learned in that training you valued most? ? (Only if I answer Yes in question 24))
The duration of the training was adequate 
The trainers knew the subject well
I learned how to take care of myself and my family to prevent COVID 19
Children were also trained in the prevention of COVID 19
It was dynamic
The material used during training
I learned valuable things to consider in my life
Doesn't Know / Doesn't Think
Other (specify)
25.1. Other (specify)
26. Do you talk about what you have learned?? (Only if I answer Yes in question 24))
Yes
No
Doesn't Know / Doesn't Think
27. Who do you talk to about what you have learned?? (Only if I answer Yes in question 26)
Family
Friends
Community and the neighborhood
Co-workers 
Other
Doesn't Know / Doesn't Think
27.1. Specify
28. Do you remember what protective measures are important to prevent COVID-19?
Wait for response and dial. Multiple dialing. 
 Social distancing
 Washing your hands with soap and water/alcohol use
 Avoid touching your eyes, nose, and mouth
 Covering your mouth and nose when sneezing
 Wearing a mask
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 Disinfect surfaces and objects regularly
 Other
 Doesn't Know / Doesn't Think
28.1. Specify
 
29.Have you received information for COVID-19 prevention on? Read each alternative and dial, dial multiple
Handwashing
Respiratory hygiene(covering the mouth and nose when sneezing)
Social distancing
Use of masks
Signs and symptoms of COVID-19
When to seek medical attention
Doesn't Know / Doesn't Think
67 
30. Through which channels did you receive this information on COVID-19 prevention? Mark all indicated alternatives. .
Tv
Radio
Newspaper
Brochure, posters
Phone calls to cell phone/line phone
Text messages
Market megaphone
Whats App
Facebook
Instagram
Twitter
Community activities (face to face)
Community health workers
Local leaders
Other
Doesn't Know / Doesn't Think
30.1. Specify
31.Who provided you with this information?? Wait for response and dial.
Regional Government
Municipality
MINSA
MIDIS
NGO
Parish /Church 
Other
Doesn't Know / Doesn't Think
31.1. 1 Specify
32. Have you or any members of your household received a hygiene kit during 2020 to prevent COVID-19? Expect respondent 
response.
Yes
No
Doesn't Know / Doesn't Think
33. Did the hygiene kit hygiene give it to you...? (Only if I answer Yes in question 31).) Wait for respondent response and dial.
68 
Regional Government
Municipality
MINSA
MIDIS
NGO
Parish /Church
Other
Doesn't Know / Doesn't Think
33.1. 3 Specify
34. Finally, you could please help me with the verification of your ID, Is your ID/alien card number...?
Confirm ADRA pattern listing number.
Guest reviews
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ANNEX 09. SURVEY OF COMMUNITY HEALTH WORKERS 
Wash Response to COVID-19 Project in 
Peru_ADRA_LB_(Agentes Community Agents)
1. Date and time of application:
yyyy-mm-dd hh:mm
2. Pollster Name:
3. Respondent's first and last names(a). Pre-fill with database listing delivered by ADRA.
4. Sex:
Female Male
5. Age. 18 years and older
6. ID / Card
7. Nationality
Peruvian
Venezuelan
Colombian
Ecuadorian
Bolivian
Other
7.1. Other (specify)
 
8. Phone number. Fill of database provided by ADRA
9. District. To mention another district thank you and end the survey..
San Juan de Lurigancho
Callao
10.How long have you been a community health worker in this district??. If you do not remember the exact time, ask for an approximate
time. Write years in whole numbers, months in decimals..
11. Do you consider that in the community where you work, do all households have enough water to wash their hands?
Expect answer and/or read alternatives.
Yes, always 
70 
Sometimes there are and sometimes there isn't
There's hardly ever
There's never a place to wash your hands
Doesn't Know / Doesn't Think
6. Do you think that in the community where you work, do all households have enough soap to wash their hands? Expect answer 
and/or read alternatives.
Yes, always 
Sometimes there are and sometimes there isn't
There's hardly ever
There's never a place to wash your hands
Doesn't Know / Doesn't Think
13.When you leave the house you use a mask...? Read each alternative..
Always
Almost always
Sometimes
Rarely
Never
Doesn't Know / Doesn't Think
14. Have you received any COVID-19 prevention training? Wait for answer..
Yes
No
Doesn't Know / Doesn't Think
15.Did you finish the training process??
Yes
No
Doesn't Know / Doesn't Think
16. From what you learned in this training ,what did you value most?
The duration of the training was adequate 
The trainers knew the subject well
I learned how to take care of myself and my family to prevent COVID 19
Children were also trained in the prevention of COVID 19
It was dynamic
The material used during training
71 
I learned valuable things to consider in my life
I learned and/or strengthened skills to better communicate to develop my work as a community agent
Doesn't Know / Doesn't Think
Other
16.1. Other (specify)
17. Have you trained others on what you have learned??
Yes
No
Doesn't Know / Doesn't Think
18. Who have you trained?? 
Family
Friends
Community and the neighborhood
Co-workers 
Other
Doesn't Know / Doesn't Think
18.1. Specify
19. Have you received information for COVID-19 prevention on? Read each alternative and dial, dial multiple
Handwashing
Respiratory hygiene(covering the mouth and nose when sneezing)
Social distancing
Use of masks
Signs and symptoms of COVID-19
When to seek medical attention
Doesn't Know / Doesn't Think
72 
20. Through which channels did you receive this information on COVID-19 prevention? Mark all indicated alternatives. .
Tv
Radio
Newspaper
Brochure, posters
Phone calls to cell phone/landline 
Text messages
Market megaphone
Whats App
Facebook
Instagram
Twitter
Community activities (face to face)
Community health workers
Local leaders
Other
Doesn't Know / Doesn't Think
20.1. Other (specify)
21.Who provided you with this information?? Wait for response and dial.
Regional Government
Municipality
MINSA
MIDIS
NGO
Parish /Church 
Other
Doesn't Know / Doesn't Think
21.1. Specify
10. During 2020, have you or any household members received any hygiene kits to prevent COVID-19?
Yes
No
Doesn't Know / Doesn't Think
23. Did the hygiene kit give it to you...?
73 
Regional Government
Municipality
MINSA
MIDIS
NGO
Parish /Church
Other
Doesn't Know / Doesn't Think
23.1. Other (specify)
 24. ¿What do you think are the reasons that prevent district villagers from practicing COVID-19 prevention measures? Ask for the three you
consider most important. First, second, third, and type as appropriate..
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ANNEX 10. CHECKLIST AND MARKET OBSERVATION OF STOCKS 
FINAL_Project Wash Response to COVID-19 in Peru-Baseline_ADRA 
(Markets)
1. Date and time of application:
yyyy-mm-dd hh:mm
2. Name of pollster:
3. Establishment Name:
4. Address:
5. District
San Juan de Lurigancho
Callao
6. Location:
latitude (x.y))
______________________
length (x.y))
altitude (m)
accuracy (m)
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7. Total number of doors of the establishment:
8. Total number of doors in operation:
9. Name of the person answering the survey. Preferably a member of the Committee.
10. Position you serve in the establishment:
President
Vice president
Treasurer
Secretary(a)
Vocal
Proxy
Other
10.1. Comments on the current management of the establishment
10.2. Specify
11. Does the establishment have a committee or organization in charge of its management?? (Ask the property committee)
Yes
No
Doesn't Know / Doesn't Think
12. Name of the organization and/or committee of the establishment. (Ask the property committee)
13. What is the total capacity of the establishment? Ask about the maximum capacity of people who can stay at the establishment between 
merchants and customers..
13.1. 3 Comments on this:
14.How many people attend the market daily? (Ask the property committee )(No.. approximate)
15.Does the property have a handwashing station? Observation and verification.
76 
Yes No
16.What type of hand washing facilities does the establishment have? Observation and verification. Multiple alternatives..
Running water from pipes or tank
Manually poured water system (from one bucket, bucket, another))
Bucket (hands are washed in bucket, water does not run))
Other (specify)
16.1. Specify
17. How many stations are there? Observation and verification.
18.How many hand washing stations are in operation? Observation and verification. Number must be equal to or less than the number of 
existing stations
19. How many need to be rehabilitated (repaired)? Observation and verification. Number must be equal to or less than the number of existing
stations
20.How many working handwashing stations have grey water treatment? Observation and verification. Number must be equal to or less than 
the number of stations in operation
21.How many handwashing stations is there a soap dispenser? Observation and verification. Number must be equal to or less than the
number of stations in operation
22.How many hand washing stations is there a paper towel dispenser? Observation and verification. Number must be equal to or less than the
number of stations in operation
23. ¿How many hand washing stations is water available for as long as the observation is made? Observation and 
verification. Number must be equal to or less than the number of stations in operation
24. Is soap available for as long as the observation is made?? Observation and verification. Number must be equal to or less than the number 
of stations in operation
Yes
No
25. Is paper available for as long as the observation is made?? Observation and verification. Number must be equal to or less than the
number of stations in operation
Yes
No
26. Does the property have a protocol and cleaning of the station(s)? (Ask the Committee establishment )
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Yes
No
Doesn't Know / Doesn't Think
27.Who is responsible for cleaning the hand washing station? (Ask the Committee establishment )
Cleaning staff
Security staff
Merchants
Other
Doesn't Know / Doesn't Think
27.1. Specify
28. Is the market currently carrying out any activity with the local municipality? (Ask the Committee establishment )
Yes
No
Doesn't Know / Doesn't Think
29.What activities? (Ask the Committee establishment committee)
30. Images of hand washing stations
Click here to upload the. (<5MB)
78 
THANK YOU VERY MUCH FOR YOUR PARTICIPATION