Model of Local Inclusive Care and Support System

Territorial diagnosis instrument

Characterization of the target population and the municipality's conditions · Step 2 of the readiness process

UNICEF Colombia

1. Municipality data

This instrument is completed by the municipal technical team responsible for implementing the Model. The information recorded is the basis for the territorial action plan.

Municipality nameDepartmentMunicipality categoryCompletion dateFormat DD/MM/YYYYResponsible secretariat or departmentName and position of the person responsible