PALMS
PALMS
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First Name
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Last Name
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Email
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Phone Number
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Organization
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Please Organization Type
Non-Governmental Organization
Non-Profit Organization
Faith-based Organization
Government Institution/Public Sector
Private Sector
University/Academic Institution
Health facility/Clinic
Other
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Designation/ Job Title
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Location
Malawi
Other
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Purpose for Request
Use in Meetings
Grant Proposal/Concept Note
Report Drafting
Program Management/Oversight
Community Service Support
Supportive Supervision
Stakeholder Coordination
Other
Other(Specify)
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User Category
Blantyre City Staff
Blantyre DHO Staff
Blantyre Health Facility (City Staff)
Blantyre Health Facility (DHO Staff)
Blantyre Health Facility (Implementing Partner)
Blantyre Health Facility (Private Facility)
Implementing Partner (National or District Staff)
Lilongwe City Staff
Lilongwe DHO Staff
Lilongwe Health Facility (City Staff)
Lilongwe Health Facility (DHO Staff)
Lilongwe Health Facility (Implementing Partner)
Lilongwe Health Facility (Private Facility)
MOH Staff
NAC
NGO/International Org/Funder
Other
University/Research Institution
Other(Specify)
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Locations
Lilongwe
Blantyre
Malawi
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Please describe your intention for accessing the system in your words (max: 200 characters)
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Do you intend to use this information for journal submission or public dissemination of any kind?
Yes
No
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PALMS