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Wed, 05/15/2013 - 18:05
Do you give MAMA permission to share the information you disclose on this document with our partners and/or donors?
What is the name of your organization?
What is your organization's mission?
What is the size of your organization (approximate budget)?
How do you intend to use the adaptable messages provided? SMS or IVR format? Other? Please elaborate.
When may such a program be up and running?
How did you learn about this initiative?
Your organization is:
Your organization is: Other
In which country/countries will these adaptable messages be used?
Start typing a country name and choose from the autocomplete options
What is the approximate population of the geographical area you plan to serve?
How many do you plan to reach with your program?
Who is the primary target beneficiary for your program?
New mothers and expectant mothers
Health Care Workers
Who is the primary target beneficiary for your program? Other
Your primary target audience is (click all that apply):
Do you currently have funding for your program to deliver health information? Please list any major funders.
Do you intend to charge for this information?
Questions for the MAMA Global Team
Do you have questions for the MAMA team?
May the MAMA team contact you with updates on new content, tools, online courses or events?
May the MAMA team introduce you to other organizations working in the same country or language(s) as you?
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