MAMI Activity Mapping
Please complete as much information as you can in the following form about your activities related to MAMI. Information shared in this form will be input to an open-access online mapping, available on the Save the Children Resource Centre (MAMI | Resource Centre (savethechildren.net)) and the MAMI Global Network page (Management of small & nutritionally at-risk Infants under six months & their mothers (MAMI) | ENN (ennonline.net).
Sign in to Google to save your progress. Learn more
Contact name
Contact email
(Notes: Please provide this so we can follow up with you if any clarifications are required. This will also be included on the map, so interested parties can follow up with you directly. If you would prefer not to include your contact details on the map, please specify.)
Organizations/ affiliation
(Notes: If your activity is a collaboration with multiple partners, please list all partners. If there is an activity lead, please state who that is)
Activity or Project name
Activity
If programme implementation, does your activity include:
(Notes: tick all that apply)
Activity location
(Notes: Please include the country, region and area name e.g. name of district or refugee camp. If multiple locations within the same project, please list all)
Type of implementer
(Notes: tick all that apply)
Activity setting
Clear selection
If programme implementation, does your activity include:
(Notes: Complete this only if you are involved in programme implementation)
Integration
(Notes: Complete this only if you are involved in programme implementation)
Activity aims and objectives
Activity timeline
Clear selection
Activity timeline: current start date
(Notes: if your activity is still in the planning phase, please skip this question)
MM
/
DD
/
YYYY
Activity timeline: current end date
(Notes: if your activity is still in the planning phase, please skip this question)
MM
/
DD
/
YYYY
Does your activity involve use of the MAMI Care Pathway (previously the MAMI Tool)?
Clear selection
Project summary
(Notes: where applicable include: population, intervention, control groups, outcomes –provide data where possible)
Any relevant links/publications/ resources
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms