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Population and Health InfoShare Feedback for Family Health International

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/1999/REC-html401-19991224/loose.dtd"> <html> <head><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://www.phishare.org/feedback/fhi/8652/","20100705101642","https://web.archive.org/","web","/_static/", "1278325002"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" /> <!-- End Wayback Rewrite JS Include --> <script src="/web/20100705101642js_/http://www.phishare.org/utm/__utm.js" type="text/javascript"></script> <title> Population and Health InfoShare Feedback for Family Health International</title> <meta name="Keywords" content="population health information public help knowledge sharing"> <meta name="Description" content="Sharing Knowledge to Improve Public Health Worldwide"> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <style type="text/css"> @import url(/web/20100705101642cs_/http://www.phishare.org/styles.css); /*IE and NN6x styles*/ </style> <script type="text/javascript" src="/web/20100705101642js_/http://www.phishare.org/lib.js"></script> <script type="text/javascript"><!-- window.name = 'infoshareWindow'; //--></script> </head> <body class="sectionDefault"> <div id="container"> <div id="branding"> <h1><a href="/web/20100705101642/http://www.phishare.org/" title="Population Health InfoShare: Sharing Knowledge to Improve Public Health Worldwide."><img src="/web/20100705101642im_/http://www.phishare.org/images/logo-banner.gif" width="495" height="78" border="0" alt="Population Health InfoShare: Sharing Knowledge to Improve Public Health Worldwide."></a></h1> </div> <!-- close: #branding --> <table cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td><div id="nav"> <ul> <li id="menu-home"><a href="/web/20100705101642/http://www.phishare.org/">Home</a></li> <li id="menu-documents"><a href="/web/20100705101642/http://www.phishare.org/documents/">Documents</a></li> <li id="menu-events"><a href="/web/20100705101642/http://www.phishare.org/events/">Events</a></li> <li id="menu-partners"><a href="/web/20100705101642/http://www.phishare.org/partners/">Contributing Partners</a></li> <li id="menu-about"><a href="/web/20100705101642/http://www.phishare.org/about/">About Us</a></li> <li id="menu-login"><a href="/web/20100705101642/http://www.phishare.org/login/"><strong>Partner Login</strong></a></li> </ul> </div></td> <td><div id="bookbag"><img src="/web/20100705101642im_/http://www.phishare.org/images2/bookbag.gif" alt="bookbag" width="11" height="12" border="0">&nbsp;<a href="/web/20100705101642/http://www.phishare.org/bookbag/">My BookBag</a>:&nbsp; 42&nbsp;Documents</div></td> </tr> <index-this> <tr> <td valign="top" style="padding-right: 6px;"> <h2>Feedback for Family Health International</h2> <h3>Regarding document: Youth InfoNet 65</h3> <p>Please fill in the information below. All of the information will be sent to Family Health International.</p> <div class="showform"> <form action="https://web.archive.org/web/20100705101642/http://www.phishare.org/feedback/fhi/8652/" method="POST" name="showform_16" enctype="multipart/form-data" onsubmit=""> <input type="hidden" name="document" value="8652"> <input type="hidden" name="partner" value="290"> <!-- current form variables --> <input type="hidden" name="PHPSESSID" value="691635f269419ea615b50c0b50daa833"/> <input type="hidden" name="bookbag" value="9288,1888,9282,1758,1705,1766,2016,1728,1704,1701,1702,2019,2015,1706,1767,5267,9283,2458,9333,8980,9329,8654,8972,9127,9281,8981,8953,9277,8959,9285,8960,4205,4267,391,8002,8575,8021,8566,8868,8414,7903,8652"/> <input type="hidden" name="CFCLIENT_STXAVIEROH" value="device=other#os=Win#browsercode=M#mobilesite=false#mimetype=application/xhtml+xml#versioncode=0#"/> <input type="hidden" name="CFGLOBALS" value="urltoken=CFID#=33006844&amp;CFTOKEN#=12852780&amp;jsessionid#=0630b03fd5f4ad96a7f63f4568186b5a5131#lastvisit={ts \'2010-06-21 08:33:38\'}#timecreated={ts \'2010-06-20 13:11:10\'}#hitcount=31#cftoken=30129532#cfid=2177045#"/> <input type="hidden" name="CFID" value="33006844"/> <input type="hidden" name="CFTOKEN" value="12852780"/> <input type="hidden" name="mode" value=""/> <!-- f1db_input parameters --> <input type="hidden" name="pxdb[params][id]" value=""/> <input type="hidden" name="pxdb[params][dt]" value="16"/> <table border="0"> <!-- Begin Section for Field: email --> <tr style=""> <th> <span style="color: red">*</span>Your e-mail </th> <td> <input type="text" name="pxdb[data][email]" value="" size="40"/> </td> </tr> <!-- End Section for Field: email --> <!-- Begin Section for Field: comment --> <tr style=""> <th> <span style="color: red">*</span>Your comments </th> <td> <textarea name="pxdb[data][comment]" wrap="virtual" cols="40" rows="10"></textarea> </td> </tr> <!-- End Section for Field: comment --> <!-- Begin Section for Field: country --> <tr style=""> <th> <span style="color: red">*</span>Where are you? </th> <td> <select name="pxdb[data][country]"> <option value="">[choose]</option> <option value="1">Afghanistan</option> <option value="2">Albania</option> <option value="3">Algeria</option> <option value="4">Andorra</option> <option value="5">Angola</option> <option value="6">Antigua and Barbuda</option> <option value="7">Argentina</option> <option value="8">Armenia</option> <option value="9">Australia</option> <option value="10">Austria</option> <option value="11">Azerbaijan</option> <option value="12">Bahamas, The</option> <option value="13">Bahrain</option> <option value="14">Bangladesh</option> <option value="15">Barbados</option> <option value="16">Belarus</option> <option value="17">Belgium</option> <option value="18">Belize</option> <option value="19">Benin</option> <option value="20">Bhutan</option> <option value="21">Bolivia</option> <option value="22">Bosnia and Herzegovina</option> <option value="23">Botswana</option> <option value="24">Brazil</option> <option value="25">Brunei</option> <option value="26">Bulgaria</option> <option value="27">Burkina Faso</option> <option value="28">Burma</option> <option value="29">Burundi</option> <option value="30">Cambodia</option> <option value="31">Cameroon</option> <option value="32">Canada</option> <option value="33">Cape Verde</option> <option value="34">Central African Republic</option> <option value="35">Chad</option> <option value="36">Chile</option> <option value="37">China</option> <option value="38">Colombia</option> <option value="39">Comoros</option> <option value="40">Congo (Brazzaville)</option> <option value="41">Congo (Kinshasa)</option> <option value="42">Costa Rica</option> <option value="43">Cote d'Ivoire</option> <option value="44">Croatia</option> <option value="45">Cuba</option> <option value="46">Cyprus</option> <option value="47">Czech Republic</option> <option value="48">Denmark</option> <option value="49">Djibouti</option> <option value="50">Dominica</option> <option value="51">Dominican Republic</option> <option value="52">Ecuador</option> <option value="53">Egypt</option> <option value="54">El Salvador</option> <option value="55">Equatorial Guinea</option> <option value="56">Eritrea</option> <option value="57">Estonia</option> <option value="58">Ethiopia</option> <option value="59">Fiji</option> <option value="60">Finland</option> <option value="61">France</option> <option value="62">Gabon</option> <option value="63">Gambia, The</option> <option value="64">Georgia</option> <option value="65">Germany</option> <option value="66">Ghana</option> <option value="67">Greece</option> <option value="68">Grenada</option> <option value="69">Guatemala</option> <option value="70">Guinea</option> <option value="71">Guinea-Bissau</option> <option value="72">Guyana</option> <option value="73">Haiti</option> <option value="74">Holy See</option> <option value="75">Honduras</option> <option value="76">Hungary</option> <option value="77">Iceland</option> <option value="78">India</option> <option value="79">Indonesia</option> <option value="80">Iran</option> <option value="81">Iraq</option> <option value="82">Ireland</option> <option value="195">Israel</option> <option value="83">Italy</option> <option value="84">Jamaica</option> <option value="85">Japan</option> <option value="86">Jordan</option> <option value="87">Kazakhstan</option> <option value="88">Kenya</option> <option value="89">Kiribati</option> <option value="90">Korea, North</option> <option value="91">Korea, South</option> <option value="92">Kuwait</option> <option value="93">Kyrgyzstan</option> <option value="94">Laos</option> <option value="95">Latvia</option> <option value="96">Lebanon</option> <option value="97">Lesotho</option> <option value="98">Liberia</option> <option value="99">Libya</option> <option value="100">Liechtenstein</option> <option value="101">Lithuania</option> <option value="102">Luxembourg</option> <option value="103">Macedonia, The Former Yugoslav R</option> <option value="104">Madagascar</option> <option value="105">Malawi</option> <option value="106">Malaysia</option> <option value="107">Maldives</option> <option value="108">Mali</option> <option value="109">Malta</option> <option value="110">Marshall Islands</option> <option value="111">Mauritania</option> <option value="112">Mauritius</option> <option value="113">Mexico</option> <option value="114">Micronesia, Federated States of</option> <option value="115">Moldova</option> <option value="116">Monaco</option> <option value="117">Mongolia</option> <option value="191">Montenegro</option> <option value="118">Morocco</option> <option value="119">Mozambique</option> <option value="120">Namibia</option> <option value="121">Nauru</option> <option value="122">Nepal</option> <option value="123">Netherlands</option> <option value="124">New Zealand</option> <option value="125">Nicaragua</option> <option value="126">Niger</option> <option value="127">Nigeria</option> <option value="128">Norway</option> <option value="129">Oman</option> <option value="130">Pakistan</option> <option value="131">Palau</option> <option value="194">Palestinian Territory</option> <option value="132">Panama</option> <option value="133">Papua New Guinea</option> <option value="134">Paraguay</option> <option value="135">Peru</option> <option value="136">Philippines</option> <option value="137">Poland</option> <option value="138">Portugal</option> <option value="139">Qatar</option> <option value="140">Romania</option> <option value="141">Russia</option> <option value="142">Rwanda</option> <option value="143">Saint Kitts and Nevis</option> <option value="144">Saint Lucia</option> <option value="145">Saint Vincent and the Grenadines</option> <option value="146">Samoa</option> <option value="147">San Marino</option> <option value="148">Sao Tome and Principe</option> <option value="149">Saudi Arabia</option> <option value="150">Senegal</option> <option value="190">Serbia</option> <option value="151">Seychelles</option> <option value="152">Sierra Leone</option> <option value="153">Singapore</option> <option value="154">Slovakia</option> <option value="155">Slovenia</option> <option value="156">Solomon Islands</option> <option value="157">Somalia</option> <option value="158">South Africa</option> <option value="159">Spain</option> <option value="160">Sri Lanka</option> <option value="161">Sudan</option> <option value="162">Suriname</option> <option value="163">Swaziland</option> <option value="164">Sweden</option> <option value="165">Switzerland</option> <option value="166">Syria</option> <option value="192">Taiwan</option> <option value="167">Tajikistan</option> <option value="168">Tanzania</option> <option value="169">Thailand</option> <option value="170">Togo</option> <option value="171">Tonga</option> <option value="172">Trinidad and Tobago</option> <option value="173">Tunisia</option> <option value="174">Turkey</option> <option value="175">Turkmenistan</option> <option value="176">Tuvalu</option> <option value="177">Uganda</option> <option value="178">Ukraine</option> <option value="179">United Arab Emirates</option> <option value="180">United Kingdom</option> <option value="181">United States</option> <option value="182">Uruguay</option> <option value="183">Uzbekistan</option> <option value="184">Vanuatu</option> <option value="185">Venezuela</option> <option value="186">Vietnam</option> <option value="187">Yemen</option> <option value="188">Zambia</option> <option value="189">Zimbabwe</option> </select> </td> </tr> <!-- End Section for Field: country --> <!-- Begin Section for Field: profession --> <tr style=""> <th> <span style="color: red">*</span>What is your profession? </th> <td> <select name="pxdb[data][profession]"> <option value="">[choose]</option> <option 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