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Population and Health InfoShare New Subscription

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Indicate your topics and regions of interest. Press <b>Submit Request</b> at the bottom of the page when done.</p> <p><a href="/web/20100705053539/http://www.phishare.org/about/privacy.php">Privacy Statement</a></p> <form action="/web/20100705053539/http://www.phishare.org/subscribe/index.php" method="post" name="showform_13" enctype="multipart/form-data" onsubmit=""> <!-- current form variables --> <input type="hidden" name="view" value="new"/> <input type="hidden" name="oref" value=""/> <input type="hidden" name="ref" value="http://www.phishare.org/"/> <input type="hidden" name="a" value=""/> <!-- f1db_input parameters --> <input type="hidden" name="pxdb[params][id]" value=""/> <input type="hidden" name="pxdb[params][dt]" value="13"/> <p>Fields marked with <span style="color: red">*</span> are required.</p> <h3>Your Information</h3> <table border="0"> <!-- Begin Section for Field: email --> <tr style=""> <td align="right" valign="top"> <span style="color: red">*</span>E-mail </td> <td> <input type="text" name="pxdb[data][email]" value="" size="40"/> </td> </tr> <!-- End Section for Field: email --> <!-- Begin Section for Field: country --> <tr style=""> <td align="right" valign="top"> <span style="color: red">*</span>Country of Residence </td> <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: type --> <tr style=""> <td align="right" valign="top"> <span style="color: red">*</span>Occupation </td> <td> <select name="pxdb[data][type]"> <option value="">[choose]</option> <option value="5">Consultant</option> <option value="6">Demographer/Researcher</option> <option value="7">Educator</option> <option value="8">Journalist</option> <option value="9">Librarian</option> <option value="10">Policymaker</option> <option value="11">Program/Project manager</option> <option value="12">Provider of health services</option> <option value="13">Student</option> <option value="14">Other</option> </td> </tr> <!-- End Section for Field: type --> <tr style=""> <td align="right" valign="top"> <span style="color: red">*</span>Preferred Language </td> <td> <input type="hidden" name="pxdb[data][language][]" value=""> <input type="checkbox" name="pxdb[data][language][]" value="1"/>English <br/> <input type="checkbox" name="pxdb[data][language][]" value="2"/>French <br/> <input type="checkbox" name="pxdb[data][language][]" value="3"/>Spanish <br/> </td> </tr> <!-- End Section for Field: language --> </table> <h3>Select Topics</h3> <table> <tr style=""> <td align="right" valign="top"> All Topics </td> <td> <input type="hidden" name="pxdb[data][alltopics]" value="0"> <input type="checkbox" name="pxdb[data][alltopics]" value="1"/> </td> </tr> <!-- End Section for Field: alltopics --> <!-- Begin Section for Field: topic --> <tr style=""> <td align="right" valign="top"> Only the following topics </td> <td> <input type="hidden" name="pxdb[data][topic]" value=""> <input type="checkbox" name="pxdb[data][topic][]" value="17"/>Abortion/post-abortion care<br/> <input type="checkbox" name="pxdb[data][topic][]" value="6"/>Adolescents/youth<br/> <input type="checkbox" name="pxdb[data][topic][]" value="18"/>Behavior change interventions<br/> <input type="checkbox" name="pxdb[data][topic][]" value="7"/>Cervical cancer<br/> <input type="checkbox" name="pxdb[data][topic][]" value="8"/>Child health/survival<br/> <input type="checkbox" name="pxdb[data][topic][]" value="19"/>Environment and health/population<br/> <input type="checkbox" name="pxdb[data][topic][]" value="9"/>Family planning<br/> <input type="checkbox" name="pxdb[data][topic][]" value="20"/>Female genital cutting<br/> <input type="checkbox" name="pxdb[data][topic][]" value="21"/>Financing/management<br/> <input type="checkbox" name="pxdb[data][topic][]" value="10"/>Gender<br/> <input type="checkbox" name="pxdb[data][topic][]" value="13"/>HIV/AIDS, general<br/> <input type="checkbox" name="pxdb[data][topic][]" value="22"/>HIV/AIDS prevention<br/> <input type="checkbox" name="pxdb[data][topic][]" value="23"/>HIV/AIDS care/treatment<br/> <input type="checkbox" name="pxdb[data][topic][]" value="24"/>Immunization<br/> <input type="checkbox" name="pxdb[data][topic][]" value="29"/>Infectious diseases, other<br/> <input type="checkbox" name="pxdb[data][topic][]" value="14"/>Maternal health/survival<br/> <input type="checkbox" name="pxdb[data][topic][]" value="25"/>Nutrition<br/> <input type="checkbox" name="pxdb[data][topic][]" value="26"/>Policy/Law<br/> <input type="checkbox" name="pxdb[data][topic][]" value="15"/>Population growth/trends<br/> <input type="checkbox" name="pxdb[data][topic][]" value="27"/>Reproductive health, general<br/> <input type="checkbox" name="pxdb[data][topic][]" value="28"/>Service delivery<br/> <input type="checkbox" name="pxdb[data][topic][]" value="16"/>Sexual health/STIs<br/> </td> </tr> <!-- End Section for Field: topic --> </table> <h3>Select Regions &amp; Countries</h3> <table> <!-- Begin Section for Field: allregs --> <tr style=""> <td align="right" valign="top"> All Regions </td> <td> <input type="hidden" name="pxdb[data][allregs]" value="0"> <input type="checkbox" name="pxdb[data][allregs]" value="1"/> </td> </tr> <!-- End Section for Field: allregs --> <!-- Begin Section for Field: regions --> <tr style=""> <td align="right" valign="top"> Only the following regions </td> <td> <input type="hidden" name="pxdb[data][regions]" value=""> <input type="checkbox" name="pxdb[data][regions][]" value="10"/>Global<br/> <input type="checkbox" name="pxdb[data][regions][]" value="2"/>Asia/Pacific<br/> <input type="checkbox" name="pxdb[data][regions][]" value="7"/>Europe<br/> <input type="checkbox" name="pxdb[data][regions][]" value="3"/>Latin America/Caribbean<br/> <input type="checkbox" name="pxdb[data][regions][]" value="5"/>Middle East/North Africa<br/> <input type="checkbox" name="pxdb[data][regions][]" value="8"/>North America<br/> <input type="checkbox" name="pxdb[data][regions][]" value="4"/>Sub-Saharan Africa<br/> </td> </tr> <!-- End Section for Field: regions --> <!-- Begin Section for Field: countryInterest --> <tr style=""> <td align="right" valign="top"> Country <br/><small>Select multiple entries<br>by ctrl+Click(PC)<br>or Apple+Click(Mac)</small> <br/> <input type="hidden" name="pxdb[widget][mode_46]" value=""/> <!-- input type="button" name="pxdb['widget'][clearbtn_46]" value="clear" onClick="this.form['pxdb['widget']['mode_46']'].value='clear'; this.form.submit()" / --> </td> <td> <select name="pxdb[data][countryInterest][]" size="5" multiple> <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: countryInterest --> </table> <h3>Select Contributors</h3> <table border="0" cellspacing="3"> <!-- Begin Section for Field: contributor --> <tr style=""> <td> <p>Select material from the following contributors in addition to material on my topics/regions/countries<!-- of interest from other contributors -->.</p> <p>Select a contributor and press the <b>Add</b> button. 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