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What Women Want :

Midwives Voices, Midwives Demands KENYA

DATE: __12th February 2022___________________ COUNTY IN KENYA:


____Kiambu_________________________________________________

WHAT DO YOU WANT MOST IN YOUR ROLE AS A MIDWIFE? Please share only one demand.

Adequate facilities that supports maternal life and newborn growth and minimize maternal and fetal
mortalities.

PLEASE PROVIDE THE FOLLOWING BACKGROUND INFORMATION, WHICH REMAINS CONFIDENTIAL:

FIRST NAME:Brian

AGE (Circle 1): 15- 20- 25-34 35-44 45-54 55+ Prefer Not to Say
19 24

GENDER Female M Prefer Not to Say Other:


(Circle 1): ale ____________________________________
_____

PROFESSIONAL TITLE (Circle Midwif Nurse/ Student midwife/nurse


1): e Midwife
Community Midwifery Assistant Community Midwifery Assistant Student OB/GYN

Indigenous or traditional midwife Other health professional:


_____________________________________________

Are you interested in finding out more about What Women Want: Midwives Voices, Midwives
Demands, getting results back, or joining our advocacy efforts? If so, please provide your contact
information.

WHATSAPP OR EMAIL (OPTIONAL): ____bsnlmr196821@spu.ac.ke..


IF FACILITATED BY A WHAT WOMEN WANT PARTNER, PLEASE PROVIDE DETAILS:

MOBILISER NAME: _______________________________ ORGANISATION: ___________________________________________

THANK YOU YOUR VOICE MATTERS!

Personal information collected via this survey will be processed in accordance with applicable laws and White Ribbon Alliances Privacy Policy
https://www.whiteribbonalliance.org/privacy-policy/. By taking this survey, you are giving your consent, which you may withdraw at any time. We will retain the
information for three years. You may request access, correction, deletion, or rectification of your information, or ask any questions, by contacting us at
info@whatwomenwant.org. You may also file a complaint with a data protection authority.

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