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Become a Member of the COPASAH

Are you involved in community monitoring? Or in action and advocacy for accountability for health of the poor and marginalised?
Then you will want to join COPASAH.

Membership Form

* Indicates required field

Nature of Membership *

Individual Organisation

Name of the Organisation / Individual *

Name and Designation of Contact Person in case of Organisation *

Postal Address *

Email *

Website *

Nature of work related to Accountability and Social Action in Health (Please tick all that apply) *

Community mobilization Community based monitoring Community based advocacy Training and technical support Research and documentation Others

Specify if Others *

Geographical region of work *

Specify if Others *

Geographical extent or scale of work *

Nature of Work - Briefly tell us about your work (country, province, district and community level activities that are undertaken by your organisation). If you are involved in training or technical support or research please tell us about the activities that you are involved in? *

Your Approach - How do you promote the concept of ‘accountability’ through your work either at the community level or as a support or resource organisation? *

Results and lessons learned- What have been some of the results or achievements of your work? What have been some of lessons that you have learnt in this process? *

Expectations - Why do you want to join COPASAH? *

What would you like to share with COPASAH (please tick all that apply) *

Reports, results and other descriptions of your work Manuals and materials related to your work Regular updates about your work through COPASAH listserv or blog Contribute to newsletter or discussion group Provide information and support to other members on request Other

Specify if Others *

Where did you learn about COPASAH? *

Anything else you would like to tell us about your work on Accountability and Social Action in Health? *

Submit

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How did you hear about this site? *

Internet Search Advertisement Friend Other

If Other please specify: *

What is your age? *

Less than 13 13-18 19-25 26-35 36-50 Over 50 Prefer not to say

What is your household income? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000 Prefer not to say

Submit

We will inform you when your membership has been accepted.
All members’ names will be automatically added to the COPASAH listserv.

Coordinating Offices:
CEGSS, Guatemala – Global Secretariat
UNHCO, Uganda – for Africa
CHSJ, India – for Asia

Members of the Steering Committee

Download Membership Form as a word file

* Indicates required field

How did you hear about this site? *

Internet Search Advertisement Friend Other

If Other please specify: *

What is your age? *

Less than 13 13-18 19-25 26-35 36-50 Over 50 Prefer not to say

What is your household income? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000 Prefer not to say

Submit

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