Name Title

Organization

Address

District City

State Pin Code

Phone: Country Code Area Code Tel No. 

Fax: Country Code Area Code Fax No. 

Email:

A) Please tick mark the activities conducted by you.

Informed - people about the theme, Breastfeeding in a Globalised World for peace and justice

Information campaign

Arranged talk/lecture

Distributed pamphlets

Arranged public meeting

Arranged photo exhibition

Arranged Press Conference/release

Conducted Radio Program

Advocacy meetings with Health department, Social Welfare department

Translation of the document (specify the language)

Send - emails with information on the theme

Other actions (please specify)

B) What was the most useful material for the above activities? (Add extra page, if needed)

C) How many people participated in the activities? (enclose photograph)

• Number of women     
• Number of men          
• Number of children    

D) Do you think the activities organised by you would have impact on the people?

Yes      No

If yes, please specify the type of impact (add extra page, if needed)

E) Please specify the problems/challenges faced by you in communicating these messages and organising the activities. (add extra page, if needed)

Please send supporting photographs and other information material of these activities