HIA Story Submission Form
Name
Your answer
Contact Information (email)
In case we have any follow-up questions
Your answer
Title
The title of the success story
Your answer
Organization or Individual Name
Name of organization or individual doing the HIA
Your answer
Organization Profile
A description of the organization (one-two sentences)
Your answer
Type(s) of Success
Examples: increased community/policymaker engagement, implementation of HIA recommendations, increased HIA capacity
Your answer
Story
Please include the following components as part of your narrative: Context, Challenge, Goals, Actions Taken, Key Partnerships, Successes, Lessons Learned.
Your answer
Submit
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