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VAWG Response Organization Mapping Form – Nigeria

The Centre for Women's Health and Information (CEWHIN) is a non-profit organization dedicated to promoting women’s health, addressing gender-based violence (GBV), and improving the lives of women and girls.

We invite organizations providing any form of GBV prevention or response services to complete this form. Your participation will ensure that survivors and stakeholders can easily locate and contact the right support services within their communities.

The data gathered from this form will be used to populate and maintain the online directory on the GBV Tete-A-Tete mobile app - a digital platform that connects survivors, advocates, and service providers with timely and accessible Psychosocial support.

Section A: Organization Details

Name of Organization:

Organization Website:

Organization Email Address:

Phone Number:

Physical Address

State of Operation

Services Provided

What services does your organization offer to respond to VAWG?

What services does your organization offer to respond to VAWG?

Are your services available to persons with disabilities?

Are your services available to persons with disabilities?
A
B

Are your services free of charge?

Are your services free of charge?
A
B
C

Contact Person

Name of Primary Contact Person:

Position/Title:

Phone Number of Contact Person:

Email Address of Contact Person:

Upload Your organization's Logo