Gender-based Violence in East and Southern Africa
Organisational Profile

Raising Voices (www.raisingvoices.org) and UN-Habitat (www.unhabitat.org/safercities) are undertaking a field review of organizations and institutions working to prevent gender-based violence in East and Southern Africa. The aim is to create networks and alliances between those working on GBV and to produce a publication that highlights successful and effective approaches of preventing GBV in the region. We very much appreciate your participation! 

This questionnaire can be downloaded, saved on your computer and emailed back to us as an attachment at lori.michau@raisingvoices.org or printed and return via fax (+256 41 531249) or post to Raising Voices PO Box 6770 Kampala, Uganda. Please feel free to attach additional information (reports, proposals, papers, publications, evaluations, etc). If you have questions or need assistance, feel free to contact me at the above email.  Thank you! 

Name of Organisation:
Address:
Telephone:						Fax:
Email:							Website:
Director/Coordinator:					Email (if different):
1. When was your organization/institution founded? 
2. When did your work on GBV begin? 
3. Please tick which best describes your work on gender-based violence (GBV)
___ Service delivery: counseling, legal advice, shelter/refuge, referrals, etc.
___ Prevention at the community-level: community education, mobilization, awareness raising, etc.
___ Law reform or enforcement
___ Advocacy
___ Research
___ Media/Publications
___ Other, please describe:

4. What type of violence do your programs focus on? (tick all that apply)
___ Domestic violence			___ Rape/sexual assault		___ FGM
___ Child sexual abuse/defilement	___ Sexual harassment (work or community level) 
___ Other, please describe:

5. What are the primary groups your programs aim to reach? (tick all that apply, circle most relevant)
___ Women experiencing violence	___ All Women 	___ Men	___ Youth
___ Children		___ Elderly	___ Judges 		___ Health care providers	
___ Police		___ Local authorities/leaders		___ Religious Leaders	
___ Traditional leaders ___ Politicians / policy makers		___ Other NGOs
___ Other, please describe: 
6. Please describe the mission and key objectives of your organization/institution? 

7. What strategies do you use to prevent GBV? 

8. Are men involved in your work to prevent GBV? If so, how?

9. What are your key successes in preventing GBV?  

10. What are the key challenges faced in working to prevent GBV? 

11. Do you work in collaboration with any local authorities on violence prevention? 
If so, please describe: 

12. Do you work in collaboration with any national authorities on violence prevention (e.g. criminal justice system)? If so, please describe:

13. Has your project been evaluated? 			
If so, are you willing to share the results? 		(please attach copies of evaluation)

14. Are you involved in any GBV networks? If so, please give us the name and contact information. 

15. Do you know of other organizations/institutions in the region working on gender-based violence that we should contact? If yes, please give name and contact information

16. Are you interested in becoming involved in a regional GBV network? 	    ___Yes	       ___No
Thank you very much for your time!