Data Access – Epidemiology & Disease Control Unit

Name of requester *

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Last

Organization/Institution

Address

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Email *

Datasets you requesting (Please be as explicit as possible by indicating data variables, indicators of interest etc.)

Period of interest

Reason for request (motivation and intended use. Please provide details on whether, where, and how outputs of the data will be shared/published).

Please elaborate on the specifics of the data being requested: (national, regional, local) and disaggregation required (sex, age, KP status, etc.) requested

Are you aware of any data that the MOH has previously shared with you? If so, please list the data sets and the data request access ID number associated with the data set.

What is your preferred format for the data? Please note we will do everything within reason to provide you with your preferred format, but it is not guaranteed. Select all that apply:

Date of submission:

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