Active Bleeding Control Needs Assessment and Training Interest

Africa Fire Mission is currently conducting research on Active Bleeding Control in Sub-Saharan Africa, and especially Kenya. Please complete the needs assessment below and then submit a training request.

+ Needs Assessment

Please complete the needs assessment so we can better assess training needs related to active bleeding control.

+ Consent Form

Consent Form in English

Consent Form in Swahili

+ Photography Consent Form

Photo Consent in English

Photo Consent in Swahili

Please complete the following Form If you are interested in receiving training from Africa Fire Mission in Active Bleeding Control:

Name

First Name

Last Name

Email

Phone

Country

(###)

###

####

County in Kenya (or Country if outside of Kenya)

Mark any boxes that accurately describe your experience level.

I am a firefighter/EMT or other first responder.

I have experience in first aid.

I am familiar with Active Bleeding Control or Stop the Bleed techniques.

I am a community member and have no training in First Aid or Active Bleeding Control

Provide any other information that will help us link you to an instructor for training:

Active Bleeding Control Needs Assessment and Training Interest

+ Needs Assessment

+ Consent Form

+ Photography Consent Form

Please complete the following Form If you are interested in receiving training from Africa Fire Mission in Active Bleeding Control:

Africa Fire Mission

Mailing: P.O. Box 53242, Cincinnati, OH 45253

Office/Shipping Address: 2859 Boudinot Ave, Suite 330, Cincinnati, OH 45238

513.620.4236 | INFO@AFRICAFIREMISSION.ORG

PRIVACY POLICY