Please read the following instructions for completing your submission form.
The online form is available here.

Type of initiative/project

State the different type of initiative or effort that was or is being used to conduct the project. For example journal, CSR, public campaign, newspaper article, website and so on.

Name of initiative/project

 

Date(s) initiative/project was published/held

State the mandatory date for initiative or effort to be completed (No earlier than January 2012).

Location/website of initiative/project

 

Name of contributor(s) involved

 

Name of institution/company (if any)

 

Objective(s) of the initiative/project

 

What was the situation before the initiative began?

 

In no more than 500 words (for this component of the submission), describe the situation before the initiative began. What were the major problems and issues that needed to be addressed? What social groups were affected (eg. women, youth) and in what ways?

Summary of the initiative/project

In no more than 500 words (for this component of the submission), summarize what the initiative was about and how it solved the problem.

Key benefits of the initiative/project

 

In no more than 500 words (for this component of the submission),          - describe the results, achievement(s) implemented
- how the impact was measured - quantitatively and qualitatively
- and which group of people benefited from a healthcare perspective.

 

Key development and implementation steps

State the chronology of the key development and implementation steps.

Is the initiative/effort sustainable and transferable?

In no more than 500 words (for this component of the submission), describe how the initiative is being sustained (eg. In terms of financial, social and economic, cultural, environmental, institutional and regulatory sustainability).

 

Describe whether the initiative is being replicated or disseminated throughout the public at national or international levels and/or how it could be replicated.

Key takeaways

In no more than 500 words (for this component of the submission), describe the lessons learned and the key elements that made your initiative a success.

Resources

 

In no more than 500 words (for this component of the submission), specify what were the financial, technical and human resources costs associated with this initiative. Describe how the resources were mobilized.

Contact person

Name of person to be contacted

Contact number

Contact number of person to be contacted

Email address

Email address of person to be contacted

Attachments

[Upload files of supporting materials]

Name of beneficiary of Award

Name the person or organization which the award cheque is to be made out to should the submission be named as the winner of the category