THE ADGHW INNOVATION AWARDS APPLICATION

A. Submission Category

B. For individual applicants

Full Name

Organization/Affiliation

Email Address

Phone Number (with country code)

Country of Residence

LinkedIn or Social Media Profile URL

C. For Institution Applicants

Institution Name

Registration Number

Registration Number Documentation

Instructions for Institution Type

1. Academic & Research Institutions (such as Universities and Colleges, Research Institutes, Medical Schools, Public Health Institutes)
2. Healthcare Organizations (such as Hospitals and Health Systems, Clinics and Community Health, Centers, Telemedicine Providers)
3. Nonprofit and Humanitarian Organizations (such as NGOs, Foundations and Charitable Trusts, - Social Enterprises, Global Health Organizations)
4. Startups & Private Sector Innovators (such as HealthTech and MedTech Startups, Biotech and Pharmaceutical Companies, Artificial Intelligence and Data Science Firms in Healthcare)
5. Government & Public Sector Entities (such as Public Health Agencies, National and Regional Health Ministries, Multilateral Organizations (e.g., WHO, UN Agencies))
6. Industry and Corporate R&D Centers (such as Corporate Innovation Labs, Health and Life Sciences Companies, Medical Device Manufacturers)

Primary Contact Person

Full Name

Professional Title

Position

Email Address

Phone number

D. Innovation Details (All applicants)

Innovation Title *

Select the innovation implementation status *

Minimum Viable Product (MVP): The innovation is a working prototype or version that has been built to solve a core problem but may not yet have all features or be fully refined.

Implemented: The innovation has been deployed and is actively being used in a real-world setting (e.g., hospital, clinic, or community health program).

Scaling: The innovation has been implemented successfully and is now in the process of being scaled or expanded to additional settings or markets.

Problem Statement (300 words) *

Innovation Description (1000 words) *

Describe the Technology/Methodology Used (1000 words) *

E. Innovation Impact Assessment

Describe the effectiveness and impact of the innovation (1000 words) *

Evidence of impact (eg. Impact Assessments Reports, Key Performance Indicators Report) *

Number of Beneficiaries *

Scalability and sustainability - (500 words maximum) *

Detailed sustainability Plan

Evidence of financial sustainability

Supporting Documentation

Please upload the following supporting documents

Innovation Documentation *

Regulatory Approval Documents *

Patient/end-user Testimonials

Research Papers or Publications

Letters of Support

Reference 1

Full Name *

Position *

Organization *

Email Address *

Phone Number *

Please describe the professional relationship you have had with this reference *

Upload letter here

Upload Additional References (Optional)

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