Bill & Melinda Gates Foundation



Gates Vaccine Innovation Award Nomination Form

“As a global health community…we need to know who the innovators are, so that the most powerful ideas spread far and wide. Starting in 2012, the Gates Foundation will bestow an award on the individual or team that has made the most uniquely innovative contribution to the Decade of Vaccines.”

Bill Gates

May 17, 2011, World Health Assembly

Geneva, Switzerland

Innovators in Vaccine Delivery Wanted

Hundreds of thousands of lives each year could be saved by improved access to vaccines. Vaccines are cost-effective, safe, and proven to protect children from disease.

Continued innovation is essential to overcoming persistent challenges in reaching more children with vaccines.

The Gates Vaccine Innovation Award will celebrate revolutionary ways children in the poorest parts of the world are immunized. The winning innovation will be recognized with a US $250,000 prize.

Criteria

We recognize that innovation in the delivery of vaccines can take many shapes. We are looking for ideas big or small that have resulted in tangible improvements in immunization coverage in developing country communities.

Nominees will be assessed on three broad criteria:

• Developing country impact – The nominee should have contributed to the prevention, control, or elimination of vaccine-preventable disease through significant improvements in immunization quality and coverage among mothers and children in developing countries.

• Innovation and creativity – The nominee should have applied imaginative and pioneering approaches to overcome difficult challenges to immunizing children and achieving impact.  Innovation is not the same as invention.  Even simple ideas applied in creative ways to overcome real-world challenges can be considered innovative.

• Scale – The nominee’s innovation should be at scale or suitable to be implemented at scale within the nominee’s country and around the world.

Eligibility

The Gates Vaccine Innovation Award is open to individuals from any discipline. Candidates from academic institutions, governments, health care facilities, research institutions, non-profit organizations and for-profit companies may be nominated.

Qualifications

In order to qualify for consideration:

• Nominations must be related to vaccine delivery and meet the criteria above

• Nomination forms must be completed in English

• The three essay questions should be answered within the font and word-limit requirements

• Nominators must review the policies, guidelines, terms, and conditions associated with this award

Please note that nominations focused on innovation in research & development are not eligible for consideration. This award is focused only on achieving impact through innovative systems, processes, tools, and technologies leading to better immunization.

Instructions

Please complete and submit this nomination form online and fax it to +1 (206) 494-7042, or email it to vaccine-innovation-award@. Nominations will be accepted through August 31, 2011 at 11:59 PM Pacific Standard Time.

Important Information

Please review the following materials before submitting your nomination:

Rules and Guidelines

Terms and Conditions

Privacy Policy

|Nominator |

|First name* |      |Last name* |      |

|Nominator’s organizational |      |Mailing address* |      |

|affiliation* | | | |

|Title* |      |City* |      |

|Telephone number* |      |State/Province |      |

|Email address* |      |Postal code |      |Country* |      |

* Required field

One or more individuals can be nominated (up-to 10 individuals). Attach additional pages as needed. Please note that self-nominations are not allowed.

|Nominee |

|First name* |      |Last name* |      |

|Organizational affiliation at |      |Mailing address |      |

|time of the innovation* | | | |

|Current organization | |City |      |

|affiliation (if different) | | | |

|Title |      |State/Province |      |

|Telephone number* |      |Postal code |      |

|Email address* |      |Country* |      |

* Required field

Nominee Name:      

|Essay #1* |

|What is the innovation itself? |

|In 500 words or less, describe the innovation itself.  What new idea led to improved immunization quality and coverage?  What problem did the |

|innovation help overcome? To what degree is the innovation already at scale, or suitable to be taken to scale? |

* Required field

Nominee Name:      

|Essay #2* |

|Why is this innovation important? |

|In 500 words or less, describe why the innovation deserves to receive worldwide recognition.  Why is this innovation considered creative and |

|transformative?  What did this person or team do differently to increase immunization coverage and quality?  |

* Required field

Nominee Name:      

|Essay #3* |

|Who benefited from this innovation? |

|In 500 words or less, describe the community that benefited from the innovation.  In what country did the work take place?  What segment of the |

|population was immunized as a result of the innovation?  To what degree (if any) is the community and local government leading and sustaining the |

|innovation? |

* Required field

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