Best Public-Private Partnership Initiative Award 2021 UICC Award Nomination Form The best Public-Private Partnership Award recognises UICC members that have carried out a successful and innovative public-private partnership initiative. Entry criteria Entry criteria Be a UICC member All entries must relate to a Public-Private Partnership initiative completed in the last two years or which is run on an ongoing basis Selection criteria Selection criteria The submitted initiative should: Demonstrate the final impact of your Public-Private Partnership initiative Feature the integration of innovation, long-term relationship, and effective risk management at the conceptual or implementation levels Show sustainability, replicability and cost effectiveness 2021 World Cancer Congress attendance and registration 2021 World Cancer Congress attendance, registration and travel grants Nominating organisations should be able to send one participant to attend the World Cancer Congress, 16-18 March 2021, Muscat, Oman Up to three organisations will be short-listed and a jury will carry out phone interviews with their named representatives during January 2021 for final selection The Awards will be announced at an Award Ceremony in conjunction with the 2021 World Cancer Congress Important note Important note: each UICC member can submit a maximum of two Public-Private Partnership initiatives for consideration for the Award. About the nominated organisation Nominated organisation Organisation Country - None -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan Province of ChinaTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe City Title of the Public-Private Partnership initiative (if applicable) Starting date Ending date (if applicable) About the representative of the short-listed organisation Representative This is the person who in principle would receive the award on behalf of the organisation at the Award Ceremony at the 2021 World Cancer Congress. Should your initiative be among the three short-listed, this person will be interviewed by phone by the jury during January 2021. First name Last name Position in the organisation Email About the Public-Private Partnership initiative About the Public-Private Partnership Background Background – 300 words max You may want to consider these questions while answering: What objectives and targets did you set for your initiative? Which stakeholders did you involve in the initiative and why? Background – 300 words max Describe your initiative Describe your initiative – 300 words max You may want to consider these questions while answering: What is specific about your Public-Private Partnership initiative? How did the initiative meet the expectations of the beneficiaries through a partnership approach? Describe your initiative - 300 words max Innovation, long-term relationship, and effective risk management at the conceptual or implementation levels Innovation, long-term relationship, and effective risk management at the conceptual or implementation levels – 300 words max You may want to consider these questions while answering: What makes this initiative innovative and how did it allow a long-term relationship among parties? What risk managment measures have been put in place throughout the partnership? Effective risk management and increased innovation and technology transfer in the concept or at the implementation level - 300 words max Financials Financials – 150 words max You may want to consider these questions while answering: What was/is the overall budget and/or other resources required? Financials - 150 words max Measuring your impact Measuring your impact – 300 words max Describe the overall impact of the initiative. You may also want to consider these questions while answering: Were there any additional positive outcomes? How were they measured? Measuring your impact - 300 words max Challenges, learning points Challenges, learning points – 300 words max You may want to consider these questions while answering: What were the main challenges encountered? How were these overcome? What are the key learning points? Challenges, learning points - 300 words max Replicability Replicability – 300 words max Please describe the key elements or advices to use by others to successfully replicate your initiative in their own settings. Replicability - 300 words max Declaration Declaration I declare that the information provided in this summary is accurate to the best of my knowledge and that I authorised UICC to use the information in a publication. Declare I confirm