m+Health in Africa Call for Papers Form

Please make sure you have visited the Guidelines page before filling up the form below.

Email Address *

Title*

First Name*

Last Name *

Company Name *

Job Title

Department

Company Address1*

Company Address2

PO Box/Post Code/Zip Code *

City *

Country *

Mobile
(Please begin with a ‘+’ symbol and include country and city code)

Phone Number *
(Please begin with a ‘+’ symbol and include country and city code)

Fax Number
(Please begin with a ‘+’ symbol and include country and city code)

Website

Submission for * (please specify which conference session you are interested in presenting at) What is mHealth and why is it important to the future of Healthcare
Regional Healthcare strategy and its relevance to the provider
Who pays for it – Why insurance will not sit on the fence anymore
What is the state of E H R in the region
How will the Ministry regulate Security and Secrecy of Medical Records?
Why management buy in is the preferable option in implementing an mHealth Strategy within your institution
How will the Government and Private Healthcare sector unify their drive for mHealth?
Regional models of delivery:(Government, Provider, Payor)
Other, Please specify

Title of your presentation
Maximum 100 words

Three (3) behavioural objectives (i.e., what will attendee be able to do after completing your session.)

Objective 1

Objective 2

Objective 3

Topic Overview
Maximum 250 words (one paragraph to be inserted in Conference Brochure, giving an overview of your topic.)

Your Biography
Maximum 250 words (Biographies should be brief and concise. It will be used by the Session Chair to introduce you.)

Your Picture – jpg format(maximum size of 1MB)

Uploaded Files:

Errors:

**Include the outline and abstract of the presentation, your bio & electronic picture with your application. Copy this application form if you are submitting more than one topic.

Each topic should be on a separate submission form.

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