IDB Prize for Women’s Contribution to Development
12th Edition
WOMEN'S CONTRIBUTION TO THE
PREVENTION AND CONTROL OF CANCER
(1438H - 2017G)
IDB Prize for Women’s Contribution to Development -12th Edition
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IDB Prize for Women’s Contribution to Development -12th Edition
TABLE OF CONTENTS
ABOUT THE ISLAMIC DEVELOPMENT BANK
2
ABOUT THE PRIZE
4
Objectives
5
Award
5
Criteria
6
Prize Process
6
Selection Committee
6
Laureates
7
12th EDITION OF THE PRIZE
Topics and Eligibility Criteria of the IDB Prize
8
Individuals
8
Organizations
9
DEADLINE FOR SUBMITTING APPLICATION
10
CONTACT INFORMATION
10
ABOUT
THE ISLAMIC DEVELOPMENT BANK (IDB)
The Islamic Development Bank (IDB) is a multilateral development
financial institution established in 1395H(1975G) to foster economic
development and social progress in its member countries and Muslim
communities in non-member countries in accordance with the principles
of Shari’ah (Islamic Law). The present membership of the IDB stands at
57 countries spreading into different continents and regions.
The mission of the IDB is to promote comprehensive human
development, with a focus on the priority areas of alleviating poverty,
improving health, promoting education, improving governance and
prospering the people.
The IDB provides various forms of development assistance for
poverty alleviation through human development, fostering economic
cooperation by promoting trade and investment among member
countries, and enhancing the role of Islamic finance in the social and
economic development of its member countries.
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IDB Prize for Women’s Contribution to Development -12th Edition
IDB Prize for Women’s Contribution to Development -12th Edition
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ABOUT THE PRIZE
The Islamic Development
Bank established the IDB Prize
for Women’s Contribution to
Development in 1427H(2006G)
in alignment with the
recommendations of the IDB
Women’s Advisory Panel.
The Panel is composed of 12
prominent women recognized
as leaders in their fields who
advise the Bank on how to
enhance women’s participation
in the socio-economic
development process. The
Prize is awarded annually in
order to draw international
attention to the vital role
women play in developing their
communities and the world.
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IDB Prize for Women’s Contribution to Development -12th Edition
OBJECTIVES
Inspire
The Prize aims to RECOGNIZE, ENCOURAGE, INSPIRE and
REWARD women’s participation in the socio-economic
development process. It aims to:
• women by promoting exemplary role models
Recognize
Reward
• the important role of women in IDB member countries
and Muslim communities globally
• individuals and organizations that are committed to
improving the well being and status of women locally,
nationally, and globally
• contributions made by individuals or organizations to
improve the socio-economic status of women in IDB
member countries and Muslim communities in nonmember countries
• individuals and organizations to initiate and actively
engage in projects aimed at developing women and
building their capacities
• actions that reinforce and strengthen the role of women
as essential contributors to society as well as effective
agents of change and development
Encourage
AWARD
• efforts to improve women’s access to opportunities and
resources to help them become active participants in
developing their economy and society
The Prize consists of two cash awards:
• individuals and organizations that offer grants and
resources to work towards promoting women’s
leadership, engagement and contribution to the socioeconomic development process
b) U.S. $ 100,000 for an organization
a) U.S. $ 50,000 for a woman or a group of women
The Prize is awarded during the Annual Meeting of the IDB
Board of Governors.
IDB Prize for Women’s Contribution to Development -12th Edition
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CRITERIA
The general criteria applied in selecting and assessing
nominations for the Prize for both individuals and
organizations include the following:
Impact
a. The IDB in consultation with the IDB Women’s Advisory
Panel determine the yearly theme for the Prize.
Individuals and organizations nominated should exhibit
projects that have contributed to the improvement of the
socio-economic status and well being of society.
b. The IDB refines the theme and topics, establishes
the specific criteria of selection and develops the
nomination forms.
Creativity
c. The IDB publicizes the Prize and receives nominations.
Individuals and organizations nominated should have
projects/activities that are outstanding, innovative and
unique.
d. An independent screening committee is established by
the academic advisor to short list nominations.
Outreach
Individuals and organizations nominated should have
mechanisms for expanding their projects/activities to
surrounding areas to ensure their services are offered to as
many beneficiaries as possible.
e. An independent Selection Committee is established
by the IDB to select winners of the Prize from the short
listed candidates.
f. The winners are announced during the Annual Meeting
of the IDB Board of Governors.
Sustainability
SELECTION COMMITTEE
Individuals and organizations nominated should have
projects/activities that are sustainable.
The Selection Committee is composed of five distinguished
women. Members are annually chosen and selected
based on their extensive experience in the field of the
related theme and topics. The committee is comprised
of members from the IDB Women’s Advisory Panel and
subject specialists.
PRIZE PROCESS
The Prize is administered by the IDB through the Capacity
Development Department in consultation with the IDB
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Women’s Advisory Panel and in collaboration with its
academic advisor, Effat University. The processing of the
Prize involves the following steps:
IDB Prize for Women’s Contribution to Development -12th Edition
LAUREATES
Since the inception of the Prize in 1427H (2006 G), a total of 40 laureates of the
prize to individuals and organizations have been awarded.
1st Edition (1427H-2006G)
“Promoting Women’s Role in Sustainable Development
through Capacity Development/Entrepreneurship”
Individuals:
Mrs. Nofa Al-Fayez (Jordan)
Mrs. Fatimah Al-Jadaa (Palestine)
Organizations:
Society of Insha Ul Usra (Palestine)
Association Femmes de l’Avenir du Burkina (Burkina Faso)
Algaa (Kyrgyzstan)
2nd Edition (1428H-2007G)
“Promoting Women’s Access to Education”
Individuals:
Mrs. Alwiah Umar Ahmed Al-Osta (Sudan)
Mrs. Wafia Bashir Tahir Isa (Sudan)
6th Edition (1432H-2011G)
“Promoting Women in Science”
Individuals:
Mrs. Seydou Boubacar (Niger)
Prof. Zoubida Charrouf (Morocco)
Organizations:
Chemistry Foundation of Universitas Syiah Kuala (Indonesia)
7th Edition (1433H -2012G)
“Promoting Women’s Role in Finance and Economy”
Individuals:
Mrs. Selima Ahmad (Bangladesh)
Mrs. Seyedeh Fatemeh Moghimi (Iran)
Organizations:
Zenab for Women in Development (Sudan)
8th Edition (1434H -2013G)
“Promoting Women, Environment and Sustainable Development”
Organizations:
Al-Wafa Women’s Organization (Saudi Arabia)
Soul for the Development of Women & Children (Yemen)
Individuals:
Mrs. Seidaliyeva Balikhiya Amzeevna (Kazakstan)
Professor Pervin Mammadova (Azerbaijan)
Mrs. Tri Mumpuni (Indonesia)
3rd Edition (1429H-2008G)
“Promoting Women’s Role in Health Services”
Organizations:
The Heritage Foundation (Pakistan)
Individuals:
Mrs. Runa Khan (Bangladesh)
Mrs. Saideh Ghods (Iran)
9th Edition (1435H -2014G)
“Women’s Contribution to Food Security”
Organizations:
Charitable Organization for the Care of Orphans (Saudi Arabia)
Al-Aafiyah Development & Healthcare Organization (Sudan)
4th Edition (1430H-2009G)
“Community Services Programs for Women”
Individuals:
Mrs. Nadia Ahmed Abu Al-Fotouh (Egypt)
Organizations:
None
5th Edition (1431H-2010G)
“Promoting the Development of Young Women”
Individuals:
Mrs. Fatima Ma Zhiying (China)
Mrs. Zahra Idali (Morocco)
Organizations:
Haikul Organization (Sierra Leone)
PARASTOR (Tajikistan)
Muslim Educational Society (Bahrain)
Individuals:
Mrs. Selina Jahan (Bangladesh)
Mrs. Fatima Ayat Mosa (Morocco)
Organizations:
Association des Femmes de l’Afrique de l’Ouest (AFAO) (Senegal)
Bright Generation Community Foundation (Ghana)
10th Edition (1436H -2015G)
Women’s Contribution to Managing Water Resources
Individuals:
Dr. Leila Mandy (Morocco)
Organizations:
Ajuda de Desenvolvimento de Povo Para Povo (ADPP) (Guinea-Bissau)
African Agency for Integrated Development (AAID) (Uganda)
11th Edition (1437H -2016G)
“Women’s Contribution to Promoting the Rights of the Girl Child”
Individuals:
Mrs. Nafisa Aldeek – (Palestine)
Mrs. Vannie Kouamou Djounguep (Cameroon)
Organizations:
Abnaa ElGhad ‘Banati’ Foundation (Egypt)
Bahir Integrated Child and Family Support Organization
(BICAFSO) (Ethiopia)
IDB Prize for Women’s Contribution to Development -12th Edition
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WOMEN’S CONTRIBUTION TO THE PREVENTION AND CONTROL
OF CANCER
Cancer is among the leading causes of morbidity and mortality worldwide. Annually there are a reported 14 million new cancer
cases and 8.2 million cancer related deaths. Unfortunately, these numbers are expected to rise by about 70% over the next two
decades. The overwhelming majority of new cancer cases and cancer deaths are in Africa, Asia, Central and South-America
regions in which most IDB member countries are located. Many of these countries require various support and assistance to
ensure the availability of comprehensive and affordable cancer services required to meet the increasing demand.
Cancer is a major global health problem that is increasingly impacting the world. It causes emotional stress and financial
strain, which have a negative impact on society in general, disrupting the life of millions. Thus, reducing the incidence and
mortality associated with cancer must remain one of society’s major health goals. In recognizing the vital and much needed
role of women in cancer prevention and control, the IDB is devoting the 12th Edition of IDB Prize for Women’s Contribution to
Development to highlight and reward their role and contributions in the fight against cancer.
INDIVIDUALS:
RECOGNIZING WOMEN’S CONTRIBUTION TO THE PREVENTION AND CONTROL OF CANCER
The Prize will award outstanding achievements made by women who advocate for the implementation of effective cancer
prevention strategies and provide support to comprehensive cancer control measures by undertaking various activities
such as advocacy, raising awareness, cancer screening, treatment and palliative care.
ELIGIBILITY CRITERIA
To be eligible for the Prize, women must meet the following requirements:
•
•
•
•
Provide activities in the IDB member countries or for the Muslim communities in non-member countries.
Have values, principles and run operations that do not conflict with those of the IDB.
Have projects/activities that are innovative. Be nominated by an organization.
SELF NOMINATIONS OR NOMINATIONS BY INDIVIDUALS OR BY IDB STAFF WILL NOT BE ACCEPTED.
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IDB Prize for Women’s Contribution to Development -12th Edition
ORGANIZATIONS:
RECOGNIZING WOMEN’S LEADERSHIP IN THE PREVENTION AND CONTROL OF CANCER
The Prize will award outstanding achievements made by women led organizations in implementing effective cancer
prevention activities and control strategies. Their activities include advocating for policy changes, initiating campaigns
to raise awareness on prevention and early detection, implementing programs which significantly improved access and
quality to treatment services and palliative care.
ELIGIBILITY CRITERIA
To be eligible for the Prize, organizations must meet the following requirements:
•
•
•
•
•
•
Be legally registered in one of the IDB member countries.
The activities are conducted in the IDB member countries or for Muslim communities in non-member countries.
Be a not-for-profit organization.
Be a women led/or have women partcipating in the decision-making level of the organization.
Have values and principles and run operations that do not conflict with those of the IDB.
Support projects/activities that have clearly helped to improve awareness, prevention and treatment of cancer and
supportive care to cancer patients.
• Be nominated by an independent organization.
SELF NOMINATIONS OR NOMINATIONS BY INDIVIDUALS OR BY IDB STAFF WILL NOT BE ACCEPTED.
IDB Prize for Women’s Contribution to Development -12th Edition
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DEADLINE FOR SUBMITTING NOMINATION FORMS
30th November 2016
Applications received after the deadline date will not be accepted.
TO NOMINATE OR REQUEST
INFORMATION, PLEASE CONTACT:
OR CONTACT ANY OF THE FOLLOWING
IDB REGIONAL OFFICES;
IDB Headquarters
IDB Regional Office in Almaty
CAPACITY DEVELOPMENT DEPARTMENT
ISLAMIC DEVELOPMENT BANK
67, Aiteke-Bi Street Almaty 050000,
P.O. BOX 194, Republic of Kazakhstan
Tel: 77272 727000 / 727001
Fax: 77272 501303
Email: [email protected]
8111 King Khalid St. Al Nuzlah
Yamania Dist. Unit No. 1,
Jeddah 22332-2444, Kingdom of Saudi Arabia
Tel: +966 12 6466318 / 646 6722
Fax: +966 12 6467828
Email: [email protected]
www.isdb.org
IDB Group Country Gateway Office
TURKEY
Ankara: Kudüs Caddesi No:9 Diplomatik Site
06450 Oran-Ankara, Turkey,
Tel: +90 312 490 47 32 – 490 47 33
Fax: + 90 312 491 14 00
Istanbul: Beybi Giz Plaza, Dereboyu Cad.,
Meydan Sokak, No:1, Kat: 31, Daire:122,
Maslak, Sarýyer, ISTANBUL
Tel: +90 212 234 81 00
Fax: + 90 212 234 81 52
Email: [email protected]
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IDB Regional Office in Dakar
18 Boulevard de la République - Dakar
B.P. 6253 Dakar étoile, Dakar, Sénégal
Tél. : 221 33 889 11 44
Fax : 221 33 823 36 21
Email: [email protected], [email protected]
IDB Regional Office in Kuala Lumpur
Level 13, Menara Bank Pembangunan
Bandar Wawasan
Jalan Sultan Ismail
50250 Kuala Lumpur, Malaysia
Tel: 603 2694 6627
Fax: 603 2694 6626
E-mail: [email protected]
INDONESIA
IDB Regional Office in Rabat
35 C, Office 8, Jl. Sudirman Kav 52-53,
Senopati, Jakarta 12190 - Indonesia
Tel: +62 21 29333 468
Fax: +62 21 29333 464
Email: [email protected]
Km 6.4, Avenue Imam Malik Route des Zaers,
P. O. BOX 5003, Rabat, Kingdom Of Morocco
Tel: 212 37 757191 / 37 659751 / 37 636322
Fax: 212 37 757260
Email: [email protected], [email protected]
IDB Prize for Women’s Contribution to Development -12th Edition
IDB PRIZE FOR WOMEN’S CONTRIBUTION TO DEVELOPMENT
12th EDITION
WOMEN’S CONTRIBUTION TO THE PREVENTION AND CONTROL OF CANCER
NOMINATION FORM
INDIVIDUALS
The 12th Edition of IDB Prize for Women’s Contribution to Development aims to award outstanding achievements made by
women who advocate for effective implementation of cancer prevention strategies and provide support to comprehensive
cancer control measures by undertaking various activities such as advocacy and raising awareness, cancer screening,
treatment and palliative care.
In order to be considered for the Prize, the attached form must be completed in its entirety and submitted with the required
documents. For an electronic copy of the form please visit (www.isdb.org). If submitting electronically, complete the form
and submit via email. Alternatively, you may print this form and neatly handwrite or type your response. See section 14 for a
list of required supporting materials and section 15 for submission instructions.
TO APPLY
The Nominee must :
• Be a woman.
• Engage in activities in one of the IDB member countries or for the Muslim community in non-member countries.
• Have values and principles and run operations that do not conflict with those of the IDB.
• Have activities that have proven to be effective.
• Have developed or be actively involved in projects/activities that are innovative.
• Have work that is exemplary and worthy of emulation.
• Serve as a role model for other women.
• Be nominated by an organization.
SELF NOMINATION, NOMINATIONS BY INDIVIDUALS OR IDB STAFF WILL NOT BE ACCEPTED
For more details, please visit the IDB website at www.isdb.org. The deadline for receiving nomination forms and all supporting
materials is 30th November, 2016. Nomination forms received after the deadline date will not be accepted. Any questions
may be e-mailed to [email protected].
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Individuals
1
1. Nominees Information
Name: _________________________ _________________________ __________________________ _________________________
Last
First
Other Names
Prefix
Date of Birth: _________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
City: _______________________________ Country/Territory: ____________________Postal Code: _________________________
Telephone: _________________________ Fax: _______________________________ Mobile: _____________________________
E-mail: ______________________________________________________________________________________________________
2. Details of the Institution Recommending the Above Organization (Self Nominations are Not Accepted)
Name of Organization: ________________________________________________________________________________________
Contact Person: _______________________ _______________________ _______________________ _______________________
Last
First
Job Title
Address: ____________________________________________________________________________________________________
City: _______________________________ Country/Territory: ____________________Postal Code: _________________________
Telephone: _________________________ Fax: _______________________________ Mobile: _____________________________
E-mail: ______________________________________________________________________________________________________
How did you hear about the IDB Prize for Women’s Contribution to Development?
Internet 
Ministry of Finance 
E-mail 
Web-site 
Other 
3. Brief Biography on the Nominee
Provide a brief biography of the nominee detailing their socio-economic background, education and professional experience.
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IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Individuals
4. Awards and Recognition Received by the Nominee
List any awards and recognition the nominee has received for their activities and efforts related to the topic of the Prize
5. Nominees Activities Related to the Topic of the Prize
Provide details on the specific activities which effectively led to implementing cancer prevention strategies and preventative
care which may include one or more of the following:
(1) Awareness programs/initiatives on cancer risks and prevention while focusing on promoting protective behaviors and
healthy lifestyle.
(2) Lobby/advocate for the implementation of cancer prevention and control interventions to various stakeholders including
health care professionals, community leaders, decision/policy makers.
(3) Cancer screening programs;
• Initiate/led or implement programs/initiatives that improve and increase early detection.
• Organize screening programs for population at risk especially for women in the developing world.
• Support women and other risk groups in having access to early detection programs.
(4) Improve patient outcomes by increasing access to cancer care, and improving the availability and quality of treatment.
(5) Support to increasing access to palliative care.
6. Beneficiaries
Quantify the number of persons who benefitted from the nominee’s activities. Include and specify direct and indirect beneficiaries.
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Individuals
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7. Financial Assistance
List the sources of funding received by the nominee to implement their activities related to the topic of the Prize.
8. Impact of Nominees Activities
Provide detailed information on how the nominee’s activities related to the topic of the Prize have significantly helped to
improve patient outcomes, improving the availability of medicine and treatment, alleviating pain and suffering, providing
better life conditions and increasing access to cancer care.
9. Creativity of Nominees Activities
Provide details on what makes the nominee exceptional or unique. What is outstanding or innovative about the nominee’s activities related to the topic of the Prize?
10. Outreach
Describe how the nominee’s activities related, to the topic of the Prize, provide services to a particular segment of a
community and how these services are extended to the larger community and beyond. 4
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Individuals
11. Sustainability
Provide details on how the nominee is able to maintain and continue her activities, financially and operationally. Provide
details on how the nominee’s activities will help to support future generations. Describe any changes and benefits within
the community which were stimulated or caused by the nominee.
12. Application of Award
How will the award be used to further the activities of the nominee related to the topic of the Prize.
13. Supporting Materials
List all of the supporting documents submitted along with the application. If you would like to submit any supporting
documents electronically, you may list them here.
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Individuals
5
14. REQUIRED SUPPORTING MATERIALS
Provide ID with recent photo, photos and/or videos related to your work, initiative or projects
In addition to the completed nomination form, the following supporting materials are required:
• Letter from nominating organization.
• Two letters of reference (each letter of reference must provide the name, address, position, telephone number and email
address of the referee) who can confirm the accuracy of the information submitted on the nomination form and attest to
the dedication and commitment of the individual nominated.
• Documents attesting to the achievements of the nominated individual (certificates of acknowledgment, photographs,
videos, news articles, brochures, leaflets, personal stories from women benefitting from the work of the individual, reports from others on the achievements of the individual, etc.)
• Report of any additional organizations with which the nominee is affiliated, works, has membership, is on the board, etc. 15. SUBMISSION INSTRUCTIONS
• If possible, the nomination form, together with all supporting materials should be e-mailed to [email protected].
• If the materials sent exceed the limit of sending by one email, please submit in clearly marked, separate e-mails.
CHECK LIST FOR COMPLETED APPLICATION FORM
 Nomination form
 Offical letter of recommendation from nominating organization
 Two reference letters
 Supporting documentation on the individual and their activities related to the topic
• Letters of reference and any other documents that cannot be sent electronically should be sent via standard mail to this
address:
Capacity Development Department
Islamic Development Bank
8111 King Khalid St. Al Nuzlah Yamania Dist.
Unit No. 1, Jeddah 22332-2444
Kingdom of Saudi Arabia
Tel: +966 12 6466318 / 646 6722
Fax: +966 12 6467828
Email: [email protected]
The deadline for receiving nomination forms and all supporting materials is
30th November 2016
Nomination forms received after the deadline date will not be accepted.
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IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Individuals
IDB PRIZE FOR WOMEN’S CONTRIBUTION TO DEVELOPMENT
12th EDITION
WOMEN’S CONTRIBUTION TO THE PREVENTION AND CONTROL OF CANCER
NOMINATION FORM
ORGANIZATIONS
The 12th Edition of IDB Prize for Women’s Contribution to Development aims to award outstanding achievements made
by women led organizations in implementing effective cancer prevention and control strategies. Their activities include
advocating for policy changes, initiating campaigns to raise awareness on prevention and early detection, implementing
programs which significantly improved access and quality to treatment services and palliative care.
In order to be considered for the Prize, the attached form must be completed in its entirety and submitted with the required
documents. For an electronic copy of the form please visit (www.isdb.org). If submitting electronically, complete the fillable
form and submit via email. Alternatively, you may print this form and neatly handwrite or type your response. See section 14
for a list of required supporting materials and section 15 for submission instructions.
TO APPLY
The Organization must:
• Be legally registered in one of IDB member countries.
• Be a not for-profit-organisation.
• Be located in one of the IDB member countries or work for the Muslim communities in non-member countries.
• Have values, principles and run operations that do not conflict with those of the IDB. • Support projects/activities that are innovative and helped improving awareness campaigns and the prevention and
treatment and supportive care to cancer patients.
• Support projects/activities that are sustainable and effective leading to more partcipation of women in decision making
regarding the prevention and control of cancer.
• Use best practices that are worthy of emulation.
• Be nominated by an independent organization.
SELF NOMINATIONS AND NOMINATIONS BY INDIVIDUALS OR IDB STAFF WILL NOT BE ACCEPTED.
For more details, please visit the IDB website at www.isdb.org The deadline for receiving nomination forms and all supporting
materials is 30th November, 2016. Nomination forms received after the deadline date will not be accepted. Any questions
may be e-mailed to [email protected]
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Organizations
1
1. Organization Information
Name of Organization: ________________________________________________________________________________________
Year Established: _____________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
City: _______________________________ Country/Territory: ____________________Postal Code: _________________________
Telephone: _________________________ Fax: _______________________________ Mobile: _____________________________
Contact Person: _______________________________ _______________________________ _______________________________
Last
First
Job Title
Telephone: _________________________ Fax: _______________________________ Mobile: _____________________________
E-mail: ______________________________________________________________________________________________________
2. Details of the Institution Recommending the Above Organization (Self Nominations are Not Accepted)
Name of Organization: ________________________________________________________________________________________
Contact Person: _______________________________ _______________________________ _____________________________
Last
First
Job Title
Address: ____________________________________________________________________________________________________
City: _______________________________ Country/Territory: ____________________Postal Code: _________________________
Telephone: _________________________ Fax: _______________________________ Mobile: _____________________________
E-mail: ______________________________________________________________________________________________________
How did you hear about the IDB Prize for Women’s Contribution to Development?
Internet 
Ministry of Finance 
E-mail 
Web-site 
Other 
Organization Details
3. Description
Provide a brief description of the organization including its objectivesand activities.
(A copy of the latest annual report of the organization is to be submitted with the application form)
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IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Organizations
4. Awards and Recognition Received by the Organization
List any awards the organization has received for their activities and efforts related to the topic of the prize
5. Description of Activities
Provide details on the specific activities which effectively led to implementing cancer prevention and control which, include
one or more of the following:
(1) Enhancing Prevention Practices:
• Conduct workshops, conferences, and trainings on cancer prevention and control .
• Offer information as well as national and community-level education programs to the general public and health
professionals about preventing and controlling cancer.
• Support cancer research.
• Implement awareness campaigns on the proper prevention and control of cancer.
(2
Cancer Screening programs:
• Implement programs/initiatives that improve and increase early detection and screening of cancers.
• Organize programs for population at risk especially for women in the developing world.
• Facilitate/provide women and other at risk group’s access to early detection and treatment programs.
(3) Improve Patient Outcomes:
• Provide support to patient in having access to quality cancer care and treatment.
• Help to alleviate the financial burden of cancer.
(4) Palliation:
Organizations specialized in providing relief from the symptoms of cancer and stress in order to improve quality of life for
both the patient and family to gain the strength and carry on with daily life.
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Organizations
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6. Beneficiaries
Provide details on the beneficiaries of the organizations activities. Include the number of persons who benefitted directly
and indirectly.
7. Financial Assistance
Detail the financial resources of the organization devoted for the activities related to the Prize topic. Provide the annual
budget of the organization for past three years.
8. Impact
Provide detailed information on how the organization’s activities have contributed to great change and improvement in cancer
awareness and control including policies, numbers of people reached, resources mobilized, screening conducted etc.
9. Creativity
Provide details on what makes the organization exceptional or unique. What is outstanding or innovative about the
organizations activities related to the topic of the Prize.
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IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Organizations
10. Outreach
Describe how the organizations activities related to the topic of the Prize provide services to a particular segment of a
community and how these services are extended to the larger community and beyond. 11. Sustainability
Detail how the organization is able to continue its activities, financially and operationally. Provide details on how the
organization’s activities will help to support future generations. Describe any changes and benefits within the community
which were a result of the organization’s activities.
12. Application of Award
Detail how the award will be used to further the activities of the organization related to the topic of the Prize.
13. Supporting Materials
List all of the supporting materials, documents, photos, videos and submitted along with the application. If you would like to
submit any supporting documents electronically, you may list them here.
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Organizations
5
14. REQUIRED SUPPORTING MATERIALS
In addition to the completed nomination form, the following supporting materials are required:
• Official letter from nominating organization.
• Legal registration documents.
• Two letters of reference (each letter of reference must provide the name, address, position, telephone number and email
address of the referee) who can confirm the accuracy of the information submitted on the nomination form and attest to
the dedication and commitment of the organization nominated.
• Most recent annual report.
• Documents attesting to the implementation and achievements of the projects related to the topic (e.g. certificates of
acknowledgment, photographs, videos, news articles, brochures, leaflets, personal testimonies from women benefitting
from the activities of the organization, reports from others on the achievements of the activities, examples of projects/
activities supported, etc.)
15. SUBMISSION INSTRUCTIONS
• If possible, the nomination form, together with all supporting materials should be e-mailed to [email protected].
If the materials sent exceed the limit of sending by one email, please submit in clearly marked separate e-mails
CHECK LIST FOR COMPLETED APPLICATION FORM
 Nomination form
 Copy of legal registration
 Official letter of recommendations from nominating organization
 Two official reference letters
 Supporting documentation on the achievements of the organization
Latest annual report
• Any additional documents that cannot be sent electronically should be sent via standard mail to this address:
Capacity Development Department
Islamic Development Bank
8111 King Khalid St. Al Nuzlah Yamania Dist.
Unit No. 1, Jeddah 22332-2444
Kingdom of Saudi Arabia
Tel: +966 12 6466318 / 646 6722
Fax: +966 12 6467828
Email: [email protected]
The deadline for receiving nomination forms and all supporting materials is
30th November, 2016
Nomination forms received after the deadline date will not be accepted.
6
IDB Prize for Women’s Contribution to Development -12th Edition
Nomination Form for Organizations
Capacity Development Department
Islamic Development Bank
8111 King Khalid St. Al Nuzlah Yamania Dist.
Unit No. 1, Jeddah 22332-2444
Kingdom of Saudi Arabia
Tel: +966 12 6466318 / 646 6722
Fax: +966 12 6467828
Email: [email protected]
www.isdb.org