EmailMe Form - REGISTRATION - Call for Abstract

Name *
Prefix First Last
Email *
Phone Number *
Profession *
Professional affiliation *
Gender *
Male
Female
Residence Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Are you the presenting author? *
Yes
No
If NO, please provide the name and email of the presenting author
If YES, please ignore this section
Name of the Presenter
Prefix First Last
Email of the Presenter
Information about your abstract
Format of presentation *
Oral
Poster
Co-Authors

Name Email

Co-author 1

Co-author 1
Select the category that best suits your abstract (Choose all that apply) *
Attaining Universal Health Coverage in Africa
Digital health
Health care financing
Modernization of Africa Health care systems
Africa’s Diagnostic and Pharmaceutical capacity
New and re-emerging infectious diseases
Optimization of healthcare delivery
Innovative medical practices
Cancer Care
Surgical care
Diagnostic Diseases
Title of the abstract *
Insert your abstract (Word count 450 Max) *
Upload the abstract (Pdf file only) *
I would like to receive information and updates
Hidden Field