Best Practices Contest Form

Safe Motherhood Initiative

Regional Best Practices Contest for the Reduction of Maternal Mortality

Registration Form and Description of Experiences^*

Best Practices Form (in Word, to be filled out and sent to This e-mail address is being protected from spambots. You need JavaScript enabled to view it )

We invite you to fill out the registration form and the description of experiences, taking into account the application instructions and the terms of the contest . Each field contains a summary of the instructions. Please bear in mind that not all of the recommendations found in the instructions apply for every type of experience.

After answering the following questions, click on the "Send" button found at the bottom of the page. Each field must be filled out. If a field does not apply to your particular experience, enter "N/A" or a period (.) in the space provided.

1. Personal Data

Title

Country

Location

Which of the following apply to your practice or experience?

Practices or experiences are coordinated from the municipal or community level
Practices are coordinated by an institutional health entity or service
Practices are coordinated at the departmental, city, state, or national level
Community experience

Person responsible for the experience:

Name

Position

Organization

Country

Address

Telephone/Fax

Email address

Website or web links to the experience

Contact (if different from the person responsible for the experience):

Name

Position

Organization

Country

Address

Telephone/Fax

Email address

Authors

Publication: here and here)">

Yes
No

Please specify your reference(s)

2. Executive Summary/Abstract (Maximum 250 words)

3. Introduction (Maximum 400 words)

Consider including:
3.1 Background
3.2 Local framework
3.3 Proposal for Best Practices
3.4 Specific Problem Targeted

4. Methodology (Maximum 600 words)

Consider including:
4.1 Ethical framework
4.2 Local framework
4.3 Plan of Action for Used to Develop the Experience (Intervention)
4.4 Plan of Action for Studying the Experience (Intervention)
4.5. Methods for Evaluating the Experience

5. Results (Maximum 600 words)

6. Discussion (Maximum 500 words)

Consider including:
6.1 Summary of the principal findings
6.2 How this relates to other experiences
6.3 Limitations
6.4 Interpretation
6.4 Conclusions

7. Resources used to develop the
experience/Conflicts of interest (Maximum 500 words)

8. References (Vancouver Style)

9. Annexes (1)

File to be sent:

(*) Adapted from SQUIRE.Standards for Quality Improvement Reporting Excellence. Available at http://www.squire-statement.org/guidelines. Accessed 21 July 2010.

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