Become a Speaker Thank you for your interest in speaking at the 2021 African Congress on Sickle Cell Disease to be held in Virtually, from 25 - 29 May 2021. Before you get started, please be sure to have read about the Congress Theme, Program Tracks and Program Formats to guide you in your submission. The deadline for submissions has been extended to Saturday 03 April 2021 at 23:59 WAT. Please be as precise, direct and descriptive as possible in your responses. NB: Please note that incomplete forms cannot be saved. ACSCD will give a preference to proposed presentations related to Covid-19 and Sickle Cell Disease Session Information The session/program you wish to speak or give a presentation in. N.B: You cannot submit one presentation to multiple sessions or programs Session/Program: * -- Choose Session --Thematic SessionCommunity DialoguesPatient PavilionEducational ProgramGlobal StageAfrican CafeWomen Overcoming Sickle CellYoung Adults and Sickle Cell Disease Program Track: * The topic track under which your presentation should be graded Track 1: Sickle Cell Prevention – Advancing Newborn Screening & Early DetectionTrack 2: Sickle Cell Diagnosis, Complications and Treatment – Addressing barriers & Inequality in Sickle Cell CareTrack 3: Maximizing Quality of Life – Empowering Patients & CaregiversTrack 4: Advocacy, Policies and Enabling Sustainable Outcomes of Healthcare SystemsTrack 5: Cross-sector Partnering and Building Capacities – Raising funds & Attracting ResourcesCovid-19 and Sickle Cell Disease WOSC Track: * The topic track under which your presentation should be graded Family and RelationshipsLeadership and EmpowermentSelf-care and ManagementCareer and Workplace COVID-19 and Sickle Cell Disease * Does your proposed presentation relate to COVID-19? YesNo About the Presentation The presentation title should objectively describe the content. It should be brief and in sentence case. Thank you for not using non-standard abbreviations and commercial names. Presentation Title: * Presentation Description A. Aim and Purpose Please write two to three sentences describing the aim and purpose of your proposed presentation, including a rationale for why this is a priority topic of regional/global interest and how it reflects the Congress theme Working to Overcome Sickle Cell Disease - What Next? Aim and Purpose * B. Audience Please specify the type of audience you are targeting with your session. Audience * C. Learning Objectives Please define two or three learning objectives and takeaways for the participants attending your session. Learning Objectives * D. Knowledge Transfer Will your session include any materials/implements that participants will be able to download and take away with them? YesNo Knowledge Transfer * Speaker Information First Name: * Last Name: * Email: * Phone: * please add (+ country code) Organization: * City * State/Region/Province Zip/Postal Code Country * —Please choose an option—Nigeria---AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonThe GambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Speaker Bio Tell us briefly about yourself. (Limit 500 characters) * Have you presented virtually before? * YesNo Tell us where you have spoken virtually before. (Limit 500 characters) * By submitting this proposal, you agree to attend the congress event and consent to the display and usage of your submitted materials for the necessary activities to facilitate the success of this congress. [submission_code] SUBMIT PRESENTATION