Submission form for the ICFJ Global Health Reporting Contest
The International Center for Journalists are pleased to announce a competition to recognize the best media coverage of maternal and child health.

The contest applies to stories published or broadcast in Brazil, China, India and Russia between December 1, 2013, and May 26, 2014. The deadline for submissions is May 26, 2014.

Rules: You may submit one or more of the following for the maternal and child health reporting contest. There is no limit to the number of submissions.

• Feature articles
• In-depth, investigative or explanatory stories
• Multimedia reports
• Videos, documentaries or discussion programs.

Sending in submissions: In the form below or in an email, please include all of the requested information. Provide links to websites that published or aired the stories between December 1, 2013, and May 26, 2014. You also can upload stories to YouTube/Vimeo, Dropbox, or SoundCloud and include links in this application.

Emails containing scans of published stories may be sent to ICFJ at icfjhealth@icfj.org.

If you have questions, please contact ICFJ at icfjhealth@icfj.org.

Please post stories you enter on Twitter and use this hashtag: #icfjhealth
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CONTACT INFORMATION
Name *
Title/position *
Email *
Mobile phone/landline *
STORY INFORMATION
News organization(s) that published/aired the story *
When the story was published or aired *
Headline of the story *
Links to stories
Links to YouTube/Vimeo, Dropbox or SoundCloud accounts where stories are uploaded
IMPACT INFORMATION
Links and documentation showing Web traffic (for example, a screenshot of a Google analytics page), generated by your story
Links and documentation showing Web comments, Facebook comments, tweets or other social-media responses to your story
If you used innovative techniques such as mobile-phone outreach, data journalism or crowdsourcing, explain what you did and how it improved your story
Briefly explain any societal impact (changes in citizen behavior, policy changes or actions taken by government, etc.) that resulted from your story. Include evidence (links to stories or comments) that demonstrates your story contributed to that impact.
Please e-mail your CV to icfjhealth@icfj.org
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