2021 Omololu Falobi Award for Excellence in HIV Prevention Research Community Advocacy

Nomination Form - Deadline is Monday January 4, 2021

The Omololu Falobi Award for Excellence in HIV Prevention Research Community Advocacy was established in 2008 to pay tribute to the life and work of Omololu Falobi and to highlight the essential role of community advocacy in HIV prevention research.

Please use this form to nominate a deserving candidate for the 2021 Omololu Falobi Award for Excellence in HIV Prevention Research Community Advocacy.

Please visit https://www.avac.org/falobi for information about this Award and previous Award recipients.

2020 has been a year like no other in modern history with a pandemic that has left no country untouched. Almost 60 million people globally have been infected by Coronavirus-2 (SARS-Cov-2), of whom 1.4 million have lost their lives due to the ensuing COVID-19 disease. This year’s Award will honor young advocates who have risen to the challenge of providing care, prevention and information and at the same time ensuring that we are not losing ground in HIV prevention.

The 2021 Award will recognize and appreciate those courageous and inspiring young activists, advocates and community engagement workers who have:

a) innovated to ensure that biomedical HIV and related research continued safely despite the COVID-19 pandemic - including adapting and developing approaches to ensure trial participants and sites remain safe;

and/or

b) advocated to ensure that HIV treatment, care and prevention work continues through differentiated service delivery models, through providing accurate information and demanding that community voices help shape the response.

Omololu Falobi was 35 years old when he passed, so this year’s award will focus on nominees 35 years and younger so that we can bring light to their efforts to make their communities stronger, better, healthier and to bring more justice.

Please use this nomination form to recommend inspiring young people to this award.

Please ensure you have the nominee’s approval to recommend them for this public award.

The nominations will be considered and reviewed by a small planning committee made up of the Award organizers and some previous Awardees.

The 2021 Award recipient will receive:

*** A scholarship to attend the virtual R4P2021 Conference , if they are not already registered
*** A cash award to help advance their advocacy work for the development and/or rollout of prevention options for young people
*** Recognition at the virtual R4P2021 Conference in January 2021.

Please direct your questions to Manju Chatani-Gada manju@avac.org and Angelo Kaggwa-Katumba angelo@avac.org, on behalf of the organizing committee

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Question Title

* 1. Nominator: Please tell us about yourself

Nominator's Name *

Nominator's Organization *

Nominator's Email Address

Nominator's Country

Date *

We would like to recognize and appreciate those courageous and inspiring young activists, advocates and community engagement workers who have risen up in these unprecedented times of the COVID-19 pandemic.

Question Title

* 2. Nominee: Please tell us about the person you're nominating

Nominee's Name *

Nominee's Organization or Affiliation *

Nominee's Country *

Nominee's Email Address *

Nominee's Phone Number

Question Title

* 3. In the section below, please describe the key qualities, traits, or characteristics of the nominee.

I. Is the nominee a young activist, advocate or community engagement worker under 35 years? *

II. Has the nominee innovated to ensure that biomedical HIV, COVID-19 and/or other research continued safely despite the COVID-19 pandemic? Please provide specific examples* *

III. Has the nominee advocated to ensure that HIV prevention, treatment and care continues through differentiated service delivery models, through providing accurate information and demanding that community voices help shape the response. Please provide a description and examples.* *

IV. Describe how/if this nominee used innovative approaches in advocating to ensure safe continuity of research and/or to ensure continuity of HIV treatment, care and prevention despite the COVID-19 pandemic.

V. Describe the impact of the nominee's efforts at the individual, institutional and/or community levels, and tell us why those efforts matter. *

VI. Why does this candidate exemplify Commitment to using or advocating for use of and/or research into new biomedical prevention interventions, including for HIV, COVID-19, TB etc and/or their rollout? Please give specific examples.

VII. “All of us have to choose to respond to the challenges of our own times. For me the challenge is HIV/AIDS” is a quote by Omololu Falobi. This generation has many challenges - from HIV/AIDS, climate change, and now COVID-19 among others. We need young people who would dare to identify their challenges, own them and take a lead on finding solutions to them. Can you give us examples of how the nominee demonstrates excellence and leadership and how they inspire or mentor others – or you? Please give specific examples.

VIII. Any other information about the nominee you would like to share? *

IX. Please attach any articles, blogs, photos or videos that show the nominee “in action”. *

Question Title

* 4. Nominee's References - Please note at least two other references who would agree with and support your nomination and would be open to talking to committee members.

1st Reference's Name

Reference's Organizational affiliation and position

Reference’s Email Address

Reference’s Phone

2nd Reference's Name

Reference's Organizational affiliation and position

Reference’s Email Address

Reference’s Phone

Thank you for taking the time to participate in this nomination process!

For more information, please visit: www.avac.org/falobi.