Title of concept/innovation Name of contact person Contact email Contact landline number Contact mobile number Name of organisation Physical address of organisation Organisation's city Organisation's country Indicate which focus area(s) the innovation addresses PatientSpecimenTransportCentral laboratory testingConnectivity Indicate which disease area the innovation addresses HIVTuberculosisFevers (Malaria, Haemorrhagic Diseases)STIsCancersHepatitisOther If other, please describe Briefly describe your innovation and why it is innovative (100 words) What need/gap within the laboratory value chain does your innovation address? (100 words) What is the intended impact of your innovation (e.g. reduced patient waiting time, better quality specimen) within the laboratory value chain? Select which best applies Innovation is at concept and research phaseInnovation design is defined with confirmed project plans and requirementsInnovation design is locked and ready for clinical validationInnovation is being clinically validated in the intended settingInnovation is ready for scale-up, adoption and implementation [recaptcha theme:dark]