[Federal Register Volume 65, Number 8 (Wednesday, January 12, 2000)]
[Notices]
[Pages 1899-1906]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-680]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Program Announcement 00031]
Sexually Transmitted Diseases/Human Immunodeficiency Virus
Prevention Training Centers; Notice of Availability of Funds
A. Purpose
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 2000 funds for a cooperative agreement
program for the Sexually Transmitted Diseases/Human Immunodeficiency
Virus (STD/HIV) Prevention Training Centers (PTCs). This program
addresses the ``DRAFT Healthy People 2010'' priority areas of Sexually
Transmitted Diseases and HIV Infection. The purpose of this cooperative
agreement is to provide innovative, high-quality training that enhances
STD and HIV prevention services across the United States. The PTCs will
function as a national training network which, in collaboration with
CDC and public and private partners, will design, deliver, and evaluate
training that is responsive to national, regional, and local needs for
STD/HIV training. Such training targets health care providers and
prevention specialists who serve individuals most in need of STD/HIV
services, including ethnic and racial minorities, women, youth,
incarcerated individuals, homeless individuals, and substance users.
Special efforts must be made to recruit and train providers from
settings that serve large numbers of individuals at risk for STD/HIV,
such as STD and HIV clinics, HIV counseling and testing sites, family
planning clinics, antenatal clinics, adolescent health clinics,
community and migrant health centers, substance abuse clinics,
correction and detention centers, health care for the homeless
programs, and managed care plans.
The PTCs will provide training in support of the Essential
Functions and Areas of Special Emphasis (discussed in the Addendum to
this announcement) through three distinct, but related parts:
Part I: Up to 10 centers to provide training that enhances
essential STD medical and laboratory services.
Part II: Up to four centers to provide training on
behavioral and social interventions that have shown evidence of
effectiveness in reducing risky behaviors associated with transmission
of STD/HIV infection.
Part III: Up to four centers to provide training on STD/
HIV partner services in accordance with the HIV PCRS Guidance and the
``STD Program Operations Guidelines (POG)'', and support services
defined as program management, surveillance and data management,
outbreak response planning, and evaluation.
Although the three Parts have different training objectives, they
are expected to function synergistically to realize the goal of
maintaining a national training network in support of STD/HIV Essential
Functions and Areas of Special Emphasis. To facilitate this goal, the
geographic model depicted in the Addendum section of the announcement
will be employed. Please review this section.
Under this announcement, high-quality STD/HIV training for health
care providers and prevention specialists is that which translates
cutting edge research findings into training courses with specific
application to STD/HIV prevention programs. To achieve this high-
quality training, each PTC must be structured and function as a
partnership between an academic institution and a state or local public
health department.
The PTCs are intended to be dynamic and flexible and to work with
one another and with CDC to be responsive to changes in STD/HIV
morbidity, advances in STD/HIV prevention, detection and treatment, and
changes in Areas of Special Emphasis.
Specific information about each training Part is provided below.
Part I: STD Medical and Laboratory Services Training
Health care professionals must possess the requisite skills to
effectively detect, treat, and manage individuals with STDs, and to
provide effective STD/HIV prevention messages to their patients. Part I
PTCs will provide state-of-the-art STD medical and laboratory services
clinical training to practicing health care providers in a geographic
region that corresponds to a designated HHS region. To help ensure
regional coverage, each Part I PTC will provide at least 200 hours of
clinical training each year, 50 percent of which must consist of
experiential training in at least two model STD clinics located in
geographically dispersed locations within the HHS region, preferably in
separate states. Because private practitioners diagnose and treat the
vast majority of individuals with STDs, they are a primary audience for
Part I clinical training, as are practitioners who serve individuals at
high risk for STDs. Practitioners in managed care plans are a specific
target audience for Part I PTC training. Health professions students
and medical residents receive STD/HIV training as part of their
professional training program, and, therefore, are a secondary rather
than a primary audience for PTC training. Students and residents should
not account for more than 20 percent of the total number of trainees in
any given year. To ensure high-quality training, Part I PTCs must
demonstrate close collaboration with health professions training
programs in the region (e.g., schools of medicine, nursing, physician
assistant programs), utilizing expert STD faculty from such programs as
PTC consultants or trainers.
Part II: Behavioral and Social Interventions Training
Prevention of STDs, including HIV, typically requires individuals
to change behaviors that place them at risk for STD/HIV infection. In
recent years, behavioral and social intervention research has
documented effective individual, group, and community-level
interventions that help promote and maintain such behavior change.
Behavioral interventions aim to change
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individuals' behaviors and tend to emphasize individual and small group
approaches, such as counseling and small group discussion with skills
demonstration. Social interventions aim to change social norms that
influence individuals' behaviors and may use small group or community-
level approaches, such as engaging key opinion leaders as educators and
community mobilization. Part II PTC training must be focused on
interventions that have been developed and tested through empirical
research. Collaboration with the individuals associated with the
original research is encouraged, whenever possible. At a minimum, Part
II PTCs must demonstrate that individuals with recognized expertise in
the field of behavioral or social interventions will serve the PTC in a
consulting or training capacity. Because a number of effective
behavioral and social intervention curricula currently exist,
curriculum development should not be a major activity of the Part II
PTCs. However, if existing curricula focus solely on HIV, they will
need modification so as to include emphasis on other STDs for training
under this announcement.
Each Part II PTC is expected to provide at least 120 hours of
training each year, with at least \1/3\ of each training course being
an experiential learning opportunity for trainees in model clinic- or
community-based behavioral or social intervention programs or classroom
settings, as appropriate. CDC, through the Behavioral and Social
Science Volunteer (BSSV) Project, enlists volunteer social scientists
to provide technical assistance to state and local HIV prevention
projects; Part II PTCs must collaborate with BSSV and other HIV
technical assistance personnel to ensure follow-up support for their
behavioral and social science intervention training (see definition of
BSSV Project in appendix 2 in the application package). The recipients
of part II training are public health care professionals, health
educators, counselors, prevention program managers, and others
responsible for designing or implementing STD and HIV prevention
interventions, especially with high-risk populations. The primary
coverage area is the quadrant within which the Part II PTC is located
(see appendix 3 for a description of HHS regions, quadrants, map and
accompanying text); however, Part II PTCs are expected to collaborate
with each other and with CDC to develop a national plan that may
require Part II PTCs to train outside of their quadrants.
Part III: Partner Services and Support Services Training
Identifying and appropriately intervening with partners of
individuals with STD/HIV infection is a critical activity for breaking
the cycle of infection and is an essential component of a national,
comprehensive STD/HIV prevention system. Partner services training will
focus on STD/HIV partner elicitation, notification, and referral, and
on STD counseling, and case management for federal, state, and local
STD/HIV personnel and others who work with STD/HIV infected individuals
and their partners.
Additionally, Part III PTCs will provide training that strengthens
STD/HIV prevention programs in state and local health departments. This
training will be composed of support services training that is defined
in this program announcement as program management, surveillance and
data management, outbreak response planning, and evaluation. This is a
new area of emphasis for Part III PTCs; examples of these courses
include, but are not limited to:
1. STD Program Management: courses on creating tailored materials
to support the development of effective prevention interventions (e.g.,
social marketing; health communication; media advocacy).
2. Surveillance and Data Management: courses that support the
timely and accurate collection of STD information; data analysis for
purposes of program planning.
3. Outbreak Response: courses on developing and implementing a plan
to efficiently respond to increases in STD incidence.
4. Program Evaluation: courses that develop skills to design and
implement effective evaluation strategies as integral components of STD
prevention programs.
Part III PTCs must provide at least 500 hours of training each
year, with at least \1/4\ of the hours devoted to experiential skills-
building sessions. Because much of the Part III training is intended to
support CDC-funded STD and HIV prevention programs, and the need for
training will vary by program, the PTCs will work closely with CDC to
ensure that cost-effective, appropriate training is delivered in areas
of greatest need. For example, the southern quadrant of the United
States, with high syphilis morbidity, will need increased partner
services and support services training to advance the national syphilis
elimination initiative. The western quadrant, with low syphilis
morbidity, will not have this same degree of need and will be able to
design their partner services and support services training programs to
address other identified needs. The required training hours will be
divided between partner services training and support services training
in collaboration with CDC to meet training needs in the quadrants and
nationally. The primary coverage area is the quadrant within which the
Part III PTC is located; however, Part III PTCs are expected to
collaborate with each other and with CDC to develop a national plan
that may require Part III PTCs to train outside of their quadrants.
B. Eligible Applicants
Assistance for Part I, Part II, and Part III awards will be
provided only to public or private colleges or universities, or health
departments of states or their bona fide agents, that are located in
the continental United States, including the District of Columbia.
Applications from a college or university must document substantial
collaboration with a state or local health department; applications
from state or local health departments must document substantive
collaboration with a college or university.
Competition is limited to the partnership described above because
college or university faculty members can bring cutting edge research
findings to PTC training courses, and health department staff members
can translate those findings in ways that enhance STD/HIV prevention
programs. Competition is geographically limited as described above to
accomplish cost-efficient training. Because PTCs are required to
provide training in large geographic areas, PTCs located long distances
from their coverage area and with limited air transportation would
incur excessive program or trainee travel costs.
A single applicant may apply for all of these training awards in a
single application with a separate section and budget for each Part.
Note: Public Law 104-65 states that an organization described in
section 501(c)(4) of the Internal Revenue Code of 1986 that engages
in lobbying activities is not eligible to receive Federal funds
constituting an award, grant, cooperative agreement, contract, loan,
or any other form.
C. Availability of Funds
1. Approximately $4 million is available in FY 2000 to fund
approximately ten Part I awards. It is expected that the average base-
level award will be $400,000, ranging from $300,000 to $450,000.
2. Approximately $1 million is available in FY 2000 to fund
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approximately four Part II awards. It is expected that the average
base-level award will be $250,000, ranging from $200,000 to $275,000.
3. Approximately $1.45 million is available in FY 2000 to fund
approximately four Part III awards. It is expected that the average
base-level award will be $362,500, ranging from $300,000 to $425,000.
Awards for each Part will be made independently. It is expected
that the awards will begin on or about April 1, 2000, and will be made
for a 12-month budget period within a project period of up to 5 years.
Funding estimates may change.
Over the project period, it is anticipated that supplemental funds
for highly focused, time-limited projects within the scope of this
announcement may become available to develop, implement, and evaluate
training related to national STD/HIV priorities.
Continuation awards within an approved project period will be made
on the basis of satisfactory progress as demonstrated by required
reports and the availability of funds.
Use of Funds
Cooperative agreement funds may be used to support personnel,
equipment, and supplies necessary for professional training, including
distance learning activities. Funds may not be used to lease space;
maintain central registries; provide diagnostic and treatment
facilities or services; provide behavior intervention programs or
services; develop literature for the general public; provide disease
intervention services or HIV counseling and testing; or to pay other
expenses normally supported by the applicant. Unless specifically
approved, funds may not be used for renovation of facilities. Federal
funds may supplement but not supplant existing training support.
Any materials developed in whole or in part with CDC funds shall be
subject to a nonexclusive, irrevocable, royalty-free license to the
government to reproduce, translate, publish, or otherwise use and
authorize others to use for government purposes.
Include funding for two persons per part to attend (1) a three-day,
post-award meeting in Atlanta, and (2) a three-day meeting in a city to
be determined later.
Recipient Financial Participation
Program income in the form of participant registration fees may be
collected to offset the costs of conducting training as specified in
this announcement. Registration fees are not intended to produce income
for the PTC, but they may help defray the cost of training materials,
training facility expenses, audiovisual equipment rental, or speakers'
fees. Registration fees should be established at the most reasonable
rate to encourage the greatest participation. Program income may
support the costs of designing and delivering additional training
courses directly related to PTC objectives and as determined by the
assessment of training needs.
Funding Preference
Geographic preference for funding will be given to applications in
each Part to achieve the goal of establishing a comprehensive, national
STD/HIV training network based on the concept of broad geographic
quadrants as described in the addendum.
D. Program Requirements
In conducting activities to achieve the purpose of this program,
the recipient will be responsible for the activities listed under 1.
(Recipient Activities), and CDC will be responsible for the activities
listed under 2. (CDC Activities). Unless otherwise stated, recipient
activities and CDC activities pertain to each of the three parts.
1. Recipient Activities
a. Administration:
(1) Applicants that receive funding for more than one Part should
designate one coordinator to serve as a single point of contact and to
be responsible for the administrative duties related to all training
activities funded under this announcement;
(2) Organize and maintain a PTC Advisory Committee to provide
feedback about training needs of target populations, the
appropriateness of educational content, and to ensure that PTC staff
members are qualified and work together without duplicating
administrative expense. If funded for more than one part, the PTC may
maintain one Advisory Committee, with a membership whose collective
expertise qualifies them to advise on all parts.
(3) Develop and implement a protocol for collaboration with the
other PTCs within the geographic quadrant for the purpose of on-going
needs assessments, sharing resources, co-sponsorship of training
courses, and other activities that ensure that STD/HIV prevention
training provided by each part is available and well-coordinated in
each HHS region within a quadrant.
(4) Collaborate with CDC in developing and maintaining a National
Network of Prevention Training Centers (NNPTC) Steering Committee
composed of one representative and one alternate each from Part I, Part
II, and Part III.
(5) Participate in NNPTC, quadrant-specific, and Part-specific
(e.g., Part I, Part II, Part III) conferences, meetings, and conference
calls.
b. STD/HIV Program-related Issues:
(1) Maintain liaisons with national, regional, state, or local STD/
HIV prevention programs (e.g., state and local health departments, HIV
Community Planning Groups, national STD/HIV organizations or
associations) to help determine emerging training needs and to help
design and deliver training programs that avoid overlap and provide
training that is most relevant to the greatest needs of STD/HIV
prevention programs.
(2) Based on need in the coverage area, provide training that
addresses the Areas of Special Emphasis as stated in the addendum.
(3) Serve as a resource for STD information to health care
providers or prevention specialists in public and private settings,
especially those in managed care organizations, health departments, and
community-based organizations (CBOs) and non-governmental organizations
(NGOs). Collaborate with existing HIV information and technical
assistance resources such as the National Prevention Information
Network (NPIN)and other CDC-funded programs that support HIV
prevention.
c. Collaborations:
(1) Collaborate with experts in the community and in graduate
schools, as necessary, to design or write training needs assessments,
educational objectives, curriculum content, instructional design,
state-of-the-art delivery methods, and course evaluations.
(2) Establish innovative arrangements with universities for student
academic involvement in PTC activities (e.g., graduate assistantships
or internships).
(3) Collaborate with other STD/HIV training programs (e.g., AETCs,
RTCs)to share training curricula and resources for needs assessments,
program planning, and joint training presentations.
d. Model Clinic-and Community-based Services:
(1) Training provided by all Parts must include experiential
components designed to build trainees' skills in specific areas.
Depending on the objectives and design of a specific training course,
the experiential training may take place in model STD clinics or
community-based prevention or intervention programs, or the classroom.
Additionally, it is expected that the PTCs will collaborate with CDC
and
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other NNPTC members to provide regional or national training programs
utilizing distance education methods.
(2) For Part I and Part III experiential training requirements,
utilize model STD clinics, which are those that follow CDC guidelines
for integrated STD and HIV client management, clinic operation, client-
centered counseling, and partner counseling, including elicitation,
notification, and referral.
(3) For Part II experiential training requirements, utilize model
STD clinics (as described above) or community-based STD/HIV behavioral
or social intervention programs that have evidence of reducing sex-and
drug-risk behavior and STD/HIV infections.
e. Distance Learning: As needed, utilize distance learning
strategies or products that are regional or national in scope and
usable by other PTCs and training agencies. Distance learning can
include off-site programs, satellite broadcasts, remote video
instruction, self-study modules, train-the-trainer, computer-based
training, CD ROM, and web-based instruction.
f. Continuing Education and Course Management:
(1) Acquire and award continuing medical education (CME) credit and
continuing education units (CEU) that meet the needs of most course
participants.
(2) Maintain a course registration database, including required CME
and CEU documentation.
g. Evaluation:
(1) Conduct on-going evaluation of all courses, both independently
and in conjunction with the CDC, NNPTC, or both.
(2) Determine and measure appropriate process indicators (e.g.,
trainee demographics, quality of presentations), immediate training
impact (e.g., changes in knowledge, attitudes and skills), and long-
range outcomes (e.g., changes in provider practice behavior, changes in
client health status, changes in STD/HIV service delivery), especially
for high-risk populations.
(3) Establish, maintain, and support Internet connection and other
information or communications systems and hardware and software that
will allow for gathering, entering, and transmitting data to the CDC
for inclusion in a NNPTC national database.
2. CDC Activities
a. Technical Assistance: Provide STD/HIV subject matter, education,
and technology experts to advise and assist in curriculum development;
to advise on course objectives, instructional design, and delivery; to
ensure that evaluation is consistent with desired training outcomes; to
be a source of up-to-date information on STD and HIV epidemiology and
national STD/HIV prevention programs and priorities; and to advise on
budget issues.
b. Distance Learning Assistance: Provide information on the Public
Health Training Network (PHTN) in support of distance learning training
activities.
c. Program Reviews: Conduct site visits to:
(1) Review training capabilities to ensure adequate facilities,
procedures, and staff
(2) Advise on instructional design and curriculum content
(3) Provide technical assistance in defining and resolving problems
(4) Monitor program implementation, project management, and
evaluation activities
(5) Advise on the availability of guidelines, curricula, training
aids, and software developed by CDC, the PTCs, or other agencies that
can help PTCs meet their training objectives.
d. Within three months of funding (notice of grant award), CDC will
convene a meeting of all funded Part I, II, and III PTCs to outline a
collaborative training plan within and between quadrants, as
appropriate, and to begin developing the NNPTC.
e. Facilitate collaboration between the PTCs in a geographic
quadrant to ensure that each HHS region within the quadrant receives
well-coordinated training offered by each of the three Parts.
f. Support the NNPTC: Through NNPTC meetings, facilitate networking
between NNPTC members and support the development and maintenance of
committees to maximize the expertise of NNPTC members for all Parts.
There will be two NNPTC meetings per year in each of the first two
years of funding, and at least one per year in each of the remaining
three years.
g. Collaborate with Part II and Part III PTCs to guide the
development of training programs and training schedules that meet
national needs for behavioral and social intervention training and
partner services and support services training.
h. Communication: Through publications, correspondence, narrative
reports, and electronic communication, keep PTC staff members informed
of national issues that affect training and program management.
i. Monitoring and Evaluation: Monitor and evaluate program
activities by coordinating and supporting a national course
registration database, providing technical assistance for staff
database training, and analyzing and publishing cumulative data on
NNPTC training effectiveness using training program and trainee
evaluation information submitted quarterly by awardees to CDC using a
standardized format.
E. Application Content
Use the information in the Program Requirements, Other
Requirements, and Evaluation Criteria sections to develop the
application content. Applications will be evaluated on the requirements
listed, so it is important to follow them in laying out your program
plan. If you cannot currently meet one or more of the requirements,
describe your plan to do so, including a time line. Provide brief,
specific examples (1-2 pages) of each requirement rather than a lengthy
narrative. The narrative section of each Part should be no more than 45
pages (8\1/2\'' x 11''), excluding budget. Each section must use no
less than 1.5 spacing and be printed on one side, with one inch
margins, and 12-point font. Letters of support, organizational charts,
biosketches, position descriptions, lists of training equipment,
inventories of computer hardware and software, and examples of existing
program materials should be included in an appendix.
You must submit a single application that has a separate section
and budget for each Part for which you are applying. Pages should be
numbered sequentially throughout the entire application, regardless of
the number of Parts for which funding is sought. If applying for more
than one Part, you may refer to information in a previous section, as
appropriate.
F. Submission and Deadline
Letter of Intent
In order to assist CDC in planning for and executing the evaluation
of applications submitted under this program announcement, all parties
intending to submit an application are requested to submit a letter of
intent regarding their intention to do so by January 30, 2000.
Notification should include name and address of the institution and
name, address, and telephone number of the contact person, as well as
the Part(s) for which funding will be sought; no detailed description
of the proposed training program is sought. The letter of intent should
be submitted on or before January 30, 2000 to the Grants Management
Specialist identified in the ``Where to Obtain Additional Information''
section of this announcement.
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Application
Submit the original and two copies of PHS 5161-1 (OMB Number 0937-
0189). Forms are available at the following Internet address:
www.cdc.gov/* * * Forms, or in the application kit.
On or before March 7, 2000, submit the application to the Grants
Management Specialist identified in the ``Where to Obtain Additional
Information'' section of this announcement.
Deadline: Applications shall be considered as meeting the deadline
if they are either:
(a) Received on or before the deadline date; or
(b) Sent on or before the deadline date and received in time for
submission to the independent review group. (Applicants must request a
legibly-dated U.S. Postal Service postmark or obtain a legibly-dated
receipt from a commercial carrier or U.S. Postal Service. Private
metered postmarks shall not be acceptable as proof of timely mailing.)
Late Applications: Applications which do not meet the criteria in
(a) or (b) above are considered late applications, will not be
considered, and will be returned to the applicant.
G. Evaluation Criteria
Each application will be evaluated individually against the
following criteria by an independent review group appointed by CDC.
Only information in the application will be considered. Applications
for each Part will be evaluated separately according to the following
criteria (maximum 200 points).
1. Abstract (Not Scored)
A summary (1 page) of the program, indicating the Part, the
coverage area, the name of the person with authority over the PTC, the
academic and public health collaborators, other key collaborators, the
training objectives, the training audiences, and the training
evaluation plan.
2. Introduction/Program Description (Total 35 Points)
The extent to which the applicant provides:
a. A brief history of your training experience related to the Part
for which funding is sought; (5 points)
b. An organization chart showing linkages between universities/
colleges and state or local health departments and related PTC
positions, indicating lines of authority; (5 points)
c. Position descriptions for proposed PTC staff, including
credentials and appropriate experience (e.g., training experience,
management experience, STD or HIV prevention program experience); (5
points)
d. A description of the PTC Advisory Committee, including function,
meeting schedule, and individual members and their affiliation; (5
points)
e. A proposed protocol for collaborating with other PTCs in the
geographic quadrant (i.e., time schedule for conference calls or
meetings; proposed joint activities); (5 points)
f. A plan or descriptive outline of proposed cost-efficient
arrangements with health professional training programs and graduate
schools for obtaining faculty, fellows, and graduate students to
participate in PTC activities (e.g., educational research, needs
assessment, formative evaluation, preparing training materials);(5
points)
g. A letter from each university/college or health department
partner of intent to participate in the PTC, specifying the training-
related activities that will be provided (e.g., program coordination,
serving as a clinical training site, providing faculty to develop or
teach courses, evaluation activities). (5 points)
3. Training Capability (Total 40 Points)
The extent to which the applicant provides:
a. A description of training faculty, noting credentials and
previous training experience including a one-page biosketch for each
faculty member; (5 points)
b. A plan, with anticipated costs, for acquiring CME and CEU
appropriate for most trainees; (5 points)
c. A description of proposed training site(s), including location,
number of students that can be accommodated, and any costs to
participants for attending training at the proposed site(s) (e.g.,
lodging, per diem, travel); (5 points)
d. A list of available training equipment, such as overhead
projector, carousel projector, flip chart, melamine or chalk board,
projection screen, podium, video recorder/player, and additional
equipment used in training (e.g., light and dark-field microscopes;
equipment available to support any proposed distance learning
activities); (5 points)
e. Inventory of available office computers capable of supporting
computer-based training and data processing, including software,
printers, modem; (5 points)
f. A plan for keeping training faculty and staff current on content
area and educational methodology (e.g., through graduate school
contacts, libraries, and Internet); (5 points)
g. A plan to reproduce volumes of print-based course materials
quickly and economically; (5 points)
h. A design for providing resources to trainees (e.g., books,
newsletters, journals, videotapes, literature files, and guidelines).
(5 points)
4. Training Needs Assessment (Total 30 Points)
Given the Part's training focus and coverage area the extent to
which the applicant provides:
a. A description of activities conducted to determine the training
needs of health care providers and prevention specialists in the
coverage area. The extent to which the applicant provides the source of
the data and the time period to which the data correspond (e.g., CDC or
state or local STD/HIV surveillance data; data from training surveys
conducted by applicant or others; HIV Community Planning Group plans;
state, regional, or national documents that identify STD/HIV training
needs). It should describe the training needs in the coverage area
related to the Areas of Special Emphasis (see addendum). It should also
note STD/HIV prevention training in the coverage area that is provided
by other programs and how that affects the training plan; (10 points)
b. A summary, in narrative or chart format, of target audiences,
training locations, educational content, training methods, and
collaborations with other STD/HIV training programs. These should
reflect priorities determined by the needs assessment described in 4.a
above; (10 points)
c. A process to keep the PTC updated on the training needs of
target audiences in their coverage area. (10 Points)
5. Training Objectives (Total 20 Points)
The extent to which the applicant provides specific, measurable,
time-phased, realistic educational objectives that reflect the didactic
and experiential STD/HIV prevention training needs in their coverage
area.
6. Plan of Operation (Total 50 Points)
The extent to which the applicant provides information on the
program components and activities listed below that are specific to the
training Part for which they are applying. If applying for more than
one Part, describe any linkages between Parts.
Part I: STD Medical and Laboratory Services Training
a. Clinical Capability (Total 20 Points)
For each of the two model STD clinics that will serve as clinical
training sites,
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the extent to which the applicant provides:
(1) Current STD morbidity statistical tables (one year) by disease,
sex, age, and race or ethnicity, that demonstrate a client volume and
profile that reflects regional disease trends and allows for diverse
clinical training opportunities; (4 points)
(2) A current list of the type and number of the state laboratory
tests performed over the past year and those sent to reference
laboratories; (2 points)
(3) A list of diseases for which testing, diagnosis, and treatment
procedures in the clinic follow CDC guidelines; (2 points)
(4) A clinic and fee schedule that demonstrates accessibility for
communities at risk (e.g., daily, evening, and weekend hours, continual
services, and free or low-cost services); (2 points)
(5) An STD clinic floor plan indicating (by arrows) the route that
clients take and the stops they must make to receive integrated
services, and showing a traffic pattern that minimizes movement for
clients and preserves confidentiality; (2 points)
(6) An outline of clinic management protocols, such as elements of
the registration procedure and appointment, triage, and priority
systems; (2 points)
(7) The numbers and types of clinic staff members and the time
devoted to their main client responsibilities; (2 points)
(8) A copy of the clinic record; (2 points)
(9) A description of the quality assurance plan and committee, and
of the clinic's management structure. (2 points).
b. Training Activities (Total 20 Points)
The extent to which the applicant:
(1) Outlines a model one-year training plan, based on the training
capabilities and the needs assessment, that consists of at least 200
course hours, with at least 50% of the course hours devoted to
experiential training activities that allow participants the
opportunity to interact with clients under the direction of qualified
preceptors. For each proposed course in the training plan, the extent
to which the applicant notes the name of the course, length of the
course, training dates, locations (facility, city, and state), training
audiences, training faculty, course objectives, brief content outline,
and evaluation plan; (10 points)
(2) Describes how the training plan addresses the Areas of Special
Emphasis as described in the addendum; (5 points)
(3) Describes plans to conduct one or more courses through distance
learning technologies in the coverage area within one year (including
production, marketing, and delivery). (5 points)
c. Training Marketing Plan (Total 10 Points)
The extent to which the applicant describes a plan to market
training courses to target audiences in the coverage area.
Part II: Behavioral and Social Interventions Training
a. Clinic- and Community-based Training Capability (Total 20 points)
The extent to which the applicant provides:
(1) A description of proposed clinic-or community-based training
sites that provide behavioral or social intervention programs targeting
people whose behaviors place them at risk for acquiring or transmitting
STDs, including HIV (e.g., in STD and HIV clinics, storefronts,
recreation centers, public sex environments, street settings). The
behavioral or social interventions should focus on increasing early,
effective health care seeking behaviors, as well as reducing STD/HIV
risk behaviors. For each of the proposed training sites, the applicant
should provide:
(a) A brief description of the behavioral or social intervention;
(5 points)
(b) A Profile of persons reached in the previous year (numbers,
demographics, networks, risk behaviors); (5 points)
(c) Numbers and titles of behavioral or social intervention staff
and their primary responsibilities; (5 points)
(d) A quality assurance plan for the behavioral or social
intervention program(s). (5 points)
b. Training Activities (Total 20 Points)
(1) The extent to which the applicant outlines a one-year training
plan, based on training capabilities and the needs assessment, that
consists of at least 120 hours of behavioral or social intervention
courses, including two comprehensive training courses per year and at
least one specific-topic training course per quarter (described below).
At least one third of each course must include an experiential training
component (e.g., practice with peers, colleagues, or instructors;
prevention counseling; group facilitation; community outreach;
prevention material development) aimed at developing participants'
skills in prevention activities. For each proposed course in the
training plan, note the name of the course, length of the course,
training dates, locations (program/facility, city, and state), training
audiences, training faculty, course objectives, brief content outline,
and evaluation plan. For each comprehensive course, describe the
effective, science-based behavior change theories or models upon which
it is based (e.g., Diffusion of Innovations, Protection Motivation
Theory, Social Cognitive Theory, Social Learning Theory, Theory of
Reasoned Action, Health Belief Model, Problem Solving Therapy Model,
Transtheoretical Model of Behavior Change).(10 points)
(a) Comprehensive courses are typically three to five days long and
may include such topics as introduction to behavioral and social
science theories and models, and application of theories and models to
effective individual, group, and community-level STD/HIV prevention
interventions.
(b) Specific-topic Courses: Specific-topic courses are typically
one to two days in length. They include such courses as communicating
how STDs and HIV are transmitted and how health risks are reduced
(e.g., client-centered counseling, peer networks, therapeutic trainers,
group counselor-educators, street outreach), creating tailored
materials to support effective prevention interventions, and recruiting
and maintaining prevention partners with affected communities. The
number, type, and delivery of topic-specific courses will be determined
in collaboration with CDC and other Part II PTCs.
(2) The extent to which the applicant describes how the training
plan addresses the Areas of Special Emphasis (as described in the
addendum). (5 points)
(3) The extent to which the applicant describes how training
addresses cultural norms, values, and traditions; is sensitive to
issues of sexual identity; is developmentally appropriate; and is
linguistically specific and educationally appropriate. (5 points)
c. Training Marketing Plan (Total 10 Points)
The extent to which the applicant describes a plan to market
training courses to target audiences in the coverage area.
Part III: Partner Services Training
a. Partner Services Capability (Total 20 Points)
The extent to which the applicant provides:
(1) A current activity table (1 year) of types and numbers of
clients and partner services intervention outcomes. Intervention
outcomes include numbers
[[Page 1905]]
of clients eligible for interview; percentage interviewed; numbers of
sex and needle-sharing partners per client interviewed; percentage of
partners located; and percentage tested or treated for syphilis, HIV
infection, and other STDs addressed with partner services. (5 points)
(2) A list of the numbers and types of STD/HIV prevention program
staff members and their main client responsibilities, noting the number
of staff members available to serve as preceptors for Part III
training. (5 points)
(3) A quality assurance plan for partner services. (5 points)
(4) Copies of interview forms. (5 points)
b. Training Activities (Total 20 Points)
The extent to which the applicant:
(1) Outlines a training plan for the first year that is based on
training capabilities and the needs assessment and includes at least
500 course hours, with at least 25 percent of the course hours devoted
to experiential training for federal, state, and local STD/HIV program
personnel and others who engage in STD/HIV prevention activities in the
coverage area. For each proposed course in the training plan, note the
name of the course, length of the course, training dates, locations
(facility, city, and state), training audiences, training faculty,
course objectives, brief content outline, and evaluation plan. The
training plan should include the following courses: (15 points)
(a) Partner Services Courses: These are standardized courses, each
with required hours. Fundamentals of Disease Intervention (40 hours),
Introduction to STD Intervention (80 hours), and HIV Partner Counseling
and Referral Services (24 hours).
(b) Proposed support service courses as described in Section A.
(2) Describes how the training plan addresses the Areas of Special
Emphasis in the addendum. (5 points)
c. Training Marketing Plan (Total 10 Points)
The extent to which the applicant describes a plan to market
training courses to target audiences in the coverage area.
7. Evaluation (Total 25 Points)
Each Part must participate in and conduct ad hoc and on-going
evaluation of all courses, both independently and in conjunction with
the CDC, NNPTC, or both. Each Part must address the evaluation
requirements below.
The extent to which the applicant provides:
a. A one-page biosketch (or position description) of the individual
designated to oversee the PTC evaluation activities. (3 points)
b. A one-page biosketch (or position description) of the individual
designated to serve as data administrator to manage and coordinate data
gathering, entry, submission, and analysis. (2 points)
c. A plan for utilizing program evaluation data to provide
continuous quality improvement of the PTC (e.g., quality of program and
presentations, reaching target audiences, geographic distribution of
courses and trainees, usefulness of educational content). (10 points)
d. A plan for conducting evaluation activities that determine: (10
points)
(1) Impact of training (e.g., changes in knowledge, attitudes, and
skills); and
(2) Outcome of training (e.g., changes in provider practice
behavior; changes in client health status; changes in HIV/STD service
delivery).
8. Budget (Not Scored)
CDC will establish a separate funding base for each training award
(Part I, Part II, Part III).
a. Provide separate budgets for each Part with appropriate
justifications. The total funding request is the sum of the separate
budgets. List each Part in a separate column on the 424A form, section
B.
b. List and justify the cost of any additional training or computer
equipment necessary to carry out the training plan.
H. Other Requirements
Technical Reporting Requirements
Provide CDC with the original plus two copies of:
1. Quarterly narrative progress reports which include training
program and trainee evaluation information in a standardized format
provided by CDC. In years 02-05 of the project period, the narrative
progress report should be submitted semi-annually. Progress reports
must highlight major program accomplishments, document program progress
and problems encountered in meeting program objectives, and report on
tangential activities that influence PTC operations. The progress
report informs CDC of progress by cooperative agreement recipients and
is also a tool for documenting and disseminating information on
successful training strategies that can be used by other PTCs.
2. Financial status report, no more than 90 days after the end of
the budget period.
3. Final financial status and performance report, no more than 90
days after the end of the project period.
Send all reports to the Grants Management Specialist identified in
the ``Where to Obtain Additional Information'' section of this
announcement.
The following additional requirements are applicable to this
program. For a complete description of each, see Attachment I in the
application kit.
AR-4: HIV/AIDS Confidentiality Provisions
AR-5: HIV Program Review Panel Requirements
AR-7: Executive Order 12372 Review
AR-8: Public Health System Reporting Requirements
AR-9: Paperwork Reduction Act Requirements
AR-10: Smoke-Free Workplace Requirements
AR-11: DRAFT Healthy People 2010
AR-12: Lobbying Restrictions
AR-14: Accounting System Requirements
AR-15: Proof of Non-Profit Status
I. Authority and Catalog of Federal Domestic Assistance Number
This program is authorized under section 318 (42 U.S.C. 247c),
section 301 (42 U.S.C. 241), section 311 (42 U.S.C. 243), and section
317 (42 U.S.C. 247b), of the Public Health Service Act, as amended.
Regulations governing Grants for STD Research Demonstrations and Public
and Professional Education are codified in Part 51b, Subparts A and F
of Title 42, Code of Federal Regulations. The Catalog of Federal
Domestic Assistance Number is 93.978, Sexually Transmitted Disease
Research, Demonstrations, and Public Information and Education Grants,
and 93.941, HIV Demonstration, Research, Public and Professional
Education Projects.
J. Where To Obtain Additional Information
To receive additional written information and to request an
application kit, call 1-888-GRANTS4 (1-888-472-6874). You will be asked
to leave your name and address and will be instructed to identify the
Announcement number of interest.
If you have questions after reviewing the contents of all the
documents, business management technical assistance may be obtained
from: Brenda Hayes, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention, Room 3000, 2920 Brandywine Road, Atlanta, GA 30341-4146,
Telephone number (770) 488-2725, Email address bkh4@cdc.gov
[[Page 1906]]
See also the CDC home page on the Internet for other funding,
application forms, etc: http://www.cdc.gov
For program technical assistance, contact: Donna Anderson, Chief,
Training and Health Communications Branch, Division of STD Prevention,
NCHSTP, CDC, 1600 Clifton Road, N.E., MS E-02, Atlanta, GA 30333,
Telephone number: (404) 639-8360, E-mail: dia1@cdc.gov
Potential applicants may obtain a copy of ``DRAFT Healthy People
2010'' (Full Report: Stock No. 017-001-00474-0) or ``DRAFT Healthy
People 2010'' (Summary Report: Stock No. 017-001-00473-1) referenced in
the ``INTRODUCTION'' through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325, telephone (202)
783-3238.
John L. Williams,
Director, Procurement and Grants office.
[FR Doc. 00-680 Filed 1-11-00; 8:45 am]
BILLING CODE 4163-18-P
