99-3939. Human Immunodeficiency Virus (HIV) Prevention Activities for African American Populations  

  • [Federal Register Volume 64, Number 32 (Thursday, February 18, 1999)]
    [Notices]
    [Pages 8106-8109]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 99-3939]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Centers for Disease Control and Prevention
    
    
    Human Immunodeficiency Virus (HIV) Prevention Activities for 
    African American Populations
    
    AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
    Health and Human Services (HHS).
    
    ACTION: Notice and request for comments.
    
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    SUMMARY: The Fiscal Year 1999 appropriation for CDC includes an 
    increase in funds to support Human Immunodeficiency Virus (HIV) 
    prevention activities predominantly for African American populations. 
    CDC is proposing to award approximately $15.5 million to fund three 
    cooperative programs to address the needs of these populations: 
    community-based organizations (CBO) program, minority organization 
    technical assistance (MOTA) program, and community coalitions 
    demonstration program to develop linkages among HIV, STD (sexually 
    transmitted diseases), TB (tuberculosis), and substance abuse services. 
    On the basis of demonstrated need and available funds, other 
    disproportionately affected racial and ethnic minority populations may 
    be considered for funding.
        Under separate announcements, an additional $500,000 will be 
    awarded to CBOs in the Virgin Islands to provide HIV prevention 
    services, and $300,000 to Divinity Schools affiliated with Historically 
    Black Colleges and Universities to develop HIV prevention training and 
    curricula.
        The purpose of this notice is to request comments on these proposed 
    programs. After consideration of comments submitted, CDC will publish 
    program announcements to solicit applications. A more complete 
    description of the goals of these programs, the target applicants, 
    availability of funds, program requirements, and evaluation criteria 
    follows.
    
    DATES: The public is invited to submit comments by March 4, 1999.
    
    
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    ADDRESS: Submit comments to: Technical Information and Communication 
    Branch National Center for HIV, STD and TB Prevention Centers for 
    Disease Control and Prevention (CDC) 1600 Clifton Road, NE., Mailstop 
    E-49 Atlanta, GA 30333.
    
    FOR FURTHER INFORMATION CONTACT: Technical Information and 
    Communications Branch National Center for HIV, STD, and TB Prevention 
    Centers for Disease Control and Prevention, 1600 Clifton Road, NE., 
    Mail Stop E-49, Atlanta, GA 30333, Fax (404) 639-2007, E-mail address: 
    hivmail@cdc.gov, Telephone (404) 639-2072.
    
    SUPPLEMENTARY INFORMATION:
    
    CBO Program
    
        The purpose of this program is to support the development and 
    implementation of effective community-based HIV prevention programs, 
    including programs provided by faith-based CBOs, that serve African 
    American communities.
    
    1. Goals (CBO)
    
        A. Provide financial and technical assistance to indigenous CBOs to 
    provide HIV prevention services to primarily African American 
    populations for which gaps in services are demonstrated. For this 
    program, indigenous organizations are defined as organizations that 
    evolved from and are located within the communities they serve.
        B. Support HIV prevention programs that reflect national program 
    goals and are consistent with the HIV prevention priorities outlined in 
    the jurisdiction's comprehensive HIV prevention plan.
        C. Promote the collaboration and coordination of HIV prevention 
    efforts among CBOs and other local, State, and federally funded 
    programs.
    
    2. Eligible Applicants (CBO)
    
        Eligible applicants are minority CBOs, including faith-based 
    organizations, that meet the following criteria:
        A. An IRS-determined 501(c) tax-exempt status
        B. A governing board composed of more than 50 percent of the racial 
    or ethnic population to be served. This body must also include, or 
    demonstrate the ability to obtain meaningful input and representation 
    from, members of the target populations, for example, men who have sex 
    with men, youth, women at risk, transgender populations, substance 
    abusers.
        C. Located and providing services in any of the following:
        (1) The 20 metropolitan statistical areas (MSAs) with more than 
    1000 AIDS cases in African American populations in 1997. These MSAs 
    are: Atlanta, GA; Baltimore, MD; Boston, MA; Chicago, IL; Dallas, TX; 
    Detroit, MI; Ft. Lauderdale, FL; Houston, TX; Jacksonville, FL; Los 
    Angeles-Long Beach, CA; Miami, FL; Newark, NJ; New Haven, CT; New 
    Orleans, LA; New York, NY; Oakland, CA; Philadelphia, PA; San 
    Francisco, CA; West Palm Beach, FL; and Washington, D.C.; or
        (2) The counties and independent city with the most syphilis cases 
    in 1997 but not included in the list of MSAs above. The counties are: 
    Cumberland, NC; Cuyahoga, OH; Davidson, TN; Forsyth, NC; Franklin, OH; 
    Fresno, CA; Guilford, NC; Hinds, MS; Jefferson, AL; Jefferson, KY; 
    Maricopa, AZ; Marion, IN; Milwaukee, WI; Oklahoma, OK; Prince Georges, 
    MD; Shelby, TN; and Tuscaloosa, AL. The independent city is St. Louis, 
    MO.
        D. Minority CBOs currently funded under program announcement 704 
    that are located and provide services in the areas specified in B and C 
    are eligible to apply for funding under this program announcement. 
    However, awards to currently funded minority CBOs will not exceed 
    $100,000.
        E. Faith-Based Organizations: For the purpose of this program 
    announcement, a faith-based community organization is a non-profit 
    organization which
        (1) Has a religious, faith, spiritual focus or constituency, and
        (2) Has access to local religious, faith, and spiritual leaders.
        Eligible organizations include:
        (1) Individual church, mosque, or temple or network of same, or
        (2) A community-based organization whose primary constituency is 
    faith, spiritual, or religious communities, organizations, or leaders 
    thereof.
    
    3. Availability of Funds (CBO)
    
        Approximately $9,600,000 is available for funding approximately 45 
    minority CBOs, including faith-based community organizations. 
    Approximately $600,000 of this total will be awarded to faith-based 
    organizations;
        A. Approximately $7,000,000 will be awarded to CBOs in the 20 MSAs 
    with more than 1000 AIDS cases in African American populations in 1997. 
    Awards for new organizations will range from $150,000 to $300,000 and 
    the average award will be approximately $200,000. Applications for more 
    than $300,000 will be deemed ineligible.
        B. Approximately $1,600,000 will be awarded to CBOs located and 
    providing services in the counties and independent city with the most 
    syphilis cases in 1997 not included in the top 20 MSAs. These awards 
    will average $200,000 and will range from $150,000 to $250,000. 
    Applications for more than $250,000 will be deemed ineligible.
        C. Approximately $1,000,000 may be awarded to minority CBOs 
    currently funded under Program Announcement 704 that are located and 
    provide services in the MSAs, counties, and independent city listed 
    above. Supplemental awards for currently funded minority CBOs will not 
    exceed $100,000. Applications for more than $100,000 will be deemed 
    ineligible. Funds awarded to currently funded CBOs must be used to 
    enhance or expand existing activities.
        D. Funding Priorities: In making funding decisions, efforts will be 
    made to ensure a national geographic distribution of funded CBOs, based 
    on AIDS morbidity, and to ensure a national distribution of funded CBOs 
    in terms of targeted risk behaviors, based on AIDS morbidity.
    
    4. Program Requirements (CBO)
    
        A. Conduct HIV counseling, testing, and referral services and 
    health education and risk reduction (HE/RR) interventions for persons 
    at high risk of becoming infected or transmitting HIV to others. 
    Counseling, testing, and referral services as well as the following 
    four HERR interventions will be funded: Individual Level, Group Level, 
    Community Level, and Street and Community Outreach. Each recipient must 
    conduct at least one of these priority interventions. Applicants are 
    encouraged not to apply for more interventions than they can conduct 
    effectively.
        B. Assist high-risk clients in gaining access to HIV antibody 
    counseling, testing, and referral for other needed services.
        C. Assist HIV positive persons in gaining access to appropriate HIV 
    treatment and other medical care, substance abuse prevention services, 
    STD treatment, partner counseling and referral services, and health 
    education and risk reduction services.
        D. Coordinate and collaborate with health departments, community 
    planning groups, and other organizations and agencies involved in HIV 
    prevention activities, especially those serving the same target 
    population.
        E. Evaluate all major program activities and services.
    
    5. Evaluation Criteria (CBO)
    
        A. Assessment of Need and Justification for the Proposed Activities 
    (15 points)
        B. Long-term Goals (5 points)
    
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        C. Organizational History and Capacity. (20 points)
        D. Program Plan (30 total points)
        E. Evaluation Plan (20 points)
        F. Communications/Dissemination Plan (5 points)
        G. Plan for Acquiring Additional or Matching Resources (5 points)
        I. Budget/Staffing Breakdown and Justification (not scored)
        J. Training and Technical Assistance Plan (not scored)
        K. Before final award decisions are made, CDC may make site visits 
    to CBOs whose applications are highly ranked or may review the 
    following items with the local or State health department and 
    applicant's board of directors:
        1. The organizational and financial capability of the applicant to 
    implement the proposed program;
        2. The application and program plans for priority interventions, 
    compliance with the jurisdiction's HIV prevention priorities as 
    outlined in the comprehensive plan or, if the proposed program varies 
    from the jurisdiction's comprehensive plan, evaluate the rationale for 
    the variance; and
        3. The special programmatic conditions and technical assistance 
    requirements of the applicant.
        A fiscal Recipient Capability Assessment may be required of 
    applicants prior to the award of funds.
    
    MOTA Program
    
    1. Goal (MOTA)
    
        Improve the capacity of CBOs, including faith-based organizations, 
    to deliver effective HIV prevention services to African Americans and 
    increase the effectiveness and responsiveness of the HIV prevention 
    community planning process and health department HIV prevention 
    programs to meet the needs of African American communities heavily 
    affected by HIV and other STDs.
    
    2. Eligible Applicants (MOTA)
    
        A. National, regional, or local minority organizations.
        B. National, regional, or local minority religious, spiritual, or 
    faith-based organization, which may include churches, mosques, or 
    temples.
    
    3. Availability of Funds (MOTA)
    
        A. Approximately $2.4 million will be available. Approximately 
    $600,000 of the $2.4 million will be available for faith-based 
    projects.
        B. Funding priorities will ensure
        (1) A national geographic distribution of available technical 
    assistance and training services, consistent with AIDS morbidity;
        (2) Availability of technical assistance and training services to 
    organizations predominantly serving African Americans and highly 
    affected subgroups consistent with AIDS morbidity of these subgroups; 
    and
        (3) An appropriate balance in the types of technical assistance and 
    training services available.
    
    4. Program Requirements (MOTA)
    
        Delivery of technical assistance must be specified according to (1) 
    racial or ethnic population and (2) targeted high-risk group (e.g., men 
    who have sex with men [MSMs], injecting drug users [IDUs] and non-
    injecting substance users, women at risk, transgender, high-risk 
    heterosexuals, youth).
        Organizations may apply to provide technical assistance in one or 
    more of the following areas. However, applicants need not apply to 
    provide service in all areas and should not attempt to provide 
    technical assistance in areas in which they do not currently have 
    expertise and capacity.
        A. Technical Assistance for HIV Prevention Service Delivery;
        B. Technical Assistance for Management and Administrative Capacity;
        C. Technical Assistance to ensure the needs of racial and ethnic 
    minority populations are addressed in Community Planning; or
        D. Technical Assistance to develop community capacity for 
    leadership in HIV prevention programs and policy making.
    
    5. Evaluation Criteria (MOTA)
    
        Criteria A through G will be scored, but weights have not been 
    assigned. Public comment is encouraged.
        A. Assessment of Need and Justification for Proposed Activities.
        B. Long-term Goals.
        C. Organizational History and Capacity.
        D. Program Proposal.
        (1) Involvement of Target Population.
        (2) Appropriateness of Interventions.
        (3) Objectives.
        (4) Plan of Operations.
        (5) Scientific, Theoretical, Conceptual, or Program Experience 
    Foundation.
        (6) Coordination and Collaboration.
        (7) Time Line.
        E. Evaluation Plan.
        F. Communication and Dissemination Plan.
        G. Plan for Acquiring Additional or Matching Resources.
        H. Budget/Staffing Breakdown and Justification (not scored).
        I. Training and Technical Assistance Plan (not scored).
    
    Community Coalition Demonstration Program
    
        The purpose of this program is to improve the health status of 
    African American community members by increasing access to linked 
    networks of health services including HIV, STD, TB, and substance abuse 
    prevention, treatment, and care.
    
    1. Goals (Community Coalition)
    
        A. Plan and develop a linked network of HIV, STD, TB, and substance 
    abuse prevention, treatment, and care services for African American and 
    Latino community members,
        B. Strengthen existing linkages among local prevention, treatment, 
    and care providers to better serve African American and Latino 
    communities heavily affected by HIV, STD, TB, and substance abuse.
    
    2. Eligible Applicants (Community Coalition)
    
        A. Local non-profit health, social service, or voluntary service 
    organizations, or CBOs with IRS-determined 501(c) tax-exempt status and 
    a governing or advisory body composed of more than 50 percent of the 
    racial or ethnic minority population to be served.
        B. Applications under this announcement will be categorized into 
    one of two mutually exclusive groups:
        (1) Organizations serving communities located in high HIV 
    prevalence MSAs, or
        (2) Organizations serving communities located in lower HIV 
    prevalence geographic areas.
    
    3. Availability of Funds (Community Coalition)
    
    A. Phase 1 (Year 1)
        Approximately 20 organizations will be funded in 1999 to plan and 
    design a linked network of services in African American or Latino 
    communities highly affected by HIV, STD, TB, and substance abuse. 
    Approximately $2,750,000 will be available to fund approximately 15 
    projects in the high prevalence MSAs listed under CBOs. It is estimated 
    that the average award will be $180,000, ranging from $75,000 to 
    $300,000. Approximately $750,000 will be available in FY 1999 to fund 
    approximately 5 projects in lower HIV prevalence geographic areas 
    listed under CBOs. It is estimated that the average award will be 
    $150,000, ranging from $50,000 to $200,000.
    B. Phase 2 (Year 2-5)
        Three to five of the Phase 1 grantees will receive continuation 
    awards for
    
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    Phase 2. Selection of Phase 2 grantees will be based on the extent and 
    quality of progress in the planning and designing phase. The number of 
    Phase 2 awards will be based on availability of funds. Phase 2 awards 
    will be made for a 12-month budget period within a project period of up 
    to four years.
        Applications for more than $300,000 in high prevalence areas and 
    $200,000 in low prevalence areas will be deemed ineligible.
    C. Funding Priorities
        In making awards for Phase 1, priority will be given to assuring 
    geographic distribution nationally consistent with HIV/AIDS morbidity.
    
    4. Program Requirements (Community Coalition)
    
    A. Phase 1
        The recipient will be responsible for coordinating efforts among 
    collaborating organizations and agencies and will:
        (1) Identify a full-time position with the responsibility, 
    authority, professional training, and experience needed to lead and 
    coordinate program activities of the coalition;
        (2) Convene a work group consisting of representatives from local 
    service providers and affected community members to develop a plan for 
    a linked network of services;
        (3) Identify key community leaders and engage them as part of the 
    coalition;
        (4) Establish linkages with local HIV prevention community planning 
    groups;
        (5) Conduct a community needs assessment, as appropriate;
        (6) Develop an inventory of existing community resources, as 
    appropriate;
        (7) Use information developed by the community planning groups 
    pertinent to the targeted community;
        (8) Establish linkages with existing local and community-based 
    organizations funded by the federal government to prevent and treat 
    HIV/AIDS, other STDs, TB, and substance abuse including local health 
    departments, neighborhood health clinics, WIC programs and family 
    planning clinics;
        (9) Participate in at least one CDC sponsored meeting of funded 
    agencies; and
        (10) Begin to implement the plan for a linked network of services.
    B. Phase 2
        The recipient will:
        (1) Fully implement the plan;
        (2) Serve as liaison among members of the coalition to provide 
    management oversight, facilitate program implementation and operations, 
    and maintain effective working relationships; and
        (3) Conduct an evaluation of the system and of client outcomes.
    
    5. Evaluation Criteria (Community Coalition)
    
        A. Assessment of Need and Justification for Proposed Activities 
    (Total 20 Points).
        B. Long-term Goals (Total 5 points).
        C. Existing Collaborative Activities and Organizational History and 
    Capacity (25 points).
        D. Program Plan (25 points).
        E. Program Management and Staffing Plan (10 points).
        F. Communication and Dissemination Plan (5 points).
        G. Evidence of Support from the Target Community (10 points).
        H. Plan for Acquiring Additional or Matching Resources (not 
    scored).
        I. Budget Breakdown and Justification (not scored).
        J. Training and Technical Assistance Plan (not scored).
    
        Dated: February 11, 1999.
    Joseph R. Carter,
    Acting Associate Director for Management and Operations, Centers for 
    Disease Control and Prevention (CDC).
    [FR Doc. 99-3939 Filed 2-17-99; 8:45 am]
    BILLING CODE 4163-18-P
    
    
    

Document Information

Published:
02/18/1999
Department:
Centers for Disease Control and Prevention
Entry Type:
Notice
Action:
Notice and request for comments.
Document Number:
99-3939
Dates:
The public is invited to submit comments by March 4, 1999.
Pages:
8106-8109 (4 pages)
PDF File:
99-3939.pdf