[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.
[[Page 8107]]
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)
[[Page 8108]]
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
