[Federal Register Volume 59, Number 132 (Tuesday, July 12, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-16809]
[[Page Unknown]]
[Federal Register: July 12, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Announcement 454]
Cooperative Agreement To Establish a Health Promotion and Disease
Prevention Initiative Program for African-Americans
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 1994 funds for a cooperative agreement
program to develop a health promotion and disease prevention initiative
to reduce preventable death, sickness, and disability; to reduce
disparities in health; and to enhance the quality of life among
African-Americans.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives of ``Healthy People
2000,'' a PHS-led national activity to reduce morbidity and mortality
and improve the quality of life. This announcement is related to all
the priority areas of Healthy People 2000 as well as the 1985
Secretary's Task Force Report on Black and Minority Health. (For
ordering a copy of ``Healthy People 2000'' or the ``Report of the
Secretary's Task Force on Black and Minority Health,'' see the section
Where to Obtain Additional Information.)
Authority
This program is authorized under Sections 301 (42 U.S.C. 241)
and 317(k)(2) (42 U.S.C. 247b(k)(2)) of the Public Health Service
Act, as amended, and the President's Executive Order 12876 of 1993.
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and promote the non-use of all
tobacco products. This is consistent with the PHS mission to protect
and advance the physical and mental health of the American people.
Eligible Applicants
Eligible applicants are National Minority Organizations (NMOs) and/
or Regional Minority Organizations (RMOs) which principally serve
African-American populations. The African-American population is very
diverse and more targeted strategies and activities are needed to
reduce the growing health gap among this group. Consistent with the
1985 Secretary's Task Force Report on Black and Minority Health, excess
mortality, morbidity and disability continues to disproportionately
affect African-Americans. A more current update of that report
documents continuing excess deaths specifically for African-Americans.
Eligible applicants must submit documentation to demonstrate that they
comply with the following:
1. Are an established tax-exempt organization (a nongovernmental,
tax-exempt corporation or association whose net earnings in no part
lawfully accrue to the benefit of private shareholders or individuals).
The following is acceptable evidence of tax-exempt status: (i) A
reference to the applicant's organization in the Internal Revenue
Service's (IRS) most recent list of tax-exempt organizations described
in Section 501(c)(3) of the IRS code; or (ii) a copy of a currently
valid IRS tax exemption certificate.
2. Have a governing body or board that is composed of more than 50%
racial or ethnic minority group members who are representative of the
population to be served.
3. Have a minimum of 12 months documented experience in operating
and centrally administering a coordinated public health or related
program serving racial or ethnic minority populations within a major
portion or region (multistate or multiterritory) of the United States
through its own offices, organizational affiliates, or the
participation of other minority organizations.
4. Have a specific charge from the Articles of Incorporation or
Bylaws or a resolution from its governing body or board to operate
nationally or regionally (multistate or multiterritory) within the
United States and its Territories.
5. Organizations participating in the program must have agreements
with their affiliates, chapters, or other minority organizations that
each organization must have a governing body or board whose membership
is composed of more than 50% racial or ethnic minority group members
who are representative of the population to be served.
Availability of Funds
A minimum of $100,000 is available in FY 1994 to fund one award.
Additional funds are expected. It is expected that the award will begin
on or about September 30, 1994, for a 12-month budget period within a
project period of up to 5 years. Funding estimates may vary and are
subject to change. Continuation awards within the project period will
be made on the basis of satisfactory progress and the availability of
funds.
Purpose
The principal purpose of the cooperative agreement is to assist an
NMO or RMO to establish the following three components: a Health
Program Unit, a Speakers Bureau, and a National Health Network. This
will allow the awardee to use these components for the following:
Health Program Unit: The awardee will implement preventive
strategies to improve the health of African-Americans by targeting the
seven leading causes of excess deaths in this population. The Health
Program Unit will also develop and implement strategies to improve the
utilization of community health resources by African-Americans.
Speakers Bureau: The awardee will organize a National Speakers
Bureau of health professionals and other professionals to provide oral
presentations on salient health promotion and disease prevention topics
relating to African-Americans at national, State, and local meetings.
Other organizations will have ready access to the Speakers Bureau to
assist in improving disease prevention and health promotion activities
in their areas.
National Health Network: The awardee will assist minority
organizations to: (1) Expand their internal and external organizational
networks, and (2) facilitate the dissemination of health promotion and
disease prevention information to African-Americans. This network will
use the communication systems that already exist in the community to
assist in reaching the target audience.
Program Requirements
In conducting activities to achieve the purpose of this program,
the recipient will be responsible for the activities under A.
(Recipient Activities), and CDC will be responsible for the activities
under B. (CDC Activities).
A. Recipient Activities
1. The Health Program Unit
a. Communicate science-based health promotion and disease
prevention strategies developed with CDC throughout African-American
communities to improve the environment and personal health behaviors of
those living in these communities.
b. Assess ongoing health related activities in various communities
to determine if African-Americans are involved, and to determine if the
activities are appropriate for the target audience (i.e., immunization,
STD/HIV prevention).
c. Focus on the seven leading causes of deaths in African-American
populations, and help design health promotion and disease prevention
materials relevant to the populations served.
d. Improve the utilization of the community health resources by
African-Americans.
e. Develop and disseminate audio-visual and written health
promotion material for the target population.
f. Develop quality of life measures for community members through a
consensus building process (e.g., oral health, mental health). Inform
the target group about health promotion and disease prevention
activities related to the seven leading causes of deaths among African-
Americans that were found in the community.
2. The Speakers Bureau
a. Establish a Speakers Bureau that will improve the information
available to minority organizations concerning health promotion and
disease prevention activities among African-Americans.
b. Design a strategy to access and/or create a reservoir of
professional speakers to address local, State and national audiences on
health promotion and disease prevention needs and practices among
African-Americans.
c. Develop culturally specific measures to encourage African-
Americans to improve their health.
d. Identify subject area experts who will address and integrate the
structural units of health: physical, social, and psychological well-
being. Develop a consensus building strategy to educate the community
about the overlapping influence of these three health components.
e. Develop an effective mechanism through community based
organizations (CBOs), radio, television, or open forum to communicate
current/updated information on health promotion and disease prevention
to individuals and groups in African-American communities.
f. Develop a mechanism to advance health promotion and disease
prevention activities among members of community groups, health
practitioners, educators, advocacy groups, health professions, health
professional schools, and public schools. Share the information at
national conventions and meetings.
3. The National Health Network
a. Identify national, State/district and local African-American
groups to collaborate with the CDC and State and local health
departments.
b. Establish a distribution system to disseminate health promotion
and disease prevention information.
c. Collaborate with national minority health professional
associations, community based organizations, and PHS agencies to
develop an effective plan to implement health promotion and disease
prevention activities in the African-American communities (e.g.,
immunization).
B. CDC Activities
1. Provide consultation, assistance and support to the grantee in
planning, implementing and evaluating all aspects of the agreement.
2. Collaborate with the grantee in identifying areas of the project
that need evaluation.
3. Collaborate with grantee in identifying priority needs for
public health programs at the local, State, and national levels.
4. Collaborate with the grantee in developing, testing and
validating more effective and efficient disease prevention and health
promotion models to African-Americans.
5. Collaborate with grantee and other concerned parties in
workshops and conferences to exchange current information, opinions and
findings in fields of public health and minority health.
Evaluation Criteria
Applications will be reviewed and evaluated according to the
following criteria:
A. Applicant's Understanding of the Problem (15%)
The extent to which the applicant has a clear, concise
understanding of the requirements, objectives, and purpose of the
cooperative agreement. The extent to which the application reflects an
understanding of the complexities surrounding health promotion, health
disparities and health promotion issues, that have an impact in the
African-American community.
B. Organizational Experience (30%)
The extent to which the applicant has demonstrated skill and
experience in working effectively with community based projects, and
has the ability to establish meaningful relationships with various
community based organizations. The applicant must demonstrate
experience in providing leadership for community projects at the
national, State and local levels. The applicant must provide proof of
experience in sharing financial or technical resources with CBOs,
affiliates, and chapters that provide a variety of services directly to
racial and ethnic minority populations.
C. Approach and Capability (40%)
The extent to which the applicant has included a description of
their approach and track record on developing a network which includes
the various segments of the African-American community at national,
State and local levels. The grantee must demonstrate geographical
distributions, and their ability to influence policy of the various
community groups.
D. Program Personnel (15%)
The adequacy of the description for present staff and capabilities
of the organization to assemble culturally competent and trained staff
to conduct all three components proposed in this health promotion and
disease prevention initiative. The applicant shall identify all current
and potential personnel who will be utilized to work on this
cooperative agreement, including qualifications and specific experience
as it relates to the requirements set forth in this request. The
organization must provide proof that their program and administrative
staff and the program and administrative staff of affiliates and
participating organizations involved in the project are representative
of the communities and population to be served.
E. Budget Justification and Adequacy of Facilities (not scored)
The budget will be evaluated for the extent to which it is
reasonable, clearly justified, and consistent with the intended use of
cooperative agreement funds.
F. Evidence of Compliance With Eligibility Requirements
Each applicant must provide documentation that they comply with all
eligibility requirements specified under the ``Eligible Applicants''
section. Failure to provide this documentation will result in
disqualification. It is suggested that each applicant provide a
separate section in their application entitled ``eligibility
narrative.''
Executive Order 12372
Applications are not subject to review by Executive Order 12372,
Intergovernmental Review of Federal Programs.
Public Health System Reporting Requirement
This program is not subject to the Public Health System Reporting
Requirements.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance Number is 93.283.
Other Requirement
Human Subjects
If the proposed project involves research on human subjects, the
applicant must comply with the Department of Health and Human Services
Regulations, 45 CFR Part 46, regarding the protection of human
subjects. Assurance must be provided to demonstrate that the project
will be subject to initial and continuing review by an appropriate
institutional review committee. The applicant will be responsible for
providing assurance in accordance with the appropriate guidelines and
forms provided in the application kit.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1 must
be submitted to Clara M. Jenkins, Grants Management Officer, Grants
Management Branch, Procurement and Grants Office, Centers for Disease
Control and Prevention (CDC), 255 East Paces Ferry Road, NE., Room 320,
Mail Stop E-15, Atlanta, GA 30305, on or before August 15, 1994.
1. Deadlines: 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 objective 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.)
2. Late Applications: Applications which do not meet the criteria
in 1.(a) or 1.(b) above are considered late applications. Late
applications will not be considered in the current competition and will
be returned unread to the applicant.
Where To Obtain Additional Information
A complete program description, information on application
procedures, application package and business management technical
assistance may be obtained from Van Malone, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Room 320, Mail Stop E-15, Atlanta, Georgia 30305, telephone
(404) 842-6872. Programmatic technical assistance may be obtained from
Karen Harris, Staff Specialist for Minority Health, Office of the
Director, Centers for Disease Control and Prevention (CDC), 1600
Clifton Road, Mail Stop D-39, Atlanta, GA 30333, telephone (404) 639-
0029.
Please refer to Announcement Number 454 when requesting information
and submitting an application.
Potential applicants may obtain a copy of ``Healthy People 2000''
(Full Report, Stock No. 017-001-00474-0), ``Healthy People 2000''
(Summary Report, Stock No. 017-001-00473-1) or ``Report of the
Secretary's Task Force on Black and Minority Health'' (Full report,
Stock No. 491-313-44706) referenced in the ``Introduction'' through the
Superintendent of Documents, Government Printing Office, Washington,
DC, 20402-9325, telephone (202) 783-3238.
Dated: July 6, 1994.
Martha Katz,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 94-16809 Filed 7-11-94; 8:45 am]
BILLING CODE 4163-18-P
