[Federal Register Volume 60, Number 135 (Friday, July 14, 1995)]
[Notices]
[Pages 36286-36290]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-17415]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement 547]
RIN 0905-ZA94
Community Coalition Partnership Programs for the Prevention of
Teen Pregnancy
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 1995 funds for cooperative agreements
to support the efforts of ``hub'' organizations to strengthen and
evaluate the effectiveness of their community program to prevent
initial and repeat teen pregnancies and related problems. These
cooperative agreements will support demonstration projects to plan for
the implementation of appropriate and effective prevention intervention
strategies for reaching the greatest proportion of teenagers in
communities with high rates of teen pregnancy. ``Hub'' organizations
are also encouraged, to the extent that it is feasible and desirable
within their communities, to establish linkages with and participate in
existing community-based efforts funded by the Federal government or
others to prevent HIV/AIDS, sexually transmitted diseases, and first
and repeat pregnancies among teenagers.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention
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objectives of ``Healthy People 2000,'' a PHS-led national activity to
reduce morbidity and mortality and improve the quality of life. This
announcement directly addresses national objectives related to the
priority areas of Family Planning and Educational and Community-Based
Programs. Changes in the teen sexual behaviors will also have a
positive impact on the achievement of HIV Infection and Sexually
Transmitted Diseases national objectives. (For ordering a copy of
``Healthy People 2000,'' see the section Where To Obtain Additional
Information.)
Authority
This program is authorized under Section 317(k)(2) of the Public
Health Service Act, as amended [42 U.S.C. 247b(k)(2)]. Applicable
program regulations are found in 42 CFR Part 51b--Project Grants for
Preventive Health Services.
Smoke-Free Workplace
PHS strongly encourages all grant recipients to provide a smoke-
free workplace and promote the non-use of all tobacco products, and
Public Law 103-227, the Pro-Children Act of 1994, which prohibits
smoking in certain facilities that receive Federal funds in which
education, library, day care, health care and early childhood
development services are provided to children.
Eligible Applicants
Applications may be submitted by ``Hub'' organizations which are
local public and nonprofit private social service, professional, or
voluntary organizations that serve youth; and among others may include
local affiliates of national organizations, hospitals, or local health,
education, social service, mental health, or other local public service
agencies, including local councils of Indian Tribes.
Eligible ``Hub'' organizations must have the following
characteristics:
1. Serve communities (1) of at least 200,000 people and have (2)
teen birth rates that are at least 50 percent above the national
average of 62.1 births per 1,000 women 15-19 years of age--that is,
communities that have birth rates of 93 births per 1000 among women who
are 15-19 years of age, or higher. These data must be documented by a
letter from the local health department that is attached with the
Executive Summary section of the application.
2. The eligible ``Hub'' organization must be the lead organization
for an existing teen pregnancy prevention community coalition of three
or more private nonprofit and/or local public organizations. The
applicant must provide copies of formal agreements that document a
history of collaboration to provide services, assistance, and
opportunities to teens who live, study, and/or work in the community
for the purpose of preventing initial and repeat pregnancies. (Copies
of the formal agreements must be attached with the Executive Summary.)
3. A community is a specific area within which the ``hub''
organization and its partners will focus their efforts to help prevent
teen pregnancies. This area must be defined by one or more contiguous
neighborhoods, school districts, zip codes, or census tracks. The
definition and/or description of the community must be provided with
the Executive Summary section.
4. Eligibility characteristics must be clearly specified in the
Executive Summary section of the application.
Availability of Funds
$3.25 million to $4.5 million is available in FY 1995 to fund
approximately 12 demonstration projects for the development of
Community Coalition Partnerships. It is expected that the average award
will be $270,000, ranging from $150,000 to $300,000. It is expected the
awards will begin on or about September 30, 1995, and will be made for
a 12-month budget period within a project period of up to 2 years.
Funding estimates may vary and are subject to change.
Funds may be used to facilitate the strengthening and expansion of
existing partnership coalitions; the planning and coordination of
coalition program activities; and the documentation and evaluation of
progress. This may include paying for staff time. Funds may not be used
for facilities, direct services, or research.
Continuation awards within the project period will be made on the
basis of satisfactory progress and the availability of funds. CDC
anticipates a new, competitive program announcement for the
availability of funds during FY 1997 to support the implementation of
community coalition partnership programs for the prevention of teen
pregnancy.
Purpose
These cooperative agreement awards are to support the efforts of
``hub'' organizations to enhance their capacity to strengthen and
evaluate the effectiveness of coalition partnership programs; and, to
develop ``Community Action Plans'' for the implementation of
comprehensive community programs for the prevention of initial and
repeat teen pregnancies and related problems.
Program Requirements
``Hub'' organizations should seek to involve all relevant
organizations in the community to work in partnership to prevent teen
pregnancies. The community coalition partnership program should seek to
reach the greatest proportion of teens within the community, giving
emphasis to those teens who are in high risk situations. ``Hub''
organizations are encouraged, to the extent that it is feasible and
desirable within their communities, to establish linkages, and to work
in concert with existing community-based efforts funded by the Federal
government or others to prevent HIV/AIDS, sexually transmitted
diseases, and first and repeat pregnancies among teenagers, as a means
to strengthen the program to prevent teen pregnancy.
``Hub'' organizations will work with current and/or new partner
organizations to enhance the effectiveness of their teen pregnancy
prevention efforts, and to increase the number of teens reached.
Programs will involve teens in community service, job skills
development, and other opportunities that build their self-esteem,
self-sufficiency, and belief in themselves and their futures. In so
doing, programs should strive to provide teens who are not yet sexually
experienced with a strong incentive to remain abstinent, and teens who
are sexually experienced with a strong incentive to delay pregnancies
and childbearing until they are ready and able to assume the role and
responsibilities of parents. For those teens who are sexually active,
programs will promote the consistent and effective use of appropriate
contraceptives, and will facilitate family planning counseling and
services.
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
listed under B. (CDC Activities).
A. Recipient Activities
The ``hub'' organization will coordinate the efforts of coalition
members and facilitate the development of partnerships among members in
support of the community teen pregnancy prevention program. During the
first year, each ``hub'' organization, will work with partner
organizations and involve teens in a meaningful way, to:
1. Plan for the implementation of the general approach described
above by:
a. Conducting a needs assessment to determine (1) the numbers and
rates of
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teen pregnancies and associated demographic and economic
characteristics; (2) why some teens are getting pregnant and others are
not;
(3) the perceived needs of teens; (4) the extent to which these
needs are met in the community, or the extent to which program gaps
exist; (5) the extent to which social norms support postponing teen
pregnancy; and (6) the extent to which teen services, assistance, and
opportunities are appealing, accessible, affordable, sufficiently
intense, are in sufficient quantity and duration, provide for adequate
continuity in ``care providers'', and are known to teens throughout the
community.
b. Identifying effective intervention methods and adapting them for
use with diverse groups of teens who live, study, and/or work in the
program's community such that they build on the cultures of the teens;
and preparing for the use of these interventions in a variety of
community settings that might include, but are not limited to schools,
after-school programs, youth clubs or organizations, clinical or social
service settings, local media, communities of faith, work-sites that
employ teens, and community volunteer service programs.
c. Specifying criteria that will be used to identify teens who are
at greatest risk of becoming pregnant or getting someone pregnant, and
a systematic approach to using these criteria as a means of linking
teens to appropriate prevention services, assistance, and/or
opportunities.
d. Field testing intervention components and modifying the
components based on the results.
e. Prioritizing the gaps in services, assistance, opportunities,
and social norms that need to be addressed, as well as the groups of
teens most in need.
f. Developing a community action plan that establishes realistic
objectives, partner roles, sources of sustainable funding, coordination
mechanisms, approaches to targeting resources and services, schedules
for accomplishing tasks and a delineation of responsibilities, and
plans for evaluating progress and indicators of effectiveness.
2. Provide a full-time position with the responsibility, authority,
professional training, and experience needed for leadership and
coordination of program activities among coalition partners.
3. Serve as liaison between the coalition and its community
partners, and CDC and its national partners.
4. Assess and document progress made, and plan for the evaluation
of indicators of program effectiveness in collaboration with CDC.
5. Share information about program design, implementation, and
effectiveness with other recipients, other communities, and CDC and its
national partners through site visits; demonstration, training, and
dissemination workshops; and other means.
6. Participate in at least two workshops with other recipients,
CDC, and CDC's national partners for the purposes of supporting the
development of recipient community coalition partnership programs and
developing strategies for nationwide replication of effective programs.
B. CDC Activities
1. Provide consultation and technical assistance to recipients with
respect to program activities.
2. Facilitate the development of a national partnership between
private and public sector organizations in support of community
coalition partnership programs to prevent teen pregnancy and related
problems.
3. Coordinate the planning and support of at least two planning,
progress evaluation, demonstration, training, and/or dissemination
workshops together with recipients and national partners.
4. Promote and collaborate in the transfer and dissemination of
information, methods, and findings developed as part of this program.
Evaluation Criteria (Total of 100 Points)
Applications will be reviewed and evaluated according to the
following criteria:
A. Define Teen Pregnancy Problem and Current Prevention Efforts (25
points) The extent to which the applicant substantiates the community's
teen pregnancy problem and identifies target populations of teens to be
reached according to the level of risk of pregnancy that is associated
with their living situation. The extent to which the applicant
identifies gaps in current intervention components and demonstrates
tangible, realistic potential that the existing interventions can be
effectively strengthened or improved.
B. Existing Coalition Program to Prevent Teen Pregnancy (10 points)
The extent to which the existing coalition has a unified, well
organized effort that is focused on clear goals, objectives, and
activities related to the prevention of teen pregnancies; represents
the combined efforts of three or more community organizations; provides
appropriate support for current activities; and demonstrates a long-
term commitment to the existing program.
C. Leadership Capability, Capacity, and Experience of the ``Hub''
Organization (10 points)
The extent to which the applicant demonstrates sufficient
leadership capability and capacity to efficiently and effectively use
the resources requested.
D. Proposed Goals, Objectives, Activities, and Evaluation (30
points)
The extent to which the applicant has submitted specific,
measurable, realistic, goals and objectives that utilize a systematic
approach to reaching a large proportion of teenagers in the community.
Activities appear likely to lead to the accomplishment of goals and
objectives; proposed indicators of program progress and effectiveness
appear implementable, incorporate the use of baseline information, and
represent accepted approaches to program evaluation; the operational
plan provides ample opportunity for the involvement of coalition
partners, including teen councils and other teen groups, and proposes
other appropriate means of obtaining input from teens into the design
and development of the Community Action Plan and program; there is
evidence that proposed intervention components are effective, and that
they are well matched to the diverse groups of teens targeted in the
proposal; and efforts are proposed to extend the use of effective small
scale intervention approaches to a broader scale.
E. Program Management and Staffing Plan (5 points)
The extent to which the roles, responsibilities, lines of
authority, and approach to managing the coalition partners are
described; staffing, job descriptions, organizational chart, and
resumes for proposed and current staff indicate an ability to carry out
the proposed program.
F. Evidence of Partner Support (15 points)
The extent to which partners stipulate in written letters of
support and agreement the delineation of responsibilities, commitment
of resources, and a time frame for the support of the coalition
partnership program. These letters of support and agreement should
further describe the leadership role played by the ``hub'' organization
in the past and present with respect to forging agreed upon goals,
objectives, and operational plans; providing direction and oversight to
the implementation of operational plans;
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mobilizing community resources; and serving as the public relations
representative for the coalition.
G. Sharing of Experience and Information (5 points)
Provide a written statement agreeing to share written program
descriptions, intervention protocols, evaluation protocols, coalition
management methods, training materials, and other useful tools and
information through CDC-sponsored workshops and other approaches to
dissemination, with other cooperative agreement recipients, CDC and its
national partners, and other communities seeking to develop their own
teen pregnancy prevention partnership programs.
H. Budget and Accompanying Justification (Not Weighted)
The extent to which the applicant provides a detailed, itemized
budget, with accompanying justification, that is consistent with the
stated objectives and planned program activities.
Executive Order 12372 Review
Applications are subject to Intergovernmental Review of Federal
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets
up a system for State and local government review of proposed Federal
assistance applications. Applicants (other than federally recognized
Indian tribal governments) should contact their State Single Point of
Contact (SPOC) as early as possible to alert them to the prospective
applications and receive any necessary instructions on the State
process. For proposed projects serving more than one State, the
applicant is advised to contact the SPOC for each affected State. A
current list of SPOCs is included in the application kit. Indian tribes
are strongly encouraged to request tribal government review of the
proposed application. If SPOCs or tribal governments have any process
recommendations on applications submitted to CDC, they should forward
them 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., Atlanta, GA 30305. The
due date for state process recommendations is 30 days after the
application deadline date for new awards [the appropriation for these
awards was received late in the fiscal year and would not allow for an
application receipt date which would accommodate the 60 day State
recommendation process within FY 1995]. The Program Announcement Number
and Program Title should be referenced on the document. The granting
agency does not guarantee to ``accommodate or explain'' for State or
tribal process recommendations it receives after that date.
Public Health Systems Reporting Requirements
This program is subject to the Public Health System Reporting
Requirements. Under these requirements, all community-based
nongovernmental applicants must prepare and submit the items identified
below to the head of the appropriate State and/or local health
agency(s) in the program area(s) that may be impacted by the proposed
project no later than the receipt date of the Federal application. The
appropriate State and/or local health agency is determined by the
applicant. The following information must be provided:
a. A copy of the face page of the application (SF 424).
b. A summary of the project that should be titled ``Public Health
System Impact Statement'' (PHSIS), not exceed one page, and include the
following:
(1) A description of the population to be served;
(2) A summary of the services to be provided;
(3) A description of the coordination plans with the appropriate
State and/or local health agencies.
If the State and/or local health official should desire a copy of
the entire application, it may be obtained from the State Single Point
of Contact (SPOC) or directly from the applicant.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance Number is 93.283.
Other Requirements
Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by the cooperative agreement will be subject to
review by the Office of Management and Budget (OMB) under the Paperwork
Reduction Act.
HIV/AIDS Requirements
Recipients must comply with the document entitled ``Content of
AIDS-Related Written Materials, Pictorials, Audiovisuals,
Questionnaires, Survey Instruments, and Educational Sessions'' (June
15, 1992), a copy of which is included in the application kit. In
complying with the requirements for a program review panel, recipients
are encouraged to use an existing program review panel such as the one
created by the State health department's HIV/AIDS prevention program.
If the recipient forms its own program review panel, at least one
member must be an employee (or a designated representative) of a
government health department consistent with the content guidelines.
The names of the review panel members must be listed on the Assurance
of Compliance Form CDC 0.1113, which is also included in the
application kit. The recipient must submit the program review panel's
report that indicates all materials have been reviewed and approved,
this includes conference agendas. Before funds can be used to obtain
HIV/AIDS-related materials, determine whether suitable materials are
already available at the CDC National AIDS Clearinghouse.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1
(Revised 7/92, OMB Control Number 0937-0189) 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 314, Mail Stop
E-18, Atlanta, GA 30305, on or before August 21, 1995.
1. 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 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 to the applicant.
Where to Obtain Additional Information
To receive additional written information call (404) 332-4561. You
will be asked to leave your name, address, and phone number and will
need to refer to Announcement Number 547. You will receive a complete
program description, information on application procedures, and
application forms.
If you have questions after reviewing the contents of all
documents, business
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management technical assistance may be obtained from Locke Thompson,
Grants Management Specialist, Grants Management Branch, Procurement and
Grants Office, Centers for Disease Control and Prevention (CDC), 255
East Paces Ferry Road, NE., Room 314, Mail Stop E-18, Atlanta, GA
30305, telephone (404) 842-6595. Programmatic technical assistance may
be obtained from Michael E. Dalmat, Dr.P.H., Division of Reproductive
Health, National Center for Chronic Disease Prevention and Health
Promotion, Centers for Disease Control and Prevention (CDC), 4770
Buford Highway, NE., Mail Stop K-20, Atlanta, GA 30341-3724, telephone
(404) 488-5136.
Please refer to Announcement Number 547 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) or ``Healthy People 2000''
(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) 512-1800.
Dated: July 10, 1995.
Arthur C. Jackson,
Associate Director for Management and Operations, Centers for Disease
Control And Prevention (CDC).
[FR Doc. 95-17415 Filed 7-13-95; 8:45 am]
BILLING CODE 4163-18-P
