To
work with State health agencies and other public and private nonprofit
organizations in planning, developing, integrating, coordinating,
or evaluating programs to prevent and control chronic diseases;
assist in monitoring the major behavioral risks associated with
the 10 leading causes of premature death and disability in the United
States including cardiovascular diseases and arthritis; and, establish
new chronic disease prevention programs like Racial and Ethnic Approaches
to Community Health (REACH).
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Grant
funds may be used for costs associated with planning, implementing,
and evaluating chronic disease prevention and control programs.
Cooperative agreement funds may not be used for direct curative
or rehabilitative services.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Eligible applicants are the official
State and territorial health agencies of the United States, the
District of Columbia, the Commonwealth of Puerto Rico, the Virgin
Islands, Guam, the Northern Mariana Islands, the Federated States
of Micronesia, the Republic of the Marshall Islands, the Republic
of Palau, and American Samoa. Other public and private nonprofit
community based organizations are also eligible (see REACH).
Beneficiary
Eligibility: State health agencies and community
based organizations will benefit.
Credentials/Documentation:
Applicants should document the need for assistance, State the
objectives of the project, outline the method of operation, describe
evaluation procedures, and provide a budget with justification
for funds requested. Costs will be determined in accordance with
OMB Circular No. A-87 for State and local governments, OMB Circular
No. A-21 for Educational Institutions, and OMB Circular No. A-122
for nonprofit organizations.
Pre-application
Coordination: Preapplication coordination is
not required. Applications are subject to the review requirements
of the National Health Planning and Resources Development Act of
1974, as amended, by the Health Planning and Resources Development
Act of 1979. This program is eligible for coverage under E.O. 12372,
"Intergovernmental Review of Federal Programs." An applicant should
consult the office or official designated as the single point of
contact in his or her State for more information on the process
the State requires to be followed in applying for assistance, if
the State has selected the program for review.
Application
Procedure: Information on the submission of
applications may be obtained from the Grants Management Officer,
Grants Management Branch, Procurement and Grants Office, Centers
for Disease Control and Prevention, 2920 Brandywine Road, Room
3000, Atlanta, GA 30341. This program is subject to the provisions
of 45 CFR 92 and 74. The standard application forms, as furnished
by PHS and required by 45 CFR 92 for State and local governments,
must be used for these programs.
Award
Procedure: After review and approval, a notice
of award is prepared and processed, along with appropriate notification
to the public.
Deadlines:
Contact CDC Headquarters Office for application deadlines.
Range
of Approval/Disapproval Time: From 3 to 4
months.
Appeals:
Not applicable.
Renewals:
After review and approval, a notice of award is prepared and processed,
along with appropriate notification to the public.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: There are no specific
matching requirements except for the Comprehensive Cardiovascular
Health Program which requires a 20 percent match from State health
agencies.
Length
and Time Phasing of Assistance: Project Period:
From 3 to 5 years. Budget period: Usually 12 months.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Progress reports are required on a semi-annual basis. An annual
Financial Status Report (FSR) is required. Financial status reports
are required no later than 90 days after the end of each specified
funding period. Final financial status and progress reports are
required 90 days after the end of a project.
Audits:
In accordance with the provisions of OMB Circular No. A- 133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in Circular No. A-133. In addition, grants and cooperative agreements
are subject to inspection and audits by DHHS and other Federal
government officials.
Records:
Financial records, supporting documents, statistical records,
and all other records pertinent to the cooperative agreement program
shall be retained for a minimum of 3 years, or until completion
and resolution of any audit in process or pending resolution.
In all cases, records must be retained in accordance with PHS
Grants Policy Statement requirements.
FINANCIAL
INFORMATION:
Account
Identification: 75-0943-0-1-550.
Obligations:
(Grants) Financial Assistance: Cardiovascular (CVH) FY 01 $14,215,784;
FY 02 est $15,000,000; and FY 03 est $16,000,000. Arthritis: FY
01 $4,835,732; FY 02 est $6,086,668; and FY 03 est $6,300,000.
REACH: FY 01 $28,232,391; FY 02 est $26,934,420; and FY 03 est
$25,000,000.
Range
and Average of Financial Assistance:
CVH: Core Programs: $250,000 to $500,000. Average: $300,000.
Comprehensive Programs: $1,000,000 to $1,500,000. Average: $1,250,000.
Arthritis Establishment Programs: $40,000 to $80,000. Average:
$60,000. Planning Programs $200,000 to $380,000. Average:
$320,000. REACH: Phase I $200,000 to $300,000. Average:
$250,000. Phase II $800,000 to $1,000,000. Average: $900,000.
The Cardiovascular Health Program (CVH): CDC funded 27 States and
DC in 2001. Six of the 25 States are funded for comprehensive programs
and 20 States are building core capacity for cardiovascular health.
State CVH programs are defining the CVD burden within their State;
developing a comprehensive CVH State Plan with emphasis on developing
heart-healthy policies, changing physical and social environments,
and reducing disparities; and designing population- based strategies
for the primary and secondary prevention of CVD and promotion of
CVH. CVH plans to fund three core and two more Comprehensive programs
in 2002. Arthritis. The Arthritis Program currently funds 21 States
at the Establishment level. These States are further developing
the public health infrastructure to address arthritis by monitoring
the burden of arthritis, refining their State arthritis plans, and
working with partners to increase awareness and implement programs
to increase the quality of life among persons with arthritis. In
addition to the activities listed under Establishment level funding,
the eight programs funded at the Core level are implementing pilot
programs; examples include a project to increase our knowledge of
physician's roles in increasing self management and projects to
increase the availability of arthritis self management and physical
activity programs. In fiscal year 2002, the Arthritis Program will
fund an additional 7 States at the Establishment level. The REACH
2010 Program initiated 2 program announcements in fiscal year 2001.
One was for the REACH 2010 demonstration grantees to compete for
implementation and evaluation phase funding. Twenty-one (then) current
and former Phase I grantees were eligible to apply for funding for
Phase II activities. The program announcement was PA 00121 and it
was entitled: Racial and Ethnic Approaches to Community Health (REACH
2010) Phase II. Seven of the eligible communities were awarded funding
which brought the total number of communities supported by CDC to
31. Two additional communities received continuation funding for
Phase II activities from the California Endowment through the CDC
Foundation. The second program announcement was PA 01132 for American
Indian/Alaska Native Core Capacity Building Programs. The purpose
of the program is for AI/AN Communities to build core capacity and
augment existing programs to reduce disparities in health outcomes
for one or more of the designated health priority areas. In addition,
the funding was provided to AI/AN communities that demonstrated
need based on high prevalence and related morbidity and mortality
and have limited infrastructure and resources to address health
disparities. "Core capacity" is defined as the development of infrastructure
and support strategies, including networking, partnership formation,
and coalition building to raise and maintain community awareness
and support, as well as national awareness of the health priority
area needs of AI/AN populations. Core capacity programs include
basic health promotion, disease prevention and control functions,
ability to capture data, program coordination related to primary
and secondary prevention, scientific capacity, training and technical
assistance, and culturally competent intervention strategies for
addressing the health priority area needs of AI/AN populations.
Five communities were awarded approximately $1.5 million under this
program announcement. The communities are: Chugachmiut, Chocktaw
Nation of Oklahoma, Albuquerque Area Indian Health Board, Assoc.
of American Indian Physicians, and United South and Eastern Tribes.
These grantees provide capacity building technical assistance to
a broad number of tribes and tribal organizations. The estimated
number of persons to be served is 2,000. The contact for this program
is Chris Tullier who can be contacted at 770-488-5482. The REACH
2010 web site has been completed and available to the pubic at www.cdc.gov/reach2010.
Similar grant activity is anticipated in fiscal year 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
There are program regulations under 42 CFR 51b, Project Grants for
Preventive Health Services. Guidelines are also available from PHS
Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
(Rev.) April 1, 1994, applies to grants and cooperative agreements.
INFORMATION
CONTACTS:
Regional
or Local Office: See Appendix IV.
Headquarters
Office: Program Contact: Mike Waller, Deputy
Director, Division of Adult and Community Health, National Center
for Chronic Disease Prevention and Health Promotion, Centers for
Disease Control and Prevention, Public Health Service, Department
of Health and Human Services, 1600 Clifton Road, NE., Atlanta,
GA 30333. Telephone: (770) 488-5269. Grants Management Contact:
Mildred Garner, Grants Management Officer, Chief, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control
and Prevention, Public Health Service, Department of Health and
Human Services, 2920 Brandywine Road, Suite 3000, Atlanta, GA
30341. Telephone: (770) 488-2730.
Web
Site Address: http://www.cdc.gov/nccdphp
EXAMPLES
OF FUNDED PROJECTS:
The Cardiovascular Health Program (CVH): The New York Healthy Heart
Program has partnered with its Dairy Council to educate the public
about the benefits of drinking low-fat milk. The campaign increased
the sale of milk by five percent and the sale of low fat milk by
15 percent. It has also assessed more than 600 businesses concerning
a heart healthy worksite. Based on this assessment over 300 worksites
have implement changes to make it easier for their employees to
be heart healthy during the workday: offering low-fat food choices
in vending machines, being smoke-free, providing physical activity
breaks during the workday, making stairwells safe, and encouraging
employees to be physically active. The North Carolina CVH Program
provided the Strike Out Stroke program that targets hypertension
in African Americans in partnership with the North Carolina Association
of Pharmacies and through local health departments. The Missouri
CVH Program partners with the State Diabetes Control Program (DCPC)
and Federal qualified health centers to improve outcome measures
related to Diabetes and CVD. Arthritis. The Georgia Division of
Public Health piloted a physical activity program for persons with
arthritis in Georgia's West Central Health District. Three counties,
representing urban, small town, and rural populations, participated.
The program was led by community leaders. Teams of 10 people with
arthritis participated in 10 weeks of physical activity such as
walking, gardening, swimming, and ballroom dancing. Team captains
held group activities for their teams and provided educational materials
and telephone encouragement. Participants kept logs of their physical
activity each week. This project has served as a catalyst for social
change in the area. Local residents recognizing the need for a safe
place to engage in physical activity, have formed a coalition to
advocate for such a place from the county commission. With CDC support,
Alabama is developing and evaluating a community project in an underserved
rural African-American community. This project involves the community
in developing resources for arthritis, including the delivery of
the Arthritis Self help Course. Because of the partnerships developed
through this program, a rheumatologist travels 2 hour from Tuscaloosa
once a month to offer specialized are for people with arthritis.
In addition , the community has recognized the need for a place
in which to walk. Through the arthritis Partnership developed, funds
have been identified which can be used to develop walking trails
within the community. REACH: The Coalition headed by the Lowell
Community Health Center, in Lowell Massachusetts, serves the Cambodian
community. This coalition has held learning tours to familiarize
Cambodians with the emergency medical services and other related
services in the community: police stations, hospitals, City hall.
It has distributed over 1000 brochures and over 1000 t-shirts with
health messages. A health festival was held in FY 2001. Of major
significance due to the numbers of persons that are reached, a weekly
radio program is held by the program director. Fulton County Department
of Health and Wellness maintains a motto of "Wellness through Empowerment."
The health priority area of focus is cardiovascular disease. The
communities served are within the Atlanta Empowerment Zone which
has high rates of CVD. The population served are African American
Families. This REACH 2010 project has over 90 partners within the
coalition. One of these is the Association of Black Cardiologists
(ABC). ABC has recruited 30 churches, and 50 beauty salons and barber
shops and has trained over 150 people to provide CVD education.
Two additional partners, the Sisters Action Team and Male Empowerment
Network (AMEN) have held 10 classes on nutrition and physical fitness
with attendance over 100 people per week. Also, The Divine Universal
Sisterhood, another partner - collaborates with supermarkets and
WIC, has held grocery store surveys, classes, and demonstrations.
CRITERIA
FOR SELECTING PROPOSALS:
Based on the evaluation criteria as published in the program and/or
Federal Register Announcement.
