Grants and cooperative agreements; availability, etc.: Human immunodeficiency virus (HIV) building assistance to improve delivery and effectiveness of prevention services for racial and ethnic minority populations,
[Federal Register: September 7, 1999 (Volume 64, Number 172)]
[Notices]
[Page 48648-48653]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr07se99-79]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
Capacity-Building Assistance (CBA) To Improve the Delivery and Effectiveness of Human Immunodeficiency Virus (HIV) Prevention Services for Racial and Ethnic Minority Populations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (DHHS).
ACTION: Request for comments.
SUMMARY: In Fiscal Year 2000, CDC will provide approximately 8.4 million dollars to support racial and ethnic
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minority non-governmental organizations (NGOs) to carry out capacity- building activities that will strengthen the delivery and effectiveness of HIV prevention programs and services for racial and ethnic minority populations.
On June 30, 1999, CDC published in the Federal Register [64 FR 35170] a summary of this proposed program and requested public comments. Upon receipt of these comments, the CDC revised the proposed program and is again requesting additional comments. After consideration of additional comments submitted, the CDC will publish a program announcement to solicit applications. A more complete description of the goals of this program, the target applicants, availability of funds, program requirements, and evaluation criteria follows.
DATES: The public is invited to submit comments by September 21, 1999. The National Center for HIV, STD, and TB Prevention, Division of HIV/ AIDS Prevention will host a Consultation on September 9-10, 1999, in Atlanta, Georgia to solicit additional comments on the Summary Statement for Capacity-Building Assistance (CBA) to Improve the Delivery and Effectiveness of Human Immunodeficiency Virus (HIV) Prevention Services for Racial and Ethnic Minority Populations.
ADDRESSES: Submit comments to: Technical Information and Communications Branch, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, NE, Mail Stop E49, 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 (CDC), 1600 Clifton Road, NE, Mail Stop E49, Atlanta, GA 30333, Fax (404) 639-2007, E-mail address: HIVMAIL@CDC.GOV, Telephone (404) 639-2072.
Supplementary Information
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Program Purpose
The primary purpose of this program is to provide financial and programmatic assistance to national, regional, and local non- governmental minority organizations to develop and implement regionally structured and integrated capacity-building assistance systems that will sustain, improve, and expand local HIV prevention services for racial and ethnic minority individuals whose behaviors place them at risk for acquiring or transmitting HIV and other sexually transmitted diseases (STDs). For this program, capacity-building assistance is defined as the provision of information, new HIV prevention technologies, consultation, technical services, and training for individuals and organizations to improve the delivery and effectiveness of HIV prevention services.
Capacity-building assistance developed under this program will be provided in 4 priority areas as follows: (1) Strengthening Organizational Infrastructure for HIV Prevention, (2) Enhancing HIV Prevention Interventions, (3) Mobilizing Communities for HIV Prevention, and (4) Strengthening HIV Prevention Community Planning.
Capacity-building assistance in Priority Areas (1), (2), and (4) will be regionally structured and delivered to the intended audience within four regional groups as follows:
Northeast Region: CT, MA, ME, NH, NJ, NY, PA, PR, RI, VT, U.S. Virgin Islands Midwest Region: IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI South Region: AL, AR, D.C., DE, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV West Region: AK, AZ, CA, CO, HI, ID, NV, NM, OR, MT, UT, WA, WY, American Samoa, Commonwealth of Northern Mariana Islands, Federated States of Micronesia, Guam, Republic of Marshall Islands, Palau
Capacity-building assistance in Priority Area (3) can be structured and delivered within any of the four regional groups identified above, but can also be targeted according to identifiable patterns of minority subcultures and affinity groups (e.g., migrant streams, faith leaders, injection drug using networks).
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Goals
The goals for this program are as follows:
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Priority Area (1): Strengthening Organizational Infrastructure
Improve the capacity of community-based organizations (CBOs) to develop and sustain organizational infrastructures that support the delivery of HIV prevention program services and interventions.
The emphasis for providing capacity-building assistance in Priority Area (1) is for CBOs funded directly by CDC. Other CBOs can be provided assistance, if funding is sufficient for expanded services.
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Priority Area (2): Enhancing Interventions
Improve the capacity of CBOs to design, develop, implement, and evaluate effective HIV prevention interventions for racial/ethnic minority populations at risk for acquiring or transmitting HIV and other STDs.
The emphasis for providing capacity-building assistance in Priority Area (2) is for CBOs funded directly by CDC, and CBOs funded by State or local health departments. Other organizations can be provided assistance in Priority Area (2), if funding is sufficient for expanded services.
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Priority Area (3): Mobilizing Communities for HIV Prevention
Improve the capacity of CBOs and other community stakeholders to engage and develop their communities for the purpose of increasing their awareness, leadership, participation in, and support for HIV prevention.
The emphasis for providing capacity-building assistance in Priority Area (3) is for CBOs and other community stakeholders relating to racial and ethnic minority communities heavily affected by the HIV/AIDS epidemic.
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Priority Area (4): Strengthening HIV Prevention Community Planning
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Enhance the capacity of CBOs, health departments, and other community stakeholders to effectively participate in and support the HIV prevention community planning process.
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Enhance the capacity of community planning groups (CPGs) to support and involve racial and ethnic minority participants in the community planning process and to increase Parity, Inclusion, and Representation (PIR) .
The emphasis for providing capacity-building assistance in Priority Area (4) is for community planning groups, CBOs and other community stakeholders, and health departments. For the purpose of this program announcement, community stakeholders are individuals, groups, or organizations in the target community that have an interest or stake in preventing HIV and are potential or actual agents of change.
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Priority Areas
In the following sections, information will be described on eligible applicants, availability of funds, funding priorities, program requirements, and evaluation criteria for each of the priority areas. Organizations may apply for more than one priority area. However, a separate application must be submitted for each priority area.
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Priority Area (1): Strengthening Organizational Infrastructure
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Eligibility
Eligible applicants are national minority organizations, or for- profit small minority businesses. Applicants must meet the following criteria:
(1) Small minority businesses
(a) Have obtained 8A status from the Small Business Administration (SBA).
(b) Have minority ownership of the business.
(c) Have a 3-year track record providing organizational capacity- building assistance to CBOs serving racial and ethnic minority population(s).
(d) Have racial and ethnic minority persons serve in greater than 50 percent of key positions in the organization, including management, supervisory, administrative, and service provision positions (for example, company executive officer, program director, fiscal director, or capacity-building assistance providers).
(2) National non-governmental minority organizations
(a) Have a currently-valid IRS Tax Determination 501(C)3 status.
(b) Have a documented and established 3-year record of service providing organizational capacity-building assistance to CBOs serving racial and ethnic minority population(s).
(c) Have a governing body composed of greater than 50 percent racial and ethnic minority members.
(d) Have racial and ethnic minority persons serve in greater than 50 percent of key positions in the organization, including management, supervisory, administrative, and service provision positions (for example, executive director, program director, fiscal director, technical assistance provider, trainer, curricula development specialist, or group facilitator).
Applicants applying for Priority Area (1) must serve CBOs in all 4 regions specified above and provide assistance to CBOs providing services to all 4 major racial/ethnic groups which are as follows: Black or African-American, Hispanic or Latino, American Indian or Alaskan Native, and Asian/Native Hawaiian or Other Pacific Islander. b. Availability of Funds
Up to $2.0 million is expected to be available in FY 2000 to fund 1-4 programs. It is expected that the awards will begin in March, 2000, and will be made for a 12-month budget period within a project period of up to five years. c. Funding Priorities
In making funding decisions, efforts will be made to ensure capacity-building assistance for all CDC-funded CBOs. d. Program Requirements
The program requirements are as follows:
(1) Conduct an assessment of the governance, management, administrative, and fiscal systems of all CDC funded CBOs.
(2) Develop and implement a plan for targeting, engaging, and maintaining long-term capacity-building relationships with CDC-funded CBOs. The plan should include strategies for conducting ongoing needs assessments and developing tailored multi-component capacity-building packages to be delivered over the long-term and as appropriate to the identified needs.
(3) Ensure the effective and efficient provision of capacity- building assistance to strengthen organizational infrastructure. Examples include, but are not limited to, organizational evaluation and assessment, board development, human resource management, fiscal management, strategic planning, HIV prevention policy development, and implementation of quality assurance measures (a more complete list will be provided in the program announcement). These services are to be provided through the use of the following delivery mechanisms: Information Transfer, Skills Building, Technical Consultation, Technical Services, and Technology Transfer.
(4) Develop and implement a system that responds to capacity- building assistance requests. This system must include mechanisms for assessing and prioritizing requests; linking requests to other capacity-building resources; and to services provided in Priority Areas (2), (3) and (4); delivering capacity-building services; and conducting quality assurance.
(5) Create, utilize, and support a regionally structured resource network that includes consultants and other subject matter experts with expertise in strengthening organizational infrastructure. Emphasize the use of locally-based consultants. Supportive services for the resource networks include, but are not limited to, developing training materials (technical service) and conducting orientation (information transfer) for consultants to assist them with delivering effective and efficient services that follow national standards of practice and compliment CDC's standards and expectations for conducting business and programmatic activities.
(6) Identify, collaborate with, and complement the capacity- building efforts available locally to avoid duplication of effort and to ensure that capacity-building assistance is allocated according to gaps in services and the priority ``Organizational Infrastructure Development and Assessment'' needs of CDC-funded CBOs.
(7) Coordinate program activities with appropriate national, regional, State, and local HIV prevention programs; national, State and local capacity-building providers; and State or local community planning groups.
Site visits by CDC staff may be conducted before final funding decisions are made. A fiscal Recipient Capability Assessment (RCA) may be required of some applicants before funds are awarded.
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Priority Area (2): Enhancing HIV Prevention Interventions
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Eligibility
Eligible applicants are national minority organizations as lead organizations within a coalition serving a specific racial/ethnic minority group within all four regions, or a regional minority organization as the lead organization within a coalition serving a specific racial/ethnic minority group within all four regions. Applicants must meet the following criteria:
(1) Have a currently-valid IRS Tax Determination 501(C)3 status.
(2) Have a documented and established 3-year record of service providing capacity-building assistance in ``Enhancing HIV Prevention Interventions''.
(3) Have a governing body composed of greater than 50 percent of the racial and ethnic minority population to be served.
(4) Have greater than 50 percent of key positions in the organization, including management, supervisory, administrative, and service provision positions filled by members of the racial and ethnic population to be served (for example, executive director, program director, fiscal director, technical assistance provider, trainer, curricula development specialist, or group facilitator).
Members of the coalition must include, at a minimum, an organization located within each of the four regions. The lead applicant can represent one of the four regions. Applicants must apply to serve no more than one of the four major racial/ethnic groups.
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Availability of Funds
Up to 3.5 million is expected to be available in FY 2000 to fund 4 programs. It is expected that the awards will begin in March, 2000, and will be made for a 12-month budget period within a project period of up to five years. c. Funding Priorities
In making funding decisions, efforts will be made to ensure that (1) capacity-building assistance is available for all four regions and all four major ethnic/racial groups, and (2) funding for capacity- building assistance is distributed in proportion to the HIV/AIDS disease burden for the four major racial and ethnic minority populations. d. Program Requirements
The program requirements are as follows:
(1) Ensure the effective and efficient provision of capacity- building assistance to enhance HIV prevention interventions. Examples include, but are not limited to, curricula development, improving cultural competence, service integration, incorporating behavioral science, improving health communication messages, evaluation for intervention effectiveness, and improving risk reduction strategies (a more complete list will be provided in the program announcement). These services are to be provided through the use of the following delivery mechanisms: Information Transfer, Skills Building, Technical Consultation, Technical Services, and Technology Transfer. These services should be culturally appropriate and based in science.
(2) Establish and support a coalition to implement proposed program. The coalition should represent all four regions. Supportive services for the coalition include, but are not limited to, establishing ongoing communication mechanisms, establishing reporting standards, conducting process evaluation, establishing standards of practice, and conducting quality assurance.
(3) Create, utilize, and support regionally-based resource networks that includes the applicant and coalition members' current and proposed staff, researchers, academicians, consultants, and other subject matter experts, and may include collaborative relationships. Emphasize the use of locally-based consultants and experts. Supportive services for the resource networks include, but are not limited to, developing training materials (technical service), diffusion of best program practices and intervention models (technology transfer), and conducting orientation (information transfer) for consultants to assist them with delivering effective and efficient services that follow national standards of practice and compliment CDC's standards and expectations for conducting HIV educational programs and interventions.
(4) Develop and implement a plan for targeting, engaging, and maintaining long-term capacity-building relationships with CBOs. The plan should include strategies for conducting ongoing assessments and evaluations of HIV interventions and the support structures to deliver these interventions, and developing tailored capacity-building packages to be delivered over the long-term and as appropriate to the identified needs.
(5) Develop and implement a system that responds to capacity- building assistance requests. This system must include mechanisms for assessing and prioritizing requests; linking requests to other capacity-building resources and to services provided in Priority Areas (1), (3) and (4); delivering services; and conducting quality assurance.
(6) Identify, collaborate with, and complement the capacity- building efforts available locally to avoid duplication of effort and to ensure that capacity-building assistance is allocated according to gaps in services and the priority ``Enhancing HIV Prevention Interventions `` needs of CBOs serving minority populations at high risk for acquiring and transmitting HIV and other STDs.
(7) Coordinate program activities with appropriate national, regional, State, and local HIV prevention programs, capacity-building providers, and community planning groups.
(8) Evaluate the accomplishment of program objectives and the process and outcomes of capacity-building assistance.
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Priority Area (3): Mobilizing Communities for HIV Prevention
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Eligibility
Eligible applicants are national, regional, or local minority organizations serving a community or communities defined by locality, risk behaviors, HIV/AIDS impact, HIV prevention health problems and needs, patterned social interaction, or a collective identity. At a minimum, Priority Area (3) activities must be conducted in two or more States. Applicants must meet the following criteria:
(1) Have a currently-valid IRS Tax Determination 501(C)3 status.
(2) Have a documented and established 3-year record of service providing capacity-building assistance in ``Community Engagement and Development'.
(3) Have a governing body composed of greater than 50 percent of the racial and ethnic population to be served.
(4) Have racial and ethnic minority persons serve in greater than 50 percent of key positions in the organization, including management, supervisory, administrative, and service provision positions (for example, executive director, program director, fiscal director, technical assistance provider, trainer, curricula development specialist, or group facilitator). b. Availability of Funds
Up to 1.4 million is expected to be available in FY 2000 to fund up to 10 programs. It is expected that the awards will begin in March, 2000, and will be made for a 12-month budget period within a project period of up to five years. c. Funding Priorities
In making funding decisions, efforts will be made to ensure that funding for capacity-building assistance is distributed in proportion to the HIV/AIDS disease burden for the communities to be served. d. Program Requirements
The program requirements are as follows:
(1) Select a defined community or cluster of communities that are defined by locality, risk behaviors, HIV/AIDS impact, HIV prevention health problems and needs, patterned social interaction, or a collective identity.
(2) Identify major opinion leaders across a diverse spectrum of individuals within the community(ties) who can identify high risk groups within the community, involve them in undertaking a community assessment and build consensus on actions that are necessary to strengthen networks for change within the community.
(3) Establish a community board comprised of diverse stakeholders such as (community leaders in areas of health, education, public health, parent groups, civic organizations, religion and political) who can identify and adopt a vision of their community and develop a practical, acceptable and feasible HIV prevention agenda.
(4) Develop a plan of action to provide capacity-building assistance to CBO staff and other community stakeholders that enables them to engage and develop their community or communities. This plan of action may include, but not be
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limited to, training in leadership development, communication and resource network development, coalition building, community mobilization strategy development, community resources and needs assessments, community infrastructure development, policy development and analyses, and services integration and linkage development (a more complete list will be provided in the program announcement). These services are to be provided through the use of the following delivery mechanisms: Information Transfer, Skills Building, Technical Consultation, Technical Services, and Technology Transfer.
(5) Develop, implement, and market a system that responds to requests for assistance in mobilizing communities for HIV prevention. This system must include mechanisms for assessing and prioritizing requests; linking requests to other capacity-building resources and to services provided in Priority Areas (1), (2) and (4); delivering services; and conducting quality assurance.
(6) Develop and implement a plan for targeting, engaging, and maintaining long-term capacity-building relationships with CBOs. The plan should include strategies for conducting ongoing needs assessments and developing tailored capacity-building packages to be delivered over the long-term and as appropriate to the identified needs.
(7) Coordinate program activities with appropriate national, regional, State, and local HIV prevention programs, capacity-building providers, and community planning groups.
(8) Disseminate community engagement and development activities around HIV education and prevention at CDC grantee meetings, site visits, HIV prevention conferences and in publications and manuals.
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Priority Area (4): Strengthening HIV Prevention Community Planning
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Eligibility
Eligible applicants are national minority organizations as lead organizations within a coalition serving a specific racial/ethnic minority group within all four regions, or a regional minority organization as the lead organization within a coalition serving a specific racial/ethnic minority group within all four regions. Applicants must meet the following criteria:
(1) Have a currently-valid IRS Tax Determination 501(C)3 status.
(2) Have a documented and established 3-year record of service providing capacity-building assistance in strengthening HIV Prevention Community Planning.
(3) Have a governing body composed of greater than 50 percent of the racial and ethnic minority population to be served.
(4) Have greater than 50 percent of key positions in the organization, including management, supervisory, administrative, and service provision positions filled by persons of the racial and ethnic minority group to be served (for example, executive director, program director, fiscal director, technical assistance provider, trainer, curricula development specialist, or group facilitator).
Members of the coalition must include, at a minimum, an organization located within each of the four regions. The lead applicant can represent one of the four regions. Applicants must apply to serve no more than one of the four major racial/ethnic groups. b. Availability of Funds
Up to 1.5 million is expected to be available to fund up to 4 programs. It is expected that the awards will begin in March, 2000, and will be made for a 12-month budget period within a project period of up to five years. c. Funding Priorities
In making funding decisions, efforts will be made to ensure that (1) capacity-building assistance is available for all four regions and all four major ethnic/racial groups, and (2) funding for capacity- building assistance is distributed in proportion to the HIV/AIDS disease burden for the four major racial and ethnic minority populations. d. Program Requirements
The program requirements are as follows:
(1) Develop regional action plans to provide capacity-building assistance to community planning groups (CPGs) to improve the ``Parity, Inclusion and Representation'' of racial and ethnic minority populations in State and local HIV prevention community planning groups.
(2) Develop regional action plans to provide capacity-building assistance to CBOs and other community stakeholders that will increase their knowledge, skill and involvement in HIV prevention community planning.
(3) Provide capacity-building assistance to CPGs, CBOs, and community stakeholders to strengthen the participation of racial and ethnic minority individuals in HIV Prevention Community Planning and the effectiveness of HIV Prevention Community Planning. Examples include, but are not limited to, conflict management, understanding community planning, prioritization strategies, leadership development, group and meeting facilitation, cultural competence, and public health policy analyses (a more complete list will be provided in the program announcement). These services are to be provided through the use of the following mechanisms: Information Transfer, Skills Building, Technical Consultation, Technical Services, and Technology Transfer.
(4) Create, utilize, and support regionally-based resource networks that include the applicant and coalition members' current and proposed staff, researchers, academicians, consultants, and other subject matter experts, and may include collaborative relationships. Emphasize the use of locally-based consultants and experts. Supportive services for the resource networks include, but are not limited to, developing training materials (information transfer), diffusion of best program practices and intervention models (technology transfer), and conducting training (skills building) for consultants to help them deliver effective and efficient services that follow national standards of practice and compliment CDC's standards and expectations for conducting effective community planning and HIV prevention services.
(5) Develop and implement a plan for targeting, engaging, and maintaining long-term capacity-building relationships with CPGs, CBOs, and community stakeholders. The plan should include strategies for conducting ongoing needs assessments and developing tailored capacity- building packages to be delivered over the long-term and as appropriate to the identified needs. This plan must be shared with the appropriate health departments and CPGs.
(6) Identify, collaborate with, and complement the capacity- building resources currently available in the region to avoid duplication of effort.
(7) Develop and implement a system that responds to requests for assistance in strengthening HIV Prevention Community Planning. This system must include mechanisms for assessing and prioritizing requests; linking requests to other capacity-building resources and to services provided in Priority Areas (1), (2) and (3); delivering services; and conducting quality assurance.
(8) Ensure that capacity-building assistance is allocated according to priority needs for ``Community Planning Participation and Effectiveness'' in CPGs needing increased Parity,
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Inclusion and Representation among racial and ethnic minority members and community stakeholders.
(9) Design a marketing plan that promotes and educates CBOs and community stakeholders about the HIV prevention community planning process.
(10) Coordinate program activities with appropriate national, regional, State, and local HIV prevention programs, capacity-building providers, and community planning groups.
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Evaluation Criteria
Each application will be evaluated individually against the following criteria by an independent review group appointed by CDC:
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Applicant Organization's Experience and Capacity 2. Justification of Need [Priority Area (3) only] 3. Program Plan 4. Program Evaluation Plan 5. Communication and Dissemination Plan 6. Plan for Acquiring Additional Resources 7. Budget and Staffing Breakdown and Justification (not scored) 8. Training and Technical Assistance Plan (not scored)
Site visits by CDC staff may be conducted before final funding decisions are made. A fiscal Recipient Capability Assessment (RCA) may be required of some applicants before funds are awarded.
Dated: August 31, 1999. Joseph R. Carter, Associate Director for Management and Operations, Centers for Disease Control and Prevention.
[FR Doc. 99-23152Filed9-3-99; 8:45 am]
BILLING CODE 4163-18-P
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