[Federal Register Volume 59, Number 122 (Monday, June 27, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-15477]


[[Page Unknown]]

[Federal Register: June 27, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
RIN 0905-ZA70
[Program Announcement Number 476]

 

Violence Against Women; Multifaceted Community-Based 
Demonstration Projects; Notice of Availability of Funds For Fiscal Year 
1994

Introduction

    The Centers for Disease Control and Prevention (CDC) announce the 
availability of fiscal year (FY) 1994 funds for cooperative agreements 
to create multifaceted community-based Violence Against Women (VAW) 
prevention demonstration projects.
    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention objectives described in 
``Healthy People 2000,'' a PHS-led national activity to reduce 
morbidity and mortality and improve the quality of life. This 
announcement is related to the priority area of Violent and Abusive 
Behavior. (For ordering a copy of ``Healthy People 2000,'' see the 
section, ``Where to Obtain Additional Information.'')

Authority

    This program announcement is authorized under sections 301, 317, 
391, 392 and 393, of the Public Health Service Act (42 U.S.C. 241, 
247b, 280b, 280b-1 and 280b-2), as amended.

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

    Applications may be submitted by public and private, nonprofit and 
for-profit organizations, and governments and their agencies. Thus, 
universities, colleges, research institutions, hospitals, other public 
and private organizations, State and local governments or their bona 
fide agents, federally recognized Indian tribal governments, Indian 
tribes or Indian tribal organizations, and small, minority- and/or 
women-owned businesses are eligible to apply.

Availability of Funds

    Approximately $1,375,000 is available in FY 1994 to fund up to five 
demonstration projects. Awards are expected to range from $250,000 to 
$300,000 with an average award of $275,000, and are expected to begin 
on or about September 30, 1994. Awards will be made for a 12-month 
budget period within a project period up to 5 years. Funding estimates 
may vary and are subject to change. Non-competing continuation awards 
for new budget periods within the approved project period will be made 
on the basis of satisfactory progress as evidenced by required reports 
and site visits.

    Note: At the request of the applicant, Federal personnel may be 
assigned to a project area in lieu of a portion of the financial 
assistance.

Definitions

    Violence Against Women (VAW) is defined as threatened or actual use 
of physical force against a woman that either results or has the 
potential to result in injury or death. This type of violence includes 
the physical, sexual, or psychological assault of women by partners, 
intimates, family members, and acquaintances. Commonly referenced types 
of behavior that fit within this definition include family and intimate 
violence, spouse abuse, partner abuse (including same sex 
relationships), women battering, courtship violence, sexual assault, 
and date rape. Public health approaches violence as a health issue and 
consequently, uses injuries, both fatal and nonfatal, psychological and 
physical, to quantify the impact of violence.
    For the purposes of this announcement, the area of attention is in 
primary prevention of violence against adolescent (12+ years of age) 
and adult women by persons known to the victim (family members, 
partners, and intimates) rather than by strangers.
    Interventions for VAW may encompass training/education, legal 
(e.g., mandatory arrest policies), behavioral, or environmental change 
strategies. Multifaceted programs are programs which incorporate 
multiple interventions aimed at reducing the incidence of VAW and that 
results in injury or death. Since beliefs and behaviors are difficult 
to change, effective prevention models require a combination of 
interventions that provide specific strategies for establishing a 
coordinated program. For multifaceted programs to be effective, 
interventions must be complementary. For example, the benefits of 
referral protocols are potentiated by expanding emergency shelter and 
support services for victims.
    No single solution has been effective in the prevention of VAW. To 
maximize effectiveness, primary prevention programs should be based on 
multiple complementary interventions in multiple settings. These 
programs should be community-based and tailored to meet the specific 
needs of the community, including the most effective strategies and 
personnel. Supporting and empowering communities to develop effective 
prevention programs will represent an essential model for delivering 
interventions for those in need. The community-based model has been 
successful in dealing with other public health prevention efforts such 
as HIV prevention.
    Local Planning Group (LPG) is defined as a team of individuals 
drawn from community-based organizations, State and local health 
departments, and a local college or university. The LPG would 
collaborate in the design, implementation, and evaluation of the 
proposed VAW prevention program. A female victim of intimate violence 
should be included as an additional team member. The LPG team 
participants will serve as advisors and consultants on the practical 
and scientific aspects of the proposed intervention and evaluation 
activities. Each member or group represented on the LPG must have its 
proposed activities, responsibilities, and contributions to the success 
of the project clearly defined in the ``Application Content'' section 
of the application. Applicants should also see the ``Program 
Requirements'' section.
    Full working partners are defined as any of the organizations or 
institutions that are collaborating in the VAW prevention project 
either through participation on the local planning group or in some 
other substantive way. It is essential that full working partners' 
duties, responsibilities, and contributions to the success of the 
project are clearly defined in the ``Application Content'' section of 
the application. Applicants should also see the ``Program 
Requirements'' section. For example, a full working partner may have 
access to the community (target population) that the applicant does not 
possess. Because the full working partner is substantially involved in 
the project, the applicant can state that the project as a whole has 
community access.
    Primary prevention is defined as the reduction or control of 
causative factors for a health problem and includes reducing risk 
factors and environmental exposures, and includes health-service 
interventions.

Purpose

    The purposes of this program are to:
    1. Identify or develop potentially effective intervention 
strategies for delivering VAW primary prevention at the community 
level.
    2. Design and implement multifaceted community-based VAW primary 
prevention programs based on these interventions.
    3. Evaluate the extent to which the multifaceted community programs 
reduce rates of violent behavior, injury, and death among intimates.
    4. Develop formal replication guidelines from successful programs 
for disseminating model VAW prevention programs.
    Although a number of existing interventions and/or programs to 
prevent VAW are perceived as useful, little is actually known about 
their effectiveness, their impact on women, and their ability to be 
replicated in a variety of settings. Evaluation will help identify 
those programs that demonstrate the greatest promise for primary 
prevention. Model programs should be able to address a particularly 
important type of VAW or address violence in special settings. 
Comprehensive, multifaceted, and innovative efforts to address VAW may 
include, but are not limited to, the following strategies:
    1. Public awareness campaigns to dispel misconceptions about VAW as 
well as change knowledge, attitudes, and beliefs pertaining to VAW. 
This could include school-based curricula, college- and university-
based efforts, and work-site education programs (non-Federal);
    2. Coordination among the criminal justice system, family and 
intimate violence programs, substance abuse programs, mental health 
centers, and the medical community for referral, intervention, shelter, 
and case management. This could include: (a) Victim identification and 
referral protocols in hospital emergency rooms, community clinics, and 
other health care settings, (b) expansion of emergency shelter and 
support services for victims, and (c) worksite programs (non-Federal) 
including identification and referral for victims through employee 
assistance programs and worksite (non-Federal) promotional campaigns;
    3. Expansion of court-ordered treatment programs for abusers which 
would include intensive counseling and behavior modification treatment; 
or
    4. Training and education programs for professionals in health 
care, legal, and social service fields who deal with potential victims 
and abusers or who are involved in the planning and implementation of 
prevention programs.

Program Requirements

    Applications that do not meet the following requirements will be 
considered non-responsive and will not be reviewed.
    Applicants must:
    1. Demonstrate that women in the target community (adolescents 12+ 
years of age and adult women) are victims of violence and are at risk 
for injury and death from persons known to them rather than by 
strangers.
    2. Demonstrate their or a full working partner's access to the 
target population.
    3. Demonstrate their or a full working partner's experience in the 
area of VAW prevention and in planning, delivering, and managing 
complex interventions.
    4. Demonstrate their or a full working partner's capacity to:
    a. Design comprehensive program evaluations.
    b. Collect and analyze both quantitative and qualitative data.
    c. Synthesize, summarize, and report evaluation results which are 
usable and decision-oriented.
    5. Develop culturally relevant and linguistically appropriate 
designs.
    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

    Within the chronology of the following recipient activities, 
applicants may be at varying stages in program development and 
implementation and may have already accomplished certain activities. 
Recipient activities should include but not necessarily be limited to 
the following:
    1. Develop written protocols to be used in carrying out and 
evaluating the selected interventions which comprise the program. (See 
letter G, Evaluation Plan, numbers 1 through 7, in ``Application 
Content'' section of the Program Announcement included in the 
application kit.)
    2. Develop and pilot test data collection instruments.
    3. Select study sample(s) based on the target population initially 
identified.
    4. Provide necessary training materials, protocols, and assurance 
of competence for personnel who will be conducting various 
interventions, if appropriate. Describe details of integration between 
program interventions.
    5. Collect and compile process, program monitoring and management, 
cost, and outcome data in an ongoing fashion.
    6. Produce replication guidelines which can serve as a template for 
other organizations to reproduce program successes.
    7. Collaborate with CDC in analyzing data and conducting the final 
scientific evaluation of the program's contribution to reducing rates 
of VAW and associated injuries and death.

B. CDC Activities

    1. Provide consultation in conducting surveillance, establishing 
baseline data, defining the target population, designing scientific 
protocols, and evaluating the cost, process(es), and outcomes of the 
multifaceted program.
    2. Collaborate in the design of all phases of the demonstration 
projects. Provide consultation on data collection instruments and 
procedures, and provide coordination of research, evaluation, and 
intervention activities among the cooperative agreement recipients.
    3. Collaborate in data collection strategies and in the analyses 
from these projects and other related activities.
    4. Provide consultation in establishing standardized data 
collection and reporting systems to monitor program activities.
    5. Provide up-to-date scientific information about VAW prevention.

Evaluation Criteria

    Applications will be reviewed and evaluated according to the 
following criteria (maximum 100 total points):

A. Background and Need (10 Points)

    The extent to which the community and target population are victims 
of, or are at risk for, violence and have been affected by injuries and 
deaths associated with such violence. The extent to which the applicant 
provides statistical summaries of the target population and community 
including demographics, morbidity and mortality data, and the 
availability of existing VAW prevention services.

B. Community Access (10 Points)

    The extent to which the applicant has demonstrated an understanding 
of the population at risk, e.g., levels and patterns of risk behavior, 
and cultural and linguistic patterns in the community. The extent to 
which the applicant or full working partner has access to the target 
population and experience in the management and delivery of 
interventions at the community level. The extent to which the applicant 
has detailed its or a full working partner's history of working in the 
field of VAW or with the affected population.

C. Collaboration (20 Points)

    The extent to which the applicant has demonstrated that a full 
working partnership for the design, implementation, and evaluation of 
the project has been established between--at a minimum--a community-
based organization, a university or other institution of higher 
learning, and a State or local health department; also, the extent 
which the applicant or full working partner provides evidence of other, 
beneficial collaborative relationships between service providers and 
researchers, and between government, health, and community-based 
organizations who are or will be involved in the design, 
implementation, and evaluation of the project. Did the applicant submit 
organizational charts of collaborating agencies and institutions? Did 
the applicant establish culturally relevant and linguistically 
appropriate linkages in the community and with paraprofessionals?

D. Goals and Objectives (10 Points)

    The extent to which the applicant's goals are clearly articulated 
and objectives are time-phased, specific, measurable, and achievable; 
the extent to which the outcome objectives intend to achieve a results-
oriented program, measure the degree to which a multifaceted 
intervention program reduces the risk behaviors associated with VAW, 
and reduces the incidence of VAW in the community setting.

E. Plan of Operation and Interventions (15 Points)

    The quality and specificity of the applicant's proposed plan to 
operationalize a program of interventions to prevent injuries and 
deaths associated with VAW. Based on information provided in this 
section, how realistic are the applicant's chances of achieving the 
stated program objectives and for successfully delivering interventions 
at the community level? To what extent the proposed interventions are 
realistic and meet the intended purposes of the funding? To what extent 
does the applicant describe the interventions and their linkages, 
provide evidence of applicability to the target population, and explain 
the interventions' capacities for producing the desired outcomes? How 
well does the applicant ensure the availability of staff and facilities 
to carry out the described program plan?

F. Evaluation Plan (25 Points)

    How well the applicant describes the proposed evaluation design and 
the methods for measuring the processes and outcomes of individual 
interventions; how does the evaluation design purport to measure the 
degree to which these interventions collectively reduce rates of VAW at 
the community level. Does the applicant provide sufficient evidence of 
its or a full working partner's expertise and capacity to collaborate 
with program staff, identify/create and test appropriate instruments, 
and collect and analyze quantitative and qualitative data for measuring 
program effectiveness? How well does the applicant ensure the 
availability of staff and facilities to carry out the described 
evaluation plan?

G. Project Management and Staffing (10 Points)

    The extent to which the management staff and their working partners 
are clearly described, appropriately assigned, and have appropriate 
skills and experiences. The extent to which the applicant or a full 
working partner has the capacity and facilities to design, implement, 
and evaluate a multifaceted intervention project. The extent to which 
the applicant provides details regarding the level of effort and 
allocation of time for each staff position. Did the applicant submit an 
organizational chart and curriculum vitae for each proposed staff 
member? Does the applicant provide details of involving personnel who 
reflect the racial and ethnic composition of the target group?

H. Proposed Budget (Not Scored)

    The extent to which the budget request is clearly explained, 
adequately justified, reasonable, sufficient for the proposed project 
activities, and consistent with the intended use of the cooperative 
agreement funds.

Funding Priorities

    Funding priority under this announcement will be given to: (a) 
Those applicants whose primary interest is in preventing violence 
against adolescent (12+ years of age) and adult women by persons known 
to the victim rather than by strangers, and (b) those applicants that 
plan to undertake primary prevention activities.
    Public comments are not being solicited regarding the funding 
priority because time does not permit solicitation and review prior to 
the funding date.

Executive Order 12372 Review

    Applications are subject to the 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 of each affected State. A 
current list of SPOCs is included in the application kit. If SPOCs have 
any State process recommendations on applications submitted to CDC, 
they should forward them to Henry S. Cassell III, Grants Management 
Officer, Grants Management Branch, Procurement and Grants Office, 
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry 
Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, no later 
than 30 days after the application deadline date. (A waiver for the 60-
day requirement has been requested.) The granting agency does not 
guarantee to ``accommodate or explain'' State process recommendations 
it receives after that date.
    Indian tribes are strongly encouraged to request tribal government 
review of the proposed application. If tribal governments have any 
tribal process recommendations on applications submitted to CDC, they 
should forward them to Henry S. Cassell III, Grants Management Officer, 
Grants Management Branch, Procurement and Grants Office, Centers for 
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE., 
Room 300, Mailstop E-13, Atlanta, Georgia 30305. This should be done no 
later than 30 days after the application deadline date. The granting 
agency does not guarantee to ``accommodate or explain'' for tribal 
process recommendations it receives after that date.

Public Health System 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(ies) 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 to 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; and
    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 Assistance Number

    The Catalog of Federal Domestic Assistance number for this project 
is 93.262.

Other Requirements

A. Paperwork Reduction Act

    Projects that involve the collection of information from 10 or more 
individuals and funded by the Violence Against Women Multifaceted 
Community-Based Demonstration Projects Cooperative Agreement program 
will be subject to review by the Office of Management and Budget (OMB) 
under the Paperwork Reduction Act.

B. 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 with the appropriate guidelines and form provided 
in the application kit.
    In addition to other applicable committees, Indian Health Services 
(IHS) institutional review committees also must review the project if 
any component of IHS will be involved or will support the research. If 
any Native American community is involved, its tribal government must 
also approve that portion of the project applicable to it.

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 Henry 
S. Cassell III, Grants Management Officer, Grants Management Branch, 
Procurement and Grants Office, Centers for Disease Control and 
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 300, Mailstop E-
13, Atlanta, Georgia 30305, on or before August 15, 1994.
    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 committee. For proof of timely 
mailing, applicants must request a legibly dated U.S. Postal Service 
postmark or obtain a legibly dated receipt from a commercial carrier or 
the U.S. Postal Service. Private metered postmarks will not be 
acceptable as proof of timely mailing.
    2. Late Applications: Applications that do not meet the criteria in 
1.a. or 1.b. above are considered late. 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 476. You will receive a complete program 
description, information on application procedures, and application 
forms.
    If you have questions after reviewing the contents of all the 
documents, business management technical assistance, and an application 
package may be obtained from Georgia Jang, Grants Management 
Specialist, Grants Management Branch, Procurement and Grants Office, 
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry 
Road, NE., Mailstop E-12, Atlanta, Georgia 30305, telephone (404) 842-
6814.
    Programmatic assistance may be obtained from Chester L. Pogostin, 
D.V.M., M.P.A., Centers for Disease Control and Prevention (CDC), 
National Center for Injury Prevention and Control, Division of Violence 
Prevention, Mailstop F-41, Atlanta, Georgia 30333, telephone (404) 488-
4400.
    Please refer to Announcement Number 476 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) 783-3238.

    Dated: June 21, 1994.
Ladene H. Newton,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).

    Certified to be a true copy of the original.

    Dated: June 21, 1994.
Angie Frey,
Certifying Officer.
[FR Doc. 94-15477 Filed 6-24-94; 8:45 am]
BILLING CODE 4163-18-P