[Federal Register Volume 60, Number 19 (Monday, January 30, 1995)]
[Notices]
[Pages 5683-5687]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-2171]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement Number 514]
RIN 0905-ZA85
Sexually Transmitted Diseases/Human Immunodeficiency Virus
Prevention Training Centers
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 1995 funds for cooperative agreements
to continue the Sexually Transmitted Diseases/Human Immunodeficiency
Virus (STD/HIV) Prevention Training Centers (PTCs) program. The
objective of these awards is to support innovative professional
training programs in integrated STD and HIV client management within a
national network of STD/HIV PTCs to achieve a comprehensive prevention
strategy, including clinical, health behavioral, and partner counseling
interventions.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives of ``Healthy People
2000,'' a PHS-led national activity to reduce morbidity and mortality
and improve the quality of life. This announcement is related to the
priority areas of STDs and HIV infection. (For ordering a copy of
``Healthy People 2000,'' see the section ``Where to Obtain Additional
Information.'')
Authority
This program is authorized under the Public Health Service Act
section 318 (42 U.S.C. 247c), section 301 (42 U.S.C. 241), section 311
(42 U.S.C. 243), and section 317 (42 U.S.C. 247b), as amended.
Regulations governing Grants for STD Research Demonstrations and Public
and Professional Education are codified in Part 51b, Subparts A and F
of Title 42, Code of Federal Regulations.
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and to promote the non-use of all
tobacco products, and Public Law 103-227, the Pro-Children Act of 1994,
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.
Elibigle Applicants
Eligible applicants are the official public health agencies of
State and local governments or their bona fide agents. This includes
the District of Columbia, American Samoa, the Commonwealth of Puerto
Rico, the Virgin Islands, the Federated States of Micronesia, Guam, the
Northern Mariana Islands, the Republic of the Marshall Islands, the
Republic of Palau, and federally recognized Indian tribal governments.
Applicants from local public health agencies must document the
concurrence of the State or territorial health agency.
Availability of Funds
Approximately $5.6 million is available in FY 1995 to fund
approximately ten awards for a 12-month budget period within a 5-year
project period. All applicants must compete for Part I (Clinical
Services Training). Part II (Health Behavior Training) and Part III
(Partner Counseling Training) are elective. Up to $4 million will be
available to fund 10 awards in Part I. It is expected that the average
award for Part I will be $375,000, ranging from $300,000 to $450,000.
For Part II, up to $1 million will be available to fund up to 4 awards
with an anticipated average award of $250,000. For Part III, up to
$600,000 will be available to fund up to 4 awards with an anticipated
average award of $150,000. Funding estimates may vary and are subject
to change.
Part I establishes the funding for this cooperative agreement;
Parts II and III build upon Part I. Only applicants funded under Part I
can receive awards under Part II or Part III. Separate funding will be
established for awards made under Part I, Part II and Part III for each
recipient. Awards are expected to be made on or about April 1, 1995.
Continuation awards within the project period will depend on
satisfactory progress and the availability of funds. Progress will be
determined by site visits by CDC representatives, progress reports, and
the quality of future program plans.
Use of Funds
Cooperative agreement funds may be used to support personnel,
equipment, and supplies necessary for professional training, including
distance learning activities. Funds may not be used to lease space;
maintain central registries; provide diagnostic and treatment
facilities and services; develop literature for the general public;
provide disease intervention services or HIV counseling and testing: or
to pay other expenses [[Page 5684]] normally supported by the
applicant. Unless specifically approved, funds may not be used for
substantial renovation of facilities. Federal funds may not be used to
replace training support.
In-kind contributions, such as space and reduced service fees, may
be considered in the total program costs.
Program income in the form of participant registration fees may be
collected to offset the costs of conducting training as specified in
this announcement. Program income may support the costs of designing
and delivering additional courses directly related to the objectives of
PTCs and as determined by the assessment of training needs.
Registration fees should be reasonable, i.e., they should not prohibit
the participation of the training audience.
Any materials developed in whole or in part with PHS funds shall be
subject to a nonexclusive, irrevocable, royalty-free license to the
government to reproduce, translate, publish, or otherwise use and
authorize others to use for government purposes.
Purpose
The purpose of this training cooperative agreement is to: (1)
Explore and provide innovative educational methods for health
professionals in public, private, and community sectors, (2) augment
the capacity to reach minority populations in need of services and
improve health benefits for women, infants, and adolescents, (3)
facilitate integrated prevention efforts by building upon the
interrelationships between HIV and other STDs at biologic, behavioral,
and epidemiologic levels, (4) support a comprehensive disease
prevention strategy through clinic-based and community-based
activities, (5) anticipate the emerging health care reform demands to
maintain a knowledgeable, skilled, sensitive, responsive, and
productive national work force, and (6) prepare, through experiential
activities, persons who are studying to be health practitioners.
Training will be accomplished by: (1) Establishing regional
training centers coordinated with CDC to participate in a national
network of quality training instruction in the procedures and
guidelines for integrated STD and HIV client management such as: (a)
the principles and techniques of diagnosis and treatment, (b)
behavioral intervention strategies to prevent or reduce behaviors that
place persons at risk, and (c) partner counseling including referral
and notification; (2) offering clinic-based and community-based
training experiences with clients in a public health setting; (3)
developing capacity in communities by enlisting graduate school faculty
and experts from the community to work in interdisciplinary
partnerships with health departments in the planning, production,
delivery, and evaluation of training; (4) using advances in
communications technology in innovative distance learning
methodologies; and (5) designing analytic methods for educationally
relevant and cost-effective training.
Program Requirements
The recipient will be responsible for conducting activities under
A., and the CDC will be responsible for conducting activities under B.,
below:
A. Recipient Activities
1. Administration: (a) Select a person with management and
educational experience and credentials and give that person primary
responsibility and authority to manage and coordinate all training
activities; (b) organize a PTC steering committee to facilitate clinic-
based, community-based, and regional training; and (c) ensure that PTC
staff are qualified and work collaboratively without duplication of
administrative expense.
2. STD/HIV program-related issues: Maintain liaison with regional,
State, local, and community-based STD and HIV prevention programs and
initiatives (e.g., Prevention of Infertility, HIV Prevention Community
Planning) and other health professional training programs in the PHS
region to determine training needs, to assess educational resources,
and to design, deliver, and evaluate training.
3. Professional Training: (a) Contract with the experts in the
community and graduate schools for faculty, subject experts, behavioral
scientists with field experience, and education and evaluation
consultants for assistance in designing or writing training needs
assessments, educational objectives, curriculum content, instructional
design, state-of-the-art delivery methods, and course evaluation.
Graduate schools include a local school of medicine and other schools
(in the PHS region) offering academic disciplines such as nursing,
social work, psychology, sociology, anthropology, education, and public
health. (b) Establish innovative arrangements with universities such as
graduate assistantships for student academic involvement in PTC
activities.
4. Model Clinic and Community-based Services: Provide a setting
with (a) a public health STD clinic which follows CDC guidelines for
integrated STD and HIV client medical management, clinic operation,
client-centered counseling, and partner counseling, including
elicitation, referral, and notification; (b) community-based
interventions based on behavior change theory, and (c) clinic-based and
community-based training with clients.
5. Distance Learning: Explore, develop, and deliver distance
learning products and accompanying documentation. The products should
be regional or national in scope and usable by other PTCs and training
agencies. Distance learning includes off-site conferences, satellite
broadcasts, remote video instruction, self-study modules, computer-
based training, interactive computer disks, train-the-trainer, and
Internet transmission.
6. Accreditation: (a) Acquire and award continuing medical
education (CME) credit and continuing education units (CEU) that meet
the needs of most course participants, (b) maintain a regional course
registration database, including required CME and CEU documentation,
and (c) coordinate participant data collection with CDC.
7. Evaluation: (a) Determine and measure successful process
indicators, immediate training benefits (impact), and long-range
benefits in STD/HIV prevention (especially for women, infants,
adolescents, and minority populations); and (b) Analyze training costs
including the cost- effectiveness of distance learning.
8. National Prevention Training Network Participation: Individually
and through meetings, participate with all STD/HIV Prevention Training
Centers and CDC in sharing materials and evaluating training.
9. Collaboration: In collaboration with CDC: (a) meet with
technical experts on subject matter and educational theory in the
development of courses (including needs assessment, curriculum design,
and evaluation), and (b) Public Health Training Network (PHTN) and
distance learning coordinators (DLC) in the marketing of distance
learning courses using CDC Wonder.
10. Technical assistance: Collaborate with CDC in course
preparation and delivery by PTC professionals to train staff in health
departments or nongovernmental organizations in support of national
STD/HIV prevention activities.
B. CDC Activities
1. Technical Assistance: (a) Provide STD/HIV subject matter,
educational, and technical experts to assist and advise in the
development of the curriculum; advise on course objectives,
instructional design, and delivery; and [[Page 5685]] ensure that
evaluation is consistent with desired training outcomes, and (b) be
available to the recipient upon request to co-teach selected courses on
clinical, behavioral, and partner counseling.
2. Distance Learning Assistance: Assist in: (a) providing
information on the PHTN, DLCs, and resources; (b) scheduling regional
and national training through CDC Wonder; and (c) establishing an
electronic communication network among the PTCs, the Division of STD/
HIV Prevention grantees, CDC, and graduate school partners.
3. Program Reviews: Conduct site visits: (a) for new recipients, to
review clinical and community-based capabilities; (b) to advise on
instructional design; (c) to provide technical assistance in defining
and resolving problems; and (d) to monitor program implementation,
project management, and analysis.
4. Ensure Training Network Integrity: Provide guidelines,
curriculum, training aids, and software developed by CDC, the PTCs, or
other agencies that provide direction for professional intervention
approaches that preserve client dignity and confidentiality.
5. National Prevention Training Network: Through yearly (or more
frequent) PTC conferences and training meetings, augment the network
capacity of PTC network partners by sharing new curricula and distance
learning strategies.
6. Communication: Through publications, correspondence, narrative
reports, and electronic communication, keep CDC and PTC staff informed
of national issues that affect training and program management.
7. Evaluation: Coordinate and support a national course
registration database, provide adequate staff database training, and
analyze and publish cumulative data on the training effectiveness of
the national network of PTCs.
Evaluation Criteria
Applications requesting funds to support administrative functions
only will be considered nonresponsive. Only information in the
application will be considered. Applications will be evaluated
separately for each part according to the following criteria (maximum
100 points).
1. Quality of Plan
a. Administration: The quality of the plan for committing to
regional or national training, providing leadership and direction,
describing duties of personnel, continuing or expeditiously beginning
training according to a schedule, committing a person to act as medical
school liaison for prescribed duties, obtaining high quality behavioral
science expertise, recruiting faculty who are skilled and experienced
in interactive instruction, and making cost-efficient and quality
arrangements for faculty from graduate schools. (10 points)
b. Training Needs Assessment: The quality of the description of
contacts with STD and HIV prevention programs and initiatives in the
training area, the training partners, and the specific health
professional audiences identified for training. (10 points)
c. Objectives: The extent to which training objectives are
specific, measurable, time-phased, and realistic. (10 points)
d. Clinical and Community-based Capability: The ability to support
training opportunities with clients reflecting regional disease trends
yet providing diverse clinical experiences (e.g., census, disease, sex,
age, and race or ethnicity) as evidenced by descriptions of the local
STD/HIV morbidity, laboratory tests, clinic hours, patient flow,
staffing, significant records, profiles of clients, and prevention
programs. (10 points)
e. Training Capability: The quality of the applicant's ability to
perform training as evidenced by descriptions of training locations,
equipment, storage and security, computer capabilities, distance
learning capabilities, the plan to involve graduate students, the plan
for updating staff, the plan for printing training materials, and the
design of library. (10 points)
f. Training Courses: The quality of the plan to deliver training as
evidenced by a schedule of proposed training courses (including 200
hours of clinical, Part 1; 100 hours of behavioral intervention, Part
II; 500 hours of partner counseling, Part III), assurance of training
experience with clients, distance learning plans, outlines and
objectives for courses, assurance of distribution of training products,
and an intent to collaborate with CDC. (10 points)
2. Innovation
The degree to which the applicant proposes innovative, feasible
approaches such as: (a) using existing resources to avoid duplication
and minimize costs, (b) determining the needs of potential participants
that complement HIV/STD prevention programs, (c) designing distance-
learning strategies appropriate to needs and audiences, (d) maximizing
the impact of training experiences, (e) using a variety of effective
training techniques, (f) making arrangements for graduate students to
be academically involved in PTC activities, and (g) working with new
partners. (20 points)
3. Strength of Training Evaluation
The quality of the applicant's plans to (a) acquire and commit the
expertise to perform quality evaluation (e.g., contracts with a local
graduate school), (b) maintain records electronically, (c) coordinate
data collection and system maintenance consistent with a national PTC
course registration database, (d) determine whether course offerings
match needs assessment, (e) assess student gains in knowledge and
skills, (f) assess the application of skills and abilities after
participants return to their workplaces, (g) determine training
benefits for STD/HIV prevention, and (h) develop training cost-benefit
models. (20 points)
4. Budget
Consideration also will be given to the reasonableness of the
budget request, the amount of program income toward total project
costs, amount and nature of in-kind contributions, the proposed use of
project funds, and the need for financial support. The level of support
will depend on the availability of funds. (not scored)
Funding Priorities
Consideration will be given in Part I to applicants who have
established training and clinical capabilities and to funding one PTC
in each of the 10 Public Health Service (PHS) Regions; in Part II to
applicants with demonstrated experience in community-based
interventions and experience in working with behavioral scientists; and
in Part III to applicants with experience in current partner counseling
techniques and with a wide geographic distribution of the applicants.
Interested person are invited to comment on the proposed funding
priority. All comments received on or before February 24, 1995, will be
considered before the funding priority is established. If the funding
priority should change as a result of any comments received, a revised
Announcement will be published in the Federal Register prior to the
final selection of awards.
Written comments should be addressed to: Elizabeth M. Taylor,
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-16, Atlanta, Georgia
30305.
[[Page 5686]]
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. If SPOCs have
any State process recommendations on applications submitted to CDC,
they should send them to Elizabeth M. Taylor, 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-16, Atlanta, GA 30305, not later than
60 days after due date for receipt of applications. The Program
Announcement Number and Program Title should be referenced on the
document. CDC 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 Elizabeth M. Taylor, 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-16, Atlanta, GA 30305. This should be done no later than 60
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 not subject to the Public Health System Reporting
Requirements.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance Number is 93.978,
Sexually Transmitted Disease Research, Demonstrations, and Public
Information and Education Grants, and 93.941, HIV Demonstration,
Research, Public and Professional Education Projects.
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.
Confidentiality
Applicants must have in place systems to ensure the confidentiality
of patient records.
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 1992)(a copy is in
the application kit). To meet 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 also be an employee (or a designated
representative) of a State or local health department. 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.
Before funds can be used to develop HIV/AIDS-related materials,
determine whether suitable materials are already available at the CDC
National AIDS Clearinghouse.
Application Submission and Deadline
The application for Part I (excluding legally required assurance
pages and forms, and budget justification) including the programmatic
narrative content, illustrations, and examples should not exceed 40
(8\1/2\'' x 11'') pages, single spaced, single sided and with 1-inch
margins, 12 cpi font, and numbered on each page. Applications for Parts
II and III should not exceed 20 pages each. The programmatic narrative
content should also be submitted in electronic format on a 3.5'' double
sided, high-density diskette, in WordPerfect 5.1 or ASCII. On or before
February 24, 1995, submit the original and two copies of the
application (Form PHS 5161-1--OMB Number 0937-0189) and one electronic
copy on disk to Elizabeth M. Taylor, Grants Management Officer, Grants
Management Branch, Procurement and Grants Office, Center for Disease
Control and Prevention (CDC), 255 East Paces Ferry Road, NE., Room 300,
Mailstop E-16, Atlanta, GA 30305.
1. Deadline: Applications shall be considered as meeting the
deadline if they are:
A. Received on or before the deadline or
B. Sent on or before the deadline date and received in time for
submission to the independent review committee. (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 will not be acceptable proof of timely
mailing.)
2. Late Applications: Applications that do not meet the criteria in
1.A. or 1.B. are considered late applications and will not be
considered in the current competition and will be returned to the
applicant.
Where To Obtain Additional Information
A complete program description, information on application
procedures, an application package, and business management technical
assistance may be obtained from Manuel Lambrinos, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Room 300, Atlanta, GA 30305, telephone (404) 842-6777, FAX
(404) 842-6513. Programmatic technical assistance may be obtained from
Robert B. Emerson, Clinical Services Training Coordinator, Training and
Education Branch, Division of STD/HIV Prevention, National Center for
Prevention Services (NCPS), Centers for Disease Control and Prevention
(CDC), 1600 Clifton Road, NE., MS E-02, Atlanta, GA 30333, telephone
(404) 639-8357, FAX (404) 639-8609, (Bitnet or Internet
[email protected]).
Please refer to Announcement 514 ``STD/HIV Prevention Training
Centers'' when requesting information or 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 [[Page 5687]] Office, Washington, DC 20402-9325, telephone
(202) 783-3238.
Dated: January 24, 1995.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 95-2171 Filed 1-27-95; 8:45 am]
BILLING CODE 4163-18-P