[Federal Register Volume 60, Number 135 (Friday, July 14, 1995)]
[Notices]
[Pages 36286-36290]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-17415]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement 547]
RIN 0905-ZA94


Community Coalition Partnership Programs for the Prevention of 
Teen Pregnancy

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1995 funds for cooperative agreements 
to support the efforts of ``hub'' organizations to strengthen and 
evaluate the effectiveness of their community program to prevent 
initial and repeat teen pregnancies and related problems. These 
cooperative agreements will support demonstration projects to plan for 
the implementation of appropriate and effective prevention intervention 
strategies for reaching the greatest proportion of teenagers in 
communities with high rates of teen pregnancy. ``Hub'' organizations 
are also encouraged, to the extent that it is feasible and desirable 
within their communities, to establish linkages with and participate in 
existing community-based efforts funded by the Federal government or 
others to prevent HIV/AIDS, sexually transmitted diseases, and first 
and repeat pregnancies among teenagers.
    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention 

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objectives of ``Healthy People 2000,'' a PHS-led national activity to 
reduce morbidity and mortality and improve the quality of life. This 
announcement directly addresses national objectives related to the 
priority areas of Family Planning and Educational and Community-Based 
Programs. Changes in the teen sexual behaviors will also have a 
positive impact on the achievement of HIV Infection and Sexually 
Transmitted Diseases national objectives. (For ordering a copy of 
``Healthy People 2000,'' see the section Where To Obtain Additional 
Information.)

Authority

    This program is authorized under Section 317(k)(2) of the Public 
Health Service Act, as amended [42 U.S.C. 247b(k)(2)]. Applicable 
program regulations are found in 42 CFR Part 51b--Project Grants for 
Preventive Health Services.

Smoke-Free Workplace

    PHS strongly encourages all grant recipients to provide a smoke-
free workplace and promote the non-use of all tobacco products, and 
Public Law 103-227, the Pro-Children Act of 1994, which prohibits 
smoking in certain facilities that receive Federal funds in which 
education, library, day care, health care and early childhood 
development services are provided to children.

Eligible Applicants

    Applications may be submitted by ``Hub'' organizations which are 
local public and nonprofit private social service, professional, or 
voluntary organizations that serve youth; and among others may include 
local affiliates of national organizations, hospitals, or local health, 
education, social service, mental health, or other local public service 
agencies, including local councils of Indian Tribes.
    Eligible ``Hub'' organizations must have the following 
characteristics:
    1. Serve communities (1) of at least 200,000 people and have (2) 
teen birth rates that are at least 50 percent above the national 
average of 62.1 births per 1,000 women 15-19 years of age--that is, 
communities that have birth rates of 93 births per 1000 among women who 
are 15-19 years of age, or higher. These data must be documented by a 
letter from the local health department that is attached with the 
Executive Summary section of the application.
    2. The eligible ``Hub'' organization must be the lead organization 
for an existing teen pregnancy prevention community coalition of three 
or more private nonprofit and/or local public organizations. The 
applicant must provide copies of formal agreements that document a 
history of collaboration to provide services, assistance, and 
opportunities to teens who live, study, and/or work in the community 
for the purpose of preventing initial and repeat pregnancies. (Copies 
of the formal agreements must be attached with the Executive Summary.)
    3. A community is a specific area within which the ``hub'' 
organization and its partners will focus their efforts to help prevent 
teen pregnancies. This area must be defined by one or more contiguous 
neighborhoods, school districts, zip codes, or census tracks. The 
definition and/or description of the community must be provided with 
the Executive Summary section.
    4. Eligibility characteristics must be clearly specified in the 
Executive Summary section of the application.

Availability of Funds

    $3.25 million to $4.5 million is available in FY 1995 to fund 
approximately 12 demonstration projects for the development of 
Community Coalition Partnerships. It is expected that the average award 
will be $270,000, ranging from $150,000 to $300,000. It is expected the 
awards will begin on or about September 30, 1995, and will be made for 
a 12-month budget period within a project period of up to 2 years. 
Funding estimates may vary and are subject to change.
    Funds may be used to facilitate the strengthening and expansion of 
existing partnership coalitions; the planning and coordination of 
coalition program activities; and the documentation and evaluation of 
progress. This may include paying for staff time. Funds may not be used 
for facilities, direct services, or research.
    Continuation awards within the project period will be made on the 
basis of satisfactory progress and the availability of funds. CDC 
anticipates a new, competitive program announcement for the 
availability of funds during FY 1997 to support the implementation of 
community coalition partnership programs for the prevention of teen 
pregnancy.

Purpose

    These cooperative agreement awards are to support the efforts of 
``hub'' organizations to enhance their capacity to strengthen and 
evaluate the effectiveness of coalition partnership programs; and, to 
develop ``Community Action Plans'' for the implementation of 
comprehensive community programs for the prevention of initial and 
repeat teen pregnancies and related problems.
Program Requirements

    ``Hub'' organizations should seek to involve all relevant 
organizations in the community to work in partnership to prevent teen 
pregnancies. The community coalition partnership program should seek to 
reach the greatest proportion of teens within the community, giving 
emphasis to those teens who are in high risk situations. ``Hub'' 
organizations are encouraged, to the extent that it is feasible and 
desirable within their communities, to establish linkages, and to work 
in concert with existing community-based efforts funded by the Federal 
government or others to prevent HIV/AIDS, sexually transmitted 
diseases, and first and repeat pregnancies among teenagers, as a means 
to strengthen the program to prevent teen pregnancy.
    ``Hub'' organizations will work with current and/or new partner 
organizations to enhance the effectiveness of their teen pregnancy 
prevention efforts, and to increase the number of teens reached. 
Programs will involve teens in community service, job skills 
development, and other opportunities that build their self-esteem, 
self-sufficiency, and belief in themselves and their futures. In so 
doing, programs should strive to provide teens who are not yet sexually 
experienced with a strong incentive to remain abstinent, and teens who 
are sexually experienced with a strong incentive to delay pregnancies 
and childbearing until they are ready and able to assume the role and 
responsibilities of parents. For those teens who are sexually active, 
programs will promote the consistent and effective use of appropriate 
contraceptives, and will facilitate family planning counseling and 
services.
    In conducting activities to achieve the purpose of this program, 
the recipient will be responsible for the activities under A. 
(Recipient Activities), and CDC will be responsible for the activities 
listed under B. (CDC Activities).

A. Recipient Activities

    The ``hub'' organization will coordinate the efforts of coalition 
members and facilitate the development of partnerships among members in 
support of the community teen pregnancy prevention program. During the 
first year, each ``hub'' organization, will work with partner 
organizations and involve teens in a meaningful way, to:
    1. Plan for the implementation of the general approach described 
above by:
    a. Conducting a needs assessment to determine (1) the numbers and 
rates of 

[[Page 36288]]
teen pregnancies and associated demographic and economic 
characteristics; (2) why some teens are getting pregnant and others are 
not;
    (3) the perceived needs of teens; (4) the extent to which these 
needs are met in the community, or the extent to which program gaps 
exist; (5) the extent to which social norms support postponing teen 
pregnancy; and (6) the extent to which teen services, assistance, and 
opportunities are appealing, accessible, affordable, sufficiently 
intense, are in sufficient quantity and duration, provide for adequate 
continuity in ``care providers'', and are known to teens throughout the 
community.
    b. Identifying effective intervention methods and adapting them for 
use with diverse groups of teens who live, study, and/or work in the 
program's community such that they build on the cultures of the teens; 
and preparing for the use of these interventions in a variety of 
community settings that might include, but are not limited to schools, 
after-school programs, youth clubs or organizations, clinical or social 
service settings, local media, communities of faith, work-sites that 
employ teens, and community volunteer service programs.
    c. Specifying criteria that will be used to identify teens who are 
at greatest risk of becoming pregnant or getting someone pregnant, and 
a systematic approach to using these criteria as a means of linking 
teens to appropriate prevention services, assistance, and/or 
opportunities.
    d. Field testing intervention components and modifying the 
components based on the results.
    e. Prioritizing the gaps in services, assistance, opportunities, 
and social norms that need to be addressed, as well as the groups of 
teens most in need.
    f. Developing a community action plan that establishes realistic 
objectives, partner roles, sources of sustainable funding, coordination 
mechanisms, approaches to targeting resources and services, schedules 
for accomplishing tasks and a delineation of responsibilities, and 
plans for evaluating progress and indicators of effectiveness.
    2. Provide a full-time position with the responsibility, authority, 
professional training, and experience needed for leadership and 
coordination of program activities among coalition partners.
    3. Serve as liaison between the coalition and its community 
partners, and CDC and its national partners.
    4. Assess and document progress made, and plan for the evaluation 
of indicators of program effectiveness in collaboration with CDC.
    5. Share information about program design, implementation, and 
effectiveness with other recipients, other communities, and CDC and its 
national partners through site visits; demonstration, training, and 
dissemination workshops; and other means.
    6. Participate in at least two workshops with other recipients, 
CDC, and CDC's national partners for the purposes of supporting the 
development of recipient community coalition partnership programs and 
developing strategies for nationwide replication of effective programs.

B. CDC Activities

    1. Provide consultation and technical assistance to recipients with 
respect to program activities.
    2. Facilitate the development of a national partnership between 
private and public sector organizations in support of community 
coalition partnership programs to prevent teen pregnancy and related 
problems.
    3. Coordinate the planning and support of at least two planning, 
progress evaluation, demonstration, training, and/or dissemination 
workshops together with recipients and national partners.
    4. Promote and collaborate in the transfer and dissemination of 
information, methods, and findings developed as part of this program.

Evaluation Criteria (Total of 100 Points)

    Applications will be reviewed and evaluated according to the 
following criteria:

A. Define Teen Pregnancy Problem and Current Prevention Efforts (25 
points) The extent to which the applicant substantiates the community's 
teen pregnancy problem and identifies target populations of teens to be 
reached according to the level of risk of pregnancy that is associated 
with their living situation. The extent to which the applicant 
identifies gaps in current intervention components and demonstrates 
tangible, realistic potential that the existing interventions can be 
effectively strengthened or improved.
    B. Existing Coalition Program to Prevent Teen Pregnancy (10 points)
    The extent to which the existing coalition has a unified, well 
organized effort that is focused on clear goals, objectives, and 
activities related to the prevention of teen pregnancies; represents 
the combined efforts of three or more community organizations; provides 
appropriate support for current activities; and demonstrates a long-
term commitment to the existing program.

C. Leadership Capability, Capacity, and Experience of the ``Hub'' 
Organization (10 points)

    The extent to which the applicant demonstrates sufficient 
leadership capability and capacity to efficiently and effectively use 
the resources requested.
    D. Proposed Goals, Objectives, Activities, and Evaluation (30 
points)
    The extent to which the applicant has submitted specific, 
measurable, realistic, goals and objectives that utilize a systematic 
approach to reaching a large proportion of teenagers in the community. 
Activities appear likely to lead to the accomplishment of goals and 
objectives; proposed indicators of program progress and effectiveness 
appear implementable, incorporate the use of baseline information, and 
represent accepted approaches to program evaluation; the operational 
plan provides ample opportunity for the involvement of coalition 
partners, including teen councils and other teen groups, and proposes 
other appropriate means of obtaining input from teens into the design 
and development of the Community Action Plan and program; there is 
evidence that proposed intervention components are effective, and that 
they are well matched to the diverse groups of teens targeted in the 
proposal; and efforts are proposed to extend the use of effective small 
scale intervention approaches to a broader scale.

E. Program Management and Staffing Plan (5 points)

    The extent to which the roles, responsibilities, lines of 
authority, and approach to managing the coalition partners are 
described; staffing, job descriptions, organizational chart, and 
resumes for proposed and current staff indicate an ability to carry out 
the proposed program.

F. Evidence of Partner Support (15 points)

    The extent to which partners stipulate in written letters of 
support and agreement the delineation of responsibilities, commitment 
of resources, and a time frame for the support of the coalition 
partnership program. These letters of support and agreement should 
further describe the leadership role played by the ``hub'' organization 
in the past and present with respect to forging agreed upon goals, 
objectives, and operational plans; providing direction and oversight to 
the implementation of operational plans; 

[[Page 36289]]
mobilizing community resources; and serving as the public relations 
representative for the coalition.

G. Sharing of Experience and Information (5 points)

    Provide a written statement agreeing to share written program 
descriptions, intervention protocols, evaluation protocols, coalition 
management methods, training materials, and other useful tools and 
information through CDC-sponsored workshops and other approaches to 
dissemination, with other cooperative agreement recipients, CDC and its 
national partners, and other communities seeking to develop their own 
teen pregnancy prevention partnership programs.

H. Budget and Accompanying Justification (Not Weighted)

    The extent to which the applicant provides a detailed, itemized 
budget, with accompanying justification, that is consistent with the 
stated objectives and planned program activities.

Executive Order 12372 Review

    Applications are subject to Intergovernmental Review of Federal 
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets 
up a system for State and local government review of proposed Federal 
assistance applications. Applicants (other than federally recognized 
Indian tribal governments) should contact their State Single Point of 
Contact (SPOC) as early as possible to alert them to the prospective 
applications and receive any necessary instructions on the State 
process. For proposed projects serving more than one State, the 
applicant is advised to contact the SPOC for each affected State. A 
current list of SPOCs is included in the application kit. Indian tribes 
are strongly encouraged to request tribal government review of the 
proposed application. If SPOCs or tribal governments have any process 
recommendations on applications submitted to CDC, they should forward 
them to Clara M. Jenkins, Grants Management Officer, Grants Management 
Branch, Procurement and Grants Office, Centers for Disease Control and 
Prevention(CDC), 255 East Paces Ferry Road, NE., Atlanta, GA 30305. The 
due date for state process recommendations is 30 days after the 
application deadline date for new awards [the appropriation for these 
awards was received late in the fiscal year and would not allow for an 
application receipt date which would accommodate the 60 day State 
recommendation process within FY 1995]. The Program Announcement Number 
and Program Title should be referenced on the document. The granting 
agency does not guarantee to ``accommodate or explain'' for State or 
tribal process recommendations it receives after that date.
Public Health Systems Reporting Requirements

    This program is subject to the Public Health System Reporting 
Requirements. Under these requirements, all community-based 
nongovernmental applicants must prepare and submit the items identified 
below to the head of the appropriate State and/or local health 
agency(s) in the program area(s) that may be impacted by the proposed 
project no later than the receipt date of the Federal application. The 
appropriate State and/or local health agency is determined by the 
applicant. The following information must be provided:
    a. A copy of the face page of the application (SF 424).
    b. A summary of the project that should be titled ``Public Health 
System Impact Statement'' (PHSIS), not exceed one page, and include the 
following:
    (1) A description of the population to be served;
    (2) A summary of the services to be provided;
    (3) A description of the coordination plans with the appropriate 
State and/or local health agencies.
    If the State and/or local health official should desire a copy of 
the entire application, it may be obtained from the State Single Point 
of Contact (SPOC) or directly from the applicant.

Catalog of Federal Domestic Assistance Number

    The Catalog of Federal Domestic Assistance Number is 93.283.

Other Requirements

Paperwork Reduction Act

    Projects that involve the collection of information from 10 or more 
individuals and funded by the cooperative agreement will be subject to 
review by the Office of Management and Budget (OMB) under the Paperwork 
Reduction Act.

HIV/AIDS Requirements

    Recipients must comply with the document entitled ``Content of 
AIDS-Related Written Materials, Pictorials, Audiovisuals, 
Questionnaires, Survey Instruments, and Educational Sessions'' (June 
15, 1992), a copy of which is included in the application kit. In 
complying with the requirements for a program review panel, recipients 
are encouraged to use an existing program review panel such as the one 
created by the State health department's HIV/AIDS prevention program. 
If the recipient forms its own program review panel, at least one 
member must be an employee (or a designated representative) of a 
government health department consistent with the content guidelines. 
The names of the review panel members must be listed on the Assurance 
of Compliance Form CDC 0.1113, which is also included in the 
application kit. The recipient must submit the program review panel's 
report that indicates all materials have been reviewed and approved, 
this includes conference agendas. Before funds can be used to obtain 
HIV/AIDS-related materials, determine whether suitable materials are 
already available at the CDC National AIDS Clearinghouse.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 
(Revised 7/92, OMB Control Number 0937-0189) must be submitted to Clara 
M. Jenkins, Grants Management Officer, Grants Management Branch, 
Procurement and Grants Office, Centers for Disease Control and 
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 314, Mail Stop 
E-18, Atlanta, GA 30305, on or before August 21, 1995.
    1. Deadline: Applications shall be considered as meeting the 
deadline if they are either:
    (a) Received on or before the deadline date; or
    (b) Sent on or before the deadline date and received in time for 
submission to the objective review group. (Applicants must request a 
legibly dated U.S. Postal Service postmark or obtain a legibly dated 
receipt from a commercial carrier or U.S. Postal Service. Private 
metered postmarks shall not be acceptable as proof of timely mailing.)
    2. Late Applications: Applications which do not meet the criteria 
in 1.(a) or 1.(b) above are considered late applications. Late 
applications will not be considered in the current competition and will 
be returned to the applicant.

Where to Obtain Additional Information

    To receive additional written information call (404) 332-4561. You 
will be asked to leave your name, address, and phone number and will 
need to refer to Announcement Number 547. You will receive a complete 
program description, information on application procedures, and 
application forms.
    If you have questions after reviewing the contents of all 
documents, business 

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management technical assistance may be obtained from Locke Thompson, 
Grants Management Specialist, Grants Management Branch, Procurement and 
Grants Office, Centers for Disease Control and Prevention (CDC), 255 
East Paces Ferry Road, NE., Room 314, Mail Stop E-18, Atlanta, GA 
30305, telephone (404) 842-6595. Programmatic technical assistance may 
be obtained from Michael E. Dalmat, Dr.P.H., Division of Reproductive 
Health, National Center for Chronic Disease Prevention and Health 
Promotion, Centers for Disease Control and Prevention (CDC), 4770 
Buford Highway, NE., Mail Stop K-20, Atlanta, GA 30341-3724, telephone 
(404) 488-5136.
    Please refer to Announcement Number 547 when requesting information 
and submitting an application.
    Potential applicants may obtain a copy of ``Healthy People 2000'' 
(Full Report, Stock No. 017-001-00474-0) or ``Healthy People 2000'' 
(Summary Report, Stock No. 017-001-00473-1) referenced in the 
``Introduction'' through the Superintendent of Documents, Government 
Printing Office, Washington, DC 20402-9325, telephone (202) 512-1800.

    Dated: July 10, 1995.
Arthur C. Jackson,
Associate Director for Management and Operations, Centers for Disease 
Control And Prevention (CDC).
[FR Doc. 95-17415 Filed 7-13-95; 8:45 am]
BILLING CODE 4163-18-P