[Federal Register Volume 64, Number 172 (Tuesday, September 7, 1999)]
[Notices]
[Pages 48648-48653]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-23152]
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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.
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SUMMARY: In Fiscal Year 2000, CDC will provide approximately 8.4
million dollars to support racial and ethnic
[[Page 48649]]
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: [email protected], Telephone (404) 639-2072.
Supplementary Information
A. 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).
B. Goals
The goals for this program are as follows:
1. 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.
2. 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.
3. 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.
4. Priority Area (4): Strengthening HIV Prevention Community Planning
a. Enhance the capacity of CBOs, health departments, and other
community stakeholders to effectively participate in and support the
HIV prevention community planning process.
b. 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.
C. 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.
[[Page 48650]]
1. Priority Area (1): Strengthening Organizational Infrastructure
a. 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.
2. Priority Area (2): Enhancing HIV Prevention Interventions
a. 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.
[[Page 48651]]
b. 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.
3. Priority Area (3): Mobilizing Communities for HIV Prevention
a. 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
[[Page 48652]]
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.
4. Priority Area (4): Strengthening HIV Prevention Community Planning
a. 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,
[[Page 48653]]
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.
D. Evaluation Criteria
Each application will be evaluated individually against the
following criteria by an independent review group appointed by CDC:
1. 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. 99-23152 Filed 9-3-99; 8:45 am]
BILLING CODE 4163-18-P