[Federal Register Volume 64, Number 188 (Wednesday, September 29, 1999)]
[Notices]
[Pages 52509-52510]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-25277]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Directly-Funded Community-Based Organization Program Summary 
Document; HIV Prevention

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice and request for comments.

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SUMMARY: In Fiscal year (FY) 2000, CDC will provide approximately 
$17,612,000 million dollars to support community-based organizations 
(CBOs) to develop, implement, and evaluate effective community-based 
HIV prevention programs for populations at risk for HIV infection, 
especially racial and ethnic minority populations at risk.
    The purpose of this announcement is to request comments on this 
proposed program. After consideration of comments submitted, 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 October 29, 1999.

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:

Purpose

    The purpose of this program is to support community-based 
organizations (CBOs) to develop, implement, and evaluate effective 
community-based HIV prevention programs for populations at risk for HIV 
infection, especially racial and ethnic minority populations at risk.

1. Goals

    A. Reduce the disproportionate impact of the HIV epidemic on racial 
and ethnic minority populations and other at risk populations in high 
and lower prevalence areas;
    B. Support community-based HIV prevention programs that address 
priorities described in applicable State and local comprehensive HIV 
prevention plans (that is, the plans developed by the official HIV 
Prevention Community Planning Groups for the jurisdiction in which the 
CBO is located) or that adequately justify addressing other priorities, 
in order to improve and expand community-based HIV prevention services;
    C. Enhance the use by CBOs of scientific theory and data and proven 
knowledge generated through program experience and evaluation as a 
foundation for designing, implementing and evaluating HIV prevention 
services;
    D. Support collaboration and coordination of HIV prevention efforts 
among CBOs, community planning groups, and local and state health 
departments.

2. Eligible Applicants

    A. CBOs may apply as either (1) minority CBOs intending to serve 
predominantly racial or ethnic minority populations at high risk of 
acquiring or transmitting HIV infection, or (2) other CBOs serving 
high-risk populations without regard to their racial or ethnic 
identity. A CBO may submit an application in only one of these 
categories.
    B. To apply as a minority CBO, the applicant organization must meet 
the following criteria:
    (1) Must have been granted tax-exempt status under Section 
501(c)(3), as evidenced by an Internal Revenue Service (IRS) 
determination letter;
    (2) Must have greater than 50% of positions on the board or 
governing body filled by persons of the racial or ethnic minority 
group(s) to be served;
    (3) Must have greater than 50% of positions that work with the 
proposed program, including management, administrative, supervisory, 
and service provision positions (for example, executive director, 
program director, fiscal director, outreach worker, prevention case 
manager, counselor, group facilitator, or trainer) filled by persons 
who reflect the racial and ethnic demographics, and the characteristics 
of the population to be served; and
    (4) Must have an established record of at least two years of 
service to the proposed target population.
    C. To apply as an other CBO serving high-risk populations without 
regard to their racial or ethnic identity, the applicant organization 
must meet the following criteria:
    (1) Must have been granted tax-exempt status under Section 
501(c)(3), as evidenced by an Internal Revenue Service (IRS) 
determination letter; and
    (2) Must have an established record of at least two years of 
service to the proposed target population.
    D. In either category, two or more CBOs may apply as a 
collaborative partnership. In a collaborative contractual partnership, 
one CBO must be the legal applicant and will function as the lead 
organization. The lead organization must meet the criteria specified 
above, and a CBO can submit only one application under this 
announcement; that is, it may apply as an individual organization or as 
part of a collaboration, but not both.
    E. CBOs funded under CDC Program Announcements 99091, 99092, and 
99096 are eligible to apply if they meet the criteria specified above; 
however, the total combined award under any combination of these 
announcements will not exceed $300,000.

3. Available Funds

    Funds are expected to be available for three (3) types of 
activities under this program announcement. All applicants must apply 
for Activity A. Activities B and C are optional. A CBO must be funded 
for Activity A in order to receive an award for Activities B or C.
Activity A
    Approximately $17,120,000 is expected to be available to fund 
approximately 90 CBOs to develop, implement, and evaluate effective 
community-based HIV prevention programs. Of this total, approximately 
$11,299,200 (60 awards) will be awarded to minority CBOs and 
approximately $5,820,800 (30 awards) will be awarded to other CBOs. The 
average award will be approximately $190,000.
Activity B
    Approximately $342,000 is expected to be available to fund up to 
four (4) CBOs to design and implement model peer-to-peer capacity-
building assistance activities for neighboring CBOs.

[[Page 52510]]

Activity C
    Approximately $150,000 is expected to be available to fund up to 
three (3) CBOs to work closely with academic researchers/experts and 
CDC to replicate or adapt innovative interventions and to develop 
methods for conducting enhanced evaluation, including outcome 
evaluation, of their prevention service delivery activities.

Funding Priorities

    In making awards, priority for funding will be given to:
    (1) Ensuring a geographic balance of funded CBOs (the number of 
funded CBOs may be adjusted in each eligible area based on the level of 
HIV/AIDS disease burden in that area);
    (2) Ensuring a balance of funded CBOs in terms of targeted racial/
ethnic minority group (the number of funded CBOs serving each racial/
ethnic minority group may be adjusted based on the level of HIV/AIDS 
disease burden in that group; and
    (3) Ensuring a balance of funded CBOs in terms of targeted risk 
behaviors (the number of funded CBOs serving each risk behavior group 
may be adjusted based on the level of HIV/AIDS disease burden in that 
group).

4. Program Requirements

Activity A
    (1) Use epidemiologic data, needs assessments, prioritization of 
groups and interventions, behavioral and social science theory and 
data, and proven programmatic experiential knowledge to design program 
activities. Grantees are strongly encouraged to establish ongoing 
collaborations with health departments and academic and research 
institutions for this purpose;
    (2) Develop program activities which are consistent with applicable 
State and local comprehensive HIV prevention plans or adequately 
justify addressing other priorities;
    (3) Provide--or assist high risk clients in gaining access to--HIV 
counseling, testing, and referral for other needed services (e.g., 
improve access to or provide alternative testing sites, managed and 
staffed by trained high-risk individuals such as IDUs in treatment, 
which will be more accessible to target populations than currently 
available sites; provide access to rapid-results testing technologies; 
and demonstrably improve utilization of post-test counseling, 
referrals, and follow-up);
    (4) Conduct health education and risk reduction interventions for 
persons at high risk of becoming infected or transmitting HIV to 
others, especially small group and community-level interventions (e.g., 
demonstrably reduce unsafe sex and drug practices among individuals 
newly released from correctional facilities and among injection and 
other drug users who are in the judicial system; demonstrably reduce 
behaviors that put young people at risk for HIV infection, focusing on 
youth who are not being served by existing HIV prevention programs and 
who are at risk for HIV infection);
    (5) Assist HIV-positive persons in gaining access to appropriate 
HIV treatment and other early medical care, substance abuse prevention 
services, STD screening and treatment, reproductive and perinatal 
health services, partner counseling and referral services, psychosocial 
support, mental health services, TB prevention and treatment, primary 
HIV prevention such as health education and risk reduction services, 
and other supportive services. High-risk clients who test negative 
should be referred to appropriate health education and risk reduction 
services and other appropriate prevention and treatment services;
    (6) Coordinate and collaborate with health departments, community 
planning groups, and other organizations and agencies involved in HIV 
prevention activities, especially those serving the target population;
    (7) Participate in the HIV prevention community planning process. 
Participation may include involvement in workshops; attending meetings; 
if nominated and selected, serving as a member of the group; reporting 
on program activities; or reviewing and commenting on plans;
    (8) Coordinate program activities with relevant national, regional, 
State, and local HIV prevention programs to prevent duplication of 
efforts;
    (9) Monitor and conduct process evaluation of major program and 
intervention activities and services supported with CDC HIV prevention 
funds under this cooperative agreement. This should include assessing 
client satisfaction periodically via quantitative (e.g., periodic 
surveys) and qualitative methods (e.g., focus groups);
    (10) Compile ``lessons learned'' from the project and facilitate 
the dissemination of ``lessons learned'' and successful prevention 
interventions and program models to other organizations and CDC through 
peer-to-peer interactions, meetings, workshops, conferences, Internet, 
communications with project officers, and other capacity-building and 
technology transfer mechanisms; and
    (11) Work with CDC-funded capacity-building assistance programs to 
meet your and other organizations' capacity-building needs.
Activity B
    (1) Conduct all activities listed under Activity A;
    (2) Develop a collaborative relationship with academic researchers, 
technical assistance providers, or other experts in capacity-building;
    (3) In collaboration with the expert(s) above, design, implement, 
and evaluate model peer-to-peer capacity-building assistance activities 
for neighboring CBOs; and
    (4) Facilitate the dissemination of successful peer-to-peer 
capacity building models to other organizations and CDC through peer-
to-peer interactions, publications, meetings, workshops, conferences, 
Internet, communications with project officers, and other capacity-
building and technology transfer mechanisms.
Activity C
    (1) Conduct all activities listed under Activity A;
    (2) Develop a collaborative relationship with academic researchers, 
professional evaluators, or other experts in program evaluation; and
    (3) Work closely with academic researchers/experts and CDC to 
identify innovative interventions appropriate for replication in or 
adaptation to the CBO's target population and to develop methods for 
conducting enhanced evaluation, including outcome evaluation, of these 
interventions.

5. 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;
3. Program plan;
4. Program evaluation plan;
5. Communication and dissemination plan; and
6. Plan for acquiring additional resources.

    Dated: September 23, 1999.
Thena M. Durham,
Acting Associate Director for Management and Operations, Centers for 
Disease Control and Prevention (CDC).
[FR Doc. 99-25277 Filed 9-28-99; 8:45 am]
BILLING CODE 4163-18-P