[Federal Register Volume 69, Number 131 (Friday, July 9, 2004)]
[Notices]
[Pages 41497-41501]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-15602]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


HIV Prevention and Care Services for Young People in Kenya

    Announcement Type: New.
    Funding Opportunity Number: PA 04265.

    Catalog of Federal Domestic Assistance Number: 93.941.

    Dates: Application Deadline: August 9, 2004.

I. Funding Opportunity Description

    Authority: This program is authorized under Sections 307 and 
317(k)(2)of the Public Health Service Act, (42 U.S.C. 242l and 
247b(k)(2)), as amended, and under Public Law 108-25 (United States 
Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003) (22 
U.S.C. 7601).
    Purpose: The Centers for Disease Control and Prevention (CDC) 
announces the availability of fiscal year (FY) 2004 funds for a 
cooperative agreement program to implement model programs for youth 
interventions in Kisumu, Kitale, Makindu, and other towns in Kenya. 
This program should include community centers and/or services, and 
outreach activities that target youth. The program should also involve 
members of the community, including parents and religious leaders, to 
reduce risk of HIV infection in young people in Kenya.
    The Global AIDS Program (GAP) has established field operations to 
support national HIV/AIDS control programs in 25 countries. The CDC's 
GAP exists to help prevent HIV infection, improve care and support, and 
build capacity to address the global AIDS pandemic. CDC/GAP provides 
financial and technical assistance through partnerships with 
governments, community and faith-based organizations, the private 
sector, and national and international entities working in the 25 
resource-constrained countries. CDC/GAP works with the Health Resources 
and Services Administration (HRSA), the National Institutes of Health 
(NIH), the U.S. Agency for International Development (USAID), the Peace 
Corps, the Departments of State, Labor and Defense, and other agencies 
and organizations. These efforts complement multilateral efforts, 
including UNAIDS, the Global Fund to Combat HIV, TB and Malaria, World 
Bank funding, and other private sector donation programs.
    The U.S. Government seeks to reduce the impact of HIV/AIDS in 
specific countries within sub-Saharan Africa, Asia, and the Americas 
through the Presidential Emergency Plan for AIDS Relief (PEPFAR). 
Through this new initiative, CDC's GAP will continue to work with host 
countries to strengthen capacity and expand activities in the areas of: 
(1) Primary HIV prevention; (2) HIV care, support, and treatment; and 
(3) capacity and infrastructure development, especially for 
surveillance and training. Targeted countries represent those with the 
most severe epidemics where the potential for impact is greatest and 
where U.S. government agencies are already active. Kenya is one of 
these targeted countries.
    To carry out its activities in these countries, CDC is working in a 
collaborative manner with national governments and other agencies to 
develop programs of assistance to address the HIV/AIDS epidemic. CDC's 
program of assistance to Kenya focuses on several areas of national 
priority including scaling up activities and funding for HIV 
prevention, care, and treatment; improvement of the national blood 
safety program; and support for the National AIDS and STD Control 
Program.
    The highest rates of HIV infection in Kenya occur in Kisumu and 
Nyanza Province. A survey, in 1997, found 23 percent of young women 
aged 15 to 19 to be HIV infected, compared to 3.5 percent of young men. 
CDC Kenya has supported a rural intervention for youth, but now wishes 
to support a more urban oriented intervention program for young people 
in Kisumu. In addition, CDC Kenya proposes to support youth prevention 
and care efforts in other areas of Kenya, including Kitale, Makindu, 
the Mukuru slum and environs in Nairobi, and elsewhere.
    The measurable outcomes of the program will be in alignment with 
goals of the GAP to reduce HIV transmission and improve care of persons 
living with HIV. They also will contribute to the goals of the PEPFAR 
which are: within five years treat more than two million HIV-infected 
persons with effective combination anti-retroviral therapy; care for 
seven million HIV-infected and affected persons including those 
orphaned by HIV/AIDS; and prevent ten million new infections. Some of 
the specific measurable outcomes from this program will be: the number 
of young people receiving HIV behavior change services; the number of 
persons trained to provide HIV behavior change services for youth; the 
number of community leaders, religious leaders, and parents involved 
with the program; the number of young people who receive voluntary 
counseling and testing (VCT) services as a result of activities 
sponsored by the program; and the number of HIV+ young people linked to 
care and treatment services.

Activities

    Awardee activities for this program are as follows:
     Establish or maintain youth centers and/or programs 
intended to help young people reduce their risk of HIV infection.
     Provide training in targeted HIV behavior change for 
youth, including training related to abstinence and delay of sexual 
debut.
     Implement community outreach activities targeting youth, 
parents, and community and religious leaders; and provide opportunities 
for young people to participate in community outreach.
     Develop formal relationships or linkages with other 
programs and services providing VCT, sexually transmitted infections 
(STI) care, and AIDS care and treatment; and ensure that these services 
are provided in a manner which is ``youth friendly.''
     If not available nearby, provide youth friendly VCT, STI 
prevention and treatment, and AIDS care and treatment services.
     Provide directly, or collaborate with, partner 
organizations for the delivery of mobile VCT services targeting young 
people.
     Collect and analyze data on all of these services to track 
and evaluate program progress.
     Conduct regular and periodic assessments to determine the 
effectiveness of the program in achieving specific targets relating to 
the outcomes listed above, including the number of youth served and 
trained, and the number of youth learning HIV status, etc. Applicants 
may also propose to study the effectiveness of the interventions in 
changing behavior, such as median age of first sex and rates of 
abstinence and faithfulness.
    Awardee should ensure that all of the above activities integrate 
into the national HIV/AIDS strategy and support the CDC/GAP Kenya 
mission priorities.
    In a cooperative agreement, CDC staff is substantially involved in 
the program activities, above and beyond routine grant monitoring.
    CDC Activities for this program are as follows:
     Provide technical assistance in youth interventions, youth 
oriented counseling, training, data management, and program 
development, monitoring and evaluation.

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     Assist in the development of referral networks, 
information exchange, and dissemination of lessons learned with other 
CDC-supported youth interventions and care programs.
     Assist, as needed, in monitoring and evaluation of 
interventions funded by the program, and in development of further 
appropriate initiatives.
     Monitor project and budget performance to ensure 
satisfactory progress towards the goals of the project.

II. Award Information

    Type of Award: Cooperative Agreement.
    CDC involvement in this program is listed in the Activities Section 
above.
    Fiscal Year Funds: 2004.
    Approximate Total Funding: $8,000,000.
    (This amount is the approximate total funding amount for the entire 
five-year project period.)
    Approximate Number of Awards: 4 to 6.
    Approximate Average Award: $250,000.
    (This amount is for the first 12-month budget period, and includes 
direct costs.)
    Floor of Award Range: $100,000.
    Ceiling of Award Range: $500,000.
    Anticipated Award Date: September 1, 2004.
    Budget Period Length: 12 months.
    Project Period Length: Five years.
    Throughout the project period, CDC's commitment to continuation of 
awards will be conditioned on the availability of funds, evidence of 
satisfactory progress by the recipient (as documented in required 
reports), and the determination that continued funding is in the best 
interest of the Federal Government.

III. Eligibility Information

III.1. Eligible Applicants

    Applications may be submitted by public nonprofit organizations, 
private nonprofit organizations, universities or colleges, and faith-
based organizations that meet the following criteria:
    1. Have at least three years of documented experience in conducting 
HIV prevention interventions in Kenya.
    2. Have an existing program in Kenya at the selected site because 
it is critical that these activities commence quickly. Kisumu, Kitale, 
Makindu, and the Mukuru slum area of Nairobi are priority sites, though 
programs proposed for other locations will be considered.

III.2. Cost Sharing or Matching

    Matching funds are not required for this program.

III.3. Other

    If you request a funding amount greater than the ceiling of the 
award range, your application will be considered non-responsive, and 
will not be entered into the review process. You will be notified that 
your application did not meet the submission requirements.
    If your application is incomplete or non-responsive to the 
requirements listed in this section, it will not be entered into the 
review process. You will be notified that your application did not meet 
submission requirements.

IV. Application and Submission Information

IV.1. Address To Request Application Package

    To apply for this funding opportunity use application form PHS 
5161. Application forms and instructions are available on the CDC web 
site, at the following Internet address: http://www.cdc.gov/od/pgo/forminfo.htm.
    If you do not have access to the Internet, or if you have 
difficulty accessing the forms on-line, you may contact the CDC 
Procurement and Grants Office Technical Information Management Section 
(PGO-TIM) staff at: 770-488-2700. Application forms can be mailed to 
you.

IV.2. Content and Form of Submission

    Application: You must include a project narrative with your 
application forms. The narrative must be submitted in the following 
format:
     Maximum number of pages: 15. If your narrative exceeds the 
page limit, only the first pages which are within the page limit will 
be reviewed.
     Font size: 12 point unreduced.
     Paper size: 8.5 by 11 inches.
     Double spaced.
     Page margin size: One inch.
     Printed only on one side of page.
     Held together only by rubber bands or metal clips; not 
bound in any other way.
     All pages should be numbered, and a complete index to the 
application and any appendices must be included.
     Submitted in English.
    Your narrative should address activities to be conducted over the 
entire project period, and should consist of, as a minimum, a plan, 
objectives, activities, methods, an evaluation framework, a budget 
highlighting any supplies mentioned in the Program Requirements and any 
proposed capital expenditure. The budget justification will not be 
counted in the page limit stated above. Guidance for completing your 
budget can be found on the United States government Web site at the 
following address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.
    Additional information is optional and may be included in the 
application appendices. The appendices will not be counted toward the 
narrative page limit. Additional information could include but is not 
limited to: organizational charts, curriculum vitas, letters of 
support, etc.
    You are required to have a Dun and Bradstreet Data Universal 
Numbering System (DUNS) number to apply for a grant or cooperative 
agreement from the Federal government. The DUNS number is a nine-digit 
identification number, which uniquely identifies business entities. 
Obtaining a DUNS number is easy and there is no charge. To obtain a 
DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-
5711.
    For more information, see the CDC Web site at: http://www.cdc.gov/od/pgo/funding/pubcommt.htm.
    If your application form does not have a DUNS number field, please 
write your DUNS number at the top of the first page of your 
application, and/or include your DUNS number in your application cover 
letter.
    Additional requirements that may require you to submit additional 
documentation with your application are listed in section ``VI.2. 
Administrative and National Policy Requirements.''

IV.3. Submission Dates and Times

    Application Deadline Date: August 9, 2004.
    Explanation of Deadlines: Applications must be received in the CDC 
Procurement and Grants Office by 4 p.m. eastern time on the deadline 
date. If you send your application by the United States Postal Service 
or commercial delivery service, you must ensure that the carrier will 
be able to guarantee delivery of the application by the closing date 
and time. If CDC receives your application after closing due to: (1) 
Carrier error, when the carrier accepted the package with a guarantee 
for delivery by the closing date and time, or (2) significant weather 
delays or natural disasters, you will be given the opportunity to 
submit documentation of the carriers guarantee. If the documentation 
verifies a carrier problem, CDC will consider the application as having 
been received by the deadline.
    This announcement is the definitive guide on application submission 
address and deadline. It supersedes information provided in the 
application instructions. If your application does

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not meet the deadline above, it will not be eligible for review, and 
will be discarded. You will be notified that your application did not 
meet the submission requirements.
    CDC will not notify you upon receipt of your application. If you 
have a question about the receipt of your application, first contact 
your courier. If you still have a question, contact the PGO-TIM staff 
at: 770-488-2700. Before calling, please wait two to three days after 
the application deadline. This will allow time for applications to be 
processed and logged.

IV.4. Intergovernmental Review of Applications

    Executive Order 12372 does not apply to this program.

IV.5. Funding Restrictions

    Restrictions, which must be taken into account while writing your 
budget, are as follows:
     Funds may be used for: Hiring of staff needed to establish 
and operate the center or program; hiring and/or renovating facilities 
to ensure adequate and appropriate premises for the center or program; 
coordination and evaluation of the program; and purchase of supplies, 
equipment, vehicles, and commodities needed to provide the services.
     Antiretroviral Drugs--The purchase of antiretrovirals, 
reagents, and laboratory equipment for antiretroviral treatment 
projects require pre-approval from the GAP headquarters.
     Needle Exchange--No funds appropriated under this Act 
shall be used to carry out any program of distributing sterile needles 
or syringes for the hypodermic injection of any illegal drug.
     Funds may be spent for reasonable program purposes, 
including personnel, training, travel, supplies and services. Equipment 
may be purchased and renovations completed if deemed necessary to 
accomplish program objectives; however, prior written approval by CDC 
officials must be requested in writing.
     All requests for funds contained in the budget shall be 
stated in U.S. dollars. Once an award is made, CDC will not compensate 
foreign grantees for currency exchange fluctuations through the 
issuance of supplemental awards.
     The costs that are generally allowable in grants to 
domestic organizations are allowable to foreign institutions and 
international organizations, with the following exception: With the 
exception of the American University, Beirut, and the World Health 
Organization, Indirect Costs will not be paid (either directly or 
through sub-award) to organizations located outside the territorial 
limits of the United States or to international organizations 
regardless of their location.
     The applicant may contract with other organizations under 
this program, however, the applicant must perform a substantial portion 
of the activities, including program management and operations, and 
delivery of prevention and care services for which funds are requested.
     An annual audit of these funds is required by a U.S. based 
audit firm with international branches and current licensure/authority 
in-country, and in accordance with International Accounting Standards 
or equivalent standard(s) approved in writing by CDC. The audit should 
specify the use of funds and the appropriateness and reasonableness of 
expenditures.
     A fiscal Recipient Capability Assessment may be required 
with the potential awardee, pre or post award, in order to review their 
business management and fiscal capabilities regarding the handling of 
U.S. Federal funds.
     Prostitution and Related Activities: The U.S. Government 
is opposed to prostitution and related activities, which are inherently 
harmful and dehumanizing, and contribute to the phenomenon of 
trafficking in persons.
    Any entity that receives, directly or indirectly, U.S. Government 
funds in connection with this document (``recipient'') cannot use such 
U.S. Government funds to promote or advocate the legalization or 
practice of prostitution or sex trafficking. Nothing in the preceding 
sentence shall be construed to preclude the provision to individuals of 
palliative care, treatment, or post-exposure pharmaceutical 
prophylaxis, and necessary pharmaceuticals and commodities, including 
test kits, condoms, and, when proven effective, microbicides. A 
recipient that is otherwise eligible to receive funds in connection 
with this document to prevent, treat, or monitor HIV/AIDS shall not be 
required to endorse or utilize a multisectoral approach to combating 
HIV/AIDS, or to endorse, utilize, or participate in a prevention method 
or treatment program to which the recipient has a religious or moral 
objection. Any information provided by recipients about the use of 
condoms as part of projects or activities that are funded in connection 
with this document shall be medically accurate and shall include the 
public health benefits and failure rates of such use.
    In addition, any foreign recipient must have a policy explicitly 
opposing, in its activities outside the United States, prostitution and 
sex trafficking, except that this requirement shall not apply to the 
Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Health 
Organization, the International AIDS Vaccine Initiative or to any 
United Nations agency, if such entity is a recipient of U.S. government 
funds in connection with this document.
    The following definitions apply for purposes of this clause:
     Sex trafficking means the recruitment, harboring, 
transportation, provision, or obtaining of a person for the purpose of 
a commercial sex act. 22 U.S.C. 7102(9).
     A foreign recipient includes an entity that is not 
organized under the laws of any State of the United States, the 
District of Columbia or the Commonwealth of Puerto Rico. Restoration of 
the Mexico City Policy, 66 FR 17303, (March 28, 2001).
    All recipients must insert provisions implementing the applicable 
parts of this section, ``Prostitution and Related Activities,'' in all 
subagreements under this award. These provisions must be express terms 
and conditions of the subagreement, acknowledge that each certification 
to compliance with this section, ``Prostitution and Related 
Activities,'' are a prerequisite to receipt of U.S. government funds in 
connection with this document, and must acknowledge that any violation 
of the provisions shall be grounds for unilateral termination of the 
agreement prior to the end of its term. In addition, all recipients 
must ensure, through contract, certification, audit, and/or any other 
necessary means, all the applicable requirements in this section, 
``Prostitution and Related Activities,'' are met by any other entities 
receiving U.S. government funds from the recipient in connection with 
this document, including without limitation, the recipients' sub-
grantees, sub-contractors, parents, subsidiaries, and affiliates. 
Recipients must agree that HHS may, at any reasonable time, inspect the 
documents and materials maintained or prepared by the recipient in the 
usual course of its operations that relate to the organization's 
compliance with this section, ``Prostitution and Related Activities.''
    All primary grantees receiving U.S. Government funds in connection 
with this document must certify compliance prior to actual receipt of 
such funds in a written statement referencing this document (e.g., 
``[Recipient's name] certifies compliance with the section, 
`Prostitution and Related Activities.' '')

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addressed to the agency's grants officer. Such certifications are 
prerequisites to the payment of any U.S. Government funds in connection 
with this document.
    Recipients' compliance with this section, ``Prostitution and 
Related Activities,'' is an express term and condition of receiving 
U.S. government funds in connection with this document, and any 
violation of it shall be grounds for unilateral termination by HHS of 
the agreement with HHS in connection with this document prior to the 
end of its term. The recipient shall refund to HHS the entire amount 
furnished in connection with this document in the event it is 
determined by HHS that the recipient has not complied with this 
section, ``Prostitution and Related Activities.''
    Awards will not allow reimbursement of pre-award costs.
    Guidance for completing your budget can be found on the CDC Web 
site at the following Internet address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.

IV.6. Other Submission Requirements

    Application Submission Address: Submit the original and two hard 
copies of your application by mail or express delivery service to: 
Technical Information Management--PA 04265, CDC Procurement and Grants 
Office, 2920 Brandywine Road, Atlanta, GA 30341.
    Applications may not be submitted electronically at this time.

V. Application Review Information

V.1. Criteria

    You are required to provide measures of effectiveness that will 
demonstrate the accomplishment of the various identified objectives of 
the cooperative agreement. Measures of effectiveness must relate to the 
performance goals stated in the ``Purpose'' section of this 
announcement. Measures must be objective and quantitative, and must 
measure the intended outcome. These measures of effectiveness must be 
submitted with the application and will be an element of evaluation.
    Your application will be evaluated against the following criteria:
1. Understanding the Issues Relating to the Prevalence of HIV Infection 
in Young People in Kenya, and Developing a Creative and Innovative 
Approach to Preventing HIV Infection in This Population (30 points)
    Does the applicant demonstrate an understanding of the social, 
behavioral, and contextual issues relating to the high risk of HIV 
infection in young people in Kenya? Does the applicant demonstrate 
creative and innovative ideas for addressing this multi-sectoral 
problem? Does the applicant provide evidence that the proposed approach 
has been effective in changing behavior of young people in Kenya or 
elsewhere, or that it is based on best practices in HIV prevention?
2. Ability To Carry Out the Proposal (25 points)
    Does the applicant demonstrate the capability to achieve the 
purpose of this proposal? Does the applicant demonstrate an ability to 
set up and operate an intervention program in Kenya? Does the applicant 
demonstrate an ability, and a reasonable plan, to scale up activities 
quickly and reach large numbers of young people with HIV prevention 
messages and services?
3. Personnel (20 points)
    Are the technical personnel involved in this project qualified, 
including evidence of at least three years' experience in providing HIV 
interventions for youth? Do the technical personnel have demonstrated 
capacity for creative approaches to complex problems?
4. Plans for Administration, Management, and Evaluation of the Project 
(15 points)
    Does the applicant describe activities that are realistic, 
achievable, time-framed and appropriate to complete this program? Are 
the plans for monitoring and evaluating the project appropriate and 
consistent with monitoring requirements associated with the PEPFAR?
5. Administrative and Accounting Plan (10 points)
    Is there a plan to account for, prepare reports, monitor and audit 
expenditures under this agreement; manage the resources of the program; 
and produce, collect and analyze performance data?
6. Budget (not scored, but evaluated)
    Is the itemized budget for conducting the project, along with 
justification, reasonable and consistent with stated objectives and 
planned program activities?

V.2. Review and Selection Process

    Applications will be reviewed for completeness by the Procurement 
and Grants Office (PGO) staff, and for responsiveness by the National 
Center for HIV, STD and TB Prevention (NCHSTP). Incomplete applications 
and applications that are non-responsive to the eligibility criteria 
will not advance through the review process. Applicants will be 
notified that their application did not meet submission requirements.
    An objective review panel will evaluate complete and responsive 
applications according to the criteria listed in the ``V.1. Criteria'' 
section above.
    No award will be made without the concurrence of the U.S. Embassy 
and the CDC representative in Kenya.

V.3. Anticipated Announcement and Award Date

    September 1, 2004.

VI. Award Administration Information

VI.1. Award Notices

    Successful applicants will receive a Notice of Grant Award (NGA) 
from the CDC Procurement and Grants Office. The NGA shall be the only 
binding, authorizing document between the recipient and CDC. The NGA 
will be signed by an authorized Grants Management Officer, and mailed 
to the recipient fiscal officer identified in the application.
    Unsuccessful applicants will receive notification of the results of 
the application review by mail.

VI.2. Administrative and National Policy Requirements

45 CFR Part 74 and Part 92
    For more information on the Code of Federal Regulations, see the 
National Archives and Records Administration at the following Internet 
address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html.
    The following additional requirements apply to this project:

     AR-1--Human Subjects Requirements.
     AR-4--HIV/AIDS Confidentiality Provisions.
     AR-6--Patient Care.
     AR-8--Public Health System Reporting Requirements.
     AR-10--Smoke-Free Workplace Requirements.
     AR-14--Accounting System Requirements.
    Additional information on these requirements can be found on the 
CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/ARs.htm.

VI.3. Reporting Requirements

    You must provide CDC with an original, plus two hard copies of the 
following reports:
    1. Semi-annual progress reports, no more than 30 days after the end 
of the budget period.

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    2. Interim progress report, no less than 90 days before the end of 
the budget period. The progress report will serve as your non-competing 
continuation application, and must contain the following elements:
    a. Current Budget Period Activities Objectives.
    b. Current Budget Period Financial Progress.
    c. New Budget Period Program Proposed Activity Objectives.
    d. Budget.
    e. Additional Requested Information.
    f. Measures of Effectiveness.
    3. Financial status report, no more than 90 days after the end of 
the budget period.
    4. Final financial and performance reports, no more than 90 days 
after the end of the project period.
    These reports must be mailed to the Grants Management or Contract 
Specialist listed in the ``Agency Contacts'' section of this 
announcement.

VII. Agency Contacts

    For general questions about this announcement, contact: Technical 
Information Management Section, CDC Procurement and Grants Office, 2920 
Brandywine Road, Atlanta, GA 30341, telephone: 770-488-2700.
    For program technical assistance, contact: Elizabeth Marum, Ph.D., 
Project Officer, Global Aids Program [GAP], Kenya Country Team, 
National Center for HIV, STD and TB Prevention, Centers for Disease 
Control and Prevention [CDC], PO Box 606 Village Market, Nairobi, 
Kenya, telephone: 256-20-271-3008, e-mail: 
[email protected].
    For budget assistance, contact: Diane Flournoy, Contract 
Specialist, CDC Procurement and Grants Office, 2920 Brandywine Road, 
Atlanta, GA 30341, telephone: 770-488-2072, e-mail: [email protected].

    Dated: July 2, 2004.
William P. Nichols,
Acting Director, Procurement and Grants Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-15602 Filed 7-8-04; 8:45 am]
BILLING CODE 4163-18-P