This grant addresses significant barriers faced by Persons with HIV (PWH) in rural communities, including limited care access, provider shortages, and structural inequities impacting Black and Hispanic/Latino populations. It aims to fund recipients collaborating with HIV care providers to implement a Community Health Worker (CHW)-mediated model for re-engaging PWH not in care and providing outreach to those not virally suppressed. CHWs will offer essential services like ART delivery, sample collection, transportation, and appointment scheduling for HIV and other health providers, alongside medication adherence support. The initiative targets disproportionately affected groups, ensuring culturally and linguistically responsive care. Expected outcomes include increased re-engagement, retention, ART adherence, and viral suppression, improving individual health and reducing community-level HIV transmission.
Opportunity ID: 348438
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-PS-24-0026 |
| Funding Opportunity Title: | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 7 |
| Assistance Listings: | 93.940 — HIV Prevention Activities Health Department Based |
| Cost Sharing or Matching Requirement: | No |
| Version: | Synopsis 3 |
| Posted Date: | Nov 01, 2023 |
| Last Updated Date: | Nov 02, 2023 |
| Original Closing Date for Applications: | Dec 06, 2023 Electronically submitted applications must be submitted no later than 11:59 pm ET on the listed application due date. |
| Current Closing Date for Applications: | Jan 05, 2024 Electronically submitted applications must be submitted no later than 11:59 pm ET on the listed application due date. |
| Archive Date: | Feb 04, 2024 |
| Estimated Total Program Funding: | $10,500,000 |
| Award Ceiling: | $0 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | City or township governments State governments County governments |
| Additional Information on Eligibility: | Per statutory authority Section 318(b-c) of the Public Health Service Act (42 USC § 247c(b-c)), as amended, and the Consolidated Appropriation Act of 2016 (Pub. L. 114-113), eligible applicants include state, local and territorial health departments or their Bona Fide Agents in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. |
Additional Information
| Agency Name: | Centers for Disease Control – NCHHSTP |
| Description: | Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression.In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South. This demonstration project will focus on persons disproportionately affected by HIV including cis-gender Black men and women; gay, bisexual and other men who have sex with men (hereafter referred to as MSM); and transgender women. Previous studies have shown community-based or home-based delivery of care is an effective approach to re-engage PWH back into HIV clinical care. This strategy was studied primarily internationally with results showing that community-based delivery of ART significantly increased viral suppression. However, in the US, this model, which may include home visits, has not been implemented as part of routine treatment and care services.Community health workers (CHW) are frontline public health workers who are trusted members of the community and have a uniquely close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison between health/social services and the community. A CHW approach was assessed as part of the Ending the HIV Epidemic (EHE) pilot jumpstart initiative which found that CHWs were successful in East Baton Rouge, LA, by facilitating access to HIV treatment for priority populations. Additionally, the use of CHWs has been successful and also cost-effective for certain chronic health conditions, particularly when working with low-income, underserved, and racial/ethnic minority communities to promote disease management in these vulnerable populations. This demonstration project will provide quantitative and qualitative data on the effectiveness and implementation of a CHW home-based approach to facilitate re-engagement of in care and outreach to PWH. The approach aims to improve viral load suppression among PWH living in rural communities, to benefit both individual health and reduce community-level HIV transmission.In this demonstration project, recipients (i.e. Health Departments) will be funded to work with HIV clinical providers to develop a CHW-mediated approach to re-engagement to care for PWH not in care and outreach for PWH not virally suppressed in rural communities. The services CHWs may provide include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, transportation services, arranging and scheduling telehealth visits with the HIV medical providers and with other providers (mental health, primary care) and offering evidence-based medication adherence support. All services will be culturally and linguistically responsive to the population served to minimize stigma, medical mistrust, and any perceived barriers that prevent persons from accessing care. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Kashif Iqbal
kai9@cdc.gov Email:kai9@cdc.gov |
Version History
| Version | Modification Description | Updated Date |
|---|---|---|
| Correction to dates in the synopsis. | Nov 02, 2023 | |
| Changing application due date to 1/04/2024 | Nov 01, 2023 | |
| Nov 01, 2023 | ||
| Updated estimated post date per author’s request. | May 31, 2023 | |
| Updated estimated post date per author’s request. | May 31, 2023 | |
| May 31, 2023 |
DISPLAYING: Synopsis 3
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-PS-24-0026 |
| Funding Opportunity Title: | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 7 |
| Assistance Listings: | 93.940 — HIV Prevention Activities Health Department Based |
| Cost Sharing or Matching Requirement: | No |
| Version: | Synopsis 3 |
| Posted Date: | Nov 01, 2023 |
| Last Updated Date: | Nov 02, 2023 |
| Original Closing Date for Applications: | Dec 06, 2023 Electronically submitted applications must be submitted no later than 11:59 pm ET on the listed application due date. |
| Current Closing Date for Applications: | Jan 05, 2024 Electronically submitted applications must be submitted no later than 11:59 pm ET on the listed application due date. |
| Archive Date: | Feb 04, 2024 |
| Estimated Total Program Funding: | $10,500,000 |
| Award Ceiling: | $0 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | City or township governments State governments County governments |
| Additional Information on Eligibility: | Per statutory authority Section 318(b-c) of the Public Health Service Act (42 USC § 247c(b-c)), as amended, and the Consolidated Appropriation Act of 2016 (Pub. L. 114-113), eligible applicants include state, local and territorial health departments or their Bona Fide Agents in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. |
Additional Information
| Agency Name: | Centers for Disease Control – NCHHSTP |
| Description: | Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression.In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South. This demonstration project will focus on persons disproportionately affected by HIV including cis-gender Black men and women; gay, bisexual and other men who have sex with men (hereafter referred to as MSM); and transgender women. Previous studies have shown community-based or home-based delivery of care is an effective approach to re-engage PWH back into HIV clinical care. This strategy was studied primarily internationally with results showing that community-based delivery of ART significantly increased viral suppression. However, in the US, this model, which may include home visits, has not been implemented as part of routine treatment and care services.Community health workers (CHW) are frontline public health workers who are trusted members of the community and have a uniquely close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison between health/social services and the community. A CHW approach was assessed as part of the Ending the HIV Epidemic (EHE) pilot jumpstart initiative which found that CHWs were successful in East Baton Rouge, LA, by facilitating access to HIV treatment for priority populations. Additionally, the use of CHWs has been successful and also cost-effective for certain chronic health conditions, particularly when working with low-income, underserved, and racial/ethnic minority communities to promote disease management in these vulnerable populations. This demonstration project will provide quantitative and qualitative data on the effectiveness and implementation of a CHW home-based approach to facilitate re-engagement of in care and outreach to PWH. The approach aims to improve viral load suppression among PWH living in rural communities, to benefit both individual health and reduce community-level HIV transmission.In this demonstration project, recipients (i.e. Health Departments) will be funded to work with HIV clinical providers to develop a CHW-mediated approach to re-engagement to care for PWH not in care and outreach for PWH not virally suppressed in rural communities. The services CHWs may provide include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, transportation services, arranging and scheduling telehealth visits with the HIV medical providers and with other providers (mental health, primary care) and offering evidence-based medication adherence support. All services will be culturally and linguistically responsive to the population served to minimize stigma, medical mistrust, and any perceived barriers that prevent persons from accessing care. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Kashif Iqbal
kai9@cdc.gov Email:kai9@cdc.gov |
DISPLAYING: Synopsis 2
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-PS-24-0026 |
| Funding Opportunity Title: | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 7 |
| Assistance Listings: | 93.940 — HIV Prevention Activities Health Department Based |
| Cost Sharing or Matching Requirement: | No |
| Version: | Synopsis 2 |
| Posted Date: | Nov 01, 2023 |
| Last Updated Date: | Nov 01, 2023 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Dec 06, 2023 Electronically submitted applications must be submitted no later than 11:59 pm ET on the listed application due date. |
| Archive Date: | Feb 03, 2024 |
| Estimated Total Program Funding: | $10,500,000 |
| Award Ceiling: | $0 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | State governments County governments City or township governments |
| Additional Information on Eligibility: | Per statutory authority Section 318(b-c) of the Public Health Service Act (42 USC § 247c(b-c)), as amended, and the Consolidated Appropriation Act of 2016 (Pub. L. 114-113), eligible applicants include state, local and territorial health departments or their Bona Fide Agents in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. |
Additional Information
| Agency Name: | Centers for Disease Control – NCHHSTP |
| Description: | Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression.In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South. This demonstration project will focus on persons disproportionately affected by HIV including cis-gender Black men and women; gay, bisexual and other men who have sex with men (hereafter referred to as MSM); and transgender women. Previous studies have shown community-based or home-based delivery of care is an effective approach to re-engage PWH back into HIV clinical care. This strategy was studied primarily internationally with results showing that community-based delivery of ART significantly increased viral suppression. However, in the US, this model, which may include home visits, has not been implemented as part of routine treatment and care services.Community health workers (CHW) are frontline public health workers who are trusted members of the community and have a uniquely close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison between health/social services and the community. A CHW approach was assessed as part of the Ending the HIV Epidemic (EHE) pilot jumpstart initiative which found that CHWs were successful in East Baton Rouge, LA, by facilitating access to HIV treatment for priority populations. Additionally, the use of CHWs has been successful and also cost-effective for certain chronic health conditions, particularly when working with low-income, underserved, and racial/ethnic minority communities to promote disease management in these vulnerable populations. This demonstration project will provide quantitative and qualitative data on the effectiveness and implementation of a CHW home-based approach to facilitate re-engagement of in care and outreach to PWH. The approach aims to improve viral load suppression among PWH living in rural communities, to benefit both individual health and reduce community-level HIV transmission.In this demonstration project, recipients (i.e. Health Departments) will be funded to work with HIV clinical providers to develop a CHW-mediated approach to re-engagement to care for PWH not in care and outreach for PWH not virally suppressed in rural communities. The services CHWs may provide include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, transportation services, arranging and scheduling telehealth visits with the HIV medical providers and with other providers (mental health, primary care) and offering evidence-based medication adherence support. All services will be culturally and linguistically responsive to the population served to minimize stigma, medical mistrust, and any perceived barriers that prevent persons from accessing care. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Kashif Iqbal
kai9@cdc.gov Email:kai9@cdc.gov |
DISPLAYING: Synopsis 1
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-PS-24-0026 |
| Funding Opportunity Title: | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 7 |
| Assistance Listings: | 93.940 — HIV Prevention Activities Health Department Based |
| Cost Sharing or Matching Requirement: | No |
| Version: | Synopsis 1 |
| Posted Date: | Nov 01, 2023 |
| Last Updated Date: | Nov 01, 2023 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | Dec 06, 2023 Electronically submitted applications must be submitted no later than 11:59 pm ET on the listed application due date. |
| Archive Date: | Feb 03, 2024 |
| Estimated Total Program Funding: | $10,500,000 |
| Award Ceiling: | $0 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | State governments County governments City or township governments |
| Additional Information on Eligibility: | Per statutory authority Section 318(b-c) of the Public Health Service Act (42 USC § 247c(b-c)), as amended, and the Consolidated Appropriation Act of 2016 (Pub. L. 114-113), eligible applicants include state, local and territorial health departments or their Bona Fide Agents in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. |
Additional Information
| Agency Name: | Centers for Disease Control – NCHHSTP |
| Description: | Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression.In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South. This demonstration project will focus on persons disproportionately affected by HIV including cis-gender Black men and women; gay, bisexual and other men who have sex with men (hereafter referred to as MSM); and transgender women. Previous studies have shown community-based or home-based delivery of care is an effective approach to re-engage PWH back into HIV clinical care. This strategy was studied primarily internationally with results showing that community-based delivery of ART significantly increased viral suppression. However, in the US, this model, which may include home visits, has not been implemented as part of routine treatment and care services.Community health workers (CHW) are frontline public health workers who are trusted members of the community and have a uniquely close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison between health/social services and the community. A CHW approach was assessed as part of the Ending the HIV Epidemic (EHE) pilot jumpstart initiative which found that CHWs were successful in East Baton Rouge, LA, by facilitating access to HIV treatment for priority populations. Additionally, the use of CHWs has been successful and also cost-effective for certain chronic health conditions, particularly when working with low-income, underserved, and racial/ethnic minority communities to promote disease management in these vulnerable populations. This demonstration project will provide quantitative and qualitative data on the effectiveness and implementation of a CHW home-based approach to facilitate re-engagement of in care and outreach to PWH. The approach aims to improve viral load suppression among PWH living in rural communities, to benefit both individual health and reduce community-level HIV transmission.In this demonstration project, recipients (i.e. Health Departments) will be funded to work with HIV clinical providers to develop a CHW-mediated approach to re-engagement to care for PWH not in care and outreach for PWH not virally suppressed in rural communities. The services CHWs may provide include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, transportation services, arranging and scheduling telehealth visits with the HIV medical providers and with other providers (mental health, primary care) and offering evidence-based medication adherence support. All services will be culturally and linguistically responsive to the population served to minimize stigma, medical mistrust, and any perceived barriers that prevent persons from accessing care. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Kashif Iqbal
kai9@cdc.gov Email:kai9@cdc.gov |
DISPLAYING: Forecast 3
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-PS-24-0026 |
| Funding Opportunity Title: | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 7 |
| Assistance Listings: | 93.940 — HIV Prevention Activities Health Department Based |
| Cost Sharing or Matching Requirement: | No |
| Version: | Forecast 3 |
| Posted Date: | May 31, 2023 |
| Last Updated Date: | Oct 24, 2023 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | – |
| Archive Date: | Jan 30, 2024 |
| Estimated Total Program Funding: | $10,500,000 |
| Award Ceiling: | $0 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | State governments County governments City or township governments |
| Additional Information on Eligibility: | Per statutory authority Section 318(b-c) of the Public Health Service Act (42 USC § 247c(b-c)), as amended, and the Consolidated Appropriation Act of 2016 (Pub. L. 114-113), eligible applicants include state, local and territorial health departments or their Bona Fide Agents in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands.The award ceiling under Section B. Award Information is $0. Any application exceeding $500,000 will be deemed ineligible.3. Justification for Less than Maximum Competition. |
Additional Information
| Agency Name: | Centers for Disease Control – NCHHSTP |
| Description: | Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression.In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South. This demonstration project will focus on persons disproportionately affected by HIV including cis-gender Black men and women; gay, bisexual and other men who have sex with men (hereafter referred to as MSM); and transgender women. Previous studies have shown community-based or home-based delivery of care is an effective approach to re-engage PWH back into HIV clinical care. This strategy was studied primarily internationally with results showing that community-based delivery of ART significantly increased viral suppression. However, in the US, this model, which may include home visits, has not been implemented as part of routine treatment and care services.Community health workers (CHW) are frontline public health workers who are trusted members of the community and have a uniquely close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison between health/social services and the community. A CHW approach was assessed as part of the Ending the HIV Epidemic (EHE) pilot jumpstart initiative which found that CHWs were successful in East Baton Rouge, LA, by facilitating access to HIV treatment for priority populations. Additionally, the use of CHWs has been successful and also cost-effective for certain chronic health conditions, particularly when working with low-income, underserved, and racial/ethnic minority communities to promote disease management in these vulnerable populations. This demonstration project will provide quantitative and qualitative data on the effectiveness and implementation of a CHW home-based approach to facilitate re-engagement of in care and outreach to PWH. The approach aims to improve viral load suppression among PWH living in rural communities, to benefit both individual health and reduce community-level HIV transmission.In this demonstration project, recipients (i.e. Health Departments) will be funded to work with HIV clinical providers to develop a CHW-mediated approach to re-engagement to care for PWH not in care and outreach for PWH not virally suppressed in rural communities. The services CHWs may provide include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, transportation services, arranging and scheduling telehealth visits with the HIV medical providers and with other providers (mental health, primary care) and offering evidence-based medication adherence support. All services will be culturally and linguistically responsive to the population served to minimize stigma, medical mistrust, and any perceived barriers that prevent persons from accessing care. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
–
Email:kai9@cdc.gov |
DISPLAYING: Forecast 2
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-PS-24-0026 |
| Funding Opportunity Title: | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 7 |
| Assistance Listings: | 93.940 — HIV Prevention Activities Health Department Based |
| Cost Sharing or Matching Requirement: | No |
| Version: | Forecast 2 |
| Posted Date: | May 31, 2023 |
| Last Updated Date: | Oct 24, 2023 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | – |
| Archive Date: | Jan 30, 2024 |
| Estimated Total Program Funding: | $10,500,000 |
| Award Ceiling: | $0 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | State governments County governments City or township governments |
| Additional Information on Eligibility: | Per statutory authority Section 318(b-c) of the Public Health Service Act (42 USC § 247c(b-c)), as amended, and the Consolidated Appropriation Act of 2016 (Pub. L. 114-113), eligible applicants include state, local and territorial health departments or their Bona Fide Agents in the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands.The award ceiling under Section B. Award Information is $0. Any application exceeding $500,000 will be deemed ineligible.3. Justification for Less than Maximum Competition. |
Additional Information
| Agency Name: | Centers for Disease Control – NCHHSTP |
| Description: | Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression.In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South. This demonstration project will focus on persons disproportionately affected by HIV including cis-gender Black men and women; gay, bisexual and other men who have sex with men (hereafter referred to as MSM); and transgender women. Previous studies have shown community-based or home-based delivery of care is an effective approach to re-engage PWH back into HIV clinical care. This strategy was studied primarily internationally with results showing that community-based delivery of ART significantly increased viral suppression. However, in the US, this model, which may include home visits, has not been implemented as part of routine treatment and care services.Community health workers (CHW) are frontline public health workers who are trusted members of the community and have a uniquely close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison between health/social services and the community. A CHW approach was assessed as part of the Ending the HIV Epidemic (EHE) pilot jumpstart initiative which found that CHWs were successful in East Baton Rouge, LA, by facilitating access to HIV treatment for priority populations. Additionally, the use of CHWs has been successful and also cost-effective for certain chronic health conditions, particularly when working with low-income, underserved, and racial/ethnic minority communities to promote disease management in these vulnerable populations. This demonstration project will provide quantitative and qualitative data on the effectiveness and implementation of a CHW home-based approach to facilitate re-engagement of in care and outreach to PWH. The approach aims to improve viral load suppression among PWH living in rural communities, to benefit both individual health and reduce community-level HIV transmission.In this demonstration project, recipients (i.e. Health Departments) will be funded to work with HIV clinical providers to develop a CHW-mediated approach to re-engagement to care for PWH not in care and outreach for PWH not virally suppressed in rural communities. The services CHWs may provide include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, transportation services, arranging and scheduling telehealth visits with the HIV medical providers and with other providers (mental health, primary care) and offering evidence-based medication adherence support. All services will be culturally and linguistically responsive to the population served to minimize stigma, medical mistrust, and any perceived barriers that prevent persons from accessing care. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
–
Email:kai9@cdc.gov |
DISPLAYING: Forecast 1
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-PS-24-0026 |
| Funding Opportunity Title: | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 7 |
| Assistance Listings: | 93.940 — HIV Prevention Activities Health Department Based |
| Cost Sharing or Matching Requirement: | No |
| Version: | Forecast 1 |
| Posted Date: | May 31, 2023 |
| Last Updated Date: | May 31, 2023 |
| Original Closing Date for Applications: | – |
| Current Closing Date for Applications: | – |
| Archive Date: | Jan 04, 2024 |
| Estimated Total Program Funding: | $10,500,000 |
| Award Ceiling: | $0 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | State governments Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled “Additional Information on Eligibility” County governments City or township governments |
| Additional Information on Eligibility: | Eligible applicants include state, local and territorial health departments or their Bona Fide Agents currently funded under PS18-1802 or its subsequent iteration. This includes the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. Also eligible are the local (county or city) health departments serving the following metropolitan areas: Baltimore City, Chicago, Houston, Los Angeles County, Philadelphia, New York City, and San Francisco. Jurisdictions with eligible state and local (city or county) health departments must discuss: (1) the proposed program approach being implemented by the local health department and (2) how the state and local area will collaborate during the project period to ensure appropriate provision of services within the metropolitan area and document any agreements reached in a letter of agreement/letter of concurrence (LOA/LOC), which must be submitted by both parties as part of their application. The award ceiling under Section B. Award Information is $0. However, CDC will not consider any application requesting an award higher than the specified amount $500,000. |
Additional Information
| Agency Name: | Centers for Disease Control – NCHHSTP |
| Description: | Persons with HIV (PWH) living in rural communities may have limited access to HIV care providers and may need to travel long distances to visit an experienced HIV care provider. Additionally, Black and Hispanic/Latino PWH may experience structural barriers such as racism and lack of access to language translation services that may make it challenging to adhere to routine HIV care and treatment services. These barriers can be exacerbated in rural communities. In this demonstration project, recipients will be funded to collaborate with HIV care providers to identify PWH in rural communities who are not in care or have not achieved viral suppression and to implement a Community Health Worker (CHW)-mediated model of re-engagement to care and outreach services for PWH in rural communities. Recipients will employ and train CHWs to facilitate re-engagement of PWH in care who are not in care and outreach to those who are not virally suppressed to provide services that may include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, as well as provide transportation services, arranging and scheduling telehealth visits and/or in person visits with an HIV medical provider and other providers (mental health, primary care) and offer evidence-based medication adherence support. Key outcomes in the project include an increased number of PWH in rural communities who are re-engaged to HIV care and treatment services for PWH not in care; provided outreach to those not virally suppressed to HIV; increased retention in care; increased ART (re)-initiation; increased adherence to ART; and increased viral suppression.In rural communities, PWH may face challenges in accessing consistent HIV care services. In these rural communities, PWH may also experience health care provider shortages and have fewer providers with expertise in treating HIV. Transportation challenges, where some patients have to travel long distances for care, may also exist. Additionally, Black/African American (hereafter referred to as Black) and Hispanic/Latino communities are disproportionately affected by HIV compared with other racial/ethnic groups. For example, in 2019, Black Americans represented 13% of the US population, but 40% of PWH; Hispanics/Latino people represented 18.5% of the population, but 25% of PWH. These disparities are especially seen in many of the priority EHE phase I rural states located in the South. This demonstration project will focus on persons disproportionately affected by HIV including cis-gender Black men and women; gay, bisexual and other men who have sex with men (hereafter referred to as MSM); and transgender women. Previous studies have shown community-based or home-based delivery of care is an effective approach to re-engage PWH back into HIV clinical care. This strategy was studied primarily internationally with results showing that community-based delivery of ART significantly increased viral suppression. However, in the US, this model, which may include home visits, has not been implemented as part of routine treatment and care services.Community health workers (CHW) are frontline public health workers who are trusted members of the community and have a uniquely close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison between health/social services and the community. A CHW approach was assessed as part of the Ending the HIV Epidemic (EHE) pilot jumpstart initiative which found that CHWs were successful in East Baton Rouge, LA, by facilitating access to HIV treatment for priority populations. Additionally, the use of CHWs has been successful and also cost-effective for certain chronic health conditions, particularly when working with low-income, underserved, and racial/ethnic minority communities to promote disease management in these vulnerable populations. This demonstration project will provide quantitative and qualitative data on the effectiveness and implementation of a CHW home-based approach to facilitate re-engagement of in care and outreach to PWH. The approach aims to improve viral load suppression among PWH living in rural communities, to benefit both individual health and reduce community-level HIV transmission.In this demonstration project, recipients (i.e. Health Departments) will be funded to work with HIV clinical providers to develop a CHW-mediated approach to re-engagement to care for PWH not in care and outreach for PWH not virally suppressed in rural communities. The services CHWs may provide include ART delivery, sample collection for standard HIV laboratory testing, transfer of self-collected specimens, transportation services, arranging and scheduling telehealth visits with the HIV medical providers and with other providers (mental health, primary care) and offering evidence-based medication adherence support. All services will be culturally and linguistically responsive to the population served to minimize stigma, medical mistrust, and any perceived barriers that prevent persons from accessing care. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
–
Email:kai9@cdc.gov |
Related Documents
Folder 348438 Full Announcement-Full Announcement -> CDC-RFA-PS-24-0026 (Final).pdf
Packages
| Agency Contact Information: | Kashif Iqbal kai9@cdc.gov Email: kai9@cdc.gov |
| Who Can Apply: | Organization Applicants |
| Assistance Listing Number | Competition ID | Competition Title | Opportunity Package ID | Opening Date | Closing Date | Actions |
|---|---|---|---|---|---|---|
| 93.940 | CDC-RFA-PS-24-0026 | Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) | PKG00283687 | Nov 02, 2023 | Jan 05, 2024 | View |
Package 1
Mandatory forms
348438 SF424_4_0-4.0.pdf
348438 Project_AbstractSummary_2_0-2.0.pdf
348438 SFLLL_2_0-2.0.pdf
348438 SF424A-1.0.pdf
348438 BudgetNarrativeAttachments_1_2-1.2.pdf
348438 ProjectNarrativeAttachments_1_2-1.2.pdf
348438 Key_Contacts_2_0-2.0.pdf
Optional forms
348438 OtherNarrativeAttachments_1_2-1.2.pdf
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