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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Division of Grants Management
HHS-2008-IHS-PHN-0002 Billing Code: 4165-16

Department of Health and Human Services
Indian Health Service
Office of Clinical and Preventive Services
Division of Nursing, Women's Health
Violence Against Women Pilot Program
Announcement Type: New Cooperative Agreement
Funding Announcement Number: HHS-2008-IHS-PHN-0002
Catalog of Federal Domestic Assistance Number: 93.933

Key Dates: Application Deadline Date: August 26, 2008
Review Date: August 28, 2008
Award Announcement: September 2, 2008
Award Date: September 2, 2008

I. Funding Opportunity Description
The Indian Health Service (IHS), the Office of Clinical and Preventive Services, (OCPS) Division of Nursing (DON), Women's Health, and the Administration for Children and Families (ACF) are jointly funding a competitive cooperative agreement for Violence Against Women (VAW) Pilot Program. The IHS will serve as the lead agency under this announcement. This intra-agency program is authorized under the Snyder Act, 25 U.S.C. 13, and Section 301a of the Public Health Service Act. This program is described at 93.933 in the Catalog of Federal Domestic Assistance (CFDA).

The VAW Pilot Program is funded in part through an Inter-Agency Agreement with the Agency for Children and Families (ACF) that is administered by the IHS. Program planning is a collaborative process with ACF. Improvement in the grantee's Domestic Violence Government Performance and Results Act (GPRA) screening measure will be used to measure the impact of this grant program. No additional grantee data collection will be required.

A. Purpose of the Program
The purpose of this VAW Pilot Program is to expand on a five-year IHS/ACF initiative of the IHS and the Family Violence Prevention and Services Program, in the ACF and the OCPS, Division of Behavioral Health and DON, Women's Health, to address Domestic Violence (DV) by piloting a revised model that will jointly address health care responses to both Domestic Violence/Sexual Assault (DV/SA). The project aims to improve the responsiveness of Tribal health facilities and urban Indian health centers that provide care to American Indian/Alaska Native (AI/AN) females aged 13 and above who have experienced DV/SA either currently or in the past. This project aims to address DV/SA that occurs in the context of marital/dating/acquaintance relationships and stranger SA. A core principle of this project is to strengthen collaboration between the health care facility staff and Tribal/community DV/SA advocates and shelter program staff, to inform the development of health policies on training and responding to DV/SA; and to increase patients' knowledge of the health impact of DV/SA and available Tribal/community support services, and to coordinate and strengthen Tribal-wide responses to victims. Previous work in this area has demonstrated that health care facilities that work in collaboration with both Tribal/community programs and Tribal councils/leaders, strengthen their DV/SA preventive and intervention efforts by uniting Tribal efforts in this area.

B. Understanding the Issue: Definitions, Prevalence, & Health Implications
1. DV is a pattern of physically and emotionally coercive and violent behaviors that may include physical injury, psychological abuse, sexual coercion and assault, progressive social isolation, stalking, deprivation, intimidation, and threats. These behaviors are perpetrated by someone who is, was, or wishes to be involved in an intimate or dating relationship with an adult or adolescent, and are aimed at establishing control by one partner over the other.
2. SA consists of a wide range of conduct that may include pressured or coerced sex, sex by manipulation or threat, physically forced sex (rape), or SA accompanied by physical violence. Victims may be coerced or forced to perform a kind of sex they do not want (e.g. sex with third parties, physically painful sex, sexual activity they find offensive, verbal degradation during sex, viewing sexually violent material) or at a time they do not want it (e.g. when exhausted, when ill, in front of children, after a physical assault, or when asleep). These behaviors may happen in many situations - by a married partner or boyfriend, on a date, by a friend or an acquaintance, by a stranger or by a family member such as a parent, sibling or grandparent.

C. Prevalence
The incidence of DV/SA in Indian Country is staggering. Reports from the United States Department of Justice (DOJ) found that:

  • The rate of DV among Native women has been reported to be the highest of any ethnic or racial group in the United States.
  • Native women are more than twice as likely to be victims of violent crimes committed by an intimate partner.
  • Native Women are five times more likely to be a DV homicide victim than the rest of the population.
  • Native women are more than 2.5 times more likely to be raped or sexually assaulted than women in the United States in general.
  • The Centers for Disease Control Morbidity Mortality Weekly Report survey, dated 2008, indicated that 39 out of 100 AI/AN women have been raped at some point in their lives

    DOJ statistics indicate that 34.1 percent of AI/AN women (or one in three) will be raped during their lifetime; the comparable figure for the United States as a whole is less than one in five. Because some victims of violence choose not to report their DV/SA experiences to law enforcement, DV/SA prevalence is likely even higher.

    D. Health Implications
    In addition to injuries sustained by women during violent episodes, physical and psychological abuse are linked to a number of adverse health outcomes including arthritis, chronic neck, back or pelvic pain, migraine or other types of headache, ulcers, and chronic gastro-intestinal (GI) problems.

    The prevalence of abuse during pregnancy ranges from 7-20% and population-based data from 26 states indicates that African American and AI/AN women are at greater risk for Intimate Partner Violence (IPV) than other racial groups around the time of pregnancy. One study found that 58.7% of AI/AN pregnant and childbearing women disclosed lifetime physical and/or sexual IPV.

    The impact of DV/SA on women's reproductive health is pervasive, but unrecognized. Pregnancy complications, including low weight gain, anemia, infections, and first and second trimester bleeding, are significantly higher for abused women, as are maternal rates of depression, suicide attempts, and substance abuse. DV can also result in homicide and is the second leading cause of death for pregnant women.

    Other sexual and behavioral health implications are equally serious. Victims of domestic and sexual violence are more likely to experience: coercive unprotected sex, birth control sabotage, unintended pregnancy, teen pregnancy, rapid repeat pregnancies, sexual transmitted infections including Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS), substance abuse, depression, posttraumatic stress disorder (PTSD) and suicide, making the reproductive health, behavioral health, and primary care settings critical places for identification, and early intervention of abuse.

    Optimal management of other chronic illnesses including diabetes, hypertension, GI disorders, HIV/AIDS, depression and substance use disorders can be problematic for women who either are, or have been, abused. Often times, the perpetrator controls the victim's access to health care and compliance with medical protocols. Emerging research shows that women who are abused are less likely to engage in important preventive health care behaviors such as regular mammography, and are more likely to participate in injurious health behaviors including smoking, alcohol and other drug abuse. Many studies have documented the fact that DV significantly increases the risk for serious mental health problems including depression, trauma, PTSD, anxiety, and suicide. The adverse health outcomes related to DV/SA can continue for years after the abuse has ended.

    E. Addressing the Issue: Prevention & Intervention, Project Goals, Target Population, and Required Activities

    DV/SA Health Care Prevention and Intervention:

    Health care providers can play a pivotal role in violence prevention and intervention. Virtually every woman interacts with the health care system at some point in her life, whether for contraceptive care, prenatal care, childbirth, primary preventive care, illness and injury care, or when seeking health care for their children. Routine DV/SA assessment, with a focus on early identification and a capacity to reach patients whether or not symptoms are immediately apparent is a starting point for reaching adolescent girls and women who have never talked to anyone about these experiences. The DV/SA screening and safety planning serves to identify victims who are seen for medical reasons, thus allowing medical providers to assist them in breaking through their isolation, understanding their options, helping them get the treatment and counseling they need to improve their health and safety behaviors and outcomes.

    F. Project Goals

  • This aim of this project is to address DV/SA that occurs in the context of intimate partner/dating/acquaintance relationships and stranger SA.

  • The VAW Pilot Program will ensure that the Tribal and urban Indian health center staff have the tools and training needed to comprehensively reform their facility-wide response to victims of DV/SA.

  • The project's goals are to:
    1. Improve the health and wellness of AI/AN communities and specifically individuals who have experienced either DV/SA.
    2. Form an inter-disciplinary DV/SA team, including physicians, nurses, emergency room staff, behavioral health providers, obstetric and gynecology and women's wellness staff, community advocates, and women's shelter and victim's assistance staff to improve the health care response to DV/SA.
    3. Promote appropriate DV/SA assessment, intervention, referral and documentation through the Resource Patient Management System Domestic Violence Exam Code in Tribal and urban Indian health center settings and specifically with emergency, primary care, chronic care and behavioral health models.
    4. Build a strong partnership with community advocacy, victim assistance programs and women's shelters.
    5. Develop culturally appropriate health care tools, policies & procedures and model responses that can serve as models for other communities.
    6. Promote the use of SA Nurse Examiners (SANE) within Tribal and urban Indian health center facilities in order to improve local capacity for forensic evidence collection.
    7. Improve patient options for SA-related care in health care settings where SANE, and SA Response Teams (SART) may be more difficult to implement or are otherwise limited, including patient transportation to and from off-site SANE programs or other health care responses.
    8. Collaborate with local DV/SA community programs, law enforcement (including the Federal Bureau of Investigation and/or Bureau of Indian Affairs police with links to the Federal prosecutors' office as well as Tribal and Federal justice system), Tribal councils and others to ensure that there are seamless and coordinated services for support to victims.
    9. Build the DV/SA training capacity and leadership within the participating clinics and hospitals.
    10. Promote public health education and prevention efforts at local, area and national levels and increase the visibility of DV/SA as a public health issue in AI/AN communities through presentations in schools, at community meetings, or through larger community public education campaigns and presentations at regional and national conferences.

    In order to do this work it is necessary for the funded sites to link and collaborate with community/Tribal resources such as DV shelters, DV/SA victim assistance and advocacy groups, and Tribal or Federal behavioral health and addiction programs within the communities the clinical sites serve. All of the clinical sites that are funded under this agreement will be expected to integrate routine DV/SA assessment, intervention, referral and follow-up into general primary care screening of all females ages 13 and above.

    Because data demonstrates that victims of DV/SA are more likely than other non-abused individuals to have overlapping issues with mental health and alcohol/substance use, DV/SA assessment will not be

  • stand-alone,
  • but must be bundled with other standardized primary care screening, including blood pressure measurement, depression, tobacco and alcohol use. Because disclosure of current abuse demands access to appropriate service delivery, patients who screen positive for either DV or SA, depression or alcohol use disorder, will benefit from behavioral health service follow-up. In addition to time spent educating patients about how their DV/SA experiences may be impacting their physical and mental health, funded programs are expected to collaborate with community based DV/SA programs and behavioral health staff where needed so appropriate intervention, referral and follow-up can occur.

    H. Target Population:
    The targeted population for this project is AI/AN females ages 13 and above who:

  • Were recently (just) assaulted and may be accessing health care, criminal justice, and advocacy in an emergency timeframe (through emergency health services);
  • May experience DV/SA on an ongoing basis, either in their long-term intimate relationships, dating relationships, or other situations where they are experiencing a pattern of ongoing physical and/or sexual abuse and more often access primary care and not emergency-level care; and
  • Have experienced DV/SA in the past, where the abuse is no longer current or ongoing and may experience long-term health care ramifications of abuse and seek services in primary care.

    I. Required Activities
    With support from the technical assistance (TA) contractor, grantees must use funds to carry out the following required activities:

    A. Send a minimum of two nursing staff to be trained as SANEs. Project funds may be used for registration and travel expenses.

    B. Participate in two scheduled IHS DV/SA project in-person meetings to share current status of the projects and facilitate peer to peer consultation and TA. A minimum of two people from each participating health care facility are required to attend and a minimum of one community advocate (if possible, advocates with both DV/SA expertise should attend). These conferences represent opportunities for team members to receive training and materials which may be brought back to their respective facilities for the benefit of the entire clinical staff. Project funds should be used for travel expenses including those for the advocate.

    1. Fall, 2008 (location TBD).
    2. Spring, 2009 (location TBD).

    C. Form an interdisciplinary team to include primary care and emergency department nursing, medicine, behavioral health, social services, and security staff, facility administrative staff and community advocates.

    D. Participate in quarterly conference calls with project faculty for status updates, problem identification and technical assistance.

    E. Develop and integrate culturally appropriate DV/SA assessment protocols, facilitate staff training programs, and ensure ongoing meetings (6-12 times a year) with project team members to maintain and monitor the DV/SA program.

    F. Incorporate culturally appropriate responses to employees who have experienced DV/SA.

    G. Use DV/SA grant funds to pay for services provided by community DV/SA advocacy programs. These expenditures should be reflected in the grant budget and in grantee reports. These services can include and are not limited to:

    1. Costs of travel including flight/hotel/airport shuttle/per diem for the advocate's attendance at the two IHS-sponsored national Domestic Violence Pilot meetings; and
    2. Public education campaign work, public school presentations, staff education, new employee trainings and health fair table/booth staffing.

    H. Provide bi-annual reports to the IHS and project TA provider. A format will be provided. The report should provide a narrative of activities that occurred in the quarter including success and barriers to success, and copies of any materials developed.

    I. Participate in site evaluation and monitoring activities and in the overall project evaluation.

    J. Implement policies and protocols for routine DV/SA assessment intervention, referral, and follow-up and utilization of the GPRA DV screening exam code for documentation. The DV exam code recommends routine screening of women 15-40 years old; however, participating sites are encouraged to expand screening to reach both younger women age 13 and above and older women over 40.

    K. Integrate DV/SA assessment and interventions into standardized behavioral health screening, intervention and counseling programs.

    L. Work with the TA contractor as needed to develop and disseminate culturally appropriate assessment tools, patient intervention approaches and safety planning and referral.

    M. Raise the awareness of staff (professional, clinical and support staff) to the nature of DV & SA and the desired response of the health care facility and staff. Work towards assisting other outlying clinics to improve their response as well.

    N. Work with the community, other Tribal, county or State organizations on disseminating educational campaigns (media, posters, awareness campaigns, school and police education programs and public education materials) on DV/SA.

    The selected sites must serve 100% Federally recognized AI/AN youth. The selected grantees must not support State-recognized or non-natives using IHS grant funds.

    Funding under this grant program cannot be used to support abortion.

    II. Award Information
    TYPE OF AWARDS: Cooperative Agreement.

    ESTIMATED FUNDS AVAILABLE: The awards are for a 12 month period. IHS expects to fund 9 DV/SA projects funded at approximately $25,000 per pilot. The awards will depend upon availability of funds. Continuation of awards into subsequent years will be contingent upon availability of funds and satisfactory performance.

    ANTICIPATED NUMBER OF AWARDS: An estimated 9 awards will be funded under the Program.

    PROJECT PERIOD: 3 year grant cycle.

    AWARD AMOUNT: $25,000 per pilot first year (years 2-3 non-competitive process based on availability of funds and satisfactory performance).

    PROGRAMMATIC INVOLEMENT: The cooperative agreement will have substantial oversight to ensure compliance with the scope of work in building and sustaining DV/SA facility responsiveness.

    Monitor Progress by the following methods:

    Initial Report: All sites will be responsible for providing an initial report of the DV and SA related policies and services including screening, patient counseling, medical and behavioral health treatment, victim's assistance programs, SANE availability at their facility and the availability of services in the community such as: counseling by DV advocates, counseling by SA advocates, shelter availability, victim's assistance programs police services, social services, child protection agencies, state/Tribal laws, and, SART, and a coordinated community response team.

    Annual Report: All sites will be responsible for providing a report of activities/services, milestones achieved and next quarter's goals to the TA contactor, the IHS Project Officer, and the Women's Health Consultant.

    Each site will be expected to implement the plan that was submitted as part of their application. Progress will be measured against the objectives submitted in the application.

    III. Eligibility Information
    1. Eligible Applicants, the AI/AN must be one of the following:
    A. A Federally-recognized Indian Tribe; or
    B. A urban Indian organization as defined by 25 U.S.C. 1603(h); or
    C. A Tribal organization as defined by 25 U.S.C. 1063(e).

    Only one application per Tribe, Tribal organization, or urban Indian organization is allowed. Tribes, Tribal organizations or urban Indian health centers that have already received three years of IHS-ACF DV Pilot Program funding are not eligible to apply under this announcement.

    2. Cost Sharing or Matching:
    The DON, Women's Health DV/SA Pilot Program does not require matching funds or cost sharing.

    3. Other Requirements:

  • If the application budget exceeds $25,000, the application will not be considered for review.
  • Each application must be accompanied by a Tribal Resolution or a 501(c)(3). If applicant is unable to obtain an approved Tribal resolution by the application deadline, a letter explaining the steps taken to achieve one, and any barriers confronted should be explained. Urban centers should include a letter from their Board of Directors.

    IV. Application and Submission Information
    1. Applicant package HHS-IHS-2008-WHDV-0001 may be found at http://www.grants.gov website.

    Information regarding the electronic application process may be directed to Michelle G. Bulls, at (301) 443-6290.

    Information regarding the DV Pilot Program may be obtained from:
    Carolyn Aoyama, CNM, M.P.H.
    Senior Consultant for Women's Health
    Advanced Practice Nursing and Midwifery
    Office of Clinical and Preventive Services
    Indian Health Service
    801 Thompson Avenue, Suite 300
    Rockville, Maryland 20852
    (301) 443-1840

    General grants information may be obtained from the grants management specialist:
    Ms. Norma Jean Dunne
    Division of Grants Operations
    Indian Health Service
    801 Thompson Avenue, TMP 360
    Rockville, MD 20852
    (301) 443-5204
    Fax: (301) 443-9602

    The entire application package is available at: http://www.grants.gov. Detailed application instructions for this announcement are downloadable from the Grants.gov website.

    2. Paper application submission will not be allowed.

    Public Policy Requirements: All Federal-wide public policies apply to IHS grants with exception of the discrimination public policy.

    Letter of Intent is not required.

    3. Submission Dates and Times:
    Applications must be submitted electronically through Grants.gov by 12:00 midnight Eastern Standard Time (EST). If technical challenges arise and the applicant is unable to successfully complete the electronic application process, the applicant should contact Grants Policy Staff (GPS) at the number identified above at least fifteen days prior to the application deadline and advise them of the difficulties they are experiencing. Paper submission or late submission will not be accepted and will be returned to the applicant without review or consideration.

    4. Intergovernmental Review:
    Executive Order 12372 requiring intergovernmental review is not applicable to this program.

    5. Funding Restrictions:
    A. Pre-award costs are allowable pending prior approval from the awarding agency. However, in accordance with 45 CFR Part 74, all pre-award costs are incurred at the recipient's risk. The awarding office is under no obligation to reimburse such costs if for any reason the applicant does not receive an award or if the award to the recipient is less than anticipated.
    B. The available funds are inclusive of direct and appropriate indirect costs.
    C. Only one cooperative agreement will be awarded per Tribe or urban Indian health center.
    D. IHS will not acknowledge receipt of applications.

    6. Other Submission Requirements:
    Electronic Submission - The preferred method for receipt of applications is electronic submission through Grants.gov. However, should any technical challenges arise regarding the submission, please contact Grants.gov Customer Support at 1-800-518-4726 or support@grants.gov. The Contact Center hours of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. EST. The applicant must seek assistance at least fifteen days prior to the application deadline. Applicants that do not adhere to the timelines for Central Contractor Registry (CCR) and/or Grants.gov registration and/or requesting timely assistance with technical issues will not be a candidate for paper applications.

    To submit an application electronically, please use the http://www.Grants.gov website and select

  • Apply for Grants
  • link on the home page. Download a copy of the application package from the Grants.gov website, complete it offline and then upload and submit the application via the Grants.gov site. You may not e-mail an electronic copy of a grant application to IHS.

    Please be reminded of the following:

  • Under the new IHS application submission requirements, paper applications are not the preferred method. However, if you have technical problems submitting your application on-line, please contact directly Grants.gov Customer Support at: http://www.grants.gov/CustomerSupport.
  • Upon contacting Grants.gov, obtain a tracking number as proof of contact. The tracking number is helpful if there are technical issues that cannot be resolved and a waiver request from GPS must be obtained.
  • If it is determined that a formal waiver is necessary, the applicant must submit a request, in writing (e-mails are acceptable), to Michelle.Bulls@ihs.gov that includes a justification for the need to deviate from the standard electronic submission process. Upon receipt of approval, a hard-copy application package must be downloaded by the applicant from Grants.gov, completed, and sent directly to the Division of Grants Operations (DGO), 801 Thompson Avenue, TMP 360, Rockville, MD 20852 by the due date, August 22, 2008.
  • Upon entering the Grants.gov website, there is information available that outlines the requirements to the applicant regarding electronic submission of an application through Grants.gov, as well as the hours of operation. We strongly encourage all applicants not to wait until the deadline date to begin the application process through Grants.gov as the registration process for CCR and Grants.gov could take up to fifteen working days.
  • To use Grants.gov, you, as the applicant, must have a Data Universal Numbering System (DUNS) number and register in the CCR. You should allow a minimum of ten days working days to complete CCR registration. See below on how to apply.
  • You must submit all documents electronically, including all information typically included on the SF-424 and all necessary assurances and certifications.
  • Please use the optional attachment feature in Grants.gov to attach additional documentation that may be requested by IHS.
  • Your application must comply with any page limitation requirements described in the program announcement.
  • After you electronically submit your application, you will receive an automatic acknowledgment from Grants.gov that contains a Grants.gov tracking number. The IHS DGO will download your application from Grants.gov and provide necessary copies to the cognizant program office. The DGO will not notify applicants that the application has been received.
  • You may access the electronic application for this program on http://www.Grants.gov.
  • You may search for the downloadable application package by either the CFDA number or the Funding Opportunity Number. Both numbers are identified in the heading of this announcement.
  • The applicant must provide the Funding Opportunity Number: HHS-IHS-2008-WHDV-0001.

    DUNS NUMBER
    Applicants are required to obtain a DUNS number from Dun and Bradstreet 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. Interested parties may wish to obtain their DUNS number by phone to expedite the process.

    Applications submitted electronically must also be registered with the CCR. A DUNS number is required before CCR registration can be completed. Many organizations may already have a DUNS number. Please use the number listed above to investigate whether or not your organization has a DUNS number. Registration with the CCR is free of charge.

    Applicants may register with the CCR by calling 1-888-227-2423. Please review and complete the CCR Registration Worksheet located on http://www.grants.gov/CCRRegister.

    More detailed information regarding these registration processes can be found at http://www.grants.gov.

    V. Application Review Information
    1. Criteria
    A. Program Goals and Objectives (20 Points).
    Provide a brief narrative of your health facility: size, location, services offered, primary Tribe(s) served, and number of annual patient visits. Include what behavioral health (BH) services are offered: whether BH is off-site or on-site and whether or not BH is integrated into primary care.
    What are you trying to accomplish with this grant? List three to five program objectives.

    Who do you hope to reach with your program? (All patients? Just females? Ages? Particular department or clinic?)

    How will you demonstrate that your program accomplished its objectives?

    B. Background, Need for Assistance and Capacity (45 points).
    1. Describe the problem of DV/SA in your population. Provide Tribal, state or regional data to the extent possible (including prevalence, DV/SA arrests made and DV/SA prosecution rates).
    2. Describe what efforts, if any, have been made and/or programs set up in the past to meet the needs of people with DV/SA. Briefly describe any barriers faced.
    3. Are you currently routinely screening for either DV or SA? If yes, please detail who conducts the screening, who provides intervention and support, and how documentation is conducted. Do you screen for either DV or SA in primary care, the emergency room, or elsewhere? Are positive screenings referred to other departments/programs onsite, or off site, or both? Do you currently have SANEs or a SART in place? If yes, please describe. Does your facility routinely screen for depression and/or alcohol?
    4. Provide a description of the known community services including Victim's Assistance, DV Shelters, community DV or SA advocacy programs. Describe any collaboration your health facility has had with these programs; what collaboration will they have in this project? Describe how project resources will be made available to DV/SA advocacy programs to support their contributions to, and involvement with the projects.

    C. Management Controls (10 points).
    1. Has your facility ever been funded to conduct health care based DV or SA reform work in the past? If yes, when was the grant and what was accomplished?
    2. Is your project willing to share your program experience/generated materials with IHS Areas, Tribes, Tribal organizations, and urban programs? (You will NOT be asked to share specific data about DV/SA in your communities.)

    D. Key Personnel (15 points).
    1. Provide a list of proposed DV team members (multi-disciplinary), their background and role within the health care system or the community.
    2. Describe the primary

  • team leader
  • who will lead this work (Note: you may opt to have two co-leaders: one from the health facility and one from the local DV/SA program working collaboratively. Describe these two people if that is your preference.). You may include resumes, or a brief description of their experience and qualifications to lead this work. Discuss if relevant, comparable projects the team leader(s) has successfully implemented.

    E. Budget (10 points).
    1. Provide an itemized estimate of costs on SF 424A, Budget Information Non-Construction Programs.
    2. Provide a narrative justification for each budget line item including how those funds will be expended (remember to include travel for a minimum of two people to two national project meetings.).
    3. Indicate special start-up costs and stipends for DV/SA advocacy organization(s) (DV/SA agencies may provide training to your staff, and should be included in your travel expenditures for the national meetings.).

    2. Review and Selection Process
    Applications meeting eligibility requirements that are complete, responsive and conform to this program announcement will be reviewed for merit by the Objective Review Committee appointed by the IHS to review and make recommendations on these applications. The review will be conducted in accordance with the IHS Objective Review Guidelines. The technical review process ensures selection of quality projects in a national competition for limited funding. Applications will be evaluated and rated on the basis of the evaluation criteria listed in Section V. The criteria are used to evaluate the quality of a proposed project, determine the likelihood of success and assign a numerical score of each application. The scoring of approved applications will assist the IHS in determining which proposals will be funded if the amount of funding is not sufficient to support all approved applications. Applications recommended for approval and scored high enough to be considered for funding, are ranked and forwarded to the Women's Health Program for further recommendation. Applications disapproved for funding will be returned to the applicant. Applications that are approved but not funded will not be carried over into the next cycle for funding consideration.

    3. Anticipated Announcement and Award Dates: The IHS anticipates announcement date of September 2, 2008 and award date of September 2, 2008.

    VI. Award Administration Information
    1. Award Notices.
    The Notice of Award (NoA) will be initiated by the DGO and will be mailed via postal mail to each entity that is approved for funding under this announcement. The NoA will be signed by the Grants Management Officer, and this is the authorizing document for which funds are dispersed to the approved entities. The NoA will serve as the official notification of the grant award and will reflect the amount of Federal funds awarded, the purpose of the grant, the terms and conditions of the award, the effective date of the award, and the budget/project period. The NoA is the legally binding document. Applicants who are approved but unfunded or disapproved based on their Objective Review score will receive a copy of the Executive Summary which identifies the weaknesses and strengths of the application submitted.

    2. Administrative Requirements.
    Grants are administrated in accordance with the following documents:

  • This Program Announcement.
  • Administrative Requirements: 45 CFR Part 92,
  • Uniform Administrative Requirements for Grants and Cooperative Agreements to State, Local and Tribal Governments,
  • or 45 CFR Part 74,
  • Uniform Administrative Requirements for Awards to Institutions of Higher Education, Hospitals, Other Non-Profit Organizations, and Commercial Organizations.

  • Grants Policy Guidance: HHS Grants Policy Statement, January 2007.
  • Cost Principles: OMB Circular A-87, State, Local, and Indian (Title 2 Part 225).
  • Cost Principles: OMB Circular A-122, Non-Profit Organizations (Title 2 Part 230).
  • Audit Requirements: OMB Circular A-133,
  • Audits of States, Local Governments, and Non-profit Organizations.
  • 3. Indirect Costs: This section applies to all grant recipients that request reimbursement of indirect costs in their grant application. In accordance with HHS Grants Policy Statement, Part II-27, IHS requires applicants to have a current indirect cost rate agreement in place prior to award. The rate agreement must be prepared in accordance with the applicable cost principles and guidance as provided by the cognizant agency or office. A current rate means the rate covering the applicable activities and the award budget period. If the current rate is not on file with the DGO at the time of award, the indirect cost portion of the budget will be restricted and not available to the recipient until the current rate is provided to the DGO.

    Generally, indirect costs rates for IHS grantees are negotiated with the Division of Cost Allocation http://rates.psc.gov/ and the Department of the Interior (National Business Center) http://www.nbc.gov/acquisition/ics/icshome.html. If your organization has questions regarding the indirect cost policy, please contact the DGO at (301) 443-5204.

    4. Reporting
    A. Progress Report. Progress reports are required every six months. These reports will include a brief comparison of actual accomplishments to the goals established for the period, or, if applicable, provide sound justification for the lack of progress, and other pertinent information as required. The last report of the year must be submitted within 90 days of expiration of the budget/project period.

    B. Financial Status Report (FSR). FSRs are due within 90 days of expiration of the budget/project period. Standard Form 269 (long form) will be used for financial reporting.

    Failure to submit required reports within the time allowed may result in suspension or termination of an active grant, withholding of additional awards for the project, or other enforcement actions such as withholding of payments or converting to the reimbursement method of payment. Continued failure to submit required reports may result in one or both of the following: (1) the imposition of special award provisions; and (2) the non-funding or non-award of other eligible projects or activities. This applies whether the delinquency is attributable to the failure of the grantee organization or the individual responsible for preparation of the reports.

    5. Telecommunication for the hearing impaired is available at: TTY (301) 443-6394.

    VII. Agency Contact(s)
    For program-related information regarding the VAW Pilot Program:
    Carolyn Aoyama, CNM, M.P.H.
    Senior Consultant for Women's Health and Advanced Practice Nursing
    Office of Clinical and Preventive Services
    Indian Health Service
    801 Thompson Avenue, Suite 300
    Rockville, Maryland 20852
    (301) 443-1840 carolyn.aoyama@ihs.gov

    For general information regarding this announcement:
    Ms. Orie Platero
    Office of Clinical and Preventive Services
    Indian Health Service
    801 Thompson Avenue, Suite 326
    Rockville, Maryland 20852
    (301) 443-2522

    For specific grant-related and business management information:
    Ms. Norma Jean Dunne
    Division of Grants Operations
    Indian Health Service
    801 Thompson Avenue, TMP Suite 360
    Rockville, Maryland 20852
    (301) 443-5204

    VIII. Other Information
    The Department of Health and Human Services (HHS) is committed to achieving the health promotion and disease prevention objectives of Healthy People 2010, an HHS-led activity for setting priority areas. This project will aid the accomplishment of Healthy People 2010. Potential applicants may obtain a printed copy of Healthy People 2010, (Summary Report No, 017-001-00549-5) or CD-ROM, Stock No. 017-001-00549-5, through the Superintendent of Documents, Government Printing Office, P.O. Box 371954, Pittsburgh, PA 15250-7945, (202) 512-1800. You may also access this information at the following website: http://www.healthypeople.gov/Publications.

    The IHS is focusing efforts on three Health Initiatives that, linked together, have the potential to achieve positive improvements in the health of AI/AN people. These three initiatives are Health Promotion/Disease Prevention, Management of Chronic Disease, and Behavioral Health. Further information is available at the Health Initiatives website: http://www.ihs.gov/NonMedicalPrograms/DirInitiatives/index.cfm.

    Date: ___________________ ________________________
    Robert G. McSwain
    Director
    Indian Health Service

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