Special General Memorandum 95-5
JUL 10, 1995
This memorandum provides temporary guidance on the mechanisms to be used by the Indian Health Service (IHS) to provide funding for tribal injury prevention projects. The requirements set forth in this memorandum are in effect through September 30, 1996.
Injury prevention is one of the most important public health initiatives sponsored by the IHS. The Congress has supported this initiative with recurring program enhancements for fiscal years (FY) 1994 and FY 1995 in the amount of $1 million. The funds are for the purpose of stimulating community- specific injury prevention projects through direct intervention.
These funds are made available to Indian communities annually, on a competitive basis, through the Division of Environmental Health (DEH), Office of Environmental Health and Engineering (OEHE). The application format is described in the IHS Injury Prevention program Guidelines available from your Area Injury Prevention Specialist. A copy of the application format is attached to this memorandum. Announcements of the availability of funds will be made as soon as possible after the beginning of the FY.
Each Area Director is responsible for designating a panel of 3-5 persons to judge the merits of each proposal received by the Area office and to rank proposals determined to be suitable for funding. To promote fairness, and to protect the Agency, I am directing each Area Director to assure that the review process is objective and that none of the review panelists has a conflict of interest with the proposals that he or she reviews. Announcements of awards must be made within 60 calendar days of the panel review.
The funding of approved injury prevention projects for tribes with an existing Public Law 93-638 contract should be made by using contract modification procedures; in the case of compacting tribes, the funding of approved injury prevention projects will be handled either at the time each tribe's Annual Funding Agreement (AFA) is renewed, or through a modification of the AFA, depending on the timing of the award.
Please give this matter your prompt attention so that the mechanisms for funding tribal injury prevention projects are in place when the applications for funding begin to arrive. If you have questions regarding this memorandum, please contact Mr. Richard Smith, Injury Prevention Manager, OEHE, IHS, on (301) 443-1054.
/Luana L. Reyes for/
Michael H. Trujillo, M.D., M.P.H.
Assistant Surgeon General
________AREA INDIAN HEALTH SERVICE
INJURY PREVENTION PROJECTS
Information and Application Packet
FISCAL YEAR AREA INDIAN HEALTH SERVICE
INJURY PREVENTION PROJECTS
The ________ Area Indian Health Service Injury Prevention Program is prepared to enter into collaborative agreements with tribal organizations to develop, implement, and evaluate community based Injury Prevention Projects (IPPs).
Injuries are the leading cause of death and the second leading cause of hospitalizations for Native Americans. During 198l-1985, injuries accounted for approximately 7,950 deaths and more than 73,000 hospitalizations among American Indian and Alaska Native people. The age adjusted injury death rates for Native Americans served by the Indian Health Service (IHS) were approximately three times the all U.S. rates for each of the years 1981 through 1985. This discrepancy can be primarily attributed to a Native American poverty rate that is approximately two and one-half times the U.S. all races rate (the environment of poverty is a strong predictor for injury mortality) and the rural locations and associated disadvantaged proximity to emergency medical care within which a large proportion of Native Americans live.
The leading causes of Native American injury death were motor vehicles (40%), homicide (13%), and suicide (13%) followed by drowning, fire/flames, and falls. For all injuries combined, the male to female ratio of death rates was three to one.
(INSERT AREA SPECIFIC INJURY DATA HERE!)
III. LONG-TERM HEALTH STATUS OBJECTIVES
Consistent with recognized Native American injury mortality and morbidity patterns and HEALTHY PEOPLE 2000: National Health Promotion and Disease Prevention Objectives, the _______ Area Indian Health Service Injury Prevention Program has established the following long-term health status objectives:
(INSERT AREA LONG-TERM INJURY PREVENTION OBJECTIVES HERE!)
IV. FUNDING PRIORITIES AND AVAILABILITY
Funded IPPs shall be:
IPP funding priorities shall reflect the leading causes of injury mortality among ________ Area Native American people. Projects in the following categories shall be considered for funding:
(INSERT INJURY CATEGORIES AND POTENTIAL FUNDING AMOUNTS HERE!)
V. FUNDING CRITERIA
Funding shall be non-recurring arid shall be provided for a duration of one year. Supplemental indirect cost funding is not available. Indirect costs for the proposed IPP must be reflected in the TOTAL IPP EXPENSES (see PROPOSED IPP BUDGET in APPENDIX 3).
At the end of one year, an IPP ACCOMPLISHMENTS REPORT (see APPENDIX 1) shall be submitted by the project coordinator and a potential may exist for continuation funding based upon satisfactory progress. Satisfactory progress would be evident if project objectives were being met within budgeted funding amounts and if acceptable objectives had been developed for the new funding period.
All funding decisions shall be made by the ________ Area Indian Health Service Injury Prevention Specialist. These decisions shall be based upon the CRITERIA detailed in APPENDIX 2.
VI. APPLICATION PROCESS AND DEADLINES
At a minimum, applications must include a completed IPP WORKPLAN and PROPOSED IPP BUDGET. Copies of both of these forms can be found in APPENDIX 3 of this document. Additional background information, which may strengthen the application package, may be included. Completed applications must be received at the following address by no later than _________.
Injury Prevention Specialist
IHS/____________ Area Office
(city, state zip code)
Applications will be reviewed and funding announcements will be made by no later than ____________.
IPP ACCOMPLISHMENTS REPORT
Please answer the following questions. You may attach additional sheets if necessary.
Please attach any pertinent information which may strengthen this report.
IPP WORK PLAN
STATEMENT OF THE INJURY PROBLEM(S):__________________________________________________________________________
GOAL STATEMENT: ______________________________________________________________________________________________
INTERVENTION STRATEGY/ STRATEGIES:___________________________________________________________________________
IPP WORK PLAN(continued)
PROPOSED IPP BUDGET
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