This agreement provides funding to the public health institute (PHI), specifically for their regional asthma management and prevention (ramp) project

Specifically, the recipient will work to build upon the successes of their current cooperative agreement XA-840216-01 to improve the capacity of states and communities (e.g. municipalities, neighborhoods, tribes) to expand and sustain in-home environmental asthma interventions through policy and systems change. PHI's technical assistance (TA) will build the capacity of organizations to focus their asthma work within the context of iedoh to help reduce disparities by: using data to prioritize in-home asthma interventions; developing infrastructure-building collaboration across sectors; supporting the access to, delivery and financing of in-home asthma interventions; and making these interventions more sustainable through policy and systems change. PHI will support organizations and advance the field by providing individualized TA, facilitating opportunities for peer learning, producing tools in response to needs, and sharing stories about successes, challenges, and lessons learned.activities:the activities include: providing individualized technical assistance (TA) to build the capacity of states and communities; providing peer learning opportunities; documenting stories about successes, challenges, and lessons learned; conducting presentations for states and communities nationwide; producing tools responding to the field's emerging needs and building the momentum around this work; and expanding PHI-ramp's community health worker (CHW) workshops nationally to build workforce capacity.subrecipient:the national center for healthy housing (nchh), whose role in the proposed scope of work complies with EPA's subaward policy, will serve as a partner in this agreement. Nchh will work with PHI on the following activities: providing individualized technical assistance (TA) to build the capacity of states and communities; providing peer learning opportunities; documenting stories about successes, challenges, and lessons learned; conducting presentations for states and communities nationwide; and producing tools responding to the field's emerging needs and building the momentum around this work.outcomes:the anticipated deliverables include: states and communities receiving technical assistance (TA); peer learning events; stories shared with the field; capacity-building presentations conducted; tools produced and disseminated to over 10,000 people in the field; new participants signed up to receive community health worker (CHW) workshop notices; and CHW workshops held. The expected outcomes include: increased national-scale capacity to address indoor environmental determinants of health (iedoh) through sustainable in-home asthma environmental interventions; increased capacity/engagement of asthma home visitors in efforts to address iedoh through sustainable in-home asthma environmental interventions; and increase the number of states, plans, and communities with policies and systems that increase access to in-home asthma environmental interventions. The intended beneficiaries include: low-income individuals and people with poorly controlled asthma; community health workers (chws) and similar home visitors; states and communities who are looking to build and sustain in-home environmental asthma interventions through policy and systems change; and other states and communities who will gain enthusiasm and momentum for these interventions.