amendment 1 ps15-1508.pdf

Centers for Disease Control and Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Public Health Leader Fellowship Program

CDC-RFA-PS15-1508

Application Due Date: 06/26/2015

Signature Date

Public Health Leader Fellowship Program

CDC-RFA-PS15-1508

TABLE OF CONTENTS

Part I. Overview Information

Federal Agency NameA.

Funding Opportunity TitleB.

Announcement TypeC.

Agency Funding Opportunity NumberD.

Catalog of Federal Domestic Assistance (CFDA) NumberE.

Dates F.

Executive Summary G.

Part II. Full Text

Funding Opportunity Description A.

Award Information B.

Eligibility Information C.

Required Registrations D.

Review and Selection Process E.

Award Administration Information F.

Agency Contacts G.

Other Information H.

Glossary I.

Part I. Overview Information Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Send Me Change Notifications Emails" link to ensure they receive notifications of any changes to CDC-RFA-PS15-1508. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) B. Funding Opportunity Title:

Public Health Leader Fellowship Program C. Announcement Type: New - Type 1 This announcement is only for non-research domestic activities supported by CDC. If research is proposed, the application will not be considered Research for this purpose is defined at http://www.cdc. gov/od/ science / integrity/ docs/cdc- policy- distinguishing- public- health- research- nonresearch. pdf.

D. Agency Funding Opportunity Number:

CDC-RFA-PS15-1508

E. Catalog of Federal Domestic Assistance (CFDA) Number:

93.283 F. Dates:

1. Due Date for Letter of Intent (LOI): 05/26/2015

2. Due Date for Applications: 06/26/2015, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: 05/19/2015 An informational conference call will be scheduled on Tuesday May 19, 2015 at 1pm to 3p Eastern Standard Time.

Teleconference Bridge Line 888-921-4791- Participant Code 3903526

G. Executive Summary:

1. Summary Paragraph:

Executive summary

This FOA will enhance CDC’s ability to reduce racial and ethnic disparities in health by supporting the development of two national public health leadership fellowship programs to train culturally sensitive undergraduate and post-doctoral recipients for public health careers.

The undergraduate program [component 1] will consist of a ten-week summer program for undergraduate students or recent graduates (received bachelor’s degree within one year or less before application to the program) who will each receive an opportunity to be mentored by a CDC scientist.

The post-doctoral program [component 2] will consist of a one year public health leadership skills building in the context of a comprehensive graduate level curriculum that includes a practicum at CDC and a community based organization.

This program will solicit participants among highly qualified culturally sensitive students with a dedicated interest in working with populations experiencing disparities in HIV, viral hepatitis, STD and TB. The goal of training is to teach the principles and practice of public health leadership to enhance the potential for career mobility and future leadership roles. The program will be guided by provision of comprehensive training in the core public health functions. In addition, the training program will focus on mastery of public https://foa.grantsolutions.gov/announcementmodule/www.grants.gov https://foa.grantsolutions.gov/announcementmodule/www.grants.gov http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf http://www.grants.gov training in the core public health functions. In addition, the training program will focus on mastery of public health leadership skills for both undergraduate and post-doctoral tracks. The post-doctoral track curriculum will focus on core competencies for senior public health executives including leading change, leading people, meeting organizational goals, managing resources and building coalitions.

a. Eligible Applicants: Limited

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 2

d. Total Project Period Funding: $2,250,000

e. Average One Year Award Amount: $200,000

f. Number of Years of Award: 5

g. Estimated Award Date: 08/07/2015

h. Cost Sharing and / or Matching Requirements: N

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview

The United States is rapidly becoming a more diverse nation, as demonstrated by the fact that non-white racial and ethnic groups will constitute a majority of the American population later in this century. Increasing cultural sensitivity among health professionals is an important tool for improved access to care for racial and ethnic minority patients, greater patient choice and satisfaction, and better educational experiences for health professions students, among many other benefits.

The U. S. Department of Labor predicts the need for growth in the public health workforce to meet the demand of implementing new technologies and regulations, respond to outbreaks, track emerging diseases, and help to improve the health of communities through disease prevention activities and develop evidence based recommendations. The demand for health administrators, health education specialists and epidemiologists is expected to grow 23%, 21% and 10% respectively by 2022. Future health professionals must be prepared to serve an increasingly diverse population. Racial and ethnic minorities will represent a majority of US citizens by 2043. Evidence of racial/ethnic/gender disparities in HIV, viral hepatitis, STD and TB is well documented in the scientific literature. These disparities cost billions of dollars annually and are undergirded by complex social and economic determinants.

Despite the increasing population diversity, and persistent disparities, the U.S. public health workforce is diversifying at a much slower pace. Predicted shortages of minority doctors and other public health professionals present challenges in meeting the public need. Although blacks and African-Americans comprise 13 percent of the nation, they account for only 4 percent of the physician workforce. Together, Blacks, Hispanics and American Indians/Alaska Natives represented over 30% of the American population in 2010, but less than 9% of advanced degrees in health, sciences and technology were granted among these groups in recent years. Likewise, Blacks, Hispanics and American Indians/Alaska Natives represent only 6% of the practicing physicians in the country.

A public health workforce experienced in working with socially and economically disadvantaged populations is required to ensure that all Americans benefit from policy decisions informed by a deep understanding of the structural barriers to optimal health and health care. A culturally competent - public health workforce has positive implications for improving access to health care services in underserved areas and for addressing health disparities.

b. Statutory Authorities

Awards for this FOA are made under the authorization of Sections 301 (a) of the Public Service Act (as amended)- 42 Chapter 6a, Subchapter 5, Part E, Subpart 2, U. S. 295(b) - Public Health Traineeships, which authorizes funding to public or private institutions to provide training in public health.

c. Healthy People 2020

The FOA addresses the Healthy People 2020 focus area of Public Health Infrastructure, Disparities in the Public Health Workforce.

https://www.healthypeople.gov/2020/topics-objectives/topic/public-health-infrastructure

d. Other National Public Health Priorities and Strategies

This FOA addresses the National Prevention Strategy Elimination of Health Disparities Action Plan and the National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Strategic Plan by: 1) Increasing the racial/ethnic diversity of health care and public health workforces and 2) Addressing the widening gap between the growing diversity of the general population and the racial/ethnic composition of the public health workforce.

National Prevention Strategy-Elimination of Health Disparities http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf

National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Strategic Plan http://intranet.cdc.gov/nchhstp/docs/NCHHSTP-strategic-plan-Book.pdf

The Centers for Disease Control and Prevention is required to meet the Department of Health and Human Services directives for compliance with White House Executive Orders. White House Executive Orders direct each federal agency in the U.S. Department of Health and Human Services (HHS) to advance the mission of support for Historically Black Colleges and Universities (HBCUs) (EO 13532), Tribal Colleges and Universities (TCUs) (EO 13592), and Educational Excellence for Hispanic Americans (EEHA) (EO 13555). The White House Executive Orders are listed below.

This FOA will contribute to NCHHSTP’s compliance with executive orders for provision of training to qualified racial/ethnic minority persons in minority serving institutions.

http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf http://intranet.cdc.gov/nchhstp/docs/NCHHSTP-strategic-plan-Book.pdf

Executive Orders – http://www.whitehouse.gov/the-press-office/2012/07/26/executive-order-white-house-initiative-educational -excellence-african-am http://www.whitehouse.gov/the-press-office/president-obama-signs-executive-order-promoting-excellence -innovation-and-sustainab http://www.whitehouse.gov/the-press-office/2010/10/19/executive-order-white-house-initiative-educational -excellence-hispanics http://www.whitehouse.gov/the-press-office/2011/12/02/executive-order-improving-american-indian-and -alaska-native-educational-

e. Relevant Work

The mission of the Office of Health Equity (OHE) in the Office of the Director in the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) is to promote health equity, the absence of systematic unfair disparities in health, and reduce health disparities among populations disproportionately affected by HIV, viral hepatitis, sexually transmitted diseases, tuberculosis, and other related conditions. OHE supports activities in research and surveillance, policy, health communication, prevention and intervention programs, capacity building, and partnerships that are aimed at reducing health inequities among affected populations.

Core Office Functions can be found at this link:

http://intranet.cdc.gov/nchhstp/OD/OHE/OHE-functions.html

OHE staff has mentored over 30 undergraduate, graduate and post-doctoral public health professionals over the past 10 years through a variety of programs and coordinates placement of fellows for NCHHSTP’s five divisions, the Division of HIV/AIDS Prevention, the Division of Viral Hepatitis, the Division of STD Prevention, the Division of TB Elimination and the Division of Adolescent and School Health.

2. CDC Project Description

a. Approach http://www.whitehouse.gov/the-press-office/2012/07/26/executive-order-white-house-initiative-educational-excellence-african-am http://www.whitehouse.gov/the-press-office/2012/07/26/executive-order-white-house-initiative-educational-excellence-african-am http://www.whitehouse.gov/the-press-office/president-obama-signs-executive-order-promoting-excellence-innovation-and-sustainab http://www.whitehouse.gov/the-press-office/president-obama-signs-executive-order-promoting-excellence-innovation-and-sustainab http://www.whitehouse.gov/the-press-office/2010/10/19/executive-order-white-house-initiative-educational-excellence-hispanics http://www.whitehouse.gov/the-press-office/2010/10/19/executive-order-white-house-initiative-educational-excellence-hispanics http://www.whitehouse.gov/the-press-office/2011/12/02/executive-order-improving-american-indian-and-alaska-native-educational-http://www.whitehouse.gov/the-press-office/2011/12/02/executive-order-improving-american-indian-and-alaska-native-educational-http://intranet.cdc.gov/nchhstp/OD/OHE/OHE-functions.html

i. Purpose

The purpose of this FOA is to increase the number of qualified culturally sensitive persons, interested in working with populations disproportionately affected by HIV, viral hepatitis, STD and TB, who receive public health leadership exposure, experience and training through development of two fellowship programs.

The undergraduate program [component 1] will consist of a ten-week summer program for undergraduate students or recent graduates and a post-doctoral program [component 2] will consist of a one year public health leadership skills building in the context of a comprehensive graduate level curriculum.

ii. Outcomes

This FOA has two components, component 1, a fellowship program for undergraduates and recent college graduates; and component 2, a post-doctoral fellowship program.

Outcomes for Component 1– Increase the number of culturally sensitive undergraduates and recent bachelor’s degree recipients receiving a mentored research project experience in a public health agency.

Outcomes for Component 2- Post-Increase the number of culturally sensitive postdoctoral recipients receiving a mentored leadership training experience in an institution of higher learning, a community-based public health agency and a national public health agency.

iii. Strategies and Activities

Strategy: Component 1- Establishment of a 10 Week Summer Program for Undergraduate Students

CDC will fund one applicant to administer the undergraduate/recent graduate leadership training component that includes a ten (10)-week (approximately) summer program. The undergraduate component of the fellowship program will provide a ten-week summer course introduction to public health leadership for college juniors, seniors or recent graduates through development of a limited term research project. The selected awardee will demonstrate expertise in serving the five target populations of this program (African Americans, Hispanic/Latinos, American Indians/Alaska Natives, Asian Americans, Native Hawaiians and other Pacific Islanders). The selected awardees will be responsible for recruiting up to 30 students per year (total), securing internship placements at CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, selecting/training mentors, providing housing and transportation, providing a stipend during the summer to students, tracking students’ progress during and up to 24-months after the internship, following up with students over the course of the project period and sharing information about careers in public health, including working directly with students to complete graduate school applications, job applications, etcetera as they relate to future public health, public health leadership or biomedical science careers. Students will receive a minimum of a one (1)-week orientation course on public health principles, science, and approaches preceded by a one (1) week general orientation provided by the grantee. Subsequently, they will be assigned to mentors and projects that provide hands-on experience working on public health problems, using science and program tools, and intervening with populations that are severely impacted by diseases and poor health outcomes.

Strategy: Component 2- Establishment of a Post-Doctoral Leadership Fellowship

CDC will fund one applicant to administer the Post-Doctoral Public Health Leadership Fellowship which will consist of a one year multidisciplinary training program designed to provide physicians and other postdoctoral professionals with the specific knowledge, skills, and experiences to prepare them for leadership roles promoting and implementing policies and practices to reduce disparities and advance health equity. The selected awardee will demonstrate expertise in serving the five target populations of this program (African selected awardee will demonstrate expertise in serving the five target populations of this program (African Americans, Hispanic/Latinos, American Indians/Alaska Natives, Asian Americans, Native Hawaiians and other Pacific Islanders). The selected awardee will develop criteria for selection of 3 to 5 highly qualified culturally sensitive physicians or postdoctoral fellows annually and provide fellows with comprehensive public health leadership training, a salary commensurate with education and experience, and provision of travel stipends for attending conferences and meetings. The awardee will match each fellow with appropriate mentors based on areas of expertise, and structure the fellowship to enhance career development and potential for upward mobility.

The post-doctoral fellowship program objectives are to ensure that fellows are prepared to:

1. Critically analyze issues, programs, and policies that impact health and health care, particularly as they relate to health disparities and advancing health equity.

2. Inform the development of health policies to reduce disparities and advance health equity.

3. Assume leadership roles that support the development of programs and policies that reduce disparities and advance health equity.

4. Work effectively with disadvantaged communities to develop sustainable programs and organizations that support reduction of health disparities and advancement of health equity.

Awardees for each component of the program are required to collaboratively partner with CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention’s Office of Health Equity to administer the fellowship program.

1.Collaborations

a. With CDC-funded programs:

Applicants should develop a plan and timeline for working with the Office of Health Equity and NCHHSTP’s five divisions, the Division of HIV/AIDS, Division of Viral Hepatitis, Division of Adolescent and School Health, Division of STD Prevention and Division of TB Elimination to identify appropriate research projects for fellows to complete during CDC placement.

b. With organizations external to CDC:

Awardees are required to establish working relationships with and collaborate with schools of Public Health and other academic institutions that address racial and ethnic disparities in health to identify and recruit qualified candidates for the fellowship programs. The awardee selected for the post-doctoral fellowship program is required to establish and maintain relationships with local, state and community based health organizations for placement of fellows in appropriate leadership training practicums.

2. Target Populations

Awardees are required to work with populations that experience disparities in health (i.e. African Americans, Hispanic/Latinos, American Indians/Alaska Natives, Asian Americans, Native Hawaiians and other Pacific Islanders).

a. Inclusion

The awardees should design their program so that it is accessible and available to all persons regardless of age, sex, race/ethnicity, sexual orientation or gender identity, socio-economic status or disability status. The activities delineated by the awardee should result in measurable improvement among the target population.

iv. Funding Strategy (for multi-component FOAs only)

N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

The CDC strategy for monitoring and evaluating the program and awardee performance will include both process and outcome evaluation methodologies and will be consistent with the logic models presented above.

The awardee will be required to collect uniform quantitative and qualitative data on the fellows recruited, their activities and projects, and submit annual progress reports.

Evaluation and Performance Measurement Component 1

As indicated in the logic model, the awardee will be expected to achieve by the end of the project period the following 3 outcomes.

Up to 30 highly qualified culturally sensitive applicants with potential for careers in public health accept fellowship. Fellow candidates should have earned at least a 3.0 grade point average on college courses. Fellows should have experience and interest in health disparities.

Fellows increase theoretical and practical knowledge of public health and working in a national public health agency.

Fellows increase involvement and interaction with senior public health officials, and the principles and praxis of public health. Senior public health officials with at least 5 years of experience are preferred.

Evaluation and Performance Measurement- Component 2- Post Doctoral Fellowship Program

As indicated in the logic model, the awardee will be expected to achieve by the end of the project period the following 3 outcomes.

Three to five highly qualified culturally sensitive post -doctoral applicants with potential for public health leadership roles accept fellowship. . Fellow candidates should have earned at least a 3.2 grade point average on college courses. Fellows should have experience and interest in health disparities.

Fellows receive public health assignments in strong and productive settings providing practical leadership experiences Fellows increase involvement and interaction with senior public health officials and increase knowledge of the standards and principles of scientific excellence, accountability, transparency, respect and honesty, responsibility .

ii. Applicant Evaluation and Performance Measurement Plan

Evaluation and Performance Measurement

Component 1- Undergraduate Fellowship

As indicated in the logic model, the awardee will be expected to implement the following three strategies and related activities as described below:

Identify, recruit and train up to 30 highly qualified college juniors, seniors or recent graduates with interest in reducing disparities in HIV, Viral Hepatitis, STD and TB for 10 weeks in summer.

Provide orientation to Fellows on:

- Working in a large federal public health agency

Provide living accommodations, supervision and structured public health activities and a stipend for summer fellows.

Selected awardee will provide transportation to and from the host city (Atlanta, GA) and lodging during the tenure period.

Selected awardee will provide supervision and structured activities for summer fellows.

Selected awardee will provide an appropriate stipend to selected fellows.

Collaborate with NCHHSTP staff to identify summer research projects and mentors at CDC, ensuring that each fellow is matched with a project and mentor consistent with their interests and abilities.

Selected awardee will collaborate with NCHHSTP staff to identify summer research projects and mentors at CDC, ensuring that each fellow is matched with a project and mentor consistent with their interests and abilities.

PROCESS MEASURES: Here are the measures the awardee will use to monitor implementation of each of the 3 strategies

STRATEGY: Identify, recruit and train up to 30 highly qualified college juniors, seniors or recent graduates with interest in reducing disparities in HIV, Viral Hepatitis, STD and TB for 10 weeks in summer.

MEASURE: At least 25% of eligible candidates recruited are selected for the program

MEASURE: 90% or greater of selected candidates receive training on all of the designated domains.

STRATEGY: Provide living accommodations, supervision and structured public health activities and a stipend for summer fellows.

MEASURES: 90% or greater of candidates are provided:

- Stipend

- Stable living accommodations

-Assigned supervisor who has been oriented to the program and their responsibilities

-Involvement in one or more structured projects

STRATEGY: Collaborate with NCHHSTP staff to identify summer research projects and mentors at CDC, ensuring that each fellow is matched with a project and mentor consistent with their interests and abilities.

MEASURES: 90% or greater of participants are provided

- productive and relevant summer research project that is consistent with interests and abilities

- CDC mentor that is consistent with their interests and abilities

OUTCOME MEASURES: Here are the measures the awardee will use to monitor achievement of the 3 project period outcomes:

OUTCOME: Up to 30 highly qualified culturally sensitive applicants with potential for careers in public health accept fellowship.

MEASURE: 100% of candidates accept who meet criteria

[this goes with the outcome below]

OUTCOME: Fellows increase theoretical and practical knowledge of public health and working in a national public health agency

MEASURE: 100% participants who complete scientific poster and presentation.

MEASURE: 100% of participants successfully complete training that increases knowledge of:

- Health disparities

- Social determinants of health and health equity.

- Infectious disease epidemiology

- Production of deliverables.

- Making presentations at internal meetings.

- Writing public health information documents

- The scientific method

- Presentation skills

- Epidemiology of HIV, viral hepatitis, STD or TB

Theoretical perspectives undergirding evidence based public health interventions

- Process and timetables for development of project deliverables during the tenure period

OUTCOME: Fellows increase involvement and interaction with senior public health officials, and the principles and praxis of public health

MEASURE: 80% of participants who:

- Have met with at least [2] senior public health officials

- Are active in at least [1] workgroup activity that build leadership skills

- Are involved in/exposed to settings or project that involved constructing communication strategies for varied audiences

- Are involved in/exposed to settings or project that involve the review, clearance and publishing process of written public health communication products

- Are involved in/exposed to settings or project that involve standards for principles of scientific excellence, accountability, transparency, respect and honesty, responsibility.

Evaluation and Performance Measurement

Component 2- Post-Doctoral Fellowship

As indicated in the logic model, the awardee will be expected to implement the following three strategies and related activities as described below:

Identify, recruit and train approximately 3-5 highly qualified post-doctoral fellows with interest in reducing disparities in HIV, viral hepatitis, STD and TB.

Develop specific leadership building activities for the tenure of the fellow based on the core competencies for senior public health executives including leading change, leading people, meeting organizational goals, managing resources and building coalitions.

Coordinate and schedule a community-based public health practicum for each fellow.

Collaborate with NCHHSTP program officials to coordinate and schedule a CDC practicum for each fellow.

PROCESS MEASURES: Here are the measures the awardee will use to monitor implementation of each of the 4 strategies

STRATEGY: Identify, recruit and train approximately 3-5 highly qualified post-doctoral fellows with interest in reducing disparities in HIV, viral hepatitis, STD and TB.

MEASURE: At least 100% of eligible candidates recruited are selected for the program

MEASURE: 100% selected candidates receive training on all of the designated domains.

STRATEGY: Develop specific leadership building activities for the tenure of the fellow based on the core competencies for senior public health executives including leading change, leading people, meeting organizational goals, managing resources and building coalitions.

MEASURE: 100% of fellows receive specific leadership building activities for the tenure of the fellow based on the core competencies for senior public health executives including leading change, leading people, meeting organizational goals, managing resources and building coalitions.

STRATEGY: Coordinate and schedule a community-based public health practicum for each fellow.

MEASURE: 100% of fellows participate in a practicum in a community-based health agency. The practicum should consist of at least 8 weeks of on the job training.

STRATEGY: Collaborate with NCHHSTP program officials to coordinate and schedule a CDC practicum for each fellow.

MEASURE: 100% of fellows are matched with a program and mentor within NCHHSTP and participate in a CDC practicum. The practicum should consist of at least 8 weeks of on the job training.

OUTCOME MEASURES: Here are the measures the awardee will use to monitor achievement of the 3 project period outcomes:

OUTCOME: Up to 5 highly qualified culturally sensitive applicants with potential for careers in public health accept fellowship.

MEASURE: Up to 5 candidates accept who meet criteria

MEASURE: 100% of participants successfully complete training that increases knowledge of:

- Leadership in local, state and national public health agencies

- Core competencies for senior public health leaders

- Policies, processes and functions of a large public health agency and a smaller community based public health agency

- Importance of social determinants of health and health equity for reducing health.

- epidemiology of HIV, viral hepatitis, STD and TB

- theoretical perspectives undergirding evidence based public health interventions

- process and timetables for development of project deliverables

- Workgroup activities that build leadership skills

- Communication strategies for varied audiences

- The review, clearance and publishing process of written public health communication products

- Standards for principles of scientific excellence, accountability, transparency, respect and honesty, responsibility.

MEASURE: 100% of fellows meet with at least 5 senior public health officials.

MEASURE: 100% of fellows participate in at least 1 public health policy work group at a national or community public health agency.

c. Organizational Capacity of Awardees to Execute the Approach

General Institutional Requirements for Both Tracks

The awardee must have a minimum of four years’ experience administering similar public health leadership training programs. The awardee must show demonstrated experience in provision of fellowship’s major focus areas: leadership development, health policy, and health equity, with concentrations in both behavioral and sexual health. The awardee should have extensive experience in provision of formal and informal instruction in the biomedical and behavioral sciences, policy leadership shadowing and learning experiences with government, business, health care, public health, and community partners, and health policy leadership forums. Fellows should be provided with an interactive curriculum covering the breadth and depth of the health system—from health care organization, finance, and quality to public health and the social and environmental determinants of health. Similarly, policy content should include not only the policy process and policy analysis, but policy case studies looking at the Affordable Care Act, infectious disease control, and health equity. In addition, fellows should be provided practice teaching, and/or research responsibilities with academic departments, community-based practicum experiences, and complete a health policy research project. All fellows should be provided with additional support for developing teaching, research, grant writing, and presentation skills.

Institutional Requirements for the Post-Doctoral Fellowship Component 2

Leadership Experiences

The awardee will ensure that fellows participate in learning and leadership experiences with government leaders and their staff at the local, state, and national levels. This will give fellows the opportunity to observe firsthand how policy making intersects with the legislative process. In addition, fellows should have leadership experiences with local community organizations, health care organizations, public health organizations, and health care professional organizations. This will provide opportunities to observe organizations, and health care professional organizations. This will provide opportunities to observe leadership styles and strategies across a variety of organizational types, cultures, and structures.

Community-Based Practicum Experiences

The awardee should design practicum experiences as opportunities for fellows to engage both governmental and community-based organizations and apply their knowledge and understanding of both policy analysis and leadership. Each fellow should participate in two practicum experiences framed broadly around behavioral and sexual health and an area of interest at the intersection of health policy and health equity. The awardee should have an extensive network of collaborating partners in public health, public and private health care institutions, state and local governmental agencies, and community based organizations. Each practicum project should be framed through a defined scope of work that leverages the fellows’ expertise and interests with the work of the organization or agency. Fellows should be provided with opportunities to meet with key leadership across the organizations to share leadership lessons learned.

National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Practicum

The awardee will work with NCHHSTP’s Office of Health Equity to coordinate placement of each fellow in an appropriate NCHHSTP 8-10 week leadership practicum in one of five divisions, the Division of HIV/AIDS Prevention, the Division of Viral Hepatitis, the Division of STD Prevention, the Division of TB Elimination, the Division of Adolescent and School Health, or NCHHSTP Office of the Director.

d. Work Plan

Component 1- Undergraduate Fellowship Program

1. Student Recruitment/Orientation: The awardee will recruit up to 30 culturally sensitive undergraduate students with interest in serving the five previously identified racial/ethnic groups per year. The recruitment strategy should use a multidisciplinary and participatory process that includes the involvement of local academic and public health institutions and organizations, as well as community associations and groups.

Recruitment is expected to be targeted to:

Culturally sensitive undergraduate students who have successfully completed a minimum of two (2) years (rising juniors, seniors or equivalent) of undergraduate study and are currently enrolled in a four (4)-year accredited college or university;

Recent college graduates having received their four (4)-year undergraduate degree from an accredited college or university in the past twelve (12) months;

2. Fellow Placement: Applicants must describe how they will provide administrative and logistical oversight to placement in NCHHSTP training sites. Applicants must describe methods to solicit and select projects from appropriate mentors in the Division of HIV/AIDS Prevention, the Division of Viral Hepatitis, the Division of STD Prevention, the Division of Adolescent and School Health or NCHHSTP Office of the Director.

Summer placements must involve the student in a substantive public health project or activity and allow opportunities for the student to learn about public health leadership and the various requirements needed to begin and advance in a public health career.

3. Mentor Selection/Training: Applicants must describe in detail how learning opportunities will be provided to undergraduate students through identification of appropriate public health professional mentors. Areas may include those of: biostatistics, environmental health, epidemiology, health education, health policy, health promotion, microbiology, occupational safety and health, and public health practice. Applicants should describe how they will recruit a cadre of effective senior-level NCHHSTP mentors in collaboration with NCHHSTP’s Office of Health Equity to enhance students’ exposure/experience and ensure that students receive support throughout the assignment period. Applicants must describe the common performance expectations of the mentors. Applicants must describe the steps needed to ensure that mentors are appropriately prepared and supported to consistently adhere to performance expectations. An instructionally sound and CDC-approved experiential agenda should result in measurable increases in skills and knowledge.

Learning objectives, instructional strategies, and assessment methods should be included in the proposal.

4. Fellow Mentorship: Applicants should describe how communications with the student will be sustained and enhanced during and after the internship activities. Applicants should describe how they might establish an electronic tracking system that maintains a database of students participating in the program to ensure the capacity to communicate with the students post-graduation (for at least 12 months beyond completing this program). Communication after completion of the program should continue beyond the attainment of the academic degree in order to best support the entry of students into a public health graduate program or employment. Examples of post-graduate engagement are those that use a variety of communication technologies, peer-based and participatory networks, and continued access to academic and professional development resources.

Upon receipt of award funds, each awardee will be expected to fulfill common specific operational functions and to work collaboratively with CDC in achieving the goals of this cooperative agreement.

Component 2- Post Doctoral Fellowship Program

1. Fellow Recruitment/Orientation: The awardee will recruit a total of approximately 3 to 5 culturally sensitive post-doctoral professionals per year who are interested in reducing health disparities among one or more of the five previously identified racial/ethnic groups. The recruitment strategy should use a multidisciplinary and participatory process that includes the involvement of local academic and public health institutions and organizations, as well as community associations and groups. Recruitment is expected to be targeted to:

Persons who have received doctoral degree (i.e. Ph.D., DrPH, J.D., or equivalent) Persons who have received medical degree (M.D., D.O., etc.), with completed residency training.

All degrees must be from a regionally accredited institution and must be earned before admission to the fellowship program.

2. Leadership Fellowship Curriculum: Applicants must describe the details of the public health leadership curriculum design and describe components that will meet the program objectives:

a. Critically analyze issues, programs, and policies that impact health and health care, particularly as they relate to health disparities and advancing health equity.

b. Inform the development of health policies to reduce disparities and advance health equity.

c. Assume leadership roles that support the development of programs and policies that reduce disparities and advance health equity.

d. Work effectively with disadvantaged communities to develop sustainable programs and organizations that support the reduction of health disparities and advancement of health equity.

Each curriculum activity must maximize opportunities for the fellows to learn about public health leadership and the various requirements needed to advance a career in public health leadership.

3. Mentor Selection/Training: Applicants must describe in detail how learning will be provided to post-doctoral fellows through identification of appropriate public health professional mentors. Areas may include those of: biostatistics, environmental health, epidemiology, health education, health policy, health promotion, microbiology, occupational safety and health, and public health practice. Applicants should describe how they will recruit a cadre of effective senior-level NCHHSTP mentors to enhance students’ exposure/experience and ensure that students receive support throughout the assignment period. Applicants must describe the common performance expectations of the mentors. Applicants must also describe the steps needed to ensure that mentors are appropriately prepared and supported to consistently adhere to performance expectations. An instructionally sound and CDC-approved experiential agenda should result in measurable increases in skills and knowledge. Learning objectives, instructional strategies, and assessment methods should be included in the proposal.

4. Post-Doctoral Fellow Mentorship: Applicants should describe how communications with the fellows will be sustained and enhanced during and after the fellowship activities. Applicants should describe how they might establish an electronic tracking system that maintains a database of fellows participating in the program to ensure the capacity to communicate with them post-fellowship completion (for at least 24 months beyond completing this program). Communication after completion of the program should continue to track career trajectories and ascertain placement in public health leadership positions.

Upon receipt of award funds, each awardee will be expected to fulfill common specific operational functions and to work collaboratively with CDC in achieving the goals of this cooperative agreement.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and awardees, site visits, and awardee reporting (including work plans, performance, and financial reporting). Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

Tracking awardee progress in achieving the desired outcomes.

Ensuring the adequacy of awardee systems that underlie and generate data reports.

Creating an environment that fosters integrity in program performance and results.

Monitoring may also include the following activities:

Ensuring that work plans are feasible based on the budget and consistent with the intent of the award.

Ensuring that awardees are performing at a sufficient level to achieve outcomes within stated timeframes.

Working with awardees on adjusting the work plan based on achievement of outcomes, evaluation results and changing budgets.

Monitoring performance measures (both programmatic and financial) to assure satisfactory performance levels.

Other activities deemed necessary to monitor the award, if applicable.

These activities may include monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk grantees.

Two progress reports are required. The first is due after the first six months of the program and the second is due 30 days before the end of the budget period. The progress reports should include: the approved objectives for the period; the related activities undertaken during the time period of the report; the progress made towards the completion of the objectives as a result of the implementation of the activities; related barriers that presented themselves during the execution of the activities, anticipated action steps to address barriers.

The reports should include a summary of qualitative and quantitative data collected to characterize the recruited fellows. This data should include demographics, educational background (fields of study), project descriptions and career plans.

f. CDC Program Support to Awardees (THIS SECTION APPLIES ONLY TO COOPERATIVE

AGREEMENTS)

CDC will provide substantial technical assistance and support for administration of the program, NCHHSTP mentors for summer projects and practicums, office space, use of office equipment and supplies for fellows.

CDC will collaborate with the awardee to identify and select NCHHSTP mentors for all participating fellows.

B. Award Information

1. Funding Instrument Type: Cooperative Agreement CDC's substantial involvement in this program appears in the

CDC Program Support to Awardees Section.

2. Award Mechanism: U 14

U14 Public Health Leadership Institute Cooperative Agreements

In cooperation with a qualified recipient, to establish a Public Health Leadership Institute, for a specified period of time, which provides educational and training programs for the leadership of city, county, and State health agencies to improve the public health infrastructure.

3. Fiscal Year: 2015 Estimated Total Funding: $450,000

4. Approximate Total Fiscal Year Funding: $450,000

5. Approximate Project Period Funding: $2,250,000

6. Total Project Period Length: 5 year(s)

7. Expected Number of Awards: 2

8. Approximate Average Award: $200,000 Per Budget Period

9. Award Ceiling: $250,000 Per Budget Period

10. Award Floor: $200,000 Per Budget Period

11. Estimated Award Date: 08/07/2015 Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the awardee (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

12. Budget Period Length: 12 month(s)

13. Direct Assistance Direct Assistance (DA) is not available through this FOA.

C. Eligibility Information

1. Eligible Applicants Eligibility Category: Public and State controlled institutions of higher education

Private institutions of higher education

Other:

Private colleges and universities

2. Additional Information on Eligibility Eligible applicants that may apply for this funding opportunity are designated as Historically Black

Eligible applicants that may apply for this funding opportunity are designated as Historically Black Colleges and Universities (HBCUs), Tribal Colleges and Universities (TCUs), Asian American and Native American Pacific Islander-Serving Institutions (AANAPIIs), and Hispanic Serving Institutions (HSIs);

those institutions of higher education with a documented record of success in enrolling socially or economically disadvantaged students; and a specific requirement is at least 4 years of documented experience administering similar fellowship/training programs. Competition is limited under this program announcement to maximize the potential success of the program by funding those institutions with prior experience, demonstrated credibility, documented success and programmatic focus in the engagement and education of socially and economically disadvantaged students.

Eligible organizations in general are listed below:

• Universities

• Colleges

• Medical Schools

Applicants must provide an eligibility summary statement outlining verification of the following criteria for selection consideration:

Designation as a minority serving institution of higher learning Location in or near the metro Atlanta, GA area Minimum of 4 years’ experience implementing and overseeing a public health fellowship program Evidence of 4 years’ successful mentoring of fellows Established processes for tracking students post-fellowship program completion Established courses and curricula in public health, biostatistics, and epidemiology Established courses and curricula in health disparities, social determinants of health and health equity Faculty with a minimum of 4 years’ experience and expertise in health disparities, social determinants of health and health equity.

The eligibility summary statement must consist of no more than 5 pages of text, single spaced with font no larger than 12 points with 1-inch page margins. Applications without the eligibility summary statement will not be considered.

Applications that exceed the upper value of the specified dollar range will be considered non-responsive and will not receive further review.

The award ceiling for this FOA is $250,000. CDC will consider any application requesting an award higher than this amount as non- responsive and it will receive no further review. If a pre-application is required, then specify here and include it in the special eligibility requirements section. (http:// www.hhs.gov/ asfr/ ogapa/ aboutog/ hhsgps107.pdf)

3. Justification for Less than Maximum Competition

Minority Serving Institutions (MSIs) are colleges and universities serving at least 25% or greater of minority students. In 2004, MSIs totaled 1,254 accounting for just under one third of all degree granting institutions and enrolled nearly 60 percent of the 4.7 million minority undergraduate students. Compared with non-MSIs, four-year MSIs had a higher percentage of open admission policies and at least a 50 percent enrollment of low income students.

Historically Black Colleges and Universities (HBCUs) represent just 3.3 percent of all American colleges and universities while graduating nearly one third of all African American students. Graduates comprise the following: 50 percent of African American teachers; 22 percent of African American students with bachelor’s degrees in science and engineering; 28 percent of African American students who pursue PhDs in engineering; 70 percent of African American dentists; and 85 percent of African American physicians.

In addition, HBCUs represent 20 of the top 50 U.S. institutions that produce African American science and http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf engineering doctorate recipients.

African Americans, American Indian/Alaska Natives and Hispanics/Latinos are significantly underrepresented among the nation’s public health occupations. African American, Hispanics and American Indians/Alaska Natives represented over 30 percent of the American population in 2010, but in recent years, together these populations received less than 9 percent of advanced degrees in health, sciences and technology. African Americans, Hispanics and American Indians represent only 6 percent of practicing physicians in the U.S.

The Department…