dd16-1601 final 11.17.15.pdf

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

National Collaboration to Support Health, Wellness and Academic Success of School-Age Children

CDC-RFA-DP16-1601

Application Due Date: 01/19/2016

National Collaboration to Support Health, Wellness and Academic Success of School-Age Children

CDC-RFA-DP16-1601

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-DP16-1601. 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:

National Collaboration to Support Health, Wellness and Academic Success of School-Age Children 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-DP16-1601

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

93.858 F. Dates:

1. Due Date for Letter of Intent (LOI): 12/15/2015

2. Due Date for Applications: 01/19/2016, 11:59 p.m. U.S. Eastern

Standard Time, at www.grants.gov.

3. Date for Informational Conference Call: 12/01/2015 CDC will conduct a conference call for all interested applicants to provide technical assistance and respond to any questions regarding the Funding Opportunity Announcement (FOA) process. Conference call lines are limited so we encourage those who can to call in from one location. The call-in information is:

1-866-730-1290; Passcode: 42127644. The call will take place for applicants on: December 1, 2015 at 3:00p.m., U.S. Eastern Standard Time. The call will be recorded and instructions for accessing the call will be available at http://www.cdc.gov/chronicdisease/about/foa/1601/index.htm

G. Executive Summary:

1. Summary Paragraph:

The Centers for Disease Control and Prevention (CDC) announces the availability of Fiscal Year (FY) 2016 funds to implement FOA DP16-1601, National Collaboration to Support Health, Wellness and Academic Success of School-Age Children. There are five priority areas to this FOA. Approximately $2,250,000 per year is available for this funding announcement. The project period is 5 years, with a 12-month budget period and an anticipated award date of June 1, 2016. This FOA supports nationwide implementation of cross-cutting approaches to promote health and prevent and control chronic diseases and their risk factors.

This program represents activities and intervention strategies that draw from each of the four chronic disease domains. For information on the Chronic Disease Prevention and Health Promotion Domains, refer to the Glossary section of this FOA or http://www.cdc.gov/chronicdisease/about/state-public-health-actions.htm

The five priority areas in this FOA are: (1) Physical Education and Physical Activity, (2) School Nutrition Environment and Services, (3) Out of School Time Healthy Eating and Physical Activity, (4) School Health Services for Managing Chronic Conditions, (5) School Health Services for Promoting Sexual Health. If an 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 http://wwwdev.cdc.gov/chronicdisease/about/foa/1601/index.htm http://www.cdc.gov/chronicdisease/about/state-public-health-actions.htm applicant wishes to apply for multiple priority areas, a separate project narrative, work plan, and budget narrative must be submitted with the application forms for each priority the applicant is applying for.

a. Eligible Applicants: Limited

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 5

d. Total Project Period Funding: $11,250,000

e. Average One Year Award Amount: $375,000

f. Number of Years of Award: 5

g. Estimated Award Date: 06/01/2016

h. Cost Sharing and / or Matching Requirements: N

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview Heart disease, cancer, and stroke are leading causes of death among adults in the U.S. All of these diseases are influenced, in part, by dietary and physical activity behaviors. During the transition from childhood to adulthood, adolescents establish patterns of behavior and make lifestyle choices that affect their health. Some adolescents struggle to adopt behaviors that could decrease their risk of developing chronic diseases in adulthood, such as eating nutritiously and engaging in physical activity. During the last 3 decades, the number of obese youth between the ages of 6-19 has tripled. Obesity among children and adolescents is linked to other chronic conditions, such as diabetes, high blood pressure, and high cholesterol.

Many young people engage in sexual behaviors that place them at risk for HIV infection, other STD, and pregnancy. According to the 2013 National Youth Risk Behavior Survey (YRBS) results, 47% of U.S. high school students ever had sexual intercourse; 34% had sexual intercourse with at least one person during the 3 months before the survey; and 15% had had sexual intercourse with four or more persons during their lifetime.

Of those sexually active high school students, 41% reported that either they or their partner had not used a condom during last sexual intercourse, and 75% reported that either they or their partner had not used birth control pills or Depo-Provera (or any injectable birth control), Nuva Ring (or any birth control ring), Implanon (or any implant), or any intrauterine device (IUD) before last sexual intercourse.

Young people's behaviors and eventual health outcomes are influenced at the individual, peer, family, school, community, and societal levels. Because many sectors of society contribute to adolescent health, safety, and well-being, a collaborative effort that engages various community partners is necessary. Such joint efforts can also help to promote a more comprehensive approach to addressing adolescent health—one that views each adolescent as a whole person, recognizing and drawing upon his or her assets and not just focusing on risks.

Schools, however, serve a unique role in addressing young people’s health behaviors and outcomes, as over 95% of young people are enrolled in and spend 6-7 hours per day in school. Schools can play a significant role in helping young people prevent future chronic diseases and in managing existing chronic conditions such as asthma, diabetes, food allergies, and tooth decay. Additionally, schools can influence students’ risk for HIV infection and other STD through provision of or referral to school health services. To have the most positive impact on child and adolescent health behaviors and conditions, schools can work with government agencies, community organizations, and other community members to provide safe and nurturing environments for our nation’s youth, enabling them to be healthy and productive members of society.

b. Statutory Authorities

Public Health Service Act Section 317(k)(2) of the Public Health Service Act, 42 U.S.C. 247b(k)(2)

c. Healthy People 2020 This program addresses the “Healthy People 2020” focus areas of Access to Health Services, Nutrition and Weight Status, Physical Activity, Adolescent Health, and Reproductive and Sexual Health available at http ://www.healthypeople.gov.

d. Other National Public Health Priorities and Strategies This program supports strategies to improve multiple chronic diseases and the risk factors associated with the following public health priorities: the incidence of obesity; increased physical activity and healthy eating in youth; and improving the management of chronic conditions in students as outlined in the following national plans and guidelines:

CDC Winnable Battles: http://www.cdc.gov/winnablebattles/ CDC and ASCD Whole School, Whole Community, Whole Child model: http://www.cdc.gov/healthyyouth /wscc/ The Guide to Community Preventive Services: http://www.thecommunityguide.org/index.html The National Prevention Strategy: http://www.surgeongeneral.gov/priorities/prevention/strategy/index.html National Physical Activity Plan: http://www.physicalactivityplan.org Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation:

http://www.iom.edu/Reports/2012/Accelerating-Progress-in-Obesity-Prevention.aspx Let’s Move! Active Schools: www.letsmoveschools.org Presidential Youth Fitness Program: www.presidentialyouthfitnessprogram.org National After School Alliance Healthy Eating and Physical Activity Standards: http://www.niost.org/pdf/host /Healthy_Eating_and_Physical_Activity_Standards.pdf United States Department of Agriculture Smart Snacks: http://www.fns.usda.gov/sites/default/files/allfoods_f lyer.pdf United States Department of Agriculture School Meal Programs: http://www.fns.usda.gov/nslp/national-schoo l-lunch-program-nslp United States Department of Agriculture Local School Wellness Policy:

http://www.fns.usda.gov/tn/local-school-wellness-policy CDC School Health Guidelines to Promote Healthy Eating and Physical Activity:

http://www.cdc.gov/mmwr/pdf/rr/rr6005.pdf The National HIV/AIDS Strategy:

https://www.aids.gov/federal-resources/national-hiv-aids-strategy/nhas.pdf National Asthma Education and Prevention Program Expert Panel Review-3 Guidelines for the Diagnosis and Management of Asthma (NAEPP EPR-3):

http://www.nhlbi.nih.gov/health-pro/guidelines/current/asthma-guidelines/full-report

e. Relevant Work For over 20 years, the National Center for Chronic Disease Prevention and Health Promotion has provided scientific leadership and technical expertise to state departments of health and education to assist them with building their capacity to develop, deliver, and implement chronic disease and health promotion programs that have measureable impact. This FOA builds on CDC’s ongoing efforts to improve the health and well-being of youth and prepare them to be healthy adults, including CDC’s cooperative agreement “State Public Health Actions” (CDC RFA DP13-1305). The School Health Branch in the Division of Population Health (SHB/DPH) and the Division of Adolescent and School Health (DASH) have a rich history of working collaboratively with national non-governmental organizations (NGOs), and state departments of health and education to increase their ability to implement evidence-based strategies aimed toward reducing risk factors associated with a variety of chronic diseases (such as obesity, physical inactivity, and unhealthy eating) and HIV/STD prevention. In our most recent FOA, CDC’s National Programs to Improve the Health and http://www.healthypeople.gov http://www.healthypeople.gov http://www.cdc.gov/winnablebattles/ http://www.cdc.gov/healthyyouth/wscc/ http://www.cdc.gov/healthyyouth/wscc/ http://www.thecommunityguide.org/index.html http://www.surgeongeneral.gov/priorities/prevention/strategy/index.html http://www.physicalactivityplan.org http://www.iom.edu/Reports/2012/Accelerating-Progress-in-Obesity-Prevention.aspx http://www.letsmoveschools.org http://www.presidentialyouthfitnessprogram.org http://www.niost.org/pdf/host/Healthy_Eating_and_Physical_Activity_Standards.pdf http://www.niost.org/pdf/host/Healthy_Eating_and_Physical_Activity_Standards.pdf http://www.fns.usda.gov/sites/default/files/allfoods_flyer.pdf http://www.fns.usda.gov/sites/default/files/allfoods_flyer.pdf http://www.fns.usda.gov/nslp/national-school-lunch-program-nslp http://www.fns.usda.gov/nslp/national-school-lunch-program-nslp http://www.fns.usda.gov/tn/local-school-wellness-policy http://www.cdc.gov/mmwr/pdf/rr/rr6005.pdf https://www.aids.gov/federal-resources/national-hiv-aids-strategy/nhas.pdf http://www.nhlbi.nih.gov/health-pro/guidelines/current/asthma-guidelines/full-report

Educational Outcomes of Young People (CDC RFA DP11-1101), CDC funded NGOs to help schools and communities create an environment that fostered wellness and encouraged healthy choices. NGOs provided capacity-building assistance to health and education agencies, community-based organizations, institutions of higher education, and other organizations. The program supported components of a coordinated school health (CSH) approach through systems and environmental change strategies in the areas of food allergy management, physical activity, nutrition, HIV/STD prevention, and professional development.This FOA will build on these efforts as well as expand to out of school time. The national approach outlined in this FOA builds on the lessons learned over the past 5 years implementing collaboration and integration models and is intended to maximize CDC’s investment in the work of national non-governmental organizations as they implement public health activities and strategies as well as demonstrate capacity to carry out strategies and interventions to maximize reach and impact in states, health systems, communities, and school environments.

2. CDC Project Description

a. Approach The National Collaboration to Promote Health, Wellness, and Academic Success of School-Age Children – FOA DP16-1601- is focused on promoting and implementing evidence-based policies, practices, and programs in five priority areas: (1) Physical Education and Physical Activity, (2) School Nutrition Environment and Services, (3) Out of School Time Healthy Eating and Physical Activity, (4) School Health Services for Managing Chronic Conditions, (5) School Health Services for Promoting Sexual Health.

National non-government organizations (NGOs) will support CDC-funded grantees and their organization’s constituents; including states, school districts, or schools; to achieve short, intermediate, and long-term outcomes. Per the logic model, there are three strategies and associated activities in this FOA: 1) professional development and technical assistance, 2) education and dissemination, and 3) partnership and coordination.

These three categories of strategies and associated activities will provide school health and education leaders in states, districts, and schools with greater knowledge, skills, and abilities to develop and implement evidence-based policies, practices, and programs. These strategies have broad reach, sustained health impact, and are a good investment for public health. They will be applied in the five priority areas listed above.

i. Purpose The purpose of this FOA is to improve the health of youth by funding national NGOs to assist CDC-funded grantees and the organization's constituents, including states, school districts or schools; to implement environmental and systems changes that support and reinforce healthful behaviors, reduce disparities, and address non-academic barriers to learning. This program announcement emphasizes training and professional development, technical assistance, education and dissemination, and program implementation and evaluation.

All activities are to be developed and delivered within the Whole School, Whole Community, Whole Child framework ( http://www.cdc.gov/healthyyouth/wscc/).

ii. Outcomes The outcomes listed below have been expressed generally. Within the logic model, those outcomes that the applicant will be responsible for measuring are in bold font and others are listed as optional. Additionally, in the CDC Project Description: CDC Evaluation and Performance Measurement section, corresponding performance measures that are required to report on are described for each of the five priority areas.

Per the logic model, the following long-term outcomes will be expected at the end of the five years:

• Increased promotion of effective policies and practices by decision makers and key stakeholders.

• Increased number of states, school districts, or schools that have implemented evidence-based policies and practices.

• Increased implementation of local wellness policies among school districts.

• Sustained collaborative relationships with and among NGOs and other national organizations.

http://www.cdc.gov/healthyyouth/wscc/

• Sustained collaborative relationships with and among NGOs and other national organizations.

These are expected to be achieved because the grantees will accomplish the following intermediate and short-term outcomes.

Intermediate:

• Increased number of states, school districts, or schools using CDC and other evidence-based tools and resources.

• Increased knowledge and awareness about effective school health policies and practices among state, school district, or school decision makers and key stakeholders.

• Increased number and type of collaborative activities between NGOs and other national organizations.

Short-term:

• Increased number and type of professional development events provided to CDC-funded grantees and organization’s constituents.

• Increased number of professional development participants from states, school districts, or schools.

• Increased number of students reached.

• Increased number of technical assistance events received by states, school districts, or schools.

• Increased knowledge and skills of professional development participants (from states, school districts, or schools) to implement evidence-based school health policies and practices.

• Increased number and type of dissemination and communication strategies used to reach decision makers and key stakeholders.

• Increased number of constituents reached through dissemination and communication strategies.

• Increased number of collaborative relationships between NGOs and health, education, and other sector organizations.

iii. Strategies and Activities This section describes the activities that are required for each strategy under each of the five priority areas.

The program strategies for this FOA are derived from evidence-based guidelines and recommendations from CDC and other expert organizations. The guidelines and recommendations used to develop these strategies include CDC’s School Health Guidelines to Promote Healthy Eating and Physical Activity; Institute of Medicine’s (IOM) Educating the Student Body report; the Community Guide’s recommendation for enhanced physical education; IOM’s Nutrition Standards for Foods in Schools; IOM’s Accelerating Progress in Childhood Obesity; Standards for Healthy Eating and Physical Activity in Out-of-School-Time Programs;

CDC’s Voluntary Guidelines for Managing Food Allergies in Schools; Initiating Change: Creating an Asthma-Friendly School; Helping the Student with Diabetes Succeed: A Guide for School Personnel;

Community Guide's Recommendation for School-based Dental Sealant Delivery Programs; the Whole School Whole Community Whole Child framework; the National Coalition of STD Directors’ (NCSD) and Cicatelli Associates Inc (CAI) Developing a Referral System for Sexual Health Services: An Implementation Tool Kit;

the NCSD and CAI’s Establishing Organizational Partnerships to Increase Student Access to Sexual Health Services; and the Division of Adolescent and School Health’s Program 1308 Guidance: Supporting State and Local Education Agencies to Reduce Adolescent Sexual Risk Behaviors and Adverse Health Outcomes Associated with HIV, Other STD, and Teen Pregnancy. Targeted efforts of this FOA include dissemination and implementation of CDC’s evidence-based tools and resources (e.g., School Health Guidelines to Promote Healthy Eating and Physical Activity, School Health Index, Comprehensive School Physical Activity Program Guide, Water Access in Schools Toolkit); delivery of professional development and technical assistance; and support to local schools and school districts to implement and sustain systematic environmental changes that promote the health of youth. These strategies are to be implemented in key education settings and with key constituents of the funded NGOs.

Priority 1: Physical Education and Physical Activity The intent of Priority 1: Physical Education and Physical Activity is to support school districts and schools with implementation of evidence-based policies, practices, and programs that increase opportunities for youth to be physically active during the school day and increase youth physical activity participation. The intent is to to be physically active during the school day and increase youth physical activity participation. The intent is to fund one applicant within this priority area. The funded applicant should work within the Whole School, Whole Community, Whole Child model, to develop, implement, and evaluate the following specific activities.

Strategy 1: Professional development and technical assistance

- Develop, deliver, and evaluate a training-of-trainers network that focuses on the use and implementation of CDC tools and resources (e.g., Comprehensive School Physical Activity Program guide, Physical Education Curriculum Analysis Tool, Health and Academic Achievement) and implementation of local wellness policies to CDC-funded grantees and the organization’s constituents. Other physical education and physical activity tools and resources can be used with CDC approval. Provide follow-up technical assistance and support to training participants.

- Periodically convene the organization’s state, school district, or school level constituents and other key stakeholders (e.g., physical education teachers, physical activity leaders) to provide training and in-depth technical assistance (webinar, in-person, or virtual) on development of action plans that address implementation of comprehensive school physical activity programs. Follow-up technical assistance and other training opportunities should occur at regular intervals after each convening.

- Develop, deliver, and report on technical assistance on physical education and physical activity policies, practices, and programs that align with evidence-based recommendations, tools, and resources for CDC-funded grantees (e.g., State Departments of Health and Education) and the organization’s constituents.

Strategy 2: Education and dissemination

- Develop, in collaboration with CDC, evidence-based educational briefs, and tools and resources on physical education and physical activity for CDC-funded grantees and the organization’s constituents and key stakeholders.

- Broadly disseminate, using a set of diverse dissemination strategies (e.g., e-newsletters, list servs, webinars, virtual trainings, e-learning, meetings), CDC (and other) evidence-based physical education and physical activity tools and resources to decision makers and key stakeholders (e.g., school administrators, superintendents, physical education coordinators, and teachers).

Strategy 3: Partnership and coordination

- Partner with other national organizations and engage in national physical activity initiatives (e.g., the Presidential Youth Fitness Program, National Physical Activity Plan) to provide professional development and technical assistance on evidence-based school physical activity recommendations, policies, practices, and programs.

Priority 2: School Nutrition Environment and Services The intent of priority 2: School Nutrition Environment and Services is to support school districts and schools in the implementation of evidence-based policies, practices, and programs that increase opportunities for youth to learn about healthy eating and increase healthy eating among youth. The intent is to fund one applicant within this priority area. The funded applicant should work within the Whole School, Whole Community, Whole Child model, to develop, implement, and evaluate the following specific activities.

Strategy 1: Professional development and technical assistance

- Develop, deliver, and evaluate a training-of-trainers network on CDC tools and resources (e.g., CDC’s School Health Guidelines to Promote Healthy Eating and Physical Activity, Putting Local School Wellness Policies into Action: Stories from School Districts and Schools, Increasing Access to Drinking Water in School tool kit, Health and Academic Achievement) to CDC-funded grantees and the organization’s constituents to support implementation of Local Wellness Policies, Smart Snacks in School nutrition standards, and use of strategies to market and promote healthy foods and beverages and reduce the marketing of unhealthy items. Other tools and resources can be used with CDC approval. Provide follow-up technical assistance and support to training participants.

- Periodically convene the organization’s state, school district, or school constituents and other key stakeholders (e.g., child nutrition directors, school nutrition directors) to provide training and in-depth technical assistance (webinar, in-person, or virtual) on development of action plans that address implementation of strategies for healthy school nutrition environments. Follow-up technical assistance and other training opportunities should occur at regular intervals after each convening.

- Develop, deliver, and evaluate technical assistance on school nutrition environment policies, practices, and programs for CDC-funded grantees (e.g., State Departments of Health and Education) and the organization’s constituents.

Strategy 2: Education and dissemination

- Develop, in collaboration with CDC, evidence-based educational briefs and tools and resources on school nutrition environment and services for CDC grantees and the organization’s constituents and key stakeholders.

- Broadly disseminate, using a diverse set of dissemination strategies (e.g., e-newsletters, list servs, webinars, virtual trainings, e-learning, meetings), CDC (and other) evidence-based nutrition tools and resources to decision makers and key stakeholders (e.g., school administrators, superintendents, school nutrition professionals, and teachers).

Strategy 3: Partnership and coordination

- Partner with other organizations focused on school nutrition (e.g., U.S. Department of Agriculture, Institute of Child Nutrition, and other NGOs) to provide professional development and technical assistance to CDC grantees and the organization’s constituents on school nutrition environment policies, practices, and programs.

Priority 3: Out of School Time Healthy Eating and Physical Activity The intent of priority 3: Out of School Time Healthy Eating and Physical Activity is to support school districts, schools, and community-based organizations with implementation of evidence-based policies, practices, and programs that increase opportunities for healthy eating and physical activity in school-based out of school time programs. The intent is to fund one applicant within this priority area. The funded applicant should work within the Whole School, Whole Community, Whole Child model, to develop, implement, and evaluate the following specific activities.

Strategy 1: Professional development and technical assistance

- Develop, deliver, and evaluate a training-of-trainers network to the organization’s constituents and CDC-funded grantees on nationally recommended out of school time healthy eating and physical activity standards and supporting tools, resources, and recommendations for implementation. Provide follow-up technical assistance and support to training participants.

- Periodically convene the organization’s state, school district, or school constituents and other key stakeholders (e.g., out of school time providers) to provide training and in-depth technical assistance (webinar, in-person or virtual) on development of action plans that address implementation of strategies for increasing healthy eating and physical activity for out of school time. Follow-up technical assistance and other training opportunities should occur at regular intervals after each convening.

- Develop, deliver, and evaluate technical assistance on healthy out of school time policies, practices, and programs for CDC-funded grantees (e.g., State Departments of Health and Education) and the organization’s constituents.

Strategy 2: Education and dissemination

- Develop, in collaboration with CDC, evidence-based tools and resources and translational materials to improve healthy eating and physical activity in out of school time programs.

- Broadly disseminate, using a diverse set of dissemination strategies (e.g., e-newsletters, list servs, webinars, virtual trainings, e-learning, meetings), evidence-based tools and resources to decision makers and key stakeholders (e.g., out of school time practitioners, school administrators, superintendents).

- Develop evidence-based educational briefs and position statements on healthy eating and physical activity in out of school time programs for CDC-funded grantees and the organization’s constituents and key stakeholders.

Strategy 3: Partnership and coordination

- Lead and regularly facilitate a coalition or workgroup of key out of school time organizations that are

- Lead and regularly facilitate a coalition or workgroup of key out of school time organizations that are focused on increasing awareness and adoption of the national standards on healthy eating and physical activity.

- Partner with other out of school time NGOs or initiatives to provide professional development and technical assistance to CDC grantees and the organization’s constituents on promoting and implementing healthy eating and physical activity in out of school time.

Priority 4: School Health Services—Managing Chronic Conditions The intent of priority 4: School Health Services—Managing Chronic Conditions is to support school districts and schools with implementation of evidence-based policies, practices, and programs that improve the delivery of school health services and students’ management of chronic conditions, such as asthma, diabetes, obesity, food allergies, tooth decay, and seizure disorders. The intent is to fund one applicant within this priority area. The funded applicant should work within the Whole School, Whole Community, Whole Child model, to develop, implement, and evaluate the following specific activities.

Strategy 1: Professional development and technical assistance

- Develop, deliver, and evaluate a training-of-trainers network on CDC tools and resources (e.g. Initiating Change: Creating an Asthma-Friendly School, Helping the Student with Diabetes Succeed: A Guide for School Personnel, CDC Voluntary Guidelines for Managing Food Allergies in Schools Toolkit, etc.) for managing chronic conditions within schools to CDC-funded grantees and the organization’s constituents.

Other tools and resources can be used with CDC approval. Provide follow-up technical assistance and support to training participants.

- Periodically convene the organization’s state, school district, or school constituents and other key stakeholders (e.g., school nurses, health aides, school-based health center providers) to provide training and in-depth technical assistance (webinar, in-person or virtual) on development of action plans that address implementation of strategies for managing chronic conditions in schools. Follow-up technical assistance and other training opportunities should occur at regular intervals after each convening.

- Develop, deliver, and evaluate technical assistance on managing chronic conditions within schools for CDC-funded grantees (e.g., State Departments of Health and Education) and the organization’s constituents.

Strategy 2: Education and dissemination

- Develop, in collaboration with CDC, evidence-based educational briefs on managing chronic conditions within schools for CDC-funded grantees and the organization’s constituents and key stakeholders.

- Develop, disseminate, and evaluate, in collaboration with CDC, evidence-based tools and resources to address data infrastructure and the creation and implementation of policies and practices (e.g., identification and tracking of students with chronic conditions, enrollment in health insurance) to improve school nursing and other school health services.

- Broadly disseminate, using a diverse set of dissemination strategies (e.g., e-newsletters, list servs, webinars, virtual trainings, e-learning, meetings), CDC (and other) evidence-based school health services tools and resources to decision makers and key stakeholders (e.g., school administrators, superintendents, school health services professionals, and teachers).

Strategy 3: Partnership and coordination

- Partner with other school health services NGOs or initiatives to provide professional development and technical assistance to CDC grantees and the organization’s constituents on managing chronic conditions within schools.

Priority 5: School Health Services – Promoting Sexual Health The intent of priority 5: School Health Services – Promoting Sexual Health is to support school districts and schools with implementation of evidence-based policies, practices, and programs that improve the efficiency and effectiveness of school health services that promote sexual health as described in chapter three of program guidance developed by Division of Adolescent and School Health (http://www.cdc.gov/healthyyouth/funde dpartners/1308/pdf/program_guidance_final.pdf). Key sexual health services include anticipatory guidance for prevention, including delaying the onset of sexual activity; promoting HIV and STD testing, counseling, http://www.cdc.gov/healthyyouth/fundedpartners/1308/pdf/program_guidance_final.pdf http://www.cdc.gov/healthyyouth/fundedpartners/1308/pdf/program_guidance_final.pdf and treatment, and the dual use of condoms and highly effective contraceptives among sexually active adolescents; HIV and STD testing, counseling, and referral; pregnancy testing; and HPV vaccinations. The intent is to fund one applicant within this priority area. The funded applicant should work within the Whole School, Whole Community, Whole Child model, to develop, implement, and evaluate the following specific activities.

Strategy 1: Professional development and technical assistance

- Develop, deliver, and evaluate a training-of-trainers network on CDC and other evidence-based tools and resources (e.g., http://www.cdc.gov/healthyyouth/fundedpartners/1308/pdf/program_guidance_final.pdf ) for promoting sexual health services for adolescents to CDC-funded grantees and the organization’s constituents.

Other sexual health tools and resources can be used with CDC approval. Provide follow-up technical assistance and support to training participants.

- Periodically convene the organization’s state, school district, or school constituents and other key stakeholders (e.g., school nurses, health aides, school-based health center providers) to provide training and in-depth technical assistance (webinar, in-person, or virtual) on development of action plans that address implementation of strategies promoting sexual health services for adolescents. Follow-up technical assistance and other training opportunities should occur at regular intervals after the convening.

- Develop, deliver, and evaluate technical assistance on promoting sexual health services for adolescents for CDC-funded grantees (e.g., Departments of Health and Education) and the organization’s constituents.

Strategy 2: Education and dissemination

- Develop, in collaboration with CDC, evidence-based educational briefs and position statements on promoting sexual health services for adolescents for CDC-funded grantees and the organization’s constituents.

- Develop, disseminate, and evaluate, in collaboration with CDC, evidence-based tools and resources to address the creation and implementation of policies and practices (e.g., referral to sexual health services or increasing reimbursement for services) to improve school nursing and other school health services.

- Broadly disseminate, using a diverse set of dissemination strategies (e.g., e-newsletters, list servs, webinars, virtual trainings, e-learning, meetings), CDC (and other) evidence-based school health services tools and resources to key education audiences (e.g., school administrators, superintendents, school health services professionals, and teachers).

Strategy 3: Partnership and coordination

- Partner with other school health services NGOs or initiatives to provide professional development and technical assistance to CDC grantees and the organization’s constituents on managing sexual health services within schools.

1.Collaborations Applicants should collaborate with CDC-funded programs as well as programs external to CDC, with respect to their role in implementing the program strategies outlined in this FOA. These types of collaborations allow for more efficient use of existing resources and exchange of information among experts working in various areas of public health and other sectors. Applicants are encouraged to use evidence-based collaboration models (e.g., PRECEDE/PROCEED model ( http://www.lgreen.net/precede.htm) or Mobilizing for Action through Planning and Partnerships [MAPP] http://www.naccho.org/topics/infrastructure/mapp/framework/), as appropriate.

a. With CDC-funded programs

1. State education and health departments and local school districts: Applicant should collaborate with state http://www.cdc.gov/healthyyouth/fundedpartners/1308/pdf/program_guidance_final.pdf http://www.lgreen.net/precede.htm http://www.naccho.org/topics/infrastructure/mapp/framework/

1. State education and health departments and local school districts: Applicant should collaborate with state and local school health leaders to develop, implement and deliver professional development, technical assistance and dissemnation activities related to the organization’s content area(s).

2. NGOs funded under this announcement: Applicant should collaborate with national organizations to ensure that activities, resources, messages, etc., are in alignment and not duplicative or redundant.

3. When interests and activities align, awardees are encouraged to collaborate with other state programs funded by CDC, for example, the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), the National Center for Environmental Health (NCEH), or the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).

b. With organizations external to CDC:

Collaborations with a variety of public and private partners are encouraged to leverage resources and maximize reach and impact. These could include the business community; hospitals; non-governmental organizations not funded under this announcement; non-profit agencies; other federal, state, or local government agencies; public health community; CDC-funded Prevention Research Centers; Tribes or tribal organizations; professional organizations; quality improvement organizations; and federally qualified health centers.

2. Target Populations Applicants should ensure that data, including burden data, are used to identify states, school districts, or schools, and constituent bases that have poor environments or are disproportionately affected by chronic diseases (for Priority Areas 1-4) or HIV/STD (for Priority Area 5). Applicants should strive to improve health status for the entire population and seek to reduce gaps in health status by targeting some efforts on specific population groups disproportionately affected by chronic diseases (for Priority Areas 1-4) or HIV/STD (for Priority 5). Disparities by race, ethnicity, gender identity, sexual orientation, geography, socioeconomic status, disability status, primary language, health literacy, and other relevant dimensions (e.g., tribal communities) should be considered.

a. Inclusion N/A

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

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation and Performance Measurement Evaluation and performance measurement help demonstrate achievement of program outcomes; build a stronger evidence base for specific program interventions; clarify applicability of the evidence base to different populations, settings, and contexts; and drive continuous program improvement. Evaluation and performance measurement can also determine if program strategies are scalable and effective at reaching target populations.

CDC Evaluation and Performance Measurement Strategy Throughout the five year project period, CDC will work individually and collectively with the NGOs to answer the following evaluation questions based on the program logic model and the strategies in the five priority areas:

1. To what extent have professional development and technical assistance been developed and delivered?

2. To what extent have professional development and technical assistance reached the appropriate stakeholders (e.g., CDC grantees, organization’s constituents)?

3. To what extent have partnerships been developed with appropriate stakeholders (e.g., CDC grantees, organization’s constituents)?

4. To what extent have evidence-based tools and resources been used and implemented by states, school districts, or schools?

5. To what extent have physical activity and physical education, nutrition, out of school time, and school health services policies, practices, and programs been adopted and implemented at the state, school district, or school level?

6. To what extent have school-based, out of school time and school health services policies, practices, and programs increased the promotion and reinforcement of healthful practices – physical activity, physical education, healthful eating, and management of chronic conditions?

To answer these questions, NGOs will be required to annually report on a series of process/implementation measures for each relevant strategy and activity they have undertaken and on a series of outcome measures for the short, intermediate, and long-term outcomes relevant to the strategies they have undertaken. See strategy and performance measure table for process and outcome measures for each priority area. In addition, awardees will develop and submit with their application an NGO-specific evaluation plan, and participate, with CDC, as requested in developing evaluation frameworks, templates, and reporting systems. This evaluation approach will provide data and information on the annual progress NGOs are making. CDC will work with the NGOs to fully operationalize the performance measures, identify data sources needed to monitor the performance measures, and provide technical assistance on data collection and reporting. CDC will work with all NGOs to manage and analyze the required performance measure data submitted by NGOs.

CDC, in collaboration with the NGOs will develop specific performance measure reporting processes and report templates. NGO performance measure reports will be used for program monitoring and for targeting areas for quality improvement. CDC will use the overall evaluation findings from the five-year project period to establish key recommendations for NGOs and stakeholders on program impact, sustainability, and continued program improvement upon completion of the award.

Specific short-term, intermediate, and long-term performance measures for each of the five priority areas are listed in the tables below.

Priority 1: School Physical Education and Physical Activity

Applicants must implement all of the identified strategies and corresponding activities, which are described in detail in the CDC Project Description Strategies and Activities Section. They are represented briefly in these tables.

Short-term

Performance Measures

(1-3 years)

Intermediate

Performance Measures

(3-5 years)

Long-term

Performance Measures

(5 or more years)

1. Professional development and technical assistance

a. Develop, deliver, and - Number and type of - Number of - Number evaluate a training-of-trainers network.

b. Periodically convene the organization’s state, school district, or school level constituents and other key stakeholders.

c. Develop, deliver, and report on technical assistance.

physical education and physical activity professional development events (webinar, in-person training, distance learning) provided to CDC-funded grantees and organization’s constituents.

- Number of physical education and physical activity professional development participants from state, school district, and school levels.

- Number of students in school districts or schools that have school health professionals who have received professional development on CDC and other physical education and physical activity tools and resources.

- Number of individuals that reported increased knowledge and skill to implement evidence-based physical education and physical activity policies and practices as a result of professional development.

- Number and type of physical education and physical activity technical assistance events provided to states, school districts, or schools.

states, school districts, or schools using CDC and other evidence-based tools and resources.

of states, school districts, or schools implementing evidence-based physical education and physical activity policies and practices.

2. Education and dissemination

a. Develop evidence-based educational briefs, tools, and resources.

b. Broadly disseminate physical education and activity tools and resources to decision makers and key

- Number and type of dissemination and communication strategies used to reach decision makers and key stakeholders.

- Number of constituents and

- Increase in knowledge and awareness of school physical education and physical activity policies and practices by decision makers stakeholders.

stakeholders reached through dissemination and communication strategies.

- Number and description of the type of new evidence-based tools and resources that were developed and disseminated.

and key

3. Partnership and coordination

a. Partner with other national organizations and initiatives.

- Number of national physical activity partners.

- Number of activities conducted with national physical activity partners.

Number and type of collaborative activities with other NGOs.

Priority 2: School Nutrition Environment and Services

Applicants must implement all of the identified strategies and corresponding activities, which are described in detail in the CDC Project Description Strategies and Activities Section. They are represented briefly in these tables.

Short-term

Performance Measures

(1-3 years)

Intermediate

Performance Measures

(3-5 years)

Long-term

Performance Measures

(5 or more years)

1. Professional

a. Develop, deliver, and evaluate a training-of-trainers network.

b. Periodically convene the organization’s state, school district, or school level constituents and other key stakeholders.

c. Develop, deliver, and evaluate technical assistance.

- Number and type of school nutrition professional development events (webinar, in-person training, distance learning) provided to CDC-funded grantees and organization’s constituents.

- Number of school nutrition professional development participants from state, school district, and school levels.

- Number of individuals that reported increased knowledge and skill to implement evidence-based school health nutrition policies and practices as a result of professional development.

- Number of students in school districts or schools that have school health professionals who have received professional development on CDC and other school nutrition tools and resources.

- Number of school nutrition technical assistance events provided to states, school districts, or schools.

- Number of states, school districts, or schools using CDC and other evidence-based school nutrition

- Number districts, or schools implementing evidence-based school nutrition policies and practices.

a. Develop evidence-based educational briefs, tools, and resources.

b. Broadly disseminate nutrition tools and resources to decision makers and key

- Number and type of dissemination and communication strategies used to reach decision makers and key stakeholders.

- Number of constituents and stakeholders reached through dissemination and communication strategies.

- Increase in knowledge and awareness of school nutrition policies and practices by decision makers and key

- Number and description of the type of new evidence-based tools and resources that were developed and disseminated.

a. Partner with other national organizations and

- Number of national school nutrition partners.

- Number of activities conducted with national school nutrition partners.

- Number and type of collaborative

Priority 3: Out of School Time Healthy Eating and Physical Activity

Applicants must implement all of the identified strategies and corresponding activities, which are described in detail in the CDC Project Description Strategies and Activities Section. They are represented in brief in these tables.

Short-term

Performance Measures

(1-3 years)

Intermediate

Performance Measures

(3-5 years)

Long-term

Performance Measures

(5 or more years)

1. Professional training-of-trainers network.

b. Periodically convene the organization’s constituents and other key stakeholders.

c. Develop, deliver, and evaluate technical assistance.

- Number and type of out of school time healthy eating and physical activity professional development events (webinar, in-person training, distance learning) provided to CDC-funded grantees and organization’s constituents.

- Number of out of school time…