DGHP HQ CDC-RFA-GH15-1624 Revised.pdf

Centers for Disease Control

Center for Global Health

Developing professional training programs to increase capacity for effective global health response to humanitarian emergencies

CDC-RFA-GH15-1624

Application Due Date: 06/05/2015

Developing professional training programs to increase capacity for effective global health response to humanitarian emergencies

CDC-RFA-GH15-1624

TABLE OF CONTENTS

Overview Information Federal Agency NameA.

Funding Opportunity TitleB.

Announcement TypeC.

Agency Funding Opportunity NumberD.

Catalog of Federal Domestic Assistance (CFDA) NumberE.

Dates

Letter of Intent Deadline1.

Application Deadline2.

Informational Conference Call for Potential Applicants3.

F.

Executive Summary Summary Paragraph1.

G.

I.

Full Text Funding Opportunity Description

A.1. Background 1.

A.2. CDC Project Description 2.

A.

Award Information B.1. Funding Instrument Type 1.

B.2. Funding Activity Category 2.

B.3. Fiscal Year 3.

B.4. Approximate Total Fiscal Year Funding 4.

B.5. Approximate Project Period Funding 5.

B.6. Total Project Period Length 6.

B.7. Expected Number of Awards 7.

B.8. Approximate Average Award 8.

B.9. Award Ceiling 9.

B.10. Award Floor 10.

B.11. Estimated Award Date 11.

B.12. Budget Period Length 12.

B.13. Funds Tracking 13.

B.14. Direct Assistance 14.

B.15. Indirect Costs 15.

B.

Eligibility Information C.1. Eligible Applicants 1.

C.2. Additional Information on Eligibility 2.

C.3. Justification for Less than Maximum Competiti on

3.

C.4. Other 4.

C.5. Cost Sharing or Matching 5.

C.6. Maintenance of Effort 6.

C.

Application and Submission Information D.1. Required Registrations 1.

D.2. Request Application Package 2.

D.3. Application Package 3.

D.4. Submission Dates & Times 4.

D.5. CDC Assurances and Certifications 5.

D.

II.

D.5. CDC Assurances and Certifications 5.

D.6. Content and Form of Application Submission 6.

D.7. Letter of Intent 7.

D.8. Table of Contents 8.

D.9. Project Abstract Summary 9.

D.10. Project Narrative 10.

D.11. Work Plan 11.

D.12. Budget Narrative 12.

D.13. Tobacco and Nutrition Policies 13.

D.14. Intergovernmental Review of Federal Programs 14.

D.15. Funding Restrictions 15.

D.16. Other Submission Requirements 16.

Application Review Information E.1. Review and Selection Process 1.

E.2. Anticipated Announcement and Award Dates 2.

E.

Award Administration Information F.1. Award Notices 1.

F.2. Administrative and National Policy Requiremen ts

2.

F.3. Reporting 3.

F.4. Federal Funding Accountability and Transparency Act of 2006

4.

F.

Agency Contacts G.

Other Information H.

Glossary I.

Part I. Overview Information A. Federal Agency Name:

Centers for Disease Control B. Funding Opportunity Title:

Developing professional training programs to increase capacity for effective global health response to humanitarian emergencies C. Announcement Type:

This announcement is only for non-research international 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-GH15-1624

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

93.269 F. Dates:

1. Due Date for Letter of Intent:

N/A

2. Due Date for Applications:

06/05/2015

3. Date for Informational Conference Call:

05/14/2015

G. Executive Summary:

1. Summary Paragraph:

Amendment 1: To amend FOA to remove the overall project period ceiling of the FOA of $500,000.

Refer to Section B. Award Information: page 12, 9. Award Celiling:

This FOA supports the implementation of programs and activities targeted at increasing the capacity of humanitarian partners to improve the health of populations affected by humanitarian emergencies and conflict settings. Its purpose is to increase the number of trained humanitarian professionals through the development of didactic and experiential training programs in public health response.

Projects should consider the development, implementation and evaluation of programs that are inexpensive, widely accessible, public health-focused, and innovative in their approaches to maximize their potential impact.

a. Eligible Applicants: Open

b. FOA Type: Cooperative Agreement

c. Approximate Number of Awards: 1

d. Total Project Period Funding: $0

e. Average One Year Award Amount: $100,000

f. Number of Years of Award: 5 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

g. Approximate Date When Awards will be Announced: 09/01/15

h. Cost Sharing and /or Matching Requirement: None

Part II. Full Text A. Funding Opportunity Description

1. Background

In 2014 there was a sharp rise in the number of people living in regions of the world affected by conflict, with far-reaching political, security, economic, development and humanitarian consequences. The United Nations classifies humanitarian crises from level 1 (L1) to level 3 (L3), with L3 the most critical type of crisis that requires a system-wide response across the humanitarian community. In 2014, there were a record number of L3 crises: Syria, Iraq, Central African Republic, Philippines, and South Sudan. This resulted in requests for US $17.9 billion to help over 76 million people in 31 countries. With the increase in the number of critical complex emergencies, adequate donor funding for each emergency is declining and as of 30 November 2014, these appeals were only funded at 52 percent. Agencies and organizations are struggling to reach more people in need with smaller budgets, driving the need for effective monitoring and evaluation of programs.

As the number, scale, and intensity of humanitarian emergencies rises, the need for sufficient well-trained staff is becoming even more important. There are approximately 16 million refugees and 27 million internally displaced persons every year worldwide, but there are only an estimated 211,000 international aid workers to assist this population. Only a fraction of these aid workers have expertise in public health and its relevance in emergencies. Large humanitarian organizations are in need of trained routine and surge staff to effectively respond to public health threats. In addition, new programs, tools and resources are constantly available in emergencies; however professional humanitarian staff may not be aware of or effectively use them. At the same time, new evaluation methods, programming approaches and techniques should be piloted and evaluated prior to large-scale roll out. This requires that staff be trained to identify and evaluate effective and appropriate solutions for humanitarian response. Currently and for the foreseeable future, demand for such training programs for humanitarian professionals exceeds the supply of available and accessible training programs.

One specific area of targeted need is emergency nutrition programs, as recent emergencies have highlighted the weaknesses in the emergency nutrition sector. Over the past five years, numerous nutritional crises have all presented the international nutrition community with challenges to staff responses with individuals who can support the effective and appropriate scale up of a nutrition response. Current academic programs are limited in number and are often not teaching appropriate skills needed for international emergency nutrition response. In addition, current programs lack sufficient connections with implementing organizations necessary to provide additional field training and opportunities for employment with international aid groups.

a. Statutory Authorities This program is authorized under Public Health Service Act, Sections 301(a) (42 U.S.C. 241(a)) and 307 (42 U.S.C. 242l), and include the parallel citation to 42 U.S.C. § 242l, 247b (k) (1), and 42 U.S.C. § 241(a), (c), as amended.

b. Healthy People 2020 This Funding Opportunity Announcement (FOA) supports multiple priorities of Healthy People

This Funding Opportunity Announcement (FOA) supports multiple priorities of Healthy People 2020. It directly relates to the global health priority to improve public health and strengthen U.S.

national security through global disease detection, response, prevention, and control strategies. The FOA seeks to increase the capacity and the number and impact of trained and skilled staff to respond to humanitarian emergencies, which often include outbreaks of infectious disease. Within global health, this FOA also addresses the emerging burden of non-communicable diseases in emergency settings, which are a priority in Healthy People 2020. Another related Healthy People 2020 priority addressed is development of public health infrastructure, specifically ensuring that humanitarian organizations have a capable and qualified workforce that can respond to public health needs in emergencies. The last major priority addressed relates to preparedness. Implementation of the activities outlined in this FOA helps to improve the Nation’s ability to prevent, prepare for, respond to, and recover from a major health incident. As seen with the recent Ebola epidemic, training in health emergencies will allow us to more effectively work with cross-border and global partners to enhance national, continental, and global health security. For additional information see https://www .healthypeople.gov/2020/topics-objectives/topic/global-health

c. Other National Public Health Priorities and Strategies The purpose of this FOA supports the Global Health Security Agenda, an international effort to develop measurable steps required to prevent outbreaks, detect threats in real time, and rapidly respond to infectious disease threats. Increasing the capacity and the number and impact of trained and skilled staff to respond to health threats in humanitarian emergencies will directly accelerate action toward a world safe and secure from all infectious diseases. Specifically, the monitoring and evaluation activities conducted by these trained workers may help prevent and detect outbreaks of communicable and non-communicable diseases in humanitarian contexts. For additional information see http://www.globalhealth.gov/global-health-topics/global-health-security/ghsagenda.html

d. Relevant Work The Emergency Response and Recovery Branch (ERRB) applies public health and epidemiologic science to reduce the health impact of disasters and emergencies, including complex humanitarian events and to strengthen the recovery of health systems in these settings. Working in partnership with other U.S. government agencies, United Nations (UN) agencies (UN High Commissioner for Refugees [UNHCR], UN Children’s Fund [UNICEF]), and non-governmental organizations (NGOs), ERRB coordinates, supervises, and monitors CDC’s work in international emergency settings and in refugee or displaced populations. The branch also provides assistance during emergencies focusing on the following:

• Rapid assessments on health, water, sanitation and hygiene (WASH), and nutrition

• Public health surveillance and epidemic investigations

• Operational research in emergency and post-emergency settings

• Program development and evaluation

• Post-emergency health systems reconstruction

• Partner capacity building Additionally, ERRB has extensive experience with non-research cooperative agreements with a variety of partners.

2. CDC Project Description

A.2.a. Approach https://www.healthypeople.gov/2020/topics-objectives/topic/global-health https://www.healthypeople.gov/2020/topics-objectives/topic/global-health http://www.globalhealth.gov/global-health-topics/global-health-security/ghsagenda.html

CDC-RFA-GH15-1624 Logic Model

Professional Humanitarian Training Programs

*Asterisk indicates project period outcome

Strategies and Activities

Short-term Outcomes Intermediate Outcomes Long-term Outcomes

Strengthen public health response, management and operations in humanitarian emergencies

Develop, promote and implement training courses for -responders -response leaders -clinician leaders Share emergency management best practices in trainings and online Work with key partners/ stakeholders to increase number of organizations engaged in preparedness & response trainings

Strengthen global capacity for emergency nutrition response

Develop, promote and implement a practical emergency nutrition training program in

*Increase in responders, response leaders and clinician leaders that are better prepared to respond to emergencies

Improved timeliness of detection and response

*Increased emergency nutrition capacity -More students -More mentors engaged in training -More field practicums -More placements for newly trained -Improved training materials & strategies

*More in-country emergency nutrition capacity assessments conducted

*Increased amount and quality of information on public health response activities

*Increased use of evidence-based tools and practices

*Increased capacity of humanitarian organizations to respond to surge staffing requirements

*Increased use of proven management and operations activities

Increased coordination of medical and public health activities in emergencies

Increased response effectiveness

Improved prevention and control of health threats

Decreased morbidity and mortality in humanitarian emergencies multiple languages

i. Problem Statement In 2014 there was a sharp rise in the number of people living in regions of the world affected by conflict, with far-reaching political, security, economic, development and humanitarian consequences. The United Nations classifies humanitarian crises from level 1 (L1) to level 3 (L3), with L3 the most critical type of crisis that requires a system-wide response across the humanitarian community. In 2014, there were a record number of L3 crises: Syria, Iraq, Central African Republic, Philippines, and South Sudan. This resulted in requests for US $17.9 billion to help over 76 million people in 31 countries. With the increase in the number of critical complex emergencies, adequate donor funding for each emergency is declining and as of 30 November 2014, these appeals were only funded at 52 percent. Agencies and organizations are struggling to reach more people in need with smaller budgets, driving the need for effective monitoring and evaluation of programs.

As the number, scale, and intensity of humanitarian emergencies rises, the need for sufficient well-trained staff is becoming even more important. There are approximately 16 million refugees and 27 million internally displaced persons every year worldwide, but there are only an estimated 211,000 international aid workers to assist this population. Only a fraction of these aid workers have expertise in public health and its relevance in emergencies. Large humanitarian organizations are in need of trained routine and surge staff to effectively respond to public health threats. In addition, new programs, tools and resources are constantly available in emergencies; however professional humanitarian staff may not be aware of or effectively use them. At the same time, new evaluation methods, programming approaches and techniques should be piloted and evaluated prior to large-scale roll out. This requires that staff be trained to identify and evaluate effective and appropriate solutions for humanitarian response. Currently and for the foreseeable future, demand for such training programs for humanitarian professionals exceeds the supply of available and accessible training programs.

One specific area of targeted need is emergency nutrition programs, as recent emergencies have highlighted the weaknesses in the emergency nutrition sector. Over the past five years, numerous nutritional crises have all presented the international nutrition community with challenges to staff responses with individuals who can support the effective and appropriate scale up of a nutrition response. Current academic programs are limited in number and are often not teaching appropriate skills needed for international emergency nutrition response. In addition, current programs lack sufficient connections with implementing organizations necessary to provide additional field training and opportunities for employment with international aid groups.

ii. Purpose The purpose of this funding is to increase the capacity of humanitarian partners to improve health of populations affected by humanitarian emergencies and conflict settings. Its main strategy is to increase the number of trained humanitarian professionals, through the development of didactic and experiential training programs in public health response. This program activity will also address the global shortage of qualified emergency nutrition staff.

iii. Outcomes As reflected in the Logic Model Overview, each of the two strategies has a related set of activities and short- and intermediate-term outcomes for the five year project period. Measurable progress on these will contribute to the specified long-term outcomes.

Applicants will assess their existing resources and technical expertise, partner network, training resources, and experience working in humanitarian settings and determine whether they can successfully achieve the specified outcomes. The awardee is only expected to achieve those outcomes identified in the application and for which it receives funding. As noted in the logic model, the short- and intermediate- term outcomes for each strategy are expected to contribute to a series of long-term outcomes for the effort as a whole.

Awardees will be expected to make progress toward the long-term outcomes outlined in the Logic Model above, but they may not be fully achievable by the end of the project period.

Short Term

Increase in responders, response leaders and clinician leaders that are better prepared to respond to emergencies Increased emergency nutrition capacity More in-country emergency nutrition capacity assessments conducted

Intermediate Term

Increased amount and quality of information on public health response activities Increased use of evidence-based tools and practices Increased capacity of humanitarian organizations to respond to surge staffing requirements Increased use of proven management and operations activities

iv. Funding Strategy N/A

v. Strategies and Activities As noted earlier, applications should address all strategies and all activities. Applicants should ensure that they can conduct all of these activities in the allotted time project period.

Strategy 1: Strengthen public health response, management and operations in humanitarian emergencies

Activity 1: Develop, promote and implement training courses for responders, response leaders, clinician leaders

Activity 2: Share emergency management best practices in trainings and online

Activity 3: Work with key partners/ stakeholders to increase number of organizations engaged in preparedness & response trainings

Strategy 2: Strengthen global capacity for emergency nutrition response

Activity 1: Develop, promote and implement a practical emergency nutrition training program in multiple languages

1. Collaborations

a. With CDC-funded programs:

Awardees are required to collaborate with CDC Emergency Response and Recovery Branch staff including subject matter experts and Epidemic Intelligence Service (EIS) Officers.

b. With organizations external to CDC:

Awardees are expected to collaborate with academic groups and humanitarian organizations in program development, implementation, and evaluation. Collaboration should be in the form of standard memorandums of understanding or agreement between awardees and these groups. Activities funded through this FOA should be complimentary and supportive of existing efforts. Awardees should have practical working knowledge of existing activities and gaps related to the objectives of this FOA.

2. Target Populations The end target population is internally displaced populations and populations affected by humanitarian crises in a variety of locations, urban, peri-urban or rural. The grantee will use professional educators with experience in international emergency training to train humanitarian professionals that will reach this target population through programs and activities.

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy The CDC will work with awardees to determine if the FOA strategies and activities have been implemented as expected and if the intended project period outcomes have been achieved. This is key information to keep the awardees on track, to demonstrate the effectiveness of the FOA, and/or to suggest ways to improve the program. This includes routine and ongoing communication between CDC and awardees, site visits, and awardee reporting (including work plans, performance, and financial reporting).

Such monitoring may also include the following activities for each strategy:

• 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 the outcomes within stated timelines.

• Working with awardees on adjusting the work plan based on achievement of outcomes 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.

Sample evaluation questions for each activity or outcome and associated performance measures may include:

To what extent has awardee developed, promoted and implemented training courses? (Process) # of training courses developed for responders, response leaders and clinician leaders # of training courses conducted for responders, response leaders and clinician leaders # of responders trained in courses # of response leaders trained (management) # of clinician leaders trained % of those trained that rate courses highly (good or excellent) % of those trained that would recommend course

To what extent has capacity to respond to surge staffing requirements increased? (Outcome) #/% of those trained that are have been deployed to international emergencies at 6 months #/% of those trained that are have been deployed to international emergencies at 1 year #/% of those trained that are have been deployed to international emergencies at 2 year #/% of organizations represented in trainings that have deployed staff at 1 year

To what extent have emergency management best practices been incorporated into live trainings?

(Process)

# of multidisciplinary faculty involved in management trainings # of case studies of management of prior emergencies used in trainings

To what extent are online tools being utilized to support training on emergency management best practices? (Process)

# of online resources on emergency management developed and implemented # of registered users of online portal # of unique visitors /page views to online resources % of users successfully completing a training post-test

To what extent have humanitarian organizations participated in trainings? (Outcome)

# of humanitarian organizations represented among trainees by year # of trainings co-led by staff from humanitarian organizations

To what extent has capacity to conduct in-country emergency nutrition assessments increased?

(Outcome)

# of US emergency nutrition personnel trained # of field based humanitarian organization practicum placements # of in-country staff capacity assessments conducted # of newly trained emergency nutritionists hired by aid organizations/surge roster

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an overall jurisdiction- or community-specific evaluation and performance measurement plan that is consistent with the CDC strategy. At a minimum, the plan must:

Describe how key program partners will participate in the evaluation and performance measurement planning processes.

Describe the type of evaluations (i.e., process, outcome, or both) to be conducted.

Describe key evaluation questions.

Describe other information (e.g., performance measures to be developed by the applicant), as determined by the CDC program, that must be included.

Describe potentially available data sources and feasibility of collecting appropriate evaluation and performance data.

Describe how evaluation findings will be used for continuous program quality improvement.

Describe how evaluation and performance measurement will contribute to developing an evidence base for programs that employ strategies lacking a strong effectiveness evidence base.

c. Organizational Capacity of Awardees to Execute the Approach The grantee should be an institution of higher learning with a school of public health accredited by the Council on Education for Public Health (http://ceph.org/accredited/).

The grantee should have a Department of Global Health or the equivalent and a viable Global Health faculty base. In addition the organization must have the ability to host graduate students and be located in an area in or near Atlanta to ensure access to mentors within CDC/ERRB.

Applicants must have sufficient organizational capacity to carry out the evidence-based strategies and activities outlined in this FOA. The anticipated organizational skill sets the applicant would need to have to execute this FOA include:

Program Management:

Planning and execution Performance management and monitoring Communication management Partnership development Reporting Training Workforce management

Subject Matter Expertise:

Expertise in working in humanitarian emergencies in the field Expertise in working with displaced populations Multidisciplinary experience in management, operations, and leadership Expertise in developing tools, materials, educational information, guidelines, or health strategies for http://ceph.org/accredited/ the relevant populations targeted Experience in developing and implementing graduate and professional training programs Experience working with international partners to develop practical training programs Access to and expertise in developing innovative education programs

Financial Planning:

Budget management and tracking Budget administration Financial Reporting

d. Work Plan Applicants should provide a high-level work plan that covers the duration of the project, with more detail for the first year of the project period. The work plan - even if it uses terms like goals and objectives - needs to draw on the strategies and activities, outcomes, and performance measures presented in the logic model and narrative sections of the FOA. The table below is a sample work plan. Applicants can use this or a different format, but the work plan must include the information above. The work plan should be completed for each project period outcome identified in the logic model. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

Project Period Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies/Activities Process Measure

[from Evaluation and Performance Measurement section]

Responsible Position / Party

Completion Date

1.

2.

3.

4.

5.

6.

7.

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). HHS grants policy specifies the following HHS expectations for post-award monitoring for grants and cooperative agreements:

Tracking awardee progress in achieving the desired outcomes.

Insuring 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 objectives within stated timeframes.

Working with awardees on adjusting the work plan based on achievement of objectives 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 may include monitoring and reporting activities as outlined in HHS grants policy that assists grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk grantees.

f. CDC Program Support to Awardees Organize an orientation meeting with the grantee for a briefing on applicable U.S. Government and HHS/CDC, expectations, regulations and key management requirements, as well as report formats and contents.

Collaborate with the grantee on designing and implementing the activities listed above, including, but not limited to: the provision of technical assistance to develop program activities, data management and analysis, quality assurance, the presentation and possibly publication of program results and findings, and the management and tracking of finances.

Provide technical assistance, as mutually agreed upon, and revise annually during validation of the first and subsequent annual work plans. This could include expert technical assistance and targeted training activities in specialized areas.

Monitor and evaluate scientific and operational accomplishments of this project through frequent consultation, review of technical reports, and interim data analyses.

Meet on an annual basis with the grantee to review annual progress report for each US Government/CDC fiscal year and to review annual work plans and budgets for subsequent years.

Review and approve abstracts, manuscripts and presentations related to activities funded through this FOA.

Provide technical assistance or advice on any data collections on 10 or more people that are planned or conducted by the awardee. All such data collections-- where CDC staff will be or are approving, directing, conducting, managing, or owning data-- must undergo OMB project determinations by CDC and may require OMB PRA clearance prior to the start of the project

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. Funding Activity Category: HL

3. Fiscal Year: 2015 Estimated Total Funding: $0

4. Approximate Total Fiscal Year Funding: $100,000

5. Approximate Project Period Funding: $0

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

7. Expected Number of Awards: 1 Amendment 1: The purpose of this amendment is to remove the ceiling amount listed in the FOA of

Amendment 1: The purpose of this amendment is to remove the ceiling amount listed in the FOA of $500,000 due to the addition of Zika activities in year 2 and the higher than anticipated budgetary needs of the grantee in future funding years.

8. Approximate Average Award: $100,000 Per Budget Period

9. Award Ceiling: $0 Per Budget Period

10. Award Floor: $20,000 Per Budget Period

11. Estimated Award Date: 09/01/2015

12. Budget Period Length: 60 month(s)

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).

13. Funds Tracking Applicant is required to track funds by P-Accounts/Sub-Accounts for each project/cooperative agreement awarded.

14. Direct Assistance Direct assistance is not available through this FOA.

15. Indirect Costs Indirect Costs are not an allowable cost through this FOA.

C. Eligibility Information

1. Eligible Applicants Eligibility Category: State governments

County governments City or township governments Special district governments Independent school districts Public and State controlled institutions of higher education Native American tribal governments (Federally recognized) Public housing authorities/Indian housing authorities Native American tribal organizations (other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education For profit organizations other than small businesses Small businesses Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility"

Additional Eligibility Category:

2. Special Eligibility Requirements The specific emphasis on humanitarian training in health emergencies specified in this grant requires that a successful grantee have substantial global health experience and begin work immediately upon receipt of the award. CDC/CGH/DGHP/ERRB considers that this can only be accomplished by an institution of higher learning with a school of public health accredited by the Council on Education for Public Health ( http://ceph.org/). A letter from applicants verifying this accreditation is required.

3. Justification for Less than Maximum Competition N/A

4. Other N/A

5. Cost Sharing or Matching Cost Sharing / Matching Requirement:

No

Cost sharing or matching funds are not required for this program. Although there is no statutory match requirement for this FOA, leveraging other resources and related ongoing efforts to promote sustainability is strongly encouraged.

6. Maintenance of Effort

Maintenance of Effort is not required for this program.

D. Application and Submission Information

1. Required Registrations An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov.

a. Data Universal Numbering System:

All applicant organizations must obtain a Data Universal Numbering System (DUNS) number. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements.

The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or internet at http:// fedgov.dnb. com/webform/ displayHomePage.do. The DUNS number will be provided at no charge.

If funds are awarded to an applicant organization that includes sub-awardees, those sub-awardees must provide their DUNS numbers before accepting any funds.

b. System for Award Management (SAM):

The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as an awardee. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial http://ceph.org/ http://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do report is submitted or the final payment is received, whichever is later. The SAM registration process can require 10 or more business days, and registration must be renewed annually. Additional information about registration procedures may be found at www.SAM.gov.

c. Grants.gov:

The first step in submitting an application online is registering your organization at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the “Get Registered” option at www.grants.gov.

All applicant organizations must register at www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants should start the registration process as early as possible.

Step System Requirements Duration Follow Up 1 Data Universal

Number System

(DUNS)

1. Click on http:// fedgov.dnb.com/webform

2. Select Begin DUNS search/request process

3. Select your country or territory and folllow the instructions to obtain your DUNS 9-digit #

4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under DUNS number

1-2 Business Days To confirm that you have been issued a new DUNS number check online at

(http:// fedgov.dnb.com/ webform) or call 1-866-705-5711

2 System for Award Management (SAM) formerly Central Contractor Registration (CRR)

1. Retrieve organizations DUNS number

2. Go to www.sam.gov and designate an E-Biz POC (note CCR username will not not work in SAM and you will need to have an active SAM account before you can register on grants.gov)

3-5 Business Days but up to 2 weeks and must be renewed once a year

For SAM Customer Service Contact www.fsd.gov/US Calls: 866-606-8220

3 Grants.gov 1. Set up an individual account in Grants.gov using organization new DUNS number to become an authorized organization representative (AOR)

2. Once the account is set up the

E-BIZ

POC will be notified via email

3. Log into grants.gov using the password the E-BIZ POC received and

Same day but can take 8 weeks to be fully registered and approved in the system (note, applicants MUST obtain a

DUNS number and SAM account before applying

Register early! Log into grants.gov and check AOR status until it shows you have been approved https://www.sam.gov/portal/public/SAM/ http://grants.gov/ http://www.grants.gov/ http://www.grants.gov/ http://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://www.sam.gov/ http://www.fsd.gov/US create new password

4. This authorizes the AOR to submit applications on behalf of the organization on grants.gov)

2. Request Application Package Applicants may access the application package at www.grants.gov.

3. Application Package Applicants must download the SF-424 application package associated with this funding opportunity from www.grants.gov. If Internet access is not available, or if the online forms cannot be accessed, applicants may call the CDC PGO staff at 770-488-2700 or e-mail PGO PGOTIM@cdc.gov for assistance. Persons with hearing loss may access CDC telecommunications at TTY 1-888-232-6348.

4. Submission Dates and Times If the application is not submitted by the deadline published in the FOA, it will not be processed. PGO personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by PGO.

If Grants.gov cannot receive applications due to an emergency or other unanticipated event (and circumstances preclude advance notification of an extension), then applications must be submitted by the first business day on which government operations resume.

Due Date for Applications: 06/05/2015

Electronically submitted applications must be submitted no later than 11:59 p.m., ET, on the listed application due date.

Date for Informational Conference Call: 05/14/2015 Informational Conference Call Time and Numbers:

Thursday May 14, 2015 at 10AM PT, 1PM US Eastern Standard Time.

The call in number is 1-877-953-3014 (US) or 1-517-477-1345 (Intl)

Passcode 3634833

5. CDC Assurances and Certifications All applicants are required to sign and submit CDC Assurances and Certifications documents that can be found on the CDC Web site: http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html Applicants may follow either of the following processes:

Applicants must name this file "Assurances and Certifications" and upload as a PDF on www.grants.gov.

Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http:// www.cdc.gov/od/pgo/ funding/grants/ foamain.shtm

Assurances and certifications submitted directly to CDC will be kept on file for 1 year and will apply to all applications submitted to CDC within one year of the submission date.

http://www.grants.gov http://www.grants.gov/ http://www.cdc.gov/grants/interestedinapplying/applicationprocess.html http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm

6. Contents and Form of Applications Submission Applicants are required to submit all of the documents outlined below as their application package on www.grants.gov.

7. Letter of Intent (LOI)

Descriptive title of proposed project:

• Name, address, telephone number, and email address of the Principal Investigator/Project Director, or both

• Name, address, telephone number, and email address of the primary contact for writing and submitting this application

• Number and title of this FOA

• Other: LOIs must be received via email, please submit to the Project Officer, Cyrus Shahpar, at iyp3@cdc .gov

8. Table of Contents (No page limit, not included in project narrative page limit). Provide a detailed table of contents for the entire submission package that includes all of the documents in the application and headings in the "Project Narrative" section. Name the file "Table of Contents" and upload it as a PDF file under "Other Attachment Forms" at www.grants.gov.

9. Project Abstract Summary (Maximum of 1 page, single spaced, 12 point font, 1-inch margins). A project abstract is included on the mandatory documents list and must be submitted at www.grants.gov. The project abstract must be a self-contained, brief summary of the proposed project including the purpose and outcomes. This summary must not include any proprietary or confidential information. Applicants must enter the summary in the “Project Abstract Summary” text box at www.grants.gov.

10. Project Narrative (Maximum of 18 pages single spaced, Calibri 12 point, 1-inch margins, number all pages, content beyond 18 pages will not be reviewed). The Project Narrative must include all of the bolded headings shown in this section. The Project Narrative must be succinct, self-explanatory, and in the order outlined in this section. It must address outcomes and activities to be conducted over the entire project period as identified in the CDC Project Description section.

Applicants must submit a Project Narrative with the application forms. Applicants must name this file “Project Narrative” and upload it at www.grants.gov.

a. Background Applicants should provide a description of relevant background information that includes the context of the problem (see CDC Background).

b. Approach

i. Problem Statement Applicants must describe the core information relative to the problem for the jurisdictions or populations they serve. The core information should help reviewers understand how the applicant’s response to the FOA will address the public health problem and support public health priorities. (See CDC Project Description).

ii. Purpose Applicants must describe specifically how their application will address the problem as described in the CDC Project Description.

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iii. Outcomes Applicants must clearly identify the outcomes they expect to achieve by the end of the project period.

Outcomes are the results that the program intends to achieve. All outcomes should indicate the intended direction of change (i.e., increase, decrease, maintain). See the program logic model in the Approach section of the CDC Project Description.

iv. Strategy and Activities The applicant must provide a clear and concise description of the strategies and activities they will use to achieve the project period outcomes. Whenever possible, applicants should use evidence-based program strategies as identified by the Community Guide (or similar reviews) and reference it explicitly as a source.

Applicants may propose additional strategies and activities to achieve the outcomes. Applicants should select existing evidence-based strategies that meet their needs, or describe the rationale for developing and evaluating new strategies or practice-based innovations. (See CDC Project description: Strategies and Activities section).

c. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that is consistent with the CDC Evaluation and Performance Measurement Strategy section of the CDC Project Description of this FOA.

Data collected must be used for ongoing monitoring of the award to evaluate its effectiveness, and for continuous program improvement.

The plan must:

Describe how key program partners will be engaged in the evaluation and performance measurement planning processes.

Describe the type of evaluations to be conducted (i.e. process and/or outcome).

Describe key evaluation questions to be answered.

Describe other information, as determined by the CDC program (e.g., performance measures to be developed by the applicant) that should be included.

Describe potentially available data sources and feasibility of collecting appropriate evaluation and performance data.

Describe how evaluation findings will be used for continuous program and quality improvement.

Describe how evaluation and performance measurement will contribute to development of that evidence base, where program strategies are being employed that lack a strong evidence base of effectiveness.

Awardees will be required to submit a more detailed evaluation and performance measurement plan within the first 6 months of the project, as outlined in the reporting section of the FOA.

Awardees will be required to submit a more detailed evaluation and performance measurement plan within the first six months of the project, as outlined in the reporting section of the FOA.

d. Organizational Capacity of Applicants to Implement the Approach Applicant must address the organizational capacity requirements as described in the CDC Project Description.

Specifically applicants must provide a letter verifying that they are an institution of higher learning with a school of public health accredited by the Council on Education for Public Health (http://ceph.org/accredited /). Applicants must name this file “Accreditation” and upload it at www.grants.gov.

Applicants should also attach an organization chart for their school of public health and Department of Global Health. Finally CVs for primary project contacts should be submitted. Applicants must name these files “CVs/Resumes” or “Organizational Charts” and upload it at www.grants.gov.

Applicants must also list at least 5 countries where you currently work: the area of country-camp, urban, http://ceph.org/accredited/ http://ceph.org/accredited/ peri-urban; size and characteristics of displaced populations; and length of time in each country by months and years (must have at least 5 years of experience in the field of emergencies). Include any education, training, or nutrition activities this work involves and demonstrate that work by existing letter, agreements, website, etc.

Applicants must name these files “Global Health Activities” and upload it at www.grants.gov.

Applicants must also provide materials on existing global health or humanitarian training programs they are currently involved in. They should demonstrate this work by existing letter, agreements, website, etc.

Applicants must name these files “Training Activities” and upload it at www.grants.gov.

11. Work Plan Applicants must prepare a work plan consistent with the CDC Project Description Work Plan section. The work plan integrates and delineates more specifically how the awardee plans to carry out achieving the project period outcomes, strategies, and activities, evaluation and performance measurement, including key milestones.

Applicants must name this file “Work Plan” and upload it as a PDF file at www.grants.gov.

12. Budget Narrative Applicants must submit an itemized budget narrative, which may be scored as part of the Organizational Capacity of Awardees to Execute the Approach. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative. The budget must include:

Salaries and wages Fringe benefits Consultant costs Equipment Supplies Travel Alterations and Renovations Other categories Contractual costs Total Direct costs Total Indirect costs

For guidance on completing a detailed budget, see Budget Preparation Guidelines at:

http://www.cdc.gov/grants/interestedinapplying/applicationresources.html Applicants should name this file “Budget Narrative” and upload it as a PDF file to www.grants.gov. If requesting indirect costs in the budget, a copy of the indirect cost rate agreement is required. If the indirect cost rate is a provisional rate, the agreement must have been made less than 12 months earlier. Applicants must name this file “Indirect Cost Rate” and upload it to www.grants.gov.

13. Tobacco and Nutrition Policies Awardees are encouraged to implement tobacco and nutrition policies.

Unless otherwise explicitly permitted under the terms of a specific CDC award, no funds associated with this FOA may be used to implement the optional policies, and no applicants will be evaluated or scored on whether they choose to implement these optional policies.

CDC supports implementing evidence-based programs and policies to reduce tobacco use and secondhand smoke exposure, and to promote healthy nutrition.