Draft_PWS_Epi Surveillance.pdf

Performance Work Statement

Title: Advancing Nutrition, Physical Activity, and Obesity and Chronic Disease Prevention through Epidemiology, Surveillance and Data Modernization

Period of performance:

Base Period: September 15, 2027 to September 14, 2028 Option Period One: September 15, 2028 to September 14, 2029 Option Period Two: September 15, 2029 to September 14, 2030

SECTION 1 – BACKGROUND

The Centers for Disease Control and Prevention’s (CDC) Division of Nutrition, Physical Activity, and Obesity (DNPAO) leads the nation’s efforts to prevent chronic diseases and promote health across the lifespan by advancing good nutrition, regular physical activity, breastfeeding, and healthy weight. DNPAO works in the settings where people live, learn, work, and play to improve population health and reduce the burden of obesity and related chronic diseases, including heart disease, cancer, stroke, and diabetes.

DNPAO focuses on improving nutrition, supporting breastfeeding, increasing physical activity, and reducing obesity through evidence-based public health strategies. The Division develops, adapts, and promotes approaches grounded in the best available scientific evidence and supports their implementation through state, local, tribal, and community partners. DNPAO places particular emphasis on strengthening policies, systems, and environments that support healthy behaviors and improve program reach, effectiveness, and sustainability.

To achieve these goals, DNPAO works with states and local jurisdictions, Tribes, universities, and community-based organizations to design, implement, and evaluate effective practices and programs. The Division supports states and communities with high obesity prevalence and elevated chronic disease risk and promotes the dissemination and scaling of successful interventions that improve nutrition and physical activity outcomes.

DNPAO’s core public health approach is organized around five priority strategies:

1. Making physical activity safe and accessible for all.

2. Making healthy food choices easier everywhere.

3. Making breastfeeding easier to start and continue.

4. Strengthening obesity prevention standards in early care and education settings.

5. Increasing the availability of and access to family healthy weight programs.

DNPAO also undertakes crosscutting public health actions related to research, surveillance, translation, communication, evaluation, and technical assistance to support partners in adopting, implementing, and sustaining CDC-recommended strategies.

DNPAO’s science provides the information needed to help Americans eat healthy, be physically active, and achieve a healthy weight. To achieve this, DNPAO conducts epidemiology and surveillance programs and projects that generate timely, reliable, and actionable information on nutrition, physical activity, and obesity. The division designs and maintains surveillance systems, including those that assess maternity practices in hospitals to support breastfeeding; integrates federal, state, local, and community data to evaluate program impact; and applies rigorous methods to monitor nutrition, physical activity, and obesity trends and the factors that shape them across the life course. DNPAO analyzes data (e.g., descriptive epidemiology, age standardization, linear and logistic regression, and correlation analyses) from a variety of national surveillance systems, such as NHANES III, the National Immunization Survey, Maternity Practices in Infant Nutrition and Care (mPINC) Survey, BRFSS, YRBS, and NHIS. Over the past several years, DNPAO has been using modernized data sources (e.g., GIS data, satellite imagery, human mobility data) and methods to conduct epidemiological and surveillance analyses (e.g., machine learning, large datasets). CDC is slowly phasing out SAS and SUDAAN, so DNPAO has placed greater emphasis on training staff to use R and Python.

Partners are an integral part of how DNPAO implements its strategies and conducts epidemiology and surveillance activities. For example, CDC works closely with the University of Colorado to collect, analyze, and rate child care licensing regulations in all 50 states and the District of Columbia to develop The Achieving a State of Healthy Weight report and supplemental tables describing how well licensing regulations for early care and education programs include high-impact obesity prevention standards. CDC also works closely with the Physical Activity Alliance to standardize measures for physical activity assessment, prescription and referral that can be integrated into electronic health records and to develop resources to support integration of these measures with health systems, EHRs, digital health technology companies, qualified exercise professionals and others.

As part of its expanded scope, DNPAO also administers the CDC Healthy Tribes Program, which provides funding to American Indian Tribes, Alaska Native villages, tribal organizations, urban Indian organizations, and Tribal Epidemiology Centers. The Healthy Tribes Program supports culturally relevant and community-informed strategies to improve the health and well-being of American Indian and Alaska Native populations and represents CDC’s largest investment focused on chronic disease prevention in tribal communities.

Healthy Tribes priorities include:

• Reducing commercial tobacco use

• Preventing type 2 diabetes

• Preventing and controlling high blood pressure

• Increasing access to safe and appropriate physical activity

• Supporting breastfeeding and access to healthy foods

Chronic diseases, defined as conditions lasting one year or more and requiring ongoing medical attention or limiting activities of daily living, are the leading causes of death, disability, and health care costs in the United States. DNPAO’s integrated portfolio addresses key behavioral and environmental factors that contribute to these conditions and supports community-driven solutions to improve health outcomes.

Given the breadth and complexity of DNPAO’s portfolio, including the Healthy Tribes Program, DNPAO is requesting task order proposals from offerors with experience in chronic disease epidemiology and surveillance.

Offerors should have knowledge of CDC’s mission, appreciate public health program and surveillance complexities, and have the ability to access to a wide range of consultants with a diversity of skills and experience needed to assist the Division in leading and maintaining high quality performance in epidemiology and surveillance of policy, systems, and environment approaches to promote nutrition, improve physical activity, reduce obesity, and reduce chronic disease burden.

These services build on and continue aspects of prior contract efforts, ensuring continuity of relevant operations, minimal disruption during contract transitions, and sustained progress toward DNPAO’s mission to prevent chronic disease, reduce obesity, and promote healthy behaviors nationwide.

SECTION 2 – PURPOSE/OBJECTIVE

The purpose of this contract is to secure technical, professional, and scientific subject matter expertise for tasks that support and advance the work of DNPAO and its staff in transferring knowledge on effective responses to improving nutrition, increasing physical activity, and preventing obesity. The work under this contract will provide the expertise needed to conduct epidemiology and surveillance programs and projects that generate timely, reliable, and actionable information on nutrition, physical activity, and obesity.

This contract will also provide the expertise needed to translate and communicate the research, evaluation and programmatic impact to bridge the gap between research and practice. This information derived will be used to select, design, refine and improve data, partnerships, messaging, resources, and tools that advance the goals of key Division strategies and priorities. In addition, this contract will produce improved methods to gather, synthesize, communicate, and present DNPAO accomplishments and the impact of investments to partners, Congress, and other decision makers to accelerate the work and amplify the successes. It is expected that the work will result in improved trust, communication, best practices, methods, tools that will enhance and accelerate DNPAO work, necessary adaptations of CDC strategies, and recipients’ knowledge surrounding DNPAO strategy priorities that ensures more meaningful effective and widespread implementation of CDC strategies.

a. The objectives are to:

1. Increase available scientific and technical expertise to fill gaps in specialized topic areas within relevant DNPAO strategy priorities; and,

2. Increase the availability of scientific and programmatic reports, data, and other information to inform data-driven decision making for states, communities, Tribes, national organizations and Federal agencies on what works and what doesn’t work to promote and communicate the impact of our strategies.

It is anticipated that the Contractor will provide the scientific and technical expertise that CDC cannot because of lack of subject matter expertise in the specialized areas across multiple strategies required under this contract.

SECTION 3 – SCOPE OF WORK

The contractor shall perform the following technical requirements beginning in the base year of the contract and continuing through the entire contract period (if all option years and optional tasks are exercised).

Any uses of artificial intelligence tools or technology to support the completion of these tasks should follow CDC's Guidance for Generative Artificial Intelligence. CDC data cannot be stored in non-CDC tools with AI capabilities. Contractors may not utilize non- CDC AI technology to transcribe calls with CDC staff or conduct other CDC sponsored activities.

SECTION 4 – TASKS TO BE PERFORMED

Task 1– Safe Routes to School data analysis and reports

• The contractor shall analyze existing, publicly available data and develop a series of complimentary products to the State Report Cards on Support for Walking, Bicycling, and Active Kids and Communities (2022 State Report Cards | Safe Routes Partnership) that aligns with Division of Nutrition, Physical Activity, and Obesity’s (DNPAO’s) priority strategy – community design for physical activity – and builds build capacity of states to plan and make decisions based on data to create activity-friendly communities (e.g., trend analyses on indicators, success stories/state profiles of how the Report Card was used to inform changes, etc.).

Products may include trend analyses on specific indicators from existing data, and success stories/state profiles of how the Report Card was used to inform changes, etc. The products developed fill a gap in knowledge based on observations and input from subject matter experts in public health, transportation, land use, and state decision makers

• The contractor shall facilitate collaborations to support Active People, Healthy Nation and its network. The contractor will be asked to support or contribute to efforts to build awareness and support for Active People, Healthy Nation with routine communications, networking, and strategic engagement.

• The contractor shall develop and implement a continuous quality improvement process to inform the State Report Cards and the complimentary products to ensure they address the capacity building assistance needs of the audience

• The contractor shall maintain and expand collaborations to support Active People, Healthy Nation and its network, a network of organizations dedicated to promoting Active People, Healthy Nation as a national movement. This could include supporting communities who are interested in developing Active People, Healthy Nation Action Plans.

• The contractor shall promote Active People, Healthy Nation among the funded organization’s network and member affiliates in routine communications, networking, and strategic engagement.

• The contractor shall promote Active People, Healthy Nation resources in newsletters, blog posts, podcasts, social media, web materials, presentations, etc.

• The contractor shall support communities who are interested in Active People, Healthy Nation proclamations with DNPAO funded recipients and other local, state, and Tribal jurisdictions working to increase physical activity through community design.

https://www.saferoutespartnership.org/resources/2022-state-report-map https://www.saferoutespartnership.org/resources/2022-state-report-map

• The contractor shall participate in Active People, Healthy Nation national funded partner network meetings and Roundtable meetings and PAPREN meetings.

• The contractor shall promote and disseminate products developed as well as resources

(e.g., tools, trainings, reports) available from DNPAO, Active People, Healthy Nation partners in coordination with DNPAO and where applicable with Active People, Healthy Nation partners.

Task 2 – Policy Surveillance Analysis and Report – Early Care and Education (ECE) state licensing can help ensure that health and safety rules are followed by licensed childcare programs. Licensing regulations can also encourage widespread adoption of standards that promote healthy eating and physical activity, specifically the adoption of the high-impact obesity prevention standards (HIOPS). States typically update their licensing regulations about every 3 to 5 years. In order to improve nutrition and promote physical activity among youth, CDC/DNPAO support states’ in promoting healthy eating and physical activity within ECE settings. CDC/DNPAO provides states and the District of Columbia with an annual scorecard (The Achieving a State of Healthy Weight) to assess how well a state's licensing regulations support HIOPS. States use this scorecard to identify areas for improvement, to understand how their state compares to national data, and to help mobilize partners to adopt HIOPS in licensed ECE programs. CDC also supports the development of an annual report with the national perspective and three supplemental reports.

1. The Contractor shall oversee ASHW project implementation including monitoring staff assignments and coordinating with partners. The Contractor shall develop a project plan including such information as a timeline, tasks/activities, and person responsible.

2. The Contractor shall update ASHW Procedure and Rating manuals if needed, and train/re-train raters in updated rating scale manual and procedures as appropriate

3. The Contractor shall conduct an annual review of publicly available data to identify states’ new and revised early care and education licensing regulations, specifically the adoption of the high-impact obesity prevention standards (HIOPS.

4. The Contractor shall update and maintain the database of all 50 states and the District of Columbia’s new/revised early care and education licensing regulations.

5. The Contractor shall screen the new/revised state early care and education licensing regulations for ASHW-related content and rate new/revised documents containing new/revised ASHW-related content. The Contractor shall enter the ratings and supporting state text into the ASHW database, including URLs and the state/DC point of contact.

6. The Contractor shall analyze the data and generate data charts, tables, and figures, and conduct quality assurance checks. The quality assurance checks should include information related to screening and selecting annual literature, the state/DC points of contact log, URLs of documents screen/rated

7. The Contractor shall document the methods used to create the updated scorecard (e.g., updating cumulative History of Documents Screened/Rated Excel Workbook, detailing how inter-rater discrepancies were resolved).

https://www.cdc.gov/early-care-education/php/obesity-prevention-standards/index.html https://www.cdc.gov/early-care-education/php/obesity-prevention-standards/index.html https://www.cdc.gov/early-care-education/php/obesity-prevention-standards/index.html

8. The Contractor shall conduct and document quality assurance checks, including but not limited to accuracy of new ratings, audit/resolution of dataset anomalies

9. The Contractor shall update the State Licensing Scorecard (i.e., provide data for states with changes to center-based care and input for development of scorecard for family child care homes) for 2026-27 for all 50 states and the District of Columbia

10. The Contractor shall develop the ASHW annual report and three state supplements (for Child Care Centers, Large Family Child Care Homes, and Small Family Child Care Homes)

11. The contractor shall support dissemination of the ASHW annual report and three state supplements, including activities such as

a. Post new documents to ASHW website (ASHW Annual Report, three ASHW Supplements, Documents Rated to 2010-2026)

b. Conduct presentation on annual report for CDC DNPAO recipients and at least one other national meeting

c. Contribute to CDC led publication on National Trends in Child Care Regulations and Uptake of Obesity Prevention Standards (2010- 2026).

• Task 3 – Contract Management

1. The Contractor shall provide technical, professional, and scientific subject matter expertise for all tasks in this contract that support the work of DNPAO and its staff. The Contractor shall provide project management and technical assistance to the COR, technical monitors, or project leaders on managing processes, tasks, schedules, roles, and approvals for work conducted under this contract.

2. The Contractor shall provide competent staff with the requisite knowledge, skills, experience, and training required to perform all tasks in a professional manner. The Contractor shall provide constant supervision and oversight of the work through an experienced and competent Project Director or Task Manager. In the event it becomes necessary for the contractor to replace personnel on the project, they shall do so with a person of like competence, experience, skill, and knowledge necessary to perform the work in a professional manner.

3. The Contractor shall provide all necessary training, orientation, and technical direction to its staff in or to ensure acceptable execution of the work. The contractor shall provide all labor, consultants, materials, equipment and supplies required to perform the full range of services as set forth in the Technical Requirements Section. In coordination with the COR, the Contractor shall refine task assignments as necessary.

4. No training or orientation will be provided by the Government unless otherwise specified in the Performance Work Statement. Security Awareness Training and Safety Training are available through CDC websites and must be completed by all contractor personnel prior to receiving identification badges and access to CDC facilities and computers.

The training must be completed annually thereafter to retain the identification badge, computer access and access to CDC facilities.

5. The Contractor shall provide and maintain a Quality Control Program and shall continually monitor its performance and make necessary adjustments to ensure the work is performed at an acceptable quality level.

6. The Contractor shall resolve all problems and complaints within three (3) workdays after notification. The Contractor shall maintain a log of problems/complaints reported, by whom they were report, the date reported, the resolution implemented and the date of the implementation. At least once during each month of performance, the contractor shall provide the Contracting Officer’s Representative (COR) access to the log for purposes of review. Resolution of any outstanding issues shall be addressed by the Project Director/Task Manager. The Contractor shall resolve all management issues relating to performance by Contractor staff, Consultants, or subcontractors.

7. The Contractor shall provide a Comprehensive Project Management plan within 30 days of the contract award date that identifies tasks, staff or sub-contractor and their responsibilities as associated with each task, a supervisory chain for each staff member or subcontractor, a timeline for the development and delivery of each task, and a managerial plan describing oversight responsibilities for each major activity.

8. The Contractor shall initiate and conduct a monthly call to discuss contract performance within 30 workdays following the contract award date, and monthly thereafter with the COR and other key CDC staff. The COR and Program Manager will decide which personnel shall be present at these meetings. These meetings shall be at no additional cost to the government.

9. The Contractor shall provide a written monthly report for all Tasks exercised for the period of performance, beginning 30 days after the contract award date. The report must contain at a minimum the following information:

a. A brief description of requirements and services completed during the reporting period

b. Summary of accomplishments during the reporting period and significant event regarding the contract

c. Sufficient information for confirmation of effort covered by invoices for the same period, workload planning and evaluation of service performed

d. Discussion of any current or anticipated problems, including description of the issue(s), the advantages and disadvantages of potential solutions

e. A brief summary of activity planned for the next reporting period.

f. The monthly status report shall consist of a technical summary and a financial summary concerning overall contract activities. If a spreadsheet is needed then it should be in Excel.

10. The Contractor shall prepare and submit monthly invoices for expenditures during the month due by the 5th workday following the end of each month.

11. The Contractor shall maintain any Government Furnished Property inventories and report any loss, damage or destruction.

12. The Contractor shall initiate a kick off meeting within ten days of the contract award.

13. The Contractor shall provide the deliverables and reports identified in the contract.

OPTIONAL TASKS

Optional Task 1 – Scientific and Technical Support for Nutrition, Physical Activity and Obesity

Optional Subtask 1.1 Physical Activity Scientific and Technical Support

• The contractor shall provide subject matter expertise in physical activity surveillance, epidemiological analyses, and modern data analysis methods (e.g., computer imaging, human mobility data). Specific activities may include:

1. Download and format publicly available surveillance data (e.g., NHANES, NHIS, BRFSS, YRBS, NSCH) to generate crude and age-standardized descriptive statistics

2. Design, conduct, and interpret analyses (using R and python) that test hypotheses, including using regression models

3. Provide GIS analytic services to the branch

4. Plan and conduct novel program evaluation activities

5. Plan and conduct microsimulation modeling projects.

6. Participate in cross-departmental systematic review of reviews

7. Provide guidance on conducting statistical analyses in R and Python languages

8. Draft scientific and general population products based on results, including data tables, manuscripts, presentations, web language and abstracts

9. Support Branch- and Division-level activities associated with HHS

10. Identify and analyze public health issues such as physical activity, physical inactivity, and active transportation, and their impact on health outcomes that are critical to population health

11. Schedule and lead project-based or partner meetings as needed

12. Assist with Branch- and Division-level communications initiatives, including website redevelopment

13. The anticipated activities above will be applied to activities and analytic projects, such as the following:

a. Continue analyses of physical activity and built environment data from the National Survey of Children’s Health

b. NHIS 2025 Physical Activity Participation analyses

c. Explore usefulness of GPS-based walking data as a measure of pedestrian activity, including injury risk exposure

d. Continue an existing effort to extract built environment measures from overhead and/or roadway images

e. Continued analyses of 2020-2024 HealthStyles data

f. Translation products that include maps of programmatic investments in PA policies and environments over time

g. Evaluation studies that link programmatic investments to health outcomes

h. Analytic projects that use the Physical Activity Diabetes and

Cardiovascular Disease model to predict health outcomes after changes in PA participation

i. Ongoing DNPAO/Physical Activity and Health Branch data modernization projects including analyses of mobility data, images, and policy text documents

Optional Subtask 1.2 Physical Activity Scientific and Technical Support The contractor shall provide subject matter expertise in physical activity surveillance, epidemiological analyses, and modern data analysis methods (e.g., computer imaging, human mobility data). Specific activities include:

1. Develop project plan for priority project(s), including analytic plan

2. Draft products based on results, including data tables, manuscripts, and abstracts

(scientific and general population products)

3. Support Branch- and Division-level activities associated with the project

4. Ongoing DNPAO/Physical Activity and Health Branch data modernization projects including analyses of mobility data, images, and policy text documents

5. Evaluation studies that link programmatic investments to health outcomes

6. Identify and analyze public health issues such as physical activity, physical inactivity, and active transportation, and their impact on health outcomes that are critical to population health

Optional Subtask 1.3 Comprehensive Program Evaluation Services The Contractor shall provide systematic evaluation of DNPAO-funded programs to assess effectiveness, outcomes, and impact across state, local, Tribal, and community recipients.

Activities will not involve: (1) human subjects research, (2) systematically interviewing/surveying more than 9 people in 1-year period, or (3) developing new information systems Specific activities include:

1. Develop and Implement Evaluation Frameworks

a. Create evaluation plans, logic models, and performance measures aligned with program objectives

b. Maintain consistency with CDC Evaluation Framework for Program

Evaluation

2. Conduct Data Analysis

a. Clean, analyze, and interpret quantitative and qualitative recipient data

b. Conduct site visits and interest holder interviews to inform evaluation planning

c. Review Annual Performance Reports (APRs) and administrative data to identify trends, gaps, opportunities

d. Analyze provided datasets to identify key trends, patterns, and insights

3. Evaluation Technical Assistance to Recipients

a. Provide direct technical assistance including regular (quarterly, semi-monthly) and ad hoc calls

b. Conduct site visits and evaluation-focused webinars

c. Provide feedback on evaluation products (evaluation plans, annual reports, performance measures)

d. Support recipients in generating practice-based evidence

Optional Sub-task 1.4 – Translation and Communication Services for Public Health Research, Evaluation and Program Monitoring https://www.cdc.gov/mmwr/volumes/73/rr/rr7306a1.htm?s_cid=rr7306a1_w https://www.cdc.gov/mmwr/volumes/73/rr/rr7306a1.htm?s_cid=rr7306a1_w

The contractor shall develop clear, accurate, culturally appropriate, and audience-specific materials that communicate DNPAO program activities, findings, and impacts to recipients, Tribal partners, policymakers, and the public. The contractor shall translate research and evaluation findings into practice-oriented materials and support development of peer-reviewed publications. The Contractor shall build recipients' capacity to develop effective communication products related to research and evaluation independently. The Contractor shall adhere to plain language principles, apply professional writing styles as appropriate, and adhere to HHS/CDC/ATSDR requirements . Specific activities include:

1. Develop clear, accurate, culturally appropriate, and audience-specific materials that communicate DNPAO research, evaluation and program activities, findings, and impacts. This incudes reviewing and editing content for proper format, grammar, style and tone. Communication products include such things as:

a. Success stories (narrative case studies, 1-4 pages)

b. Success snapshots (brief summaries, 80-140 words)

c. Infographic success stories (visual presentations, 2-6 PowerPoint slides)

d. Fact sheets, At-a-Glances, project updates

e. Brochures, white papers, policy briefs

f. Creative briefs, talking points, message maps, Q&As

2. Manuscript Development and Publication Support

a. Provide technical assistance and editing services for peer-reviewed publications

b. Support development of journal articles, briefs, white papers, grey literature

c. Assist with responses to reviewer comments

d. Help navigate peer-review publication process

3. Scientific Content Translation

a. Organize and translate existing quantitative and qualitative data (evaluation data, administrative data, and recipient success stories) into audience-appropriate products (one-pagers, evaluation summary documents, infographics, program success snapshots, and briefs for newsletters)

b. Compile background scientific and/or programmatic content to include in products as necessary

c. Utilize software, tools, scripts to automate production of information for product development

d. Develop up to 4 conference presentations (15-25 slides) annually

4. Develop and Deliver Interactive Web-Based Training on developing effective products to communicate research, evaluation, and programmatic impact

a. Create and deliver virtual trainings (e.g., webinars, recorded sessions) on how to develop appropriate products

b. Use adult learning principles in all training design https://www.cdc.gov/family-healthy-weight/php/public-health-strategy/index.html#cdc_public_health_strategy_working_together-working-together https://saferoutespartnership.org/louisianasuccessstory2024 https://www.cdc.gov/physical-activity/media/pdfs/2025/02/Indianas-Pedestrian-and-Bicycle-Program-Supports-Local-Physical-Activity-NOFO-1803-2016-508.pdf https://www.cdc.gov/nccdphp/divisions-offices/about-the-division-of-nutrition-physical-activity-and-obesity.html#:%7E:text=At%20a%20glance,of%20people%20across%20the%20nation.

https://journals.sagepub.com/toc/hppa/23/1_suppl https://www.cdc.gov/hop/php/publications/index.html https://journals.sagepub.com/doi/full/10.1177/15248399221111180 https://journals.sagepub.com/doi/full/10.1177/15248399221111180 https://journals.sagepub.com/doi/full/10.1177/15248399221116090 https://journals.sagepub.com/doi/full/10.1177/15248399221117477 https://journals.sagepub.com/doi/full/10.1177/15248399221116308 https://journals.sagepub.com/doi/full/10.1177/15248399221115763 https://journals.sagepub.com/doi/full/10.1177/15248399221115763

c. Create materials to support the training, such as participant workbooks, facilitator guides, templates and tools for recipient use, job aids, and reference materials.

5. Provide Technical Assistance

a. Offer one-on-one and group technical assistance on writing, storytelling, data visualization

b. Support planning and implementation of trainings, workshops, webinars

c. Participate in networking calls focused on program translation and communication skills

d. Prepare and contribute to training modules and materials

Optional Sub-task 1.5 -- Program Operations and Impact Support Services

The contractor shall provide comprehensive operational and programmatic support for all funded programs (SPAN, HOP, REACH, TPWIC, TECPHI, GHWIC) to ensure efficient day-to-day functioning and coordination across DNPAO programs to support recipients' ability to make progress on outcomes and to support documentation of programmatic impact. The Contractor shall ensure all visualizations meet WCAG 2.1 AA accessibility standards and adhere to HHS/CDC/ATDSR requirements. Specific activities include:

a. Performance Data Management, Tracking and Reporting

1. Manage existing programmatic databases, document repositories, and existing programmatic tracking systems

2. Maintain comprehensive tracking systems for all relevant recipient contract and cooperative agreement activities

3. Monitor and track recipient milestone achievement, program outputs, outcomes, budgets, and publications

4. Prepare reports, dashboards, briefing materials, and presentations for leadership and decision makers

5. Support internal and external communications by maintaining shared platforms, resource libraries, listservs, and archives of training materials and recordings

6. Provide comprehensive documentation including data source specifications, methodology, user guides and maintenance instructions

b. Logistics and Event Coordination

1. Coordinate logistics for meetings, webinars, trainings, and events

2. Provide scheduling and technical support for virtual events

3. Manage registration processes

4. Coordinate technology platforms (Zoom, Teams, webinar tools)

c. Data Analysis and Visualization Support

1. Analyze provided datasets to identify key trends, patterns, insights

2. Develop interactive and static data visualizations (dashboards, charts, graphs, infographics)

3. Communicate complex data in accessible formats for variety of audiences

d. Technical Assistance and Training Coordination to Support Resource Development and Management

1. Respond to ad hoc technical assistance requests from recipients (within 3 business days)

2. Coordinate TA delivery across evaluation, communications, and capacity building teams

3. Maintain TA request log and track resolution

4. Ensure consistent, high-quality support across all recipient interactions

5. Develop and maintain library of tools, templates, and resources for recipients

6. Create standardized templates to improve efficiency

7. Organize resources for easy access and reuse

8. Conduct training sessions for staff and recipients on platform operations

9. Update materials based on recipient feedback and evolving needs

Optional Subtask 1.6 - Maternal, Infant, and Young Child Nutrition Scientific and Technical Support [Optional Task for Option Periods 1 and 2 only; not base period]

The contractor shall provide maternal, infant and young child nutrition expertise to engage with DNPAO’s Nutrition Branch in providing scientific and technical support. These services consist of assisting CDC in providing comprehensive subject matter expertise, technical assistance, data analysis, and evidence synthesis to advance optimal nutrition in the first 1,000 days, to strengthen nutrition prevention and control, and to enhance CDC's capacity to support healthcare settings, early care and education programs, public health partners, and policy development through scientifically rigorous work and effective partnership engagement.

The Contractor shall provide a variety of external short and extended term support and subject matter expertise through individual or organizational professional, scientific, technical and analytical consultation services as needed to provide highly specialized technical information, tools, and/or targeted outreach as needed to achieve evaluation, strategy and intervention goals for maternal and infant and young child nutrition efforts.

While Division staff provide data analysis and subject matter expertise on certain topic areas and provide overall technical assistance to grantees, expertise in some highly specialized technical areas exists externally to CDC.

The Contractor shall:

1. Provide knowledge and content expertise to CDC staff, partners and stakeholders in areas such infant and young child nutrition to advance optimal nutrition in the first 1,000 days, breastfeeding, complementary feeding, prenatal nutrition, dietary intake, and emerging science, best practices, policy developments, and public health innovations in nutrition research

2. Routinely communicate information with CDC management and staff and provide input to document program activities and efforts

3. Support Branch- and Division-level activities associated with the breastfeeding strategy guide and provision of technical assistance to recipients requesting support for maternal, infant and young children nutrition. This may include participation in meetings and/or calls such as Infant & Young Child Feeding-Emergency, CDC Breastfeeding Workgroup, CDC Breastfeeding TA Workgroup, Web planning and coordination workgroup, MITN Team meetings, and USBC’s Work-place Constellation

4. Perform analyses of existing, complex datasets (e.g., national surveys, surveillance systems, electronic health records, longitudinal and quasi-experimental designs, randomized trials, and observational studies, and program evaluation efforts) using appropriate statistical software (SAS, R, STATA, SPSS, Python) and methods (e.g., weighted survey analysis, variance estimation, sensitivity analyses) to address research questions and inform public health practice on topics related to maternal and young child nutrition including breastfeeding, complementary feeding, prenatal nutrition, dietary intake to validate and replicate nutrition findings, to ensure accuracy

5. Draft products for scientific and general population audiences (e.g., data tables, manuscripts, reports, web-based language, partner announcements, data visualization, infographics, abstracts, presentations, surveillance reports and associated materials, Early Childhood Nutrition Indicator Report) based on results from data analyses, new evidence/information, data from the Infant Feeding Practices Study (IFPS)

6. Provide technical guidance to recipients, staff and partners implementing breastfeeding, and maternal-child nutrition initiatives

7. Provide support to MITN team on survey administration issues, processes, questionnaire content, inquires, and data collection procedures. This may involve resolving complex inquiries, including documenting frequently asked questions and developing standardized response templates, tracking inquiry patterns to identify where additional guidance or resources may be needed, responding to inquiries and updating webpage content with current information

8. Support nutrition survey and surveillance data management and analysis, such as coordinating the provision of indicators on maternal, infant, and toddler nutrition for release in surveillance reports, interactive data websites, or other consumer-friendly formats

9. Conduct literature reviews to contextualize findings and inform scientific products

10. Provide support to Branch on systematic reviews and evidence syntheses on specified nutrition topics

11. Review and provide subject matter expertise, suggested edits, and recommendations on documents related to maternal and young child nutrition submitted from Federal partners (e.g., USDA, NIH, FDA, WIC) or other key partners for CDC input

Optional Subtask 1.7– Maternity Practices in Infant Nutrition and Care Scientific and Technical Support [Optional Task for Option Periods 1 and 2 only; not base period]

The contractor shall provide maternity practices in infant nutrition and care expertise to engage with DNPAO’s Nutrition Branch in providing scientific and technical support.

These services consist of assisting CDC in providing comprehensive subject matter expertise, technical assistance, data analysis, and evidence synthesis to advance maternity care practices for infant nutrition and care to enhance CDC's capacity to support healthcare settings and continuity of care as infants and their families transition from healthcare settings into their communities.

The Contractor shall provide a variety of external short and extended term support and subject matter expertise through individual or organizational professional, scientific, technical and analytical consultation services as needed to provide highly specialized technical information, tools, and/or targeted outreach as needed to achieve evaluation, strategy and intervention goals for maternal, infant and young child nutrition and micronutrient efforts. While Division staff provide data analysis and subject matter expertise on certain topic areas and provide overall technical assistance to grantees, expertise in some highly specialized technical areas exists externally to CDC.

The Contractor shall:

1. Provide knowledge and content expertise to CDC staff, partners and stakeholders in areas such as infant and young child feeding in emergencies (IYCF-E), maternity practices in infant nutrition and care, breastfeeding, complementary feeding, prenatal nutrition, emerging science, best practices, policy developments, and public health innovations

2. Routinely communicate information with CDC management and staff and provide input to document program activities and efforts

3. Support Branch- and Division-level activities associated with the breastfeeding strategy guide and provision of technical assistance to recipients requesting support for maternity care practices in infant nutrition and continuity of care within the community. This may include participation in meetings and/or calls such as Infant & Young Child Feeding-Emergency, CDC Breastfeeding Workgroup, CDC Breastfeeding TA Workgroup, Web planning and coordination workgroup, mPINC team calls, MITN Team meetings, and USBC’s Work-place Constellation.

4. Draft products for scientific and general population audiences (e.g., data tables, manuscripts, reports, web-based language, partner announcements, data visualization, infographics, abstracts, presentations, surveillance reports and associated materials, Early Childhood Nutrition Indicator Report) based on results from data analyses, new evidence/information, data from the Infant Feeding Practices Study, mPINC surveys, and surveillance systems (National Study of Children’s Health).

5. Provide technical guidance to recipients, staff and partners on implementing evidence-based maternity care practices, and implementing breastfeeding, maternal-child nutrition initiatives

6. Provide support to mPINC team on survey administration issues, processes, questionnaire content, inquires, and data collection procedures. This may involve resolving complex inquiries, including documenting frequently asked questions and developing standardized response templates, tracking inquiry patterns to identify where additional guidance or resources may be needed, responding to inquiries and updating the mPINC webpage content with current information

7. Support nutrition surveys and surveillance data management and analysis, such as coordinating the provision of indicators on maternity practices in infant care and nutrition for release in surveillance reports, interactive data websites, or other consumer-friendly formats (including Early Childhood Nutrition Indicator Report)

8. Review and provide subject matter expertise, suggested edits, and recommendations on documents related to maternity practices in infant care and nutrition from Federal partners (e.g., USDA, NIH, FDA, WIC) or other key partners for CDC input

9. Provide support for maintaining and updating breastfeeding listserv database, responding to inquiries, and communication announcements for DNPAO’s weekly digest.

• Optional Task 2 - Data Analysis and Management Project o The contractor shall create and manage specialized internal data collection systems/computer software programs and produce consistent, accurate, and reproducible results to meet the Division of Nutrition, Physical Activity, Obesity (DNPAO’s) epidemiologic and statistical (data) analysis and reporting needs.

This project is expected to result in information that can be used to make informed decisions on public health program and policy recommendations (primarily focused on Breastfeeding and Early Child Nutrition).

o The contractor shall create an analysis plan, manage data, and analyze and interpret large databases providing technical support for routine assignments and other inquiries/requests for instruments and/or data that may arise at any time during the project period. The contractor shall review, code, manipulate, convert, store and retrieve information in an appropriate format for analyses using existing large, publicly available national data sets (resulting from a complex survey design that employs weighting, clustering, and stratification) and present findings in a meaningful way. The contractor shall use public-use data files through CDC’s File Transfer Protocol (FTP) file server to access data sets, documentation, and questionnaires from NCHS surveys and data collection systems. The contractor shall also use multiple DNPAO-specific data sets.

o Optional SubTask 2.1: Create an Analysis Plan Identify, review, code, computerize, verify, check and convert data to format suited for the analysis to be conducted and provide documentation of the process. Identify research questions and/or hypotheses, select/access a dataset, list inclusion/exclusion criteria, and review the data to determine the variables to be used in the main analysis, select the appropriate statistical methods and software, and create table shells.

o Optional Subtask 2.2: Manage Data Create a data dictionary, create a working copy of the dataset, clean the data in the working file and create an analysis file. Perform data management activities for maintaining the National Health and Nutrition Examination Survey (NHANES) and Environmental Control and Life Support (ECLS). Perform data management activities for all Health styles data related to Breastfeeding.

o Optional Subtask 2.3: Analyze and Interpret Large (and Other Types of) Datasets Conduct univariable, bivariable and multivariable analyses. Activities may include such things as:

• Use of National Immunization Survey indicators focused on breastfeeding to provide annual Healthy People 2020 updates on the Maternal and Child Health indicators and respond to specific state-level requests on breastfeeding birth cohorts.

• Create updated outputs on a quarterly basis for DNAPO Data, Trends, and Maps Database. (Uses: BRFSS Fruits and Vegetable intake, Obesity, Physical Activity, Women, Infants & Children Participant and Program

• Characteristics- WIC PC, and National Immunization Survey- NIS Breastfeeding)

• Use of Health styles data for Breastfeeding annual updates

• Provide ad-hoc data analysis services to support DNPAO staff/Epidemic Intelligence Service Officers (EISOs) and other requesters using IFPS2

Optional Task 3 – Data Programming and Management Project

The contractor shall support DNPAO by maintaining and updating data and activity reporting systems; identifying, organizing, and analyzing data; responding to evolving data requests; and developing internal systems to ingest, track, and manage project-supporting activities. The scope includes data and activities related to communications, training and technical assistance, public health, and operations.

• Optional subtask 3.1: Programming Support o Update and streamline existing reporting tools and files (for example, media impressions worksheets, communication planning tools, training/technical assistance trackers, social media trackers, and interactive data portals).

o Design and implement internal databases and systems to integrate and manage data and activities using tools such as R, Python, APIs, Microsoft Office, Power Automate, Power Apps, and Power BI.

o Provide user support for internal data and activity reporting systems, troubleshoot issues, and deliver fixes and enhancements.

• Optional subtask 3.2: Manage Data o Establish and refine SOPs to identify, organize, and maintain data in secure, version-controlled repositories with complete metadata and data dictionaries.

o Build automated pipelines as needed to improve processing and reporting efficiency (for example, R/Python ETL, Power Automate workflows, API integrations).

o Perform data quality assurance checks (completeness, consistency, validity), resolve issues, and document QA/QC outcomes.

o Prepare and stage datasets and documentation for CDC review.

• Optional subtask 3.3: Analyze Data and Report on Findings o Identify and retrieve relevant datasets; fulfill data requests with curated extracts and clear definitions.

o Conduct descriptive analyses and data processing using reproducible code and standardized methods.

o Produce analytic reports and dashboards to track project and activity status and key metrics.

• Optional subtask 3.4: Produce Standard Periodic Reports o Deliver routine and ad hoc monitoring reports on schedule using repeatable processes (for example, scripted pipelines and scheduled refreshes).

o Develop methods, results, and visuals as needed; topics may include grantee baselines and targets, media and communication activities, missing or late data and data quality metrics, keyword/document inventories, topic or audience breakdowns by grantee, and system utilization and efficiency.

• Optional subtask 3.5: User and Development Manuals o Maintain and update user and technical manuals for existing products, systems, and databases/files; ensure version control and O365 access.

o Create manuals for new internal products, systems, and databases/files that cover purpose, user steps, data rules, troubleshooting, technical architecture, maintenance, and change logs.

Optional Task 4: Data Analytic Project

This project will support a demonstration project that highlights the value of adding a “Physical Activity Vital Sign” (PA Vital Sign) to electronic health records (EHR). The contractor will partner with a health system that was an early adopter of the PA Vital Sign and who has sufficient existing EHR data to conduct epidemiologic or econometric studies using PA Vital Sign data.

o The contractor will identify a health system that was an early adopter of the PA vital sign and who has sufficient existing EHR data to conduct epi or econ studies using the health systems’ own PA vital signs data.

o The contractor will engage with and confirm the health system selected is willing to participate in the project.

o The health system will conduct…