Performance Work Statement

Title: Technical Assistance and Capacity Building for Nutrition, Physical Activity, and Obesity Prevention Strategies

Period of performance of this contract is: 09/15/2027 to 09/14/2030 Base Period: 09/15/2027 to 09/14/2028 Option Period One: 09/15/2028 to 09/14/2029 Option Period Two: 09/15/2029 to 09/14/2030

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

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 https://www.cdc.gov/nccdphp/divisions-offices/about-the-division-of-nutrition-physical-activity-and-obesity.html https://www.cdc.gov/nccdphp/divisions-offices/about-the-division-of-nutrition-physical-activity-and-obesity.html https://journals.sagepub.com/doi/full/10.1177/15248399221116090 https://journals.sagepub.com/doi/full/10.1177/15248399221116090 https://journals.sagepub.com/doi/full/10.1177/15248399221150781 https://journals.sagepub.com/toc/hppa/23/1_suppl https://journals.sagepub.com/toc/hppa/23/1_suppl https://journals.sagepub.com/toc/hppa/24/1_suppl https://journals.sagepub.com/toc/hppa/24/1_suppl https://journals.sagepub.com/doi/full/10.1177/15248399221120507 https://www.cdc.gov/physical-activity/php/strategies/increasing-physical-activity-through-community-design-prevention-strategies.html https://www.cdc.gov/nutrition/php/public-health-strategy/food-service-and-nutrition-guidelines.html https://www.cdc.gov/breastfeeding/php/strategies/public-health-strategies-for-continuity-of-care-in-breastfeeding.html https://www.cdc.gov/nutrition/php/public-health-strategy/voucher-incentives-produce-prescriptions.html https://www.cdc.gov/early-care-education/php/public-health-strategy/index.html https://www.cdc.gov/family-healthy-weight/php/recognized-programs/index.html https://www.cdc.gov/healthy-tribes/php/index.html culturally relevant and community-informed strategies to improve the health and wellbeing 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. Partners are an integral part of how DNPAO implements its strategies and provides technical assistance.

Given the breadth and complexity of DNPAO’s portfolio, including the Healthy Tribes Program, additional support is necessary to maintain high-quality performance across strategic public health efforts. Contractor support will assist DNPAO with operational planning, evaluation, health communication activities, and technical assistance to partners.

This assistance will strengthen the evidence base and support the adoption, implementation, and expansion of strategies that promote healthy and active living.

These services build on and continue prior contract efforts, ensuring continuity of 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 scientific subject matter expertise for tasks that support and advance the work of DNPAO and its staff in transferring knowledge on effective responses to obesity and promoting health among groups experiencing more risk factors for obesity. The work under this contract will provide the expertise needed to assess, address, and evaluate specific needs and challenges for populations and settings being addressed in all DNPAO programs and in certain instances ambassador states: the State Physical Activity and Nutrition Program (SPAN), the High Obesity Program (HOP), the Racial and Ethnic Approaches to Community Health (REACH) program, the State Public Health Approaches to Addressing Arthritis program, the Tribal Practices for Wellness in Indian Country (TPWIC) program, Good Health and Wellness in Indian Country (GHWIC) program, and the Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) program. 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 https://www.cdc.gov/span/php/about/index.html https://www.cdc.gov/span/php/about/index.html https://www.cdc.gov/hop/php/about/index.html https://www.cdc.gov/reach/php/about/index.html https://www.cdc.gov/arthritis/partners/funded-state-partners.html https://www.cdc.gov/arthritis/partners/funded-state-partners.html https://www.cdc.gov/healthy-tribes-tpwic/php/about/index.html https://www.cdc.gov/healthy-tribes-tpwic/php/about/index.html https://www.cdc.gov/healthy-tribes-ghwic/php/about/index.html https://www.cdc.gov/healthy-tribes-tecphi/php/about/index.html investments to partners, Congress, and other decision makers to accelerate the work and amplify the successes.

• The objectives are to:

1. Increase available expertise and fill knowledge gaps in specialized topical areas within all DNPAO strategy priorities;

2. Increase the number of collaborations that promote DNPAO’s work;

3. Support interactions between DNPAO staff, recipients and partners of best practices, methods, and tools that advance DNPAO work at the national, state, and local level.

• The contract will be for a Base Year and two option years. The work will be performed at the contractor’s place of performance. Contractor staff will travel as necessary to perform site visits, determine needs or provide solutions to technical solutions to accomplish the Task Objectives.

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

SECTION 3 – SCOPE OF WORK

1. The Contractor shall provide technical, professional, and scientific subject matter expertise for tasks that support and advance the work of DNPAO and its staff.

Activities include planning, conducting, and documenting peer-to-peer support, coaching, mentoring, meetings, workshops, training, webinars, technical assistance services and conference calls. In coordination with the COR, the Contractor shall refine task assignments as necessary.

2. The Contractor shall provide expertise and a variety of technical and professional services necessary to meet the objectives and strengthen the technical knowledge in the specialized support areas identified in the Task Sections.

3. 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.

4. The Contractor personnel will schedule and attend a virtual or hybrid kick-off meeting with the Contracting Officer’s Representative (COR) within 10 days from the award date of the contract to discuss specific project requirements, timelines, deliverables, and related issues. The Contractor shall make all arrangements and bear all costs associated with attendance of its personnel at this meeting.

SECTION 4 – TASKS TO BE PERFORMED

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 tasks, including optional tasks and option years are exercised):

Task 1 – Specialized Technical Assistance and Subject Matter Expertise

Subtask 1.1 – Establish and Support Network of Specialized Consultants

1. Contractor shall establish and support a network of individual and organizational programmatic, scientific, technical, and analytical consultants with highly specialized subject matter expertise to provide technical assistance (TA), guidance, tools, and outreach.

o Areas of specialized expertise include, but are not limited to:

1. Food Service Guidelines

2. Fruit and Vegetable Incentive, Produce Prescription, and Food is

Medicine Programs

3. Physical Activity Access

4. Access to Healthier Foods

5. Early Care and Education

6. Family Healthy Weight Programs

7. Breastfeeding Support

8. Supporting Tribal populations

Subtask 1.2 – Coordination, Protocol Development, and Process Improvement The Contractor shall:

1. Coordination and Communication o Coordinate with CDC staff to develop collaborative and multi-tiered approaches to identify underlying technical assistance needs of recipients.

o Establish a communication protocol (approved by the COR) for seamless coordination between DNPAO staff and network experts.

2. Data Tracking and Documentation o Develop a protocol for capturing, tracking, and reporting program technical assistance requests from programmatic data.

3. Technical Assistance Approaches and Feedback o Assist in the development and implementation of a multi-tiered technical assistance approach with appropriate levels of TA intensity. This should be done in coordination with CDC staff.

o Develop methods to communicate with CDC staff and recipients for ongoing clarification and problem resolution.

o Develop a method for continuous quality improvement in the delivery of technical assistance to support recipients, such as information contained in the summary reports of services provided completed by the TA providers, or responding to questions in the chat or doing interactive polling that is part of the presentation or training or TA session.

4. Planning and Evaluation o Develop purposeful activity timelines to advance CDC knowledge, skills, capacity, and tools.

o Identify common obstacles or barriers as a result of technical assistance delivered by consultants through methods such as existing programmatic recipient data, or other to be identified, and provide a written report every six months.

o Report all DNPAO program recipient technical assistance requests through the Award Management Platform (AMP) on a regular, on-going basis.

Subtask 1.3 – Training and Presentation Support Contractor shall support the coordination and implementation of trainings and/or presentations during conferences, meetings, or training events.

1. Travel must comply with Federal Travel Regulations (FAR 31.205-46).

2. Lodging, meals, and incidentals must not exceed GSA per diem rates.

Task 2- Communication Support The Contractor shall provide public health communication expertise and technical writing and editing services to the branches and provide high-level editorial, web, and report writing services to the division. The Contractor shall provide health communication science expertise and professional communication services to integrate recommendations into nutrition, physical activity, and obesity programs; promote and contribute to change; assist in coordinating and managing initiatives, as well as critical issue analysis and crisis management as needed.

Services involve the development of audience-specific communication products and educational content. The Contractor shall deliver consistent messages, translate and disseminate electronic tools and training in support of strategic priorities. The contractor shall consult with organizational unit(s), the Technical Monitor (TM), and the COR on product development, layout, and design at onset of assigned projects and during review, monitoring and evaluation of deliverables, programs, and initiatives.

Subtask 2.1 – Content Development and Writer/Editor Services

The contractor will provide communication writer/editor expertise, assisting with writing and editing a variety of products for public and professional audiences using a range of professional writing styles, including but not limited to the latest editions of The Chicago Manual of Style and the AMA Manual of Style, agency and center style guides, and plain language. Specifically, the contractor will provide writing guidance to division staff for a wide range of communication products including writing and editing content for web pages, social media, public relations and promotional materials, digital materials, presentations, and documents for lay and professional audiences.

• Copy edit content for a variety of audiences (scientific, professional, public) for grammar, punctuation, style, consistency, and voice.

• Review web content and edit in agency content management system as part of web team.

• Draft, clear, send, monitor and manage DNPAO Insider, an Adobe Campaign newsletter for partners and lay audiences interested in the NPAO and related topics, in coordination with division director and branch and division staff.

https://www.chicagomanualofstyle.org/home.html https://www.chicagomanualofstyle.org/home.html https://www.amamanualofstyle.com/view/10.1093/jama/9780190246556.001.0001/med-9780190246556 https://www.cdc.gov/other/plainwriting.html https://www.cdc.gov/other/plainwriting.html

• Provide pre-clearance writing, editing, and formatting of communication content to ensure content quality is based on accepted communication principles, methods, and practices.

• Review public inquiries and coordinate with division subject matter experts to help refine responses, as appropriate.

• Compile and submit required Plain Language reporting to HHS for division work, 1-2 times/year.

• Coordinate division plain language efforts including tracking plain language training of division staff for reporting and providing plain language tips to division staff monthly in All Hands.

Subtask 2.2 – Strategic Communications and Information Management Services

The Contractor shall provide strategic communication support, as well as lead information management support services for the Office of the Director/Office of Policy, Partnerships, and Communications (OPPC). The Contractor will support critical day-to-day functions of the office and advance division-wide strategic priorities related to nutrition, physical activity, and obesity prevention through data synthesis and use of existing knowledge and information management systems at CDC.

The Contractor shall:

• Assist with forecasting, tracking, and reporting key policy and communication activities using existing reporting, tracking, and information management systems;

• Assist with controlled response development and real time tracking of deliverables with urgent deadlines;

• Support management of team information on SharePoint and MS Teams;

• Support preparing responses to inquiries from diverse internal and external audiences, including working with subject matter experts and DNPAO leadership to provide timely responses to a variety of requests;

• Assist in developing PowerPoint slides and fact sheets;

• Assist with writing issue briefs on key topics and initiatives supported by DNPAO;

• Assist with translating scientific information into plain language.

Subtask 2.3 – Create and Edit Public Health Products and Messages

The Contractors shall:

• Write and edit Public Health Content

• Develop educational materials for diverse audiences

• Write and edit evidence-based content (lay, professional, scientific)

• Review and edit program, policy, and scientific content for proper format, grammar, style, tone

• Apply plain language principles (8th-10th grade reading level for public materials)

• Examples include, but not limited to, fact sheets, website content, email blasts, briefing documents.

• Develop educational products and messages

• Develop creative briefs, talking points, message maps, Q&As

• Draft video/audio storyboards and scripts

• Coordinate with CDC experts and partner organizations

• Plan strategic messages

• Advise branches on message planning and implementation based on best practices

• Assist in planning, developing, and disseminating division releases, messages, and publications

• Research division topics, priorities, and audience segments

• Prepare support materials and reports

• Prepare and contribute to spokesperson training and materials, including message maps

• Develop responses to inquiries and tough questions in coordination with CDC

SMEs

All materials shall:

• Meet CDC/ATSDR plain language and other relevant guidelines

• Be reviewed using plain language tool

• Include all statistics cited with references

• Meet 508 compliance requirements mandated by Section 508 of the Rehabilitation

Act (29 U.S.C. 794d) on print, digital, and video products

• Pass CDC clearance process before distribution

• Be distributed across program areas thus:

• Nutrition: ~20%

• Physical Activity: ~20%

• Obesity: ~20%

• Tribal: ~20%

• Arthritis: ~20%

Task 3- Capacity Building and Technical Assistance Support for Early Care and Education and Family Healthy Weight Programs

Subtask 3.1 – Early Care and Education (ECE) Capacity Building and Technical Assistance The Contractor shall provide Early Care and Education (ECE) expertise to engage with DNPAO's Obesity Prevention and Control Branch in implementing DNPAO's Early Care and Education strategic plan. DNPAO is committed to embedding recommended standards and best practices for obesity prevention in the ECE setting that supports healthy eating and physical activity among young children. These services consist of assisting CDC in providing subject matter expertise, technical assistance, training, tools and guidance on obesity prevention strategies targeting young children, particularly those in the ECE setting.

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 ECE-related obesity prevention efforts. While Division staff provides overall technical assistance to grantees, expertise in some highly specialized technical areas exists externally to CDC.

Contractor shall:

1. Develop and update technical assistance documents (i.e., Quality Rating and Improvement System and Child and Adult Care Food Program or other topics);

2. Facilitate state stakeholder meetings, trainings, and action planning for CDC recipients and ambassador states;

3. Provide tailored technical assistance to state public health departments, non-government organizations and others in utilizing CDC's Spectrum of Opportunities for obesity prevention in ECE settings;

4. Assign requests for technical assistance (TA) in AMP related to the early care and education (ECE) strategy in SPAN, HOP, and REACH. Track and manage the request through the close out of the assistance;

5. Analyze annual progress reports from state recipients and develop one-pagers and/or manuscript documents that highlight how states improved healthy nutrition and physical activity;

6. Analyze and synthesize recipient reporting on progress and successes and develop dissemination products for communicating this work and its impacts through case studies, success stories, snippets, and articles;

7. Provide guidance to state recipients on ways to evaluate their ECE obesity prevention activities;

8. Serve as a lead to proactively disseminate information, tools and resources to state and local stakeholders and grantees via listserv, monthly newsletter and DNPAO digest;

9. Organize and facilitate Strategic Engagement Communities, informational webinars, and partner calls for CDC, state/local public health staff, and other stakeholders/partners. Support various national, regional and local partnerships and linkages with ECE provider/trainer networks;

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

11. Contribute to on-going conference and meeting presentations along with manuscript writing;

12. Travel to recipient sites for site visits to provide tailored TA as requested by the recipient and the Project Officer and to gain new insights to their community and priority populations to inform and improve technical assistance.

Subtask 3.2 – Family Healthy Weight Program (FHWP) Implementation Support

The Contractor shall provide subject matter expertise in childhood obesity and evidence-based Family Healthy Weight Programs to support the successful implementation of FHWPs. The Contractor shall partner with DNPAO staff to provide support for CDC project officers with NOFO recipients across both divisions (DNPAO and DDT) who proposed the implementation of FHWPs in their communities.

A Family Healthy Weight Program is a family-centered, intensive health behavior and lifestyle treatment program focused on nutrition, physical activity, and behavior change strategies and can be adapted for cultural context and family needs. The intent is to identify and address a variety of barriers within the community or state to increase access to FHWPs for children and families most in need.

Contractor shall:

1. Participate in meetings with CDC staff, including project officers, recipients, and internal and external SMEs involved in the Family Healthy Weight Program strategy;

2. Support FHWP SMEs on strategic activities (e.g., review of workplans) in support of the project officers under relevant NOFOs;

3. Create and assist in the development of written documents such as fact sheets and technical guidance, and oral presentations for staff;

4. Develop technical assistance materials for FHWP pre-implementation and implementation recipients;

5. Provide tailored technical assistance to recipients implementing FHWPs to address barriers to recruitment and retention, make culturally sensitive adaptations, and support fidelity monitoring;

6. Travel to recipient sites for site visits to provide tailored TA as requested by the recipient and the Project Officer and to gain new insights to their community and priority populations to inform and improve technical assistance;

7. Travel to Atlanta for meetings with DNPAO staff as required;

8. Participate in conferences relevant to team's work and publications as approved by the COR.

Subtask 3.3 – Partnership Outreach and Stakeholder Engagement

The Contractor shall build new and foster existing external partnerships and initiatives to encourage dialogue and increase mutual understanding around public health issues related to ECE and FHWP strategies; share scientific information about obesity prevention and effective strategies and interventions; increase knowledge and practices to address increased access to services; produce new knowledge about an issue; determine how to shape the environment to enable new and/or evidence-based knowledge to be produced and utilized; identify public policy strategies to generate successful processes for priority populations; reconcile interests of different stakeholders; resolve challenges and identify unique, multi-dimensional and innovative approaches to address conditions associated with inadequate diet, physical inactivity, and unhealthy weight. Partnerships may change and/or increase throughout project period based on selected initiatives.

Services involve establishing a systematic and pro-active approach to identify, engage, align and coordinate multi-discipline, multi-sector non-governmental and/or non-traditional organizations or academic institutions that have expertise on fundamental public health issues across agencies, sectors and/or settings, or are working to address population level strategies and solutions to obesity prevention in ECE settings and family-based interventions.

Contractor shall:

1. Identify, develop or enhance strategic relationships with organizations based on identified strategic priority or initiative and the overarching objective, strategic goals and strategies for ECE and FHWP work;

2. Develop and execute actionable plans to reach consensus;

3. Provide a packet of materials containing organizations and affiliates, content experts (including contact information) and the level and type of involvement for the period;

4. Develop specifics in protocols for implementing nutrition and physical activity strategies and interventions, identify best practices, participate in writing and dissemination of joint publications and other reports, provide technical assistance, and share/communicate results and findings;

5. Identify topics and develop content information/materials to be used for information sharing amongst experts and peers, across sectors and/or settings that align with identified needs;

6. Provide a summary of experiences or findings, discussion of the critical elements of successful activities, and roles stemming from discussions;

7. Prepare and submit to the COR a plan for each partnership/initiative on an annual basis and provide quarterly updates of the accomplishments made. The COR will review and approve an initial plan and must approve any changes to an approved plan.

Task 4 – Family Healthy Weight Program (FHWP) Learning Communities and Specialized Early Care and Education (ECE) Products

Subtask 4.1 – Co-Learning Alliance Leadership and Administration The Contractor shall establish and lead a dynamic Family Healthy Weight Program (FHWP) Co-Learning Alliance (CLA) that provides ongoing support for DNPAO recipients in selecting and implementing FHWP strategies. The purpose of the Co-Learning Alliance is to guide recipients in implementing evidence-based, family-centered interventions for children with overweight or obesity. This guidance must align with the 2023 AAP Clinical Practice Guideline on the Evaluation and Treatment of Children and Adolescents with Obesity and the 2024 USPSTF Recommendations for High BMI.

The Contractor shall collaborate with partner organizations, CDC DNPAO staff, and subject matter experts to deliver technical assistance, develop resources, and ensure the successful implementation of FHWP strategies by the recipients. The CLA will focus on ensuring the successful implementation of family healthy weight programs consistent with the latest guidelines and evidence-based practices.

Logistics and Administration Contractor shall:

1. Plan for and conduct monthly virtual learning sessions, develop and identify shared resources, and provide interim continuous technical assistance;

2. Manage the shared CLA workspace, calendar, discussion board and monthly communications to participants;

3. Host and participate in multiple planning meetings and evaluation meetings with key partners, decision makers and subject matter experts. Manage the staff shared workspace;

4. Provide all faculty, administrative support, virtual platform management, materials, and communications for the training series;

5. Manage working groups, including the Family Healthy Weight Program Working Group and support opt-in workgroups to explore special topics and program adaptations;

6. Participate in collaborative planning meetings, coordinating activities and messaging opportunities with CDC DNPAO and partner organizations to synergize work, ensure alignment and report on progress;

7. Plan for and conduct office hours as needed, per feedback of recipients and/or determination by CDC DNPAO.

Evaluation and Reporting Contractor shall:

1. Lead the continuous quality improvement of the CLA, such as using chat responses to questions or interactive polling that is part of the training session to understand the effectiveness of learning sessions, whether the resources and technical assistance provided may be useful in supporting program implementation;

2. Track key process and content metrics related to recipient participation in CLA sessions, training events, and technical assistance activities;

3. Provide monthly summary reports detailing relevant CLA data and information.

Subtask 4.2 – Monthly Co-Learning Alliance Meetings (Training Series and Learning Community) The Contractor shall design and conduct monthly CLA sessions for DNPAO recipients focused on supporting the adoption and spread of the recipients' selected FHWP. The primary focus will be on supporting recipients with building their implementation plan and launching their FHWP. Content will be driven by the needs of the participants.

It is anticipated that key content covered as part of implementation planning will include:

finalizing procurement of the FHWP, assessing capacity, making adaptations, engagement and recruitment, securing community partners, connecting with priority populations, identifying and training staff, building systems, sustainability planning, and monitoring for fidelity.

Training topics will be informed by participant feedback but key themes anticipated to be addressed include:

• Addressing barriers to recruitment and retention

• Making culturally sensitive adaptations to interventions

• Monitoring fidelity in program delivery

• Assessing organizational capacity

• Securing community partnerships

• Engagement strategies for priority populations

• Staff identification and training

• Sustainability planning

1. Conduct monthly one-hour virtual trainings for all DNPAO recipients and their partners implementing the FHWP strategy;

2. Identify and select appropriate subject matter experts (SMEs) for each training via ongoing collaborative planning group meetings;

3. Where appropriate, identify recipients to share stories as part of peer learning and collaboration;

4. Create ways to support sites in peer collaboration and mentoring within the monthly CLA sessions and/or supplemental activities;

5. Solicit participants for feedback on session content and format to make iterative adjustments and improvements to the sessions' content and delivery;

6. Develop and provide a summary report of topics covered, participation, and other relevant details.

Subtask 4.3 – Small Group Peer-to-Peer Learning Communities (Affinity Workgroups) The Contractor shall support smaller affinity workgroups to foster peer-to-peer learning and exchange of best practices on specific key topic areas, with guidance from experienced experts in the field of Family Healthy Weight Programs. The purpose of the small group opt-in learning communities (affinity groups) is to provide focused support on specific implementation challenges or areas of interest.

These workgroups will exist for brief periods of time and be focused on brief cycles of improvement. These smaller affinity work groups' timing and focus will be dynamic and informed by recipient feedback and needs.

Contractor shall:

1. Identify topics for affinity workgroups based on existing programmatic information and CDC staff input;

2. Recruit and support facilitators and subject matter experts to lead affinity workgroups;

3. Provide logistical and administrative support for workgroup meetings and activities;

4. Track participation and outcomes from affinity workgroups;

5. Document lessons learned and best practices emerging from affinity workgroup activities;

6. Share insights from affinity workgroups with the broader CLA community as appropriate.

Subtask 4.4 – Collaboration with Partners and Special Training Activities The Contractor shall actively partner with CDC DNPAO and other organizations to support additional in-person and special training activities. The Contractor will regularly meet with partners to discuss overarching coordination, achievements, and strategic initiatives related to the FHWP strategy.

Contractor shall:

1. Participate in regular coordination meetings with CDC DNPAO and partner organizations to ensure smooth execution of joint initiatives;

2. Provide logistical and content support for special events, including in-person training sessions and workshops;

3. Support the design and facilitation of in-person and virtual events such as FHWP Action Institutes, offering expertise in program content and implementation;

4. Coordinate with partner organizations to align messaging, avoid duplication, and maximize impact;

5. Contribute faculty, content, or support as needed for partner-led training activities.

Subtask 4.5 – Collaboration with Partners and Special Products The Contractor shall actively partner with CDC DNPAO and other organizations to support additional specialized technical assistance products on CDC’S ECE Spectrum of

Opportunities for Obesity Prevention. The Contractor will meet with partners to discuss needs and use of CDC’S ECE Spectrum of Opportunities strategies in their jurisdiction.

Contractor shall:

1. Participate in coordination meetings with CDC DNPAO and partner organizations as needed to ensure smooth execution of joint initiatives;

2. Provide logistical and content support for special events, including in-person or virtual training sessions, or specialized products such as GIS mapping or tools and resources.

3. Support the design and facilitation of in-person and virtual events such as stakeholder and strategic planning meetings, material or other products that offer expertise in program content and implementation.

Subtask 4.6 – Resource Development and Curation

1. Host and manage shared CLA workspace and support collaborative development and curation of related CLA resources;

2. Develop training materials, fact sheets, guidance documents, and other resources to support FHWP implementation;

3. Identify, curate, and share existing resources relevant to FHWP implementation;

4. Organize resources in an accessible manner for recipients;

5. Update resources based on emerging evidence;

6. Ensure all resources meet plain language and accessibility standards.

TASK 5: Breastfeeding and Lactation Support Technical Assistance and Training for Priority Populations

Provide technical assistance to strengthen capacity for breastfeeding and lactation support within priority populations including American Indian and Alaska Native (AI/AN) communities, and other priority populations identified and reached by DNPAO programs through partnership development, culturally grounded training support, community-driven technical assistance, and knowledge sharing that improves access to appropriate breastfeeding support.

All activities under this task shall be coordinated with DNPAO staff and aligned with CDC breastfeeding priorities and relevant programmatic strategies. The specific tasks will vary according to DNPAO priorities, community needs, partnership capacity, population characteristics, and performance period timelines. They may include some or all of the following:

Sub-task 5.1. Partnership Development, Engagement, and Coordination

• Identify organizations, community entities, health systems, and subject matter experts serving priority populations with demonstrated experience supporting breastfeeding and lactation.

• Coordinate with DNPAO staff to align technical assistance outreach plans with program priorities, recipient needs, and relevant programmatic strategies through review of work plans, progress reports, and evaluation reports.

• Engage partners by using culturally appropriate protocols that honor community preferences, values, and decision-making processes.

• Build long-term, trust-based relationships with community partners through consistent, respectful engagement.

Sub-task 5.2. Breastfeeding Training Planning, Support, and Implementation

• Provide breastfeeding technical assistance appropriate for various priority populations including Indigenous Breastfeeding Counselor (IBC)–style training, community health worker models, peer counselor approaches, or similar culturally grounded methods.

• Work with trainers, subject matter experts, and community representatives to adapt training approaches to meet community-identified needs, contexts, cultural protocols, and language preferences

• Adapt training materials to be culturally and linguistically appropriate for various priority populations.

• Support recruitment of participants from priority populations for lactation training through outreach to community organizations, health systems, and trusted community networks

• Facilitate or co-facilitate training sessions as requested, using culturally appropriate facilitation methods

• Provide post-training follow-up support including reinforcement activities, ongoing mentoring, connections to peer networks, and continued learning opportunities

• Evaluate training effectiveness through participant feedback, knowledge and skill assessments

Sub-task 5.3. Peer Learning, Knowledge Exchange, and Network Building

• Facilitate peer-to-peer learning exchanges, discussion forums, communities of practice, or networking opportunities as requested by DNPAO.

• Coordinate guest speakers, subject matter experts, and community champions to present on webinars, calls, or training events.

• Develop and distribute discussion guides, resource lists, and follow-up materials in accessible formats and multiple languages as needed

• Evaluate effectiveness of peer learning activities and refine approaches based on participant feedback

Sub-task 5.4. Documentation, Tracking, and Performance Monitoring

• Use established tracking systems to document all technical assistance activities

(such as CDC tracking tool AMP).

• Monitor technical assistance quality, responsiveness, cultural appropriateness, and effectiveness.

• Use feedback and performance data to continuously improve technical assistance quality and responsiveness.

• Produce at a minimum annual progress reports including activity metrics, highlights, challenges, and reach across priority populations.

Task 6 – Active People, Healthy Nation Action Institute Planning, Training, and Support

Subtask 6.1-- Active People, Healthy Nation Action Institute Trainings

The contractor shall design, implement, and manage at least two trainings, such as the Active People, Healthy Nation Action Institute to build the capacity of state, local, or tribal transportation and public health professionals to increase physical activity through healthy community design. Active People, Healthy Nation Action Institute and/or similar trainings are to provide support for states and communities, with a preference for DNPAO recipients, in implementing the community design for physical activity strategy. The purpose of the Active People, Healthy Nation Action Institute is to guide participants in implementing evidence-based, community design approaches at the local jurisdiction level. These shall include:

ο At least one state-specific training that builds the capacity of local communities within the state to work with transportation and other practitioners involved in community design to increase physical activity.

ο At least one training at the state, tribal, or local level that focuses on building capacity of local communities, or states, to increase physical activity through community design.

• The Contractor shall promote development and implementation of action plans (e.g., Active People, Healthy Nation action plans) as appropriate with training participants to address at least one barrier to healthy community design, to implement policy, systems, or environmental changes within their state or local communities, and/or to secure federal, state, and local funding for projects to increase physical activity through community design.

The Contractor shall collaborate with partner organizations, CDC DNPAO staff, and subject matter experts to deliver technical assistance, develop resources, and ensure the successful implementation of the Active People, Healthy Nation Action Institute. The institute will focus on building the capacity of states and communities to successfully implement the community design for physical activity strategy using evidence-based practices.

For planning purposes, assume:

• one of the trainings is virtual and one of the trainings is a 4 day in-person with some virtual sessions

• Participant travel costs for the in-person training will be covered by the participants;

the contractor should plan to cover travel costs for the faculty, including the task manager

• Space and A/V for the in-person training should not be included in the contractor’s budget as those costs will be covered by the state selected

Plan and Develop Program

• Develop plan and timeline of trainings

• Establish selection criteria/process for participants

• Identify anticipated materials/resources to be produced

• Develop application process including application form, selection criteria, reviewers

Finalize Materials

• Finalize materials and resources to be used for trainings

• Adapt existing curriculum for target audience

• Ensure all materials meet adult learning principles

• Create participant workbooks, facilitator guides, resources, as appropriate

Implement Training

• Develop schedule of trainings including cohort calls and action plan calls

• Deliver training sessions (virtual and/or in-person)

• Facilitate peer learning and networking

• Support participants in developing action plans

Track Outcomes

• Design, implement and manage a continuous quality improvement (CQI) process to capture how both trainings build capacity of participants to implement sustainable policy, system, or environmental changes to increase physical activity and to inform revisions and updates to the curriculums, materials, training formats, or other aspects of the trainings. the contractor shall not ask the same questions to more than 9 individuals

• Track key process and content metrics related to participation in the Active People, Healthy Nation Action Institute sessions, training events, and technical assistance activities

• Provide annual summary report detailing relevant action institute data and information

• Document efforts to create healthy community environments

Subtask 6.2 – Monthly Community of Practice Meetings The Contractor shall design and conduct monthly Community of Practice sessions for DNPAO recipients focused on supporting community design for physical activity.

Training topics will be informed by participant feedback but key themes anticipated to be addressed include:

• Addressing barriers to implementation of community design for physical activity

• Making culturally sensitive adaptations to interventions

• Securing community partnerships

• Engagement strategies for priority populations

• Sustainability planning

1. Conduct monthly one-hour virtual trainings for all participants of the Active People, Healthy Nation Action Institute and previous Walkability Action Institutes;

2. Identify and select appropriate subject matter experts (SMEs) for each training via ongoing collaborative planning group meetings;

3. Where appropriate, identify recipients to share stories as part of peer learning and collaboration;

4. Create ways to support sites in peer collaboration and mentoring within the monthly sessions and/or supplemental activities;

5. Solicit participants for feedback on session content and format to make iterative adjustments and improvements to the sessions' content and delivery;

6. Develop and provide a summary report of topics covered, participation, and other relevant details.

Subtask 6.3 - Active People, Healthy Nation Communication and Partnership Engagement

• The contractor shall promote CDC and Active People, Healthy Nation partner resources related to physical activity in newsletters, blog posts, podcasts, social media, web materials, presentations, etc.

• The contractor shall work with CDC to develop and implement a communication and partnership engagement strategy that will increase capacity of state and local public health and transportation professionals to educate and support implementation of evidence-based interventions to increase physical activity. The communication and partnership engagement activities will increase awareness about the importance of physical activity, strengthen understanding about approaches to increase physical activity, and strengthen collaboration among public health organizations and others who influence the public health system. Communication and partnership engagement activities will likely include:

o Develop and implement a plan for promotion of physical activity messaging and resources o Support national partnership efforts across public health to increase implementation of evidence-based strategies that support physical activity o Engagement partners with government and non-governmental organizations to increase physical activity.

o Promote gold standard science and communication related to physical activity, such as those associated with Active People, Healthy Nation and other Federal public health programs with which the funded organization works.

o Encourage collaborations to support physical activity, including collaborations with Active People, Healthy Nation and its network, a network of organizations dedicated to promoting Active People, Healthy Nation as a national movement.

o Support communities who are interested in physical activity proclamations (e.g., Active People, Healthy Nation proclamations).

o Provide support/technical assistance to state, local, and tribal communities interested in creating proclamations related to physical activity

Task 7 – Contract Performance and Management

Subtask 7.1 – Post-Award Kick-Off Meeting & Transition Contractor shall:

1. Participate in Kick-Off meeting within 10 days

2. Present project plans including milestones, staffing, roles

3. Confirm management controls, communications, security, onboarding

4. Address program purpose, deliverables, governance, risks, and questions

Subtask 7.2 – Project/Contract Management & Administration

1. Submit Project Management Plan (PMP) within 30 days, including plans to manage sub-contractors

2. Provide a single POC

3. Respond to inquiries promptly

4. Provide qualified personnel

5. Ensure required CDC training is completed

6. Replace staff as needed

7. Maintain Quality Control Program

8. Resolve issues within 3 workdays and maintain log

Subtask 7.3 – Contract Administration Meetings

1. Conduct routine monthly meetings with COR

2. Provide agendas/materials 2 days in advance

3. Initiate monthly performance calls

Subtask 7.4 – Reporting Requirements

7.4.1 Monthly Status/Progress Reports

Includes:

• Technical summary

• Financial summary

• Discussion of issues and solutions

• Supporting files in required formats

7.4.2 Monthly Conference Call Documentation

Contractor shall document:

• Completed services

• Ongoing activities

• Problems & solutions

• Government guidance

Subtask 7.5 – Property Management

1. Maintain inventories of GFP

2. Report loss/damage per contract requirements

Subtask 7.6 – Deliverables and Invoicing

1. Provide deliverables per schedule

2. Submit monthly invoices by 5th workday

3. Ensure invoice alignment with monthly reports

OPTIONAL TASK

Optional Task 8 – Go NAPSACC or an Evidence-based ECE Intervention Surge Support for the Early Care and Education (ECE) Strategy When required to meet DNPAO needs, the Government may order surge support to provide targeted technical assistance related to Go NAPSACC or another research tested evidence based ECE intervention (EBI) for the implementation in the Early Care and Education (ECE) setting.