NOFO CDC-RFA-PS22-2204.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR HIV, VIRAL HEPATITIS, STDS AND TB PREVENTION

Enhancing National STD/HIV Prevention Efforts by Promoting Holistic, Comprehensive and Evidence-Informed, Health and Wellness Approaches through Strategic Partnerships

CDC-RFA-PS22-2204

04/19/2022

Table of Contents A. Funding Opportunity Description

B. Award Information

C. Eligibility Information

D. Application and Submission Information

E. Review and Selection Process

F. Award Administration Information

G. Agency Contacts

H. Other Information

I. Glossary

Part I. Overview Applicants must go to the synopsis page of this announcement at www.grants.gov and click on the "Subscribe" button link to ensure they receive notifications of any changes to CDC-RFA- PS22-2204. Applicants also must provide an e-mail address to www.grants.gov to receive notifications of changes.

A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease Registry (ATSDR) B. Notice of Funding Opportunity (NOFO) Title:

Enhancing National STD/HIV Prevention Efforts by Promoting Holistic, Comprehensive and Evidence-Informed, Health and Wellness Approaches through Strategic Partnerships C. Announcement Type: New - Type 1:

This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52- 2.pdf. Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr- 46/index.html (See section 45 CFR 46.102(d)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-PS22-2204

E. Assistance Listings Number:

93.978 F. Dates:

1. Due Date for Letter of Intent (LOI):

04/04/2022 https://www.grants.gov/ https://www.grants.gov/ https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html

2. Due Date for Applications:

04/19/2022 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

Informational webinar will be held on March 7, 2022 from 12:00 - 12:45 pm EST.

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G. Executive Summary:

1. Summary Paragraph In the U.S., STI rates cause serious health and economic burdens. Currently, there are approximately 2.6 million new STI infections. As the nation’s lead public health agency, the Centers for Disease Control and Prevention (CDC) has a unique responsibility to provide national leadership in the prevention and control of STIs and HIV. CDC continues to support activities aimed at accelerating STD/HIV prevention, to supplement and compliment traditional STI prevention efforts, through a comprehensive and integrated approach to STD/HIV prevention. This approach includes empowering individuals throughout the life span to make healthy choices and have healthy relationships as an approach to reducing STIs and HIV in the U.S. It also looks beyond the absence of disease and considers a whole person approach to includes the emotional, mental, and social well-being of individuals. An essential element of this approach to sexual health and STI prevention is to support a coalition of health and wellness expertise that allows for the strategic use of limited resources for STI prevention for information dissemination, partner engagement and promotion of quality health care that empowers individuals and communities to make choices that improve health and reduce STI risk. This NOFO includes coalition management; and the development, promotion and dissemination of health-related materials, resources, and tools to the public, health care providers, and decision makers.

a. Eligible Applicants:

Open Competition

b. Funding Instrument Type:

CA (Cooperative Agreement)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$3,000,000

e. Average One Year Award Amount:

$600,000

f. Total Period of Performance Length:

g. Estimated Award Date:

August 01, 2022

h. Cost Sharing and / or Matching Requirements:

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

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Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview In the U.S., STI rates cause serious health and economic burdens. Currently, there are approximately 2.6 million new STI infections, up from 1.9 million reported cases in 2014.

Reported cases of chlamydia, gonorrhea, and syphilis have increased for the sixth consecutive year – reaching a new, all-time high. Congenital syphilis has increased 279% since 2015.

Without testing and treatment, STIs can cause long term health consequences including infertility and increased risks for HIV.1 STIs are increasing across many groups, but disparities persist among adolescents and young adults, men who have sex with men (MSM), and racial and ethnic minorities. These disparities exist for many reasons including conditions in the places where people live, learn, work, and play, also known as social determinants of health. These conditions can make it more difficult for people to stay sexually healthy and include such things as health care and education access and quality, social and community context, economic stability, and neighborhood and built environments.2

As the nation’s lead public health agency, the Centers for Disease Control and Prevention (CDC), through its National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), has a unique responsibility to provide national leadership in the prevention and control of STDs and HIV. NCHHSTP and CDC have initiated a series of activities aimed at accelerating STD/HIV prevention by integrating the core public health elements of STD/HIV prevention into prevailing health and wellness frameworks in the U.S. A comprehensive health and wellness framework to STD/HIV prevention looks beyond just the absence of disease.

Rather it takes into consideration a whole person approach which includes the emotional, mental and social well-being of individuals. Additionally, it takes into account the influence of these factors on one’s ability to understand and weigh the risks, responsibilities, outcomes, and impacts of sexual actions, and the importance of positive, respectful, and healthy relationships.

In 2021, the U.S. Department of Health and Human Services (HHS) released the inaugural STI National Strategic Plan for the U.S. (STI Plan). The STI Plan provides a road map to meaningfully prevent and control STIs in the US and recognizes that increasing awareness of, and expanding comprehensive prevention programs for STIs, and engaging health care providers, schools, families, and communities to prevent STIs and promote sexual health are critical activities for primary prevention of STIs.3

An essential element of taking a holistic approach to sexual health and STI prevention is to support a coalition of health and wellness expertise that allows for the strategic use of limited resources for STD/HIV prevention for information dissemination, partner engagement and promotion of quality health care that empowers individuals and communities to make choices that improve health and reduce STD/HIV risk.

1. Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2019. Atlanta: U.S. Department of Health and Human Services; 2019.

2. CDC. About Social Determinants of Health (SDOH) (cdc.gov); 2021.

3. U.S. Department of Health and Human Services. 2020. Sexually Transmitted Infections

National Strategic Plan for the United States: 2021–2025. Washington, DC. Sexually Transmitted Infections (STI) National Strategic Plan: 2021-2025 (hhs.gov)

b. Statutory Authorities This program is authorized under section 318b of the Public Health Service Act (42 U.S.C.

Section 247c(a), as amended).

c. Healthy People 2030 Sexually Transmitted Infections - Healthy People 2030 | health.gov

d. Other National Public Health Priorities and Strategies Sexually Transmitted Infections National Strategic Plan - PDF

Prevention and Control of Sexually Transmitted Infections in the United States | National Academies

CDC's National Center for HIV, Viral Hepatitis, STD, and TB Prevention Strategic Plan https://www.cdc.gov/nchhstp/strategicpriorities/default.htm

e. Relevant Work This NOFO continues the activities, priorities, and goals of two previous NOFOs:CDC-RFA- PS17-1708 & CDC-RFA-PS11-1112. The current National Coalition of Sexual Health website can be found here - National Coalition for Sexual Health

2. CDC Project Description

a. Approach

Bold indicates period of performance outcome.

CDC-RFA-PS22-2204 Enhancing national STD/HIV prevention efforts by promoting holistic, comprehensive, and evidence-informed health and wellness approaches through strategic partnerships Bolded outcomes to be measured within period of performance.

Strategies & Activities Short-term outcomes Medium- term outcomes

Long-term outcomes

Coalition Maintenance & Management

Maintain a Coalition for the promotion of sexual health and well-being

Strategically expand outreach to federal agencies, private sector companies and other organizations to advance the intersectionality of

Sustained retention of members

Increased engagement between Coalition and federal agencies supporting sexual health and well-being

Increased engagement

Increased visibility of the Coalition and Coalition resources among federal agencies, national organizations, and professional groups

Relevant federal agencies, national organizations and professional groups have the resources to promote healthy, responsible, and respectful https://health.gov/healthypeople/objectives-and-data/browse-objectives/sexually-transmitted-infections https://www.hhs.gov/sites/default/files/STI-National-Strategic-Plan-2021-2025.pdf https://www.nationalacademies.org/our-work/prevention-and-control-of-sexually-transmitted-infections-in-the-united-states https://www.nationalacademies.org/our-work/prevention-and-control-of-sexually-transmitted-infections-in-the-united-states https://www.cdc.gov/nchhstp/strategicpriorities/default.htm https://nationalcoalitionforsexualhealth.org/

Strategies & Activities Short-term outcomes Medium- term outcomes

Long-term outcomes sexual health and racial equity

Coordinate promotion of sexual health and well-being strategies

Coordinate communication and promote Coalition among members and non-members between Coalition and organizations advancing racial health equity

Broad representation and engagement in Coalition activities by members

Increased integration of Coalition resources into member programs

High Coalition member satisfaction

Communications Monitor media output about sexual health Identify media markets that focus on priority racial/ethnic groups

Cultivate targeted media and content partnerships and spokesperson network

Develop or refine resources for disproportionately affected populations

Increased use of Coalition as credible resource by wider range of organizations that reach disproportionately affected populations

Strategic media coverage of information and resources that support a comprehensive health and wellness framework for

STD

prevention

Healthcare Outreach Develop culturally appropriate health care resources for providers

Promote and disseminate Coalition healthcare resources

Increased use of Coalition materials by provider organizations

Increased use of Coalition materials by providers who

Increased awareness of comprehensive health and wellness frameworks for STD prevention among targeted providers sexual behaviors and relationships

Increase in healthy, responsible, and respectful sexual behaviors and relationships

Health care providers have comprehensive culturally appropriate health and wellness framework for sexual health and well-being

Implementation of policies that address sexual health care needs of all people

Strategies & Activities Short-term outcomes Medium- term outcomes

Long-term outcomes

Identify health centers/providers where STI burden is highest among priority racial/ethnic groups serve disproportionately affected populations

Decisionmaker Outreach Support and expand on existing tools, materials, resources, and educational opportunities for decision makers through needs assessments

Promote and disseminate Coalition, or Coalition member, resources

Increased engagement with Coalition, or Coalition member, resources and materials by state and national decision makers

Increased awareness among decision makers of policies and practices that promote holistic sexual health and well-being

i. Purpose This cooperative agreement is intended to support and expand on the existing efforts for a whole person, life span approach to STD/HIV prevention, which looks beyond just the absence of disease but takes into consideration the emotional, mental, and social well-being of individuals.

A national coalition allows for the strategic use of limited resources for STD/HIV prevention for information dissemination, partner engagement, and promotion of quality health care.

ii. Outcomes The Coalition is intended to galvanize communication and collaboration among organizations working towards similar comprehensive health and wellness goals to reduce STDs/HIV and promote sexual health as well as serve as a resource for non-members, including health care providers, and potentially decision makers. The expected short-term outcomes include a high-functioning Coalition and the use of Coalition resources by members and non-members.

Short term outcomes include:

Coalition Maintenance and Management:

o Sustained retention of members o Increased engagement between Coalition and federal agencies supporting sexual health and well-being Recipient conducts outreach to federal agencies that support sexual health and well-being

Recipient facilitates meetings between the Coalition and relevant federal agencies o Increased engagement between Coalition and organizations advancing racial health equity Recipient conducts outreach to organizations advancing racial health equity Recipient facilitates meetings between the Coalition and organizations advancing racial health equity o Broad representation and engagement in Coalition activities by members Recipient assesses current organization representation and engagement in the Coalition Recipient identifies gaps in organizational representation Recipient identifies gaps in organizational engagement Recipient facilitates regular meetings to promote member engagement o Increased integration of Coalition resources into member programs o High Coalition member satisfaction o Recipient develops and disseminates survey or other means to measure satisfaction among Coalition members o Increased visibility of the Coalition and Coalition resources among federal agencies, national organizations, and professional groups

Communications o Increased use of Coalition as credible resource by wider range of organizations that reach disproportionately affected populations o Recipient conducts proactive and reactive outreach to organizations and media outlets that reach disproportionately affected populations o Recipient cultivates partnerships with organizations and media outlets that reach disproportionately affected populations o Strategic media coverage of information and resources that support a comprehensive health and wellness framework for STD prevention

Healthcare outreach o Increased use of Coalition materials by provider organizations

Recipient promotes and disseminates Coalition resources to organizations that consist of, represent, or work with health care providers o Increased use of Coalition materials by providers who serve disproportionately affected populations o Recipient identifies and promotes Coalition resources to providers and provider organizations who primarily serve disproportionately affected populations

Decision maker Outreach o Increased engagement with Coalition, or Coalition member, resources, and materials by state and national decision makers Recipient conducts needs assessment to assess gaps in resources related to sexual health and well-being for decision makers Recipient supports and expands on existing tools, materials, resources, and educational opportunities for decision makers

CDC expects to see evidence of some change to some of the project’s intermediate outcomes, particularly those related to media coverage and visibility. These include:

Increased visibility of the Coalition and Coalition resources among federal agencies, national organizations, and professional groups

Strategic media coverage of information and resources that support a comprehensive health and wellness framework for STD prevention

The project should contribute to other intermediate and long-term outcomes, such as increased visibility of the Coalition and Coalition resources among federal agencies, national organizations, professional groups, and decision makers; changes in provider knowledge and awareness of comprehensive health and wellness frameworks for STD/HIV prevention; and an increase awareness among decision makers of existing resources and educational materials about the importance of holistic sexual health and well-being. These outcomes will not be assessed under this funding program.

iii. Strategies and Activities Coalition maintenance and management through:

Maintaining, supporting, and managing the existing National Coalition for Sexual Health o Maintaining and supporting a group of organizations and individuals who demonstrate a commitment to comprehensive health and wellness frameworks for STD/HIV prevention. Organizations and individuals should represent areas of health that address various sexual health related topics including, but not limited to, STD/HIV prevention, reproductive health, sexual violence, and healthy relationships o Ensuring diversity in key populations represented by Coalition members including, but not limited to, adolescents, racial/ethnic minorities, men who have sex with men, and health care providers o Assessing current membership to identify gaps in representation of organizations that support key populations and remove organizations that are no longer involved with or interested in the NCSH o Ensuring diversity in geography and national and local representation among Coalition members o Establishing a 5-year operational plan to define Coalition goals and objectives o Identifying, among Coalition members, and maintaining a steering committee to provide guidance, advice, and strategic oversight of the Coalition o Developing a plan for the transfer of all Coalition materials, websites, assets, etc.

to a future recipient at the end of the NOFO period of performance

Strategically expanding outreach to federal agencies, private sector companies and other organizations to advance the intersectionality of sexual health and racial equity o Conducting outreach to other federal agencies whose mission and activities include or impact sexual health

Coordinating the promotion of sexual health and well-being strategies o Developing publications, materials or messages that can be used by various audiences (e.g., public, media, professional organizations) to raise awareness about and promote Coalition resources o Conducting activities to enhance the awareness of Coalition resources and how materials can be used to reduce STD/HIV risk

Coordinating communication and promoting Coalition among members and non-members o Establishing and facilitating routine meetings (telephone, face-to-face, virtual, etc.) among Coalition members o Establishing and maintaining regular updates to members on Coalition activities and outcomes o Collecting metrics on participation in Coalition meetings by members o Coordinating the promotion of strategies and activities among Coalition members that support a comprehensive health and wellness framework for STD/HIV prevention

Communication activities include:

Monitoring media output about sexual health o Collecting metrics on promotion or use of Coalition resources or materials by media, including social media o Collecting metrics on stories, articles, etc., related to the promotion of health and wellness frameworks for STD/HIV prevention by media, including social media

Identifying media markets that focus on priority racial/ethnic groups o Identifying and conducting outreach to media venues focused on disproportionately affected audiences e.g., persons of color; sexual minorities;

youth o Developing and cultivating relationships with media markets that serve or prioritize racial and ethnic groups for the inclusion and promotion of sexual health related content including Coalition resources and materials o Conducting proactive and reactive media outreach about comprehensive health and wellness frameworks for STD/HIV prevention

Cultivating targeted media and content partnerships and spokesperson network o Developing and cultivating relationships with content developers and media contributors for the inclusion of STD/HIV related content and Coalition resources and materials into media stories, reports, articles, talking points, posts, etc.

o Identifying and training Coalition members to serve as spokespersons for health promotion, information dissemination, and partner engagement for STD/HIV health-related topics and Coalition resources o Collecting metrics on requests for and use of Coalition spokespersons by media

Developing or refining resources for disproportionately affected populations o Developing or refining of existing resources, materials and tools, and messages to be used by and for disproportionately affected populations to raise awareness about and promote comprehensive health and wellness frameworks for STD/HIV prevention o Identifying and involving intended audiences in the development of resources, materials, tools, and messages

Health care outreach by:

Developing culturally appropriate health care resources for providers o Identifying gaps in or needed resources by health care providers for the promotion or incorporation of sexual health information, services or resources into service provision or clinical practice o Developing health care resources for providers

Promoting and disseminating Coalition healthcare resources o Collecting metrics on the promotion of Coalition resources to health care providers o Collecting feedback and use of Coalition materials/resources by health care providers o Conducting activities to enhance the awareness of Coalition resources and how materials can be used to improve STD/HIV related health outcomes

Identifying health centers/providers where STI burden is highest among priority racial/ethnic groups o Identify and promote resources to health care providers who provide care to underserved or disproportionately affected audiences

Decision maker outreach by:

Supporting and expanding existing efforts through the identification of needs, particularly in the form of tools, materials, resources, and educational opportunities for decision makers

Developing educational materials and resources for decision makers that are suitable for use by Coalition members o Identify gaps in or needed resources by decision makers to raise awareness or educate about the impact of policies and practices on access to sexual health information or services o Development of tools, materials, resources for decision makers, as identified o Promotion and dissemination of Coalition materials to decision makers o Inclusion of diverse voices from various populations and types of organizations from the Coalition in message and material development o Inclusion of diverse voices from various populations and types of organizations from the Coalition in communicating needs and challenges to decision-makers

1. Collaborations

a. With other CDC projects and CDC-funded organizations:

Collaboration with other CDC programs, such as the Division of HIV Prevention, the Division of Adolescent and School Health and the Division of Reproductive Health, other relevant federal agencies (e.g., SAMHSA. HRSA, OPA, etc.) as well as with CDC-funded organizations are encouraged. These collaborations can help inform activity focus and direction, identify gaps or synergies, and help to extend the reach and impact of Coalition materials and efforts.

b. With organizations not funded by CDC:

The main focus of this award is to maintain and coordinate a Coalition of diverse members. The recipient will be expected to form or continue strategic partnerships and collaborations with organizations and individuals whose missions or activities address health topics that relate to STD/HIV prevention. Organizations and individuals should support evidence-based health and wellness frameworks for STD/HIV prevention and represent areas of health that address various STD/HIV related topics (e.g. healthy relationships, reproductive health, sexual violence) and key target populations (e.g. adolescents, health care providers). Collaborating organizations and individuals should also have state, local, and geographic representation. Collaborations can include non-government organizations; non-profit organizations; tribes and tribal organizations;

schools and universities; other federal, state, or local government agencies; businesses; health care serving organizations such as clinics and hospitals; media; and individuals. Applicants are required to secure and submit a minimum of 3 letters of support from national or state organizations with evidence-based expertise as described above. Applicants must file the MOU, MOA or letters of support, as appropriate, name the file “MOUs/MOAs”, and upload it as a PDF file at www.grants.gov.

2. Target Populations Applicant activities should include or prioritize those populations who are disproportionately affected by STDs and HIV, including adolescents, men who have sex with men, and racial/ethnic minorities, and those who provide them with clinical services. Additionally, the applicant should also seek to include or prioritize underserved populations such as tribal organizations, people with disabilities, ESOL, and people with limited health literacy. The applicant should describe how they plan to address and include disproportionately affected and underserved populations.

For additional information about disability inclusion, go to:

http://www.cdc.gov/ncbddd/disabilityandhealth/disability-inclusion.html

a. Health Disparities This cooperative agreement seeks to reduce health disparities and improve social determinants of health by supporting a Coalition that will enhance existing national STD/HIV prevention efforts by promoting more comprehensive, and evidence-informed health and wellness approaches, which consider the disproportionate impact of STDs/HIV on certain populations and the interconnectedness of one’s health with multiple social, cultural, and environmental factors.

CDC supports efforts to improve the health of populations disproportionately affected by HIV, Viral Hepatitis, sexually transmitted diseases (STDs) and TB by maximizing the health impact of public health services, reducing disease incidence, and advancing health equity.

A health disparity occurs when a health outcome is seen to a greater or lesser extent between populations. Health disparities in HIV, Viral Hepatitis, STDs, and TB are inextricably linked to a http://www.cdc.gov/ncbddd/disabilityandhealth/disability-inclusion.html complex blend of social determinants that influence which populations are most disproportionately affected by these infections and diseases.

Social determinants are conditions in the places where people live, learn, work, and play that affect a wide range of health and quality-of life-risks and outcomes (https://www.cdc.gov/socialdeterminants/index.htm ). These include conditions for early childhood development; education, employment, and work; food security, health services, housing, income, and social exclusion. Health equity is a desirable goal that entails special efforts to improve the health of those who have experienced social or economic challenges. It requires:

Continuous efforts focused on elimination of health disparities, including disparities in health and in the living and working conditions that influence health, and

Continuous efforts to maintain a desired state of equity after health disparities are eliminated.

Recipients should use data, including social determinants data, to identify communities that are disproportionately affected by HIV, Viral Hepatitis, STDs and TB and related diseases and conditions, and plan activities to help eliminate health disparities. In collaboration with partners and appropriate sectors of the community, recipients should consider social determinants of health in the development, implementation, and evaluation of program specific efforts and use culturally appropriate interventions and strategies that are tailored for the communities for which they are intended.

iv. Funding Strategy Not Applicable

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy

Since this NOFO does not involve the generation or collection of public health data, a Data Management Plan (DMP) is not required for this NOFO. If, at any time during the period of performance, public health data is generated or collected, the receipient shall submit a DMP including the following information:

A description of the data to be collected or generated in the proposed project;

The standards to be used for the collected or generated data;

Mechanisms for, or limitations to, providing access to the data, including a description for the provisions for the protection of privacy, confidentiality, security, and intellectual property, or other rights;

Statement of the use of data standards that ensure all documentation that describes the method of collection, what the data represent, and

Plans for archiving and long-term preservation of the data, or explaining why long-term preservation and access are not justified; and, Other additional requirements based on the program https://www.cdc.gov/socialdeterminants/index.htm

The evaluation of the strategies and activities of this NOFO include both process and outcome evaluation measures. Process evaluation is conducted to monitor activities during the implementation and operation of a program while an outcome evaluation examines the longer-term successes and accomplishments of a program. Both types of measures will be used to continuously improve program performance. Key evaluation measures are included below.

Applicants are encouraged to develop additional measures where applicable. Potential data sources will include technology-based metrics, progress reports (e.g., work plans, performance measures), surveys, and any additional sources that the applicant deems useful.

Coalition Maintenance and Management:

Sustained retention of members Increased engagement between Coalition and federal agencies supporting sexual health and well-being o Recipient conducts outreach to federal agencies that support sexual health and well-being o Recipient facilitates meetings between the Coalition and relevant federal agencies

Increased engagement between Coalition and organizations advancing racial health equity o Recipient conducts outreach to organizations advancing racial health equity o Recipient facilitates meetings between the Coalition and organizations advancing racial health equity

Broad representation and engagement in Coalition activities by members o Recipient assesses current organization representation and engagement in the

Coalition o Recipient identifies gaps in organizational representation o Recipient identifies gaps in organizational engagement o Recipient facilitates regular meetings to promote member engagement

Increased integration of Coalition resources into member programs High Coalition member satisfaction o Recipient develops and disseminates survey or other means to measure satisfaction among Coalition members

Increased visibility of the Coalition and Coalition resources among federal agencies, national organizations, and professional groups

Process measures:

Number of membership and steering committee meetings held Number of individuals/organizations approached to join the Coalition broken out by type (e.g. CBO, federal agency, etc.), populations served, and topics of focus Number of messages, resources or tools developed for dissemination Written, 5-year plan

Development and dissemination of survey or other means to measure satisfaction among Coalition members

Outcome measures:

Number of members on annual membership lists Number and characteristics of members on annual membership lists Percentage of members attending virtual or in-person meetings Percentage of members providing written input into resources and materials when requested Percentage of members sharing Coalition resources/language, including where and when distributed, broken out by organization type (i.e., federal agencies and organization that advance racial health equity)

Results of annual Coalition membership survey Number of times national organizations and professional groups seek information, resources, or technical assistance from the Coalition broken out by organization type (i.e., federal agencies and organization that advance racial health equity)

Number of times national organizations and professional groups use Coalition information, resources, or technical assistance broken out by organization type (i.e., federal agencies and organization that advance racial health equity)

Number of members that share or promote Coalition materials broken out by organization type (i.e., federal agencies and organization that advance racial health equity)

Number of members that integrate materials into their efforts broken out by organization type (i.e., federal agencies and organization that advance racial health equity)

Communications:

Increased use of Coalition as credible resource by wider range of organizations that reach disproportionately affected populations o Recipient conducts proactive and reactive outreach to organizations and media outlets that reach disproportionately affected populations o Recipient cultivates partnerships with organizations and media outlets that reach disproportionately affected populations

Strategic media coverage of information and resources that support a comprehensive health and wellness framework for STD prevention

Process measures

Number of messages/communication efforts, when and where they are promoted or disseminated

Number of social media (e.g. facebook, twitter) posts Number of materials/resources/tools posted to the Coalition website Number of efforts conducted by organizations and media outlets that reach disproportionately affected populations

Outcome measures

Number of times the Coalition is contacted by media organizations that reach disproportionately affected populations

Other social media metrics (e.g., number of Facebook posts/shares/comments) Number of downloads of Coalition materials/resources Number of Coalition website hits Number of media organizations that use Coalition members as spokespersons or technical experts Number of times Coalition members serve as spokespersons

Healthcare outreach

Increased use of Coalition materials by provider organizations o Recipient promotes and disseminates Coalition resources to organizations that consist of, represent, or work with health care providers

Increased use of Coalition materials by providers who serve disproportionately affected populations o Recipient identifies and promotes Coalition resources to providers and provider organizations who primarily serve disproportionately affected populations

Process measures

Number of times provider resources are promoted, when and where they are promoted

Number of times provider resources are disseminated, when and where they are disseminated

Outcomes measures

Number of downloads of provider materials and resources Number of provider organizations promoting Coalition materials/resources to their members Number of provider organizations integrating Coalition materials/resources into their websites, activities, or materials

Decision maker Outreach

Increased engagement with Coalition, or Coalition member, resources, and materials by state and national decision makers o Recipient conducts needs assessment to assess gaps in resources related to sexual health and well-being for decision makers o Recipient supports and expands on existing tools, materials, resources, and educational opportunities for decisions makers

Process measures

Assessment (e.g., environmental scan) of existing resources related to sexual health and well-bring for decision makers

Number of times resources are promoted, when and where they are promoted Number of times resources are disseminated, when and where they are disseminated

Outcomes measures

Number of downloads of materials and resources Number of decision makers using Coalition materials/resources Number of decision makers integrating Coalition materials/resources into their websites, activities, or materials

Proposed programs will adhere to all applicable rules and regulations for human participants in non-research projects. All applicants are responsible for adhering to all federal regulations relevant to information collection, including developing Information Collection Requests in according to the Paperwork Reduction Act.

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the recipient will fulfill the requirements described in the CDC Evaluation and Performance Measurement and Project Description sections of this NOFO. At a minimum, the plan must describe:

How the applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement.

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

Available data sources, feasibility of collecting appropriate evaluation and performance data, and other relevant data information (e.g., performance measures proposed by the applicant)

Plans for updating the Data Management Plan (DMP) as new pertinent information becomes available. If applicable, throughout the lifecycle of the project. Updates to DMP should be provided in annual progress reports. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data;

data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans. For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additional-requirements/ar-25.html.

Where the applicant chooses to, or is expected to, take on specific evaluation studies, the applicant should be directed to:

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

Describe key evaluation questions to be addressed by these evaluations.

https://www.cdc.gov/grants/additional-requirements/ar-25.html

Describe other information (e.g., measures, data sources).

Recipients will be required to submit a more detailed Evaluation and Performance Measurement plan, including a DMP, if applicable, within the first 6 months of award, as described in the Reporting Section of this NOFO.

c. Organizational Capacity of Recipients to Implement the Approach Applicants should have the ability and relevant experience to achieve the goals of the project.

Applicants must describe and demonstrate organizational capacity with proposed staffing, organizational structure, staff experience and expertise to carry out all program activities, including partnership building, administrative support, project and financial management, program planning and evaluation, performance monitoring, collaboration, and coordination. The applicant should have a proven history of successfully gathering, coordinating, and sustaining an assembly of national organizations and individuals. Applicants should demonstrate and describe their experience supporting comprehensive health and wellness frameworks for STD/HIV prevention. Applicants should also demonstrate and describe their ability to discuss, describe, and support sensitive, and often highly stigmatized, health topics.

Applicants should:

Provide a staffing plan and an organizational chart, including proposed staffing, with roles clearly stated. Applicants should name this file “Organizational Charts” and upload to www.grants.gov

Provide curricula vitae (CV) for key staff and highlight their background and experience to indicate ability to carry out the purposes of the program. Applicants should name this file “CVs/Resumes” and upload to www.grants.gov

Describe experience leading a national, high-functioning coalition Describe experience leading and engaging organizations with national reach Describe experience engaging and reaching individuals/groups that might not have national reach but who fill a specific gap Describe past and current experience that demonstrates the organization's leadership in the field of sexual health or STD/HIV prevention Describe past and current experience in the development, promotion and dissemination of health-related resources or communication products including health topics considered sensitive or stigmatized (e.g., sex, STDs, etc) for general public audiences including priority populations.

Describe past and current experience working with media and social media Describe past and current experience working with health care providers and health care provider organizations including developing high quality, health-related materials and resources

Describe experience working on health-related topics related to decision making including development of resources and materials for decision makers

Describe ability to write, award, and manage contracts in accordance with applicable grants regulations

Describe a financial management system that will allow for proper funds management and segregation of funds, preparation of reports by general and program-specific terms http://www.grants.gov and conditions, the tracing of funds to a level of expenditure adequate to establish that such funds have been used according to the federal statutes, regulations, and terms and conditions of the federal award, and that meets the requirements as stated in in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards found at: eCFR :: 45 CFR Part 75 -- Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards

d. Work Plan The applicant should provide a detailed work plan for the first year of the project and a high-level work plan for subsequent years.

A sample work plan format is presented below to show how a traditional work plan aligns with the logic model and narrative.

In this format, the table would be completed for each period of performance outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

Period of Performance Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities

Process Measure [from Evaluation and Performance Measurement section]

Responsible Position / Party

Completion Date

1.

2.

3.

4.

5.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and recipients, site visits, and recipient reporting (including work plans, performance, and financial reporting).

Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

Tracking recipient progress in achieving the desired outcomes.

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

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

Monitoring may also include the following activities deemed necessary to monitor the award:

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

https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#75.302 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#75.302

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

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

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

Monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk recipients.

f. CDC Program Support to Recipients

In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring. The CDC program will provide technical assistance in the form of access to and input from subject matter experts; participation in committee and workgroup calls, provision of relevant and available literature, data, and information; and input into and review of Coalition materials.

B. Award Information

1. Funding Instrument Type:

CA (Cooperative Agreement) CDC's substantial involvement in this program appears in the CDC Program Support to Recipients Section.

2. Award Mechanism:

H25

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$600,000

5. Total Period of Performance Funding:

$3,000,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$3,000,000

6. Total Period of Performance Length:

year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$600,000 Per Budget Period

9. Award Ceiling:

$0 Per Budget Period

This amount is subject to the availability of funds.

The NOFO does not have an award ceiling.

10. Award Floor:

$0 Per Budget Period

11. Estimated Award Date:

August 01, 2022

12. Budget Period Length:

12 month(s)

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

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

If you are successful and receive a Notice of Award, in accepting the award, you agree that the award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in effect or implemented during the period of the award, other Department regulations and policies in effect at the time of the award, and applicable statutory provisions.

C. Eligibility Information

1. Eligible Applicants Eligibility Category:

99 (Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility")

Additional Eligibility Category:

Government Organizations:

State governments or their bona fide agents (includes the District of Columbia)

Local governments or their bona fide agents

Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau

American Indian or Alaska Native tribal governments (federally recognized or state-recognized)

State controlled institutions of higher education

Non-government Organizations

American Indian or Alaska native tribally designated organizations

2. Additional Information on Eligibility Eligibility determinations are made based on sections 301 and 318 [247c(b)] of the Public Health Service Act. Domestic institutions or organizations are eligible to apply.