Updated CIO Project Plan List.pdf

Category A

CIO

Project Plans

Center for State, Tribal, Local and Territorial Support Division of Program and Partnership Services

National Partnership Branch

Cooperative Agreement OT21-2101

Strengthening the Public Health Systems and Services in the U.S. Affiliated Pacific Islands

FY21 CIO Project Plan

GENERAL INFORMATION

1 Project Title (10-word max):

Note: Please do not use all caps Regional Health Policy, Advocacy and Secretariat Support Initiative

Center, Institute, and Office (CIO): CSTLTS

5 Description of the Target Population (25-word max):

Note: Proposals should not build capacity for CDC or other federal agencies

USAPI Chief, Deputy Health Officials and Secretariat Staff

PROJECT FUNDING

OT21-2101 Period of Performance Length: August 1, 2021 – July 31, 2026 Budget Period Length: August 1 – July 31

6 Proposed Project Funding for FY21 Activities:

Note: Use whole numbers only

$ 400,000

Administrative Only: Statues ☐Funded ☐Unfunded

7 Expected Length of Project:

☐The CIO will fund the project for one year ☒The CIO will award new funding for more than one year (budget period)

CBA PROGRAM APPROACH

Select the program strategies and the program outcomes the project should work toward for the length of the project. Refer to the Logic Model for the strategies and related outcomes. Logic Model_OT21-2101_1

8 CBA Program Strategies and Outcomes:

Note: Select one to two strategies and select the program outcomes that correlate with the strategies. Each strategy has a short, intermediate and long term outcome. At least one outcome must be selected per selected strategies.

8.a ☒ Public health leadership: Activities to build leadership knowledge, skills, and competencies to improve governance, decision making, and accountability

Short

☒ Enhanced knowledge, skills and awareness of leaders to support current public health priorities

Intermediate

☒ Increased capacity of leadership to execute strategic plans, policy formulation and program implementation

Long

☐ Improved multi-sectoral leadership action to strategically address population health needs

PROJECT DETAILS

State the purpose of the project and provide project details for the length of the budget period (12 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc..) and outcomes (change to occur) and provide sample outcome measures to track progress achieving the outcomes.

9 Project Purpose (150-word max):

Support the recipient’s health leadership to discuss and decide on current issues of regional health significance, including provision of opportunities for next phase of health leadership development and training. To promote and advocate for the recipient’s health priorities and needs with national, regional, and international health partners, US government, and others, including on-going, on-site and remote consultations with USAPI health officials and attending national and regional health policy fora.

For Section 10, complete the activities, process measures, outputs, budget period outcomes, and outcome measures for each program strategy selected in section 8.

10.a Use drop-down list to select strategy selected in section 8:

Public health leadership

Activities

Coordinate and convene executive board meetings to discuss business and issues of regional health significance to define regional health policy directions/priorities.

Process Measures

# Executive Board meetings convened # leadership and staff attending by jurisdiction Document meeting minutes

Outputs

2 executive board meetings held each year At least 12 virtual, monthly board meetings each year

Budget Period Outcomes

USAPI health leadership actively engaged in collective policy/decision-making on key regional health priorities/strategic directions

Outcome

Resolutions and Communiques (defining regional health policy priorities, response interventions and partner engagement)

Health priority topics or forward actions identified and discussed Board meeting evaluation feedback

Strategic Plan 2023-27 and M&E Framework

10.a Public health

Convene next phase of biennial executive board retreats for executive leadership development, peer-to-peer networking and strategic planning; and next phase of monthly virtual board member meetings for “deep-dive” discussions on targeted topics, peer-to-peer information exchange, and/or leadership development.

# retreats convened # of USAPI health officials participating by jurisdiction # Board training experts recruited

USAPI health officials trained in various management and leadership competencies including, but not limited to, effective communication strategies, health financing, board leadership, etc.

Board members provided training on communication strategies, board governance, PH law, and business processes, etc.

Board members increased competences in board governance, effective communication strategies (interpersonal and organizational, negotiation and diplomacy), PH law, and business processes, etc.

USAPI health leadership pro-actively engaged in defining, planning, and assessing impactful regional health policy priorities and interventions

USAPI health leadership actively engaged in impactful regional health advocacy and partner strategy coordination efforts

Increased Board and Secretariat leadership skills, business literacy, and strategic networking as evidenced by pre- /post-workshop assessments/feedback

10.a Public health

Establish and support a regional technical advisory council with Pacific regional associations and agencies.

# council meetings convened # associations’ and agencies’ leadership and staff attending by jurisdiction meeting minutes

# and types of key health strategy and policy issues/directions discussed, and white papers or recommendations made # Virtual monthly meetings.

Council established and meeting monthly

White papers and health policy recommendations Health priority topics or forward actions identified and discussed Council evaluation feedback

10.a Public health

Travel and other support to USAPI health leadership and recipient staff for next phase of direct engagement with key partners in the Pacific region and US, including but not limited to participating in virtual and in-person meetings with US federal partner agencies and Pacific development partners (WHO, SPC, UN, etc.).

Critical regional health sector meetings include WPRO RCM, ASTHO Policy Week and Hill Day, PHoH, PHMM, APIL and MIF.

# and location of USAPI visits # and types of priority health issues discussed with USAPI health and other leadership # and location of regional health policy fora attended # Communiques and Resolutions disseminated # and type of USAPI health Priorities endorsed by the MIF and other fora

The recipient’s Executive Board Officers and Secretariat staff actively participate in key regional health meetings RHC members supported to draft and present resolutions and communique on agreed health priorities for MIF to review and endorse MIF, PHoH, PHMM, WPRO RCM and APIL resolutions and communiques

Jurisdictional priorities shared in-person or virtually with the Secretariat through in-country visits, regional meetings, Board meetings, and quarterly conference calls that inform Secretariat advocacy and technical assistance work

Board priorities inform Secretariat work planning, fundraising and advocacy activities as demonstrated by budget work plans, funded TA activities, etc.

(applied collective leadership)

10.a Public health

Collaborate with US DOI OIA and HHS leadership to re-establish the HHS Interagency Insular Area Policy Working Group (or something similar), and if convened, ensure regularly scheduled virtual meetings are conducted between USAPI health leadership and the HHS IIAPWG; follow-up on multi-year request for DOI OIA to support a redo of the 1999 Institute of Medicine’s USAPI study

# meetings convened # associations’ and agencies’ leadership and staff attending by jurisdiction meeting minutes

# and types of key health strategy and policy issues/directions discussed, and white papers or recommendations made, including updated IOM USAPI Study

Working group established and meeting monthly

1. USAPI health leadership pro-actively engaged in defining, planning, and assessing impactful regional health policy priorities and interventions

2. USAPI health leadership actively engaged in impactful regional health advocacy and partner strategy coordination efforts

3. USAPI health policy priorities and associated regional response interventions are disseminated and resourced

10.a Public health

Update and implement communications, including expansion into more information channels used by target audiences and other interactive communications/information exchange platforms

Process

Key audiences identified and their media habits documented

Communication objectives defined Communication channels and material types assessed for audience appropriateness

List of stakeholders / audiences including their media habits and preferences List of communication objectives and corresponding audiences List of communication channels and materials appropriate for intended audiences

Communications Plan 2023-27 completed

USAPI stakeholders are aware of and motivated to support USAPI health policy priorities USAPI regional response interventions are disseminated and resourced

ORGANIZATIONAL CAPACITY AND PROGRAM EXPERIENCE

11 Applicant Organizational Capacity (200 words max):

Capacity to plan, develop, and implement regional meetings to discuss public health topics. The capacity to coordinate across public health entities to address regional issues.

12 Applicant Program Experience

Experience in hosting regional meetings to discuss emerging public health topics impacting the region.

COLLABORATIVE WORK

13 Expectations for Collaboration, as applicable (200 words max):

N/A

14 Expected Sub-contractual Work and Recommended Criteria for Selecting Subcontractors, as

BUDGET INSTRUCTIONS

15 General Instructions for Use of Funds, as applicable (100 words max):

CIO CERTIFICATION

16 By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating project activities that involve the collection, generation, or analysis of public health data.

Note: Please do not use all caps Regional Human Resources for Health / Workforce Development

Note: Proposals should not build capacity for CDC or

USAPI Chief, Deputy Health Officials, and recipient Secretariat Staff

Budget Period Length: August 1 – July 31

6 Proposed Project Funding for FY21 Activities:

Note: Use whole numbers only

$ 250,000

Select the program strategies and the program outcomes the project should work toward for the length of

Note: Select one to two strategies and select the program outcomes that correlate with the strategies. Each strategy has a short, 8.c ☒ Human resources for health (HRH) and Public health workforce: Activities to enable improvement of competencies and workforce recruitment and retention

☒ Increased knowledge, skills, and competencies among public health workers.

☒ Strengthened workforce qualifications, performance and service delivery

☐ Improved workforce capacity and retention to prepare for and respond to population health needs

State the purpose of the project and provide project details for the length of the budget period (12 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc..) and outcomes (change to occur) and provide sample outcome measures to track progress achieving the outcomes.

9 Project Purpose (150-word

Enhancing USAPI health agency workforce development systems and planning

For Section 10, complete the activities, process measures, outputs, budget period outcomes, and outcome measures for each program strategy selected in section 8.

10.a Use drop-down list to select strategy selected in section 8:

Human resources for health (HRH) and Public health workforce

Recruit Regional HRH Coordinator to coordinate and plan organizational Regional HRH Development Initiative:

• Plan and conduct regional assessment of USAPI health workforce status, priorities and needs to inform and update Regional HRH Development Plan 2022-26

• Provide TA for HRH strategic planning, where needed

• Provide TA for local-level health workforce and training gap assessments and development of workforce training plans and training curricula

• Provide TA and training to local health professional licensure and certification boards and HR units, including support for development/refinement of associated policies, procedures, and standards of practice

• Work with University of Guam or University of Hawaii to act as regional IRB resource for those USAPIs that do not have any existing or robust IRB mechanisms

• Provide TA for improvement of local health agency HR units’ systems and staff capacities including installation and training on open-source HR management systems

Job Description and position vacancy announcement FTE Regional HRH Coordinator hired HRH assessment tool HRH assessment results and analysis Draft Regional HRH Development Plan # USAPI on-site and remote technical assistance by topic/purpose, jurisdiction, recipient type, guidance/training provided, and outcome # and outcomes of meetings with UoG or UH Informational materials about IRB mechanisms

Regional HRH Development Plan completed, and recommendations for action moving forward Technical assistance reports IRB mechanisms developed or documented, and promoted

Budget Period

Regional HRH Development Plan reviewed and endorsed by USAPI health officials TA priorities identified based on assessment and plan

Improved USAPI HR Management Systems Workforce development opportunities matched with staffing needs

10.b Use drop-down list to select second strategy selected in section 8 (if applicable):

Human resources for health (HRH) and Public health

Recruit HR IT Management Specialist

• Provide TA for establishment/refinement of local health agency staffing classification systems and processes

• Provide TA for improvement of local health agency HR units’ systems and staff capacities including installation and training on open-source HR management systems

Job Description and position vacancy announcement HR IT Management Specialist hired # USAPI on-site and remote technical assistance by topic/purpose, jurisdiction, recipient type, guidance/training provided, and outcome

Technical assistance reports Guidance materials for establishing/refining local health agency staffing classification systems and processes # open-source HR management systems installed # trainings on open-source HR management systems

Budget Period

At least 5 technical assistance reports At least 3 trainings or installations of open-source HR management systems

Improved USAPI HR Management Systems

The applicant should provide evidence of the following organizational capacity:

• Demonstrate ability to meet requirements of CDC cooperative agreements

• Demonstrate cultural competency

• Ability to proactively avoid and anticipate potential logistical issues in meeting project milestones

• Ability to work in resource limited settings

• Excellent communication skills

• Excellent ability to collaborate with partners

• Excellent relationships with USAPIs

• Ability to work with regional staff to improve performance

• Experience working with CDC for at least 5 years

• Experience providing workforce support

• Experience with project management across multiple public health partners, familiarity with federal budget guidelines and procedures, and adherence to project timelines and deliverables

• Regular calls with project implementation partners is expected

• An annual planning meeting is expected

• Should be an effective communicator

• Should display cultural competency

• The applicant shall strengthen ongoing collaborative partnerships with other key partner organizations that have a workforce focus.

14 Expected Sub-contractual Work and Recommended Criteria for Selecting Subcontractors, as

The applicant will submit a budget that is reflective of work that will be completed in the current budget period.

16 By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating

Note: Please do not use all caps Regional Health Information and Public Health Surveillance Initiative

Note: Proposals should not build capacity for CDC or

USAPI public health workforce

Budget Period Length: August 1 – July 31

6 Proposed Project Funding for FY21 Activities:

Note: Use whole numbers only

$ 250,000

Select the program strategies and the program outcomes the project should work toward for the length of

Note: Select one to two strategies and select the program outcomes that correlate with the strategies. Each strategy has a short, 8.a ☒ Public health leadership: Activities to build leadership knowledge, skills, and competencies to improve governance, ☒ Enhanced knowledge, skills, and awareness of leaders to support current public health priorities

☒ Improved multi-sectoral leadership action to strategically address population health needs

8.b ☒ Public health system and infrastructure: Activities to strengthen system and agency needs and determine steps to improve operational capacity

☒ Increased implementation of processes and services that build operational efficiency and effectiveness

☒ Increased use of performance management systems to monitor and evaluate operational processes

☒ Improved operational efficiency and effectiveness

State the purpose of the project and provide project details for the length of the budget period (12 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc..) and outcomes (change to occur) and provide sample outcome measures to track progress achieving the outcomes.

9 Project Purpose

(150-word max):

Support workforce development in the USAPI.

For Section 10, complete the activities, process measures, outputs, budget period outcomes, and outcome measures for each program strategy selected in section 8.

10.a Use drop-down list to select strategy selected in section 8:

Public health system and infrastructure

Recruit x1 Lead FETP/SHIP Faculty/Coordinator (FT consultant) and x1 Regional FETP/SHIP Administrator (PT consultant); and Conduct additional rounds of DDM (Tier 1/PGCert/EpiTech) courses on request from USAPIs, with successful past Tier 1 DDM graduates to commence Operational Research (Tier 2/PGDip/Applied Epi) -about 95+ individuals are eligible to go the next level. Palau started first Tier 2 cohort late last year, and RMI, Guam, FSM and AS are ready to start Tier 2 when SHIP/FETP restarts in earnest once COVID-19 border restrictions are lifted

Job Description and position vacancy announcement DDM/SHIP Faculty Lead executed contract # staff completed PGCert/DDM modules by program

1. Additional USAPI health staff trained as PG Certified EpiTechs

2. Eligible USAPI health staff trained as PG Diploma-level Applied Epidemiologists

Regional HIS and Performance Management Coordinator position filled At least 5 staff have successfully completed all PGCert/DDM modules and special project in preparation for submission to FNU for academic accreditation review

1. Staff final DDM Projects (passed) by Program

2. Improved USAPI health staff competencies/skills in epidemiology and surveillance

3. Increased # of USAPI staff with formal credentials in Applied Epidemiology from an accredited tertiary academic institution

4. Strengthened USAPI PH surveillance systems and processes

10.a Public health system

Develop and finalize master’s level program (Tier 3/Master's in Applied Epi) and submit it for accreditation to FNU Academic Board Commence first cohort(s) of master’s level courses for eligible USAPI health staff who have successfully completed Tier 2/OR courses

Program competencies identified Courses identified or developed Accreditation package complete

1. Tier 3 – Master’s in Applied Epi Curriculum

2. Eligible USAPI health staff commenced master’s level courses

Tier 3 – Master’s in Applied Epi Curriculum finalized and accredited by FNU At least 5 staff have successfully commenced master’s level courses

1. Improved USAPI health staff competencies/skills in epidemiology and surveillance

2. Increased # of USAPI staff with formal credentials in Applied Epidemiology from an accredited tertiary academic institution

3. Strengthened USAPI PH surveillance systems and processes 10.a Public health system

Update USAPI FETP/SHIP Strategy Implementation Plan (last reviewed and endorsed in March 2018)

Workforce assessment data available to guide plan development Data/surveillance needs identified to inform plan development Plan outline developed and agreed upon by stakeholders Draft plan

USAPI FETP/SHIP Strategy Implementation Plan

Stakeholders engaged and supportive of outline Early draft is informed by workforce data

FETP/SHIP special projects (course requirement) targeted to local data/surveillance needs and improvement of local surveillance processes and systems Special projects submitted for formal peer review and publication USAPI FETP/SHIP Strategy and Implementation Plan 2022-26

10.a Public health system

Recruit x1 FTE Regional HIS and PM Coordinator for overall planning and coordination of a Regional HIS and PM Initiative.

Recruit x2 FTE Regional PH Epidemiologists focused on CD, EH and NCD surveillance and who will also serve as Faculty for SHIP/FETP.

Job Description and position vacancy announcement Regional HIS and PM Coordinator Job Description and position vacancy announcement for 2 Regional Epidemiologists

Regional HIS and Performance Management Coordinator and Regional HIS and PH Epidemiologist positions filled

Improved USAPI health staff competencies/skills in epidemiology and surveillance Strengthened USAPI PH surveillance systems and processes

10.a Public health system

Update Regional HIS and PM Plan 2022-26 and USAPI Regional NCD Emergency Response Strategy and Implementation Plan 2022-26

Stakeholders engaged Outline approved Draft prepared

Regional HIS and PM Plan Regional NCD Emergency Response Strategy and Implementation Plan

Engaged stakeholders and approved outlines

1. Strengthened and expanded local USAPI PH surveillance systems and processes

2. Strengthened and expanded USAPI regional PH surveillance system and information exchange

10.a Public health system

Coordinate technical assistance to align with Regional Lab Strengthening Initiative for TA support for development/refinement of Lab Information Systems (LIS), and provide TA across the region on priority health information issues, including •refining local and regional CD, NCD and EH surveillance systems and processes (i.e. surveillance systems development planning, training, and evaluation)

• USAPI EpiNet Team network in partnership with SPC and CDC (Pacific PH Surveillance Network)

• assessing and strengthening USAPI civil registry and vital statistics systems and staff capacities in partnership with the Brisbane Accord Group (SPC, WHO, CDC, etc.)

• updating NCD Surveillance Plans, as needed

• second round of NCD Hybrid Survey planning and implementation, including support for data review and analysis

TA plans with critical issues identified and prioritized SMEs identified to deliver TA

Meetings or convenings to deliver TA TA reports

TA plans SMEs scheduled for at least 3 TA sessions

3. Strengthened and expanded local USAPI PH surveillance systems and

4. Strengthened and expanded USAPI regional PH surveillance system and

10.b Use drop-down list to select second strategy selected in section 8 (if applicable):

Public health

• Assess status of local data analytics and informatics systems and capacities, develop Regional Health Data Analytics and Informatics Systems and Capacity Enhancement Plan, and develop interactive regional USAPI data dashboard

• Develop and maintain interactive regional USAPI data dashboard of key health measures/indicators, including contracting of data management/analytics developer (consultancy)

• Compile and draft annual USAPI Regional NCD Profile and NCD Policy Dashboard

Dashboard elements identified Assessment criteria identified Dashboard formats identified

Draft dashboards Assessment criteria and instruments

Assessment instrument drafted Elements drafted for 3 dashboards

5. Strengthened and expanded local USAPI PH surveillance systems and

6. Strengthened and expanded USAPI regional PH surveillance system and

Applicant should have the following:

• Knowledge, skills, and technology to provide regional data analytics and informatics systems and capacities

• History of collaborating regional organizations working in the Pacific

Islands

Applicant should have the following:

• Coordinate technical assistance to align with Regional Lab Strengthening

Initiative for TA support for development/refinement of Lab Information Systems (LIS), and provide TA across the region on priority health information issues, including

• Experience providing Trainings and Technical Assistance to laboratory staff, epidemiologists, and public health leaders.

• Subject Matter Expertise surveillance systems and processes

• Experience with public health professionals working, coordinating resources, procuring supplies and equipment for the region

Expect the recipient to facilitate reporting data analytics and informatics systems to CDC and partners. We also expect them to partner with a regional organization that has a history of working with the CDC and WHO and has experience coordinating surveillance and response efforts across PICTs in the WHO’s Western Pacific Region.

and Recommended Criteria for Selecting Subcontractors, as n/a

Funds may not be used on construction. Funds may be used to hire staff, procure equipment and supplies, provision of on-site and/or virtual technical assistance and training, and any subcontracts to provide technical support and implementation in PICTs.

16 By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating

Category B

CIO

Project Plans

Note: Please do not use all caps Building capacity for COVID-19 and Disaster Communications in Asia Pacific

Center, Institute, and Office (CIO): NCEH

Note: Proposals should not build capacity for CDC or other federal agencies

This project is intended to build risk communications capacity for the Health Department in each territory so that they can reach their residents (general public) with urgent and emergency public health messages related to COVID-19 and other emergencies.

Budget Period Length: August 1 – July 31 6 Proposed Project Funding for FY21 Activities:

Note: Use whole numbers only $ 1,000,000

Select the program strategies and the program outcomes the project should work toward for the length of

Model_OT21-2101_1.12.21.docx

Note: Select one to two strategies and select the program outcomes that correlate with the strategies. Each strategy has a short, 8.b ☒ Public health system and infrastructure: Activities to strengthen system and agency needs and determine steps to

☒ Increased implementation of processes and services that build operational efficiency and effectiveness

8.e ☒ Evidence-based public health practices and services: Activities to strengthen the delivery of essential public health services in a comprehensive manner

☒ Increased capacity to assess evidence-based public health practices and services for cultural relevance

☒ Enhanced capacity to integrate and coordinate culturally relevant practices and services across multiple settings

☒ Increased ability to translate and widely implement evidence-based practices and services across multiple settings

State the purpose of the project and provide project details for the length of the budget period (12 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc..) and outcomes (change to occur) and provide sample

Building capacity in risk communications and updating Health Department websites are often overlooked in preparing for emergencies but should be considered one of the highest priorities for saving lives. In times of emergency such as COVID or natural disasters, access to information via radio and websites is critical to getting important messages out to the general public. In this project, we want to build capacity before a disaster strikes while also helping support the COVID- 19 response.

The objectives are to:

*Provide emergency-related risk-communication support materials for the API, and to *Enhance their ability to respond to communication challenges for future disaster-related events, including both the mitigation and recovery phases (before and after).

The benefits are in-country website development, website enhancement, and website usability testing; disaster preparedness communications planning and execution, translation of communication materials, typhoon preparedness and recovery content messaging, and community outreach support and events related to disaster preparedness.

For Section 10, complete the activities, process measures, outputs, budget period outcomes, and outcome measures for each

10.a Use drop-down list to select strategy selected in section 8:

Public health system

-COVID-19 vaccine awareness campaigns -In-country website development, enhancement, and usability testing -Disaster preparedness communications planning and execution -Translation of communication materials -Typhoon preparedness and recovery content messaging -Community outreach support and events related to disaster preparedness and recovery -Preparation of disaster preparedness and recovery messaging and materials

To maintain active participation by community public health departments equal to the level of the previous year. To be measured by their active participation and support of at least four of the activities listed above in 10a.

-Improvements to in-country websites, website usability and navigation -Development of disaster and emergency preparedness communication plans for disaster -Translation of communication materials into native languages -Production of typhoon preparedness and recovery content messaging -The conduct of community outreach support and events related to disaster preparedness

Ongoing activities over the course of the budget period are expected to produce the following:

-Improvements to in-country websites, usability and navigation -Development of disaster preparedness communication plans for disaster -Translation of risk communication materials into native languages -Production of typhoon preparedness and recovery content messaging -Conduct community outreach support and events related to disaster preparedness

Will measured by the active participation and support by the individual public health communication infrastructure of at least four of the activities listed above in 10a.

Applicant should have extensive relationship/partnership with USAPI health leadership and able to execute and monitor consultancies and provide guidance and direction to consultants. Demonstrated experience providing TA to USAPI public health staff. Assist and conduct communication activities in communities throughout the region. Establish wide range of strategies and communication tools to reach the lay public, community members, state health departments and other public health partners, policy makers, and the news media with important messages.

Applicant should have experience providing TA and guidance in the areas of communications. Demonstrate recent experience providing communication support to areas affected by natural disasters, specifically isolated areas such as U.S. territories and islands. This includes both support for preparedness and recovery. Experience working within the Health Departments of US Territories and want to lend our expertise to build communications capacity in the Pacific.

Applicant should idea areas of collaboration, as appropriate. Applicant will collaborate with CDC CIOs for the Region and the COVID-19 STLT and Vaccine Task forces to ensure that the information created meets the needs of the COVID-19 response and that we are maintaining appropriate relationships and protocols.

14 Expected Sub-contractual Work and Recommended Criteria for Selecting Subcontractors, as

NA

Funds should be used to improve the capability of the API local public health communication infrastructures to improve their capability to respond to public health emergencies. Specifically, typhoons and other natural disasters.

16 By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating

Note: Please do not use all caps Evaluating the expansion of cervical cancer screening coverage in USAPIs

Center, Institute, and Office (CIO): DDNID/NCCDPHP

5 Description of the Target Population (25-word max):

Note: Proposals should not build capacity for CDC or other federal agencies

This project aims to build the capacity of cervical cancer screening programs in Guam and Yap, Federated States of Micronesia (FSM) to evaluate and expand cervical cancer screening in women. These existing screening programs will expand their outreach and screening of women eligible for screening as described in screening guidelines (women with a cervix over age 21 years who haven’t received appropriate screening). Cervical cancer screening programs in all USAPIs will benefit from the cost-effectiveness modelling that will be done to examine the benefits of cervical cancer screening with various screening strategies (primary human papillomavirus (HPV) testing versus existing Pap or visual inspection based strategies).

Budget Period Length: August 1 – July 31

6 Proposed Project Funding for FY21 Activities:

Note: Use whole numbers only

$ 913,969

☒The CIO will fund the project for one year ☐The CIO will award new funding for more than one year (budget period)

Select the program strategies and the program outcomes the project should work toward for the length of

Note: Select one to two strategies and select the program outcomes that correlate with the strategies. Each strategy has a short, intermediate, and long-term outcome. At least one outcome must be selected per selected strategies.

8.e ☒ Evidence-based public health practices and services: Activities to strengthen the delivery of essential public health

Short ☒ Increased capacity to assess evidence-based public health practices and services for cultural relevance

☒ Enhanced capacity to integrate and coordinate culturally relevant practices and services across multiple

☒ Increased ability to translate and widely implement evidence-based practices and services across multiple settings

8.f ☒ Public health monitoring and surveillance systems: Activities to increase the capacity to support integration, maintenance, and interpretation of data and information systems across the public health system Short ☒ Increased knowledge and capacity to develop national health data systems and registries Intermediate ☒ Improved collection, maintenance, interpretation & dissemination of population health data Long ☐ Improved capacity to identify population health needs through data driven decision making

State the purpose of the project and provide project details for the length of the budget period (12 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc..) and outcomes (change to occur) and provide sample outcome measures to track progress achieving the outcomes.

To provide technical assistance to existing cervical cancer screening programs in evaluating the expansion of cervical cancer screening coverage with primary human papillomavirus (HPV) testing in Guam and Yap state, FSM. This project will utilize partnerships built, knowledge gained, documents developed, and lessons learned from a previous project to expand and evaluate primary HPV testing for cervical cancer screening. This project will also conduct cost-effectiveness analyses to examine the cost/benefits of expanding screening with primary HPV testing in all USAPI jurisdictions.

Data for the modelling will be obtained from existing resources and experience from the project in Guam and Yap, FSM. This modelling will provide information to all the USAPIs as they make future decisions on expanding/implementing primary HPV testing to increase cervical cancer screening and reduce cervical cancer incidence.

Background: The USAPIs have lower cervical cancer screening coverage due to the unique geographical, technical, and financial challenges they face. Primary HPV testing was recommended for cervical cancer screening in 2018 by US Preventive Service Task Force and provides a new strategy for the USAPIs to expand screening coverage. Increased screening coverage and treatment of precancers can reduce the cervical cancer incidence in the USAPIs.

For Section 10, complete the activities, process measures, outputs, budget period outcomes, and outcome measures for each program strategy selected in section 8.

10.a Use drop-down list to select strategy selected in section 8:

Evidence-based public health practices and services

• Establishment and maintenance of a Community Advisory Board to obtain input on best and most culturally appropriate strategies to expand HPV testing/cervical cancer screening

• Development of intervention strategies to promote cervical cancer screening with primary HPV testing at the community level

• Development of culturally appropriate educational communication products on cervical cancer and HPV

• Development of workgroups with partners to discuss intervention strategies and conducting routine meetings

• Identification of members of Community Advisory Board and set up schedule for periodic meetings and obtaining input

• Finalized standard operating procedures (SOPs) describing intervention strategies to engage women and increase cervical cancer screening

• Finalized, culturally appropriate, communication materials

• Increased awareness of cervical cancer screening and HPV

• Expansion of cervical cancer screening with primary HPV testing

• Number of women reached and educated about cervical cancer screening

• Number of women screened by existing programs in this period

10.b Use drop-down list to select second strategy selected in section 8 (if applicable):

Public health monitoring and surveillance systems

• Assessment of existing data systems and data on screening coverage

• Discuss and conduct desired trainings on data systems to encourage routine use of cervical cancer screening databases

• Develop and run cost-effectiveness analyses models to examine cost/benefits of expanding screening with primary HPV testing

• Regular meetings held with stakeholders to discuss data systems and data needs

• Development of plan for data systems improvement and training; and assessment of data variables

• Data analyses results on cervical cancer screening and follow-up

• Documents outlining plan for data systems improvement

• Results of cost-effectiveness analyses

• Holding meeting with all USAPI screening programs to discuss results of cost-effectiveness analyses

• Implementation of changes to improve data system use in improving cervical cancer screening

• Dissemination of information on cost-effectiveness of primary HPV testing in all USAPI jurisdictions

• Frequency with which the cervical cancer screening database is used to generate data and inform local staff for follow-up on screened women with abnormal results

• Use/reference of cost-effectiveness analyses by screening programs

The organization must have a relationship with public health organizations in the US- Affiliated Pacific Island Region and be informed about regional health issues and solutions. The organization must have an existing relationship with public health departments and officials in Guam and Yap state, FSM. It must have the ability to contract to professionals in the region and to organize meetings between professionals in the two jurisdictions and project partners as needed.

The organization must have experience working in public health in the Pacific islands and be well-versed with cultural norms of the regions that may affect the project. The organization must have experience managing CDC funding and have a record of successful completion of CDC-funded projects in the Pacific islands.

The organization will be expected to collaborate with public health professionals in Guam and Yap state, partners contractors and existing partners at various universities. The organization will also be expected to collaborate/ subcontract a cost-effectiveness modelling group to examine the costs/benefits of expanding cervical cancer screening with primary HPV testing in all USAPI jurisdictions.

14 Expected Sub-contractual Work and Recommended Criteria for Selecting Subcontractors, as applicable (200 words max):

The organization is expected to contract work to subject matter experts at various universities and organizations. There are a few existing partners/ subject matter experts who are well-versed with expanding cervical cancer screening coverage and have experience working with pacific islands, partners, universities, and other public health organizations. Contractors/subcontractors may be need identified as project progresses.

16 By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating

Note: Please do not use all caps Pacific Public Health Fellowship Program (PPHFP)

Center, Institute, and Office (CIO): CSTLTS, NCEH, NCHHSTP

Note: Proposals should not build capacity for CDC or

USAPI Chief, Deputy Health Officials and Secretariat Staff

Budget Period Length: August 1 – July 31

6 Proposed Project Funding for FY21 Activities:

Note: Use whole numbers only

$ 775,000

Select the program strategies and the program outcomes the project should work toward for the length of

Note: Select one to two strategies and select the program outcomes that correlate with the strategies. Each strategy has a short, 8.c ☒ Human resources for health (HRH) and Public health workforce: Activities to enable improvement of competencies and

Short ☒ Increased knowledge, skills, and competencies among public health workers.

Intermediate ☒ Strengthened workforce qualifications, performance and service delivery Long ☐ Improved workforce capacity and retention to prepare for and respond to population health needs

State the purpose of the project and provide project details for the length of the budget period (12 months).

For the selected program strategies:

1. Describe proposed activities and provide sample process measures to track progress implementing the activities

2. Describe the expected outputs (resources, tools, products, etc..) and outcomes (change to occur) and provide sample outcome measures to track progress achieving the outcomes.

9 Project Purpose (150-word

Enhancing USAPI health agency workforce development systems and planning Expansion of Pacific Public Health Fellowship Program (PPHFP) including placement, mentorship, and capacity.

For Section 10, complete the activities, process measures, outputs, budget period outcomes, and outcome measures for each

10.a Use drop-down list to select strategy selected in section 8:

Human resources for health (HRH) and Public health

• Recruit x1 FTE Regional PPHFP Coordinator to create additional curricula and competencies to support fellows in specific public health functions, such as health communications, business processes, and laboratory

• Based on pilot year evaluation, refine PPHFP policies and procedures and M&E framework, including associated program planning, implementation, and monitoring tools

• Coordinate and expand PPHFP to other USAPI sites, including on-site and virtual promotion of the PPHFP

• Coordinate and expand PPHFP fellowship opportunities to other ancillary services including health administration, laboratory, and pharmacy and health communications o Recruit at least two fellows for health communications for Guam and CNMI. Develop curriculum to include emergency/outbreak response.

o Recruit at least two fellows to be placed in RMI, FSM, or Palau.

These fellows will focus on CDC/NCHHSTP disease areas and support and expand programmatic implementation of PS18-1801

• Coordinate with regional academic and other partners to support skills/capacity development, training, and coaching/mentorship opportunities for PPH Fellows

• Plan and conduct external, mid-term evaluation of the PPHFP in

• Promote the PPHFP to other potential funding partners

• Link the PPHFP to other existing health workforce development agencies/mechanisms, including but not limited to the HRSA’s Pacific Basin and local Area Health Education Centers (AHEC) and local Workforce Investment Act (WIA) agencies and national training centers

• Support PPHFP Fellows to travel to CDC Atlanta and attend executive board meetings as part of their fellowship training

• Regional PPHFP Coordinator hired

• Improvements implemented based on pilot year evaluation, and continued improvement based on lessons learned in subsequent years

• Summary of consults conducted in interested USAPI sites

• Completed assessment of potential ancillary services to include in

PPHFP, including health administration, laboratory and pharmacy

• Consults with regional academic and other partners to support skills/capacity development, training, and coaching/mentorship

• Each year, increased # potential applicants provided by partners

• # applications to PPHFP

• # new Pacific fellows placed in 2 USAPI sites

• Fellows participate in meetings and trainings

• Increased number of junior public health staff meeting basic competencies and who remain in USAPI

• Improved health workforce competencies as a result of milestones assigned and reached by PPH Fellows

• Completed local project assignments for NCHHSTP disease area

• Pacific Pathways Fellowship Program established in at least 1 additional USAPI site

• At least 2 new Pacific Fellows selected and successfully placed in a USAPI health agency or organization

• Satisfactory performance reported in routine performance evaluation

• Improved knowledge, skills, and competencies of fellow

• Increased access to qualified health workforce in participating

USAPI sites

Experience working with the Pacific Public Health Fellowship Program (PPHFP) piolet year. Experience recruiting, placing, and hiring within the USAPI.

Experience providing training and technical assistance to fellows and host sites in the USAPI.

Experience working with public health entities throughout the USAPI and potential host sites.

14 Expected Sub-contractual Work and Recommended Criteria for Selecting Subcontractors, as

No additional instructions.

16 By submitting this project plan, I certify that my CIO currently does not maintain a comparable NOFO related to this proposed CBA project. I understand my CIO is responsible for adhering to all applicable scientific policies and securing requisite clearances in the Scientific Tracking and Reporting System (STARS). I will discuss the project with my Associate Director for Science (ADS) and obtain the appropriate scientific clearances prior to initiating

Note: Please do not use all caps Lymphatic Filariasis Elimination and Prevention in American Samoa Population

Center, Institute, and Office (CIO): CGH

Note: Proposals should not build capacity for CDC or

Eligible population in American Samoa

Budget Period Length: August 1 – July 31

6 Proposed Project Funding for FY21 Activities:

Note: Use whole numbers only

$ 262,336

Select the program strategies and the program outcomes the project should work toward for the length of

Note: Select one to two strategies and select the program outcomes that correlate with the strategies. Each strategy has a short, 8.e ☒ Evidence-based public health practices and services: Activities to strengthen the delivery of essential public health

☒ Increased capacity to assess evidence-based public health practices and services for cultural relevance

☐ Enhanced…