Advancing System Improvements for Key Issues in Women's Health

Active

Assistance listing
93.088
Agency
Grant awards
111 $157,400,332 in federal obligations

Program facts

Also known as
Improving Health of Women and Girls
Assistance types
  • Project Grant
  • Cooperative Agreement
Treasury account
  • 75-0120-0-1-550
More information

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Department of Health and Human Services Office of the Assistant Secretary for Health funds program and systems innovation, policy, and strategic communications to advance women's health through evidence-based methodologies, with the most recent award made May 19, 2026 (CFDA 93.088).

The program funds demonstration projects, training initiatives, and care coordination models addressing high-burden gynecological and reproductive health conditions, maternal health crises, and violence prevention. Recent awards support multidisciplinary clinical care programs for polycystic ovary syndrome and endometriosis; provider and patient education on reproductive health conditions in federally qualified health centers; web-based peer support platforms for pregnant and postpartum women with substance use disorders; integrated screening and response to intimate partner violence and substance use disorder in perinatal care; eating disorder detection and intervention in adolescent girls; and training to identify and address bulimia nervosa in underserved communities. A significant share of awards address the intersection of intimate partner violence, substance use disorder, and maternal mortality, with projects establishing state-level coordination bodies, implementing evidence-based screening protocols, and developing public health surveillance systems.

Awards are predominantly Project Grants (59 percent) with a smaller share of Cooperative Agreements (41 percent). The Department of Health and Human Services Office of the Assistant Secretary for Health issued 102 awards accounting for $148.5 million in federal dollars obligated; the HHS Immediate Office of the Secretary issued 9 awards accounting for $8.9 million. Combined federal and non-federal dollars obligated total $158.6 million across 111 awards since 2007. Award cadence has been variable—one award was made in 2026 to date; 19 awards in 2022; 14 in 2021; and 8 in 2019. Recent awards have ranged from $800 thousand to $7.5 million; a single mega-award of $19.1 million to JSI Research & Training Institute supported the National Training Center for Family Planning and Teen Pregnancy Prevention.

Recent project grants funded medical nutrition therapy for polycystic ovary syndrome in Houston ($1.6 million), intimate partner violence and substance use disorder training in West Virginia ($4.2 million), multidisciplinary PCOS clinical care at an academic hospital ($1.3 million), endometriosis screening in women with opioid use disorders in New Jersey ($1.75 million), and eating disorder interventions for adolescents in Missouri ($3.5 million). A cooperative agreement to HATCH, INC. for $7.5 million (awarded May 2026, completing May 2028) represents recent funding at scale.

Multiple grant opportunities are currently open or recently posted. WH-AST-26-003 (NAVIGATE Reproductive Center of Excellence) and WH-AST-26-004 (Medical Forensic Access Initiative) both closed August 5, 2026. WH-AST-26-001 and WH-AST-26-002 (Safe Homes initiatives for sexually exploited and abused women and girls) closed July 20, 2026. WH-AST-25-001 (Pregnancy and Postpartum Hypertension Control Initiative) closed April 2, 2025 but remains in the opportunity record. The program has posted opportunities annually across women's health priorities including maternal mortality reduction, reproductive health condition management, violence prevention, and emerging threats like eating disorders and opioid misuse.

Objective and description

Objective

To promote program and systems innovation, policy and performance management, and strategic communications that will advance improvement for key issues in women's health. Programs will use evidence-based methodologies to support model programs, infor

Eligibility

Applicant eligibility

Nonprofit organizations may be required to provide evidence of tax-exempt status. When projects involve the collaborative efforts of more than one organization or require the use of services or facilities not under the direct control of the applicant, written assurances of specific support or agreements may be required from the affected parties.

Beneficiary eligibility

All women and girls, adults and children. Project activities must not involve the selection or exclusion of participants based on race or ethnicity.

Uses of assistance

Funds may be used to implement evidence-based strategies to achieve program objectives. Applicants should identify, test, evaluate, and promote effective, sustainable programs, policies and strategic communications for women and girls. Funds are to support reasonable program purposes including staffing, supplies, and services. Any restrictions on costs are described in the Notice of Funding Opportunity.

Length and time phasing of assistance

Awards are generally funded in 12-month budget period(s). Awards generally have a period of performance of 1 to 3 years, but may be up to 5 years. Support beyond the first year is contingent upon acceptable evidence of satisfactory progress, availability of funds, continuing program relevance, and best interests of the government. A competitive additional budget period may be offered for the purpose of funding selected recipients in transitioning successful projects to sustainability once the period of performance ends. Funding for this additional budget period is not guaranteed nor do we expect it to be at the same level of any previous budget periods.

How to apply

Application procedure

To apply, applicants must access the Notice of Funding Opportunity (NOFO) thru www.grants.gov. Enter the Assistance Listing number and follow the website instructions. Applications received after the deadline will not be accepted for review. The submission deadline will not be extended. Applications which do not conform to the requirements of the NOFO will be deemed ineligible and not reviewed. Applications may only be submitted electronically via www.grants.gov. Any applications submitted via any other means of electronic communication, including electronic mail, will not be accepted for review.

Criteria for selecting proposals

An independent review panel evaluates applications that pass the screening and meet the responsiveness criteria in the Notice of Funding Opportunity (NOFO). These reviewers are experts in their fields, and are drawn from academic institutions, non-profit organizations, state and local government, and Federal government agencies. Based on the Application Review Criteria as outlined in the NOFO, the reviewers will comment on and rate the applications, focusing their comments and rating decisions on the identified criteria. In addition to the independent review panel, Federal staff will review each application for programmatic, budgetary, and grants management compliance.

Award procedure

Final award recommendations will be made by the head of the program office to the Grants Management Officer, using information from the independent merit review panel and the Federal staff reviews. Following a risk assessment as required by 45 CFR part 75, the Grants Management Officer may issue awards. Funded organizations receive a Notice of Award that includes all of the details of their award, and are assigned to a project officer from the program office and a Grants Management Specialist from the OASH Grants and Acquisitions Management Division.

Renewals

Support is recommended for a specified period of performance, not in excess of five years. Awards are generally made in 12-month budget periods. Budget periods after the first are generally made after review and approval of a non-competing continuation application subject to satisfactory performance, availability of funds, and the best interest of the government. A recipient may request a no cost extension or may compete for a new award under a posted notice of funding opportunity in this program.

Appeals

All funding decisions, including the level of funding, are final and not appealable.

Grant opportunities

Opportunity Status Posted Applications due
Medical Forensic Access Initiative WH-AST-26-004 Closed
NAVIGATE Reproductive Center of Excellence (Network for Assessment, Validation, Innovation, Guidance, Access, Treatment and Evaluation) WH-AST-26-003 Closed
Protecting Women and Girls through Founding and Replication of Existing Long-Term Safe Homes WH-AST-26-002 Closed
Protecting and Rehabilitating Sexually Exploited Women and Girls Through Long-Term Safe Homes WH-AST-26-001 Closed
Pregnancy and Postpartum Hypertension Control Initiative WH-AST-25-001 Past —
Reducing Maternal Deaths Due To Substance Use Disorder WH-AST-22-003 Closed
Addressing Eating Disorders and the COVID-19 Pandemic WH-AST-22-005 Closed
Violence Against Women and Substance Use Prevention Initiative WH-AST-22-004 Closed
Endocrine-Disrupting Chemicals and Health Literacy Initiative WH-AST-22-002 Past —
Improving Maternal Health through Addressing Endometriosis, Fibroids, and/or Polycystic Ovary Syndrome WH-AST-22-001 Closed
State, Local, Territorial, and Tribal (SLTT) Partnership Programs to Reduce Maternal Deaths due to Violence WH-AST-21-003 Closed
State, Local, Territorial, and Tribal (SLTT) Partnership Programs to Reduce Maternal Deaths due to Violence WH-AST-21-002 Closed
Addressing Infertility through Improved Body Literacy and Optimized Menstrual Cycle Health WH-AST-21-001 Past —
National Training Center for Family Planning and Teen Pregnancy Prevention WH-AST-20-002 Closed
Preventing HIV Infection in Women through Expanded Intimate Partner Violence (IPV) Prevention, Screening, and Response Services WH-AST-19-001 Closed
FY17 Prevention of Opioid Misuse in Women: Office on Women Health Prevention Awards (OWHPA) WH-AST-17-001 Closed
FY15 College Sexual Assault Policy and Prevention Initiative WH-AST-15-002 Closed
FY15 The IPV Provider Network: Engaging the Health Care Provider Response to Interpersonal Violence Against Women WH-AST-15-001 Closed
Show all 18

Grant awards

Award Recipient Federal obligations Awarded
Hatch, INC ASTWH260124 Hatch Inc. $7,500,000
Focus on integrating response, screening, and training (first) for women in kentucky - the pacific institute for… ASTWH220123 Pacific Institute For Research & Evaluation $2,999,429
Safe mothers in texas ASTWH220122 Texas A & M University System Health Science Center $2,851,394
Experiences with the diagnosis and treatment of endometriosis among a racially and ethnically diverse population to… ASTWH220121 The Regents Of The University Of Colorado $1,219,859
Does embedding a program with specialty trained registered dietitians improve patient access to medical nutrition… ASTWH220120 University Of Texas Health Science Center At Houston $1,601,178
Mujeres CON confianza, women with confidence, an evidence-based program to improve women's health - university health… ASTWH220119 Bexar County Hospital District $1,080,000
Centering(patientswith)fibroids - uterine fibroids (UF), smooth muscle neoplasms of the myometrium, affect nearly 80%… ASTWH220118 Boston Medical Center Corporation $1,887,347
A demonstration project to implement and evaluate a multi-disciplinary pcos clinical care and patient navigation… ASTWH220117 The Regents Of The University Of Colorado $1,346,067
Improving maternal health in an fqhc - a federally qualified health center with a network of 30 clinics in LOS… ASTWH220116 Altamed Health Services Corporation $1,350,000
Partnering to navigate polycystic ovary syndrome - background maternal morbidity and mortality are increasing in the… ASTWH220115 University Of North Carolina At Chapel Hill $1,238,373

Latest 10 of 111 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 JSI Research & Training Institute Inc. $19,131,650 12%
2 Futures Without Violence $10,516,993 7%
3 Hatch Inc. $7,500,000 5%
4 University Of Mississippi Medical Center $4,860,386 3%
5 Virginia Commonwealth University $4,429,897 3%
6 The Hektoen Institute For Medical Research $4,172,273 3%
7 George Mason University $3,988,468 3%
8 The Johns Hopkins University $3,604,745 2%
9 The Washington University $3,531,739 2%
10 City Of Philadelphia $2,999,824 2%

10 of 99 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $6,761,562
FY2025 $3,829,125
FY2024 $17,920,560
FY2023 $20,688,240
FY2022 $38,886,577
FY2021 $7,237,745
FY2020 $8,591,177
FY2019 $4,689,900
FY2018 $5,778,595
FY2017 $9,812,597
FY2016 $5,902,838
FY2015 $5,631,918
FY2014 $1,540,480
FY2013 $1,549,816
FY2012 $2,537,500
FY2011 $3,071,593
FY2010 $4,976,337
FY2009 $4,447,332
FY2008 $31,500
FY2007 $4,627,356
Show all 20

Quick answers

What is Assistance Listing 93.088?

Assistance Listing 93.088 is Advancing System Improvements for Key Issues in Women's Health, a federal grant program run by Office of the Assistant Secretary for Health (Department of Health and Human Services).

What is the CFDA number for Advancing System Improvements for Key Issues in Women's Health?

Its CFDA number is 93.088: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.088 awarded?

111 grant awards under 93.088 have obligated $157,400,332 in federal funds to 99 recipients.

Who receives the most funding from 93.088?

The recipients obligated the most under Advancing System Improvements for Key Issues in Women's Health are JSI Research & Training Institute Inc. ($19,131,650), Futures Without Violence ($10,516,993) and Hatch Inc. ($7,500,000).

How much did 93.088 obligate in fiscal year 2025?

Grants under 93.088 obligated $3,829,125 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.088?

No opportunity listed under 93.088 is open now. The latest, Medical Forensic Access Initiative, was posted on June 25, 2026.

On GovTribe

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