County Of Black Hawk

County of Black Hawk Black Hawk County Public Health Division, doing business as Health Dept, is a U.S. local government entity (county-level public health agency) based in Waterloo, Iowa, that acts as a federal grant recipient delivering public health services including lead hazard control, disease prevention, immunization support, and nutrition education under awards from the Department of Housing and Urban Development and the Department of Health and Human Services. The vendor operates as a prime recipient on one active federal grant and as a sub-recipient on eleven federal grants flowing through the Iowa Department of Public Health and the Iowa Department of Human Services, making it overwhelmingly a sub-recipient organization (92% of recent federal funding activity).

Black Hawk County Health Department's funding profile concentrates on federal public health and community health programs. The top customer agencies by award count — the Department of Agriculture Food and Nutrition Service, the Department of Health and Human Services Centers for Disease Control and Prevention, and the Department of Health and Human Services Health Resources and Services Administration — account for 75% of recent awards. The vendor's primary role sits downstream as a sub-recipient: it receives sub-awards from state prime recipients rather than holding its own federal contract vehicles or IDVs. The single prime grant award is a $1,021,568 Project Grant from HUD's Office of Healthy Homes and Lead Hazard Control under the Lead-Based Paint Hazard Reduction (LHR) Grant Program (CFDA 14.900), effective June 15, 2026, through June 15, 2029, which funds comprehensive lead hazard identification, control, and abatement work in pre-1960 housing in Black Hawk County, with emphasis on protecting children under six years of age in low-income neighborhoods. The grant scope includes inspections, risk assessments, interim controls, abatement work, and capacity-building through training and certification of local lead-safe work practitioners and development of community-based partnerships integrating lead control with broader housing health initiatives.

Sub-recipient work flows through Iowa state agencies. The Iowa Department of Public Health has awarded Black Hawk County Health Department multiple sub-awards since July 2023 addressing immunization expansion, syndemic HIV/viral hepatitis/STI prevention and testing services (SPOTS program), disease intervention specialist staffing for STI partner services, and HIV and hepatitis C testing with linkage to medical care. The Iowa Department of Human Services has awarded sub-grants for SNAP-eligible nutrition education (SNAP-Ed) and related outreach. Activity has grown from one award in 2023 to six awards in 2025, with combined dollars obligated across all awards totaling $1.6 million. The vendor's operational footprint is Black Hawk County, Iowa; place of performance aligns with county-level public health service delivery in that region.