FSM Deparatment Of Health And Social Affairs

FSM Department of Health and Social Affairs, a territorial government entity based in Palikir, Pohnpei, operates as a federal grant recipient delivering public health, mental health, substance abuse prevention and treatment, maternal and child health, and infectious disease surveillance services to the Federated States of Micronesia's approximately 102,843 residents across four island states—Chuuk, Pohnpei, Yap, and Kosrae. The department acts as prime recipient on 186 of 189 total awards (98%), with a 3-award sub-recipient footprint, and holds no federal contract positions.

FSM Department of Health and Social Affairs draws federal support almost exclusively from the Department of Health and Human Services and its component agencies. The top five customer entities by award count account for 63% of the recent portfolio: the Centers for Disease Control and Prevention (36 awards); the Substance Abuse and Mental Health Services Administration (28 awards); the Administration for Children and Families (25 awards); and two counts of the Health Resources and Services Administration (16 and 14 awards respectively, likely reflecting organizational restructuring or separate funding streams). Combined obligated dollars across 189 awards total $186 million, with awards spanning from October 1993 to September 2026.

Recent grant activity reflects core capability pillars. CDC funding anchors preventive health block grants ($105,989 award in September 2026 for the Preventive Health and Health Services Block Grant under CFDA 93.991); public health emergency preparedness and response ($7.357 million annually for workforce and data infrastructure strengthening, awarded December 2022 through November 2027); behavioral risk factor surveillance ($cooperative agreement through July 2029); vaccine-preventable disease prevention ($cooperative agreement through June 2030); and comprehensive cancer control ($cooperative agreement through June 2027). SAMHSA funding supports substance use prevention, treatment, and recovery services ($1.379 million block grant through September 2027 under CFDA 93.959); community mental health services ($937,965 block grant through September 2027); and the State Opioid Response program ($500,000 project grant through September 2027). The Administration for Children and Families funds youth sexual health education—Personal Responsibility Education Program ($333,550 formula grant through September 2028) and State Sexual Risk Avoidance Education grants. The Health Resources and Services Administration funds maternal and child health services ($1.367 million project grant through September 2027 under CFDA 93.994) and pediatric mental health care access expansion. The Office of Population Affairs funds family planning and title X services (5-year project grant through March 2027, with emphasis on telehealth expansion to remote outer islands). Sub-recipient work includes partnerships with the University of Hawaii on the Pacific Regional Central Cancer Registry and with the Association of Maternal and Child Health Programs on rheumatic heart disease prevention.

Awards per year have remained moderate but variable—14 in 2022, declining to 9 in 2025, with only 1 award recorded as of early 2026—suggesting potential pipeline lag in the source data or seasonal award timing. Sixteen awards carry ultimate completion dates within the next twenty-four months, creating recompete exposure across mental health, substance abuse, maternal and child health, and prevention programs. The department's grant strategy reflects territorial health priorities centered on non-communicable disease control, behavioral health services, emergency preparedness, and family planning in a geographically dispersed, resource-constrained island environment where telehealth expansion and workforce development are structural imperatives.