Opportunity Information: Apply for CDC RFA DP 24 0025
A Cultural Approach to Good Health and Wellness in Indian Country (GHWIC) is a CDC cooperative agreement opportunity designed to prevent and better manage chronic diseases in American Indian and Alaska Native communities by putting culture at the center of public health work. The program blends three connected approaches: first, community-selected cultural practices that are family-centered and strengthen resilience, identity, and ties to community and wellness; second, policy, systems, and environmental (PSE) changes that build clinical-community linkages (CCLs) so people can be screened and assessed for chronic diseases and key risk factors and then connected to the right services; and third, PSE strategies and programs that improve the conditions shaping health day to day, such as the built environment, access to healthy foods, tobacco-free policies, and social connectedness, with activities carried out in culturally appropriate ways. Across the opportunity, the chronic disease focus includes commercial tobacco use, diabetes and pre-diabetes, hypertension, obesity, and oral disease, along with referrals into evidence-based or evidence-informed prevention and management supports like self-management and self-monitoring programs.
The opportunity is structured into three separate competitive components, and applicants must submit a separate application for each component they want to pursue. Component 1 is aimed at direct implementation at the local community level. Component 1 applicants are expected to propose at least one activity under each of the three core strategies: culturally grounded, family-centered practices; PSE work that creates or strengthens clinical-community linkages for screening, assessment, and referral; and PSE work that improves community wellness conditions and addresses nonmedical drivers of health. Applicants also need to explain how their activities will reduce barriers that keep people from participating in clinical care, prevention services, and wellness programs. Eligible recipients for Component 1 include federally recognized American Indian Tribes, Alaska Native Villages, and Urban Indian Organizations (UIOs).
Component 2 is designed to expand reach across an entire Indian Health Service (IHS) Administrative Area (or the defined Urban Area for UIOs) by using a hub-and-spoke model. Component 2 applicants must commit to passing through at least 50 percent of their annual award as subawards to at least four Tribes, Villages, UIOs, or other tribal entities within their Area so those subawardees can implement the full set of Component 1 strategies. With the remaining funds, Component 2 recipients must provide technical assistance, training, and resources to all tribal entities in their Area to support planning, implementation, and evaluation of the Component 1 strategies, not only those receiving subawards. They also must help build partnerships and develop tailored communication messages. A key requirement is explaining the subaward approach and rationale, including how subawardees will be selected, to ensure all strategies and activities are addressed over the five-year period of performance. Applicants do not need to name specific subawardees at the application stage. Eligibility for Component 2 is limited to tribal organizations (or qualifying UIO structures for the defined Urban Area) that support all Tribes/Villages in one of the 12 IHS Administrative Areas (or the defined Urban Area) and that have at least four Tribes/Villages or UIOs in their Area.
Component 3 funds the creation of a Tribal Coordinating Center (TCC) with national-level responsibilities that connect the full GHWIC portfolio. Component 3 applicants must propose a TCC that will develop a national communication plan, coordinate with CDC on a national evaluation plan, and build and sustain a Community of Practice (CoP) made up of representatives from each GHWIC recipient. The TCC is expected to facilitate regular CoP meetings to promote shared learning, peer support, and coordination so that lessons and effective practices spread across sites. Component 3 eligibility mirrors Component 2 eligibility (Area-wide tribal organizations or the defined Urban Area structure with at least four Tribes/Villages or UIOs). Component 3 applicants may also apply for Component 2 funding, allowing an organization to both coordinate nationally and support Area-wide subawards and technical assistance.
GHWIC reflects a coordinated CDC effort across multiple parts of the National Center for Chronic Disease Prevention and Health Promotion, specifically the Division of Diabetes Translation, the Division for Heart Disease and Stroke Prevention, the Division of Nutrition, Physical Activity, and Obesity, the Division of Oral Health, the Division of Population Health, and the Office on Smoking and Health. Eligibility overall is limited to federally recognized American Indian Tribes/Alaska Native Villages, Urban Indian Organizations with current Title V Indian Health Care Improvement Act contracts with IHS, and American Indian or Alaska Native tribal organizations. In this notice of funding opportunity, “Area” generally refers to the 12 IHS Administrative Areas, plus an Urban Area defined by the set of UIOs listed by IHS.
From a funding and administrative standpoint, the opportunity is listed as CDC RFA DP 24 0025 under CFDA 93.479, with awards made as cooperative agreements through CDC’s NCCDPHP. The application closing date was June 28, 2024. The award ceiling is $1,450,000, and CDC anticipated making about 30 awards. The program also sits within a multi-year congressional emphasis on expanding GHWIC and building a more comprehensive public health infrastructure in tribal communities, with continued or increased appropriations support in recent fiscal years.Apply for CDC RFA DP 24 0025
- The Centers for Disease Control - NCCDPHP in the health sector is offering a public funding opportunity titled "A Cultural Approach to Good Health and Wellness in Indian Country (GHWIC)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.479.
- This funding opportunity was created on 2024-04-29.
- Applicants must submit their applications by 2024-06-28. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $1,450,000.00 in funding.
- The number of recipients for this funding is limited to 30 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others.
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Frequently Asked Questions (FAQs)
1) What is "A Cultural Approach to Good Health and Wellness in Indian Country (GHWIC)"?
GHWIC is a CDC cooperative agreement opportunity designed to prevent and better manage chronic diseases in American Indian and Alaska Native communities by putting culture at the center of public health work.
2) What is the main goal of this CDC opportunity?
The main goal is to improve chronic disease prevention and management in American Indian and Alaska Native communities through culturally grounded approaches, stronger connections between clinical care and community services, and policy, systems, and environmental changes that improve day-to-day conditions for health.
3) What approaches or strategies does GHWIC combine?
The opportunity blends three connected approaches: (1) community-selected cultural practices that are family-centered and strengthen resilience, identity, and ties to community and wellness; (2) policy, systems, and environmental (PSE) changes that build clinical-community linkages (CCLs) for screening, assessment, and referral into services; and (3) PSE strategies and programs that improve conditions shaping health (such as the built environment, access to healthy foods, tobacco-free policies, and social connectedness) using culturally appropriate activities.
4) Which chronic diseases and risk factors are included in the focus?
The chronic disease focus includes commercial tobacco use, diabetes and pre-diabetes, hypertension, obesity, and oral disease. The opportunity also emphasizes referrals into evidence-based or evidence-informed prevention and management supports, including self-management and self-monitoring programs.
5) What are "policy, systems, and environmental (PSE) changes" in this opportunity?
In this opportunity, PSE changes are strategies that improve the conditions influencing health day to day, such as the built environment, access to healthy foods, tobacco-free policies, and social connectedness. PSE work is also used to create or strengthen clinical-community linkages so people can be screened and assessed and then connected to appropriate services.
6) What are "clinical-community linkages (CCLs)" in the context of GHWIC?
Clinical-community linkages are connections between clinical settings and community-based services so people can be screened and assessed for chronic diseases and key risk factors and then referred and connected to the right prevention or management supports.
7) How is the opportunity structured?
The opportunity is structured into three separate competitive components. Applicants must submit a separate application for each component they want to pursue.
8) Can an applicant apply for more than one component?
Yes. Applicants must submit a separate application for each component they want to pursue. Component 3 applicants may also apply for Component 2 funding, allowing an organization to both coordinate nationally and support Area-wide subawards and technical assistance.
9) What is Component 1 intended to support?
Component 1 is aimed at direct implementation at the local community level.
10) What must a Component 1 application include?
Component 1 applicants are expected to propose at least one activity under each of the three core strategies: (1) culturally grounded, family-centered practices; (2) PSE work that creates or strengthens clinical-community linkages for screening, assessment, and referral; and (3) PSE work that improves community wellness conditions and addresses nonmedical drivers of health.
11) Does Component 1 require addressing barriers to participation in services?
Yes. Component 1 applicants need to explain how their activities will reduce barriers that keep people from participating in clinical care, prevention services, and wellness programs.
12) Who is eligible to apply for Component 1?
Eligible recipients for Component 1 include federally recognized American Indian Tribes, Alaska Native Villages, and Urban Indian Organizations (UIOs).
13) What is Component 2 intended to support?
Component 2 is designed to expand reach across an entire Indian Health Service (IHS) Administrative Area (or the defined Urban Area for UIOs) using a hub-and-spoke model.
14) What is the required subaward (pass-through) level for Component 2?
Component 2 applicants must commit to passing through at least 50 percent of their annual award as subawards to at least four Tribes, Villages, UIOs, or other tribal entities within their Area so those subawardees can implement the full set of Component 1 strategies.
15) How many subawardees are required under Component 2?
At least four Tribes, Villages, UIOs, or other tribal entities within the applicant's Area must receive subawards.
16) What must Component 2 recipients do with the remaining funds (after subawards)?
With the remaining funds, Component 2 recipients must provide technical assistance, training, and resources to all tribal entities in their Area to support planning, implementation, and evaluation of Component 1 strategies, not only those receiving subawards. They also must help build partnerships and develop tailored communication messages.
17) Does Component 2 technical assistance have to cover entities that do not receive subawards?
Yes. Component 2 recipients must provide technical assistance and support to all tribal entities in their Area, not only those receiving subawards.
18) Do Component 2 applicants have to name their subawardees in the application?
No. Applicants do not need to name specific subawardees at the application stage.
19) What must Component 2 applicants explain about their subaward approach?
Component 2 applicants must explain the subaward approach and rationale, including how subawardees will be selected, to ensure all strategies and activities are addressed over the five-year period of performance.
20) Who is eligible to apply for Component 2?
Eligibility for Component 2 is limited to tribal organizations (or qualifying UIO structures for the defined Urban Area) that support all Tribes/Villages in one of the 12 IHS Administrative Areas (or the defined Urban Area) and that have at least four Tribes/Villages or UIOs in their Area.
21) What does "Area" mean in this funding notice?
In this notice of funding opportunity, "Area" generally refers to the 12 IHS Administrative Areas, plus an Urban Area defined by the set of UIOs listed by IHS.
22) What is Component 3 intended to support?
Component 3 funds the creation of a Tribal Coordinating Center (TCC) with national-level responsibilities that connect the full GHWIC portfolio.
23) What is the Tribal Coordinating Center (TCC) expected to do under Component 3?
The TCC is expected to develop a national communication plan, coordinate with CDC on a national evaluation plan, and build and sustain a Community of Practice (CoP) made up of representatives from each GHWIC recipient. The TCC is also expected to facilitate regular CoP meetings to promote shared learning, peer support, and coordination so that lessons and effective practices spread across sites.
24) Who is eligible to apply for Component 3?
Component 3 eligibility mirrors Component 2 eligibility: Area-wide tribal organizations (or the defined Urban Area structure) with at least four Tribes/Villages or UIOs in their Area.
25) Can one organization serve both as the national coordinating center and an Area hub?
Yes. Component 3 applicants may also apply for Component 2 funding, allowing an organization to both coordinate nationally (through the TCC) and support Area-wide subawards and technical assistance.
26) What is the overall eligibility for the opportunity (across components)?
Eligibility overall is limited to federally recognized American Indian Tribes/Alaska Native Villages, Urban Indian Organizations with current Title V Indian Health Care Improvement Act contracts with IHS, and American Indian or Alaska Native tribal organizations.
27) Which parts of CDC are involved in this opportunity?
GHWIC reflects a coordinated CDC effort across multiple parts of the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), including the Division of Diabetes Translation, the Division for Heart Disease and Stroke Prevention, the Division of Nutrition, Physical Activity, and Obesity, the Division of Oral Health, the Division of Population Health, and the Office on Smoking and Health.
28) What type of award is this?
Awards are made as cooperative agreements through CDC's National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).
29) What is the funding opportunity number and CFDA listing?
The opportunity is listed as CDC RFA DP 24 0025 under CFDA 93.479.
30) What was the application closing date for this opportunity?
The application closing date was June 28, 2024.
31) What is the award ceiling?
The award ceiling is $1,450,000.
32) How many awards did CDC anticipate making?
CDC anticipated making about 30 awards.
33) How long is the period of performance referenced for Component 2?
Component 2 references ensuring strategies and activities are addressed over a five-year period of performance.
34) What is meant by placing "culture at the center" of public health work in GHWIC?
Within this opportunity, placing culture at the center means supporting community-selected cultural practices that are family-centered and strengthen resilience, identity, and ties to community and wellness, while carrying out chronic disease prevention and PSE activities in culturally appropriate ways.
35) What kinds of community conditions does GHWIC aim to improve through PSE strategies?
Examples named in the opportunity include the built environment, access to healthy foods, tobacco-free policies, and social connectedness, with activities carried out in culturally appropriate ways.
36) Does this opportunity mention evidence-based supports for participants?
Yes. The opportunity includes referrals into evidence-based or evidence-informed prevention and management supports such as self-management and self-monitoring programs.
37) What is the hub-and-spoke model in Component 2?
Component 2 uses a hub-and-spoke approach where the Component 2 recipient serves as an Area-wide hub that passes through at least 50 percent of funding to multiple subawardees (the spokes) to implement the Component 1 strategies, while the hub also provides technical assistance, training, resources, partnership-building, and tailored communication support across the entire Area.
38) What is the Community of Practice (CoP) under Component 3?
The CoP is a group made up of representatives from each GHWIC recipient, convened and supported by the Tribal Coordinating Center to promote shared learning, peer support, coordination, and the spread of lessons and effective practices across sites.
39) What is the administering CDC center for the awards?
The awards are made through CDC's National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).
40) How does congressional emphasis relate to this opportunity?
The opportunity is described as part of a multi-year congressional emphasis on expanding GHWIC and building a more comprehensive public health infrastructure in tribal communities, with continued or increased appropriations support in recent fiscal years.
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