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U.S. Department of Health and Human Services: Healthy Start Initiative – Eliminating Disparities in Perinatal Health

Deadline: November 27, 2018

The Healthy Start (HS) program improves health outcomes before, during, and after pregnancy, and reduces racial/ethnic differences in rates of infant death and adverse perinatal outcomes. The HS program provides grants to high-risk communities with infant mortality rates at least 1.5 times the U.S. national average and high rates of other adverse perinatal outcomes (e.g., low birthweight, preterm birth, maternal morbidity and mortality). HS works to reduce the disparity in health status between the general population and individuals who are members of racial or ethnic minority groups.

The HS program aims to address its purpose by:

  • Improving access to quality health care and services for women, infants, children, and families through outreach, care coordination, health education, and linkage to health insurance
  • Strengthening the health workforce, specifically those individuals responsible for providing direct services
  • Building healthy communities and ensuring ongoing, coordinated, comprehensive services are provided in the most efficient manner through effective service delivery
  • Promoting and improving health equity by connecting with appropriate organizations

Success in these aims should lead to reduced infant mortality, improved birth outcomes, improved maternal/family health, improved child health, and reduced disparities in maternal, infant and child health in HS communities.

Every HS project funded under this notice should serve no less than: 300 pregnant women; 300 infants/children up to 18 months, preconception women, and interconception women (combined); and 100 fathers/male partners affiliated with HS women/infants/children, for a total of at least 700 program participants per calendar year.

Beginning in FY 2019, the HS program will serve infants and families for the first 18 months after birth. This is a change from the current program design, which includes support for infants and families up to 2 years after birth.

Applicants shall propose projects that include the following core elements:

  • Improve Women’s Health: Activities to improve coverage, access to care, and health promotion and prevention, and health for women before, during, and after pregnancy.
  • Improve Family Health and Wellness: Activities to improve infant health and development using a two-generation approach. Acknowledging the health of families are interrelated, applicants shall support the parental and community factors that promote family health and wellness, including system coordination/integration, health promotion and prevention, and social support services that protect and advance parental and infant/child health and wellbeing.
  • Promote Systems Change: Activities to maximize opportunities for community action to address social determinants of health (SDOH), including systems coordination and integration among health and social services, other providers, and key leaders in the community and their states. Applicants shall provide regional and national leadership within the greater HS community and field of maternal and child health (MCH).
  • Assure Impact and Effectiveness: Activities to conduct ongoing HS workforce development, data collection, Quality Improvement, performance monitoring, and evaluation activities in order to identify best practices, demonstrate implementation of evidence-based practices, and report on results.

Amount: $95,000,000 is available for approximately 100 grants. In Year 1, the maximum grant is $892,500; in Years 2-5 the maximum grant is $950,000.

Eligibility: Domestic public and private entities, faith-based and community-based organizations, tribes, and tribal organizations.

Link: https://www.grants.gov/web/grants/view-opportunity.html?oppId=307918

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