Opportunity Information: Apply for HRSA 22 066

The Catalyst for Infant Health Equity (HRSA-22-066) is a discretionary federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), offered as a cooperative agreement. The program is designed to push down overall infant mortality in the United States while also making faster, steeper improvements for the racial and ethnic groups experiencing the highest infant mortality rates. The central idea is not simply to fund clinical services, but to help communities tackle the upstream drivers of inequity so that the gap in outcomes between groups narrows and, over time, is eliminated.

A key feature of this opportunity is its focus on reducing "excess infant deaths," meaning infant deaths that occur because a group has a higher infant mortality rate than non-Hispanic White infants. HRSA uses this concept to prioritize places where disparities translate into the largest number of preventable deaths, not only where rates are high. As a result, counties or comparable jurisdictions with larger numbers of excess infant deaths are treated as priority areas because progress there can have a bigger impact on national inequities. For this program, "jurisdiction" is defined broadly and can include tribal areas, the District of Columbia, municipalities in Puerto Rico, and similar geographic entities in U.S.-affiliated Pacific Islands and Freely Associated States.

The awards are meant to support implementation of existing, already-developed action plans, not the creation of new plans from scratch. Those action plans must use data-driven policy and systems strategies that address the social and structural determinants of health that contribute to infant mortality disparities. Social determinants are described in terms of environmental, social, and economic conditions, while structural determinants include institutions, systemic barriers, and policies, including issues tied to systemic racism, discrimination, and institutional practices. Projects are expected to be targeted to a defined priority population within a specific county or jurisdiction, typically the racial or ethnic group experiencing the highest infant mortality rates or the greatest number of excess infant deaths in that locality.

HRSA aligns the work with Healthy People 2030's five social determinants of health domains, and applicants are expected to implement policy and systems strategies drawn from at least one of these domains. Those domains are: Economic Stability; Education Access and Quality; Health Care Access and Quality; Neighborhood and Built Environment; and Social and Community Context. Importantly, recipients are expected to select objectives within their chosen domain(s) that are plausibly connected to birth outcomes and that can credibly contribute to reducing the local infant mortality disparity for the priority population.

During the period of performance, award recipients are expected to deliver work across three main focus areas. First is Action Plan Implementation, meaning carrying out a pre-existing plan that includes specific policy and systems changes aimed at reducing racial and ethnic disparities in infant mortality within the chosen county or jurisdiction. Second is Strategic Partnerships, which emphasizes building and sustaining a cross-sector network that can actually move systems and policy changes forward. This includes working with state and local partners, explicitly including agencies that administer the State Title V Maternal and Child Health Block Grant Program, and also engaging community members and people with lived experience to ensure the work is grounded in real conditions and remains accountable to the populations most affected. Third is Outcome Evaluation, requiring recipients to continuously assess implementation progress and track whether the work is reducing both overall infant mortality and the disparity for the priority population in the target area.

Eligibility is broad and includes state, county, and local governments; special districts; independent school districts; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities; nonprofits with or without 501(c)(3) status; for-profit organizations (including small businesses); and other applicants as clarified in the funding notice. The award ceiling listed is $500,000, with an expected total of five awards under this competition. The notice was created January 19, 2022, with an original closing date of April 19, 2022.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Catalyst for Infant Health Equity" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926.
  • This funding opportunity was created on Jan 19, 2022.
  • Applicants must submit their applications by Apr 19, 2022 I. (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 $500,000.00 in funding.
  • The number of recipients for this funding is limited to 5 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 22 066

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