Funding Opportunity Overview

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1 Funding Opportunity Overview Reducing Disparities in Breastfeeding through Peer and Professional Lactation Support Call-In for Audio Access Code: Nikia Fuller-Sankofa, MPH, MPA Director, Breastfeeding Project National Association of County and City Health Officials (NACCHO)

2 Agenda Welcome and Introductions NACCHO Breastfeeding Project Overview Overview of the Funding Announcement Application Selection & Submission Question & Answer

3 National Association of County and City Health Officials Non-profit, 501(c)(3), membership organization National voice for approximately 2,800 city, county, metro, district, and tribal local health departments (LHDs) across the nation Headquarters located in Washington, DC

4 National Association of County and City Health Officials Vision: Health, equity and security for all people in our communities through public health policies and services Mission: To be a leader, partner, catalyst and voice for local health departments in order to ensure conditions that promote health and equity, combat disease, and improve the quality and length of all lives

5 NACCHO Programs Chronic Disease Infectious Diseases Maternal, Child and Adolescent Health Injury and Violence Prevention Health Equity & Social Justice Community Health Public Health Infrastructure Accreditation Preparation & QI Community Health Assessment Workforce Development Environmental Health Public Health Preparedness Climate Change Community Design/Land Use Planning Health Impact Assessment Health in All Policies Biosurveillance Medical Reserve Corps Pandemic Influenza Preparedness Radiation Preparedness

6 Reducing Disparities in Breastfeeding through Peer and Professional Lactation Support Funding provided by the Centers for Disease Control and Prevention (CDC) Funding for a 6-month community-level, peer and professional support project, provided federal funding availability Purpose Increase implementation of evidence-based breastfeeding programs, practices, and services at the community level. Focus on providing peer and professional lactation support to breastfeeding mothers in predominantly African American and underserved communities Develop and maintain public health partnerships critical to building community support for breastfeeding. Goal Increase breastfeeding initiation, duration, and exclusivity among African American and underserved populations in the U.S.

7 Breastfeeding Support Network Activities Identify LHDs that can implement breastfeeding support activities in partnership with local EMPower hospital(s) Provide financial, training, and technical assistance resources to support LHD and CBO efforts to develop or enhance peer and professional lactation services, expertise, and capacity Engage state and local breastfeeding coalitions as a part of the local or community-level partnerships Collaborate with national partners to support project activities Evaluate process and reach of community-level peer and professional lactation support Disseminate information about peer and professional lactation support activities

8 Breastfeeding Support Network Logic Model INPUTS ACTIVITIES OUTPUTS SHORT TERM OUTCOMES INTERMEDIATE & LONG TERM OUTCOMES Funding, guidance and support from CDC, DNPAO NACCHO staff, T/TA, coaching National Partner Support (USBC & ASTHO) Breastfeeding Research & Programs (CDC Guide to Breastfeeding Interventions) Consultants (Evaluators, Trainers, etc.) Site Recruitment & Selection Regional Planning Meetings Training & Technical Assistance Needs Assessment Work Plan Development Resources & Support (funding, resources & materials, coaching) Training & Technical Assistance (distance and in-person) Process & Outcome Evaluation Community Engagement & Interaction National Partner Meetings & Coordination Breastfeeding Community of Practice LHD/CBO Work Plans Community-level peer and professional lactation support RFA Process Breastfeeding Support T/TA Assessment T/TA Plans, Materials and Resources Breastfeeding Community of Practice Evaluation Plan and Report Increased # of LHDs and CBOs that provide peer and professional lactation services, expertise, and support Increased # of African American and underserved women reached in early post-partum period (birth to 2 months) Increased # of African American and underserved breastfeeding mothers in the early post-partum period Increased # access points (community, hospital, clinic, worksite) that promote and reinforce healthful behaviors and practices across the life span related to breastfeeding Increased breastfeeding initiation, duration, and exclusivity Improved prevention and control of overweight and obesity

9 Reducing Disparities in Breastfeeding through Peer and Professional Support FUNDING ANNOUNCEMENT

10 Funding Announcement Highlights Estimated Available Funds: $320,000 Number of Awards: 5-10 Period of Performance: Not to Exceed 6 months* Range of Awards: $35,000-$50,000 Anticipated Start Date: January 15, 2016 Contract End: June 30, 2016 Type of Award: Reimbursement Sub-Award * Performance period contingent upon availability of federal funds.

11 Schedule of Events Event Date/Time Notice of Intent to Invite November 19, 2015 RFA Available to LHD November 24, 2015 Application Submission Deadline December 21, 2015, 12:00 pm E.T. Award Notification Date December 30, 2015 Anticipated Contract Start Date January 15, 2016 Grantee Opening Meeting January 2016 (Exact date TBD) Grantee Closing Meeting April 19-20, 2016 Contract End Date June 30, 2016

12 Eligibility Invited LHDs who have an EMPower Hospital within their service jurisdiction and willing to partner with the EMPower Hospital to provide community support breastfeeding services. The LHD may defer this application to a designee, including: Other, non-lhd, governmental entities Community-based organizations or non-profits (e.g., coalitions or task forces) Faith-based organizations (e.g., churches and other places of worship) Tribal governments and organizations Community Health Centers, hospitals, and health clinics Serving predominantly African American or Underserved Populations At least 50% of population is African American or Underserved Underserved populations may include low income (as defined by Medicaid Eligibility) or other Racial/Ethnic minority groups (e.g. Native American, etc.)

13 Contract Terms No modifications to the terms or contract language will be made. LHD applicants that cannot agree to NACCHO s standard contract language should NOT apply for this initiative. LHDs can identify a designee. NACCHO s standard contract language is provided in the RFA Announcement. NACCHO will reimburse grantees, bi-monthly (i.e., every other month), upon receipt of deliverables and invoices outlining approved project expenses.

14 Program Expectations Attend two regional grantee meetings (January 2016 and April 2016) Develop and refine a 6-month work plan to provide lactation support for African American and underserved women. Participate in assessments to determine training and technical assistance needs of the organization and staff. Participate in monthly conference calls, project-related webinars, and other activities to support Breastfeeding Project activities and capacity-building in the local organization.

15 Program Expectations Implement peer or professional lactation support activities, as defined in the project work plan. Collect individual participant data to facilitate understanding of program activity reach. Report aggregate data related to services provided, including but not limited to: number of women served, by race and age; number of women reached, by race and age; and number of referrals or connections to local resources. Participate in project-related evaluation activities, including pre-post assessments, focus groups, and other identified evaluation activities.

16 NACCHO Support Provide background information related to the project, including access to NACCHO reports, data, and other resources necessary to complete the tasks above. Support an online community of practice portal to disseminate data and information to the project sites. Provide direct technical assistance for completion of tasks, including periodic webinars and phone or consultations. Provide tools, guidance, and assistance to support organizational capacity to collect and report project data and evaluate project activities. Assist in the development of sustainability plans for project activities.

17 Reducing Disparities in Breastfeeding through Peer and Professional Lactation Support PROPOSAL RESPONSE

18 Application Guidelines No more than 5 double-spaced, 8½ x 11, pages when printed by NACCHO Use easily readable typeface, such as Times New Roman, Calibri, or Arial, 12-point font Appendices should be no more than 5, 8½ x 11, pages when printed by NACCHO Budget Worksheet and Project Work Plan are not counted in the page limitation requirements All pages, charts, figures, and tables should be numbered Tables may be singe-spaced and use alternate fonts, but must be easily readable

19 Proposal Response Format A. Cover Sheet B. Problem Statement C. Proposal Overview D. Organizational Capacity and Experience E. Work Plan and Timeline F. Budget Proposal G. Attachments

20 A. Cover Sheet Applicants must complete the Vendor Information Form and submit as the application s cover sheet. The cover sheet will be used in the event that the submitting agency is selected and engages in a contract with NACCHO

21 B. Problem Statement Describe the target population, providing: Community demographics (e.g., racial/ethnic data, population size) Breastfeeding data related to the target population Disparities in breastfeeding initiation, duration, and exclusivity Describe how the project will assist with improving: Breastfeeding rates among the target population Current landscape of breastfeeding policies and practices in the target population Community needs related to implementing evidence-based and innovative breastfeeding programs, practices, and services Community needs related to developing and maintaining public health partnerships for breastfeeding

22 C. Proposal Overview Describe the proposed project and how the project will meet the overall project goals and scope of work outlined Describe how the project will enhance your organization s ability to: Implement evidence-based and innovative breastfeeding programs, practices, and services Develop and maintain public health partnerships for breastfeeding

23 Community-Level Breastfeeding Support Approaches Step 3 Inform all pregnant women about the benefits and management of breastfeeding. Gap Analysis Development of Consistent Messaging/Materials in the community and hospital Infant Feeding Classes/Childbirth Education Classes Peer/Professional-Led Support Groups Prenatal Provider outreach/partnership to promote breastfeeding Italicized items can be considered for Step 3 and Step 10

24 Community-Level Breastfeeding Support Approaches Step 10 Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or birth center. Development and Distribution of Community Resource Guide Development of a Referral Network for Community Lactation Support Breastfeeding Clinics (e.g., Baby Cafes) Pediatric/Family Provider outreach/partnership to support breastfeeding Inpatient or Outpatient lactation support services provided in a hospital or clinic setting Staff training to improve or enhance skills of current staff in lactation care, counseling, and case management in a community setting Local Breastfeeding Coalition or Advisory Board development and planning

25 D. Organizational Capacity and Experience Describe your organization mission and structure, and explain how your organization s efforts align with the aims of this project Describe your organizational/agency and staff qualifications and experience engaging in breastfeeding promotion efforts that involve: Implementing evidence-based and innovative breastfeeding programs, practices, and services Developing and maintaining public health partnerships for breastfeeding. Identify key staff responsible for completing your proposed work and provide sufficient detail to demonstrate knowledge, skills, and abilities to perform the functions outlined in the RFA Describe your organization s capacity to collect or obtain data regarding services provided and women served

26 E. Project Work Plan and Timeline Applicants must prepare a detailed 6-month work plan for the entire project period Work plans should not exceed 4 pages Work plans should be submitted using the template provided in the RFA Work plan objectives/activities should clearly indicate a partnership between the LHD and/or Designee and address how the partnership benefits the organizations and the community served.

27 Examples of Breastfeeding Support Activities The community-level breastfeeding supports previously identified for Step 3 and Step 10 provide the full range of examples and are inclusive of all activities that can be implemented as part of this funding opportunity. While applicants can combine examples of activities (e.g., do a gap analysis in addition to another activity), applicants must include the aforementioned activities which speak to Steps 3 and 10 of the Ten Steps to Successful Breastfeeding. Applicants should identify those appropriate activities and strategies to help them meet the breastfeeding support needs of their community, as identified in their problem statement.

28 F. Budget Proposal Applicants must develop a 6-month line-item budget proposal Budgets should not exceed $50,000 Use budget template provided in the RFA Personnel & Fringe costs may not exceed 50% of the total project budget Budget Categories Personnel Fringe Benefits Indirect Costs Consultant Costs Supplies Project-Related Travel Staff Training Other NACCHO reserves the right to modify or adjust awarded amounts based on funds available.

29 Budgeting for Project Expenditures Allowed Expenditures Staff Salary & Fringe Benefits Costs Indirect Costs for Overhead Consultant Costs Supplies to Support Project Activities Project-Related Travel Staff Training (e.g. breastfeeding, counseling, etc.) Other Project-Related Expenses Non-Allowed Expenditures Alcoholic Beverages Bad Debts Contributions and donations Entertainment Costs Fines and Penalties Goods and Services for Personal Use Lobbying Losses on Other Awards Exam Fees

30 G. Attachments (1 of 3) Project work plan Budget worksheet Hyperlink to current A-133 audit report OR Certification of Non-Applicability

31 G. Attachments (2 of 3) Letters of Support (REQUIRED) Provide one letter of support, on official letterhead, from your fiscal agent or person authorized to establish a contract with NACCHO. The letter should include the following statements: I have received a copy of NACCHO s standard contract language and reviewed the terms and conditions within. This agency is authorized to commence project activities upon notification of award.

32 G. Attachments (3 of 3) Letters of Support (REQUIRED) Provide one letter of support, on official letterhead, from an EMPower hospital(s) to demonstrate that your agency has the necessary partnership to fully engage in the Breastfeeding Project. If the LHD identifies a designee to submit the application, please provide one letter of support, on official letterhead, from your local health officer indicating why the designee is most appropriately positioned to engage the Breastfeeding Project and outlining the partnership between the LHD and the designee organization.

33 Reducing Disparities in Breastfeeding through Peer and Professional Lactation Support SELECTION CRITERIA AND SUBMISSION

34 Submission Instructions Due December 21, 2015 at 12:00 pm E.T. Responses received after this deadline will not be considered Submit applications in a single to Subject Line: Breastfeeding RFA Organization Name Application can include multiple attachments (preferably in.pdf format) NACCHO will confirm receipt of all applications NOTE: receipt of applications does not guarantee verification of completeness

35 Selection Criteria Completeness of the Proposal Narrative (Parts B D) Evidence of need (e.g., population demographics) and ability to address needs of target population Evidence of agency capacity to carry out the proposed activities in partnership with local EMPower hospital(s) Evidence of a history of working with local stakeholders to effect positive change Completeness, clarity, and perceived ability to implement proposed work plan (e.g., timeline, goals, objectives, evaluation) Realistic and appropriate budget Letter(s) of Support Demonstration of overall commitment

36 Award Notices Award notifications are anticipated to be made on or about December 30, 2015 Selected applicants Notification via or telephone of the final outcome Submission of standard NACCHO contract for approval Standard contract will include: Award Amount, Purpose of Grant, Scope of Work, and Terms and Condition Non-selected applicants will be notified by letter of the final outcome

37 Application Tips Read the entire RFA and application materials BEFORE writing Read and follow instructions for completing the application and supporting documents Read the selection criteria Do NOT exceed the 5-page limit for the project narrative Complete the Budget Worksheet Turn in application no later than 12:00 p.m. ET on December 21st, 2015 Submit a single with ALL application materials as attachments Use subject line: Breastfeeding RFA Organization Name Remember that the RFA is the primary guide to programmatic requirements

38 Application Technical Assistance Resources Application questions should be submitted to: NACCHO Breastfeeding Project Website

39 Questions

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