CATERPILLAR GRANTS YEAR 4: PROMOTING ACTIONS AROUND THE BREAST CANCER CONTINUUM OF CARE

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CATERPILLAR GRANTS YEAR 4: PROMOTING ACTIONS AROUND THE BREAST CANCER CONTINUUM OF CARE 2015-2016 REQUEST FOR APPLICATIONS MONTERREY, MEXICO Grants Priority Areas: Training for Health Care Providers Training for Community Members and Educators Reducing Barriers in Access to Screening and Treatment - Improving Patient Navigation - Addressing Referral System Challenges - Communicating Patient Rights and Service Availability Susan G. Komen 5005 LBJ Freeway, Suite 250 Dallas, Texas 75244 Email: catgrant@komen.org Website: www.komen.org Caterpillar Grants Yr4, 2015-2016 Request for Applications Page 1 of 7

SUSAN G. KOMEN At Susan G. Komen, we are committed to ending breast cancer forever by empowering people, energizing science to find the cures and ensuring quality care for all people, everywhere. Our Global Program is an essential driving force for achieving this mission. Komen has sustained a strong commitment to supporting projects and programs that will identify and deliver cures for breast cancer. This commitment has resulted in important progress that has contributed to major advances in breast cancer over the past 30 years. We began with a single grant for $28,000 in 1982. With increasing investments over time, now totaling nearly $2.2 billion, Komen is the largest source of non-profit funds dedicated to the fight against breast cancer in the world. At the global level, Komen has supported breast cancer research, education and community programs in more than 30 countries. Through its dedicated global engagement and community grant-making strategies, Susan G. Komen has had significant impact in dispelling the pervasive stigma surrounding breast cancer and addressing socio-cultural barriers that impede early detection and access to care around the world. For more information about Susan G. Komen, breast health or breast cancer visit www.komen.org. CATERPILLAR GRANTS: PROMOTING ACTION AROUND THE BREAST CANCER CONTINUUM OF CARE In Latin America, Susan G. Komen and the Caterpillar Foundation are partnering to improve detection of breast cancer and save lives by increasing awareness, strengthening services, and removing barriers to access early screening, treatment and care in program communities. During the first cycle of the partnership, Susan G. Komen commissioned a report aimed at understanding the available infrastructure of the main health services and at describing the care pathways and experiences of women with breast cancer in the Monterrey Metropolitan Area. Based on the assessment we identified cross-cutting constraints across the breast health care system components. Projects chosen in this cycle of the Caterpillar grants will need to address the constraints and barriers identified in the health system assessment. The full text of the report may be downloaded here (http://ww5.komen.org/grantscentral/internationalgrants/granteeresources/granteeresources.html). Caterpillar Grants Yr4, 2015-2016 Request for Applications Page 2 of 7

GRANT PRIORITY AREAS Caterpillar Grants seek to create opportunities for the development and continuity of projects / programs aimed at increasing awareness, promoting early detection, improving access to services and ultimately improving the lives of those at risk and touched by breast cancer. Projects selected must meet one of the three activity areas and will be considered based on impact, viability, capacity, collaboration and sustainability. I. Training for Health Care Providers Training for health care providers, including Oncologists, nurses and auxiliary staff, on standard breast health care guidelines by level of care, protocols and referral processes. Projects in this category may include but are not limited to: Training for health care providers with no previous training on breast cancer. Quality assurance training for radiologists and radiology technicians responsible for taking and reviewing radiological breast images. Training on advanced techniques and innovative approaches to breast cancer screening, diagnosis and treatment. II. Training for Community Members and Educators Breast cancer education and awareness is core to Komen s missions and key to Mexico where breast cancer is the leading cause of cancer mortality in women. Nationally, most breast cancer tumors are diagnosed at late stages. Continuous education is essential to driving women to seek preventive services at earlier stages. Projects in this category may include, but are not limited to: Training of community health promoters and educators. Community-based breast-self awareness sessions aimed at educating low-income and marginalized groups. III. Reducing Barriers in Access to Screening and Treatment People in all walks of life often face access barriers to affordable and high-quality breast health services. While the barriers are abundant, projects in this category must focus on three key areas identified as having a significant impact in a woman s decision and ability to access breast health services: Improvement of services related to the navigation of patients around the continuum of care. Solutions targeted at improving challenges surrounding the patient referral system. Communicating patient rights related to breast health and providing guidance to community members on the availability and access of services through the Ministry of Health, IMSS and Seguro Popular. Priority will be given to programs seeking to reduce or eliminate health disparities for vulnerable populations minority women, low-income and uninsured women, women under 40 and women in rural areas. Caterpillar Grants Yr4, 2015-2016 Request for Applications Page 3 of 7

KEY DATES Application Due Date March 13, 2015, by 5 p.m., CST Award Notification April 30, 2015 FUNDING INFORMATION Applicants may request up to a total of $150,000 (combined direct and indirect costs) for one year of funding with the possibility of renewal at Komen s discretion. Budget Guidelines: Personnel salaries should not exceed 35% of the total budget and included personnel must provide a 10% minimal level of effort Indirect costs cannot exceed 20% of total direct costs (including any indirect costs paid through subcontracts or consortia) Direct costs include, but are not limited to: salaries for project personnel, consultants, project supplies, publications, travel, printing and administrative support. Indirect costs include, but are not limited to: office supplies, mailings, telephone and other communications, utilities, equipment rental and legal support. Travel costs are allowed Publication costs and meeting-related poster printing costs are allowed Funds CANNOT be used for: Tuition, scholarships or fellowships are not allowed Visa costs are not allowed Medical or scientific research is not allowed Equipment purchases are not allowed Construction or renovation of facilities is not allowed Political campaigns or lobbying is not allowed Clinical services or patient care costs are not allowed Fundraising costs and events are not allowed Professional membership dues are not allowed Applicant organizations may serve as the lead organization in only one application, but may collaborate with other groups. Komen grants do not fund individuals or for-profit organizations. DESIGNATED RECIPIENTS Grants will be awarded to the lead organization designated in the grant application. Grant Agreements will be executed between Susan G. Komen and the lead organization. The lead organization will serve as the administrator of the grant funds and will hold responsibility for the disbursement of the funds to other participating organizations, management of the budget, and submission of all required documents and reports. It is expected that the lead organization will enter into subcontracts with any other participating organizations, and assurances that these contractual agreements have been executed will be required prior to funding. Caterpillar Grants Yr4, 2015-2016 Request for Applications Page 4 of 7

ELIGIBILITY Applicants must conform to the following eligibility criteria to be considered for funding. Eligibility requirements must be met at the time of full application submission. Lead organization must be a nonprofit institution or organization working in Monterrey, Mexico and must include legal proof of status in the pre-application. Past Komen grantees are eligible to reapply if prior grants were completed in good standing. Applicants must represent non-governmental organizations that address breast cancer issues in some capacitycivil organizations, universities, clinics or hospitals located in or providing care to women in Mexico. Other participating organizations may be nonprofit organizations or industry partners, however, industry partners may not be reimbursed for any fee or profit. All organizations and industry partners must agree to adhere to the terms of the grant agreement with Susan G. Komen. REVIEW PROCESS Susan G. Komen utilizes a multi-step approach for review of each application. Step 1 includes an administrative review of applications for eligibility, adherence to formatting requirements, and responsiveness to the grant priority specified in this RFA. Applications that do not meet eligibility, formatting or responsiveness requirements will be administratively withdrawn and will not be reviewed or scored. Step 2 includes a panel review during which qualified reviewers assess the strengths and weaknesses of each application based on the defined review criteria described below. Application Review Criteria The applicant must address the following criteria in the application narrative: Responsiveness (Purpose of the Project) Approach and Feasibility (Project Implementation) Impact (Project Impact) Describe how the proposed project addresses one of the priority areas as described in the RFA. Provide a detailed summary of the proposed project and explain how it is integrated within the specific priority area. Include the priority area and specific activities related to the proposed project. Provide a brief summary of the collaborations established with other institutions to implement the proposed project. Describe the anticipated impact of the proposed project. Why is the proposed project important to the breast cancer patient, survivor, co-survivor community? How will the applicant organization assess the proposed project s impact? Is the proposed project an innovative approach? How? Caterpillar Grants Yr4, 2015-2016 Request for Applications Page 5 of 7

APPLICATION SUBMISSION INSTRUCTIONS STEP 1: Complete the following templates: 1) Application Form, 2) Application Workbook, 3) Project Plan Table STEP 2: Attach supporting documents in PDF STEP 3: Email all items to catgrant@komen.org 1. Application Form Applicants must complete and submit the enclosed application form for consideration. Please note that the application narrative (Sections II V) is limited to 6 pages. There is a recommended page length for each section which can be exceeded provided the total narrative is no more than 6 pages (including figures and tables). Cited Publications and Application Supporting Documents are not included in this page number limit. Application Sections I. GENERAL INFORMATION II. ORGANIZATIONAL INFORMATION (1/2 page maximum) III. PURPOSE OF THE PROJECT (1 page maximum) IV. PROJECT IMPLEMENTATION (2.5 page maximum) V. PROJECT IMPACT (2 page maximum) Application Submission Checklist Review and check-off the check boxes in the Application Submission Checklist provided on the last page of the Application Template to ensure that all tasks that have been completed and reviewed. 2. Application Workbook with Budget and Personnel Justification CLICK ON EACH OF THE ICONS BELOW TO ACCESS THE TEMPLATES An attached Excel Workbook contains the following templates for completion: Detailed budget (the budget must be in U.S. dollars (USD)) Personnel Financial Justification for all personnel receiving payment from the project Payment Verification form with the necessary details for verification of tax status and processing of payments 3. Project Plan Table Each applicant is required to provide a summary of the activities planned for the duration of the project. The project plan table is in Excel Workbook format for ease of completion and should reflect all major activities for the project, especially budgeted activities. Some examples include but are not limited to: meetings, training sessions, and development and printing of materials. Caterpillar Grants Yr4, 2015-2016 Request for Applications Page 6 of 7

Supporting documents that must be submitted in PDF: Proof of NGO Status: Applicants are required to provide legal proof of NGO status. Letters of Recommendation (maximum of 3): At least 1 letter of recommendation is required. Proof of collaboration with proposed partners: Applicants submitting a proposal with a partner must provide a statement from the partner(s) indicating that they are indeed collaborating to implement the proposed project. CV/Resumes for all personnel included in the budget: Resumes/CVs must be no more than 4 pages each. Curriculum / training materials IMPORTANT: If you are requesting funding for education and/or training, you must provide a curriculum for review. The curriculum does not have to be finalized but must represent the core information that will be delivered to participants. QUESTIONS? Contact information for all inquiries regarding application submission is provided below. Please contact us at catgrant@komen.org for all programmatic inquiries (including questions related to eligibility, program requirements, Komen policies and procedures, etc.). Caterpillar Grants Yr4, 2015-2016 Request for Applications Page 7 of 7