Opportunity Information: Apply for HHS 2009 IHS UIHP 0003
Apply for HHS 2009 IHS UIHP 0003
- The Indian Health Service in the health sector is offering a public funding opportunity titled "4 in 1 Title V HIV/AIDS Initiative" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.193 Urban Indian Health Services.
- This funding opportunity was created on Jun 9, 2009 and posted on Jun 9, 2009.
- Applicants must submit their applications by Jul 15, 2009 See link to full announcement for details.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $150,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $30,000.00 in funding.
- The number of recipients for this funding is limited to 5 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- 1. Eligible Applicants urban Indian organizations, as defined by 25 U.S.C. 1603(h), and limited to urban Indian organizations which meet the following criteria 900 Received State certification to conduct HIV rapid testing (where required) 900 Health professionals and staff have been trained in the HIV/AIDS screening tools, education, prevention, counseling, and other interventions for AI/ANs 900 Developed programs to address community and group support to sustain risk reduction skills 900 Implemented HIV/AIDS quality assurance and improvement programs and 900 Must provide proof of non profit status with the application.
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Opportunity Summary:
The 4 in 1 Title V HIV/AIDS Initiative is a targeted, competitive grant opportunity from the Indian Health Service (IHS), Office of Urban Indian Health Programs (OUIHP), designed to strengthen HIV prevention and testing capacity in urban American Indian and Alaska Native (AI/AN) communities. It was issued in response to federal HIV priorities under the Office of HIV/AIDS Policy (OHAP) Minority AIDS Initiative (MAI) and is authorized under the Snyder Act and the Indian Health Care Improvement Act (25 U.S.C. 1652 and 1653). The program is listed under CFDA 93.193 (Urban Indian Health Services). The overall intent is practical and direct: increase the number of AI/AN adults who know their HIV status by making HIV screening more accessible, more routine in clinical settings, and less stigmatized in the community.
The core focus of funded projects is expanding and enhancing HIV testing services through routine and/or rapid HIV screening, paired with prevention education and pre- and post-test counseling when appropriate. The announcement emphasizes aligning services with the 2006 CDC HIV screening guidelines, which encourage routine screening as a standard part of adult medical care, with streamlined procedures such as verbal consent and an opt-out approach rather than separate written consent processes. In other words, the grant is meant to help urban Indian health programs normalize HIV screening, integrate it into regular workflows, and reduce barriers that keep people from testing. Grantees are also encouraged to bundle HIV testing with sexually transmitted disease (STD) screening when it makes sense, which can increase uptake and improve overall sexual health services.
A major expectation is that awardees will build sustainable, clinic-based screening programs, not one-time testing events. That includes having a clear written HIV screening policy, training staff in culturally relevant screening tools and counseling approaches for AI/AN populations, conducting community awareness activities to reduce stigma and encourage testing, and establishing a clear follow-up protocol for any positive result. Follow-up is a key part of the model: programs must be ready to connect individuals with confirmatory testing, treatment services, and ongoing care through strong referral pathways and linkages to HIV care providers. The opportunity also frames these efforts as a way to identify and share best practices for improving HIV testing approaches in AI/AN communities, whether using rapid tests or conventional antibody testing.
Collaboration and reporting are built into the grant design. Grantees are expected to coordinate with OUIHP and the IHS National HIV Program and participate, as needed, in related work across other HHS operating divisions such as CDC, SAMHSA, HRSA, and OHAP. In addition, awardees must submit and share anonymous, non-identifiable data related to HIV testing, treatment linkages, and education activities. This requirement signals that the program is not only funding services, but also building a stronger evidence base for what works in urban Indian settings, while maintaining privacy protections.
Funding is modest and tightly defined. IHS anticipated making about five awards with an estimated total funding amount of $150,000. Each award is set at a fixed level: $30,000 per award (both the ceiling and the floor), with no cost-sharing or match required. The funding opportunity number is HHS-2009-IHS-UIHP-0003, it was posted June 9, 2009, and the application closing date was July 15, 2009 (the opportunity was later archived August 14, 2009). While the timeline is historical, the structure shows it was intended as a limited, targeted expansion of existing Title V efforts rather than a broad open competition.
Eligibility is restricted to urban Indian organizations as defined by 25 U.S.C. 1603(h), and the solicitation is further limited to organizations that can demonstrate readiness to implement high-quality HIV testing and prevention programming. Applicants must show they have state certification to conduct rapid HIV testing where required, trained health professionals and staff in HIV screening and prevention interventions tailored to AI/ANs, programs that support community/group efforts to sustain risk-reduction skills, and functioning HIV/AIDS quality assurance and improvement processes. Proof of nonprofit status is also required with the application. These requirements make clear that the funding is aimed at organizations already positioned to deliver services and scale them quickly, rather than groups starting from scratch.
In practical terms, this grant opportunity is about making routine HIV screening a standard part of care in urban Indian health settings, improving access to rapid and conventional testing, reducing stigma through normalization and outreach, ensuring staff are trained and systems are in place, and creating reliable pathways from testing to care. It ties local service delivery to broader federal HIV coordination and data-informed improvement, with the long-term goal of lowering HIV incidence in urban AI/AN communities by increasing awareness of HIV status and strengthening prevention and linkage-to-care infrastructure.
FAQs: 4 in 1 Title V HIV/AIDS Initiative (IHS OUIHP)
What is the 4 in 1 Title V HIV/AIDS Initiative?
The 4 in 1 Title V HIV/AIDS Initiative is a targeted, competitive grant opportunity from the Indian Health Service (IHS), Office of Urban Indian Health Programs (OUIHP). It is designed to strengthen HIV prevention and testing capacity in urban American Indian and Alaska Native (AI/AN) communities, with a practical goal of increasing the number of AI/AN adults who know their HIV status.
Which agency is offering this opportunity?
This opportunity was offered by the Indian Health Service (IHS), specifically through the Office of Urban Indian Health Programs (OUIHP).
What is the main goal of the grant?
The overall intent is to increase the number of AI/AN adults who know their HIV status by making HIV screening more accessible, more routine in clinical settings, and less stigmatized in the community.
What types of activities does the grant support?
Funded projects focus on expanding and enhancing HIV testing services through routine and/or rapid HIV screening. This is paired with prevention education and pre- and post-test counseling when appropriate. The announcement also encourages bundling HIV testing with sexually transmitted disease (STD) screening when it makes sense.
Does the grant emphasize routine testing or one-time events?
The opportunity emphasizes building sustainable, clinic-based screening programs rather than one-time testing events. The expectation is that HIV screening becomes integrated into regular clinical workflows and continues beyond the grant period through sustainable practices.
What guidelines are grantees encouraged to align with for HIV screening?
The announcement emphasizes aligning services with the 2006 CDC HIV screening guidelines. These guidelines encourage routine screening as a standard part of adult medical care, and they support streamlined procedures such as verbal consent and an opt-out approach rather than separate written consent processes.
What does "opt-out" HIV screening mean in this grant context?
In this context, opt-out screening refers to making HIV screening a routine part of care so that patients are informed testing will be performed unless they decline. The funding is meant to help programs normalize HIV screening and reduce barriers that prevent people from testing.
Is rapid HIV testing included, and are conventional tests allowed?
Yes. The opportunity supports both rapid HIV screening and conventional antibody testing approaches, with an emphasis on improving testing access and identifying best practices that work in urban AI/AN settings.
What are the expectations for follow-up when someone has a positive result?
Follow-up is a key expectation. Programs must be prepared to connect individuals with confirmatory testing, treatment services, and ongoing care. This requires strong referral pathways and linkages to HIV care providers.
What program components are expected for sustainability and quality?
The announcement describes expectations such as having a clear written HIV screening policy, training staff in culturally relevant screening tools and counseling approaches for AI/AN populations, conducting community awareness activities to reduce stigma and encourage testing, and maintaining functioning HIV/AIDS quality assurance and improvement processes.
What role does stigma reduction play in the funded work?
Stigma reduction is directly tied to the initiative's purpose. The grant is intended to support community awareness activities and normalization of routine screening so HIV testing becomes more accepted and less stigmatized.
Who is eligible to apply?
Eligibility is restricted to urban Indian organizations as defined by 25 U.S.C. 1603(h). The solicitation is also limited to organizations that can demonstrate readiness to implement high-quality HIV testing and prevention programming.
What readiness requirements are highlighted for eligible applicants?
Applicants must be able to demonstrate, as applicable, state certification to conduct rapid HIV testing where required, trained health professionals and staff in HIV screening and prevention interventions tailored to AI/ANs, programs that support community/group efforts to sustain risk-reduction skills, and functioning HIV/AIDS quality assurance and improvement processes. Proof of nonprofit status is also required with the application.
Is cost-sharing or matching funds required?
No. The opportunity states there is no cost-sharing or match required.
How much funding is available per award?
Each award is set at a fixed level of $30,000. This amount is both the ceiling and the floor per award.
How many awards were anticipated, and what was the total estimated funding?
IHS anticipated making about five awards with an estimated total funding amount of $150,000.
What is the CFDA number for this program?
The program is listed under CFDA 93.193 (Urban Indian Health Services).
What is the funding opportunity number?
The funding opportunity number is HHS-2009-IHS-UIHP-0003.
When was the opportunity posted and when did it close?
It was posted June 9, 2009. The application closing date was July 15, 2009. The opportunity was later archived August 14, 2009.
What laws authorize this initiative?
The initiative is authorized under the Snyder Act and the Indian Health Care Improvement Act, referenced as 25 U.S.C. 1652 and 1653, and it aligns with federal HIV priorities under the Office of HIV/AIDS Policy (OHAP) Minority AIDS Initiative (MAI).
Are awardees expected to collaborate with other federal programs or agencies?
Yes. Grantees are expected to coordinate with OUIHP and the IHS National HIV Program and participate, as needed, in related work across other HHS operating divisions such as CDC, SAMHSA, HRSA, and OHAP.
What reporting and data-sharing requirements are included?
Awardees must submit and share anonymous, non-identifiable data related to HIV testing, treatment linkages, and education activities. The emphasis is on building an evidence base for what works in urban Indian settings while maintaining privacy protections.
Is personally identifiable patient information required to be shared?
No. The announcement specifies that the data to be submitted and shared should be anonymous and non-identifiable.
Does the opportunity focus only on testing, or also on prevention education?
It includes both. The core focus is expanding HIV testing services, paired with prevention education and pre- and post-test counseling when appropriate, along with community awareness activities to encourage testing and reduce stigma.
What is the longer-term public health purpose behind the grant?
The opportunity frames the work as strengthening prevention and linkage-to-care infrastructure in urban AI/AN communities, with the longer-term goal of lowering HIV incidence by increasing awareness of HIV status and improving connections from testing to care.
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