Opportunity Information: Apply for CDC RFA DP19 1903
Apply for CDC RFA DP19 1903
- The Department of Health and Human Services, Centers for Disease Control - NCCDPHP in the health sector is offering a public funding opportunity titled "Good Health and Wellness in Indian Country" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.479.
- This funding opportunity was created on Mar 08, 2019.
- Applicants must submit their applications by May 15, 2019 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (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 $1,450,000.00 in funding.
- The number of recipients for this funding is limited to 30 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments).
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Opportunity Summary:
Good Health and Wellness in Indian Country (CDC RFA DP19-1903) is a CDC cooperative agreement designed to reduce major chronic disease burdens and close persistent health gaps experienced by American Indian and Alaska Native communities. The opportunity is rooted in well-documented disparities, including higher rates of obesity, diabetes, commercial tobacco use, and elevated deaths from heart disease and stroke, along with significant oral health challenges such as early childhood tooth decay occurring at far higher levels than the national average. The overall intent is to support long-term, community-driven improvements that lead to fewer deaths and disabilities tied to commercial tobacco use, type 2 diabetes, heart disease, stroke, and obesity.
This funding builds directly on several earlier CDC investments in Indian Country, especially the earlier Good Health and Wellness in Indian Country program (DP14-1421), Tribal Epidemiology Center Public Health Infrastructure (TECPHI, DP17-1704), and Tribal Practices for Wellness in Indian Country (TPWIC, DP18-1812). Those initiatives demonstrated the value of pairing culturally grounded approaches with public health infrastructure, data capacity, evaluation, and broad reach through subawards to tribes and Urban Indian Organizations. The DP19-1903 announcement is meant to carry forward what worked, strengthen coordination across efforts, and scale impact over time.
The program runs for five years (with one-year budget periods) and is administered through CDC's National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). It is a cross-CDC collaboration involving six divisions/offices: the Division of Diabetes Translation; the Division for Heart Disease and Stroke Prevention; the Division of Nutrition, Physical Activity, and Obesity; the Division of Oral Health; the Division of Population Health; and the Office on Smoking and Health. In practical terms, that collaboration signals an integrated approach to chronic disease prevention rather than a single-disease focus, while still keeping attention on the highest-burden issues in AI/AN communities.
A key feature of the opportunity is its emphasis on evidence-informed strategies that can be culturally adapted and selected by communities. The NOFO combines two main types of approaches. First are policy, systems, and environmental (PSE) changes, particularly focused on preventing obesity and preventing and controlling commercial tobacco use and exposure. Second are clinical-community linkages that connect health care and community supports to prevent type 2 diabetes and to prevent heart disease and stroke. The model reflects the idea that lasting health improvements typically come from changes in environments and systems, plus stronger connections between clinical care and community-based prevention supports.
The NOFO is structured into three separate, competitive components, and applicants must submit a separate application for each component they pursue. Component 1 focuses on direct implementation: recipients carry out evidence-informed and culturally adapted strategies in their communities, using PSE approaches for obesity and commercial tobacco and strengthening community-clinical linkages for diabetes, heart disease, and stroke prevention. Component 2 is designed to expand reach through subawards: recipients must pass through 50 percent of their annual award as subawards to at least four tribes, Alaska Native villages, or Urban Indian Organizations within their area, and then use remaining funds to provide training, technical assistance, and evaluation support across all tribes/villages/UIOs in that area. Component 3 establishes a national coordination function through a Tribal Coordinating Center, responsible for a national communications plan, coordination of a national evaluation plan with CDC evaluators, and leadership of a Community of Practice that brings together representatives from Component 1 and Component 2 recipients for shared learning and peer support. The coordinating role is also intended to help advance related chronic disease topics and risk factors beyond the core priorities, with examples noted such as oral health, dementia, and COPD.
Eligibility is limited to Native American tribal governments (federally recognized) and other Native American tribal organizations (not federally recognized tribal governments). The funding instrument is a cooperative agreement, which typically means CDC expects substantial involvement, collaboration, and technical interaction during implementation, rather than operating strictly as a hands-off grant. The opportunity was released by HHS/CDC with a posting date of March 8, 2019, and an original application deadline of May 15, 2019 (11:59 p.m. ET). The notice lists an award ceiling of $1,450,000 and anticipates roughly 30 awards. Overall, the program is aimed at supporting sustainable, tribally driven chronic disease prevention work that improves health equity through coordinated environmental change, stronger health system connections, expanded local capacity, and national-level coordination and evaluation.
Frequently Asked Questions (FAQs)
1. What is the Good Health and Wellness in Indian Country (CDC RFA DP19-1903) opportunity?
Good Health and Wellness in Indian Country (DP19-1903) is a CDC cooperative agreement intended to reduce major chronic disease burdens and close persistent health gaps experienced by American Indian and Alaska Native (AI/AN) communities. It supports long-term, community-driven improvements aimed at reducing deaths and disabilities tied to commercial tobacco use, type 2 diabetes, heart disease, stroke, and obesity, while recognizing related challenges such as significant oral health disparities.
2. What health disparities is this program designed to address?
The opportunity is rooted in documented disparities affecting AI/AN communities, including higher rates of obesity, diabetes, and commercial tobacco use, along with elevated deaths from heart disease and stroke. It also notes significant oral health challenges, including early childhood tooth decay occurring at far higher levels than the national average.
3. What is the overall intent of the program?
The overall intent is to support sustainable, tribally driven chronic disease prevention work that improves health equity. The goal is fewer deaths and disabilities related to commercial tobacco use, type 2 diabetes, heart disease, stroke, and obesity through coordinated environmental change, stronger community-clinical connections, expanded local capacity, and national-level coordination and evaluation.
4. How long does the program run?
The program runs for five years, structured as one-year budget periods within the five-year project period.
5. Which CDC center administers this cooperative agreement?
The program is administered through CDC's National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).
6. Is this a single-disease program, or an integrated chronic disease approach?
It is designed as an integrated approach to chronic disease prevention rather than a single-disease focus. It is a cross-CDC collaboration involving six divisions/offices, reflecting coordinated work across multiple chronic disease and risk factor areas while maintaining focus on high-burden issues in AI/AN communities.
7. Which CDC divisions/offices are involved?
The opportunity involves collaboration across six CDC divisions/offices: the Division of Diabetes Translation; the Division for Heart Disease and Stroke Prevention; the Division of Nutrition, Physical Activity, and Obesity; the Division of Oral Health; the Division of Population Health; and the Office on Smoking and Health.
8. What kinds of strategies does the NOFO emphasize?
The NOFO emphasizes evidence-informed strategies that can be culturally adapted and selected by communities. It combines two main types of approaches: (1) policy, systems, and environmental (PSE) changes, particularly focused on preventing obesity and preventing and controlling commercial tobacco use and exposure; and (2) clinical-community linkages that connect health care and community supports to prevent type 2 diabetes and to prevent heart disease and stroke.
9. What are policy, systems, and environmental (PSE) approaches in this NOFO?
Within this opportunity, PSE approaches refer to strategies that change policies, systems, and environments in ways that support healthier behaviors and reduce risk. The NOFO highlights PSE changes focused on preventing obesity and preventing and controlling commercial tobacco use and exposure.
10. What are clinical-community linkages in this NOFO?
Clinical-community linkages refer to connections between health care settings and community-based supports that improve prevention and management pathways. In this NOFO, linkages are specifically aimed at preventing type 2 diabetes and preventing heart disease and stroke by connecting clinical care with community prevention resources.
11. How is this funding connected to previous CDC investments in Indian Country?
This funding builds directly on earlier CDC investments, especially the earlier Good Health and Wellness in Indian Country program (DP14-1421), Tribal Epidemiology Center Public Health Infrastructure (TECPHI, DP17-1704), and Tribal Practices for Wellness in Indian Country (TPWIC, DP18-1812). Those efforts demonstrated the value of pairing culturally grounded approaches with public health infrastructure, data capacity, evaluation, and broad reach through subawards to tribes and Urban Indian Organizations. DP19-1903 is intended to carry forward what worked, strengthen coordination across efforts, and scale impact over time.
12. How is the NOFO structured?
The NOFO is structured into three separate, competitive components. Applicants must submit a separate application for each component they pursue.
13. What is Component 1?
Component 1 focuses on direct implementation. Recipients carry out evidence-informed and culturally adapted strategies in their communities, using PSE approaches for obesity and commercial tobacco, and strengthening community-clinical linkages for diabetes, heart disease, and stroke prevention.
14. What is Component 2?
Component 2 is designed to expand reach through subawards. Recipients must pass through 50 percent of their annual award as subawards to at least four tribes, Alaska Native villages, or Urban Indian Organizations (UIOs) within their area. The remaining funds are used to provide training, technical assistance, and evaluation support across all tribes/villages/UIOs in that area.
15. What is the required subaward level in Component 2?
Component 2 requires recipients to pass through 50 percent of their annual award as subawards. Those subawards must go to at least four tribes, Alaska Native villages, or Urban Indian Organizations within the recipient's area.
16. What is Component 3?
Component 3 establishes a national coordination function through a Tribal Coordinating Center. Responsibilities include developing a national communications plan, coordinating a national evaluation plan with CDC evaluators, and leading a Community of Practice that brings together representatives from Component 1 and Component 2 recipients for shared learning and peer support.
17. What is a Tribal Coordinating Center expected to do beyond the core priorities?
The coordinating role is also intended to help advance related chronic disease topics and risk factors beyond the core priorities. Examples noted in the opportunity include oral health, dementia, and COPD.
18. Do applicants need to submit more than one application if they want multiple components?
Yes. Because the NOFO is structured into three separate, competitive components, applicants must submit a separate application for each component they pursue.
19. Who is eligible to apply?
Eligibility is limited to Native American tribal governments (federally recognized) and other Native American tribal organizations (not federally recognized tribal governments).
20. What type of funding instrument is this?
The funding instrument is a cooperative agreement. This typically means CDC expects substantial involvement, collaboration, and technical interaction during implementation, rather than operating strictly as a hands-off grant.
21. Which federal agency released the opportunity?
The opportunity was released by HHS/CDC.
22. When was the opportunity posted, and what was the original application deadline?
The posting date listed is March 8, 2019. The original application deadline was May 15, 2019 at 11:59 p.m. ET.
23. What is the award ceiling listed for this opportunity?
The notice lists an award ceiling of $1,450,000.
24. How many awards are anticipated?
The opportunity anticipates roughly 30 awards.
25. What makes this program "community-driven" and culturally grounded?
The program emphasizes evidence-informed strategies that can be culturally adapted and selected by communities. It also builds on prior Indian Country initiatives that demonstrated the value of pairing culturally grounded approaches with infrastructure, data capacity, evaluation, and broad reach through subawards.
26. Why does the NOFO combine PSE approaches and clinical-community linkages?
The model reflects the idea that lasting health improvements typically come from changes in environments and systems, combined with stronger connections between clinical care and community-based prevention supports.
27. What are the main chronic disease and risk factor areas prioritized in the opportunity description?
The description highlights priorities tied to preventing and reducing impacts from commercial tobacco use and exposure, obesity, type 2 diabetes, heart disease, and stroke. It also notes oral health disparities and references other related topics that may be advanced through coordination, such as dementia and COPD.
28. What role do training, technical assistance, and evaluation play in this program?
Training, technical assistance, and evaluation are emphasized as part of strengthening implementation and scaling impact. Component 2 specifically includes using remaining (non-subaward) funds to provide training, technical assistance, and evaluation support across all tribes/villages/UIOs in the recipient's area, and Component 3 includes coordinating a national evaluation plan with CDC evaluators.
29. What is the purpose of the Community of Practice mentioned in the NOFO?
The Community of Practice is intended to bring together representatives from Component 1 and Component 2 recipients for shared learning and peer support, under the leadership of the Tribal Coordinating Center (Component 3).
30. What is the long-term outcome the program is trying to achieve?
The long-term outcome described is sustained, community-driven improvements that result in fewer deaths and disabilities linked to major chronic diseases and risk factors in AI/AN communities, alongside progress toward health equity through coordinated strategies, improved linkages, expanded capacity, and national coordination and evaluation.
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