Opportunity Information: Apply for HRSA 12 016

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Healthy Start Initiative Eliminating Disparities in Perinatal Health (General Population)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926 Healthy Start Initiative.
  • This funding opportunity was created on Dec 19, 2011 and posted on Dec 19, 2011.
  • Applicants must submit their applications by Jan 27, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $4,252,502.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $750,000.00 in funding.
  • The number of recipients for this funding is limited to 6 candidate(s).
  • Eligible applicants include: Native American tribal organizations (other than Federally recognized tribal governments) City or township governments Others (see text field entitled Additional Information on Eligibility for clarification) State governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education County governments Native American tribal governments (Federally recognized).
  • This announcement applies to new applicants and existing competing continuation Healthy Start grantees whose project period began June 1, 2008 and ends May 31, 2012. Please refer to Section III of the FOA for details on eligibility factors.
Apply for HRSA 12 016

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Opportunity Summary:

The Healthy Start Initiative Eliminating Disparities in Perinatal Health (General Population) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) to reduce major, persistent inequities in perinatal outcomes. The focus is on communities experiencing disproportionate burdens of poor perinatal health, including disparities affecting Hispanics, American Indians, African Americans, Asian/Pacific Islanders, and immigrant populations. The opportunity also recognizes that perinatal health indicators can vary sharply based on social and geographic factors such as a mothers education level, age, household income, disability status, and whether families live in rural or otherwise isolated areas. In practical terms, the program is designed to help applicants build or strengthen local systems of care that address both medical and non-medical drivers of outcomes, with the explicit goal of closing gaps between populations and improving the health trajectory of mothers and infants.

A key feature of the program is the time horizon and continuity of support it expects projects to provide. Rather than limiting activities to prenatal care alone, applicants are expected to cover both the pregnancy phase and the interconception period, meaning the time between pregnancies when health risks can be reduced and future outcomes improved. The program anticipates services for women and infants living in the defined project area, with follow-up extending well beyond delivery. Specifically, it calls for continued engagement with the mother and child through the infants second year of life and/or up to two years after delivery. This extended follow-up is intended to promote healthier spacing between pregnancies (longer interconception intervals) and to reduce the likelihood that mothers will return to high-risk behaviors after the immediate postpartum period, which is a common time when supports drop off even though health needs remain high.

In terms of funding and scale, HRSA anticipated making about six awards under this announcement, with an estimated total funding amount of $4,252,502. Individual awards were expected to fall between a floor of $525,000 and a ceiling of $750,000. There was no cost sharing or matching requirement, which lowers barriers for resource-constrained communities and organizations that may be best positioned to reach high-need populations. The funding instrument type is a grant, and the activity category is health, under CFDA number 93.926 (Healthy Start Initiative).

Eligibility was broad, reflecting the community-based nature of Healthy Start. Eligible applicants included state, county, and city or township governments; federally recognized tribal governments; other Native American tribal organizations; and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education). The announcement applied both to new applicants and to existing Healthy Start grantees seeking competing continuation funding, specifically those whose prior project period began June 1, 2008 and ended May 31, 2012. HRSA directs applicants to the eligibility section of the full funding opportunity announcement for the detailed requirements and any clarifications.

Administratively, the opportunity was posted on December 19, 2011, with an application closing date of January 27, 2012, and it was later archived on March 27, 2012. Applicants or interested parties who had trouble accessing the full announcement were directed to the HRSA Call Center (CallCenter@HRSA.GOV) and provided phone contact options. The full announcement was made available through HRSA via the link included in the notice.

Frequently Asked Questions (FAQs)

1. What is the Healthy Start Initiative Eliminating Disparities in Perinatal Health (General Population) grant?

This is a discretionary grant program run by the Health Resources and Services Administration (HRSA). It is designed to reduce major, persistent inequities in perinatal outcomes by helping communities build or strengthen local systems of care for mothers and infants, with an explicit focus on closing gaps between populations and improving the health trajectory of mothers and infants.

2. What is the main goal of this funding opportunity?

The main goal is to eliminate disparities in perinatal health outcomes. The program emphasizes reducing persistent inequities in outcomes by addressing both medical and non-medical drivers of perinatal health and improving continuity of support for women and infants in high-need communities.

3. What populations and communities are prioritized by this opportunity?

The opportunity focuses on communities experiencing disproportionate burdens of poor perinatal health, including disparities affecting Hispanics, American Indians, African Americans, Asian/Pacific Islanders, and immigrant populations. It also recognizes that perinatal health indicators can differ sharply based on social and geographic factors such as a mother's education level, age, household income, disability status, and whether families live in rural or otherwise isolated areas.

4. What does HRSA mean by addressing both medical and non-medical drivers of outcomes?

Based on the opportunity description, projects are expected to build or strengthen local systems of care that address not only clinical or medical needs during pregnancy, but also non-medical factors that contribute to perinatal health disparities. The notice frames these non-medical drivers broadly as social and geographic factors connected to inequitable outcomes.

5. Is the program limited to prenatal care only?

No. A key feature of the program is that activities are not limited to prenatal care. Applicants are expected to cover both the pregnancy phase and the interconception period (the time between pregnancies), with continued engagement after delivery.

6. What is the interconception period, and why is it important in this program?

The interconception period is the time between pregnancies. The opportunity emphasizes this period because it is when health risks can be reduced and future outcomes improved. The extended support model is intended to promote healthier spacing between pregnancies (longer interconception intervals) and reduce the likelihood that mothers return to high-risk behaviors after the immediate postpartum period.

7. How long are projects expected to follow and engage participants after delivery?

The program calls for continued engagement with the mother and child through the infant's second year of life and/or up to two years after delivery. This extended follow-up is presented as a core design feature to prevent drop-off in supports after the postpartum period.

8. Who is expected to be served by the project?

Services are anticipated for women and infants living in the defined project area, with follow-up extending well beyond delivery in alignment with the program's expectation of continued engagement through the infant's second year of life and/or up to two years after delivery.

9. How many awards did HRSA anticipate making under this announcement?

HRSA anticipated making about six awards under this announcement.

10. What was the estimated total funding amount for all awards?

The estimated total funding amount was $4,252,502.

11. What was the expected award size (minimum and maximum)?

Individual awards were expected to range from $525,000 (floor) to $750,000 (ceiling).

12. Is there a cost sharing or matching requirement?

No. The announcement states there was no cost sharing or matching requirement.

13. What is the funding instrument type and activity category?

The funding instrument type is a grant. The activity category is health.

14. What is the CFDA number associated with this opportunity?

The CFDA number listed is 93.926, identified as the Healthy Start Initiative.

15. Who was eligible to apply?

Eligible applicants included:

  • State governments
  • County governments
  • City or township governments
  • Federally recognized tribal governments
  • Other Native American tribal organizations
  • Nonprofit organizations with 501(c)(3) status (excluding institutions of higher education)

16. Were both new applicants and existing Healthy Start grantees eligible?

Yes. The announcement applied to new applicants as well as existing Healthy Start grantees seeking competing continuation funding.

17. Which existing Healthy Start grantees were specifically referenced for competing continuation?

The notice specifies competing continuation funding for grantees whose prior project period began June 1, 2008 and ended May 31, 2012.

18. Where should applicants look for detailed eligibility requirements?

HRSA directed applicants to the eligibility section of the full funding opportunity announcement (FOA) for detailed requirements and any clarifications.

19. When was the opportunity posted and when did it close?

The opportunity was posted on December 19, 2011. The application closing date was January 27, 2012.

20. Is this opportunity still open?

No. The opportunity was later archived on March 27, 2012.

21. Where was the full announcement made available?

The full announcement was made available through HRSA via the link included in the notice.

22. Who could applicants contact if they had trouble accessing the full announcement?

Applicants or interested parties who had trouble accessing the full announcement were directed to the HRSA Call Center at CallCenter@HRSA.GOV, with phone contact options also provided in the notice.

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