Opportunity Information: Apply for HRSA 14 121
Apply for HRSA 14 121
- 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 (Level 1 Community based Healthy Start)" 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 Feb 14, 2014 and posted on Feb 14, 2014.
- Applicants must submit their applications by Mar 31, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $24,000,000.00 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 32 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- This is a full and open competition. New applicants and competing continuations will be considered for this funding. An eligible applicant for funding in this competition under the Healthy Start program is any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b). Community based organizations, including faith based organizations, are eligible to apply. An eligible applicant must have both direct fiduciary and administrative responsibility over the project.
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Opportunity Summary:
The Healthy Start Initiative: Eliminating Disparities in Perinatal Health (Level 1 Community-based Healthy Start) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) designed to reduce persistent inequities in infant mortality and poor birth outcomes. The core purpose is to support community-driven efforts that improve outcomes for women, infants, and families in places where infant mortality is unacceptably high. The program is specifically intended for communities where the infant mortality rate is at least equal to the U.S. national average (at least 1 times the national average) and where other serious perinatal risks are common, such as low birthweight, preterm birth, and maternal morbidity and mortality. A central focus is narrowing the gap in health status between the general population and populations that experience disproportionate harm, particularly racial and ethnic minority groups, consistent with the authorizing statute referenced in the notice (42 U.S.C. 254c-8(e)(2)(B)).
Program activities are framed around five major aims. First, Healthy Start prioritizes improving womens health, recognizing that maternal health before and during pregnancy strongly shapes infant outcomes. Second, it emphasizes promoting quality services, meaning communities are expected to strengthen access to and coordination of effective clinical care and supportive services. Third, the initiative is built to strengthen family resilience, which typically includes helping families meet basic needs, supporting parenting and healthy relationships, and reducing stressors that can undermine health during pregnancy and early childhood. Fourth, it seeks collective impact, signaling that successful projects should not operate in isolation; they should build strong local partnerships across healthcare, public health, social services, and community organizations to address the mix of medical and social factors contributing to disparities. Fifth, the program increases accountability through quality improvement, performance monitoring, and evaluation, so grantees are expected to track results, use data to improve services, and demonstrate progress over time.
A defining feature of Healthy Start is its service timeline. The work begins in the prenatal period and follows the woman and child through two years after the end of the pregnancy. That extended window reflects an understanding that risk does not end at delivery; postpartum health, infant development, and family stability during the first years of life are critical to reducing avoidable deaths and long-term disparities. In practical terms, the program supports efforts that engage high-risk women and their families before, during, and after pregnancy, with an emphasis on continuity of support and addressing barriers that keep families from receiving timely, high-quality care.
This funding opportunity (HRSA-14-121) anticipated making about 32 awards, with an estimated total funding amount of $24,000,000. The stated award ceiling was $750,000, and there was no cost-sharing or matching requirement. The opportunity was posted on February 14, 2014, with an application closing date of March 31, 2014, and an archive date of May 30, 2014. The assistance listing associated with the program is CFDA 93.926 (Healthy Start Initiative). The funding instrument is a grant, and the activity category is health.
Eligibility was broad and described as a full and open competition, accepting both new applicants and competing continuations. Eligible applicants included any public or private entity, including Indian tribes and tribal organizations as defined at 25 U.S.C. 450b. Community-based organizations, including faith-based organizations, were explicitly identified as eligible to apply. A key administrative requirement noted is that the applicant organization must have direct fiduciary and administrative responsibility for the project, meaning the organization must be able to manage the funds and oversee program operations directly rather than serving only as a pass-through or informal partner.
For applicants needing help accessing the full announcement or navigating submission requirements, HRSA listed its Grants Application Center and HRSA Call Center as points of contact, including the phone line (877-464-4772) and email (CallCenter@HRSA.GOV).
Frequently Asked Questions (FAQs)
What is the Healthy Start Initiative: Eliminating Disparities in Perinatal Health (Level 1 Community-based Healthy Start)?
It is a discretionary grant program administered by the Health Resources and Services Administration (HRSA). The program is designed to reduce persistent inequities in infant mortality and poor birth outcomes by supporting community-driven efforts that improve outcomes for women, infants, and families in communities where infant mortality and other perinatal risks are unacceptably high.
What is the main goal of this funding opportunity?
The core purpose is to reduce disparities in infant mortality and poor birth outcomes by supporting local, community-driven strategies that improve maternal and infant health outcomes, especially in areas facing elevated infant mortality and related risks.
Which communities are the intended focus for Healthy Start Level 1 projects?
The opportunity is specifically intended for communities where the infant mortality rate is at least equal to the U.S. national average (at least 1 times the national average) and where other serious perinatal risks are common, such as low birthweight, preterm birth, and maternal morbidity and mortality.
What populations does the program emphasize serving?
A central focus is narrowing the gap in health status between the general population and populations that experience disproportionate harm, particularly racial and ethnic minority groups, consistent with the authorizing statute referenced in the notice (42 U.S.C. 254c-8(e)(2)(B)).
What are the five major aims of the Healthy Start program?
The program activities are framed around five major aims:
- Improve women's health (recognizing maternal health before and during pregnancy shapes infant outcomes)
- Promote quality services (strengthening access to and coordination of effective clinical and supportive services)
- Strengthen family resilience (supporting basic needs, parenting, healthy relationships, and reducing stressors)
- Achieve collective impact (building partnerships across healthcare, public health, social services, and community organizations)
- Increase accountability (quality improvement, performance monitoring, and evaluation to track and demonstrate progress)
When does Healthy Start service delivery begin and how long does it last?
A defining feature is the service timeline: work begins in the prenatal period and follows the woman and child through two years after the end of the pregnancy. This reflects the program's emphasis on continuity of support beyond delivery and through the postpartum and early childhood period.
What kinds of approaches does Healthy Start support?
Based on the description provided, the program supports community-driven efforts that engage high-risk women and their families before, during, and after pregnancy, with an emphasis on continuity of support, improving access and coordination of care, addressing barriers to timely high-quality care, and using data for quality improvement and evaluation.
What is the funding opportunity number for this announcement?
The funding opportunity number is HRSA-14-121.
How many awards were anticipated under this opportunity?
The announcement anticipated making about 32 awards.
What was the estimated total funding amount for this opportunity?
The estimated total funding amount was $24,000,000.
What was the maximum award amount (award ceiling)?
The stated award ceiling was $750,000.
Was cost sharing or matching required?
No. The announcement stated there was no cost-sharing or matching requirement.
What type of funding instrument is used?
The funding instrument is a grant.
What is the activity category for this program?
The activity category is health.
What is the Assistance Listing (CFDA) number associated with this program?
The assistance listing associated with the Healthy Start Initiative is CFDA 93.926.
Who was eligible to apply?
Eligibility was described as a full and open competition, accepting both new applicants and competing continuations. Eligible applicants included any public or private entity, including Indian tribes and tribal organizations as defined at 25 U.S.C. 450b. Community-based organizations, including faith-based organizations, were explicitly identified as eligible.
Does the applicant organization need to directly manage the project funds and operations?
Yes. A key administrative requirement noted is that the applicant organization must have direct fiduciary and administrative responsibility for the project. This means the organization must be able to manage the funds and oversee program operations directly, rather than acting only as a pass-through or informal partner.
What were the key dates for this funding opportunity?
- Posted date: February 14, 2014
- Application closing date: March 31, 2014
- Archive date: May 30, 2014
Where can applicants get help accessing the full announcement or understanding submission requirements?
HRSA listed its Grants Application Center and the HRSA Call Center as points of contact. The HRSA Call Center can be reached at 877-464-4772 or by email at CallCenter@HRSA.GOV.
Is this opportunity aimed at projects working alone, or building partnerships?
The program includes a specific aim focused on collective impact. This indicates projects are expected to build strong local partnerships across healthcare, public health, social services, and community organizations to address both medical and social factors contributing to disparities.
How does the program expect grantees to demonstrate results?
The program emphasizes accountability through quality improvement, performance monitoring, and evaluation. Grantees are expected to track results, use data to improve services, and demonstrate progress over time.
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